845 research outputs found

    Examining the Reasons for Student Responses to Threatening Behaviors on a College Campus

    Get PDF
    Underreporting criminal activity to authorities can pose significant challenges, particularly within college campuses. Crime prevention teams have recognized the importance of reporting potentially concerning behaviors that may precede violent acts. However, reasons for reporting preincident behaviors have been understudied among college samples and failed to account for informal responses, such as talking to third parties or changing personal security features. The present study surveyed 1,075 students from a midwestern state university and evaluated their awareness of threatening or concerning behaviors on campus, response behaviors, and reasons for either acting on or failing to report preincident behaviors. Findings reflected reporting rates (12.3%) consistent with the scientific literature but revealed informal responding as the most common reaction to preincident behaviors (44.6%). Reasons for not taking action included a desire to be uninvolved and perceiving the situation as unlikely to be immediately dangerous. By contrast, those who reported preincident behaviors appraised the situation as immediately dangerous and likely to result in harm. Their most influential reason for notifying police or university authorities involved an awareness Underreporting criminal activity to authorities can pose significant challenges, particularly within college campuses. Crime prevention teams have recognized the importance of reporting potentially concerning behaviors that may precede violent acts. However, reasons for reporting preincident behaviors have been understudied among college samples and failed to account for informal responses, such as talking to third parties or changing personal security features. The present study surveyed 1,075 students from a midwestern state university and evaluated their awareness of threatening or concerning behaviors on campus, response behaviors, and reasons for either acting on or failing to report preincident behaviors. Findings reflected reporting rates (12.3%) consistent with the scientific literature but revealed informal responding as the most common reaction to preincident behaviors (44.6%). Reasons for not taking action included a desire to be uninvolved and perceiving the situation as unlikely to be immediately dangerous. By contrast, those who reported preincident behaviors appraised the situation as immediately dangerous and likely to result in harm. Their most influential reason for notifying police or university authorities involved an awarenes

    Evidence for Circumstellar Disks around Young Brown Dwarfs in the Trapezium Cluster

    Get PDF
    We report the results of deep infrared observations of brown dwarf candidates in the Trapezium cluster in Orion. Analysis of the JHK color-color diagram indicates that a large fraction (approx 65% +/- 15%) of the observed sources exhibit infrared excess emission. This suggests the extreme youth of these objects and in turn, provides strong independent confirmation of the existence of a large population of substellar objects in the cluster. Moreover, this suggests that the majority of these substellar objects are presently surrounded by circumstellar disks similar to the situation for the stellar population of the cluster. This evidence for a high initial disk frequency (> 50%) around cluster members of all masses combined with the smooth continuity of the cluster's initial mass function across the hydrogen burning limit suggests that a single physical mechanism is likely responsible for producing the entire cluster mass spectrum down to near the deuterium burning limit. The results may also indicate that even substellar objects are capable of forming with systems of planetary companions.Comment: 6 pages, 2 figures. Accepted to ApJ Letter

    Synergistic drug combinations from electronic health records and gene expression.

    Get PDF
    ObjectiveUsing electronic health records (EHRs) and biomolecular data, we sought to discover drug pairs with synergistic repurposing potential. EHRs provide real-world treatment and outcome patterns, while complementary biomolecular data, including disease-specific gene expression and drug-protein interactions, provide mechanistic understanding.MethodWe applied Group Lasso INTERaction NETwork (glinternet), an overlap group lasso penalty on a logistic regression model, with pairwise interactions to identify variables and interacting drug pairs associated with reduced 5-year mortality using EHRs of 9945 breast cancer patients. We identified differentially expressed genes from 14 case-control human breast cancer gene expression datasets and integrated them with drug-protein networks. Drugs in the network were scored according to their association with breast cancer individually or in pairs. Lastly, we determined whether synergistic drug pairs found in the EHRs were enriched among synergistic drug pairs from gene-expression data using a method similar to gene set enrichment analysis.ResultsFrom EHRs, we discovered 3 drug-class pairs associated with lower mortality: anti-inflammatories and hormone antagonists, anti-inflammatories and lipid modifiers, and lipid modifiers and obstructive airway drugs. The first 2 pairs were also enriched among pairs discovered using gene expression data and are supported by molecular interactions in drug-protein networks and preclinical and epidemiologic evidence.ConclusionsThis is a proof-of-concept study demonstrating that a combination of complementary data sources, such as EHRs and gene expression, can corroborate discoveries and provide mechanistic insight into drug synergism for repurposing

    Moving forward during major goal blockage: situational goal adjustment in women facing infertility

    Get PDF
    Individuals confronting chronic medical conditions often face profound challenges to cherished life goals. The primary aim of this study was to examine the associations of goal adjustment with psychological adjustment in the context of infertility. At study entry (T1; n = 97) and 6 months later (T2; n = 47), women in fertility treatment completed measures of goal blockage, goal adjustment ability, and psychological adjustment. At T1, greater perceived and actual goal blockage were related to negative psychological adjustment. Ability to disengage from the goal of biological parenthood was associated with less infertility-specific thought intrusion, whereas engagement with other goals was related to fewer depressive symptoms and greater positive states of mind. Greater general goal engagement was protective against the negative relationships between low goal disengagement and the dependent variables. Promoting letting go of the unattainable and investing in the possible may be a useful intervention to foster well-being among individuals experiencing profound goal blockage

    Prevalence of and factors associated with late diagnosis of HIV in Malawi, Zambia, and Zimbabwe: Results from population-based nationally representative surveys

    Get PDF
    Introduction Late diagnosis of HIV (LD) increases the risk of morbidity, mortality, and HIV transmission. We used nationally representative data from population-based HIV impact assessment (PHIA) surveys in Malawi, Zambia, and Zimbabwe (2015–2016) to characterize adults at risk of LD and to examine associations between LD and presumed HIV transmission to cohabiting sexual partners. Methods We estimated the prevalence of LD, defined as CD4 count <350 cells/ÎŒL, among adults newly diagnosed with HIV during the surveys and odds ratios for associated factors. We linked newly diagnosed adults (index cases) to their household sexual partners and calculated adjusted odds ratios for associations between LD of the index case, viral load of the index case, and duration of HIV exposure in the relationship, and the HIV status of the household sexual partner. Results Of 1,804 adults who were newly diagnosed with HIV in the surveys, 49% (882) were diagnosed late. LD was associated with male sex, older age, and almost five times the odds of having an HIV-positive household sexual partner (adjusted odds ratio [aOR], 4.65 [95% confidence interval: 2.56–8.45]). Longer duration of HIV exposure in a relationship and higher viral load of the index case were both independently associated with higher odds of having HIV-positive household sexual partners. Individuals with HIV exposure of more than 5 years had more than three times (aOR 3.42 [95% CI: 1.63–7.18]) higher odds of being HIV positive than those with less than 2 years HIV exposure. The odds of being HIV positive were increased in individuals who were in a relationship with an index case with a viral load of 400–3499 copies/mL (aOR 4.06 [95% CI 0.45–36.46]), 3,500–9,999 copies/mL (aOR 11.32 [95% CI: 4.08–31.39]), 10,000–49,999 copies/mL (aOR 17.07 [95% CI: 9.18–31.72]), and ≄50,000 copies/mL (aOR 28.41 [95% CI: 12.18–66.28]) compared to individuals who were in a relationship with an index case with a viral load of <400 copies/mL. Conclusions LD remains a challenge in Southern Africa and is strongly associated with presumed HIV transmission to household sexual partners. Our study underscores the need for earlier HIV diagnosis, particularly among men and older adults, and the importance of index testing

    Prevalence of nonsuppressed viral load and associated factors among HIV-positive adults receiving antiretroviral therapy in Eswatini, Lesotho, Malawi, Zambia and Zimbabwe (2015 to 2017): results from population-based nationally representative surveys.

    Get PDF
    INTRODUCTION The global target for 2020 is that ≄90% of people living with HIV (PLHIV) receiving antiretroviral therapy (ART) will achieve viral load suppression (VLS). We examined VLS and its determinants among adults receiving ART for at least four months. METHODS We analysed data from the population-based HIV impact assessment (PHIA) surveys in Eswatini, Lesotho, Malawi, Zambia and Zimbabwe (2015 to 2017). PHIA surveys are nationally representative, cross-sectional household surveys. Data collection included structured interviews, home-based HIV testing and laboratory testing. Blood samples from PLHIV were analysed for HIV RNA, CD4 counts and recent exposure to antiretroviral drugs (ARVs). We calculated representative estimates for the prevalence of VLS (viral load <1000 copies/mL), nonsuppressed viral load (NVL; viral load ≄1000 copies/mL), virologic failure (VF; ARVs present and viral load ≄1000 copies/mL), interrupted ART (ARVs absent and viral load ≄1000 copies/mL) and rates of switching to second-line ART (protease inhibitors present) among PLHIV aged 15 to 59 years who participated in the PHIA surveys in Eswatini, Lesotho, Malawi, Zambia and Zimbabwe, initiated ART at least four months before the survey and were receiving ART at the time of the survey (according to self-report or ARV testing). We calculated odds ratios and incidence rate ratios for factors associated with NVL, VF, interrupted ART, and switching to second-line ART. RESULTS We included 9200 adults receiving ART of whom 88.8% had VLS and 11.2% had NVL including 8.2% who experienced VF and 3.0% who interrupted ART. Younger age, male sex, less education, suboptimal adherence, receiving nevirapine, HIV non-disclosure, never having married and residing in Zimbabwe, Lesotho or Zambia were associated with higher odds of NVL. Among people with NVL, marriage, female sex, shorter ART duration, higher CD4 count and alcohol use were associated with lower odds for VF and higher odds for interrupted ART. Many people with VF (44.8%) had CD4 counts <200 cells/”L, but few (0.31% per year) switched to second-line ART. CONCLUSIONS Countries are approaching global VLS targets for adults. Treatment support, in particular for younger adults, and people with higher CD4 counts, and switching of people to protease inhibitor- or integrase inhibitor-based regimens may further reduce NVL prevalence
    • 

    corecore