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0%. In men, coronary artery calcium score >0 ranged from 40.7-65.9% and presence of carotid plaques from 54.5% to 72.8% in the age group 50-54 and 60-65 years, respectively. In women, the corresponding difference was from 17.1-38.9% and from 41.0-58.4%. A doubling of Systematic Coronary Risk Evaluation was associated with an increased probability to have coronary artery calcium score >0 (odds ratio 2.18 (95% confidence interval 2.07-2.30)) and to have >1 carotid plaques (1.67 (1.61-1.74)). CONCLUSION Systematic Coronary Risk Evaluation estimated risk is associated with prevalent subclinical atherosclerosis in two major vascular beds in a general population sample without established cardiovascular disease or diabetes mellitus. Thus, the Systematic Coronary Risk Evaluation risk chart may be of use for estimating the risk of subclinical atherosclerosis.Background. Cancer survivors must manage a range of adverse symptoms and side effects postdiagnosis. These effects often co-occur with preexisting comorbid conditions. Recognizing the complex chronicity of the disease, self-management support interventions have been developed to promote cancer survivors' knowledge, skills, and confidence to self-manage their health. Though shown to be beneficial, the processes underlying self-management have yet to be explicated. Aim. To explore how a community-based self-management support intervention fosters cancer survivors' knowledge, confidence, and skills to self-manage their health. Method. A qualitative case study adopting multiple viewpoints was utilized. Seventeen cancer survivors who participated in a self-management support intervention (referred to as a cancer coaching program) were interviewed and six program staff took part in a focus group. Transcripts from the interviews and focus group were analyzed using a hybrid inductive-deductive approach guided by prinexisting and future interventions.The Hispanic population is the fastest growing minority population in the United States. A growing body of literature suggests Hispanic individuals are at increased risk for substance use disorders. While much of the literature has focused on Hispanic heterosexual individuals, a paucity of literature has focused on Hispanic transgender individuals. More research is warranted on the prevalence and correlates to substance use among Hispanic sexual minorities, in particular Hispanic transgender individuals. The present study sought to examine correlates to lifetime illicit substance use among a national sample of transgender individuals. A secondary analysis of the 2015 Transgender Survey was conducted among 1,473 Hispanic transgender individuals. Weighted analyses reveal that 29% of Hispanic transgender individuals reported lifetime illicit substance use. Significant predictors included age and prior lifetime substance use. Recommendations for health professionals and policy analysts are included.INTRODUCTION We aimed to evaluate the resonance of public health messages promoting early detection of dementia in adult Latinos with a living older adult loved one. METHOD We conducted a mixed-methods study with focus groups and surveys to evaluate eight messages encouraging Latino adults to accompany their older loved one for cognitive assessment. Qualitative data were transcribed and coded, and thematic analysis was conducted. We used descriptive statistics for quantitative data. RESULTS Participants suggested that messages need to be translated into Spanish and images need to be more natural, present balance between positive and serious facial expressions, show more ethnic/racial diversity, and show family members other than the parents. Five major sociocultural themes affected how the messages were received stigma, gender roles, the importance of the mother figure, guilt, and family togetherness. CONCLUSION Public health messages targeting cultural values are needed to effectively encourage early dementia detection in Latinos. Findings can be used to adapt culturally appropriate public health messages encouraging early dementia detection in Latinos.Modeling the evolution of bone density is relevant for understanding, simulation and possible prediction of bone response to external and internal influences. In this work we present a formulation for the bone density evolution process that takes into account not only the commonly considered mechanical stimulus, but, as novelty, also the influence of the availability of nutrients and hormones, with its implementation pursued within the finite element method. A simple uni-axial extension test is used to illustrate and compare our novel model against the classical approach. selleck compound The results of the proposed modified model are promising for application to real-life problems.Background Visual stimuli are frequently incorporated into interventions that use narratives to meet counseling, therapy, education, and clinical needs. However, the treatment efficacy of visual stimuli is unclear. This systematic review synthesizes and evaluates visual narrative interventions addressing anxiety.Methods Databases (n = 9) and extended reference searches identified 13 original studies using visual artifacts in narrative interventions for adult anxiety. The visual stimulations were analyzed based on artifact origin, user interactivity, and functions of the stimuli.Results Three types of visual artifacts- virtual reality (VR) (n = 4), videos (n = 4), and drawings (n = 5) were found. Dichotomous patterns of artifact origin (native vs. foreign) and interactivity (participatory vs. non-participatory) characterized the applications. A hierarchy of functions- engage, externalize, internalize, and rescript was observed. Most studies confirmed the positive effects on the varied anxiety conditions; however, unclear risk of bias and extraneous factors was present.Conclusions Future visual narrative studies addressing adult anxiety are recommended to strengthen the current body of knowledge by using double-blinded randomized control trials with robust anxiety measures, incorporating artifact origin and user interactivity in intervention designs, considering alternative stimuli with high accessibility, such as images, and including employment-related anxiety conditions.
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