Guns of Fortune: How Guns Move to Fulfill Demand

Legislators face a compelling dilemma, how can they decrease the prevalence of gun violence? Cities and States around the United States have laws intended to prevent violent criminals from acquiring and using weapons, but it remains debatable whether these laws are effective. This study posits that guns are subject to the laws of supply and demand and the variable gun laws in states across the country decreases the effectiveness of local and state gun legislation. In short, guns are trafficked across state lines to meet demand in states with stricter gun laws. Data for the study was collected from the Bureau of Alcohol, Tobacco, Firearms and Explosives and the Brady Campaign to Prevent Gun Violence. The analysis shows a strong positive correlation between the strength of a state’s overall gun laws and the proportion of firearms it imports from other states. This analysis offers compelling evidence that as states adopt laws to restrict in-state purchases of weapons, innovative consumers will turn to other, less restrictive markets. This is a possible explanation for why state and local gun laws may be ineffective at curbing gun violence and why federal legislation is necessary

Designing Primary Prevention for People Living with HIV

Today, there are new reasons for a sharper focus on prevention for people living with HIV. Growing numbers of people with the disease are living more healthy, sexual lives. Recent evidence suggests that risk taking among both HIV-positive and negative people is increasing. After nearly two decades of life in the shadow of AIDS, communities are growing weary of traditional prevention messages and many people are openly grappling with difficult questions of intimacy and sex. Increasingly, people living with HIV also face multiple complex economic and substance abuse challenges that complicate prevention efforts.There is an urgent need -- and sufficient expertise -- to move forward with prevention campaigns focused on helping people living with HIV and AIDS avoid passing their infection along to others. Numerous innovative interventions for people with HIV show promise, including:a social marketing campaign for gay men and a five-session group intervention for women living with HIV in Massachusetts,a chat line for positives and a group session program for Latinas/Latinos in Los Angeles,Internet chat room interventions in Atlanta,a group session for gay Asian American-Pacific Islander Americans living with HIV in San Francisco, andPrevention Case Management programs newly funded by the Centers for Disease Control

Using care plans to better manage multimorbidity

BACKGROUND: The health care for patients having two or more long-term medical conditions is fragmented between specialists, allied health professionals, and general practitioners (GPs), each keeping separate medical records. There are separate guidelines for each disease, making it difficult for the GP to coordinate care. The TrueBlue model of collaborative care to address key problems in managing patients with multimorbidity in general practice previously reported outcomes on the management of multimorbidities. We report on the care plan for patients with depression, diabetes, and/or coronary heart disease that was embedded in the TrueBlue study. METHODS: A care plan was designed around diabetes, coronary heart disease, and depression management guidelines to prompt implementation of best practices and to provide a single document for information from multiple sources. It was used in the TrueBlue trial undertaken by 400 patients (206 intervention and 194 control) from 11 Australian general practices in regional and metropolitan areas. RESULTS: Practice nurses and GPs successfully used the care plan to achieve the guideline-recommended checks for almost all patients, and successfully monitored depression scores and risk factors, kept pathology results up to date, and identified patient priorities and goals. Clinical outcomes improved compared with usual care. CONCLUSION: The care plan was used successfully to manage and prioritise multimorbidity. Downstream implications include improving efficiency in patient management, and better health outcomes for patients with complex multimorbidities

Cassini CAPS-ELS observations of negative ions in Titan's ionosphere: trends of density with altitude

Observations with the Electron Spectrometer sensor of the Cassini Plasma Spectrometer (CAPS-ELS) have revealed the existence of negative ions in Titan's ionosphere. Negative ions are observed during encounters whenever the instrument points in the ram direction at altitudes 950–1400 km. Complex hydrocarbon and nitrile chemical processes are believed to take place which play a role in haze formation. The heaviest ions observed so far have masses up to 13,800 amu/q. Using data from 34 Titan encounters, we show for the first time negative ion density trends of different mass groups, including total densities, with altitude. We determine peak densities and the associated altitudes at which they are observed and the highest altitudes at which individual mass groups are found

Optimization and Analysis of Distributed Averaging with Short Node Memory

In this paper, we demonstrate, both theoretically and by numerical examples, that adding a local prediction component to the update rule can significantly improve the convergence rate of distributed averaging algorithms. We focus on the case where the local predictor is a linear combination of the node's two previous values (i.e., two memory taps), and our update rule computes a combination of the predictor and the usual weighted linear combination of values received from neighbouring nodes. We derive the optimal mixing parameter for combining the predictor with the neighbors' values, and carry out a theoretical analysis of the improvement in convergence rate that can be obtained using this acceleration methodology. For a chain topology on n nodes, this leads to a factor of n improvement over the one-step algorithm, and for a two-dimensional grid, our approach achieves a factor of n^1/2 improvement, in terms of the number of iterations required to reach a prescribed level of accuracy

A discursive psychology analysis of emotional support for men with colorectal cancer

Recent research into both masculinity and health, and the provision of social support for people with cancer has focussed upon the variations that may underlie broad assumptions about masculine health behaviour. The research reported here pursues this interest in variation by addressing the discursive properties of talk about emotional support, by men with colorectal cancer - an understudied group in the social support and cancer literature. Semi-structured interviews were conducted with eight men with colorectal cancer, and the transcripts analysed using an intensive discursive psychology approach. From this analysis two contrasting approaches to this group of men’s framing of emotional support in the context of cancer are described. First, talk about cancer was positioned as incompatible with preferred masculine identities. Second, social contact that affirms personal relationships was given value, subject to constraints arising from discourses concerning appropriate emotional expression. These results are discussed with reference to both the extant research literature on masculinity and health, and their clinical implications, particularly the advice on social support given to older male cancer patients, their families and friends

Evaluation of Damage by Vertebrate Pests in California Vineyards and Control of Wild Turkeys by Bioacoustics

Complaints of agricultural damage by wild turkeys (Meleagris gallopavo), particularly from wine grape growers, have increased in California. We assessed damage by vertebrate pests in vineyards and tested a bioacoustic-aversion technique for turkeys as an alternative to other control techniques (e.g., reflective tape, trapping, bird netting). We selected 12 vineyards in the Napa Valley and Sierra Foothills American Viticultural Areas of California. We conducted damage surveys to assess percentages of missing or damaged grapes (i.e., grapes that had been stripped, pecked, and plucked) for every grape cluster on 20 randomly-selected vines before harvest in 2007 and on 40 vines in 2008. We assumed that all observed damage was caused by vertebrate pests and that most of this damage was caused by birds. Grape damage caused by wild turkeys was identified by contiguous sections of berries plucked from a cluster, which we referred to as stripped damage. We attributed pecked and plucked damage to passerines. In 2008, we randomly selected 3 vineyards in each area for treatment with broadcast calls (wild turkey alarm, domestic turkey alarm, crow distress). We used motion-activated video cameras to document evidence of damage caused by turkeys and other animals. Damage in the vineyard perimeter was greater than in the interior for all damage types in 2008, but only for plucked damage in 2007. In 2008, stripped, pecked, and plucked damage means for treated vineyards were 1.3%, 1.4%, and 1.5%, respectively; stripped, pecked, and plucked damage means for untreated vineyards were 1.3%, 0.7%, and 0.2%, respectively. There was no difference in mean stripped damage between treated and untreated vineyards in 2008, indicating that broadcast calls had no effect. Comparison between treated sites in 2008 with the same untreated sites in 2007 yielded similar results. Turkeys caused damage in several of the study vineyards, but the problem varied among vineyards and was inconsistent between years. Motion-activated video recordings suggested that raccoons (Procyon lotor), gray foxes (Urocyon cinereoargenteus), and other vertebrate pests were to blame for some of the stripped damage

Rise and diversification of chondrichthyans in the Paleozoic

The Paleozoic represents a key time interval in the origins and early diversification of chondrichthyans (cartilaginous fishes), but their diversity and macroevolution are largely obscured by heterogenous spatial and temporal sampling. The predominantly cartilaginous skeletons of chondrichthyans pose an additional limitation on their preservation potential and hence on the quality of their fossil record. Here, we use a newly compiled genus-level dataset and the application of sampling standardization methods to analyze global total-chondrichthyan diversity dynamics through time from their first appearance in the Ordovician through to the end of the Permian. Subsampled estimates of chondrichthyan genus richness were initially low in the Ordovician and Silurian but increased substantially in the Early Devonian. Richness reached its maximum in the middle Carboniferous before dropping across the Carboniferous/Permian boundary and gradually decreasing throughout the Permian. Sampling is higher in both the Devonian and Carboniferous compared with the Silurian and most of the Permian stages. Shark-like scales from the Ordovician are too limited to allow for some of the subsampling techniques. Our results detect two Paleozoic radiations in chondrichthyan diversity: the first in the earliest Devonian, led by acanthodians (stem-group chondrichthyans), which then decline rapidly by the Late Devonian, and the second in the earliest Carboniferous, led by holocephalans, which increase greatly in richness across the Devonian/Carboniferous boundary. Dispersal of chondrichthyans, specifically holocephalans, into deeper-water environments may reflect a niche expansion following the faunal displacement in the aftermath of the Hangenberg extinction event at the end of the Devonian

Life expectancy and mortality in 363 cities of Latin America

The significant challenges to equity in health in the Region of the Americas, as detailed in the report of the Pan American Health Organization Independent Commission on Equity and Health Inequalities in the Americas, gave original impetus to this Special Issue on Equity in Health by the Pan American Journal of Public Health. The report, Just Societies: Health Equity and Dignified Lives, analyzed a vast body of evidence that indicated the overwhelming inequalities in the Region that relate to three factors: structural drivers, conditions of daily life, and governance for health equity (taking action). Highlighting the continued realities of the interrelationship between social and health inequities in the Americas is by no means new. However, since early 2020 this interrelationship has been further exposed and exacerbated by the unprecedented COVID-19 pandemic, which is testing governments, communities, economies, and individuals in ways previously unimagined in their scope and intensity. The crisis is exposing underlying inequalities in health and the cost of inaction to address this long-standing social injustice, and the COVID-19 response is even reversing improvements in social and health indicators made in the last two decades

Gravitational Higgs mechanism in neutron star interiors

We suggest that nonminimally coupled scalar fields can lead to modifications of the microphysics in the interiors of relativistic stars. As a concrete example, we consider the generation of a non-zero photon mass in such high-density environments. This is achieved by means of a light gravitational scalar, and the scalarization phase transition in scalar-tensor theories of gravitation. Two distinct models are presented, and phenomenological implications are briefly discussed