Jessamine County Schools

The patient was a 51-year-old man who was evaluated by a physical therapist for a chief complaint of right hip pain. The patient was treated with a single bout of nonthrust hip joint mobilizations, but due to the patient's atypical response and long-term use of oral corticosteroid medications, he was referred to his primary care physician. Radiographs and subsequent magnetic resonance imaging revealed findings that were characteristic of avascular necrosis.

BackgroundUniversal immunization of adolescents against meningococcal disease with a quadrivalent meningococcal ACWY (MenACWY) conjugate vaccine is recommended in a number of countries.MethodsIn a randomized, controlled, observer-blinded, multicenter trial, 1016 participants, 10–25 years of age, were randomly allocated 1:1:1 to receive a single dose of 1 of 2 lots of an investigational tetanus toxoid‐conjugated MenACWY vaccine (MenACWY‐TT) or a marketed diphtheria toxoid‐conjugated MenACWY vaccine (MenACWY‐DT). The primary outcome was the noninferiority of the vaccine response after MenACWY‐TT (lot A) compared with MenACWY‐DT for all 4 serogroups. Vaccine response was defined as a postvaccination human serum bactericidal antibody (hSBA) titer against each of the serogroups of at least 1:8 in persons initially seronegative (<1:4) or as a 4‐fold increase in titer pre‐ to postvaccination in persons initially seropositive (≥1:4). Adverse events (AEs) after immunization were measured 4 and 31 days postvaccination.ResultsThe mean age of participants was 16.3 years; 977 (96.6%) completed the study. The noninferiority of MenACWY‐TT (lot A) to the control vaccine in terms of the percentage of participants with hSBA vaccine response was demonstrated for each serogroup. Vaccine response rates ranged from 51.0% to 82.5% for the 4 serogroups after MenACWY‐TT (both lots) compared with 39.0%–76.3% for the 4 serogroups after MenACWY‐DT. Pain was the most common injection‐site reaction reported by 50.8%–55.4% across the 3 groups. Fatigue and headache were the most common systemic solicited AEs, reported by 27.3%–29.2% and 25.5%–26.4%, respectively.ConclusionsTetanus toxoid‐conjugated MenACWY vaccine was well tolerated and elicited an immune response that was noninferior to that of a marketed MenACWY‐DT (www.clinicaltrials.gov NCT01165242).

Frequency: Yearly ISSN: 0015-198X eISSN: 1938-3312 https://www.tandfonline.com/doi/abs/10.1080/0015198X.2021.1947024 The Financial Analysts Journal has a history of publishing academic and practitioner articles on environmental, social, and governance (ESG) issues; many appeared decades before the terminology became common. In celebration of the 75th anniversary, the author provides brief reviews of these articles, including reflections on how the insights brought out in this collective body of work remain important today for investors’ decisions.

Romuald Fonkoua Je vous remercie pour cette contribution et surtout le dernier intervenant dont la question est une admirable transition entre les deux communications précédentes et la table ronde qui va porter sur l’édition. Je pense que l’on sera amené à revenir sur cette question. Je vous propose de passer directement à la table ronde… Nous sommes en retard, il est déjà 11 h 15 et il faudrait qu’on finisse à 12 h 30. J’appelle donc ici Pierre Halen, Jean-Noël Schifano, Bernard Magnier, Val...

Teachers of students of visual impairments in Kentucky were surveyed to identify the current assistive technologies their students were using and to identify the teachers’ possible unmet training needs. Although the teachers had access to and used computer-based technologies, they lacked the training and support for teaching specific technologies to their students, so only half their students used these technologies.