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Cultural issues appear to play an important role in the eating problems of adolescents. Asian adolescent girls living in the U.K. have unusually high levels of eating psychopathology, with a particular emphasis on bulimic behaviours and attitudes. This study examines these cultural differences in bulimic eating patterns in more detail among a group of adolescent schoolgirls living in the U.K. A complex pattern of eating attitudes emerged. Asian girls were more likely to fast, but Caucasian girls binged more often than the Asians. Possible explanations for these two patterns of bulimic psychopathology are considered, including cultural differences in normal eating practices and in responses to emotional stressors.

Objectives: The Thromboelastogram (TEG; Haemoscope Corporation, Niles, IL) and the ROTEM thromboelastometry analyzer (Pentapharm GmbH, Munich, Germany) are coagulation monitors that measure the viscoelastic changes accompanying whole-blood coagulation generation and lysis. It is not clear whether TEG and ROTEM transfusion algorithms suggest similar blood component intervention. This study aims to report the extent to which administration of platelets, fresh frozen plasma, and cryoprecipitate would be indicated using protocol-dictated interventions by the Rotem, TEG, and conventional coagulation screens during orthotopic liver transplantation (OLT).Design: Prospective observational study.Setting: University hospital.Participants: Twenty patients undergoing orthotopic liver transplantation.Interventions: Coagulation was managed with native TEG protocols. Additional samples for kaolin TEG, kaolin heparinase TEG, Rotem in-TEM, Rotem hep-TEM, Rotem fib-TEM, full blood count, prothrombin time, and Clauss fibrinogen assays were taken at 5 fixed operative stages.Measurements and Main Results: Results were reviewed and protocol-indicated interventions recorded. There was moderate agreement between Clauss fibrinogen and Rotem fib-TEM assays about fulfilling fibrinogen transfusion criteria (kappa = 0.42, p