Primary care providers care formore than 75 % of patients withdiabetes.1–4 With the recent intro-duction of two new insulin analogs, it seems appropriate to review insulin ther-apy for primary practitioners. This is particularly relevant because ~30–50% of patients with type 1 diabetes

and symptoms of burnout. Primary care providers, Emergency medicine physicians, and neurologists, have the highest risk for burnout. •Burnt-out physicians are less communicative with patients leading to inefficient treatment plans, longer recovery times, and an overall decrease in patient satisfaction. •In

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Participants will be able to: 1. Describe the evidence supporting the relationship between enjoyment/pleasure and health outcomes 2. Increase their mood and life satisfaction by 1 point on a scale of 1 to 10 3. Identify at least one thing they could do in the next week that would measurably improve their overall happiness. 4. Describe how intrinsic motivation and pleasure the might enrich health promotion programs

Task Force. HPV vaccine attitudes and practices among primary care providers in Appalachian Pennsylvania. Prev

I thank the Wardenburg health center for hosting our research study.

Gynecomastia is defined as excessive development of the breast in boys and has been known to exist for thousands of years, as has been shown in Tutankkamun and other pharaohs ’ statutes.1 Clinical gynecomastia is defined as enlarged breast glandular tissue exceed-ing 0.5 cm. Because of the differences in definition of clinical gynecomastia, the prevalence figures are 4 % to 69%, with a consensus of 50 % to 60 % of cases peaking between ages 13 and 14.2 Gynecomastia is also very common in infancy and was estimated to be as high as 60 % to 90 % in all neonates at birth because of high estrogen levels in the maternal-placental unit.3 The gynecomastia in infancy might persist as long as 6 months.4 In the premature the-larche syndrome in girls, it may persist past 6 months

28. Bakken S, Grullon-Figueroa L, Izquierdo R et al IDEATel Consortium. Development, validation, and use of English and Spanish versions of the telemedicine satisfaction and useful-

-with a focus on implications for primary care providers-are described.