This study examines the overlap between sexual offending perpetration and victimization among 1,171 participants (18-40 years) in Hong Kong. Testing the theoretical propositions of several criminological theories (i.e., self-control, general strain, routine activity, and social learning), the participants' prevalence of general, penetrative, and nonpenetrative sexual offending perpetration and victimization are explored. The findings indicated that sexual offending perpetration and victimization are generally positively correlated, and further tests using multivariate analyses confirmed the relationship between these two experiences. Less than 5% of the sample had both sexual offending perpetration and victimization experience. The results of logistic regression indicated that participants who engaged in sexual offending were 1.67 times more likely to fall prey to sexual victimization. Similar odds ratio (1.67 times) was true for sexual victimization in predicting sexual offending perpetration. A bivariate probit model confirmed the sexual victim-offender overlap, with the Spearman's rho correlation from the unadjusted model suggesting significant overlap with general sexual offending (79%). Having a high level of risky sexual behavior was found to be a general risk factor for engaging in sexual offending behavior and for falling prey to sexual victimization.
Cancer is increasing in its prevalence in sub-Saharan Africa. Informal caregivers are key to supporting engagement and interaction with palliative care services, but limited literature on their role impedes development of supportive interventions.
We aimed to understand the role, impact, and support of informal caregivers of patients with advanced cancer when interacting with palliative care services in Nigeria, Uganda, and Zimbabwe.
Secondary analysis of qualitative interview transcripts. The dataset was assessed for fit and relevance and framework approach was used.
Interview transcripts of informal caregivers included participants aged over 18 years of age recruited from palliative care services across participating countries.
A total of 48 transcripts were analyzed. Mean age was 37 (range 19-75) with equal numbers of men and women. Five themes emerged from the data (1) caregivers are coordinators of emotional, practical, and health service matters; (2) caregiving comes at a personal social and fn Africa must take account of the increasing evidence of informal caregiver needs.This study's aim is to contribute to the knowledge on the steps involved in child sexual exploitation material (CSEM) crimes committed in Darkweb CSEM communities. Due to the anonymous and illegal nature of these communities, academic research is scarce. This study provides a crime script analysis of member communication data from four CSEM Darkweb fora obtained by law enforcement. For cross-validation, suspect interviews from a relevant case file were analyzed. A step-by-step description of the crime process, starting with the preparations necessary to access Darkweb CSEM fora and ending with the postactivity behaviors of exiting the crime scene and preventing detection, is given, focusing on the casts, activities, probs, and personal and contextual requirements at each stage. The findings highlight the scope of the CSEM problem, as well as the influence the Darkweb has on the way the crime is committed. Suitable targets for law enforcement intervention are discussed.
Heart transplantation is the definitive treatment for end-stage heart failure. Left ventricular assist devices (LVADs) are a continually improving technology that extends life for some candidates on the heart transplant waiting list.
Our objective is to compare Black-White differences in LVAD implantation and heart transplant outcomes during a period of technological innovation when the pulsatile flow LVAD was largely replaced by the continuous flow LVAD between 1999-2014.
We used transplant registry data from the United Network for Organ Sharing (N = 5,550) to identify Black and White patients with heart failure who used an LVAD as a bridge-to-transplant (BTT). Using logistic regression, we compared Black-White differences in access to newer LVAD technology and timing of implantation relative to wait listing for heart transplantation. We used competing-risks event history models to predict transplant outcomes across race, LVAD type, and timing of LVAD implantation.
Black and White candidates were equally likely to receive newer continuous flow LVADs, but Black candidates received LVADs later in the disease course (i.e. after transplant listing). This later timing of technological intervention contributed to poorer wait list outcomes among black transplant candidates, including lower likelihood of receiving a heart transplant and greater likelihood of being removed from the wait list due to worsening health.
Delayed LVAD implantation is more common among Black patients and is associated with poorer transplant outcomes.
Delayed LVAD implantation is more common among Black patients and is associated with poorer transplant outcomes.
The purpose of this paper is to report the different modalities for the treatment of isolated internal iliac artery aneurysms (IIIAA), as well as their outcomes.
We performed a systematic review of the literature (database searched PubMed, Web of Science, Scopus, Cochrane Library; last search April 2020). https://www.selleckchem.com/products/vps34-inhibitor-1.html We included articles reporting on the outcomes for IIIAA interventions comprising at least 5 patients. Studies were included when presenting extractable outcome data regarding intraoperative and/or early results. We performed meta-analyses of proportions for different outcomes, using random effects model.
Thirteen non-randomized studies were included (192 patients with 202 IIIAA). IIIAA were symptomatic in the 18.1% (95%CI 9.3-26.9; I
54.46%, P = .019). Estimated mean IIIAA diameter was 46.28 mm (95%CI 39.72-52.85; I
88.85%, P < .001). Open repair was performed in 21/202 cases. Endovascular treatments were embolization (81/181), embolization and hypogastric artery coverage (79/181), hypogastric artery coverage by stent-grafting (15/181), stent-grafting in the hypogastric artery (6/181).
This study examines the overlap between sexual offending perpetration and victimization among 1,171 participants (18-40 years) in Hong Kong. Testing the theoretical propositions of several criminological theories (i.e., self-control, general strain, routine activity, and social learning), the participants' prevalence of general, penetrative, and nonpenetrative sexual offending perpetration and victimization are explored. The findings indicated that sexual offending perpetration and victimization are generally positively correlated, and further tests using multivariate analyses confirmed the relationship between these two experiences. Less than 5% of the sample had both sexual offending perpetration and victimization experience. The results of logistic regression indicated that participants who engaged in sexual offending were 1.67 times more likely to fall prey to sexual victimization. Similar odds ratio (1.67 times) was true for sexual victimization in predicting sexual offending perpetration. A bivariate probit model confirmed the sexual victim-offender overlap, with the Spearman's rho correlation from the unadjusted model suggesting significant overlap with general sexual offending (79%). Having a high level of risky sexual behavior was found to be a general risk factor for engaging in sexual offending behavior and for falling prey to sexual victimization.
Cancer is increasing in its prevalence in sub-Saharan Africa. Informal caregivers are key to supporting engagement and interaction with palliative care services, but limited literature on their role impedes development of supportive interventions.
We aimed to understand the role, impact, and support of informal caregivers of patients with advanced cancer when interacting with palliative care services in Nigeria, Uganda, and Zimbabwe.
Secondary analysis of qualitative interview transcripts. The dataset was assessed for fit and relevance and framework approach was used.
Interview transcripts of informal caregivers included participants aged over 18 years of age recruited from palliative care services across participating countries.
A total of 48 transcripts were analyzed. Mean age was 37 (range 19-75) with equal numbers of men and women. Five themes emerged from the data (1) caregivers are coordinators of emotional, practical, and health service matters; (2) caregiving comes at a personal social and fn Africa must take account of the increasing evidence of informal caregiver needs.This study's aim is to contribute to the knowledge on the steps involved in child sexual exploitation material (CSEM) crimes committed in Darkweb CSEM communities. Due to the anonymous and illegal nature of these communities, academic research is scarce. This study provides a crime script analysis of member communication data from four CSEM Darkweb fora obtained by law enforcement. For cross-validation, suspect interviews from a relevant case file were analyzed. A step-by-step description of the crime process, starting with the preparations necessary to access Darkweb CSEM fora and ending with the postactivity behaviors of exiting the crime scene and preventing detection, is given, focusing on the casts, activities, probs, and personal and contextual requirements at each stage. The findings highlight the scope of the CSEM problem, as well as the influence the Darkweb has on the way the crime is committed. Suitable targets for law enforcement intervention are discussed.
Heart transplantation is the definitive treatment for end-stage heart failure. Left ventricular assist devices (LVADs) are a continually improving technology that extends life for some candidates on the heart transplant waiting list.
Our objective is to compare Black-White differences in LVAD implantation and heart transplant outcomes during a period of technological innovation when the pulsatile flow LVAD was largely replaced by the continuous flow LVAD between 1999-2014.
We used transplant registry data from the United Network for Organ Sharing (N = 5,550) to identify Black and White patients with heart failure who used an LVAD as a bridge-to-transplant (BTT). Using logistic regression, we compared Black-White differences in access to newer LVAD technology and timing of implantation relative to wait listing for heart transplantation. We used competing-risks event history models to predict transplant outcomes across race, LVAD type, and timing of LVAD implantation.
Black and White candidates were equally likely to receive newer continuous flow LVADs, but Black candidates received LVADs later in the disease course (i.e. after transplant listing). This later timing of technological intervention contributed to poorer wait list outcomes among black transplant candidates, including lower likelihood of receiving a heart transplant and greater likelihood of being removed from the wait list due to worsening health.
Delayed LVAD implantation is more common among Black patients and is associated with poorer transplant outcomes.
Delayed LVAD implantation is more common among Black patients and is associated with poorer transplant outcomes.
The purpose of this paper is to report the different modalities for the treatment of isolated internal iliac artery aneurysms (IIIAA), as well as their outcomes.
We performed a systematic review of the literature (database searched PubMed, Web of Science, Scopus, Cochrane Library; last search April 2020). https://www.selleckchem.com/products/vps34-inhibitor-1.html We included articles reporting on the outcomes for IIIAA interventions comprising at least 5 patients. Studies were included when presenting extractable outcome data regarding intraoperative and/or early results. We performed meta-analyses of proportions for different outcomes, using random effects model.
Thirteen non-randomized studies were included (192 patients with 202 IIIAA). IIIAA were symptomatic in the 18.1% (95%CI 9.3-26.9; I
54.46%, P = .019). Estimated mean IIIAA diameter was 46.28 mm (95%CI 39.72-52.85; I
88.85%, P < .001). Open repair was performed in 21/202 cases. Endovascular treatments were embolization (81/181), embolization and hypogastric artery coverage (79/181), hypogastric artery coverage by stent-grafting (15/181), stent-grafting in the hypogastric artery (6/181).
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