489 research outputs found

    Memories

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    Generating, Scaling Up, and Sustaining Partnership Impact: One Tams First Four Years

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    Landscape-scale collaboration has become an important pathway to manage and steward public lands and natural resources in the United States. To understand the impact of formalized, collaborative efforts, a new partnership called One Tam (onetam.org), based in California's Marin County, was studied in its first four years. Findings from this research include a collection of interdependent, scalable impacts that are presented as the Partnership Impact Model -- highlighting three impact classifications: foundational, operational, and outcome. This emergent model has practical implications for collaboratives and funders struggling to identify ways to understand, describe, and optimize partnership impact

    Partnership Impact Evaluation Guide

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    Understanding, measuring, and communicating a partnership's "value added" or "impact" is important to successfully optimize collaboration, yet evaluating partnership impact has often been difficult for landscape-scale partnerships and the partnership field in general. This guide is designed to help multi-sector partnerships undertaking long-term, systems-level collaboration to best define, measure, and evaluate impact. The 7 Steps of Partnership Impact Evaluation is presented as a framework to assist these partnerships with the recurring process of conducting impact evaluations. Partnerships are encouraged to use this guide in conjunction with the other elements of the Partnership Impact Model: the 11 Partnership Impacts, Scaling Up Partnership Impact, and the Partnership Impact Roadmap

    Sex-related differences in premature cardiovascular disease in familial hypercholesterolemia

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    BACKGROUND: Familial hypercholesterolemia (FH) is associated with an increased prevalence of premature atherosclerotic cardiovascular disease (ASCVD), however, little is known about sex-specific differences in premature ASCVD and its risk factors. OBJECTIVE: The present study seeks to assess the burden and risk factors for premature ASCVD among men and women with FH. METHODS: In this study we retrospectively examined sex-specific differences in ASCVD prevalence, risk factor burdens, and lipid treatment outcomes in 782 individuals with clinically or genetically confirmed FH treated in 5 U.S. lipid and genetics clinics. A generalized linear model using Binomial distribution with random study site effect and sex-stratified analysis was used to determine the strongest predictors of premature ASCVD, and lipid treatment outcomes. Covariates included age, sex, diabetes mellitus (DM), hypertension, and current smoking. RESULTS: Among the cohort, 98/280 men (35%) and 89/502 women (18%) had premature ASCVD (defined as \u3c55 years in men and \u3c65 years in women). Women with premature ASCVD had higher mean treated total cholesterol (216 vs. 179 mg/dl, p=\u3c0.001) and LDL-C (135 vs. 109 mg/dl, p= 0.005). CONCLUSION: These data confirm that high percentages of women and men with FH develop premature ASCVD, and suggest that FH may narrow the observed sex difference in premature ASCVD onset. These data support more aggressive prevention and treatment strategies in FH, including in women, to reduce non-lipid risk factors and residual hypercholesterolemia

    Risk of Substance Abuse and Dependence among Young Adult Sexual Minority Groups Using a Multidimensional Measure of Sexual Orientation

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    We examined associations between two definitions of sexual minority status (SMS) and substance abuse and/or dependence among young adults in a national population

    Longitudinal Consistency in Self-Reported Age of First Vaginal Intercourse among Young Adults

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    We examined consistency in self-reports of age at first vaginal sex among 9,399 male and female respondents who participated in Waves III and IV (separated by approximately 7 years) of the National Longitudinal Study of Adolescent Health (Add Health). Respondents were coded as consistent if they reported an age at first vaginal intercourse at Wave IV that was within 1 year of the age they reported at Wave III. Sociodemographic, behavioral, and cognitive predictors of consistency were examined using bivariate and multivariate logistic regression. Overall, 85.43% of respondents were able to provide consistent reports. Among both males and females, consistency was associated with age, years since first vaginal intercourse, race/ethnicity, and lifetime number of other-sex partners in final multivariate models. Respondents who were older and had more recently had their first sexual experience were more likely to be consistent. For females only, those who reported a history of non-parental, physically forced sex were less likely to be consistent. Most young adults consistently report age at first vaginal intercourse, supporting the credibility of retrospective self-reports about salient sexual events such as timing of first vaginal intercourse

    Motifs, themes and thematic maps of an integrated Saccharomyces cerevisiae interaction network

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    BACKGROUND: Large-scale studies have revealed networks of various biological interaction types, such as protein-protein interaction, genetic interaction, transcriptional regulation, sequence homology, and expression correlation. Recurring patterns of interconnection, or 'network motifs', have revealed biological insights for networks containing either one or two types of interaction. RESULTS: To study more complex relationships involving multiple biological interaction types, we assembled an integrated Saccharomyces cerevisiae network in which nodes represent genes (or their protein products) and differently colored links represent the aforementioned five biological interaction types. We examined three- and four-node interconnection patterns containing multiple interaction types and found many enriched multi-color network motifs. Furthermore, we showed that most of the motifs form 'network themes' – classes of higher-order recurring interconnection patterns that encompass multiple occurrences of network motifs. Network themes can be tied to specific biological phenomena and may represent more fundamental network design principles. Examples of network themes include a pair of protein complexes with many inter-complex genetic interactions – the 'compensatory complexes' theme. Thematic maps – networks rendered in terms of such themes – can simplify an otherwise confusing tangle of biological relationships. We show this by mapping the S. cerevisiae network in terms of two specific network themes. CONCLUSION: Significantly enriched motifs in an integrated S. cerevisiae interaction network are often signatures of network themes, higher-order network structures that correspond to biological phenomena. Representing networks in terms of network themes provides a useful simplification of complex biological relationships

    Racial disparities in modifiable risk factors and statin usage in Black patients with familial hypercholesterolemia

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    Background Black men and women are at higher risk for, and suffer greater morbidity and mortality from, atherosclerotic cardiovascular disease (ASCVD) compared with adults of European Ancestry (EA). Black patients with familial hypercholesterolemia are at particularly high risk for ASCVD complications because of lifelong exposure to elevated levels of low-density-lipoprotein cholesterol. Methods and Results This retrospective study analyzed ASCVD prevalence and risk factors in 808 adults with heterozygous familial hypercholesterolemia from 5 US-based lipid clinics, and compared findings in Black versus EA patients. Multivariate logistic regression models were used to determine the strongest predictors of ASCVD as a function of race. No significant difference was noted in the prevalence of ASCVD in Black versus EA patients with familial hypercholesterolemia (39% versus 32%, respectively
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