Antibiotic Resistance in Urinary Tract Infections in College Students

Abstract

Objective: To determine resistance to antibiotics of Escherichia coli in uncomplicated urinary tract infections (uUTIs) in female college students. Participants: Symptomatic patients presenting to a student health service from September 2008 to December 2009. Methods: Clean catch midstream urine samples were tested for urinalysis (UA) and culture and sensitivity. Results: Of 168 students enrolled in the study, 138 had positive UA, and 94 of these grew >100,000 colonies/mL of E. coli. Ampicillin resistance was 31.9%, trimethoprim-sulfamethoxazole (TMP-SMX) resistance 16.0%, ciprofloxacin resistance 4.3%, amoxicillin/clavulanate resistance 3.2%, and nitrofurantoin resistance 1.1%. The sensitivity of UA was 95.4% and the positive predictive value was 87.0% (p ≤ .001). Specificity was 77.5% and negative predictive value 92.9%. Conclusions: In healthy college women with uUTI symptoms, TMP-SMX should not be universally used for empirical therapy, whereas use of ciprofloxacin, amoxicillin/clavulanate, and nitrofurantoin are appropriate.     

Collegiate-Based Emergency Medical Service: Impact on Alcohol-Related Emergency Department Transports at a Small Liberal Arts College

Abstract

Objective: The authors examined the impact of a collegiate-based emergency medical service (CBEMS) on the frequency of emergency department (ED) transports. Participants: Students transported to the ED for acute alcohol intoxication during the Fall 2008 and the Fall 2009 semesters (N = 50). Methods: The frequency of students receiving transportation to a hospital ED and the reported blood alcohol content (BAC) levels during the initial operational semester of the CBEMS were compared to those values over the same time period the previous year. Results: More than twice the number of students was transported to the ED following the introduction of CBEMS. There was no change in mean BAC levels. Conclusions: CBEMS could promote a culture conducive to increased reporting behavior, which makes the campus safer. Similar BAC levels suggest that the degree of intoxication was similar for the 2 reporting periods, but students sought emergency assistance more frequently following the inception of CBEMS.     

Ethnicity, Marginalisation and Mental Illness in Hawaii

This study examines the characteristics, treatment and care of severely and persistently mentally ill patients at Hawaii's largest public sector psychiatric facility, Hawaii State Hospital. The implications of this information are then discussed, in terms of treatment and care. Consistent with previous studies, the 88 patients included in this study were most often male, less than 40 years of age, with a high school education or less, and hospitalized under a penal code. More remarkable variations were revealed, however, when patients were grouped according to ethnicity and racial origin. For example, patients from marginalised groups had a significantly higher likelihood of violence than patients from more politically, economically and socially powerful groups in Hawaii. The findings of this research challenge health care providers in general, and nurses in particular, to combine social advocacy with clinical expertise to ensure that patients receive effective and complete treatment and care.     

Survey Participation, Nonresponse Bias, Measurement Error Bias, and Total Bias

A common hypothesis about practices to reduce survey nonresponseis that those persons brought into the respondent pool throughpersuasive efforts may provide data filled with measurementerror. Two questions flow from this hypothesis. First, doesthe mean square error of a statistic increase when sample personswho are less likely to be contacted or cooperate are incorporatedinto the respondent pool? Second, do nonresponse bias estimatesmade on the respondents, using survey reports instead of records,provide accurate information about nonresponse bias? Using aunique data set, the Wisconsin Divorce Study, with divorce recordsas the frame and questions about the frame information includedin the questionnaire, this article takes a first look into thesetwo issues. We find that the relationship between nonresponsebias, measurement error bias, and response propensity is statistic-specificand specific to the type of nonresponse. Total bias tends tobe lower on estimates calculated using all respondents, comparedwith those with only the highest contact and cooperation propensities,and nonresponse bias analyses based on respondents yield conclusionssimilar to those based on records. Finally, we find that errorproperties of statistics may differ from error properties ofthe individual variables used to calculate the statistics.     

POLITICAL INFLUENCE AND REGULATORY POLICY: THE 1984 DRUG LEGISLATION

This paper applies a positive theory of legislation to explain the development of the 1984 Drug Price Competition Act and the Patent Term Restoration Act. Specifically, it examines why regulatory reforms prior to 1984 were stalemated, and why the 1984 legislation was enacted. Results show that prior to 1984, members of the key congressional committees had preferences in which the proposed bills could not beat the status quo. However, changes in subcommittee membership in the House combined with a change in the majority party in the Senate created a situation in which the 1984 legislation could defeat the status quo.     

Computer Science Majors: Sex Role Orientation,Academic Achievement,and Social Cognitive Factors

This study examined the sex role orientations endorsed by 188 male and female students majoring in computer science, a male‐dominated college degree program. The relations among sex role orientation and academic achievement and social cognitive factors influential in career decision‐making self‐efficacy were explored. Findings revealed that androgynous‐ and feminine‐oriented students scored significantly higher on career decision‐making self‐efficacy as compared with undifferentiated students. No significant sex role orientation differences were found for academic achievement and general and career locus of control.