Community Integration Challenges of Men and Women After Traumatic Brain Injury: A Reflexive Thematic Analysis of Lived Experiences Through a Gender Lens.

Objective: To investigate community integration (CI) challenges following traumatic brain injury (TBI) through a gender lens.

Setting: Rehabilitation research-teaching hospital.

Participants: Adult participants (22 men and 20 women) with a primary diagnosis of mild or moderate-severe TBI, in the acute or chronic stages after injury, were recruited using purposive sampling.

Assessing dynamic violence risk: Common language risk levels and recidivism rates for the Violence Risk Scale.

The present study features the development of new risk categories and recidivism estimates for the Violence Risk Scale (VRS), a violence risk assessment and treatment planning tool. We employed a combined North American multisite sample ( = 6, = 1,338) of adult mostly male offenders, many with violent criminal histories, from correctional or forensic mental health settings that had complete VRS scores from archival or field ratings and outcome data from police records ( = 1,100). There were two key objectives: (a) to identify the rates of violent recidivism associated with VRS scores and (b) to generate updated evidence-based VRS violence risk categories with external validation.

Adaptations of transfusion systems to the COVID-19 pandemic in British Columbia, Canada: Early experiences of a large tertiary care center and survey of provincial activities.

Background: In March 2020, a state of emergency was declared to facilitate organized responses to the coronavirus disease 2019 (COVID-19) pandemic in British Columbia, Canada. Emergency blood management committees (EBMCs) were formed regionally and provincially to coordinate transfusion service activities and responses to possible national blood shortages.

Study Design And Methods: We describe the responses of transfusion services to COVID-19 in regional health authorities in British Columbia through a collaborative survey, contingency planning meeting minutes, and policy documents, including early trends observed in blood product usage.

Assessing protective factors in treated violent offenders: Associations with recidivism reduction and positive community outcomes.

The present study examined the assessment of protective factors and their linkages to treatment change, institutional and community recidivism, and positive community outcomes in a high-risk treated sample of violent male offenders. Participants included 178 federally incarcerated adult male violent offenders who participated in a high-intensity violence reduction program and were followed up 10 years postrelease in the community. A collection of risk- and protective-factor measures were rated archivally at multiple time points-the Violence Risk Scale (Wong & Gordon, 1999-2003), Historical Clinical Risk Management-20 (Version 2; Webster, Douglas, Eaves, & Hart, 1997), Structured Assessment of Protective Factors (SAPROF; De Vogel, De Ruiter, Bouman, & De Vries Robbé, 2009), and Protective Factors (PF) List.

Assessing Dynamic Violence Risk in a High-Risk Treated Sample of Violent Offenders.

The present study featured an investigation of the predictive properties of risk and change scores of two violence risk assessment and treatment planning tools-the Violence Risk Scale (VRS) and the Historical, Clinical, Risk-20, Version 2 (HCR-20)-in sample of 178 treated adult male violent offenders who attended a high-intensity violence reduction program. The cases were rated on the VRS and HCR-20 using archival information sources and followed up nearly 10 years postrelease. Associations of HCR-20 and VRS risk and change scores with postprogram institutional and community recidivism were examined.

Polyclonal hyperviscosity syndrome in IgG4-related disease and associated conditions.

Polyclonal hyperviscosity syndrome (HVS) is rare and has been reported in various disorders of immune dysregulation and lymphoid hyperplasia. IgG4-Related Disease (IgG4-RD) is an emerging disorder often associated with exuberant hypergammaglobulinemia, and this review of seven cases establishes IgG4-RD as an important cause of polyclonal HVS.

IgG4-related disease with hypergammaglobulinemic hyperviscosity and retinopathy.

Immunoglobulin G4-related disease (IgG4-RD) is a recently described entity with protean manifestations. We describe a novel case of IgG4-RD with hypergammaglobulinemic hyperviscosity responsive to fludarabine and rituximab. A 33-year-old Asian man developed bilateral lacrimal gland and submandibular salivary gland swelling with cervical lymphadenopathy.

A proposal for field-level medical assistance in an international humanitarian response to chemical, biological, radiological or nuclear events.

A capacity for field-level medical assistance for people exposed to chemical, biological, radiological or nuclear (CBRN) agents or medical support for people potentially exposed to these agents is intrinsically linked to the overall risk management approach adopted by the International Committee of the Red Cross (ICRC) for an international humanitarian response to a CBRN event. This medical assistance articulates: ▸the characteristics of the agent concerned (if known) ▸the need for immediate care particularly for people exposed to agents with high toxicity and short latency ▸the imperative for those responding to be protected from exposure to the same agents. This article proposes two distinct capacities for medical assistance--CBRN field medical care and CBRN first aid--that take the above into account and the realities of a CBRN event including the likelihood that qualified medical staff may not be present with the right equipment.

Acute antioxidant supplementation improves endurance performance in trained athletes.

This study examined the acute effects of a single dose of an antioxidant (AO; Lactaway® containing pycnogenol) on time to fatigue (TTF). Nine trained cyclists [mean ± SD age 35 ± 10 yrs; body mass 71.6 ± 10.

Security, insecurity and health.

An examination of the nexus of security, insecurity and health shows that security is a prerequisite for health. The many and varied ways that armed violence--including threats of armed violence--can affect people's health can be documented by formal studies; however, valuable data also exist in other reports, such as media reports. The health community needs to recognize that people's insecurity is a massive global health issue.

The science of human security.

During the 1990s medical studies using public health methodologies about injury and death due to weapons in conflict began to appear in the medical literature. The 1990s was also the period when the concept of human security was materialising in the development and humanitarian communities. Nowadays it is common for global organisations, governmental and non-governmental agencies, and academics to conduct scientific studies of human security.

Parvovirus B19 in an immunocompetent adult patient with acute liver failure: an underdiagnosed cause of acute non-A-E viral hepatitis.

There are occasional pediatric reports of parvovirus B19-associated transient acute hepatitis and hepatic failure. A case of a 34-year-old immunocompetent woman who developed severe and prolonged but self-limited acute hepatitis and myelosuppression following acute parvovirus B19 infection is reported. Parvovirus B19 may be the causative agent in some adult cases of acute non-A-E viral hepatitis and acute liver failure.

Towards collation and modelling of the global cost of armed violence on civilians.

A method is described which translates qualitative reports about armed violence into meaningful quantitative data allowing an evidence-based approach to the causes and effects of the global health impact of armed violence on unarmed people. Analysis of 100 randomly selected news reports shows that the type of weapon used, the psychological aspect of the violence, the number of weapons in use and the victims' vulnerability independently influence the mortality of victims. Data collated by the same method could be analysed together with indicators of poverty, development and health so illuminating the relationship between such indicators and degradation of peoples' physical security through acts of armed violence.

A clinicopathologic evaluation of follicular lymphoma grade 3A versus grade 3B reveals no survival differences.

Context: The World Health Organization classification recommends categorizing grade 3 follicular lymphomas based on the presence of centrocytes (grade 3A) or of sheets of centroblasts (grade 3B). The clinical significance of this practice is not known.

Objective: To determine whether grade 3 follicular lymphoma subtype is associated with prognosis.

Splenic marginal zone lymphomas presenting with splenomegaly and typical immunophenotype are characterized by allelic loss in 7q31-32.

Splenic marginal zone lymphoma (SMZL) is a rare non-Hodgkin's lymphoma that recently has been recognized as an entity. The first goal of this study was to identify potential chromosomal aberrations in this entity by cytogenetic analysis and comparative genomic hybridization (CGH). The second goal was to assess the frequency of 7q31-32 allelic imbalances in SMZL with primary involvement of the spleen and the typical immunophenotype (IgM+; IgD(dim); and CD5-, CD10-, and CD23-).

Involvement of multiple signaling pathways in follicular lymphoma transformation: p38-mitogen-activated protein kinase as a target for therapy.

Follicular lymphoma (FL) is the most common form of low-grade non-Hodgkin's lymphoma. Transformation to diffuse large B cell lymphoma (DLBCL) is an important cause of mortality. Using cDNA microarray analysis we identified 113 transformation-associated genes whose expression differed consistently between serial clonally related samples of FL and DLBCL occurring within the same individual.