Sports involvement, injury history, and non‐medical use of prescription opioids among college students: An analysis with a national sample

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141733/1/ajad12657.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/141733/2/ajad12657_am.pd

The HD 163296 Circumstellar Disk in Scattered Light: Evidence of Time-Variable Self-Shadowing

We present the first multicolor view of the scattered light disk of the Herbig Ae star HD 163296, based on coronagraphic observations from the Hubble Space Telescope Advanced Camera for Surveys (HST ACS). Radial profile fits of the surface brightness along the disk's semimajor axis indicate that the disk is not continuously flared, and extends to ~540 AU. The disk's color (V − I) = 1.1 at a radial distance of 3.5'' is redder than the observed stellar color (V − I) = 0.15. This red disk color might be indicative of either an evolution in the grain size distribution (i.e., grain growth) and/or composition, both of which would be consistent with the observed nonflared geometry of the outer disk. We also identify a single ansa morphological structure in our F435W ACS data, which is absent from earlier epoch F606W and F814W ACS data, but corresponds to one of the two ansae observed in archival HST Space Telescope Imaging Spectrograph (STIS) coronagraphic data. Following transformation to similar bandpasses, we find that the scattered light disk of HD 163296 is 1 mag arcsec^(−2) fainter at 3.5'' in the STIS data than in the ACS data. Moreover, variations are seen in (1) the visibility of the ansa(e) structures, (2) the relative surface brightness of the ansa(e) structures, and (3) the (known) intrinsic polarization of the system. These results indicate that the scattered light from the HD 163296 disk is variable. We speculate that the inner disk wall, which Sitko et al. suggests has a variable scale height as diagnosed by near-IR SED variability, induces variable self-shadowing of the outer disk. We further speculate that the observed surface brightness variability of the ansa(e) structures may indicate that the inner disk wall is azimuthally asymmetric

Growing Up With a Chronic Illness: Social Success, Educational/Vocational Distress

We compared adult educational, vocational, and social outcomes among young adults with and without childhood-onset chronic illness in a nationally representative US sample

HIV Testing Among Young Adults in the United States: Associations with Financial Resources and Geography

We estimated prevalence and odds ratios for self-reported HIV testing among sexually experienced young adults using nationally representative data obtained from Wave III of the National Longitudinal Study of Adolescent Health (Add Health). The prevalence of testing in the past year was 18.8%

Controlling hypertension immediately post stroke: a cost utility analysis of a pilot randomised controlled trial.

BACKGROUND: Elevated blood pressure (BP) levels are common following acute stroke. However, there is considerable uncertainty if and when antihypertensive therapy should be initiated. METHOD: Economic evaluation alongside a double-blind randomised placebo-controlled trial (National Research Register Trial Number N0484128008) of 112 hypertensive patients receiving an antihypertensive regimen (labetalol or lisinopril) within 36 hours post stroke versus 59 receiving placebo. Outcomes were incremental cost per incremental: QALY, survivor, and patient free from death or severe disability (modified Rankin scale score < 4) at three months and 14 days post stroke. RESULTS: Actively treated patients on average had superior outcomes and lower costs than controls at three months. From the perspective of the acute hospital setting, there was a 96.5% probability that the incremental cost per QALY gained at three months is below pound30,000, although the probability may be overstated due to data limitations. CONCLUSION: Antihypertensive therapy when indicated immediately post stroke may be cost-effective compared with placebo from the acute hospital perspective. Further research is required to confirm both efficacy and cost-effectiveness and establish whether benefits are maintained over a longer time horizon

Screening Young Adults for Prevalent Chlamydial Infection in Community Settings

Community-based testing may identify young adults in the general population with sexually transmitted chlamydial infection. To develop selective screening guidelines appropriate for community settings, the authors conducted a cross-sectional analysis of the National Longitudinal Study of Adolescent Health Wave III (April 2, 2001 – May 9, 2002)

Models for Access to Maternal Smoking cessation Support (MAMSS): a study protocol of a quasi-experiment to increase the engagement of pregnant women who smoke in NHS Stop Smoking Services

Background: Maternal smoking is a key cause of poor outcomes for mothers, babies and children and Wales has higher rates of smoking in pregnancy than any other UK country. Despite various improvements within the NHS Stop Smoking Service to strengthen the intervention for pregnant women, referrals and successful quit attempts for this group have continued to remain extremely low. A key element of UK national guidance for smoking cessation during pregnancy is to provide a flexible and tailored service to help increase levels of engagement. This study aims to test the effectiveness of three different models of service delivery to address the gap in the evidence base about how to deliver a flexible, tailored smoking cessation service to pregnant women. Methods: This study will adopt a quasi-experimental design over a 12 month period. The setting is four of Wales’ seven Health Boards using an integrated approach between maternity services, local public health teams and the NHS Stop Smoking Service. Core recommendations from UK public health guidance are being implemented across intervention and usual care sites. Stop smoking support for pregnant women in intervention sites is being delivered more flexibly than in usual care sites. Both qualitative and quantitative approaches will be adopted to capture important contextual information and consider multiple perspectives. A health economic analysis will be undertaken using a cost-consequences analysis approach. The primary outcome measure is engagement with stop smoking services (defined as having at least one face-to-face therapeutic contact with a clinician). Discussion: Supporting pregnant women to stop smoking is a challenging area of public health. The proposed study will address several areas where there are key evidence gaps relating to smoking cessation interventions for pregnant women. Specifically, how best to encourage pregnant women to attend a specialist stop smoking support service, how to deliver the service and who should provide it

Minor Consent and Delivery of Adolescent Vaccines

To explore whether, and to what extent, minor consent influences adolescent vaccine delivery in the United States