The Role of Implicit Measurement in the Assessment of Risky Behavior: A Pilot Study with African American Girls

With the aim of developing a novel strategy for identifying vulnerability for early sexual activity and adjustment problems, African American girls (n = 39) completed partially structured scenarios in which female characters of similar age faced circumstances characterized by varying levels of risk. Most girls indicated that they believed the characters would have sex, regardless of their own sexual history or the level of risk in the scenario. However, the combination of girls’ sexual history and girls’ predictions of characters’ behavior in the scenario provided more information regarding the girls at greatest risk for adjustment problems. Implicit techniques offer an additional strategy for identifying girls most vulnerable to adjustment difficulties in the context of early sexual activity

Outcomes in patients with gunshot wounds to the brain.

Introduction:Gunshot wounds to the brain (GSWB) confer high lethality and uncertain recovery. It is unclear which patients benefit from aggressive resuscitation, and furthermore whether patients with GSWB undergoing cardiopulmonary resuscitation (CPR) have potential for survival or organ donation. Therefore, we sought to determine the rates of survival and organ donation, as well as identify factors associated with both outcomes in patients with GSWB undergoing CPR. Methods:We performed a retrospective, multicenter study at 25 US trauma centers including dates between June 1, 2011 and December 31, 2017. Patients were included if they suffered isolated GSWB and required CPR at a referring hospital, in the field, or in the trauma resuscitation room. Patients were excluded for significant torso or extremity injuries, or if pregnant. Binomial regression models were used to determine predictors of survival/organ donation. Results:825 patients met study criteria; the majority were male (87.6%) with a mean age of 36.5 years. Most (67%) underwent CPR in the field and 2.1% (n=17) survived to discharge. Of the non-survivors, 17.5% (n=141) were considered eligible donors, with a donation rate of 58.9% (n=83) in this group. Regression models found several predictors of survival. Hormone replacement was predictive of both survival and organ donation. Conclusion:We found that GSWB requiring CPR during trauma resuscitation was associated with a 2.1% survival rate and overall organ donation rate of 10.3%. Several factors appear to be favorably associated with survival, although predictions are uncertain due to the low number of survivors in this patient population. Hormone replacement was predictive of both survival and organ donation. These results are a starting point for determining appropriate treatment algorithms for this devastating clinical condition. Level of evidence:Level II

The Role of Implicit Measurement in the Assessment of Risky Behavior: A Pilot Study with African American Girls

With the aim of developing a novel strategy for identifying vulnerability for early sexual activity and adjustment problems, African American girls (n = 39) completed partially structured scenarios in which female characters of similar age faced circumstances characterized by varying levels of risk. Most girls indicated that they believed the characters would have sex, regardless of their own sexual history or the level of risk in the scenario. However, the combination of girls’ sexual history and girls’ predictions of characters’ behavior in the scenario provided more information regarding the girls at greatest risk for adjustment problems. Implicit techniques offer an additional strategy for identifying girls most vulnerable to adjustment difficulties in the context of early sexual activity