Chronicity and Mental Health Service Utilization for Anxiety, Mood, and Substance Use Disorders among Black Men in the United States; Ethnicity and Nativity Differences.

This study investigated ethnic and nativity differences in the chronicity and treatment of psychiatric disorders of African American and Caribbean Black men in the U.S. Data were analyzed from the National Survey of American Life, a population-based study which included 1859 self-identified Black men (1222 African American, 176 Caribbean Black men born within the U.S., and 461 Caribbean Black men born outside the U.S.). Lifetime and twelve-month prevalence of DSM-IV mood, anxiety, and substance use disorders (including Bipolar I and Dysthmia), disorder chronicity, and rate of mental health services use among those meeting criteria for a lifetime psychiatric disorder were examined. Logistic regression models were employed to determine ethnic differences in chronicity, and treatment utilization for disorders. While rates of DSM-IV disorders were generally low in this community sample of Black men, their disorders were chronic and remained untreated. Caribbean Black men born in the U.S. had higher prevalence of Post-Traumatic Stress Disorder, Major Depressive Disorder, and Alcohol Abuse Disorder compared with African American men. Foreign born Caribbean Black men experienced greater chronicity in Social Phobia and Generalized Anxiety Disorder compared to other Black Men. Utilization of mental health service was low for all groups of Black Men, but lowest for the foreign born Caribbean Black men. Results underscore the large unmet needs of both African American and Caribbean Black men in the United States. Results also highlight the role of ethnicity and nativity in mental disorder chronicity and mental health service utilization patterns of Black men

Chlamydia trachomatis and the risk of spontaneous preterm birth, babies who are born small for gestational age, and stillbirth: A population-based cohort study

Background: Chlamydia trachomatis is one of the most commonly diagnosed sexually transmitted infections worldwide, but reports in the medical literature of an association between genital chlamydia infection and adverse obstetric outcomes are inconsistent. Methods: The Western Australia Data Linkage Branch created a cohort of women of reproductive age by linking records of birth registrations with the electoral roll for women in Western Australia who were born from 1974 to 1995. The cohort was then linked to both chlamydia testing records and the state perinatal registry for data on preterm births and other adverse obstetric outcomes. We determined associations between chlamydia testing, test positivity, and adverse obstetric outcomes using multivariate logistic regression analyses. Findings: From 2001 to 2012, 101558 women aged 15 to 38 years had a singleton birth. Of these women, 3921 (3·9%) had a spontaneous preterm birth, 9762 (9·6% of 101371 women with available data) had a baby who was small for gestational age, and 682 (0·7%) had a stillbirth. During their pregnancy, 21267 (20·9%) of these women had at least one chlamydia test record, and 1365 (6·4%) of those tested were positive. Before pregnancy, 19157 (18·9%) of these women were tested for chlamydia, of whom 1595 (8·3%) tested positive for chlamydia. Among all women with a test record, after adjusting for age, ethnicity, maternal smoking, and history of other infections, we found no significant association between a positive test for chlamydia and spontaneous preterm birth (adjusted odds ratio 1·08 [95% CI 0·91–1·28]; p=0·37), a baby who was small for gestational age (0·95 [0·85–1·07]; p=0·39), or stillbirth (0·93 [0·61–1·42]; p=0·74). Interpretation: A genital chlamydia infection that is diagnosed and, presumably, treated either during or before pregnancy does not substantially increase a woman’s risk of having a spontaneous preterm birth, having a baby who is small for gestational age, or having a stillbirth. Funding: Australian National Health and Medical Research Counci

How Does a Principal Use Kentucky\u27s High Stakes Assessment To Monitor and Improve Student Learning?

This paper explores Kentucky\u27s Education Reform Act (KERA) for improving at-risk students\u27 scores to see if the strategies in one middle school improved standardized and state-performance-based assessment results. The study encompasses two purposes: to use a forced-entry regression model to detect which independent variables were predictors of success for at-risk students on the Kentucky Instructional Results Information System (KIRIS), and to offer an analytic model for principals to use in examining the impact of specific school reform initiatives and selected intervention strategies. The paper offers a literature review that discusses Effective Schools research, explains the background for KERA and KIRIS, and then describes the basis for the specific strategies addressed in a particular school for improving at-risk students\u27 scores. Results indicate a surprising contrast between two remedial programs: Title I and ESS. The paper presents two models that could be imitated by other schools and school councils in examining strategies for improving school results

The Relationship Between Tolerance For Ambiguity And Students Propensity To Cheat On A College Exam

Businesses in the United States are being ravaged internally for a total of up to $400 billion yearly by white-collar crime (Martin, 1998).   Fraud, the culprit, is defined as, “deceit; trickery; cheating” (Webster’s New World dictionary, 1978).  This phenomenon knows no bounds, has no feelings, respects no one; and its perpetrators are described as the “greatest threat to businesses of all sizes” by Mark Simmons, a New York-based auditor with 20 years’ experience of fighting fraud (Applegate, 1998).  This exploratory study is aimed at gaining a greater understanding of the psychological consistency of these perpetrators, who remain a constant threat to business education

Primarily neutral effects of river restoration on macroinvertebrates, macrophytes, and fishes after a decade of monitoring

Restoring river habitat heterogeneity is expensive and time consuming, yet often has little effect on aquatic biota. Such poor restoration outcomes could be partly caused by the predominance of short‐term studies, which do not account for natural temporal fluctuations nor changes in the effects of restoration through time. Consequently, research that examines the longer‐term dynamics of river restoration is crucial for providing a temporal perspective of restoration outcomes and for informing the effectiveness of restoration methods. We used the Nidda River in Germany as a case study of the temporal effects of river hydromorphological restoration on different aquatic taxa. We surveyed macroinvertebrate, macrophyte, and fish communities across three sites prerestoration (2008) and then monitored changes in one control versus two restored sites across 10 years (2010–2019). Overall, we found few effects of restoration on the macroinvertebrate and macrophyte communities, with no effects whatsoever on fishes. Restoration improved some components of the macroinvertebrate and macrophyte communities; however, these positive effects were temporally inconsistent and did not translate to improvements in river ecosystem health (based on an index of ecological quality). Our findings illustrate how allowing for more time for community development will not necessarily alter the fact that local‐scale river habitat restoration can elicit little to no change in aquatic communities. Combining local‐ with broad‐scale restoration efforts that address the primary drivers of hydroecological decline, in addition to long‐term monitoring, may therefore be required to ensure that river restorations successfully meet their ecological goals

Large Bodies in the Kuiper Belt

We present a survey for bright Kuiper Belt Objects (KBOs) and Centaurs, conducted at the Kitt Peak National Observatory (KPNO) 0.9 m telescope with the KPNO 8k Mosaic CCD. The survey imaged 164 sq deg near opposition to a limiting red magnitude of 21.1. Three bright KBOs and one Centaur were found, the brightest KBO having red magnitude 19.7, about 700 km in diameter assuming a dark Centaur-like 4% albedo. We estimate the power-law differential size distribution of the Classical KBOs to have index q = 4.2 (+0.4)(-0.3), with the total number of Classical KBOs with diameters larger than 100 km equal to 4.7 (+1.6)(-1.0) x 10^4. Additionally, we find that if there is a maximum object size in the Kuiper Belt, it must be larger than 1000 km in diameter. By extending our model to larger size bodies, we estimate that 30 (+16)(-12) Charon-sized and 3.2 (+2.8)(-1.7) Pluto-sized Classical KBOs remain undiscovered.Comment: 33 pages, 7 figures, to appear in Nov 2001 Astronomical Journa

Effects of Open Marsh Water Management on Numbers of Larval Salt Marsh Mosquitoes

Open marsh water management (OMWM) is a commonly used approach to manage salt marsh mosquitoes than can obviate the need for pesticide application and at the same time, partially restore natural functions of grid-ditched marshes. OMWM includes a variety of hydrologic manipulations, often tailored to the specific conditions on individual marshes, so the overall effectiveness of this approach is difficult to assess. Here, we report the results of controlled field trials to assess the effects of two approaches to OMWM on larval mosquito production at National Wildlife Refuges (NWR). A traditional OMWM approach, using pond construction and radial ditches was used at Edwin B. Forsythe NWR in New Jersey, and a ditch-plugging approach was used at Parker River NWR in Massachusetts. Mosquito larvae were sampled from randomly placed stations on paired treatment and control marshes at each refuge. The proportion of sampling stations that were wet declined after OMWM at the Forsythe site, but not at the Parker River site. The proportion of samples with larvae present and mean larval densities, declined significantly at the treatment sites on both refuges relative to the control marshes. Percentage of control for the 2 yr posttreatment, compared with the 2 yr pretreatment, was \u3e90% at both treatment sites