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Black, lesbian, gay, bisexual, and transgender (LGBT), individuals experience higher rates of violent victimization compared to their cisgender heterosexual counterparts over their life course. Among Black LGBT people, witnessing and experiencing violence have been related to poor health outcomes, including depression, risky sexual behavior, substance use, and lower engagement in healthcare services. We engaged in research to better understand the effects of violence experienced by the Black LGBT youth community. We conducted a qualitative, phenomenological study focused on the causes of violence occurring in the lives of Black LGBT youth engaged in a recreation-based community health program. The study consisted of four focus groups with Black LGBT youth (N = 24) and in-depth individual interviews with medical and social service providers who work with Black LGBT youth (N = 4). Data analysis presented three themes: (1) causes of violence, (2) the context of intracommunity violence, and (3) solutions to violence. The first theme describes the reasoning, motivation, or explanation for violence experienced by the Black LGBT youth community. The second theme, the context of intracommunity violence, describes how violence occurs specifically within Black LGBT young adult communities. The third theme, solutions to violence, describes the recommendations for addressing, reducing, and/or eliminating violence within the Black LGBT youth community. Our findings highlight the need for safe spaces, culturally-relevant services, and trusted figures for Black LGBT young adults, which can serve as mechanisms for mitigating violence. [ABSTRACT FROM AUTHOR]

American voters commonly express abstract support for candidates with a business background, yet there is minimal systematic evidence about whether it advantages candidates in actual electoral contests. We examine this question using observational data, drawing on a California law allowing candidates to designate their occupational background on the ballot, and experimental data. Candidates with a business background are prevalent in California. However, neither of our studies indicate that business candidates enjoy atypical overall electoral success (although Republican leaning constituencies have a notably more favorable view of such candidates). A political background predicts electoral success far more effectively. Further, "small business owners" have more success than other business candidates, suggesting that voters consider the specifics of a candidate's business experience. These results advance our knowledge of decision making in low-information elections, how voters weigh private-sector versus political experience, and how they filter occupational information through a partisan lens. [ABSTRACT FROM AUTHOR]

Background: Diabetes mellitus increases the risk of complications following operative treatment of lower extremity fractures. There is little published data establishing the impact of diabetes following surgical treatment of upper extremity fractures. This investigation aimed to compare the incidence of short-term postsurgical complications following volar locked plating of distal radius fractures in patients with and without diabetes. Methods: A retrospective matched cohort investigation of 33 diabetics matched 1:2 to 66 non-diabetics was performed, accounting for age, gender, fracture type, and smoking status. Electronic medical records and radiographs were reviewed for all major and minor postsurgical complications. Demographic characteristics, postoperative radiographic parameters, and final range of motion were also compared. Mean follow-up was 5.3 ± 8.2 and 5.5 ± 7.8 months for diabetics and non-diabetics, respectively. Results: The diabetic cohort had a significantly higher overall complication rate with 24 postsurgical complications affecting 12 patients (36 %) compared to 16 complications affecting 12 patients (18 %) in the non-diabetic cohort. There was no difference in the incidence of major complications requiring operative intervention. Minor complications were significantly more common in the diabetic group and were largely accounted for by peripheral neuritis with an incidence of 30 %. Final radiographic outcomes and range of motion were similar. Conclusions: Diabetics experienced a greater incidence of minor postsurgical complications following volar locked plating of distal radius fractures when compared to a matched, control population. The difference in outcomes is largely accounted for by the increased incidence of peripheral neuritis among diabetics. Diabetic patients should be counseled pre-operatively regarding their elevated risk profile. [ABSTRACT FROM AUTHOR]

Background: A variety of metacarpophalangeal joint (MCPJ) arthrodesis techniques have been described for the treatment of symptomatic arthritis and instability of the thumb MCPJ including K wire fixation, tension-band arthrodesis, plate fixation, intramedullary screw, and other intramedullary devices. This study presents a retrospective review of one surgeon's initial series of patients undergoing thumb MCP arthrodesis using an intramedullary compression device with a fixed angle of 25°. Methods: A retrospective chart and radiographic review of patients treated for thumb MCP arthrodesis using the intramedullary device was performed. Final radiographs were evaluated for arthrodesis angle, bony fusion, and implant fixation. Any complication found during surgery or the follow-up period was noted. Results: In this study, 17 patients were reviewed. Indications for surgery were osteoarthritis (five patients), rheumatoid arthritis (three patients), MCP instability alone (seven patients), and post-traumatic conditions (two patients). Of these, 12 patients had a simultaneous trapeziometacarpal (TMC) soft tissue arthroplasty. Mean follow-up was 4.9 months. All 17 patients had clinical and radiographic evidence of fusion at an average of 7.9 weeks, with an average fusion angle of 24.4°. There were no hardware complications, no infections, no revisions, and no indications for hardware removal. Discussion: Our study results indicate the technique promotes rapid union at a precise angle, provides strong fixation that does not require prolonged immobilization, does not cause hardware irritation, and can be used in conjunction with other procedures including TMC arthroplasty when MCP arthrodesis is indicated for joint instability. [ABSTRACT FROM AUTHOR]

A glass series [xSiO2[−y]·0.36ZnO·0.17Na2O·0.05CaO (starting at x = 0.50, y = 0.08 TiO2)] was formulated with TiO2 substituting SiO2. Each glass/silver-coated glass was characterized using X-ray diffraction, X-ray photoelectron spectroscopy (XPS), and scanning electron microscopy. Surface area analysis revealed significant changes after silver coating, 0.43–0.95 m2/g (control), to 0.53–1.85 m2/g (AU-1), and 0.20–1.11 m2/g (AU-2). Ion release from uncoated glasses included sodium (0.08 mg/L), calcium (0.07 mg/L), and zinc (0.008 mg/L), where silver-coated glasses presented 0.42 mg/L (silver), 0.33 mg/L (sodium), 0.02 mg/L (calcium), and 0.01 mg/L (zinc). Ag-coated glasses presented inhibition zones of 7.75 mm (control) compared to 1.04 mm (AU-2). [ABSTRACT FROM AUTHOR]

Background: Fractures of the distal radius are among the most common fractures in adults. Recently, there has been a trend towards open reduction and internal fixation of these fractures through a volar approach. The purpose of this study was to assess the early complications of volar locking plate fixation of distal radius fractures with an emphasis on defining the relationship between surgeon experience and incidence of complications. Materials and Methods: Following IRB approval, we conducted a retrospective chart review of the initial 96 distal radius fractures (92 patients) treated by open reduction and internal fixation of distal radius fracture using a volar locked plate. Our outcome measurements were incidence of postoperative complications and radiographic loss of reduction. Results: Twenty-two complications occurred in 21 patients. Of these, five complications (5%) required surgical treatment or hospitalization. Seventeen complications (18%) required no surgical intervention or hospitalization. Transient nerve dysfunction was the most common complication, accounting for 12 of 22 complications. The first 30 patients experienced significantly more complications than those treated later in the series ( p = 0.03). There was a trend towards increased incidence of complications in cases where more than 10 days elapsed between injury and surgery or where supplementary Kirschner wire fixation was used. There was no correlation between patient age, sex, severity of fracture, or presence of ulnar styloid fracture and the development of complications or loss of reduction. Discussion: The incidence of complications decreased significantly with increased surgeon experience, suggesting that many of these early complications are avoidable. [ABSTRACT FROM AUTHOR]

This article examines campaign finance activity in two large school districts: San Francisco, California and Hillsborough County, Florida. Using datasets containing contributions to school board candidates, it explores from whom candidates raise campaign funds. The findings indicate that entities with material interests in school board decisions, such as teachers' unions and businesses with school district contracts, are active contributors but do not dominate fund-raising activity. School board candidates typically assemble broad fund-raising coalitions comprising of a diverse range of groups and individuals. Even though established interests are often part of fund-raising coalitions, few candidates rely heavily on them for funds. These groups may exercise substantial influence through other means, but they typically do not use the campaign finance system as a means through which they exert influence. [ABSTRACT FROM AUTHOR]

The skeletal architecture of the DRUJ provides minimal inherent stability, as the sigmoid notch is shallow and its radius of curvature is 50% greater than that of the ulnar head [Af Ekenstam F, Hagert CG. Anatomical studies on the geometry and stability of the distal radio ulnar joint. Scand J Plast Reconstr Surg 1985;19(1):17–25]. Due to its incongruent articulation, the DRUJ relies strongly on the surrounding soft tissues for stability. The triangular fibrocartilage complex (TFCC) is generally accepted as the major soft tissue stabilizer of the DRUJ of which the volar and dorsal radioulnar ligaments are the primary components. Restoration of the radioulnar ligaments offers the best possibility to restore the normal DRUJ primary constraints and kinematics. This article presents an update of the procedure developed by the senior author that anatomically reconstructs the palmar and dorsal radioulnar ligaments at their anatomic origins and insertions. [ABSTRACT FROM AUTHOR]

When candidates run for municipal office, do they rely on campaign contributions from suburbanites? This research note explores this question by analyzing fund-raising networks in four central cities: New York, Los Angeles, San Francisco, and Seattle. The majority of campaign contributions to mayoral and city council candidates come from within their city. While the fund-raising networks of central-city candidates extend into the suburbs, they only do so partially. In particular, they only connect to a handful of wealthy suburbs that are geographically close to the central city. Regional fund-raising networks are limited, indicating that the flow of political money does not mirror the economic and policy interdependence that has been documented by new regionalists. [ABSTRACT FROM AUTHOR]

Assesses the thumb positioning in the treatment of ulnar collateral ligament (UCL) injuries. Use of a thumb spica cast in the treatment of UCL injuries of the metacarpophalangeal joint of the thumb; Influence of early controlled motion on the healing process of ligaments and tendons; Contributions of the proper collateral ligaments to metacarpophalangeal joint stability.