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10). Practitioners engaged in service delivery, in either the mental health domain or the physical health domain, have been impacted by dominant perspectives, historically and in contemporary times—including harmful and beneficial views. These dominant perspectives are reviewed, as they have impacted the care delivered to LGBT populations. Perspectives

10(1–2), 45–63. doi:10.1080/19361653.2012.718522 Grossman, A. H. (2006). Physical and mental health of older lesbian, gay, and bisexual adults. In D. Kimmel, T. Rose, & S. David (Eds.), Lesbian, gay, bisexual and transgender aging: Research and clinical perspectives (pp. 53–69). New York, NY: Columbia University

chromosomes and every person a gender as that person’s self-representation as male, female, or nonbinary. Arthritis is a leading cause of disability and medical healthcare expenditure in the United States. The burden of knee osteoarthritis is strikingly greater for females,2 yet our understanding of this disparity

10 mg/dl). Genetic testing showed two com­pound heterozygous pathogenic variants in the TTPA gene, leading to a loss of α‐TTP activity. The variants identified were c.661C>T (p.Arg221Trp) and c.744delA (p.Glu249Asnfster15). The child was put on high doses (1000 mg/day) of oral vitamin E. Clinical Differential Diagnoses Ataxia

10 mg/dl). Genetic testing showed two com­pound heterozygous pathogenic variants in the TTPA gene, leading to a loss of α‐TTP activity. The variants identified were c.661C>T (p.Arg221Trp) and c.744delA (p.Glu249Asnfster15). The child was put on high doses (1000 mg/day) of oral vitamin E. Clinical Differential Diagnoses Ataxia

10 mg/dl). Genetic testing showed two com­pound heterozygous pathogenic variants in the TTPA gene, leading to a loss of α‐TTP activity. The variants identified were c.661C>T (p.Arg221Trp) and c.744delA (p.Glu249Asnfster15). The child was put on high doses (1000 mg/day) of oral vitamin E. Clinical Differential Diagnoses Ataxia

10, myositis 5, and M S 5. Note that all data are approximate only. Although sex plays a role in the prevalence of AD, certain demographics, including race and socioeconomic status (SES), also correlate with certain ADs. Feldman et al. examined a cohort of Medicaid patients with systemic lupus

10 These are all genetic disorders of connective tissue and therefore share many clinical features.8-10 Diminished mechanical strength of connective tissue seen in these syndromes leads to a predisposition for acute instability events that result in injury to cartilage and surrounding soft tissues with subsequent progression to osteoarthritis.11 Moreover