276 research outputs found

    Characteristics And Clinical Outcomes Of People Living With Hiv/aids Participating In A Home-Delivered Meal Program In New Haven, Ct.

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    ABSTRACT Background: Food insecurity is an issue of great concern among people living with HIV/AIDS (PLWHA). Food insecurity can lead to anxiety, and depression which is in turn associated with poor medication adherence. Food insecurity is a threat to the nutritional status of PLWHA. PLWHA already have a higher energy demand due to the presence of the virus. The lack of food intake can further compromise the immune system and encourage wasting. Because Food insecurity is such a concern among PLWHA, Caring Cuisine which is a program run by Aids Project New Haven in CT, delivers meals for clients who are homebound or unable to access food on their own. In this study we wanted to determine if Caring Cuisine clients had better clinical outcomes than non-participants after adjusting for confounding factors. Methods: This was a five year retrospective study looking at clinical outcomes (Viral load and CD4) and intake form data (risk behavior, mental health, medication adherence, co-morbidities, HIV disease progression symptoms). It was designed as a matched case-control study where two controls (case-management clients of APNH, n=68) were matched to each case (n=34). Controls were matched to cases based on gender, HIV diagnosis date, age, and race. Results: No difference was found in viral load suppression between Caring Cuisine and controls at t1. We found that there was a statistically different change in CD4 counts between females (n=48) and males (n=54) in the population (p=0.002). Males in Caring Cuisine had a much greater drop in CD4 counts between t0 and t1 than controls (p=0.071) Conclusion: Further research needs to be done to determine how home-delivery meal programs affect clinical outcomes of PLWHA

    Crimmigration or Criminal Migrants: A Study on Sanctuary Cities in the United States

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    This research study investigates whether sanctuary cities and jurisdictions are a national security concern, specifically examining their impacts on public safety. The study assesses public safety in two ways: 1) by investigating violent crime and murder rates in thirty-six cities across the U.S. and 2) through the lens of approved and proposed legislation to reveal whether sanctuary city laws restrict federal immigration enforcement within those jurisdictions. The data captured in this study exposes whether sanctuary cities have higher crime rates compared to non-sanctuary cities with similar populations under the hypothesis that sanctuary status does not significantly impact crime rates, nor would legislation related to sanctuary cities inhibit federal immigration law implementation. Population size was used as a point of comparison across cities to identify trends and sample groups for more detailed analysis. After examining crime rate trends across the samples, the results demonstrated no significant distinction in violent crime rates and murder rates in sanctuary versus non-sanctuary cities. Analysis of legislation supports the hypothesis that the pending and approved legislation related to sanctuary status do not explicitly prohibit federal officials from enforcing federal immigration law. Ultimately, policies in place and pending approval require federal officials to approach state and local government agencies with procedures used in criminal investigations: producing a warrant or probable cause to detain and hold individuals. Considering the scope of this study and based on the results, sanctuary cities do not fit within the designation of a major public safety concern and thus are inappropriately identified as a national security concern by the current administration

    Strategies Business Leaders Use to Mitigate Online Credit Card Fraud

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    Online credit card fraud targeting banks, customers, and businesses costs millions of U.S. dollars annually. Online business leaders face challenges securing and regulating the online payment processing environment. Grounded in the situational crime prevention theory, the purpose of this qualitative multiple case study was to explore strategies online business leaders use to mitigate the loss of revenue caused by online credit card fraud. The participants comprised five online business leaders of an organization in the Southwest of the United States, who implemented strategies that successfully mitigated revenue losses due to online credit card fraud. The data were collected from semistructured interviews, archival records, and business investment rating reports. Data were analyzed using Yin\u27s five-step data analysis process. The following themes emerged from the data analysis: data management, analysis, and monitoring; internal stakeholders; customer experience; and partnership with online security tool service provider(s). Key recommendations to online business leaders include the development of system security strategies that ensure cardholders’ and business’ data protection, collaboration across departments in the organization to support fraud solutions, and customer engagement. The implications for positive social change include the potential to gain or retain consumer confidence in e-commerce and reduce consumers’ collateral damage from credit card fraud

    Understanding the Influence of Zinc on Grain Cadmium Accumulation and Bioaccessibility in Rice

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    The effect of cadmium and zinc on mineral concentrations in three cultivars of rice Interactions between the essential mineral zinc (Zn) and the toxic heavy metal cadmium (Cd) play an important role in regulating transport of both minerals to rice grains. Understanding these interactions is crucial for limiting cadmium and increasing zinc transfer to the food chain. Previous studies on the matter have had conflicting results suggesting synergistic and antagonistic relationships between the minerals. The goal of this work was to identify the effect of external cadmium and zinc on the uptake and translocation of both minerals from roots to grains of rice that differ in grain cadmium concentrations. Our results suggest zinc affects cadmium translocation and accumulation to the grain while cadmium does not have an effect on zinc. Cadmium synergy or antagonism with other essential minerals were also recorded and differed between rice lines. Differential expression of established transport proteins OsNramp5, OsHMA2, and OsHMA3, play a vital role in contributing to differences in grain cadmium. These results add to the knowledge of cadmium and zinc transport in one of the most consumed plant foods in the world and can assist fortification efforts to establish rice lines that are both safe and nutritious. The effect of exogenous cadmium and zinc applications on cadmium, zinc, and essential mineral bioaccessibility in three lines of rice that differ in grain cadmium concentration Diets high in cadmium (Cd) and low in zinc (Zn) threaten human health. While both are detrimental to the well-being of millions globally, diets affected by both simultaneously are especially dangerous as the impacts are exaggerated. Rice is particularly adept at accumulating high concentrations of cadmium and low concentrations of zinc in grains. Several strategies to limit cadmium and increase zinc from rice grain have been explored but total mineral concentration in rice grain is an unreliable means of estimating human health risk since only a fraction of the minerals in grains are bioaccessible. The goal of this work was to assess the influence of phytoavailable cadmium and zinc on the bioaccessibility of essential minerals and cadmium from three rice lines that differed in grain cadmium accumulation. Results revealed that exogenous Cd and Zn both increased the BA of the other mineral in the low or high Cd concentration varieties of rice. Differences in mineral bioaccessibility were dependent on rice line. This information can be helpful to future experiments to analyze genotypic effects of mineral bioavailability from rice

    Vivas nos Queremos: Feminicidio en Bolivia

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    Bolivia uno de los países en latinoamérica que tiene una gran cantidad de feminicidios o mujeres asesinadas por hombres debido a su género y relación afectiva. Hay muchos problemas sobre las violaciones de derechos humanos que sufren las mujeres en razón de género. Con el enfoque de derechos de las víctimas y sus familiares, esta investigación pretende descubrir si ellas, tienen acceso a justicia en el sistema judicial de Bolivia . Específicamente analizando el efecto de antes y después de la ley 348: La Ley Integral Para Garantizar a Las Mujeres Una Vida Libre de Violencia. A través de una serie de entrevistas con profesionales de la ley boliviana y comprensión de los documentos legales de Bolivia, las preguntas relativas a la estructura, leyes como pertenecientes a las víctimas y un testimonio. Bolivia is one of the many countries in Latin America with large quantities of femicides or the killing of women by men because of their gender. It is plagued with issues pertaining to human rights violations, where women predominantly suffer the consequences because of their gender. With the focus on the rights of victims and their families, this research aims to discover if they have access to justice within Bolivia’s judicial system. Specifically analyzing the presence femicides before and after the Law #348: The Internal Law to Guarantee Women a Life Without Violence. Through a series of interviews with Bolivian professionals familiar with the law and understanding of the legal documents of Bolivia, questions concerning the structure, laws as belonging to the victims, and a testimony

    Atypical Origin of the Saphenous Nerve and a Variation of the Right Iliacus Muscle: A Case Report

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    During a routine cadaveric dissection of the posterior abdominal wall, variations of the bilateral lumbar plexus and a variant saphenous nerve originating in the lower abdomen were noted and documented. The description of a saphenous nerve originating at the level of the lumbar plexus is, to the best of our knowledge, the first of its kind. Further study revealed more variations at the root of the lumbar plexus and bilateral branching patterns. A variant iliacus muscle entrapping the superior portion of the femoral nerve was also observed on the right side within the abdominal cavity. These variations are discussed in the context of risk of clinical intervention in this anatomical region

    Waiting to Tell: Factors Associated with Delays in Reporting Sexual Violence

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    In the United States (U.S.), 20% of women have experienced completed or attempted rape and 43.6% of women have experienced some form of contact sexual violence. Many instances of sexual violence go unreported to law enforcement – only 34% are reported to the police. Reporting can lead to more favorable outcomes for survivors since it is likely to increase access to medical care and mental health services and is an important step in order to hold perpetrators accountable, prevent future victims, and reduce the likelihood of longer psychological distress for the survivor. Delays in reporting are more prevalent in cases where there was a relationship to the perpetrator. This study examined whether common barriers to reporting sexual violence identified in the literature were related to delays in reporting to law enforcement among adult women. Using archival data on sexual violence reported to law enforcement, this study examined the association between victim-suspect relationship, verbal threats, drug-facilitated sexual assault, and time to reporting the sexual violence incident to law enforcement. Out of 414 unique cases, 85.5% (n = 354) involved a known perpetrator, and on average survivors in 39.83% (n = 141) of known perpetrator cases had delayed reporting as compared to 15% (n = 9) of stranger perpetrator cases. These findings will be discussed as they pertain to improving efforts related to education and resources, law enforcement policies and procedures, provision of services, and community engagement strategies

    Algebraic Anosov actions of Nilpotent Lie groups

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    In this paper we classify algebraic Anosov actions of nilpotent Lie groups on closed manifolds, extending the previous results by P. Tomter. We show that they are all nil-suspensions over either suspensions of Anosov actions of Z^k on nilmanifolds, or (modified) Weyl chamber actions. We check the validity of the generalized Verjovsky conjecture in this algebraic context. We also point out an intimate relation between algebraic Anosov actions and Cartan subalgebras in general real Lie groups.Comment: 40 page
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