Impact of Race and Insurance on Door-to-Appendectomy Time among Pediatric Patients

Racial and ethnic disparities in the rate of appendiceal rupture have been widely reported among the pediatric population. The main reasons for this remain largely unknown given that previous explanations pointing to signs of poor health care access have recently been shown to account for only a small percentage of the difference in perforation rates between white and minority children. Because the risk of perforation increases with time, racial disparities in time delay from emergency department presentation to OR appendectomy may help account for the higher appendiceal perforation rates observed among minority children. This is the first study dedicated to analyzing racial differences in door-to-appendectomy time. Insurance status and language barriers were also considered as variables of interest. Retrospective, observational study using admission and treatment data of 607 consecutive children less than or equal to 18 years of age with surgical confirmation of appendicitis. Patients were admitted from February 2, 2013 (start of electronic medical record use) to April 27, 2017. A significant association was found between race and perforation rate (p0.05 for all). Door-to-appendectomy times were also not significantly longer for Medicaid/uninsured patients (613 minutes) compared to private insurance patients (597 minutes) (p=0.60), nor for patients with language barriers (545 minutes) compared to patients without (612 minutes) (p=0.23). While there was a higher appendiceal perforation rate among minority children, it was not due to differences in door-to-appendectomy time. Insurance status and language barriers also did not lead to differential treatment among pediatric patients

Affiliative Subgroups in Preschool Classrooms: Integrating Constructs and Methods from Social Ethology and Sociometric Traditions

Recent studies of school-age children and adolescents have used social network analyses to characterize selection and socialization aspects of peer groups. Fewer network studies have been reported for preschool classrooms and many of those have focused on structural descriptions of peer networks, and/or, on selection processes rather than on social functions of subgroup membership. In this study we started by identifying and describing different types of affiliative subgroups (HMP- high mutual proximity, LMP- low mutual proximity, and ungrouped children) in a sample of 240 Portuguese preschool children using nearest neighbor observations. Next, we used additional behavioral observations and sociometric data to show that HMP and LMP subgroups are functionally distinct: HMP subgroups appear to reflect friendship relations, whereas LMP subgroups appear to reflect common social goals, but without strong, within-subgroup dyadic ties. Finally, we examined the longitudinal implications of subgroup membership and show that children classified as HMP in consecutive years had more reciprocated friendships than did children whose subgroup classification changed from LMP or ungrouped to HMP. These results extend previous findings reported for North American peer groups

Affiliative Subgroups in Preschool Classrooms: Integrating Constructs and Methods from Social Ethology and Sociometric Traditions

Recent studies of school-age children and adolescents have used social network analyses to characterize selection and socialization aspects of peer groups. Fewer network studies have been reported for preschool classrooms and many of those have focused on structural descriptions of peer networks, and/or, on selection processes rather than on social functions of subgroup membership. In this study we started by identifying and describing different types of affiliative subgroups (HMP- high mutual proximity, LMP- low mutual proximity, and ungrouped children) in a sample of 240 Portuguese preschool children using nearest neighbor observations. Next, we used additional behavioral observations and sociometric data to show that HMP and LMP subgroups are functionally distinct: HMP subgroups appear to reflect friendship relations, whereas LMP subgroups appear to reflect common social goals, but without strong, within-subgroup dyadic ties. Finally, we examined the longitudinal implications of subgroup membership and show that children classified as HMP in consecutive years had more reciprocated friendships than did children whose subgroup classification changed from LMP or ungrouped to HMP. These results extend previous findings reported for North American peer groups

Experimental Demonstration of a Structured Material with Extreme Effective Parameters at Microwaves

Following our recent theoretical studies [M. G. Silveirinha, C. A. Fernandes, Phys. Rev. B, 78, 033108, 2008], it is experimentally verified that an array of crossed metallic wires may behave as a nonresonant material with extremely large index of refraction at microwaves, and may enable the realization of ultra-subwavelength waveguides.Comment: accepted for publication in Applied Physics Letters (in press). Applied Physics Letters (in press) (2008

The biting and predaceous midges of Guadeloupe (Diptera: Ceratopogonidae). I. Species of the subfamily Ceratopogoninae

We provide new records of biting and predaceous midges (Diptera: Ceratopogonidae) from Guadeloupe in the subfamily Ceratopogoninae, including descriptions and illustrations of three new predaceous species in the genera, Parabezzia Malloch, Stilobezzia Kieffer and Palpomyia Meigen, respectively, and the first records of the New World predaceous genus, Amerohelea Grogan and Wirth, from the Caribbean region. We also provide the first Guadeloupe records of the biting midges, Culicoides (Anilomyia) decor (Williston), C. (Avaritia) pusillus Lutz, C. (Drymodesmyia) bredini Wirth and Blanton, C. (D.) poikilonotus Macfie, C. (Haematomyidium) hoffmani Fox, C. (Hoffmania) insignis Lutz, C. rangeli Ortiz and Mirsa and C. trilineatus Fox, and the predaceous midges, Brachypogon (Brachypogon) bifidus Spinelli and Grogan, B. (B.) telesfordi Spinelli and Grogan, B. (B.) woodruffi Spinelli and Grogan, Monohelea maya Felippe-Bauer, Huerta and Ibáñez-Bernal, Stilobezzia (Stilobezzia) diminuta Lane and Forattini, S. (S.) thomsenae Wirth, Amerohelea galindoi Grogan and Wirth, Bezzia (Bezzia) flinti Spinelli and Wirth, B. (Homobezzia) venustula (Williston) and Palpomyia insularis Spinelli and Grogan

TRAIL, DR5 and Caspase 3-dependent Apoptosis in Vessels of Diseased Human Temporomandibular Joint Disc. An Immunohistochemical Study

To evaluate the apoptosis involvement in the angiogenesis as a self-limiting process in patients with temporomandibular joint (TMJ) degenerated disc vessels, we assessed, by immunohistochemistry, the detection of TRAIL, its death receptor DR5 and caspase 3. TRAIL, its death receptor DR5 and caspase 3 expression were studied by immunohistochemistry in 15 TMJ discs displaced without reduction and in 4 unaffected discs. These apoptosis molecules were detected in the intima and media layers of newly formed vessels affected discs. In conclusion, vessels apoptosis activation in TMJ disc with ID could be regarded as a self-limiting process that try to leads to vessel regression; in this way an inhibition of angiogenic vessels may prove a key strategy in limiting pathological angiogenesis, by cutting off blood supply to tumors, or by reducing harmful inflammation

Twerking, Alcohol, and Fame: The Construction of Disney Celebrities in the Media

The mass media expanded intrusion of cameras into the public and private lives of celebrities has contributed to the public\u27s fascination with Hollywood celebrities. Specifically, this cultural obsession has been increasingly centered on female celebrity\u27s increased deviancy and criminal behaviours. Although numerous studies have been completed discussing the cultural fixation of Hollywood celebrity culture and the audience’s attachment to these celebrities, few have provided insight into the media construction of cultural narratives surrounding Disney celebrities. To fill the gap in the literature, I will assess how female celebrity deviance and sexuality is constructed in the media by examining the media portrayal of three Disney celebrities Lindsay Lohan, Miley Cyrus, and Selena Gomez as either victims or villains (Loseke, 2003). Using Charmaz (2006) constructivist grounded theory approach, I will analyze how the media has constructed social boundaries outlining the appropriate / inappropriate behaviours of women