Forearm fractures are unique injuries which are associated with lower bone mineral density in adults and white children. The relationships among bone mineral density, 25-hydroxyvitamin D status, and risk for forearm fracture have not been investigated in African American children.

Our data support an association between both lower bone mineral density and vitamin D deficiency and increased odds of forearm fracture in African American children. Promotion of bone health is indicated in this population. (Read the full article)

Health care transition services assist youth with special health care needs (YSHCN) in transitioning to adult care without gaps in services or health insurance coverage. Less than half of YSHCN receive anticipatory assistance in this transition; receipt of these services for youth with autism spectrum disorder is unknown.

Youth with autism spectrum disorder receive transition services half as often as youth with special health care needs. Quality of health care is associated with increased receipt of health care transition services. Presence of comorbid conditions decreased receipt of transition services. (Read the full article)

Most children with type 1 diabetes get care from pediatric-trained providers, and must transfer care to adult providers once in adulthood. The timing of this change in providers and its relationship to glycemic control is not well understood.

In this cohort, the estimated median age to transition to adult care was 20.1 years and 77% had left pediatric care by age 21. Leaving pediatric care was associated with a 2.5-fold increase in odds of having poor glycemic control. (Read the full article)

The importance of transition from pediatric to adult health care for youth with special health care needs has gained increasing attention over the past decade, but fewer than half of this population received needed transition preparation in 2005–2006.

This study reports on transition findings from the 2009–2010 National Survey of Children with Special Health Care Needs and finds no discernible improvements since 2005–2006. New clinical recommendations and care processes should help to accelerate transition improvements in the future. (Read the full article)

Transition from pediatric to adult care is often reported to be unsuccessful. Little evidential research has examined the actual proportion of youth in pediatric versus adult care or impact on health status outcomes after transferring from pediatric to adult care.

Our article extends the literature by providing health transition outcome data, something that has been recognized as a critical gap to developing evidence-based programming and health care transition policy. (Read the full article)

Sibship size has been negatively associated with children’s language, cognitive, and academic outcomes. This phenomenon is often explained in terms of resource dilution, wherein more children in the home is associated with fewer parental resources allocated to each child.

The current study identifies a moderator of this relationship. Specifically, if children’s next-in-age older siblings exhibit high levels of cognitive sensitivity then sibship size is not significantly related to children’s vocabulary. (Read the full article)

There is growing understanding of the detrimental effect of paternal depression on children. The transition to fatherhood is a unique time for men. Identifying which fathers are at-risk and when will inform effective methods to help men and their families.

Nonresident fathers have the highest depression symptom scores, peaking before entering fatherhood. Although resident fathers’ scores decrease preceding entry into fatherhood, there is a significant increase from 0 to 5 years of their child’s life when key parent–infant attachment occurs. (Read the full article)

Adolescents with chronic disease are a diverse population with common needs for transition. Disease-specific interventions have shown promise at improving patient outcomes but with substantial personnel and resource costs. Whether a generic approach across diseases may be useful is unknown.

This study is among the first to evaluate a generic (across disease) approach to transition of adolescents to adult care. The approach demonstrated promise and cost savings due to reduced personnel requirement and use of low-cost technology dissemination methods. (Read the full article)

The US health care system transition to the ICD-10-CM will occur in October 2015. The logistical and financial impact of the transition for billing codes frequently used by pediatricians has not been studied.

The findings of this study evaluate the government-provided mappings from ICD-9-CM to ICD-10-CM for accuracy and provide the diagnostic codes used by pediatricians, which may be adversely affected by the transition to ICD-10-CM. (Read the full article)

Neurocognitive deficits, academic delays, and behavioral and emotional problems are well documented in school-age children in relation to socioeconomic disadvantage and residential instability. Despite adversity, early intervention can facilitate healthy cognitive, emotional, and social development.

Homeless youth demonstrated elevated rates of untreated psychiatric disorders, low academic achievement, and impaired neurocognition. Mental health and neurocognitive symptoms were associated with vocational outcome. Intervention beyond employment services alone is needed to improve functioning. (Read the full article)

A previous study suggested that spine and pelvis views may be omitted from the follow-up skeletal survey protocol for suspected child abuse, when these views are normal on the initial skeletal survey, without limiting the sensitivity of the study.

This multicenter study provides estimates of the risk of missing occult fractures in the evaluation of suspected child abuse with omission of spine and pelvis views from the follow-up skeletal survey protocol. Results may be used to update practice recommendations. (Read the full article)

More children with special health care needs are surviving to adulthood and entering the adult health care system. Effective transition of care can promote continuity of developmental and age-appropriate care for these individuals.

Existing studies provide modest transition care support. Methods for providing transition care warrant attention, and future research needs are wide ranging. Consistent and accepted measures of transition success are critical to establishing an adequate body of literature to affect practice. (Read the full article)

The built environment may affect weight status by presenting opportunities or barriers for exercise and nutritious eating. Although there is substantial cross-sectional evidence linking neighborhood factors and childhood obesity, causal uncertainty remains, owing to conceptual and methodological challenges.

This prospective study examined neighborhood influences on obesity during the transition to adolescence, a sensitive period for excess weight gain. Girls living in neighborhoods characterized by physical disorder or increased access to food and service retailers exhibited higher obesity risk. (Read the full article)

Movie ratings designed to warn parents about violence and sexual content have permitted increasing amounts of each in popular films. One potential explanation for this "ratings creep" is parental desensitization to this content as it becomes more prevalent in movies.

This study adds experimental evidence that parents become desensitized to movie violence and sex and are more willing to allow children to view such content. (Read the full article)

Considerable differences in outcome after extremely preterm birth have been reported between centers and regions providing a comparative level of care, but the reasons for these variations have been poorly examined.

In extremely preterm fetuses alive at the mother’s admission for delivery, and in infants born alive, mortality up to 2.5 years is reduced in regions with a more active use of perinatal interventions without increased neurodevelopmental morbidity. (Read the full article)

Adding second-stage automated auditory brainstem response (ABR) testing for infants who failed the initial OAE test in a two-stage neonatal hearing screening has been shown to reduce false referrals to the hearing clinic.

Infants with hearing loss may be missed by a 2-stage hearing screening because they pass the automated ABR test. In our study, a significant number of infants with hearing loss >45 decibel hearing level passed screening with automated ABR. (Read the full article)

The collapse of the state and the disappearance of security forces from a large part of the territory may turn the Central African Republic (CAR) into a source of instability in the heart of Africa.
Please note the full report is only available in French.

Within days of the University's shift to remote learning, faculty, instructors and teaching assistants in the Department of Geography moved 35 resident instruction courses into remote delivery mode to teach 1,947 students.

A Holyrood committee has called on the Scottish Government to include a “sunset clause” in legislation that will enable the Common Agricultural Policy (CAP) to continue to operate during a post-Brexit transition period

Long-term workers transition from the Near East Field to Germany to serve Syrians and equip churches to reach out to refugees.

You have signed a contract with an international school and the excitement and anticipation is rising; along with some nervousness. The questions start running through your mind, "What was I thinking? How long am I going to be gone? What do I need to pack? Can I get Reese Peanut Butter Cups over the

Review of: Modelling Transitions: Virtues, Vices, Visions of the Future by Moallemi, Enayat A. and de Haan, Fjalar J. (Eds.), reviewed by Cesar Garcia-Diaz

Alireza Mansouri and Fattaneh Taghiyareh: Human interactions and opinion exchanges lead to social opinion dynamics, which is well described by opinion formation models. In these models, a random parameter is usually considered as the system noise, indicating the individual's inexplicable opinion changes. This noise could be an indicator of any other influential factors, such as public media, affects, and emotions. We study phase transitions, changes from one social phase to another, for various noise levels in a discrete opinion formation model based on the social impact theory with a scale-free random network as its interaction network topology. We also generate another similar model using the concept of social power based on the agents' node degrees in the interaction network as an estimation for their persuasiveness and supportiveness strengths and compare both models from phase transition viewpoint. We show by agent-based simulation and analytical considerations how opinion phases, including majority and non-majority, are formed in terms of the initial population of agents in opinion groups and noise levels. Two factors affect the system phase in equilibrium when the noise level increases: breaking up more segregated groups and dominance of stochastic behavior of the agents on their deterministic behavior. In the high enough noise levels, the system reaches a non-majority phase in equilibrium, regardless of the initial combination of opinion groups. In relatively low noise levels, the original model and the model whose agents' strengths are proportional to their centrality have different behaviors. The presence of a few high-connected influential leaders in the latter model consequences a different behavior in reaching equilibrium phase and different thresholds of noise levels for phase transitions.

Agency: HSS Closing Date: 5/27/2020

NEW CASTLE (Jan. 27, 2020) – Across Delaware, about 18,000 child support recipients receive their child support payments electronically loaded to a prepaid debit card. In January 2019, the Delaware Division of Child Support Services (DCSS) teamed up with U.S. Bank to issue a new prepaid debit card, the U.S. Bank ReliaCard®, for child support […]

Wilmington --

DART, together with Amtrak, NJ TRANSIT, SEPTA, and other regional public transit operators today launched a coordinated day of action to simultaneously sound their fleet of bus horns on April 16 to honor heroic transportation workers across the region. As a tribute to #HeroesMovingHeroes on the front lines of this public health crisis, all buses running in service will give two one-second horn blasts at 3 PM in solidarity with partner agencies. Heroic transportation workers continue to provide critical service for healthcare workers, first responders, childcare workers, grocery store employees and other heroes who are performing critically essential work during the Covid-19 pandemic. [More]

Please use public transit for essential trips only. When you need to get to work, to the grocery store or pharmacy, or to other critical destinations, we’re here for you. If your trip isn’t essential, please stay home and leave the seat for a healthcare worker or someone who needs critical access.

If you are feeling sick, please do not take public transit or visit public facilities. For more information on the state's response to the Coronavirus, visit de.gov/coronavirus.

Thank you.

Due to construction at the Newark Transit Hub, the bus stop on Farmer Lane at Delaware Ave., #3678, will be temporarily closed on Monday, May 11 from 7 AM to 5 PM.

Please board at the bus stop located at the Newark Transit Hub on Pomeroy Lane at Main St., #3679. A notice will be posted at affected bus stop directing riders to the alternate boarding location.

Thanks for riding! For your traveling convenience download the free DART Transit app.

This meeting will be via Teleconference. To join please call in: State of Delaware ‪(302) 526-5475 State of Delaware North‪(302) 256-5875 Conference ID:1462372 https://meet.state.de.us/belinda.strickland/DHH0VYKV Conference ID:1462372 [More]

The Indian passenger vehicle (PV) market is going through its worst phase in almost a decade, but Rajesh Goel, senior vice-president & director, Sales & Marketing, Honda Cars India, believes that as the festive season approaches, the market should revive.

Gangetic dolphins, gharial and freshwater turtles are among the major species found in the region. More than 75 per cent of the critically endangered Gharial population is based in the sanctuary.

When it comes to flagship chipsets for Android phones, Qualcomm is typically regarded as being the top contender with its 800-series processors. That being said, MediaTek has been playing an incredible catchup game as of late with the Dimensity 1000 in late 2019 which put it within a striking range of the new Snapdragon 865 ...

YouTube Video on Insensitive Behaviour Of Air India Staff Goes Viral

Players are working out creatively, but can't replace the intensity of team training.

I want to write a transition coverage on an enumeration. One of the parts of that transition is a queue of the enum. I construct this queue in my constructor. Considering the example below, how would one go about it.

In my coverage bin I can create a range like this A => [queue1Enum[0]:queue1Enum[$]] => [queue2Enum[0]:queue2Enum[$]]. But I only get first and last element then.

typedef enum { red, d_green, d_blue, e_yellow, e_white, e_black } Colors;
 Colors dColors[$];
 Colors eColors[$];
 Lcolors = Colors.first();
 do begin
  if (Lcolors[0].name=='d') begin
   dColors.push_back(Lcolors);
  end
  if (Lcolors[0].name=='e') begin
   eColors.push_back(Lcolors);
  end
 end while(Lcolors != Lcolors.first())

 covergroup cgTest with function sample(Colors c);
   cpTran : coverpoint c{
      bins t[] = (red => dColors =>eColors);   
   }
 endgroup

Clarion Energy & iTEN Media announce the launch of POWERGEN India 2020 co-located with Indian Utility Week & DISTRIBUTECH India

The renewable energy transition promises to reduce carbon emissions, but it’s happening at different speeds around the world. Read on for some key insights from BloombergNEF’s New Energy Outlook 2019, which provides a detailed road map to the future.

An onsite solar PV system in now operational at the most advanced cement factory in Cambodia.

Pennsylvania is promoting a new roadmap to electrify transportation by designing policies and setting targets to get more electric vehicles on the roads.