Parental experiences and perspectives of healthcare providers' genetic testing recommendations for their children diagnosed with autism spectrum disorder in the United States.

Although genetic testing is recommended for all children diagnosed with autism spectrum disorder (ASD) in the United States, it remains unclear how many parents have received and followed these recommendations. This study aimed to assess parental experiences and perspectives of healthcare providers' genetic testing recommendations. A total of 1043 parents of children with ASD from Simons Foundation Powering Autism Research for Knowledge completed an online survey.

Magnitude and precision of absolute blood volume estimated during hemodialysis.

Management of body fluid volumes and adequate prescription of ultrafiltration (UF) remain key issues in the treatment of chronic kidney disease patients. This study aims to estimate the magnitude as well as the precision of absolute blood volume () modeled during regular hemodialysis (HD) using standard data available with modern dialysis machines. The estimation utilizes a two-compartment fluid model and a mathematical optimization technique to predict UF-induced changes in hematocrit measured by available on-line techniques.

Enhanced solar-driven evaporation and mineral extraction from hypersaline produced water using low-cost microporous photothermal foam.

The beneficial reuse of produced water (PW) holds significant promise to alleviate water scarcity. However, it still suffers major limitations associated with the high cost of treatment due to energy consumption, economics of scale, and the complex physiochemical constituents. PW is a hypersaline (TDS ∼ 250,000 mg/l) oilfield water with bio-species, organic matter, anions, divalent cations, and radioactive elements.

Pilot Demonstration of a New Tip for Effective Gas Flaring in the Permian Basin: Part 1.

In the oil and gas industry, gas flaring through flare stacks plays a critical role in safely and efficiently releasing and burning gases and other materials from pressure-relief and vapor-depressurizing systems. Gas flaring is a contentious and formidable environmental challenge, both regionally and globally. Its adverse impacts encompass pollution, contribution to global warming, and substantial economic losses.

Analysis of the timing and the usage of drains following cranioplasty on outcomes and the incidence of bone resorption.

Background: Pediatric cranioplasty is associated with a high rate of complications, including bone resorption (BR) in 20-50% of cases. We aimed to evaluate factors contributing to BR, including the effect of the timing of cranioplasty and the use of post-surgical drains.

Methods: This is a dual institution retrospective review of all patients under 18 years old who underwent a cranioplasty following a decompressive craniectomy (DC) for the treatment of traumatic brain injury between 2011 and 2021.

Computational Characterization of the Inhibition Mechanism of Xanthine Oxidoreductase by Topiroxostat.

Xanthine oxidase (XO) is a member of the molybdopterin-containing enzyme family. It interconverts xanthine to uric acid as the last step of purine catabolism in the human body. The high uric acid concentration in the blood directly leads to human diseases like gout and hyperuricemia.

Pubic Candida Folliculitis, A Case Report in a Patient With Recurrent Vaginal Candidiasis.

Objective: Folliculitis is a skin infection and inflammation that develops in the hair follicles. While most cases of folliculitis are caused by bacterial infections, here is a case of folliculitis caused by the fungi in an immunocompetent host.

Case Report: A 23-year-old non-diabetic immunocompetent female with recurrent vaginal candidiasis developed clusters of erythematous, pruritic papules in the pubic area.

Outcomes of Pediatric Traumatic Brain Injury Patients Presenting with or Developing Cerebral Herniation.

Background: Traumatic brain injury (TBI) is the leading cause of mortality and morbidity in children. Previous studies evaluated outcomes of adult patients; however, few assessed outcomes of pediatric TBI patients presenting with herniation. This study investigated outcome data in pediatric patients presenting with TBI and cerebral herniation and the interventional strategies used for each patient in a rural community.

Investigation of the Inhibition Mechanism of Xanthine Oxidoreductase by Oxipurinol: A Computational Study.

Xanthine oxidoreductase (XOR) is an enzyme found in various organisms. It converts hypoxanthine to xanthine and urate, which are crucial steps in purine elimination in humans. Elevated uric acid levels can lead to conditions like gout and hyperuricemia.

Using Drugs or Non-Drugs Alternatives to Alter Mental States in the Online, Virtual Era.

: In the 1970s a body of literature was generated advocating the alternatives approach for drug misuse prevention and rehabilitation which encouraged healthy nonchemical behaviors leading to reinforcing moods. Although this behaviorally oriented approach was overshadowed with the popularity of cognitive therapy in the 1980s, many of the recommended alternative behaviors remain embedded in cognitive approaches for drug misuse prevention and rehabilitation. One objective of the present study was to replicate, in part, two studies conducted in the 1970s which examined usage patterns of non-drug alternatives.

Over One Million DNA and Protein Events Through Ultra-Stable Chemically-Tuned Solid-State Nanopores.

Stability, long lifetime, resilience against clogging, low noise, and low cost are five critical cornerstones of solid-state nanopore technology. Here, a fabrication protocol is described wherein >1 million events are obtained from a single solid-state nanopore with both DNA and protein at the highest available lowpass filter (LPF, 100 kHz) of the Axopatch 200B-the highest event count mentioned in literature. Moreover, a total of ≈8.

Difference in 30-Day Readmission Rates After Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Roux-En-Y Gastric Bypass: a Propensity Score Matched Study Using ACS NSQIP Data (2015-2019).

Purpose: There are very few studies that have compared the short-term outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). Among short-term outcomes, hospital readmission after these procedures is an area for quality enhancement and cost reduction. In this study, we compared 30-day readmission rates after LSG and LRYGB through analyzing a nationalized dataset.

Sex Differences in Comorbidities of Pediatric Craniosynostosis at Presentation.

Introduction: Craniosynostosis is a common pediatric presentation in which the premature fusion of one or more cranial sutures results in a misshapen skull. This birth defect is often associated with comorbidities due to structural impacts on nearby anatomical features. While there is some evidence for a male predominance among craniosynostosis patients, little has been investigated regarding sex differences in comorbidities of this condition.

Challenging Vaginal Discharge, Lactobacillosis and Cytolytic Vaginitis.

In women's health, clinicians are often faced with diagnosing and administering treatment to patients who present with an increased vaginal discharge without much other information to work with. It's only once a patient's background is reviewed and lab work is completed that two common reasons behind vaginal discharge with similar symptoms, Lactobacillosis and Cytolytic Vaginitis, can be differentiated and a proper diagnosis can be reached. Now, we understand that Lactobacillosis and Cytolytic Vaginitis are symptomatically confused by patients as well as inexperienced clinicians.

and Cytokine Modifications during Menopause and Their Relation to Vulvar and Vulvovaginal Disorders.

Objectives: Female sexual and reproductive health is heavily influenced by the levels and ratios of species and vaginal cytokines. Menopause marks a profound body change as it shifts to a natural and permanent non-reproductive state. Vulvovaginal diseases encompass a broad variety of sexual health conditions.

Impact of history of mental disorders on short-term mortality among hospitalized patients with sepsis: A population-based cohort study.

Background: Mental disorders are associated with markedly reduced life expectancy, in part due to an increased risk of death due to infection, likely reflecting sepsis-associated mortality. Patients with mental disorders are at an increased risk of sepsis, but data on the prognostic impact of mental disorders in sepsis are sparse, showing conflicting findings.

Methods: We used statewide data to identify hospitalizations aged ≥18 years with sepsis in Texas during 2014-2017.

Effects of cardiovascular arousal on emotional experience.

Studies of arousal and emotion show that generalized physiological arousal can enhance emotional experience for a range of different emotions. Other research shows that different emotions may be associated with specific patterns of physiological reactivity. Together these findings suggest that while nonspecific autonomic activation can be sufficient in the generation of emotion, specific patterns of reactivity may appear once the emotion is established.

Knowledge and Attitudes toward Genetic Testing for Autism Spectrum Disorders among Parents of Affected Children in Taiwan.

The prevalence of autism spectrum disorders (ASD) in Taiwan has been increasing, and genetic testing for ASD has been available and provided to parents of children diagnosed with ASD in Taiwan. However, there is still limited understanding of Taiwanese parents' knowledge of and attitudes toward such testing. Therefore, the present study addressed this gap by assessing the attitudes toward as well as actual and perceived knowledge of ASD genetic testing among Taiwanese parents of children diagnosed with ASD.

Attitudes toward Pursuing Genetic Testing among Parents of Children with Autism Spectrum Disorder in Taiwan: A Qualitative Investigation.

Background: The diagnosis of autism spectrum disorder (ASD) cases is increasing in Taiwan. Genetic testing for children with ASD offers several potential benefits and is available with out-of-pocket expenses. Parents play a pivotal role in having their children with ASD tested; therefore, understanding their perceptions of, and perceived barriers to genetic testing is vital.

Perceptions of Autism Spectrum Disorder (ASD) Etiology among Parents of Children with ASD.

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication deficits and restricted or repetitive behaviors. Parental perceptions of the etiology of their child's ASD can affect provider-client relationships, bonding between parents and their children, and the prognosis, treatment, and management of children with ASD. Thus, this study sought to examine the perceptions of ASD etiology of parents of children with ASD.

A rare case report: Cutaneous Candida tropicalis infection disguised as a sacral decubitus rash in an immunocompetent individual.

Candida infection is seen in patients with weak or disrupted host responses. Cutaneous candidiasis typically affects the intertriginous areas and presents with a red plaque surrounded by satellite lesions. Diagnosis of cutaneous candidiasis is made by visual inspection followed by potassium hydroxide normal saline microscopic preparation (wet mount) and polymerase chain reaction identification or culture of fungal organism.

Transition to Practice and Back Again: The Journey Into Nursing Academia.

There is little research on the transition of experienced nurses from acute/clinical practice to academia. The transition into a faculty role can be overwhelming, isolating, and intimidating, even for expert nurse leaders and clinicians. This article presents the journey of two experienced nurse leaders who transitioned into academia and explores how to overcome challenges during the transition period.

"That's Where Our Income Comes From": Women's Perceptions of Links Between Reproductive Struggles and Hydraulic Fracturing.

Reproductive hardship is highly stigmatized, which leads to such struggles being relegated to the private sphere. At the same time, numerous studies show links between toxic chemicals and reproductive hardship including miscarriage, infertility, and birth defects. There thus exists a disconnection between contributors to reproductive challenges and the fact that such hardship is frequently viewed as a problem.

Elastic moduli of body-centered cubic lattice near rigidity percolation threshold: Finite-size effects and evidence for first-order phase transition.

Extensive numerical simulations of rigidity percolation with only central forces in large three-dimensional lattices have indicated that many of their topological properties undergo a first-order phase transition at the rigidity percolation threshold p_{ce}. In contrast with such properties, past numerical calculations of the elastic moduli of the same lattices had provided evidence for a second-order phase transition. In this paper we present the results of extensive simulation of rigidity percolation in large body-centered cubic (bcc) lattices, and show that as the linear size L of the lattice increases, the elastic moduli close to p_{ce} decrease in a stepwise, discontinuous manner, a feature that is absent in lattices with L<30.