664 research outputs found

    The Anti-Gang Initiative in Detroit: An Aggressive Enforcement Approach to Gangs

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    Over the period of the intervention and operation of the-AGI project, there was a considerable decline in gun crimes in the target precincts, whereas the number of such offenses rose in the comparison precinct. This was particularly the case in the Ninth Precinct, where a statistically significant reduction of gun crimes occurred. Perhaps more importantly, this reduction represented 112 fewer gun crimes, and thus a commensurate fewer number of victims, per month in this precinct. Given the design of this study and available data, these results cannot be directly attributed to the intervention. However, there is a strong indication that these aggressive policing tactics contributed significantly to this meaningful reduction

    Exploring the Drugs-Homicide Connection

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    Although research generally assumes a close relationship between drugs and violence, very little is known about the many different roles drugs can play in criminal events. Drug related as an event classification scheme is relatively common in homicide research, as well as other areas of inquiry, and is usually understood to be an important component in the causal processes of criminal events. Yet such classification schemes often suggest a simple, unidimensional construct. In reality, drug-related crimes are com-plex events. The purpose of this researchwas first to disaggregate the concept of drug-related homicide by providing an event classification scheme that conceptualizes the diverse roles drugs play in drug-related events.Acategorical coding scheme is presented that is similar to that proposed by Goldstein (1995) and later tested by Brownstein and colleagues (Brownstein & Goldstein, 1990; Brownstein, Baxi, Goldstein, & Ryan, 1992) that specifies three distinct types of homicide events. Included among these are (a) events that involved no evidence of illicit drugs associated with the homicide event, (b) those that involved the presence of drugs or drug use at the scene as well as events where either the victim and/or offender were buying or selling drugs (we term this peripherally drug-related homicides), and (c) events where the sale or use of drugswas the motivating feature of the homicide event. In some situations, there may be overlap between categories b and c; however, category c is distinct in that it includes features of motivation. The second purpose was to determine the relative importance of various situational and contextual characteristics of homicide events in understanding different types of drug-related events. Delineating these features will be an important step in filling in the gaps of knowledge about the assumed relationship between drugs and violence

    Big Sky Documentary Film Festival Study

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    This report provides information on attendees of Missoula\u27s Big Sky Documentary Film Festival including where they were from, group aize, number of films attended, satisfaction with the event and basic demographics. In addition, spending by individual attendees from outside Missoula County is estimated

    Street Outreach Workers: Best Practices and Lessons Learned

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    Street outreach workers are an important part of the Senator Charles E. Shannon Jr. Community Safety Initiative (CSI) comprehensive gang and youth violence reduction strategy in Massachusetts1. Street outreach involves the use of individuals to “work the streets,” making contact with youth in neighborhoods with high levels of gang activity. These individuals are generally not employed by the criminal justice system agencies but rather are based in community service organizations or other non- governmental agencies. Street outreach workers provide an important bridge between the community, gang-involved youth, and the agencies (whether social service or law enforcement) that respond to the problems of delinquency and gangs. This guide offers information, guidance, and lessons learned from street outreach programs nationally and within the Massachusetts Shannon CSI communities to help guide existing street outreach programs and support communities considering developing new street outreach programs

    Geotourism in the Crown of the Continent

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    Geotourism is a new niche segment of sustainable tourism focused on sustaining and enhancing the geographical character of a place. The purpose of this study was to answer the question: to what degree do visitors in the \u27Crown of the Continent\u27 share the values of geotourism? Visitors to sites on National Geographic\u27s Crown of the Continent geotourism mapguide were intercepted and asked to fill out a survey regarding their travel values

    Why impaired wellness may be inevitable in medicine, and why that may not be a bad thing

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    Context: A wellness crisis exists among physicians and medical trainees. High rates of burnout, depression, stress and other states of impaired wellness have driven a sense of urgency to create solutions, and the medical education community has mobilised impressively. However, we argue—and data suggest—that this rush to find solutions has outpaced our efforts to more fully understand the nature of impaired wellness in medicine. This, we believe, has led to the implementation of solutions informed by limited understanding of the problems we intend to solve. Methods: In this paper, we explore three contributors to this situation: (i) shaky definitions and conceptualisations of wellness, (ii) the predominance of deductive, quantitative research informing our understanding and current solutions, and (iii) the reliance on a ‘disease-focused’ approach to addressing impaired wellness in physicians and trainees. We discuss how these contributors have led to the current state of the science of wellness in medicine: one characterised by an expanding array of solutions built upon narrow conceptualisations of wellness and how it can be impaired. Discussion: Moving beyond the current state of the science on wellness in medicine will require three critical developments: (i) consistent use of clear definitions of wellness; (ii) expanding our methodologies to include those utilising direct interaction with participants; and (iii) moving beyond solutions informed by a disease-model approach. We propose a different way of thinking about wellness: one based on what we view as an inherent—and potentially unavoidable—risk of experiencing impairment during a career in medicine. We argue that efforts to extinguish and eliminate all states of impaired wellness may also eliminate opportunities to develop constructive coping mechanisms and future resilience, and that wellness may best be conceptualised as healthy and authentic engagement with the inevitable adversity of a career in medicine

    Our Parents, Ourselves: Health Care for an Aging Population; A Report of the Dartmouth Atlas Project

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    The new Dartmouth Atlas, funded by The John A. Hartford Foundation, is a report card that analyzes Medicare data to show us where the United States is making progress in patient-centered, evidence-based care for Medicare beneficiaries and where improvement is still needed. It also offers insight into regional variations in care.Filling in the gaps in our knowledge about the state of care across the country will help health care providers, health systems, and patients and families work together to improve care for all older adults.This Dartmouth Atlas report looks at a number of measures from Medicare data, including:The number of days older adults spend in contact with the health care system;Use of high-risk medications;Cancer screening rates (and how they compare with recommendations);30-day hospital readmission rates;Annual Wellness Visit (AWV) rates;Late hospice referral; andThe number of days spent in intensive care.The report also offers a historical look at key practices, comparing data from 2003-05 and 2012

    Improving Patient Decision-Making in Health Care

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    Outlines regional variations within Minnesota in rates of patients with similar conditions receiving elective surgery, the concept of shared decision making, treatment choices for eight conditions, and steps for ensuring patients make informed decisions

    Physician network position and patient outcomes following implantable cardioverter defibrillator therapy

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/150523/1/hesr13151.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/150523/2/hesr13151_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/150523/3/hesr13151-sup-0001-AuthorMatrix.pd
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