The Role of Acculturation Differences and Acculturation Conflict in Latino Family Mental Health

In order to help address the mental health disparities that exist for Latino families in the U.S., the current study sought to examine the acculturation–mental health link within the context of Latino families and to identify potential mechanisms for intervention to alleviate mental health problems in this population. Specifically, our goal was to examine how parent–adolescent acculturation differences were related to mental health in Latino adolescents and their parents and to understand the role of acculturation conflict and family functioning within Latino families. Participants included 84 adolescent–parent dyads recruited through bilingual middle schools. We found partial support for our hypothesis that family functioning mediates the relationship between acculturation differences and mental health outcomes for Latino parents. Additionally, we found partial support for our moderated mediation hypothesis; specifically, a significant conditional indirect effect was found for Latino cognitive acculturation differences on adolescent externalizing problems via family functioning at high levels of acculturation conflict. Exploratory analyses also indicated that acculturation conflict moderates the relationship between family functioning and externalizing problems for Latino adolescents. Results highlight the importance of understanding acculturation within the context of Latino families, as findings differed for adolescents and their parents. Additionally, findings suggest that differences in acculturation may not always be problematic and their impact likely depends on how families interpret such differences

Criminal Justice in the 21st Century: Allegheny County Jail

Criminal Justice in the 21st Century: Allegheny County Jail looks into the history, purposes, and structure of the Allegheny County Jail. This report outlines national and local data trends within jails and discusses the historic and current purposes of jails. It also highlights innovative programs and challenges within the county’s jail and potential best practices to address them

Peripheral Blood Pressure Changes Induced by Dobutamine Do Not Alter BOLD Signals in The Human Brain

In extending the use of functional MRI to neuropharmacology, a primary area of concern is that peripheral blood pressure changes induced by pharmacological agents could independently produce a change in the blood oxygenation level-dependent (BOLD) signal, resulting in difficulties distinguishing or interpreting drug-induced neural activations. In the present study, we utilized intravenous dobutamine, a beta-adrenergic receptor agonist, to increase the mean arterial blood pressure (MABP), while examining the effects of MABP changes on the BOLD signal in cocaine-dependent participants. Dobutamine infusion significantly increased the MABP from 93 ± 8 mm Hg to 106 ± 12 mm Hg (P \u3c 0.0005), but did not produce a significant global BOLD signal. Yet, a few voxels in the anterior cingulate showed BOLD signal changes that paralleled the changes in blood pressure (BP). Our observations support the conclusion that following the infusion of psychoactive agents, brain BOLD signals accurately reflect neuronal activity, even in the face of relatively large peripheral cardiovascular effects that transiently increase systemic BP

Criminal Justice in the 21st Century: Allegheny County Pretrial Decisions

Criminal Justice in the 21st Century: Allegheny County Pretrial Decisions examines the pretrial procedures and decisions made within the county criminal justice system. The report examines how pretrial decisions are made and national standards for pretrial services. The report highlights innovative practices occurring within the county and key local data. It also outlines national best practices in pretrial decisions

Criminal Justice in the 21st Century: Allegheny County Prosecution and Defense

Criminal Justice in the 21st Century: Allegheny County Prosecution and Defense examines the roles of prosecution and defense nationally and within the county including the offices of the district attorney and public defender. The report looks at key local data and opportunities within criminal court procedures to reduce the county jail population and the number of people under correctional control. The report highlights innovation national best practices in the area of prosecution and defense

Criminal Justice in the 21st Century: Allegheny County Courts and Probation

Criminal Justice in the 21st Century: Allegheny County Courts and Probation examines the structure, responsibilities, successes, and opportunities within Allegheny County's courts and probation department. The report highlights initiatives and innovations implemented by the Fifth Judicial District’s Criminal Division and key local data indicators. It also identifies current challenges within the county’s court and probation system and potential national best practices to address these challenges

Criminal Justice in the 21st Century: Allegheny County Law Enforcement

Criminal Justice in the 21st Century: Allegheny County Law Enforcement examines the role of the police both nationally and in Allegheny County. The report identifies local law enforcement agencies and their role within the county criminal justice system. This report also highlights key local data trends and discusses the impact of law enforcement on the criminal justice system. It also highlights national best practices in policing

AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases

"The initial Guide to the Primary Prevention of Cardiovascular Diseases was published in 1997 as an aid to healthcare professionals and their patients without established coronary artery disease or other atherosclerotic diseases.1 It was intended to complement the American Heart Association (AHA)/American College of Cardiology (ACC) Guidelines for Preventing Heart Attack and Death in Patients with Atherosclerotic Cardiovascular Disease (updated2) and to provide the healthcare professional with a comprehensive approach to patients across a wide spectrum of risk. The imperative to prevent the first episode of coronary disease or stroke or the development of aortic aneurysm and peripheral arterial disease remains as strong as ever because of the still-high rate of first events that are fatal or disabling or require expensive intensive medical care. The evidence that most cardiovascular disease is preventable continues to grow. Results of long-term prospective studies consistently identify persons with low levels of risk factors as having lifelong low levels of heart disease and stroke.3,4⇓ Moreover, these low levels of risk factors are related to healthy lifestyles. Data from the Nurses Health Study,5 for example, suggest that in women, maintaining a desirable body weight, eating a healthy diet, exercising regularly, not smoking, and consuming a moderate amount of alcohol could account for an 84% reduction in risk, yet only 3% of the women studied were in that category. Clearly, the majority of the causes of cardiovascular disease are known and modifiable. This 2002 update of the Guide acknowledges a number of advances in the field of primary prevention since 1997. Research continues to refine the recommendations on detection and management of established risk factors, including evidence against the safety and efficacy of interventions once thought promising (eg, antioxidant vitamins).6 This, in turn, has stimulated a large number of additional guidelines for specific demographic groups (eg, women), on individual risk factors (eg, diabetes, smoking), and for the primary prevention of stroke. In all of these guidelines, there is an increasing emphasis on further stratifying patients by level of risk and matching the intensity of interventions to the hazard for cardiovascular disease events.7

Evaluation of individual and ensemble probabilistic forecasts of COVID-19 mortality in the United States

Short-term probabilistic forecasts of the trajectory of the COVID-19 pandemic in the United States have served as a visible and important communication channel between the scientific modeling community and both the general public and decision-makers. Forecasting models provide specific, quantitative, and evaluable predictions that inform short-term decisions such as healthcare staffing needs, school closures, and allocation of medical supplies. Starting in April 2020, the US COVID-19 Forecast Hub (https://covid19forecasthub.org/) collected, disseminated, and synthesized tens of millions of specific predictions from more than 90 different academic, industry, and independent research groups. A multimodel ensemble forecast that combined predictions from dozens of groups every week provided the most consistently accurate probabilistic forecasts of incident deaths due to COVID-19 at the state and national level from April 2020 through October 2021. The performance of 27 individual models that submitted complete forecasts of COVID-19 deaths consistently throughout this year showed high variability in forecast skill across time, geospatial units, and forecast horizons. Two-thirds of the models evaluated showed better accuracy than a naïve baseline model. Forecast accuracy degraded as models made predictions further into the future, with probabilistic error at a 20-wk horizon three to five times larger than when predicting at a 1-wk horizon. This project underscores the role that collaboration and active coordination between governmental public-health agencies, academic modeling teams, and industry partners can play in developing modern modeling capabilities to support local, state, and federal response to outbreaks