11 research outputs found

    Home Not Found: The Cost of Homelessness In Silicon Valley

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    This report analyzes comprehensive cross-sector information about the entire population of residents who experienced homelessness in Santa Clara County at any point during a six year period -- a total of 104,206 individuals. This information includes the demographic and medical attributes of each person, justice system history, services received, and the cost of those services. Records for this population were linked across all justice system, health care, social service, nonprofit, and housing agencies. With information about over one hundred thousand people over the six years from 2007 to 2012, including detailed records from each service provider, this is the largest and most comprehensive body of information that has been assembled in the United States to understand the public costs of homelessness

    Young Adult Outcomes of Youth Exiting Dependent or Delinquent Care in Los Angeles County

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    Compares educational, employment, health, mental health, criminal justice, and public welfare outcomes for youth who age out of foster care, those who exit the juvenile probation system, and those who were involved in both systems. Considers implications

    Microstructure Based Modeling of Dual Phase 600 Steel

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    The purpose of this study was to examine the microstructure of DP600 steel using both experimental and finite element modeling methods. The microstructure is generated using 2D modeling and 3D synthetic modeling processes. The goal was to demonstrate the significance and procedures of each step taken until the final modeling component was completed

    Evaluation of the Relationship Between Quantitative Ultrasound Parameters and Pain and Demographic Features in Pre and Postmenopausal Women

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    Osteoporosis is a systemic metabolic disease which is characterized by low bone mass and microarchitectural damage of bone tissue resulting in increased bone fragility. History, physical examination, laboratory investigations and different imaging technics are used in diagnosis of osteoporosis. Quantitative ultrasound (QUS) is an alternative method for diagnosis of osteoporosis and evaluation of fracture risk. In this study we aimed to evaluate the association between quantitative ultrasound values and pain and demographic features in pre- and postmenopausal women. One hundred voluntary women aged over 40 years who were admitted to hospital in one day were included. Eight of these were excluded for different reasons. Demographic features and pain parameters were inquired. Quantitative ultrasound evaluation was performed with Hologic Sahara Clinical Bone Sonometer equipment. Speed of sound (SOS) and broadband ultrasound attenuation (BUA) values and stiffness parameters were used for evaluation. Twenty four (26.1%) of the objects were premenopausal and 68 (73.9%) were postmenopausal. 24 (100%) of premenopausal objects and 57 (% 83.8) of postmenopausal objects had pain (p=0.061). In evaluation with QUS, mean BUA values were 67.9 ± 13.5 in premenopausal and 60.0 ± 15.8 in postmenopausal women (p=0.026). Mean stiffness values were found 91.2 ± 13.6 in premenopausal and 80.1 ± 17.6 in postmenopausal women (p=0.013). In all of the subjects, QUS parameters were found negatively corraleted with age, while no relationship was found with occupation, education level, body mass index (BMI) and pain. Consequently, we found negative correlation between age and QUS parameters, but for other demographic features there was no correlation. This study will be more sensitive and specific if performed on more patients and supported by other measurement methods

    Assessment of the Relationship Between Depression and Bone Mineral Density and Quality of Life in Patients with Postmenopausal Osteoporosis

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    The aim of this study was to determined the effects of depression on bone loss and quality of life in postmenopausal osteoporotic (PMO) women. Seventy two females (mean age 65 ± 6.9) were included in this study. Out of these patients, 27 (37.5%) had depression, 45 (62.5%) were normal. All cases were evaluated by DXA, Hamilton depression scale, Short Form-36 (SF-36) scale and visual analog scale. In the patients with depression, L1-L4 t-score (-3.29 ± 1.07), femur neck t-score (-2.60 ± 1.00) and z-score (-0.97 ± 0.82) were significantly lower than PMO patients without depression (respectively; -2.71 ± 0.83, -1.86 ± 1.16 and –0.50 ± 0.91). SF-36 scores (75.9 ± 19.8) were lower in patients with depression than patients without depression (86.5 ± 14.4) (p=0.041). Negative correlations between Hamilton score and L1-L4 z-score (R=-0.432, p=0.024), femur neck t-score (R=-0.528, p=0.005) were found. In conclusion, postmenopausal bone loss was higher and functional capasity was lower in patients with depression

    The Evaluation of Efficacy of Calcitriol on Bone Mineral Density, Pain and Quality of Life in Postmenopausal Osteoporotic Patients With or Without Depression

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    The aim of this study was to determine whether depression was affect on bone loss in postmenopausal osteoporotic (PMO) women and response to calcitriol treatment in this patients. Seventy two females (mean age 65 ± 6.9) were included in this study. Out of these patients, 27 (37.5%) had depression, 45 (62.5%) were normal. All cases were evaluated by DXA, Hamilton depression scale, Short Form-36 (SF-36) scale and visual analog scale. In the patients with depression, L1-L4 t-score (-3.29 ± 1.07), femur total t-score (-2.60 ± 1.00) and z-score (-0.97 ± 0.82) were significantly lower than PMO patients without depression (respectively; -2.71 ± 0.83, -1.86 ± 1.16 and –0.50 ± 0.91). Improvement of t- and z- scores in both groups were statistically significant after calcitriol treatment. Improvement of L1-L4 t- and z-scores and femur neck t-score were higher in patients with depression. SF-36 scores (75.9 ± 19.8) were lower in patients with depression than patients without depression (86.5 ± 14.4) (p=0.041). Negative correlations between Hamilton score and L1-L4 z-score (R=-0.432, p=0.024), femur neck t-score (R=-0.528, p=0.005) were found before treatment. Improvement of pain in both groups were similar. In conclusion, postmenopausal bone loss was higher and the response to calcitriol treatment was better in patients with depression
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