Recent toxicosurveillance trends indicate an increase in intentional pediatric diphenhydramine ingestions, raising concerns about accessibility, toxicity, social media influence, and the need for appropriate harm reduction. This study analyzes US national poison center data on intentional diphenhydramine ingestions to assess trends, clinical severity, and outcomes over the past decade. A retrospective review of the National Poison Data System (NPDS) identified intentional single-substance diphenhydramine ingestions in patients aged 19 years or younger from January 1, 2014, to December 31, 2023. Demographics, clinical severity, and outcomes were analyzed. To evaluate the pandemic’s impact on diphenhydramine-related call frequency, an interrupted time series analysis was performed. Over the 10-year period, 45 085 pediatric diphenhydramine ingestions were reported to the NPDS, representing an 87.2% increase from 3183 cases in 2014 to 5960 cases in 2023. Ingestions were more common among females and adolescents, with suicidal intent as the leading cause, more than doubling from 2248 to 4688 cases. Cardiovascular and neurologic symptoms were most frequent. Most cases (90%) required treatment at a health care facility, with 20% admitted to a critical care unit. Post-pandemic onset monthly diphenhydramine-related calls increased significantly after April 2020, driven largely by a rise in ingestions associated with suicidal intent. Intentional pediatric diphenhydramine ingestions reported to US poison centers increased significantly over the study period, particularly among adolescents engaging in self-harm. These findings highlight the continued need for targeted harm-reduction strategies and enhanced regulatory measures to mitigate the growing toxicity burden.

Scholars have documented harm associated with positive stereotypes about groups that experience inequality. We surveyed five samples from the United States to explore antecedents to dominant group endorsement of positive stereotypes about women, gay men, Asian Americans, Black Americans, and Native Americans. We found more liberal participants, and those with more close contact with members of these groups, were more internally motivated to respond without prejudice, which was then associated with greater endorsement of positive stereotypes about women, gay men, Black Americans, and Native Americans. In contrast, more conservative participants were more likely to believe in system legitimacy, which was then associated with greater endorsement of positive stereotypes about women and Asian Americans. We theorize that positive stereotypes are used by dominant group members in divergent ways, sometimes to legitimate inequality and other times with concern about inequality. The latter likely involves naivety regarding the harmful nature of positive stereotypes.

OBJECTIVE:The aim of the stud is to determine whether intravenous magnesium sulfate (IVMg) is associated with hospitalization and time to albuterol every 4 hours in a cohort of children who received intensive asthma therapy (IAT) in the emergency department (ED). METHODS:This retrospective cohort study included children 2-18 years who received IAT, defined as 3 bronchodilators and corticosteroids within 60 minutes of ED triage, with or without IVMg in the ED between 2019 and 2021. Primary outcome was hospitalization and among hospitalized children, secondary outcome was time to albuterol every 4 hours. Additional secondary outcomes included adjuvant medications, respiratory support, and length of stay. RESULTS:Among 851 patient encounters, 61% (n = 516) received IAT with IVMg in the ED and most patients were hospitalized (n = 565, 66%). Patients who received IVMg had increased odds of hospitalization (adjusted odds ratio [aOR] 25.3, 95% confidence interval [CI] 14.49-42.52, P  < 0.001) and a longer time to albuterol every 4 hours (aOR 13.8, 95% CI 9.61-17.75, P  < 0.001), even when controlling for demographic and clinical markers of severe asthma. In the adjusted analysis, patients who received IAT with IVMg had increased odds of adjuvant medications in the ED (aOR 7.3, 95% CI 2.97-17.95, P  < 0.001) and respiratory support in the ED (aOR 3.6, 95% CI 2.22-5.85, P  < 0.001) and the inpatient setting (aOR 3.9, 95% CI 1.87-7.97, P  < 0.001). CONCLUSIONS:Children who received IAT and IVMg in the ED for management of an acute asthma exacerbation had significantly higher odds of hospitalization without any improvement in the time to albuterol every 4 hours for admitted patients. The results of this observational study underscore the need for randomized controlled trials to determine the efficacy of IVMg for acute pediatric asthma.

Background: Children with foreign bodies are often transferred from general emergency departments (EDs) to children's hospitals for optimal management. Our objective was to describe the outcomes of interhospital pediatric foreign body transfers and examine factors associated with potentially avoidable transfers (PATs) in this cohort.Methods: We conducted a retrospective cohort study of children aged <18 years transferred to our hospital for the primary complaint of foreign body from January 1, 2020, to September 30, 2022. Data collected included demographics, diagnostic studies and interventions performed, and disposition. A transfer was considered a PAT if the patient was either discharged from the pediatric emergency department (PED), or from inpatient care within 24 h, did not require procedural sedation and any procedural intervention by a pediatric sub-specialist (other than a pediatric ED physician). Logistic regression analysis was performed to evaluate fac-tors associated with PATs.Results: A total of 213 patients were analyzed based on eligibility criteria. The majority of patients were male (51.2%), pre-school age (59.2%), symptomatic (55.8%), and transferred from academic EDs (61%). Coins were the most common foreign bodies (30%), with the gastrointestinal tract (63.8%) being the most common location. Half of the non-respiratory and non-gastrointestinal foreign bodies were successfully removed in the PED. Over half (57.3%) of the patients were discharged from PED. Operative intervention was required in 82 (38.5%) patients, most commonly for coins (50%). 41.8% of transfers were deemed PATs. Presence of foreign body in the esophagus or respiratory tract (OR: 0.071, 95% CI: 0.025-0.200), symptoms at presentation (OR: 0.265, 95% CI: 0.130-0.542), magnet ingestions (OR: 0.208, 95% CI: 0.049-0.886) and transfers from community EDs (OR: 0.415, 95% CI: 0.194-0.885) were less likely associated with PATs. Button battery-related transfers were more likely associated with an avoidable transfer (OR: 6.681, 95% CI: 1.15-39.91).Conclusions: PATs are relatively common among children transferred to a children's hospital for foreign bodies. Factors associated with PATs have been identified and may represent targets for interventions to avoid low value pediatric foreign body transfers.@2023 Elsevier Inc. All rights reserved.

This study describes the clinical features, severity, and outcomes in children <5 years of age with respiratory syncytial virus (RSV) infection during an atypical summer surge during the coronavirus disease 2019 (COVID-19) pandemic. Although timing was uncharacteristic, clinical features and illness severity were representative of a typical RSV season. Co-infection with SARS-CoV-2 was low.

Cardiac involvement in multisystem inflammatory syndrome in children (MIS-C) is common and contributes to significant morbidity and mortality. We evaluated the efficacy of cardiac biomarkers in detection of an abnormal echocardiogram in MIS-C patients. A retrospective chart review of children ≤18 years diagnosed with MIS-C at our hospital was performed. Sensitivity and specificity of high-sensitivity troponin I (hs-TnI) and B-type natriuretic peptide (BNP) were estimated for an abnormal echocardiogram. Of the 83 patients with MIS-C, 33 (39.8%) had an abnormal echocardiogram. While BNP was more sensitive, hs-TnI >50 ng/L was more specific for detecting an abnormal echocardiogram. Compared with children who had normal hs-TnI levels (<17 ng/L), those with hs-TnI >50 ng/L were more likely to have an echocardiographic abnormality (relative risk: 4.9; 95% CI, 2.9-10.9). Children with abnormal BNP and/or troponin (especially greater than 3-fold the upper limit of normal) would benefit from an urgent echocardiogram in the emergency department.

ABSTRACTResearch on racial policy attitudes has primarily focused on the attitudes of black and white Americans. However, given the shifting racial landscape in the United States, it is important to understand how other racial groups view important social issues. Using Blumer’s group positions model, this research seeks to determine the predictors of five immigration attitudes among white, black, and both U.S. and foreign-born Hispanic Americans. Results using data from the 2004 and 2008 National Politics Study show that black, white, and U.S.-born Hispanic Americans display more anti-immigration attitudes than foreign-born Hispanics, with Black and White Americans showing the most anti-immigrant attitudes. Further, results show that whereas individual economic threat has a similar effect on immigration attitudes for Americans of all racial backgrounds, whites’ attitudes are also shaped by group-based economic and political threat and racial affect. These findings indicate that whites’ unique position as the dominant economic and political group in the United States makes their immigration attitudes uniquely sensitive to group-based threats to their dominant position.KEYWORDS: Group PositionsImmigrationPolitical AttitudesRace/EthnicityRacial Threat Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1 We acknowledge that Latinx Americans can indeed identify as Hispanic and any other combination of the designations that have been established as “races.” We also understand that many identify racially as Latino/a/x (Gomez Citation2020). There is disagreement in the social sciences concerning whether Latinx should be considered a race or ethnicity, thus we follow guidance offered by Bean (Citation2018) and refer to this population and others as ethnoracial populations. The use of the term outgroup is not to suggest that all individuals view themselves as part of a cohesive group, but to follow the terminology used in social psychology to speak to how individuals may view other populations who they perceive as not sharing the same race or ethnicity as them.2 We use the phrase “U.S. American” when referring specifically to citizens of the United States. At times when discussing Latinx, we specify whether we are referring to those who are foreign born or those who were born in the United States. Whether these individuals are foreign born, or U.S. born, they are still considered Americans. We opted for specificity to avoid speaking about individuals using a U.S.-centric frame of reference. We use the terms Hispanic and Latinx American interchangeably to describe Americans descended from Latin America. We understand that Latinx Americans are comprised of various nationalities and even races. However, a considerable body of research suggests that many Latinx Americans view themselves as a separate group distinct from others such as White Americans and Black Americans. We also use African American and Black American interchangeably to describe Americans of African descent.3 Please see (Jackson et al. Citation2004, Citation2008) for additional details relating to the methodology used in the NPS study. While it would have been ideal to have more recent data than the NPS studies used here, there was simply no more recent data source that was suitable to test the hypotheses presented. Namely, the NPS contains both the zero-sum competition questions and the full complement of immigration questions that are necessary to test our theoretical propositions and relatively large numbers of both immigrant and American-born Hispanics. Nevertheless, we assert that this data remains relevant given that this paper tests a basic theoretical process regarding the precursors to outgroup attitudes developed in the 1930s using immigration as a specific manifestation of more basic social psychological processes. In other words, while immigration attitudes generally may have changed in the past decades, we maintain that the theoretical process remains operative and is worth documenting. Indeed, due to the unique nature of the NPS, the data continues to be widely used to study basic patterns that shape political attitudes particularly among racial minorities (Jackson et al. Citation2004, Citation2008)4 The percentages of imputed values for the dependent variables were immigration level (6.6 percent), English as official language (.08 percent), foreign language ballots (1.3 percent), border spending (2.7 percent), and immigrants make the United States open to new ideas (1.6 percent).Additional informationNotes on contributorsRandall R. WyattRandall Wyatt is a special instructor of sociology in the Department of Anthropology, Sociology, Criminal Justice, and Social Work at Oakland University. His research focuses on the social psychological and political factors that associate with intergroup conflict and collaboration.David M. MerollaDavid M. Merolla is associate professor and department chair of sociology at Wayne State University in Detroit, Michigan. His research focuses on race and racism, social psychology, and the sociology of education.

The link between racial identity and biology has long been a topic of fascination within the US popular imagination. After the completion of the Human Genome Project, this fascination has increased as journalists and others have continued to search for a genetic basis of racial classifications. Moreover, the increasing popularity of genetic ancestry testing (GAT) is spurring a geneticization of identity as individuals are encouraged to change their racial identity based on their genetic profiles, rather than their social location. Scholarship suggests white Americans are more likely to take GATs and change their identity based on results. This paper reviews the literature on links between race and genes and GAT. We argue that GAT is a racial project prompting white individuals to engage in an inverse process of constructing race, a process we call "the social deconstruction of whiteness." That is, GATs allow white individuals to use the imprimatur of genetic science to claim alternative identities in an era where the socially constructed category of "white" is losing its salience and the history of white supremacy is becoming more widely recognized. This process could lead society from "racism without racists" and towards "white supremacy without whites."

PurposeThe purpose of this research is to compare the fatality rate of Black and White subjects shot by police. This comparison is meant to explore whether officer-involved shootings (OIS) are impacted more by perceived threat or by demographic characteristics. Beyond race, contextual and officer-level variables are examined for their influence on lethal vs non-lethal police shootings.Design/methodology/approachThe study utilizes data from the Tampa Bay Times database on police shootings in Florida from 2009 through 2014. Our analysis focuses on the substantive importance of this issue, using the population of OIS in one specific state over a specified time period. The authors also including multinomial logistic regression models analyzing the impact of race, contextual and officer-level variables on the lethal outcome of OIS is clear that the police are shooting at two very different populations.FindingsAlthough Black subjects are disproportionately represented as the subjects of OIS, there was no significant difference in the lethality of such incidents based simply on race. However, when we compare Black subjects to White subjects, it is clear that the police are shooting at two very different populations. Black subjects were younger, less likely to be armed, less likely to be under the influence of drugs or alcohol, and less likely to have suspected or known mental health considerations than their White counterparts.Research limitations/implicationsThus, it is possible that any racialized difference in the lethality of police shootings is being suppressed because we are comparing very different groups of subjects to one another.Originality/valueThis paper is the first to examine the racial threat that officers experience past the decision to engage in violence. The authors are looking at how they shoot at minorities vs the decision to shoot at minorities.

Return visits (RV) to a pediatric emergency department (PED) can be secondary to illness progression, parental concerns, call backs or rarely due to a diagnostic error during the first visit. Fever accounts for nearly half of these RVs and is also one of the most common presenting complaints of Corona Virus Disease 2019 (COVID- 19) due to severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) infection in children. Although majority of children with COVID 19 have a mild illness, severe complications such as Multisystem inflammatory syndrome in children (MIS-C) can occur. These children are often critically ill with a mortality rate of 2-4%. Initial symptoms of MIS- C are non- specific and mimic other viral illness making early diagnosis challenging. We report five patients who were evaluated for fever and discharged from our PED and were subsequently diagnosed with MIS-C (n = 3) or Kawasaki Disease (n = 2) during their RV within 7 days. All patients presented with fever during the initial visit and three of the five children had gastrointestinal symptoms. They were all noted have persistent tachycardia during the index visit. Three patients presented in cardiogenic shock and echocardiographic abnormalities were noted in four patients during the RV. Significant interventions were required in majority of these children (PICU admission: 4, inotropes: 3, mechanical ventilation:2). Clinicians need to maintain a high index of suspicion for diagnosis of MIS-C especially in those who present with persistent fever and have abnormal vital signs during the COVID-19 pandemic.

Symbolic InteractionVolume 44, Issue 3 p. 693-695 BOOK REVIEW Always between Two Worlds: The Liminal Lives of Religious Exiters David M. Merolla, dmerolla@wayne.edu Wayne State University, USASearch for more papers by this author David M. Merolla, dmerolla@wayne.edu Wayne State University, USASearch for more papers by this author First published: 30 October 2020 https://doi.org/10.1002/symb.525Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume44, Issue3August 2021Pages 693-695 RelatedInformation

This research aims to enhance our understanding of the relationship between racial prejudice and White Americans' views on cannabis legalization. The recent legalization of recreational cannabis in a handful of states, along with many other states legalizing medical cannabis in recent years, has catapulted the flowering plant back into the spotlight and nightly news cycles. Given the historically racist propaganda used to criminalize the plant, it follows that Whites' support for legalization may be associated with racial prejudice. Using data from the General Social Survey data from 1972-2018, we find that different forms of racial prejudice have a negative effect on Whites' support for cannabis legalization generally. Additionally, as the negative effect of overt, old-fashioned racism diminishes over time and across birth cohorts it is supplanted by the more subtle laissez-faire racism. In conclusion, we discuss the implication of the relationship between racial prejudice and views on marijuana for the increasingly complicated racial dynamics surrounding cannabis legalization.

Gender is arguably the most prominent correlate of criminal victimization. Few studies, however, examine gender-specific dynamics that might help advance criminology's understanding of the persistent gender gap in criminal victimization. We attempt to help fill this research void by examining data from the 2012 National Incident-Based Reporting System (NIBRS) through the lens of routine activity theory to investigate the relationship between "gendered spaces" and criminal victimization. We propose that gendered spaces constructed by people's routine activities may increase their exposure to motivated offenders, which in turn may increase their risk of victimization. Our findings appear to support our proposition and to shed new light on the nature of the victimization gender gap. The results showed that females were significantly more likely than males to be victimized at each of the three "feminine gendered spaces" (i.e., bank, shopping center, and grocery store). However, the relationship between gendered space and criminal victimization varied by crime type. Females were significantly more likely than males to be robbed at each of the three feminine gendered spaces. For sexual assault and aggravated assault, females were significantly more likely than males to be victimized at a "masculine gendered space" (i.e., bar/nightclub). For simple assault, females were significantly less likely than males to be victimized at two of the three feminine gendered spaces (i.e., bank and shopping center). Our findings appear to highlight the importance of gendered spaces in helping explain the gender gap in criminal victimization and suggest that future researchers should investigate how other gendered spaces formed by people's routine activities affect their risk of victimization.

Over six decades since the Supreme Court ruled that all American children have the right to a high quality education, the academic achievement gap remains an important social problem in the United States. Researchers interested in understanding the achievement gap generally seek to find the mechanisms that can explain why Black students continue to achieve at lower levels than their White counterparts. This research has shown that differences in socioeconomic status, family cultural resources, school quality and racial composition, and bias and prejudice in schools all act as mechanisms that link race to academic achievement. In this paper, we review studies from the past 10 years on the academic achievement gap. We argue that while all of the factors identified in the literature can add insight to how race structures educational achievement, the fundamental cause of the achievement gap is structural racism, a system of social organization that privileges White Americans and disadvantages Americans of color. We argue that acknowledging structural racism as the fundamental cause of the achievement gap can provide a unifying framework for interpreting findings from studies of specific mechanisms link race to academic outcomes.

This research aims to determine the situational and individual factors that shape perceptions of whether police violence against citizens is justified. Drawing on research on the racialization of crime, modern racism, and the stigma associated with a criminal history, we hypothesize that individuals will view police violence as more justified when targeted at black citizens and those with criminal histories. We further hypothesize that individuals who have higher levels of racial prejudice will view police violence as more justified. Results from a survey experiment using a sample of 595 white respondents show a consistent effect of criminal history, with individuals viewing violence as more justified against a citizen with a previous criminal background. Further, interaction effects indicate that only white respondents who score highly on racial prejudice view violence against a black citizen as more justified compared to violence against a white citizen. These results underscore the importance of how a criminal record serves as an enduring stigma that shapes how individuals are perceived. Additionally, our results are consistent with theories of contemporary racism and show that negative evaluations of black Americans are limited to whites with high levels of racial prejudice.

This study investigates the individual and group level reconstruction of a racial-ethnic identity. Specifically, we investigate the experience of "new Indians," or people who did not previously identify as American Indian, but are nowreclaiming this racial-ethnic heritage. Because many new Indians lack both official (tribal and/or federal) recognition of their Indian status and the phenotypic traits associated with Indians in popular culture, their authenticity as American Indians is often questioned in interactions with others. We document hownewIndianswork to reconstruct the symbolic meaning of authentic Indianness by emphasizing specific values and actions rather than biological lineage. Moreover, we demonstrate how new Indians achieve interactional validation of their redefined Indian identities in the context of a proximate social structure.

Using data from the Education Longitudinal Study, the author investigates racial disparities in high school graduation, four-year college enrollment, and bachelor’s degree completion. In addition, the author considers how conditionally relevant college and early adult variables shape bachelor’s degree completion. The results indicate that although comparable numbers of black and Hispanic students obtain bachelor’s degrees, their educational career trajectories differ substantially. Compared with white students, black students are more likely to end their educational careers after starting college without completing a bachelor’s degree, whereas Hispanic students are more likely to end their educational careers without entering a four-year college. Moreover, early adult and college-specific variables have a substantial impact on bachelor’s degree completion and explain black-white disparities in bachelor’s degree attainment. This research shows the continuing significance of race in shaping the educational outcomes of young adults at all stages of their educational careers.

This paper investigates how neighborhood cultural context shapes academic achievement. Drawing on contemporary conceptualization of culture and recent evidence of the importance of neighborhood cultural context, I hypothesize that students from disadvantaged neighborhoods will display more cultural heterogeneity, or variability in cultural orientations, operationalized here as self-efficacy. In addition, I hypothesize that neighborhood cultural heterogeneity will have negative effects on academic achievement, particularly for those students with high individual self-efficacy. Results from multilevel models using data from the National Educational Longitudinal Study (NELS) support my hypotheses. Results indicate that students exposed to greater cultural heterogeneity are less able to translate high self-efficacy into better achievement, and suggest that exposure to increased cultural heterogeneity is one reason why students residing in disadvantaged neighborhoods underperform in education.