Little is known about general pediatricians' experience and knowledge regarding the care of transgender youth. We surveyed N=50 general pediatricians practicing in an integrated Midwest health system. Few respondents had participated in medical management care for transgender patients, but one-third were willing to do so if training opportunities were made available. Notably, <60% of respondent...

abstract— peer-to-peer ( p2p ) systems have been the center of attention in recent years due to their advantage . since each node in such networks can act both as a service provider and as a client , they are subject to different attacks . therefore it is vital to manage confidence for these vulnerable environments in order to eliminate unsafe peers . this paper investigates the use of genetic ...

Herein, we report a safe and economical multigram synthesis of 6-fluoromenadione, an intermediate in the novel biologically active agents. The key to this six-step sequence process involves condensation readily available starting 4′-fluoropropiophenone glyoxylic acid, bromination–elimination from 7-fluoro-3-methyltetral-1-one allowing aromatization naphthol intermediate, which is then oxidized ...

Physicians can usually diagnose the cause of shoulder pain by performing a focused history and physical examination and ordering anteroposterior and lateral radiographs. Treatment depends on the cause and can include physical therapy, injections of corticosteroids into the joint space or bursa, and surgery. This paper reviews the diagnosis and treatment of impingement syndrome, adhesive capsuli...