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There is a large literature on the relationship between obesity and bone. What we can conclude from this review is that the increase in body weight causes an increase in BMD, both for a mechanical effect and for the greater amount of estrogens present in the adipose tissue. Nevertheless, despite an apparent strengthening of the bone witnessed by the increased BMD, the risk of fracture is higher. The greater risk of fracture in the obese subject is due to various factors, which are carefully analyzed by the Authors. These factors can be divided into metabolic factors and increased risk of falls. Fractures have an atypical distribution in the obese, with a lower incidence of typical osteoporotic fractures, such as those of hip, spine and wrist, and an increase in fractures of the ankle, upper leg, and humerus. In children, the distribution is different, but it is not the same in obese and normal-weight children. Specifically, the fractures of the lower limb are much more frequent in obese children. Sarcopenic obesity plays an important role. The authors also review the available literature regarding the effects of high-fat diet, weight loss and bariatric surgery.

Local elected sheriffs increasingly have responsibility to implement immigration policies, yet sheriffs are rarely studied in criminal justice. By measuring the attitudes of Texas sheriffs, we seek to understand their important views on immigration in the United States. A census was completed with Texas sheriffs in late 2019 and early 2020. Views were sought on (1) controlling unauthorized immigration, (2) pathways to citizenship, and (3) unauthorized immigration and crime. A strong return rate captured the views of 142 (56%) respondent sheriffs from both rural and urban counties. Findings indicate that a majority of Texas sheriffs see a link between authorized immigrants and crime, see a limited path to citizenship and view the primary enforcement of immigration to be a federal prerogative. Practical implications and future research are discussed. [ABSTRACT FROM AUTHOR]

Given the nature of unsolved homicide, a complicated dynamic exists between survivors of cold case homicides and law enforcement personnel. The current study utilizes interviews with 24 survivors to explore the perceptions associated with this relationship. Employing a grounded theory framework, we find several themes depicted within these narratives that guide survivors' overall perceptions of their relationship with law enforcement, including investigative and communication efforts. Results indicate that the survivors universally perceive original detectives were incompetent or ineffective in their original investigation, thus leading to the unsolved status of their case. Over time, secondary and current investigators were also perceived as unable to properly investigate, due to challenges such as insufficient evidence or simply not conducting a comprehensive examination of the case. Regardless of this negative view of police activity on the case, relationships were defined by the level and nature of communication survivors had with their detective. Families who felt listened to, included, and/or valued reported a positive relationship with police that allowed them to trust their case was in good hands. Participants who perceived communication to be secretive, misleading, or completely absent noted strained relationships and further disappointment. Survivors may adopt roles, such as investigator, spokesperson, or advocate, to help compensate for their perception that the case is not properly cared for by police. With regard to grief progress and health of cold case homicide survivors, it is possible treatment by law enforcement outweighs the significant of case resolution years after the homicide. Recommendations for more productive survivor/police interactions are included. [ABSTRACT FROM AUTHOR]