Project Central Voice: Assessing the Congruency Between African American Perspectives and the City of Milwaukee\u27s Community Development Block Grant Practices

Theories of Critical Race provide a foundation on which to analyze racism. Critical Race Theory uses elements such as the ordinariness of racism, convergence of interest, revisionist history, and the voice of the oppressed to identify how systems of oppression function to maintain institutional racism. This dissertation is a community-based participatory research project that studies a government-funded social welfare system serving the African American community in Milwaukee, Wisconsin. The research analyzes how the structure, policies, and practices of this decentralized system, composed of government institutions and community-based organizations, affects the infrastructure of Milwaukee’s African American community. Specifically, the research analyzes the City of Milwaukee’s Community Development Block Grant’s Neighborhood Planning/Community Organizing/Crime Awareness program. This research identifies how African Americans view government-funded delivery systems, whether blacks view these systems from an African American worldview, and the level of congruency between the views of African American residents, organizational leaders, and City officials as well as program and other public data

Initial Validation and Findings From the Willing/Ready Subscale of the Church Addiction Response Scale

Addiction has been a global health crisis over recent decades and worsened substantially during COVID-19 lockdowns. We report on the development, validation, and findings from an instrument developed to assess the readiness of churches in the Appalachian Highlands to address addiction. The Church Addiction Response Scale (CARS) is a 41-item, three section measure assessing “What are your views about addiction?” (14 items), “What are your views about interacting with people who are addicted to drugs?” (11 items), and “What do you think the church’s role is in addressing addiction?” (16 items). The CARS was found to be unidimensional with strong internal consistency and initial evidence of construct validity was positive. Most respondents reported willingness to assist people living with addiction, but many reported that they felt underprepared, thus were not ready. Areas of preparation were largely those that could be addressed through training, such as understanding the physiology and psychology of addiction, available treatment options, and how to avoid doing harm. Thus, with adequate training, the likelihood of equipping a church-based workforce to provide support for people living with addiction seems attainable

Critiquing The Crit – the influence of technology and creative professional practice on the 21st Century peer learning environment.

This paper explores the importance of the group critique in practice-based arts education and how it is evolving through the digital age citing the development of the College of Arts Digital Crit Room at the University of Lincoln. Through the observation of how the rapid development of technology has potentially impacted negatively upon the usage of the traditional art and design ‘studio’, the Digital Crit Room project identified how technology may have threatened teaching practices that are critically reliant on a ‘studio culture’ with peer learning at their centre. Laptops, wireless and mobile technology have encouraged and enabled students to study and create anywhere, but a critical place of peer learning is potentially being eroded. One of the most effective forms of peer learning in practice-based arts subjects is ‘the crit’ in which students display their work alongside each other’s so that criticism, discussion, comparison and feedback can be offered. The crit is a vital part of arts learning and teaching, offering live feedback from students and staff alike on work-in- progress or completed creative work, but given the potential erosion of the studio where else can this pedagogically valuable activity take place? Through the definition of a set of design values to inform the creation of a ‘destination’ learning environment that felt different to other learning spaces on campus, the project team researched into the working environments of the creative industries and compared them to the design of the usual higher education learning spaces. Informed by this activity, the College of Arts Digital Crit Room was created as a new learning space with participatory learning at its heart, that reflected the working behaviours and environments of the professional creative industries

Comparison of Skin Biomechanics and Skin Color in Puerto Rican and Non-Puerto Rican Women

Objective: Skin biomechanics are physical properties that protect the body from injury. Little is known about differences in skin biomechanics in racial/ethnic groups and the role of skin color in these differences. The purpose of this study was to determine the relationship between skin biomechanics (viscoelasticity, hydration) and skin color, when controlling for demographic and health-related variables in a sample of Puerto Rican and non-Puerto Rican women. Methods: We performed a secondary analysis of data from 545 women in a longitudinal, observational study of skin injury in Puerto Rico and the United States. Data included measures of skin viscoelasticity, skin hydration, skin color, demographic, and health-related variables. Skin color was measured by spectrophotometry (L* - lightness/darkness, a*- redness/greenness, b* - yellowness/blueness). The sample was 12.5% Puerto Rican, 27.3% non-Puerto Rican Latina, 28.8% Black, 28.6% White, and 2.8% Other. Results: Regression analyses showed that: 1) higher levels of skin viscoelasticity were associated with lower age, higher BMI, and identifying as non-Puerto Rican Latina as compared to Puerto Rican; (all p \u3c .001); and 2) higher levels of hydration were associated with lower L* values, higher health status, lower BMI, and identifying as non-Puerto Rican Latina, White, or Other as compared to Puerto Rican (all p \u3c .05). Conclusion: When adjusting for skin color, Puerto Rican women had lower viscoelasticity and hydration as compared to other groups. Puerto Rican women may be at long-term risk for skin alterations, including pressure injury, as they age or become chronically ill

Incidence and general hospital costs of self-harm across England: Estimates based on the multicentre study of self-harm

AimsThe aim of this study was to estimate incidence of self-harm presentations to hospitals and their associated hospital costs across England.MethodsWe used individual patient data from the Multicentre Study of Self-harm in England of all self-harm presentations to the emergency departments of five general hospitals in Oxford, Manchester and Derby in 2013. We also obtained cost data for each self-harm presentation from the hospitals in Oxford and Derby, as well as population and geographical estimates from the Office for National Statistics. First, we estimated the rate of self-harm presentations by age and gender in the Multicentre Study and multiplied this with the respective populations to estimate the number of self-harm presentations by age and gender for each local Clinical Commissioning Group (CCG) area in England. Second, we performed a regression analysis on the cost data from Oxford and Derby to predict the hospital costs of self-harm in Manchester by age, gender, receipt of psychosocial assessment, hospital admission and type of self-harm. Third, the mean hospital cost per age year and gender were combined with the respective number of self-harm presentations to estimate the total hospital costs for each CCG in England. Sensitivity analysis was performed to address uncertainty in the results due to the extrapolation of self-harm incidence and cost from the Multicentre Study to England.ResultsThere were 228 075 estimated self-harm presentations (61% were female) by 159 857 patients in 2013 in England. The largest proportions of self-harm presentations were in the age group 40-49 years (30%) for men and 19-29 years (28%) for women. Associated hospital costs were approximately £128.6 (95% CI 117.8-140.9) million in 2013. The estimated incidence of self-harm and associated hospital costs were lower in the majority of English coastal areas compared to inland regions but the highest costs were in Greater London. Costs were also higher in more socio-economically deprived areas of the country compared with areas that are more affluent. The sensitivity analyses provided similar results.ConclusionsThe results of this study highlight the extent, hospital costs and distribution of self-harm presentations to hospitals in England and identify potential sub-populations that might benefit from targeted actions to help prevent self-harm and assist those who have self-harmed. They can support national as well as local health stakeholders in allocating funds and prioritising interventions in areas with the greatest need for preventing and managing self-harm

Uptake of Direct Acting Antivirals for Hepatitis C Virus in a New England Medicaid Population, 2014-2017

Introduction Introduction of the direct acting antiviral (DAA) sofosbuvir (SOV) in 2013 offered significant improvement over previous options for hepatitis C virus (HCV) treatment. Initial uptake was low in Medicaid and other populations, perhaps in part due to high drug cost and prior authorization (PA) restrictions related to fibrosis stage, prescribing provider specialty, and sobriety. Both the subsequent introduction of ledipasvir/sofosbuvir (LDV/SOV), an all-oral regimen for most genotypes, and lifting of PA restrictions were expected to increase overall uptake, but little is known about recent prescribing patterns. We examined trends in DAA uptake in a Medicaid population and identified the effect of these two events on treatment initiation. Study Design An interrupted time series (ITS) design utilized enrollment, medical, and pharmacy claims from Medicaid enrollees in three New England states, 12/2013-12/2017. Trends in treatment uptake, defined as 1+ pharmacy claim for a DAA, were examined overall, by demographic characteristics, and prior to and after two time points: 10/2014 (LDV/SOV approval date) and 7/2016 (date PA restrictions affecting two-thirds of members were lifted). Chi-square evaluated demographic differences, segmented regression models examined trends. Study Population The population included members ages 18-64 years with HCV (2+ claims with ICD-9/10 code for HCV or 1+ claim for chronic HCV). Eligible individuals remained in the sample until treatment initiation or Medicaid disenrollment. Findings The analytic sample averaged 30,433 members with HCV per month, mean age 42.9 years, 60% male. In 2014 3.3% of eligible members initiated treatment, increasing to 7.7% in 2017 (p = Conclusion While initial uptake of DAAs was low in this multi-state Medicaid population, treatment initiation among eligible members increased through 2017. Introduction of new medications and lifting of PA restrictions led to an immediate increase in uptake followed by relatively flat monthly utilization. Policy implications Sharp increases in uptake after LDV/SOV introduction may indicate warehousing of members in anticipation of LDV/SOV approval; increases after PA restrictions were lifted indicates demand for treatment among those affected by restrictions. As a large percentage of the Medicaid HCV population remains untreated, planned provider interviews will help to understand barriers and facilitators of treatment for HCV

Understanding Infrared Galaxy Populations: the SWIRE Legacy Survey

We discuss spectral energy distributions, photometric redshifts, redshift distributions, luminosity functions, source-counts and the far infrared to optical luminosity ratio for sources in the SWIRE Legacy Survey. The spectral energy distributions of selected SWIRE sources are modelled in terms of a simple set of galaxy and quasar templates in the optical and near infrared, and with a set of dust emission templates (cirrus, M82 starburst, Arp 220 starburst, and AGN dust torus) in the mid infrared. The optical data, together with the IRAC 3.6 and 4.5 mu data, have been used to determine photometric redshifts. For galaxies with known spectroscopic redshifts there is a notable improvement in the photometric redshift when the IRAC data are used, with a reduction in the rms scatter from 10% in (1+z) to 5%. While further spectroscopic data are needed to confirm this result, the prospect of determining good photometric redshifts for the 2 million extragalactic objects in SWIRE is excellent. The distribution of the different infrared sed types in the L{ir}/L{opt} versus L{ir} plane, where L{ir} and L{opt} are the infrared and optical bolometric luminosities, is discussed. Source-counts at 24, 70 and 160 mu are discussed, and luminosity functions at 3.6 and 24 mu are presented.Comment: 8 pages, 14 figures, to appear in proceedings of 'Spitzer IR Diagnostics Conference, Nov 14-16, 2005

Life problems in children and adolescents who self‐harm: findings from the multicentre study of self‐harm in England

Objective. Self-harm, a significant and increasing global problem in children and adolescents, is often repeated and is associated with risk of future suicide. To identify potential interventions we need to understand the life problems faced by children and adolescents, and by sub-groups of younger people who self-harm. Aims. 1) Investigate the type and frequency of life problems in a large sample of children and adolescents who self-harmed. 2) Examine whether problems differ between those who repeat self-harm and those who do not. Method. We analysed data for 2000-2013 (follow up until 2014) from the Multicentre Study of Self-harm in England on individuals aged 11-18 years who presented to one of the five study hospitals following self-harm and received a psychosocial assessment including questions about problems which precipitated self-harm. Results. In 5648 patients (12261 self-harm episodes), (75.5% female, mean age 16.1 years) the most frequently reported problems at first episode of self-harm were family problems. Problems around study/employment/study and relationships with friends also featured prominently. The types of problems that precede self-harm differed between late childhood/early adolescence. Abuse, mental health problems and legal problems significantly predicted repeat self-harm for females. Conclusion. The most common problems reported by both genders were social/interpersonal in nature, indicating the need for relevant services embedded in the community (e.g. in schools/colleges). Self-harm assessment and treatment choices for children and adolescents must take age and gender into account. To prevent future self-harm individualised supports and services are particularly needed for abuse, mental health and legal problems