el

Transgender Youth Experiences and Perspectives Related to HIV Preventive Services

BACKGROUND:

In the United States, transgender youth are at especially high risk for HIV infection. Literature regarding HIV prevention strategies for this vulnerable, often-hidden population is scant. Before effective, population-based HIV prevention strategies may be adequately developed, it is necessary to first enhance the contextual understanding of transgender youth HIV risk and experiences with HIV preventive services.

METHODS:

Two 3-day, online, asynchronous focus groups were conducted with transgender youth from across the United States to better understand participant HIV risk and experiences with HIV preventive services. Participants were recruited by using online advertisements posted via youth organizations. Qualitative data were analyzed by using content analysis.

RESULTS:

A total of 30 transgender youth participated. The average age was 18.6 years, and youth reported a wide range of gender identities (eg, 27% were transgender male, 17% were transgender female, and 27% used ≥1 term) and sexual orientations. Four themes emerged: (1) barriers to self-efficacy in sexual decision-making; (2) safety concerns, fear, and other challenges in forming romantic and/or sexual relationships; (3) need for support and education; and (4) desire for affirmative and culturally competent experiences and interactions (eg, home, school, and health care).

CONCLUSIONS:

Youth discussed experiences and perspectives related to their gender identities, sexual health education, and HIV preventive services. Findings should inform intervention development to improve support and/or services, including the following: (1) increasing provider knowledge and skills to provide gender-affirming care, (2) addressing barriers to services (eg, accessibility and affordability as well as stigma and discrimination), and (3) expanding sexual health education to be inclusive of all gender identities, sexual orientations, and definitions of sex and sexual activity.




el

Non-HDL Cholesterol Levels in Childhood and Carotid Intima-Media Thickness in Adulthood

BACKGROUND:

Elevated non–high-density lipoprotein cholesterol (HDL-C) levels are used to identify children at increased cardiovascular risk, but the use of non–HDL-C in childhood to predict atherosclerosis is unclear. We examined whether the National Heart, Lung, and Blood Institute classification of youth non–HDL-C status predicts high common carotid artery intima-media thickness in adulthood.

METHODS:

We analyzed data from 4 prospective cohorts among 4582 children aged 3 to 19 years who were remeasured as adults (mean follow-up of 26 years). Non–HDL-C status in youth and adulthood was classified according to cut points of the National Heart, Lung, and Blood Institute and the National Cholesterol Education Program Adult Treatment Panel III. High carotid intima-media thickness (cIMT) in adulthood was defined as at or above the study visit-, age-, sex-, race-, and cohort-specific 90th percentile of intima-media thickness.

RESULTS:

In a log-binomial regression analysis adjusted with age at baseline, sex, cohort, length of follow-up, baseline BMI, and systolic blood pressure, children with dyslipidemic non–HDL-C were at increased risk of high cIMT in adulthood (relative risk [RR], 1.29; 95% confidence interval [CI], 1.07–1.55). Compared with the persistent normal group, the persistent dyslipidemia group (RR, 1.80; 95% CI, 1.37–2.37) and incident dyslipidemia (normal to dyslipidemia) groups (RR, 1.45; 95% CI, 1.07–1.96) had increased risk of high cIMT in adulthood, but the risk was attenuated for the resolution (dyslipidemia to normal) group (RR, 1.17; 95% CI, 0.97–1.41).

CONCLUSIONS:

Dyslipidemic non–HDL-C levels predict youth at risk for developing high cIMT in adulthood. Those who resolve their non–HDL-C dyslipidemia by adulthood have normalized risk of developing high cIMT in adulthood.




el

Trends in Pediatricians Developmental Screening: 2002-2016

BACKGROUND:

Current guidelines from the American Academy of Pediatrics recommend screening children for developmental problems by using a standardized screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred.

METHODS:

We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding screening and referring children for developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in screening and referral practices and attitudes.

RESULTS:

Pediatricians’ reported use of developmental screening tools increased from 21% in 2002 to 63% in 2016 (P < .001). In 2016, on average pediatricians reported referring 59% of their at-risk patients to EI, up from 41% in 2002 (P < .001), and pediatricians in 2016 were more likely than in 2002 to report being "very likely" to refer a patient with global developmental delay, milestone loss, language delay, sensory impairment, motor delays, and family concern to EI.

CONCLUSIONS:

Pediatricians’ reported use of a standardized developmental screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in developmental screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.




el

Trends in Pediatric Malpractice Claims 1987-2015: Results From the Periodic Survey of Fellows

BACKGROUND:

Pediatricians are less frequently sued than other physicians. When suits are successful, however, the average payout is higher. Little is known about changes in the risk of litigation over time. We sought to characterize malpractice lawsuit trends for pediatricians over time.

METHODS:

The Periodic Survey is a national random sample survey of American Academy of Pediatrics members. Seven surveys between 1987 and 2015 asked questions regarding malpractice (n = 5731). Bivariate and multivariable analyses examined trends and factors associated with risk and outcome of malpractice claims and lawsuits. Descriptive analyses examined potential change in indemnity amount over time.

RESULTS:

In 2015, 21% of pediatricians reported ever having been the subject of any claim or lawsuit, down from a peak of 33% in 1990. Report of successful outcomes in the most-recent suit trended upward between 1987 and 2015, greatest in 2015 at 58%. Median indemnity was unchanged, averaging $128 000 in 2018 dollars. In multivariate analysis, male sex, hospital-based subspecialty (neonatology, pediatric critical care, pediatric emergency medicine, and hospital medicine), longer career, and more work hours were associated with a greater risk of malpractice claim.

CONCLUSIONS:

From 1987 to 2015, the proportion of pediatricians sued has decreased and median indemnity has remained unchanged. Male pediatricians and hospital-based subspecialists were more likely to have been sued. Greater knowledge of the epidemiology of malpractice claims against pediatricians is valuable because it can impact practice arrangements, advise risk-management decisions, influence quality and safety projects, and provide data to guide advocacy for appropriate tort reform and future research.




el

Home Chef Meal Delivery Service

True to its name, Home Chef is the homiest of meal services we've tried. The recipes are simple and not too adventurous, but for some home chefs, that's a good thing.




el

SteelSeries Rival 710

Like its predecessor the Rival 700, the SteelSeries Rival 710 is a solid, pricey gaming mouse, with unique features (such as an on-body screen) that are more fun and flashy than technically useful.




el

Champions League Fantasy: Captain marvel

The UEFA Champions League is back and UEFA.com are here to guide #UCLfantasy managers through the first legs of the round of 16.




el

Bayern v Chelsea facts

Led by Serge Gnabry's first-leg double, Bayern München have one foot in the quarter-finals as Chelsea come to Germany.




el

Barcelona v Napoli facts

Antoine Griezmann's first-leg away goal has given Barcelona an advantage after the game in Naples finished 1-1.




el

Fantasy Football Matchday 7 lessons: Midfielders

Key differentials were once again to the fore in the round of 16 first legs, although Serge Gnabry took the headlines again.




el

Is Technology the "Elephant in the Room"?

The "elephant in the room" has everything to do with technology but is not really about technology at all.




el

Could Artificial Intelligence Automate Student Note-Taking?

An AI-powered digital assistant to take notes for you? It’s already happening in the workplace, but classroom note taking could prove harder to automate.




el

Michelle Darnell named director of Smeal's new Tarriff Center

Michelle R. Darnell, associate clinical professor in management and director of honor and integrity at Smeal, has been appointed as the inaugural director of the Tarriff Center for Business Ethics and Social Responsibility.




el

Penn State Smeal panel explores pandemic's effects on sustainability, business

The Penn State Smeal College of Business Center for the Business of Sustainability recently hosted the first in a series of virtual fireside discussions titled “The Impact of Coronavirus on Sustainability and Social Impact,” to explore how recent momentum in sustainability efforts has been altered.




el

Yaeger selected as the Eberly College Cooperative Education Student of the Year

Emilee Yaeger, an undergraduate student in the Science BS/MBA accelerated joint degree program, has been selected as the recipient of the 2019 Eberly College of Science Cooperative Education Student of the Year Award. The award recognizes the student’s academic achievements and contributions to the participating employer, the University, the community, and the field of cooperative education.




el

COVID-19: Researchers to model novel coronavirus for spread mitigation

In an effort to help mitigate the disruptive effects of the deadly COVID-19 virus, an interdisciplinary team of Penn State researchers are developing a novel methodology to analyze its spread and the impacts on policy to create better-prepared and more-resilient health care systems.




el

Penn State Health selects president for its new Hampden Medical Center

Penn State Health has appointed Don McKenna as president of Penn State Health Hampden Medical Center.




el

New guide curates COVID-19 related resources for researchers

Penn State University Libraries has developed a curated guide to COVID-19 related resources for researchers, including ongoing research at Penn State.




el

COVID-19 response at Penn State propelled by interdisciplinary connections

MASC has successfully designed and delivered critical equipment and supplies needed to protect health care workers and patients during the COVID-19 pandemic.




el

Lehigh Valley LaunchBox grant recipients help COVID-19 relief efforts

Using their unique skills and experiences, three LaunchBox grant recipients are providing a variety of COVID-19 relief efforts.




el

Faculty member earns doctorate, selected as Fulbright specialist

Beth E. Michalec, lecturer of corporate communication at Penn State Lehigh Valley, earned a doctorate in rhetoric from Duquesne University. Michalec was selected as a Fulbright specialist in June 2019 by the U.S. Department of State.




el

Fin24.com | What you need to know when selling or buying

The onus is on you to uncover any defects before you buy, writes Angelique Ruzicka.




el

Fin24.com | Credit card fraud is getting worse. Here's how you can protect yourself

With credit card fraud rising at an alarming rate in the first quarter of the year, the Ombudsman for Banking Services has provided 10 tips to avoid becoming a victim of scammers.




el

Fin24.com | Automated online payment tech helping to combat card fraud

Automated EFT payments enabled by technology from fintech company Ozow may be a secure alternative method to transact than card payments.




el

Fin24.com | Stokvel members urged to be vigilant over festive season as criminals ready to strike

Sabric, a financial crime information centre, shares its tips on staying safe over the festive season.




el

Fin24.com | 'I told myself it's not my money, yet': This woman saved R23 400 in small change in a year

Student Sandisiwe Msomi saved R23 400 in small change over a year, which she will now use to pay for the registration fees of her second academic year.




el

Deals: Lenovo Flex 14, Dell Gaming Monitor, New Nintendo Switch

Today you can save $120 on the Lenovo Flex 14 2-in-1 laptop. Also, the 24-inch Dell S2419HGF 1080p monitor dropped is now just $149.99. Finally, the new Nintendo Switch, featuring improved battery life, is now available.




el

This Wearable Helps You Pick Groceries Based on Your DNA

The DnaBand sits on your wrist, scans the barcodes on food, compares it to your DNA, and flashes red if the food is a bad choice and green if it's a healthier option. It's only available in the UK right now, but co-founder Chris Toumazou has his sights set on LA.




el

Women's Under-17 EURO elite round draw

Holders Germany will face the Republic of Ireland, Iceland and Azerbaijan after the elite round draw was made, with seven spots on offer in May's finals in Lithuania.




el

Women's Under-17 EURO elite round report

Holders Germany, former winners Spain and Poland, England, the Netherlands, Finland and Italy have joined hosts Lithuania in May's finals.




el

Hegerberg happy to share the love as role model

For Norwegian international striker Ada Hegerberg, inspiring the next generation of women's players is a personal goal. In an interview which appears in the Women's U17 EURO tournament programme, we hear that the Olympique Lyonnais star wants budding young players to feel her same love of the game.




el

WU17 EURO elite round report

Holders Spain, Austria, Denmark, England, Germany, Netherlands and Portugal have joined hosts Bulgaria in the finals.




el

Fin24.com | SA expats send money home to help aging parents and more

Remittances from overseas are a lifeline for many South Africans, says Richard Ambrose, CEO of Azimo.




el

Fin24.com | How investment debit orders can help you build long-term wealth

Don't wait until you have a large amount of money to invest: the key to building wealth is just starting somewhere and letting your returns generate over time, says Ebrahim Moola of Bobats Wealth Solutions.




el

North Dakota spring high school sports, activities cancelled




el

Volkswagen gives UEFA Futsal EURO 2018 wheels

The 55-vehicle Volkswagen fleet which will transport players and officials at UEFA Futsal EURO 2018 has been handed over to the tournament organisers.




el

Penn Staters stock shelves, continue to serve students at campus pantries

Penn Staters across the Commonwealth are embodying the “We Are” spirit by keeping campus food pantries open and shelves stocked to continue to serve students in need during the coronavirus pandemic.




el

World Campus helps students find mental health services no matter where they are

Katie Marshall, Penn State World Campus mental health case manager, connects students learning online to resources in their own communities.




el

Labor and Employment Relations student will be 2020 World Campus student marshal

As part of Penn State's 2020 spring commencement activities, Matthew Solovey will represent the College of the Liberal Arts as its World Campus student marshal.




el

World Campus students elect student government leaders for 2020-21

Online learners at Penn State have elected 10 leaders to the World Campus Student Government Association to serve in the 2020-21 school year.




el

Video-Based Teacher Collaboration Helps Teachers Find the 'Story of Science'

After a successful pilot, a professional development program is looking to expand its lesson-study approach to rural teachers.




el

Clinical Practice Guideline: Nosebleed (Epistaxis)




el

Neurodevelopmental Outcomes of Preterm Infants With Retinopathy of Prematurity by Treatment




el

UEFA Futsal Cup elite round guide

The UEFA Futsal Cup elite round runs from Wednesday to Sunday, with holders Inter FS and former champions Kairat Almaty and Barcelona among those chasing four available finals spots.




el

Inter, Barcelona, Sporting and Győr reach finals

Holders Inter FS, two-time winners Barcelona, Sporting CP and Győr will contest the UEFA Futsal Cup finals in April after topping their elite round groups to make the last four.




el

Futsal Cup semi-finals: Inter-Barcelona, Győr-Sporting

Spanish co-hosts Inter FS and Barcelona will face off in the UEFA Futsal Cup semi-finals after being drawn together in the last four of this year's event in Zaragoza, while Győr face Sporting CP.




el

Velocity Micro Raptor Z55a (Ryzen 9 3950X)

The Velocity Micro Raptor Z55a is a clean, straightforward gaming desktop with excellent performance. It's a bit pricey, though, and doesn't do a lot to differentiate itself from its rivals.




el

These Dell Micro PCs Will Fit Anywhere, Even in Your IT Budget

For a limited time, you can get a Dell Optiplex 9020 Micro computer for as low as $269.99 with a full 1-year warranty as part of an off-lease refurbished sale from the PCMag Shop.




el

11 Apps and Services to Help You Stay Safe on Campus

Don't take your safety for granted. These apps, services, and gadgets will help you communicate your location to trusted contacts and get help should trouble arise.




el

Welcome to the Fragmentation Party, Android 10

Android may be leaving dessert names behind with Android 10, but its OS market share is still a buffet of Pie, Oreos, Nougat, Marshmallows, Lollipops, and even a couple of KitKats.