Risk Factors, Promotive Factors, and Gainful Activity in a Sample of Youth Engaged in Delinquent Behaviors

In this study we compared the impact of promotive and risk factors on 18-month recidivism during adolescence. We measured bipolar factors (factors with risk and promotive effects being the ends of the same continuum) for 13,613 American juveniles who had committed a criminal offense. For most of the factors no significant differences were found between the impact of the promotive and risk ends. Interventions aimed at increasing promotive factors may therefore be potentially just as effective as interventions aimed at decreasing risks. The importance of both promotive and risk factors was found to be significantly higher for younger than for older adolescents in almost every domain, which emphasizes the importance of early intervention. Furthermore, age and sex differences were found in the impact and prevalence of promotive and risk factors. The discussion focuses on implications for clinical practice.

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Do cognitive, physiological, and psychosocial risk and promotive factors predict desistance from delinquency in males?

Development and Psychopathology ◽

10.1017/s0954579407000429 ◽

2007 ◽

Vol 19 (3) ◽

pp. 867-887 ◽

Cited By ~ 49

Author(s):

Rolf Loeber ◽

Dustin A. Pardini ◽

Magda Stouthamer-Loeber ◽

Adrian Raine

Keyword(s):

Risk Factors ◽

High School ◽

Verbal Memory ◽

Heavy Drinking ◽

Housing Quality ◽

Cognitive Measures ◽

Community Factors ◽

Promotive Factors ◽

Time Information ◽

Adult Adjustment

Relatively few studies have examined cognitive, physiological, and psychosocial promotive and risk factors that can be linked to desistance from delinquency in community samples. This paper reports on a sample of boys first studied at age 7 and then followed up yearly to age 20. Around age 16, most of the boys received a range of cognitive tests; at that time, information regarding their resting heart rate and skin conductance activity in response to aversive stimuli was also collected. Several psychosocial and two cognitive measures distinguished delinquents from nondelinquents around age 16. Among the promotive factors associated with low delinquency were good housing quality, low community crime (parent and youth report), verbal IQ, delayed verbal memory, and sustained attention. Predictive analyses discriminating between desisters and persisters in delinquency between ages 17 and 20 showed that all of the significant predictors were either child or peer risk factors. None of the cognitive, physiological, parenting, or community factors significantly predicted desistance from delinquency. In addition, no promotive factors were significantly related to desistance. The final set of analyses compared persisters, desisters, and nondelinquents in terms of their adult adjustment. Desisters were similar to persisters in that desisters continued to display serious problems in anxiety, failure to graduate from high school, no post high school education, being a nonstudent and unemployed, daily cigarette use, and weekly marijuana use. Desisters scored low on depression and weekly heavy drinking and in these respects were indistinguishable from nondelinquents and better off than persisters.

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Elevated level of circulatory sTLT1 induces inflammation through SYK/MEK/ERK signalling in coronary artery disease

Clinical Science ◽

10.1042/cs20190999 ◽

2019 ◽

Vol 133 (22) ◽

pp. 2283-2299

Author(s):

Apabrita Ayan Das ◽

Devasmita Chakravarty ◽

Debmalya Bhunia ◽

Surajit Ghosh ◽

Prakash C. Mandal ◽

...

Keyword(s):

Risk Factors ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Chronic Inflammation ◽

Ex Vivo ◽

Human Subjects ◽

Critical Role ◽

Atherosclerotic Cardiovascular Disease ◽

Tnf Α ◽

Artery Disease

Abstract The role of inflammation in all phases of atherosclerotic process is well established and soluble TREM-like transcript 1 (sTLT1) is reported to be associated with chronic inflammation. Yet, no information is available about the involvement of sTLT1 in atherosclerotic cardiovascular disease. Present study was undertaken to determine the pathophysiological significance of sTLT1 in atherosclerosis by employing an observational study on human subjects (n=117) followed by experiments in human macrophages and atherosclerotic apolipoprotein E (apoE)−/− mice. Plasma level of sTLT1 was found to be significantly (P<0.05) higher in clinical (2342 ± 184 pg/ml) and subclinical cases (1773 ± 118 pg/ml) than healthy controls (461 ± 57 pg/ml). Moreover, statistical analyses further indicated that sTLT1 was not only associated with common risk factors for Coronary Artery Disease (CAD) in both clinical and subclinical groups but also strongly correlated with disease severity. Ex vivo studies on macrophages showed that sTLT1 interacts with Fcɣ receptor I (FcɣRI) to activate spleen tyrosine kinase (SYK)-mediated downstream MAP kinase signalling cascade to activate nuclear factor-κ B (NF-kB). Activation of NF-kB induces secretion of tumour necrosis factor-α (TNF-α) from macrophage cells that plays pivotal role in governing the persistence of chronic inflammation. Atherosclerotic apoE−/− mice also showed high levels of sTLT1 and TNF-α in nearly occluded aortic stage indicating the contribution of sTLT1 in inflammation. Our results clearly demonstrate that sTLT1 is clinically related to the risk factors of CAD. We also showed that binding of sTLT1 with macrophage membrane receptor, FcɣR1 initiates inflammatory signals in macrophages suggesting its critical role in thrombus development and atherosclerosis.

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Hearing Loss Risk Factors and Strategies in Rural Areas

Perspectives on Aural Rehabilitation and Its Instrumentation ◽

10.1044/arii12.1.17 ◽

2004 ◽

Vol 12 (1) ◽

pp. 17-20

Author(s):

Gregory A. Flamme

Keyword(s):

Risk Factors ◽

Hearing Loss ◽

Rural Areas

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The Preschool Stuttering Screen for Health Care Professionals

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.2.59 ◽

2011 ◽

Vol 21 (2) ◽

pp. 59-62

Author(s):

Joseph Donaher ◽

Christina Deery ◽

Sarah Vogel

Keyword(s):

Risk Factors ◽

Health Care ◽

Differential Diagnosis ◽

Preschool Children ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Evidence Based ◽

Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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Clinical Response to Questions Regarding Outcomes and Therapy Efficacy

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd20.3.76 ◽

2010 ◽

Vol 20 (3) ◽

pp. 76-83 ◽

Cited By ~ 1

Author(s):

Joseph Donaher ◽

Tom Gurrister ◽

Irving Wollman ◽

Tim Mackesey ◽

Michelle L. Burnett

Keyword(s):

Risk Factors ◽

Clinical Response ◽

Speech Language Pathologists ◽

Specific Therapy ◽

Therapy Efficacy ◽

Therapy Program ◽

Adults Who Stutter ◽

Cure Rates

Parents of children who stutter and adults who stutter frequently ask speech-language pathologists to predict whether or not therapy will work. Even though research has explored risk-factors related to persistent stuttering, there remains no way to determine how an individual will react to a specific therapy program. This paper presents various clinicians’answers to the question, “What do you tell parents or adults who stutter when they ask about cure rates, outcomes, and therapy efficacy?”

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