In this study, we examine how gentrification shapes the enforcement of residential parking permit violations while accounting for calls for service. And we consider if the relationship between calls for service and parking violations is contingent upon a given neighborhood's stage of gentrification. Using Washington, D.C. as a study site, we find that census block groups in early as opposed to late stages of gentrification tend to have the highest citation rates. And, this effect holds regardless of whether said block groups are located adjacent to those experiencing later stages of urban renewal. Moreover, the impact of calls for parking enforcement on citation activity varies by gentrification stage. Within early stage block groups, each additional increase in logged calls for service is associated with a 47% increase in citation activity.
Introduction: Medicaid-enrolled populations are disproportionately impacted by suboptimal nutrition leading to lower Life’s Essential 8 (LE8) cardiovascular health (CVH) scores and greater prevalence of Stage 2 cardiovascular-kidney-metabolic syndrome (CKMS) as defined by the American Heart Association (AHA). With support from the AHA Health Care by Food TM Initiative and leveraging existing academic-community-government-industry partnerships, our team is assessing the feasibility, engagement, and preliminary efficacy of SUSTAIN , a novel Food is Medicine (FIM) intervention in Medicaid-enrolled individuals with Stage 2 CKMS. Hypothesis: Our overall hypothesis is that a comprehensive FIM intervention including culturally appropriate and home-delivered groceries, intensive and tailored behavioral nutrition counseling, and social care coordination will improve nutrition security and CVH compared to individuals receiving home-delivered groceries only. Methods: Informed by the socioecological model and human-centered design, SUSTAIN is a 24-week randomized controlled trial (RCT) of Medicaid-enrolled individuals (n=100) with Stage 2 CKMS to: Aim 1 : Determine the feasibility and engagement of participants in the SUSTAIN intervention compared to enhanced usual care over 24 weeks through mixed-methods measurement of participant enrollment, adherence, retention, and engagement (counseling, screenings, referrals, and uptake); Aim 2 : Determine the preliminary efficacy of the SUSTAIN intervention compared to enhanced usual care in improving behavior change as measured by nutrition security, LE8 measures, biometrics, and purchasing behaviors over 24 weeks to determine effect estimates to robustly power a future RCT. Results: Initial recruitment efforts have enrolled 46 individuals; 148 failed to meet eligibility criteria. Primary reasons for ineligibility were other diagnoses (e.g., heart failure) (n=107) and non-English speaking (n=31). A minority of participants were ineligible due to unwillingness to use mobile phone-based technology (n=2) or lack of backup form of payment for grocery vendor (n=3). Conclusions: Innovative FIM solutions are urgently needed. SUSTAIN will explicate the feasibility, engagement, and preliminary efficacy of SUSTAIN, leading to a scalable FIM nutrition-security-based model to improve CVH in Stage 2 CKMS. SUSTAIN has the potential to drive a paradigm shift in healthcare, fostering healthier, nutrition-secure and resilient communities.
This article is part of a broader research and aims to discuss, based on the concept of Mechanics, Dynamics, and Aesthetics proposed by LeBlanc (2004), the phenomenon of gacha systems in digital games.The objective is to understand it in a more conceptual way, starting from its origins with collectible vending machines, and in a more practical manner by analyzing cases of popular games (Fate/Grand Order, SuperStar, and Genshin Impact).As a result, the objective is to comprehend the involvement of game art as an
