Practitioners grossly underestimate the incidence of DV in their practices. Lack of education including knowledge of screening recommendations is a barrier to DV screening by pediatricians. Greater efforts are needed to educate pediatricians on DV for the AAP recommendations to be accepted.domestic violence, child abuse, screening, physician attitude.
The US Military is aware of the inherent risks for MSI associated with military training and repeated combat deployments. Rehabilitation efforts have been developed to address the problem.
The gonococcus was first cultivated by Bumm 1 on coagulated human placental serum in 1885, six years after its discovery by N eisser." Wertheim 3 used a peptone agar with serum as a medium; the serum was inoculated with the infected material and added to the fluid agar in the proportion of two to one.Wassermann~used pig serum agar with glycerol and nutrose. Thalman 5 cultivated the gonococcus on plain agar, using a medium which in reaction was between the neutral points of litmus and phenolphthalein. He emphasized the importance' of the reaction of the medium. Vannod 6 isolated and maintained several strains of gonococcus on plain agar. Gurd 7 suggested a medium of nutrient agar with a small quantity of defibrinated sterile human blood. Martin 8 published a review of methods of cultivating the gonococcus and of its differentiation from other gram-negative diplococci. He used beef infusion agar, the reaction of which was 0.6% acid to phenolphthalein, and moistened the surface with inactivated human serum. Hirshfelder 9 published a new formula using hullock testicular infusion agar. Warden III used a culture medium which contained ascitic or hydrocele fluid, blood or blood serum; later he used defibrinated rahhit blood with salt-free veal-peptone-agar, neutral to phenolphthalein, the medium being dried until the surface cracked. Vedder 11 described a starch agar, the reaction of which was 0.2 to 0.5% acid to phenolphthalein. Hall 12 made a testicular infusion agar. Thomson' 3 used agar with human blood plasma. The more recent contributions on the cultivation of the gonococcus deal chiefly with the oxygen tension requirements and the importance of hydrogen-ion concentration. Nowak, in 1908, and Wherry and Oliver U reduced the oxygen tension for the cultivation of the gonococcus with a growth of B. subtilis. Chapin 15 suggested the cultivation of the gonococcus in an atmosphere of CO". Ruediger 16 felt that the exclusion of air was
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