Pilgrimage to wellness: an exploratory report of rural African American clergy perceptions of church health promotion capacity

Churches serve vital roles in African American communities, where disease burden is disproportionately greater and healthcare access is more limited. Although church leadership often must approve programs and activities conducted within churches, little is known about their perception of churches as health promotion organizations, or the impact of church-based health promotion on their own health. This exploratory study assessed perceptions of church capacity to promote health among 27 rural, African American clergy leaders and report the relationship between their own health and that of their congregation. Results indicate a perceived need to increase the capacity of their churches to promote health. Most common were conducting health programs, displaying health information, kitchen committee working with the health ministry, partnerships outside of the church, and funding. Findings lay the foundation for the development of future studies of key factors associated with organizational change and health promotion in these rural church settings.     

Asphyxial deaths from the recreational use of nitrous oxide.

The recreational use of nitrous oxide is widespread. Nitrous oxide for recreational use is usually obtained from anesthesia tanks or whipped-cream machine chargers or cans. Twenty previously described deaths associated with recreational nitrous-oxide use describe anesthesia tanks and whipped-cream machine dispensors as a source. Five deaths associated with nitrous oxide use are presented; two involving whipped-cream cannisters as the source, two involving anesthesia tanks, and one involving a racing fuel tank as a source of nitrous oxide. Autopsy findings in our cases were subtle or negative, but usually suggestive of asphyxia. Through a laboratory simulation, we have confirmed that nitrous oxide displaces oxygen in a closed space, which probably leads to asphyxia. A review of the literature, neuropharmacology, and pathophysiology of nitrous oxide use is also presented.     

The Importance of Family and School Domains in Adolescent Deviance: African American and Caucasian Youth

Previous work has documented the similar importance of developmental domains in accounting for adolescent deviance in different racial/ethnic groups (e.g., Vazsonyi A. T., and Flannery, D. J., 1997, J. Early Adolesc. 17(3): 271–293). The current investigation is a replication and extension of this line of work. It examined the importance of the family (closeness, monitoring, and conflict) and school (grades, homework time, educational aspirations, and commitment) domains on a sample of adolescent (mean age = 16.4 years) African American and Caucasian youth (N = 809). The following important findings were made: (a) developmental processes including family and school domain variables and deviance were very similar for African American and Caucasian youth; (b) both developmental domains revealed independent predictive relationships with a number of different measures of adolescent deviance in both groups; and (c) the 2 domains uniquely accounted for 25% and 37% of the variance explained respectively in African American and Caucasian adolescent total deviance.     

Forced displacements in mining communities: politics in Chiadzwa diamond area,Zimbabwe

ABSTRACT

The Chiadzwa diamonds attracted widespread attention due to human rights violations and illegal smuggling. When diamonds were discovered in 2006, thousands of artisanal miners descended on the diamond fields. In response, the government unleashed the army and police in brutal crackdowns to drive artisanal miners off the diamond fields. This militarisation of diamond fields and extraction was followed by forced displacement of the Chiadzwa people. This article examines the lived, everyday experiences of the displaced Chiadzwa people. Findings reveal that displacements dislocated the livelihoods and socialities of the people. Displacements also exacerbated people's vulnerability to livelihood shocks, insecurity, and poverty. In relocating people the government adopted a ‘top-down’ approach which triggered contestations and conflicts with the people who felt alienated from their ancestral land and excluded from diamond wealth. Consequently, sabotage, resistance and subversion were commonplace in the relocation process. These socio-political ‘tactics’ should be viewed as ‘weapons of the weak’.     

Book review

David Pallister, Sarah Steward and Ian Lepper, South Africa Inc: The Oppenheimer Empire, Simon Schuster, London, 1987, vii + 289 pp. ISBN 0–671–65448–9 hardback £12.95 net.

Paul Godt (ed), Policy‐Making in France: From De Gaulle to Mitterand, Pinter Publishers, London and New York, 1989, pp.(xv), 257, ISBN 0 86187 706 3.     

Family Drug Treatment Courts As Comprehensive Service Models: Cost Considerations

Literature on family drug treatment courts (FDTCs) suggests that parental participation in these courts is associated with improved substance abuse treatment and child welfare system outcomes. Despite these beneficial outcomes, FDTCs serve only 7‐10% of eligible child welfare involved families. As part of a FDTC evaluation, this FDTC site sought to provide stakeholders with information about costs and benefits. Considering the program costs alongside the cost avoidance from reduced time in foster care, this analysis determined that FDTC participation resulted in a net savings per child of $9,710. The cost component of the evaluation proved valuable, challenging, and informative.     

Implementing robotics technology: A case study in organizational learning

A visionary manager will occasionally encounter a “wave-of-the-future” technology that can change the manufacturing process. Since such technologies are relatively unknown to others in the organization, its implementation can make or break its success. New Process Gear (NPG) plant, a division of New Venture Gear, Inc., has experienced this scenario with its robotics installation. This field study examines several robotics installations at NPG, starting with the earliest installation and proceeding through its latest installation of a complete robotics system. Through this experience, five areas emerged as necessary for successful new technology adoption: opportunity identification, high-quality equipment, supplier competence, training, and teamwork. By examining the robotics implementation process through various installations over time, several important lessons can be gleaned about new technology implementation that may be applicable to other technology applications.     

Family‐Centered Practice in Adult Treatment Courts: What Can We Learn from the Family Treatment Court Best Practice Standards?

Estimates suggest that upwards of 50% of participants in adult treatment courts (ATC) are parents. Previous studies point to negative impacts of unmet parenting needs on substance use treatment and criminal justice outcomes, and that family‐centered practices such as parenting classes substantially reduce recidivism among ATC participants. Judges and team members interested in adopting family‐centered practices in their ATC program may be unsure where to begin. One recent source of information regarding evidence‐based, family‐centered practices in treatment court settings is the Family Treatment Court (FTC) Best Practice Standards. The FTC Standards suggest adopting a family‐centered mission, expanding partnerships with child‐ and family‐serving agencies, discussing parenting and family roles during hearings, implementing family‐centered case management, and considering the effect of therapeutic responses on children and families. Building on the ATC Standards, the flexibility inherent in voluntary court programs, and existing community partnerships creates a pathway toward family‐centered practice in criminal settings.