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Search Results: 1 - 10 of 52936 matches for " David Otiashvili "
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Female partners of opioid-injecting men in the Republic of Georgia: an initial characterization
Lund Ingunn O,Kirtadze Irma,Otiashvili David,O’Grady Kevin E
Substance Abuse Treatment, Prevention, and Policy , 2012, DOI: 10.1186/1747-597x-7-46
Abstract: Background HIV and Hepatitis C virus (HCV) infections are strongly related to injection drug use in the Republic of Georgia. Little information is available about HIV and HCV status, sexual risk, support for their partner, and risk for physical violence among the female partners of opioid-injecting men in the Republic of Georgia, many of whom may not be using drugs, yet may be at high risk of being infected with HIV and HCV from their drug-using partners. Methods In order to better understand the risks for females whose partners are injecting drugs, the present study conducted an initial investigation of the non-substance-using female partners of 40 opioid-injecting men who were participating in a clinical trial examining the feasibility and efficacy of a 22-week comprehensive intervention that paired behavioral treatment with naltrexone. The 40 female partners were assessed at their male partners’ study intake. Results The female sample was 32.3 years old (SD=6.7), 37 (93%) were married, with 15.5 years of education. A majority reported at least partial employment the majority of the time during the past 3 years, with only one woman reported being unemployed most of the time during the past 3 years. They self-reported they were 3% HIV-positive and 8% HCV-positive. Their HIV sex risk scores indicated a relatively low risk. However, only 4 (10%) women reported using a condom most of the time while having sex and 15 (38%) report not having had sex during the last 30 days. Experiences of interpersonal violence were common, with 42% reporting physical abuse by their partner during the last year and 48% reporting feeling unsafe in their current relationship. Conclusions The alarmingly high rate of failure to use barrier protection methods, together with the high percentage who did not know their HIV and HCV status, suggest that it may be beneficial to include non-substance-using female partners in prevention programs along with their partners to reduce the risk of HIV and HCV spreading from the population of injection-drug–using males into the general population. [This secondary analysis study was funded by an international supplement to the parent randomized clinical trial “Treating the Partners of Drug Using Pregnant Women: Stage II (HOPE)”. ClinicalTrials.gov Identifier: NCT00496990.]
Process and Product in Cross-Cultural Treatment Research: Development of a Culturally Sensitive Women-Centered Substance Use Intervention in Georgia
Hendrée E. Jones,Irma Kirtadze,David Otiashvili,Kevin E. O’Grady,Keryn Murphy,William Zule,Evgeny Krupitsky,Wendee M. Wechsberg
Journal of Addiction , 2014, DOI: 10.1155/2014/163603
Abstract: Women who inject drugs (WID) are highly marginalized and stigmatized and experience ongoing discrimination in Georgia. Few opportunities exist for WID to receive publicly funded treatment for substance use disorders. The IMEDI (Investigating Methods for Enhancing Development in Individuals) project was developed in response to the need for women-specific and women-centered treatment services. This paper described our approach to understanding the Georgian culture—and WID within that culture—so that we could integrate two interventions for substance use found effective in other Western and non-Western cultures and to outline how we refined and adapted our integrated intervention to yield a comprehensive women-centered intervention for substance use. Reinforcement Based Treatment (RBT) and the Women’s CoOp (WC) were adapted and refined based on in-depth interviews with WID () and providers of health services () to such women and focus groups [2 with WID () and 2 with health service providers ()]. The resulting comprehensive women-centered intervention, RBT+WC, was then pretested and further refined in a sample of 20?WID. Results indicated positive pre-post changes in urine screening results and perceived needs for both RBT+WC and a case management control condition. The approach to treatment adaptation and the revised elements of RBT+WC are presented and discussed. 1. Background and Aims Injection-drug-using individuals are highly marginalized, highly stigmatized, and are at increased risk for STIs, HCV, and HIV worldwide [1]. Women who inject drugs (WID) experience this same marginalization, stigmatization, and increased risk for disease—without any recognition for the need for research and service delivery focused on their unique needs [1]. WID in Georgia are likewise highly marginalized and stigmatized and experience ongoing discrimination in Georgia. Although they represent up to 10% of the adult substance-using population [2, 3], only 1–5% of drug-related service beneficiaries are women [4, 5]. The World Health Organization [1] has recently called for worldwide efforts to provide treatment services for women to meet their unique needs, including physical abuse and violence. Women in Georgia who use illicit substances commonly experience emotional abuse, physical aggression, and sexual violence [6]. Such violations are rooted in social norms and traditions and a cultural environment that supports asymmetry in gender roles and places restrictions on women’s freedom and independence [7]. Recent economic problems in Georgia have facilitated women’s rise
The influence of the different elements of an organic molecule structure on the main kinetic parameters of its unimolecular reaction in the high-pressure region  [PDF]
David Krinkin
Natural Science (NS) , 2011, DOI: 10.4236/ns.2011.38090
Abstract: The most general dynamic tendencies of the energy redistribution in the high-pressure region are considered. Their influence on the possible deviations from the kinetic conceptions, which is now generally accepted, is examined. In this way, the structural elements of an organic molecule that promote internal energy mobilization in the high-pressure region and, conversely, hamper it, are defined. The first of these elements reduces both the Arrhenius parameters of the unimolecular reactions while the second leads to the opposite results. Some well-known exceptions to existing kinetic theories, which find an explanation in the framework of these proposed concepts, is considered. The proposed concept is very general as distinct from the existing dynamic studies, which investigate more particular details of the separate bond behaviors. The proposed general concept can broaden the study of chemical kinetics.
Raising Engagement and Enhancing Learning: School Community Partnerships That Work for Students at Promise  [PDF]
David Zyngier
Creative Education (CE) , 2011, DOI: 10.4236/ce.2011.24053
Abstract: This paper reports on a pilot study that investigates the widely reported issue of underachievement of students from Culturally Linguistically and Economically Diverse (CLED) backgrounds. It involves 15 university education faculty student volunteers and over 40 students and their families in primary (elementary) schools situated in disadvantaged communities of Victoria whose students come from 40 different nationalities, speaking 36 languages and with 75 per cent of its student cohort coming from Non English Speaking Backgrounds. A partnership was formed to focus on the problem of CLED children’s disengagement from their academic learning. We focus on how a productive partnership between schools and a university impact on inclusive teaching and learning practices both at the school and the university level. We investigate whether such an intervention can have an impact on engagement levels and the learning and social outcomes of students from refugee, migrant and working class families. Privileging participant voice we analyze data from interviews, surveys and focus groups with students, teachers and parents to argue that such a program has the capacity to re-engage underachieving students at a minimal cost to the community as an alternative model to other expensive and unsuccessful intervention programs. We conclude that at the core of this successful program is the need for both participants to feel they are empowered in the process. We know that student outcomes can be enhanced when the students feel connected to and involved in their community. Through this project, the students have the opportunity to experience greater community engagement leading to improved school attendance and retention, as well as better academic outcomes.
A Simple Proof That the Curl Defined as Circulation Density Is a Vector-Valued Function, and an Alternative Approach to Proving Stoke’s Theorem  [PDF]
David McKay
Advances in Pure Mathematics (APM) , 2012, DOI: 10.4236/apm.2012.21007
Abstract: This article offers a simple but rigorous proof that the curl defined as a limit of circulation density is a vector-valued function with the standard Cartesian expression.
“Your Guide to Paediactric Anesthesia” by Sims and Johnson: A Book Review  [PDF]
David Faraoni
Open Journal of Anesthesiology (OJAnes) , 2012, DOI: 10.4236/ojanes.2012.21003
Abstract: “Your Guide to Paediatric Anaesthesia”by Sims and Johnson is the first edition of a book written for fellow or non-pediatric anesthetists. The authors give a practical approach for daily practice in pediatric anesthesia. This \"book review\" describes a general presentation and an objective evaluation of this recently published book.
On Choosing Fourier Transforms for Practical Geoscience Applications  [PDF]
David Boteler
International Journal of Geosciences (IJG) , 2012, DOI: 10.4236/ijg.2012.325096
Abstract: The variety of definitions of Fourier transforms can create confusion for practical applications. This paper examines the choice of formulas for Fourier transforms and determines the appropriate choices for geoscience applications. One set of Discrete Fourier Transforms can be defined that approximate Fourier integrals and provide transforms between sampled continuous functions in both domains. For applications involving transforms between a continuous function and a discrete function a second set of Discrete Fourier Transforms is needed with different scaling factors. Two classes of application are presented: those where either form of transforms can be used and those where it is necessary to use a particular transform to obtain the correct results.
Investment Incentives under Price-Cap Regulation  [PDF]
David Bartolini
Theoretical Economics Letters (TEL) , 2012, DOI: 10.4236/tel.2012.25105
Abstract: In the literature on price regulation, the price-cap mechanism is seen as a very powerful incentive mechanism towards efficiency improvements. What about quality investments? The empirical literature is not univocal: Some studies suggest a deterioration of quality, while others do not find any statistically significant impact. We analyze the incentive provided by price-cap regulation in a setting in which the investment decisions of the regulated firm suffer from hold-up, and contacts are incomplete. We show that the incentives to invest in cost-saving innovations can be fostered by a price-cap contract with a “sufficient” regulatory lag, while for other types of investments, such as quality enhancement, the same contract does not help. Furthermore, we show that if the firm faces a binding resource constraint the price-cap contract generates a crowding-out effect between the two types of investment. This might explain the non univocal empirical evidence.


IMPEX: An Approach to Analyze Source Code Changes on Software Run Behavior  [PDF]
David Nemer
Journal of Software Engineering and Applications (JSEA) , 2013, DOI: 10.4236/jsea.2013.64020
Abstract:

The development of software nowadays is getting more complex due to the need to use software programs to accomplish more elaborated tasks. Developers may have a hard time knowing what could happen to the software when making changes. To support the developer in reducing the uncertainty of the impact on the software run behavior due to changes in the source code, this paper presents a tool called IMPEX which analyzes the differences in the source code and differences on the run behavior of two subsequent software versions, in the entire repository, demonstrating to the developer the impact that a change in the source code has had on the software run, over the whole software history. This impact helps the developers in knowing what is affected during execution due to their changes in the source code. This study verifies that the software runs that are most impacted by a given change in the source code, have higher chances in being impacted in the future whenever this part of the code is changed again. The approach taken in this paper was able to precisely predict what would be impacted on the software execution when a change in the source code was made in 70% of the cases.

Raymond Carver and the Ethos of Drinking  [PDF]
David McCracken
Advances in Literary Study (ALS) , 2013, DOI: 10.4236/als.2013.12004
Abstract: In Raymond Carver’s “Careful”, “Gazebo”, and “Chef’s House”, characters depend on the process of drinking as a paradigm to understand their lives. In these three stories, the characters rely upon alcohol as a solution to problems paradoxically caused by their addiction to alcohol.
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