Burnham Sutherland (chaincalf4)
anatomical site for warts in CO2 laser users compared to controls. Simple safety measures greatly reduce HPV contamination and transmission risk.We report findings from two studies investigating possible relations of prenatal androgen exposure to a broad measure of children's gender-typed behavior, as well as specifically to children's toy and playmate preferences. Study 1 investigated these outcomes for 43 girls and 38 boys, aged 4 to 11 years, with congenital adrenal hyperplasia (CAH, a genetic condition causing increased adrenal androgen production beginning prenatally) compared to similarly-aged, unaffected relatives (41 girls, 31 boys). The predicted sex differences were found for all of the outcome measures. Furthermore, girls with CAH showed increased male-typical and decreased female-typical behavior and toy and playmate preferences compared to unaffected girls. Study 2 investigated the relationship of amniotic fluid testosterone to gender-typed behavior and toy and playmate preferences in typically developing children (48 girls, 44 boys) aged 3 to 5 years. Although the predicted sex differences were found for all of the outcome measures, amniotic fluid testosterone was not a significant correlate, in the predicted direction, of any outcome measure for either sex. The results of study 1 provide additional support for an influence of prenatal androgen exposure on children's gender-typed behavior, including toy and playmate preferences. The results of study 2 do not, but amniotic fluid testosterone may be an insufficiently sensitive measure of early androgen exposure. A more sensitive and reliable measure of prenatal androgen exposure may be needed to consistently detect relations to later gender typed behavior in non-clinical populations. This study sought to examine the impact of nodule density on recurrence and survival in female patients with lung adenocarcinoma treated by lobectomy or sublobar resection. Retrospective study of female patients who underwent surgical resection for pathologic stage IA adenocarcinoma. Patients with preoperative imaging were included for analysis if the consolidation/tumor ratio (CTR) was 0.5 (solid-predominant GGO) to 1.0 (solid). Kaplan-Meier curves were generated to estimate overall survival (OS) and disease-free survival (DFS). Risk estimates were calculated using multivariable Cox proportional hazards models. For all patients (n=357), sublobar resection demonstrated worse 5-year DFS compared to lobectomy (76.4% vs 67.9%, p=0.05). Multivariable modeling showed worse DFS with sublobar resection (HR 1.55, p=0.06), and tumors > 2 cm (HR 2.32, p=0.05). On radiologic evaluation, the solid-predominant GGO group (n=81) demonstrated a smaller solid component compared to the solid nodule group (n=163) (1.49ection type. The Nuss procedure is the gold standard surgical treatment for pectus excavatum in young patients. Its use in adults has also been described, however, may be associated with increased postoperative morbidity due to higher chest wall rigidity. This study aims to examine the risk of complications after the Nuss procedure in adult compared to young patients with pectus excavatum. In this single-center retrospective cohort study we evaluated all patients that underwent the Nuss procedure between 2006 and 2018. Patients were stratified by age; young (≤24 years) and adult (>24 years). Primary endpoint was the occurrence of per- or postoperative complications, subdivided in major (Clavien-Dindo≥III ) and minor (Clavien-Dindo<III). Between group differences were analyzed using the Mann-Whitney U and Chi-square test with post hoc analysis. Three-hundred-twenty-seven participants were included, of whom 272 in the young (median age16, IQR15-18;range11-24) and 55 in the adult group (median age32, IQR27-38;range25-47). The median Haller index was similar between groups (young3.7, IQR3.2-4.4 versus adult3.6, IQR3.0-