Investigating the Programmatic Attack: A National Survey of Veterans Treatment Courts

Veterans treatment courts (VTCs), a recent emergence from the specialized court movement, target the population of veterans in contact with the criminal justice system. Due to the contemporary nature of their dissemination, published empirical research on VTCs is only beginning to materialize. Additionally, national surveys of specialized courts are rare and typically occur decades after the courts emerge. This Article presents descriptive results regarding the establishment, policy, structure, and procedures of VTCs using data from the first national survey of these courts, conducted in the early stages of their emergence. A national compendium of VTCs (N = 114) was created. Seventy-nine VTCs (69% of the population) responded to the national survey. This study found both similarity and high variability across VTCs in different areas of policy, structure, and procedure. Future national studies should be conducted to understand the evolution of these courts over time and provide an up-to-date national context relevant for subsequent single- and multi-site studies

An Innovative Approach for Community Engagement: Using an Audience Response System

Community-based participatory research methods allow for community engagement in the effort to reduce cancer health disparities. Community engagement involves health professionals becoming a part of the community in order to build trust, learn from the community and empower them to reduce disparities through their own initiatives and ideas. Audience Response Systems (ARS) are an innovative and engaging way to involve the community and obtain data for research purposes using keypads to report results via power point. The use of ARS within communities is very limited and serves to widen the disparity gap by not delivering new advances in medical knowledge and technology among all population groups. ARS was implemented at a community town hall event sponsored by a National Institute on Minority Health and Health Disparities Exploratory Center of Excellence, the Center for Equal Health. Participants appreciated being able to see how everyone else answered and felt included in the research process. ARS is beneficial because the community can answer truthfully and provides instant research results. Additionally, researchers can collect large amounts of data quickly, in a non-threatening way while tracking individual responses anonymously. Audience Response Systems proved to be an effective tool for successfully accomplishing community-based participatory research

Generating ogives to (i) analyse perceptual changes associated with ambiguous figures, and (ii) reaction times in an inhibition-of-return (IOR) task

The perceptual changes (PCs) associated with viewing an ambiguous figure like the Necker cube (NC) can be considered as a series of independent events in time. The time between successive PCs is then percept duration, and the frequency distribution of percepts plotted against duration is adequately modelled by a gamma distribution (Borsellino et al, 1972 Kybernetik 10 139 - 144). A logarithmic transformation on the duration scale enabled us to model the subsequent distribution with a Gaussian. The cumulative Gaussian fitted to the normalised ogive allowed simple comparison of observer performance in different conditions. We found no differences between ogives generated for the standard 'cube-up' and 'cube-down' 3-D perceptual alternatives. When observers recorded 2-D perceptual alternatives, the ogives were shallower and shifted to the right. This suggests that the neural mechanisms governing PCs between 3-D and 2-D perceptual alternatives differ from those that govern the PCs between the opposing 3-D perceptual alternatives of 'cube-up' and 'cube-down'. Further, we show that the same analysis can be applied to reaction times generated in an inhibition-of-return (IOR) task. We argue that this form of analysis is superior to other more commonly reported methods for both attentional and PC data

Substance Abuse Treatment in Correctional versus Non-Correctional Settings: Analysis of Racial/Ethnic and Gender Differences

Background Alcohol and drug abuse are widespread in the US. Substance abuse treatment services are effective, but utilization of services is low, particularly among African Americans, Hispanics, and women. Substance abuse is strongly associated with incarceration, and African Americans and Hispanics make up a disproportionate percentage of individuals with substance abuse problems involved in the criminal justice system. High treatment need, low treatment uptake, and the association between substance abuse and incarceration have led, in part, to correctional institutions filling the treatment gap by increasingly providing safety-net treatment services. We sought to better understand racial/ethnic and gender differences in determinants of treatment location (jail or prison versus non-correctional settings) among treatment-seeking adults. Methods We used repeated cross-sectional data from the National Survey on Drug Use and Health (2002-2016) to identify White, African American, and Hispanic past-year substance abuse treatment participants (n=6,435). We tested the modifying roles of race/ethnicity and gender on the association between several exposure variables and treatment locus using multiple logistic regression. Results Ten percent of treatment participants utilized treatment services in a jail or prison, which varied by race/ethnicity (9% of Whites, 15% of African Americans, 12% of Hispanics) and by gender (11% of men, 9% of women). In our fitted models, we found that educational attainment and past-year employment status varied in effect size between African Americans and Whites. The associations for both variables were strongest among African Americans (Any college vs. Less than high school – adjusted Odds Ratio [aOR] = 0.23, 95% Confidence Interval [95% CI] = 0.08, 0.70; Ever unemployed vs. Never unemployed in the past year – aOR = 5.32, 95% CI = 1.94, 14.60). Health insurance status was significantly associated with treatment in a jail or prison only among Whites (Private vs. No insurance – aOR = 0.37, 95% CI = 0.19, 0.69). Co-occurring mental health diagnosis was significant only among African Americans (Any mental health diagnosis vs. none – aOR = 3.91, 95% CI = 1.38, 11.09). Employment and health insurance status were significant only among men (aOR = 2.18, 95% CI = 1.26, 3.77; aOR = 0.39, 95% CI = 0.22, 0.70, respectively). Conclusion We identified modifying roles for race/ethnicity and gender in the relationship between several factors and treatment utilization in a jail or prison versus non-correctional treatment settings. More numerous factors and stronger effect sizes were identified among African Americans and men in particular. Health promotion interventions promoting the uptake of substance abuse treatment should tailor services to align with the needs of those with the highest risk for incarceration

The development of a college biology self-efficacy instrument for nonmajors

ABSTRACT: In an effort to test the effectiveness of teaching and learning strategies that may increase biological literacy for nonbiology majors, an NSF-funded research project called "The Slice of Life," was conducted from 1994 to 1998. In the present study, a selfefficacy instrument was constructed and designed specifically for the project to determine students' self-reported confidence in understanding and using biology in their lives. Based on social cognitive theory, the premise for developing such an instrument was that a specific measure of biological self-efficacy was deemed to be an important predictor of the change processes necessary to improve students' biological understanding. Results of this study indicate that the Biology Self-Efficacy Scale was a valid and reliable tool for studying nonbiology majors' confidence in mastering biological literacy. Factor analysis supported the contention that the Biology Self-Efficacy Scale was a multidimensional construct consisting of at least three dimensions: methods of biology; generalization to other biology/science courses and analyzing data; and application of biological concepts and skills. These dimensions represent three components of biological literacy that have been commonly described in the literature. The instrument may lead to further understanding of student behavior, which in turn can facilitate the development of strategies that may increase students' desire to understand and study biology. More specifically, by using the self-efficacy tool as a pre-and posttest indicator, instructors can gain insight into whether students' confidence levels increase as they engage in more complex tasks during the course, and, in addition, what type of teaching strategies are most effective in buildin

Assessment of the Perceived Role and Function of a Community Advisory Board in a NIH Center of Excellence: Lessons Learned

Background: The Community Advisory Board (CAB) was a vital component of the Center for Equal Health. The center addressed health disparities through community-based research and educational outreach initiatives. Objectives: To evaluate the perceived relationship of the CAB and Center, explore members’ perceptions of the CAB’s role, and elicit feedback on how to enhance the relationship between the Center and the CAB. Methods: Ten in-depth, semi-structured interviews were conducted. All interviews were transcribed verbatim and analyzed with a focus on predetermined codes. Results: Main themes focused on perception of CAB roles and need for utilization of board members; overall center challenges; and board member knowledge and communication within the center. Conclusions: Lessons learned mainly focused on clarification of CAB roles as necessary for more effective and efficient communication. Based on feedback, communication channels between the board and center were developed, orientation packets clarifying center roles were provided, and annual retreats were completed. Additional lessons learned for conducting community-academic partnerships are provided

The Over 75 Service: Continuity of integrated care for older people in a United Kingdom primary care setting

Continuity of care is concerned with quality of care over a period of time. It describes a process by which service users and their families are co-operatively involved with health and social care professionals in managing their care needs. Continuity of care can be divided into informational, managerial and relational and has been associated with improved user- and service-related outcomes. To date, there have been few studies which examine how continuity of care is developed and maintained in integrated primary care systems. This paper explores continuity of care in an integrated Over 75 Service for people living at home with complex health and social care needs. Using a case study approach, qualitative data was collected from multiple sources including interviews with managers and professionals, users and carers, care plans, steering group minutes and field notes. Data was analysed thematically. A number of factors are identified which characterise continuity of care, namely: information sharing through direct communication between providers and the development of trusted relationships within the team; identified care co-ordinators who acted as a conduit for information and communication; the development of ongoing relationships with users and carers requiring dedicated time and accessible and flexible services delivered in the users’ own home

A Durable, Realistic, Low-Cost Training Model for Percutaneous Renal Access Using Ballistic Gelatin

The purpose of this study was to design and implement a durable, realistic, and low-cost phantom kidney model for percutaneous renal access that could improve a novice surgeon’s technical skills without compromising patient safety

Potential pitfalls in the accuracy of analysis of natural sense-antisense RNA pairs by reverse transcription-PCR

<p>Abstract</p> <p>Background</p> <p>The ability to accurately measure patterns of gene expression is essential in studying gene function. The reverse transcription polymerase chain reaction (RT-PCR) has become the method of choice for the detection and measurement of RNA expression patterns in both cells and small quantities of tissue. Our previous results show that there is a significant production of primer-independent cDNA synthesis using a popular RNase H^-RT enzyme. A PCR product was amplified from RT reactions that were carried out without addition of RT-primer. This finding jeopardizes the accuracy of RT-PCR when analyzing RNA that is expressed in both orientations. Current literature findings suggest that naturally occurring antisense expression is widespread in the mammalian transcriptome and consists of both coding and non-coding regulatory RNA. The primary purpose of this present study was to investigate the occurrence of primer-independent cDNA synthesis and how it may influence the accuracy of detection of sense-antisense RNA pairs.</p> <p>Results</p> <p>Our findings on cellular RNA and <it>in vitro </it>synthesized RNA suggest that these products are likely the results of RNA self-priming to generate random cDNA products, which contributes to the loss of strand specificity. The use of RNase H⁺RT enzyme and carrying the RT reaction at high temperature (50°C) greatly improved the strand specificity of the RT-PCR detection.</p> <p>Conclusion</p> <p>While RT PCR is a basic method used for the detection and quantification of RNA expression in cells, primer-independent cDNA synthesis can interfere with RT specificity, and may lead to misinterpretation of the results, especially when both sense and antisense RNA are expressed. For accurate interpretation of the results, it is essential to carry out the appropriate negative controls.</p