The Impact of Violence on At-Risk Youth in Canada, the United States, and the Netherlands

2011 ◽  
Vol 6 (4) ◽  
pp. 341-355 ◽  
Author(s):  
Jennifer Butters ◽  
Lana Harrison ◽  
Dirk J. Korf ◽  
Serge Brochu ◽  
Patricia G. Erickson
Keyword(s):  
United States ◽  
At Risk ◽  
The Netherlands ◽  
The United States ◽  
At Risk Youth ◽  
The Impact

scholarly journals Food Insecurity in the United States: Identification, Treatment, and Implications

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 772-773
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Connie Bales ◽  
Julie Locher
Keyword(s):  
United States ◽  
Older Adults ◽  
At Risk ◽  
Food Insecurity ◽  
Well Being ◽  
The United States ◽  
Health Clinic ◽  
High Risk Population ◽  
Geriatric Syndrome ◽  
The Impact

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.

scholarly journals The impact of geographic market definition on the stringency of hospital merger control in Germany and the Netherlands

2012 ◽  
Vol 7 (3) ◽  
pp. 363-381 ◽  
Author(s):  
Marco Varkevisser ◽  
Frederik T. Schut
Keyword(s):  
United States ◽  
The Netherlands ◽  
The United States ◽  
Merger Control ◽  
Market Definition ◽  
Competition Authority ◽  
Hospital Mergers ◽  
Hospital Markets ◽  
Hospital Merger ◽  
The Impact

AbstractIn markets where hospitals are expected to compete, preventive merger control aims to prohibit anticompetitive mergers. In the hospital industry, however, the standard method for defining the relevant market (SSNIP) is difficult to apply and alternative approaches have proven inaccurate. Experiences from the United States show that courts, by identifying overly broad geographic markets, have underestimated the anticompetitive effects of hospital mergers. We examine how geographic hospital markets are defined in Germany and the Netherlands where market-oriented reforms have created room for hospital competition. For each country, we discuss a landmark case where definition of the geographic market played a decisive role. Our findings indicate that defining geographic hospital markets in both countries is less complicated than in the United States, where antitrust analysis must take managed care organisations into account. We also find that different methods result in much more stringent hospital merger control in Germany than in the Netherlands. Given the uncertainties in defining hospital markets, the German competition authority seems to be inclined to avoid the risk of being too permissive; the opposite holds for the Dutch competition authority. We argue that for society the costs of being too permissive with regard to hospital mergers may be larger than the costs of being too stringent.

Dancing in the Street: Impacting At-Risk Youths’ Lives through the Arts

2020 ◽  
Vol 63 (3) ◽  
pp. 516-518
Author(s):  
Sharon Kantorowski Davis
Keyword(s):  
United States ◽  
At Risk ◽  
Lower Class ◽  
The United States ◽  
At Risk Youth ◽  
Ethnic Communities ◽  
Community Dance ◽  
Limited Success ◽  
The Arts ◽  
Collaborative Art

In the United States, youth involvement in delinquent and criminal acts remains persistent and increasingly violent. For at-risk youth, key demographics include poverty and distressed communities. Since traditional interventions have had limited success in addressing the needs of and issues experienced by these youths, millennials must seek new and creative techniques and programs to serve them. One such program that currently exists and provides inspiration for the future is Destiny Arts Youth Performance Company, a nonprofit, community dance group based in Oakland, CA, that offers competitive scholarships to deserving, at-risk youth in lower class, largely ethnic communities. In the ethnographic documentary, FREE: The Power of Performance, the lives of five at-risk youths are affected and transformed through the creative medium of dance. It shows that for at-risk, diverse teens, collaborative art can be a foundation for personal strength, liberation, and hope.

Growing Incomes, Shrinking People—Can Economic Development Be Hazardous to Your Health?

2004 ◽  
Vol 28 (2) ◽  
pp. 249-270
Author(s):  
Michael R. Haines
Keyword(s):  
United States ◽  
Economic Development ◽  
The Netherlands ◽  
The United States ◽  
Real Income ◽  
Food Prices ◽  
Similar Process ◽  
Human Organism ◽  
Rapid Urbanization ◽  
The Impact

This article examines declining adult human stature in the nineteenth century in three countries: the United States, England, and the Netherlands. While this was not unprecedented, these three relatively important nations did experience a deterioration in the biological standard of living at a time when economic development was proceeding at a goodly pace. England and the Netherlands were among the most urbanized countries in Europe at the time, while the United States was still predominantly rural and agrarian. The essay argues that a confluence of circumstances contributed to the worsening of the physical condition of these populations even while real income per capita was growing. Among the factors involved were rapid urbanization without adequate public health and sanitation; a transport revolution and related commercialization, which brought people and goods into much closer contact; the consequent integration of disease environments, both within and across nations; and a growing dependence of the working populations on wage income along with a probable growing inequality in wealth and income, exacerbating the impact of fluctuations in food prices. Technological change had an impact on these events by lowering the relative prices of industrial goods. While the term Malthusian crisis (i.e., a shortage of subsistence followed by a rise in mortality) seems inappropriate in these cases, a similar process may have been taking place. It suggests that such a crisis may not commence with an increase in mortality but rather with an adjustment of the human organism to new nutritional circumstances.

scholarly journals Improving the Youth HIV Prevention and Care Continuums: The Adolescent Medicine Trials Network for HIV/AIDS Interventions (Preprint)

2018 ◽  
Author(s):  
Sonia Lee ◽  
Bill G. Kapogiannis ◽  
Susannah Allison
Keyword(s):  
United States ◽  
At Risk ◽  
Hiv Transmission ◽  
The United States ◽  
Adolescent Medicine ◽  
At Risk Youth ◽  
Full Spectrum ◽  
Youth Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

BACKGROUND Epidemiologic and clinical information in the United States indicate that HIV transmission and acquisition among adolescents and young adults (youth) remain unchanged, without improvement. Interventions to prevent HIV transmission among youth are critically needed, as are interventions to improve adherence to all components of the continuum of care for youth living with HIV. OBJECTIVE The primary mission of the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) is to conduct both independent and collaborative research that explores promising behavioral, microbicidal, prophylactic, therapeutic, and vaccine modalities in HIV-infected and at-risk youth aged between 12 and 24. METHODS Through the ATN, the National Institutes of Health is supporting HIV interventional research for youth in the United States. RESULTS The ATN comprises 3 cooperative multiproject research programs and a coordinating center. Each program is led by a network hub and has well-defined research themes to assist, guide, and coordinate HIV research project activities. CONCLUSIONS ATN activities encompass the full spectrum of research needs for youth, from HIV primary prevention for at-risk youth in the community to secondary and tertiary prevention with clinical management of HIV infection among youth living with HIV experiencing adherence challenges. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/12050

The School-Based Speech-Language Pathologist's Role in Diverting the School-to-Confinement Pipeline for Youth With Communication Disorders

2020 ◽  
Vol 5 (4) ◽  
pp. 1057-1066
Author(s):  
Shameka Stanford
Keyword(s):  
United States ◽  
At Risk ◽  
Academic Success ◽  
Communication Disorders ◽  
The United States ◽  
Individualized Education Plan ◽  
Individualized Education ◽  
The Impact ◽  
Education Plan

Purpose The overarching aim of this article is to discuss the intersectionality of the school-to-confinement pipeline and its detrimental effect on the societal and academic success of youth with communication disorders. Communication disorders in youth with behavior concerns or placed at risk for delinquency that is not adequately addressed by a speech-language pathologist (SLP) can increase the youth's involvement with the school-to-confinement pipeline, resulting in a dire need for the intervention of the SLP to intervene on the language-based needs of this population. However, the role of the United States—based SLPs in interrupting the school-to-confinement pipeline has not yet been clearly defined and recognized. Method This article will (a) discuss why the role of the SLP providing language intervention for youth placed at risk for delinquency or involved with the criminal justice system is necessary, (b) discuss the definition of the school-to-confinement pipeline, (c) examine the impact of the school-to-confinement pipeline on youth with communication disorders, and (d) highlight a framework for cognitive and language-based intervention that may promote positive outcomes. Results The SLP's role in interrupting the school-to-confinement pipeline is vital to providing and increasing the societal and academic success of youth with communication disorders placed at risk for delinquency and should consider multiple factors such as (a) SLPs becoming an active and integral member of the individualized education plan team, (b) SLPs advocating for opportunities to collaborate and interact with the youth as an integral member of the individualized education plan team, and (c) SLPs creating consistent and streamlined opportunities for culturally relevant goals and intervention that increase the student's academic and societal success. Conclusion There are many reasons why the SLPs' role in interrupting the school-to-confinement pipeline cannot be ignored or overlooked. As a profession in the United States, speech-language pathology is in the early stages of developing a stronger stance for advocacy and understanding the communication needs of youth on the SLP's caseload who are at risk for the school-to-confinement pipeline. Nonetheless, increasing how SLPs approach and intervene on behalf of students with communication disorders may produce better outcomes for youth-at-risk for the school-to-confinement pipeline.

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