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One size does not fit all in assessment and intervention for people with convictions for sexual offences. Crime scene indicators and risk-related variables have been used to identify distinct clusters of people with convictions for sexual offences, but there is a need for more robust typologies that identify clusters based on psychologically meaningful risk factors that can be targeted in treatment.
Aims
To use robust modelling techniques to identify latent profiles of people with convictions for sexual offences based on indicators of dynamic risk.
Method
Adult male participants, who had been convicted for sexual offences and assessed for eligibility for the prison-based Core Sex Offender Treatment Programme delivered by His Majesty's Prison and Probation Service (UK), were randomly allocated to a test (n = 1577: 70.2%) or validation (n = 668: 29.8%) data-set. Exploratory factor analysis (EFA) was used to select measures of dynamic risk from psychological test data. EFA indicated four factors, from which six measures were selected for inclusion in latent profile analysis.
Results
Five latent profiles were identified in the test and validation data-sets. These were labelled low psychological impairment, impulsive, distorted thinker, rape preoccupied and child fantasist. Profiles varied in individual characteristics, offence histories, victim preferences and level of risk.
Conclusions
Our findings should be used to guide assessment and intervention practices that are tailored to distinct psychological profiles consistent with principles of risk, need and responsivity.
We present atmospheric radiocarbon concentrations in CO2 integrated samples taken between January 2019 and December 2021 in the Mexico City Metropolitan Area (MCMA) and explain the variations in terms of changes in emission sources associated with the COVID-19 lockdown restrictions imposed from March 2020. Δ14C values for samples collected during 2019 range between –44.15‰ and –13.17‰, with lower values during months with higher fossil fuels consumption and air stagnation, whereas higher values were found for periods with high number of fires around MCMA or wet months with higher contribution of heterotrophic respiration. For samples collected during 2020, Δ14C values range between –17.7‰ and 2.25‰, with an increasing trend immediately after the initial lockdown and higher values obtained for samples collected during lockdown phases 2 and 3 and the period of extremely high epidemic risk. This agrees with the 38% and 52% decrease in gasoline and diesel sales. Once essential activities gradually opened from July 2020, Δ14C follow a decreasing trend as vehicle traffic started to increase again. Δ14C values for samples collected during 2021 range from –32.89‰ to –10.27‰, with the higher value obtained during a period of extremely high epidemic risk with a 30% reduction in gasoline and diesel consumption. Despite the complexity of emission sources in MCMA, from Δ14C variations it was possible to identify changes in fossil CO2 emissions resulting from the significant reduction in vehicle traffic due to the COVID-19 lockdown and the restrictions imposed to control transmission of the disease.
Let $\mathfrak{A}$ be a finite abelian group. In this paper, we classify harmonic $\mathfrak{A}$-covers of a tropical curve $\Gamma$ (which allow dilation along edges and at vertices) in terms of the cohomology group of a suitably defined sheaf on $\Gamma$. We give a realisability criterion for harmonic $\mathfrak{A}$-covers by patching local monodromy data in an extended homology group on $\Gamma$. As an explicit example, we work out the case $\mathfrak{A}=\mathbb{Z}/p\mathbb{Z}$ and explain how realisability for such covers is related to the nowhere-zero flow problem from graph theory.
We begin by proving that any Presburger-definable image of one or more sets of powers has zero natural density. Then, by adapting the proof of a dichotomy result on o-minimal structures by Friedman and Miller, we produce a similar dichotomy for expansions of Presburger arithmetic on the integers. Combining these two results, we obtain that the expansion of the ordered group of integers by any number of sets of powers does not define multiplication.
Early diagnosis of acute coronary syndrome is more and more important because of its mortality and morbidity. Hypertension is one of the pathogenesis of acute coronary syndrome, which often leads to stenosis and ischaemia. Ischaemia-modified albumin is sensitive for the occurrence of ischaemia, which attracted us in the significance of ischaemia-modified albumin in patients with chest pain, especially patients complicated with hypertension.
Methods:
In total, 200 patients with acute chest pain were included in the study. According to the diagnostic criteria, patients were divided into acute coronary syndrome group and non-ischaemic chest pain group. Cardiac biomarkers were measured with 30 minutes in emergency department, including cardiac troponin T, creatine kinase MB, and ischaemia-modified albumin. Receiver operating characteristic curve (ROC) analysis was used for the sensitivity and specificity of ischaemia-modified albumin in the early diagnosis of acute coronary syndrome. Comparisons between ischaemia-modified albumin and cardiac Troponin T were done between groups.
Results:
The demographics in two groups were not significantly different in most aspects. Compared with non-ischaemic chest pain group, serum levels of ischaemia-modified albumin and cardiac Troponin T were significantly higher in acute coronary syndrome group. ROC analysis showed that ischaemia-modified albumin had a good sensitivity and specificity in early diagnosis of acute coronary syndrome. The level of ischaemia-modified albumin in acute coronary syndrome patients with hypertension was higher than that in non-ischaemic chest pain patients.
Conclusions:
In patients complained with acute chest pain, the serum measurement of ischaemia-modified albumin is potential valuable for the early diagnosis of acute coronary syndrome, especially combined with ECG. The serum level of ischaemia-modified albumin in acute coronary syndrome patients is significantly associated with hypertension.
Negative maternal mental health during pregnancy increases the risk of psychiatric problems in children, but research on the potential benefits of positive maternal mental health during pregnancy is scarce. We investigated associations between positive maternal mental health composite score, based on reports of maternal positive affect, curiosity, and social support during pregnancy, and children’s psychiatric problems (Child Behavior Checklist) at ages 1.9−5.9 and 7.1−12.1 years among 2636 mother–child dyads of the Prediction and Prevention of Preeclampsia and Intrauterine Growth Restriction study. For each standard deviation higher positive maternal mental health score during pregnancy, total psychiatric problems were 1.37 (95% confidence interval (CI) −1.79,−0.95) t-scores lower in early childhood and 1.75 (95% CI −2.24,−1.26) t-scores lower in late childhood. These associations were independent of covariates and of negative maternal mental health. Total psychiatric problems remained stably lower from early childhood to late childhood in children of mothers with higher positive mental health during pregnancy, whereas they increased in children of mothers with lower positive mental health. Positive maternal mental health in child’s late childhood partially mediated the effects of positive maternal mental health during pregnancy on children’s psychiatric problems. Supporting positive maternal mental health may benefit mothers and children.
In the aftermath of the 2022 Italian legislative elections, but also during the entire electoral campaign, several claims were made that much of the electoral support for the Five Star Movement had been triggered by the ‘Reddito di cittadinanza’ – the welfare policy introduced in 2019 by the yellow–green government. This research note first distinguishes between distributive politics and policy voting, and then explores the empirical relationship between the geographical provision at the municipal level of the citizenship income and the vote for the party led by Giuseppe Conte. While traditional multivariate analyses fail to reveal any spurious relationship, matching techniques help highlight the absence of any causal relationship between the two variables.
Patients with complete atrioventricular canal have a variable clinical course prior to repair. Many patients balance their circulations well prior to elective repair. Others manifest clinically significant pulmonary over circulation early in life and require either palliative pulmonary artery banding or complete repair. The objective of this study was to assess anatomic features that impact the clinical course of patients.
Methods:
In total, 222 patients underwent complete atrioventricular canal repair between 2012 and 2022 at a single institution. Twenty-seven (12%) patients underwent either pulmonary artery banding (n = 15) or complete repair (n = 12) at less than 3 months of age (Group 1). The remaining 195 (88%) underwent repair after 3 months of age (Group 2). Patient records and imaging were reviewed.
Results:
The median post-operative length of stay following complete repair was 25 [7,46] days for those patients in Group 1 and 7 [5,12] days for those in Group 2 (p < 0.0001). There was relative hypoplasia of left-sided structures in Group 1 versus Group 2. Mean z-score for the ascending aorta was −1.2 (±0.8) versus −0.3 (±0.9) (p < 0.0001), the aortic isthmus was −2.1 (±0.8) versus −1.4 (±0.8) (p = 0.005). The pulmonary valve to aortic valve diameter ratio was median 1.47 [1.38,1.71] versus 1.38 [1.17,1.53] (p 0.008).
Conclusions:
Echocardiographic evaluation of the systemic and pulmonary outflow of patients with complete atrioventricular canal may assist in predicting the clinical course and need for early repair vs pulmonary artery banding.
A complete embedding is a symplectic embedding $\iota :Y\to M$ of a geometrically bounded symplectic manifold $Y$ into another geometrically bounded symplectic manifold $M$ of the same dimension. When $Y$ satisfies an additional finiteness hypothesis, we prove that the truncated relative symplectic cohomology of a compact subset $K$ inside $Y$ is naturally isomorphic to that of its image $\iota (K)$ inside $M$. Under the assumption that the torsion exponents of $K$ are bounded, we deduce the same result for relative symplectic cohomology. We introduce a technique for constructing complete embeddings using what we refer to as integrable anti-surgery. We apply these to study symplectic topology and mirror symmetry of symplectic cluster manifolds and other examples of symplectic manifolds with singular Lagrangian torus fibrations satisfying certain completeness conditions.