Privatization and Prisons

Privatization means increased governmental reliance on the private sector, rather than on government agencies, to satisfy the needs of society. Since the word was first used in 1969,\u27 privatization has gained broad recognition and widespread acceptance, and,in recent years, a major trend toward privatization has developed in the United States and abroad. The reasons for this trend are both pragmatic and ideological. Pragmatists advocate privatization because it offers a more efficient way to provide goods and services. Ideological opponents of big government support privatization be-cause it reduces the role of government. Privatization is therefore an important movement in East and West, in developing and developed countries, in communist and capitalist nations. It has taken root even in China and the Soviet Union.Privatization in the United States has taken a different form than it has in other countries. Outside the United States, in both developing and developed countries, the principal form of privatization is denationalization-the divestment of state-owned enterprises (SOEs). In the United States, which has relatively few SOEs, state and local governments are implementing privatization primarily through contracting and, to a lesser degree, vouchers,franchises, free-market arrangements, and voluntary efforts. Contracting, however, is the primary method governments use to privatize prisons

Implementation costs of a multi-component program to increase human papillomavirus (HPV) vaccination in a network of pediatric clinics

Introduction: HPV vaccination is both a clinically and cost-effective way to prevent HPV-related cancers. Increased focus on preventing HPV infection and HPV-related cancers has motivated development of strategies to increase adolescent vaccination rates. This analysis estimates the average cost associated with implementing programs aimed at increasing HPV vaccination from the perspective of the clinic decision makers. As providers and healthcare organizations consider vaccination initiatives, it is important for them to understand the costs associated with implementing these programs. Methods: Healthcare provider assessment and feedback, reminders, and education; and parent education/reminder strategies were implemented in a large pediatric clinic network between October 2015 and February 2018 to improve HPV vaccination rates. A micro-costing method was used in 2018 to prospectively estimate program implementation costs with the clinic as the unit of analysis. A sensitivity analysis assessed the effects of variability in levels of participation. Results: Assessment and feedback reports and provider education were implemented among 51 clinics at average per clinic cost of $786 and$368 respectively. Electronic vaccination reminders were delivered to providers and parents at a per clinic cost of $824. The parent education implementation cost was$2,126 per clinic. Conclusion: The four complimentary HPV evidence-based strategies were delivered at a total cost of $157,534 or$4,749 per clinic, including staff training and participant recruitment, reaching 155,000 HPV vaccine eligible adolescents

Ecological studies of the surface microlayer of small ponds at the UWM Field Station

The seasonal variation and enrichment of nutrients, pigments, bacteria, fungi and algae in the surface microlayer and subsurface waters were investigated in three ponds at the University of Wisconsin-Milwaukee Field Station, Saukville, Ozaukee County, Wisconsin. Samples were collected intermittently from June, 1978 through October, 1981. Microlayer samples were collected using a glass plate and a screen sampler. All ponds showed dramatic seasonal variations in nutrients, microorganisms and algae in both surface and subsurface waters. The data indicate that physical factors such as adsubble processes, antirain and atmospheric deposition, along with biological factors such as heterotrophic mineralization and autotrophic uptake, play significant roles in causing the enrichment or lack of enrichment of materials within the microlayer. Furthermore, this study suggests that surface microlayers, particularly in shallow environments where algal species are adapted to high light conditions. can be sites of high biological activity

Evaluation of a 2-1-1 Telephone Navigation Program to increase Cancer Control Behaviors: Results From a Randomized Controlled Trial

PURPOSE: to evaluate the effectiveness of a telephone navigation intervention for increasing use of cancer control services among underserved 2-1-1 callers. DESIGN: Randomized controlled trial. SETTING: 2-1-1 call centers in Houston and Weslaco, Texas (located in the Rio Grande Valley near the Mexican border). PARTICIPANTS: 2-1-1 callers in need of Pap test, mammography, colorectal cancer screening, smoking cessation counseling, and/or HPV vaccination for a daughter (n = 1,554). A majority were low-income and described themselves as Black or Hispanic. INTERVENTION: Participants were randomly assigned to receive either a cancer control referral for the needed service(s) with telephone navigation from a trained cancer control navigator (n = 995) or a referral only (n = 559). MEASURES: Uptake of each individual service and any needed service. ANALYSIS: Assessed uptake in both groups using bivariate chi-square analyses and multivariable logistic regression analyses, adjusted for sociodemographic covariates. Both per-protocol and intent-to-treat approaches were used. RESULTS: Both interventions increased cancer control behaviors. Referral with navigation intervention resulted in significantly greater completion of any needed service (OR = 1.38; p = .042), Pap test (OR = 1.56; p = .023), and smoking cessation counseling (OR = 2.66; p = .044), than referral-only condition. Other outcomes showed the same trend although the difference was not statistically significant: mammography (OR = 1.53; p = .106); colorectal cancer screening (OR = 1.80; p = .095); and HPV vaccination of a daughter (OR = 1.61; p = .331). CONCLUSION: Adding cancer control referrals and navigation to an informational service like the 2-1-1 program can increase overall participation in cancer control services

Phenomenology, Astrophysics and Cosmology of Theories with Sub-Millimeter Dimensions and TeV Scale Quantum Gravity

We recently proposed a solution to the hierarchy problem not relying on low-energy supersymmetry or technicolor. Instead, the problem is nullified by bringing quantum gravity down to the TeV scale. This is accomplished by the presence of $n \geq 2$ new dimensions of sub-millimeter size, with the SM fields localised on a 3-brane in the higher dimensional space. In this paper we systematically study the experimental viability of this scenario. Constraints arise both from strong quantum gravitational effects at the TeV scale, and more importantly from the production of massless higher dimensional gravitons with TeV suppressed couplings. Theories with $n>2$ are safe due mainly to the infrared softness of higher dimensional gravity. For $n=2$, the six dimensional Planck scale must be pushed above $\sim 30$ TeV to avoid cooling SN1987A and distortions of the diffuse photon background. Nevertheless, the particular implementation of our framework within type I string theory can evade all constraints, for any $n \geq 2$, with string scale $m_s \sim 1$ TeV. We also explore novel phenomena resulting from the existence of new states propagating in the higher dimensional space. The Peccei-Quinn solution to the strong CP problem is revived with a weak scale axion in the bulk. Gauge fields in the bulk can mediate repulsive forces $\sim 10^6 - 10^8$ times stronger than gravity at sub-mm distances, and may help stabilize the proton. Higher-dimensional gravitons produced on our brane and captured on a different "fat" brane can provide a natural dark matter candidate.Comment: 51 pages, late

Stabilization of Sub-Millimeter Dimensions: The New Guise of the Hierarchy Problem

A new framework for solving the hierarchy problem was recently proposed which does not rely on low energy supersymmetry or technicolor. The fundamental Planck mass is at a \tev and the observed weakness of gravity at long distances is due the existence of new sub-millimeter spatial dimensions. In this picture the standard model fields are localized to a $(3+1)$-dimensional wall or ``3-brane''. The hierarchy problem becomes isomorphic to the problem of the largeness of the extra dimensions. This is in turn inextricably linked to the cosmological constant problem, suggesting the possibility of a common solution. The radii of the extra dimensions must be prevented from both expanding to too great a size, and collapsing to the fundamental Planck length \tev^{-1}. In this paper we propose a number of mechanisms addressing this question. We argue that a positive bulk cosmological constant $\bar\Lambda$ can stabilize the internal manifold against expansion, and that the value of $\bar\Lambda$ is not unstable to radiative corrections provided that the supersymmetries of string theory are broken by dynamics on our 3-brane. We further argue that the extra dimensions can be stabilized against collapse in a phenomenologically successful way by either of two methods: 1) Large, topologically conserved quantum numbers associated with higher-form bulk U(1) gauge fields, such as the naturally occurring Ramond-Ramond gauge fields, or the winding number of bulk scalar fields. 2) The brane-lattice-crystallization of a large number of 3-branes in the bulk. These mechanisms are consistent with theoretical, laboratory, and cosmological considerations such as the absence of large time variations in Newton's constant during and after primordial nucleosynthesis, and millimeter-scale tests of gravity.Comment: Corrected referencing to important earlier work by Sundrum, errors fixed, additional discussion on radion phenomenology, conclusions unchanged, 23 pages, LaTe

Epicardial fat thickness in patients with rheumatoid arthritis

Background: Epidemiologic data indicates that rheumatoid arthritis is an independent risk factor for cardiovascular disease. Epicardial adipose tissue is a novel cardio-metabolic risk factor. Our aim was to evaluate epicardial fat thickness (EFT) using echocardiography in patients with rheumatoid arthritis compared to healthy control subjects. Secondly, we investigated relationship between epicardial fat thickness and clinical and echocardiographic parameters in patients with rheumatoid arthritis.Method: The study population included 76 consecutive patients with rheumatoid arthritis (64 female; mean age, 53 ±11 years, median disease duration, 7.8 years) and 50 healthy subjects as controls (39 female; mean age, 52 ± 6 years). All patients underwent echocardiography to assess left ventricular diastolic dysfunction, left ventricular hypertrophy and EFT. All values were compared between groups.Results: EFT was higher in rheumatoid arthritis patients than in healthy controls (0.66±0.20 vs. 0.54±0.18; p= 0.003). Thickness of Intra Ventricular Septum (IVS) (1.1±0.06 and 9.8±0.08; p=0.001) and posterior wall (PW) (0.98±0.05 and 0.93±0.08; p=0.015) was higher in patients with rheumatoid arthritis compared to healthy controls. Early diastolic myocardiac peak velocity or late diastolic mitral peak velocity (E/A) ratio was lower in rheumatoid arthritis patients compared to healthy patients (1.1 ±0.8 and 1.24±0.1 p=0.001) as well as, E/e’ was higher in Rheumatoid arthritis (RA) patients than healthy patients. (E/e’:8.7±1.6 and 8.0±1.4 p=0.020). In patients with rheumatoid arthritis, EFT was positively correlated with hypertension and duration of disease and E/e’ (r: 0.10, p: 0.010, r: 0.306, p: 0.004 and r: 0.465 p: 0.007 respectively) and EFT was negatively correlated with E/A (r: -.262 p:0.022 )Conclusion: To our knowledge, this is the first report about epicardial adipose tissue in rheumatoid arthritis patients. Epicardial fat thickness as an indicator of cardiovascular involvement was higher in rheumatoid arthritis patients.Keywords: Rheumatoid arthritis, epicardial fat thickness, cardiac involvemen

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Hispanic women in Texas have among the highest rates of cervical cancer incidence and mortality in the country. Increasing regular Papanicolaou test screening and HPV vaccination are crucial to reduce the burden of cervical cancer among Hispanics. This paper presents lessons learned from community-based cervical cancer control programs in Texas and highlights effective intervention programs, methods and strategies