Identifying risks for male street gang affiliation: a systematic review and narrative synthesis

Gang violence has increased in recent years. Individuals are becoming gang affiliated younger, and many have suffered historic maltreatment. Subsequent exposure to violence can result in profound consequences, including acute psychological harm. This review aims to identify predictive risk factors for male street gang affiliation. A systematic literature search was conducted utilising PsycINFO, PsycARTICLES, Medline, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews and the Social Policy and Practice databases (from the databases’ inception to 03/04/15). From this search, n=244 peer-reviewed papers were included in an initial scoping review, and n=102 thereafter met criteria for a systematic review; a narrative synthesis follows. Gang members have typically faced numerous historic adversities across multiple domains; individual, family, peers, school and community. Cumulative factors generated an independent risk. The meta-narrative described an overarching failure to safeguard vulnerable individuals, with the motivation for gang affiliation hypothetically arising from an attempt to have their basic needs met. Clinical and research recommendations were made to inform early intervention policy and practice

Exploring retinal and functional markers of diabetic neuropathy

Diabetic peripheral neuropathy (DPN) is one of the most debilitating complications of diabetes. DPN is a major cause of foot ulceration and lower limb amputation. Early diagnosis and management is a key factor in reducing morbidity and mortality. Current techniques for clinical assessment of DPN are relatively insensitive for detecting early disease or involve invasive procedures such as skin biopsies. There is a need for less painful, non-invasive and safe evaluation methods. Eye care professionals already play an important role in the management of diabetic retinopathy; however recent studies have indicated that the eye may also be an important site for the diagnosis and monitoring of neuropathy. Corneal nerve morphology has been shown to be a promising marker of diabetic neuropathy occurring elsewhere in the body, and emerging evidence tentatively suggests that retinal anatomical markers and a range of functional visual indicators could similarly provide useful information regarding neural damage in diabetes – although this line of research is, as yet, less well established. This review outlines the growing body of evidence supporting a potential diagnostic role for retinal structure and visual functional markers in the diagnosis and monitoring of peripheral neuropathy in diabetes

Objective Climatological Analysis of Extreme Weather Events in Arizona during the North American Monsoon

Almost one-half of the annual precipitation in the southwestern United States occurs during the North American monsoon (NAM). Given favorable synoptic-scale conditions, organized monsoon thunderstorms may affect relatively large geographic areas. Through an objective analysis of atmospheric reanalysis and observational data, the dominant synoptic patterns associated with NAM extreme events are determined for the period from 1993 to 2010. Thermodynamically favorable extreme-weather-event days are selected on the basis of atmospheric instability and precipitable water vapor from Tucson, Arizona, rawinsonde data. The atmospheric circulation patterns at 500 hPa associated with the extreme events are objectively characterized using principal component analysis. The first two dominant modes of 500-hPa geopotential-height anomalies of the severe-weather-event days correspond to type-I and type-II severe-weather-event patterns previously subjectively identified by Maddox et al. These patterns reflect a positioning of the monsoon ridge to the north and east or north and west, respectively, from its position in the "Four Corners" region during the period of the climatological maximum of monsoon precipitation from mid-July to mid-August. An hourly radar gauge precipitation product shows evidence of organized, westward-propagating convection in Arizona during the type-I and type-II severe weather events. This new methodological approach for objectively identifying severe weather events may be easily adapted to inform operational forecasting or analysis of gridded climate data.Strategic Environmental Research and Development Program (SERDP) through the U.S. Departments of Defense and Energy [RC-2205]; U.S. Environmental Protection Agency; Universidad Nacional Autonoma de Mexico Programa de Apoyo a Proyectos de Investigation e Innovation Tecnologica (UNAM PAPIIT) [IA100916]Published Online: 4 November 2016; 6 month embargoThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]