Background: Endoscopic ear surgery has gained acceptance as a complementary tool to microscopic ear surgery, but perhaps not so much as an instrument for exclusive use.With this approach becoming popular, there is scarce data on cholesteatoma recidivism and hearing outcomes, when exclusively used. Objectives: Auditing outcomes of endoscopic ear surgery for the surgical management of cholesteatoma in the Groote Schuur hospital (above13 year age group) and the Red Cross War Memorial Children’s hospital (below 13 year age group) , with a secondary aim of comparing recidivism and hearing outcomes of 4 different surgical techniques for cholesteatoma resection, namely, exclusive endoscopic (EES), microscopic canal wall down (CWD), microscopic canal wall up (CWU) and combined endoscopic-microscopic techniques. Methods: A retrospective chart review was conducted at our two tertiary academic referral hospitals in Cape Town, namely, Red Cross War Memorial Children’s Hospital and Groote Schuur Hospital from January 2012 to December 2016. Results: A total of 128 cholesteatoma ear surgeries were done; 110 patients were above the age of 13 years and 18 patients were below the age of 13 years. Eight Red Cross patients underwent EES, 7 had CWU, 2 had CWD and 1 had a combined technique. Overall recidivism rate in this population was 33% (6/18), of which 2 were approached exclusively endoscopically, 2 underwent a microscopic CWU, 1 had a CWD and 1 had combined endoscopic-microscopic approach. The mean postoperative hearing in this group was 40dB compared to a preoperative mean of 50,3 decibels (dB). In the Groote Schuur group, 23 underwent an exclusive endoscopic approach; 42 had a CWU, 40 had a CWD and 5 had a combined endoscopic-microscopic approach. Overall recidivism rate for the above 13 year old group was 17% (19/110). Of those, 7 were from the endoscopic group, 8 from the CWU group, 1 from CWD group and 3 from the combined technique group. Mean postoperative hearing was 47,4dB compared to a preoperative hearing of 48,4dB. Conclusions: The CWD technique demonstrated superior outcomes in both the above and below 13 year age groups. In the above 13 year old group, the EES approach had the same recurrence rate as CWU. While paediatric cholesteatomas have much higher recidivism rates compared to adults, our below 13 year old group was too small to conclude any statistical significant differences between the different approaches, and therefore, further studies are required in this age group. Management of cholesteatoma requires a highly individualized approach that takes into account anatomic, clinical and social factors to determine the most appropriate surgical treatment paradigm

Individuals with a criminal background face several barriers to securing employment, one of which is the reluctance of hiring managers to extend employment offers to them. African American ex-offenders are disproportionately affected by these barriers. The purpose of this study was to examine the attitudes of hiring managers in a metropolitan area in the Southern United States and to identify the factors that influence the hiring decisions of ex-offenders. A descriptive study design was used to explore whether type of criminal offense, length of crime, or race of offender affect a hiring manager'€™s decision to hire an ex-felon. The disparate impact of discrimination theory served as the theoretical framework. Data were collected from a nonrandom, purposive sample of 376 current and former hiring managers and HR professionals who make hiring decisions. Data were analyzed using descriptive statistics. Study findings revealed 53% of respondents said they would not hire a person with a felony conviction, which supports the claim that a person'€™s criminal background does play a role in whether an employer extends an employment offer. The findings of this study may provide guidance to legislators in developing or amending hiring laws to better facilitate the reintegration of people with felony criminal backgrounds. Such action may engender positive social change through the reduction of criminal activity in urban areas, gains in the economy, improved public safety, more stable neighborhoods, and a decrease in the cost of housing offenders. Moreover, positive social change may occur when offenders do not recidivate because the state will not have to spend funds on incarceration.

The increasing recidivism rate for African American female offenders is exacerbated by postrelease job candidates' difficulties with interviewing for employment. The purpose of this hermeneutical, phenomenological study was to examine experiences from postrelease, African American, female, opioid offenders when interviewing with potential employers. Critical race Black feminist theory was used as the ontological lens for this research. Criterion sampling was used to recruit 12 female African American opioid female research participants. Data collection occurred via 12 semistructured, face-to-face interviewees. Thematic analysis was used to develop common emergent themes from the lived experiences of postrelease, African American, female, opioid offenders. Results showed that postrelease, African American, female offenders experienced emotional responses such as stress, nervousness, and anxiety during the interview process. In addition, they feared rejection when informing potential employers about their criminal background. The findings are significant in developing training programs for transition, human service, and criminal justice agencies that can increase the chances of postoffender, African American, female, opioid drug offender employment and decrease recidivism.

The phenomenon of youthful sexual offending has received increased attention in recent years in the state of Utah. As a result. programs have been developed to treat the sexual offender within residential treatment centers. However. the efficacy of these programs had not been examined prior to the initiation of this project. The success of the programs has been assessed by examining recidivistic activity as measured by post-treatment criminal histories. The results of this study indicate that the sample of clients departing from treatment in Utah in the year 1995 has a recidivism rate of93.2% for sexual criminal behavior, as of December 1996. Additionally, the recidivism rate of nonsexual criminal activity demonstrated by the sample was 63.6% at the same follow-up. This study demonstrates that those subjects who are able to successfully complete treatment before their departure from the programs have lower recidivism rates. Additionally, the participation by the family both during the treatment process. specifically their involvement in collateral therapy, and after treatment. by having the youth return to the family, correlated with subjects not relapsing into recidivistic activity. This information is important for treatment planning. for legislative planning. and for the continued study or the phenomenon of youthful sexual offending.

Indiana University-Purdue University Indianapolis (IUPUI) / The United States of America incarcerates more of its citizens than any other industrialized nation. Moreover, African American males are disproportionately targeted for incarceration in a system reminiscent of the system of slavery abolished after the civil war. As the cycle of recidivism plays itself out in this nation, this research examines the experiences of Black males who have broken the cycle to reestablish themselves within society through educating themselves in our nation's colleges and universities. This work is a phenomenological multiple case study that examines the experiences of five men who were incarcerated for a felony offense and successfully obtained bachelor's degree upon release. This research asks the questions: what motivated the pursuit of a degree, how did they pay for it, what resources were utilized, what challenges were overcome, and what impact this achievement had on their lives? Additionally, this research examines current correctional and educational policies and their impact on the Black community and concludes by making recommendations grounded in the research on how the nation can reduce recidivism rates and better serve African American communities.

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Although studies examining juvenile recidivism have focused primarily on violent recidivism, the factors that predict recidivism likely differ by offense type. To examine general, property, and violent recidivism, this study combined individual-level data (i.e., offender and case characteristics) from the Mississippi Youth Court Information Data System (MYCIDS) for the years 2009-2011 and contextual-level data (i.e., county characteristics) from the 2010 U.S. Census and the 2010 Uniform Crime Reports (UCR). Results showed that offender characteristics predicted only general and property recidivism, but case characteristics mattered for all three types (i.e., general, violent, and property recidivism). Contextual characteristics (i.e., the percentage of the population that is male aged 15 to 24) also mattered, but only for property recidivism. These findings have implications for policies and programs related to the treatment of juvenile offenders.