Survey Background This report is part of a series titled "Discrimination in America." The series is based on a survey conducted for National Public Radio, the Robert Wood Johnson Foundation, and Harvard T.H. Chan School of Public Health. The survey was conducted January 26-April 9, 2017, among a nationally representative, probability-based telephone (cell and landline) sample of 3,453 adults age 18 or older. The survey included nationally representative samples of African Americans, Latinos, Asian Americans, Native Americans, whites, men, women, and LGBTQ adults. This report presents the results specifically for a nationally representative probability sample of 802 African-American U.S. adults. Future reports will analyze each other group, and the final report will discuss major highlights from the series. Discrimination is a prominent and critically important matter in American life and throughout American history. While many surveys have explored Americans' beliefs about discrimination, this survey asks people about their own personal experiences with discrimination. Summary: Personal Experiences of Discrimination Overall, African Americans report extensive experiences of discrimination, across a range of situations. In the context of institutional forms of discrimination, half or more of African Americans say they have personally been discriminated against because they are Black when interacting with police (50%), when applying to jobs (56%), and when it comes to being paid equally or considered for promotion (57%). Additionally, 60% of African Americans say they or a family member have been unfairly stopped or treated by the police because they are Black, and 45% say the court system has treated them unfairly because they are Black. Blacks living in suburban areas are more likely than those in urban areas to report being unfairly stopped or treated by police and being threatened or harassed because they are Black. 1 See for example, Fred Pincus (1996), "Discrimination Comes in Many Forms," American Behavioral Scientist 40(2):186-194, for distinctions between structural, institutional, and individual forms of discrimination. Notes on Report Language In this report, the terms "Black" and "African American" are used interchangeably. This report distinguishes between institutional and individual forms of discrimination, though discrimination comes in many forms. 1 In this report, the term "institutional discrimination" refers to forms of discrimination based on laws, policies, institutions, and the related behavior of individuals who work in or control those laws, policies, or institutions. The term "individual discrimination" refers to forms of discrimination based in individual people's prejudicial beliefs, words, and behavior. These are not necessarily mutually exclusive, but the distinction is used for organizing purposes. In this survey, people were asked whether they had ever personally experienced discrimination related to racism, sexism, andfor LGBTQ peoplehomophobia and transphobia. Questions about these...

No abstract

Hereditary gingival fibromatosis is a rare disorder characterized by various degrees of attached gingival overgrowth. Gingival fibromatosis usually develops as an isolated disorder but can be one feature of a syndrome. A case of a 17-year-old female who presented with a generalized severe gingival overgrowth, involving the maxillary and mandibular arches and covering almost the whole dentition. Excess gingival tissue was removed by conventional gingivectomy under local anesthesia. The postoperative course was uneventful and the patient's appearance improved considerably. Good esthetic result was achieved without recurrence of the gingival overgrowth. After treatment, regular recall visits are necessary in order to evaluate oral hygiene, and the stability of the periodontal treatment.

Background Considerable debate remains over which anterior cruciate ligament (ACL) reconstruction technique can best restore knee stability. Traditionally, femoral tunnel drilling has been done through a previously drilled tibial tunnel; however, potential nonanatomic tunnel placement can produce a vertical graft, which although it would restore sagittal stability, it would not control rotational stability. To address this, some suggest that the femoral tunnel be created independently of the tibial tunnel through the use of an anteromedial (AM) portal, but whether this results in a more anatomic footprint or in stability comparable to that of the intact contralateral knee still remains controversial. Questions/purposes (1) Does the AM technique achieve footprints closer to anatomic than the transtibial (TT) technique? (2) Does the AM technique result in stability equivalent to that of the intact contralateral knee? (3) Are there differences in patient-reported outcomes between the two techniques? Methods Twenty male patients who underwent a bonepatellar tendon-bone autograft were recruited for this study, 10 in the TT group and 10 in the AM group. Patients in each group were randomly selected from four surgeons at our institution with both groups demonstrating similar demographics. The type of procedure chosen for each patient was based on the preferred technique of the surgeon. Some surgeons exclusively used the TT technique, whereas other surgeons specifically used the AM technique. Surgeons had no input on which patients were chosen to participate in this study. Mean postoperative time was 13 ± 2.8 and 15 ± 3.2 months for the TT and AM groups, respectively. Patients were identified retrospectively as having either the TT or AM Technique from our institutional database. At followup, clinical outcome scores were gathered as well as the footprint placement and knee stability assessed. To assess the footprint placement and knee stability, three-dimensional surface models of the femur, tibia, and ACL were created from MRI scans. The femoral and tibial footprints of the ACL reconstruction as compared with the intact contralateral ACL were determined. In addition, the AP displacement and rotational displacement of the femur were determined. Lastly, as a secondary measurement of stability, KT-1000 measurements were obtained at the followup visit. An a priori sample size calculation indicated that with 2n = 20 patients, we could detect a difference of 1 mm with 80% power at p \ 0.05. A Welch two-sample t-test (p \ 0.05) was performed to determine differences in the footprint measurements, AP displacement, rotational displacement, and KT-1000 measurements between the TT and AM groups. We further used the confidence interval approach with 90% confidence intervals on the pairwise mean group differences using a Games-Howell post hoc test to assess equivalence between the TT and AM groups for the previously mentioned measures. Results The AM and TT techniques were the same in terms of footprint except in the distal...

No abstract