Tailoring health programming to clergy: findings from a study of United Methodist clergy in North Carolina

Research indicating high rates of chronic disease among some clergy groups highlights the need for health programming for clergy. Like any group united by similar beliefs and norms, clergy may find culturally tailored health programming more accessible and effective. There is an absence of research on what aspects clergy find important for clergy health programs. We conducted 11 focus groups with United Methodist Church pastors and district superintendents. Participants answered open-ended questions about clergy health program desires and ranked program priorities from a list of 13 possible programs. Pastors prioritized health club memberships, retreats, personal trainers, mental health counseling, and spiritual direction. District superintendents prioritized for pastors: physical exams, peer support groups, health coaching, retreats, health club memberships, and mental health counseling. District superintendents prioritized for themselves: physical exams, personal trainers, health coaching, retreats, and nutritionists. Additionally, through qualitative analysis, nine themes emerged concerning health and health programs: (a) clergy defined health holistically, and they expressed a desire for (b) schedule flexibility, (c) accessibility in rural areas, (d) low cost programs, (e) institutional support, (f) education on physical health, and (g) the opportunity to work on their health in connection with others. They also expressed concern about (h) mental health stigma and spoke about (i) the tension between prioritizing healthy behaviors and fulfilling vocational responsibilities. The design of future clergy health programming should consider these themes and the priorities clergy identified for health programming.     

Harmless error analysis: How do judges respond to confession errors?

In Arizona v. Fulminante (1991), the U.S. Supreme Court opened the door for appellate judges to conduct a harmless error analysis of erroneously admitted, coerced confessions. In this study, 132 judges from three states read a murder case summary, evaluated the defendant's guilt, assessed the voluntariness of his confession, and responded to implicit and explicit measures of harmless error. Results indicated that judges found a high-pressure confession to be coerced and hence improperly admitted into evidence. As in studies with mock jurors, however, the improper confession significantly increased their conviction rate in the absence of other evidence. On the harmless error measures, judges successfully overruled the confession when required to do so, indicating that they are capable of this analysis.     

The Impact of Intimate Partner Violence on Mothers’ Parenting Practices for Urban, Low-Income Adolescents

This study examined whether depression and social support mediated the relationship between intimate partner violence (IPV) and parenting practices. Participants were 1,057 female primary caregiver-young adolescent pairs. (Sample included greater than 90?% biological mothers; hereafter, female primary caregivers are referred to as mother.) Findings indicated that IPV was associated positively with mothers’ use of physical punishment and negatively with mothers’ involvement in their children’s education. Although depression and social support were not found to mediate the relationship between IPV and parenting practices, study findings suggest that IPV directly and negatively impacted mothers’ parenting practices. In sum, findings point to the important role that IPV may play in explaining parenting practices for mothers living in high-risk urban environments.     

The implications of differences between employer and worker employment/earnings reports for policy evaluation

Differences in administrative (UI) and survey (S) records on employment and earnings have substantial implications for assessing the impact of a variety of public interventions, such as welfare‐to‐work and employment training programs, and especially the state‐oriented welfare reform legislation of 1996. We use data from the 1998 and 1999 waves of the Child Support Demonstration Evaluation (CSDE) Resident Parent Surveys to explore individual differences between survey and UI employment and earnings reports for a Wisconsin sample of current and former welfare recipients. After exploring the potential causes of misreports from both sources, we document the degree of discrepancy between survey and UI earnings and employment measures and assess the difference between the two earnings measures in estimates of simple human capital (earnings) functions. Last, we evaluate the correspondence of the two measures with “hardship” indicators of economic well‐being.     

Pig decomposition in lotic aquatic systems: the potential use of algal growth in establishing a postmortem submersion interval (PMSI)

While algal community composition has been examined as a qualitative indicator of postmortem submersion interval (PMSI), there have been no quantitative studies on using algal growth rates as PMSI estimators. The present study was undertaken to examine pig decomposition in streams and to develop a more quantitative approach to estimate a PMSI. Pigs and ceramic tiles were completely submerged and regularly sampled for periphyton growth. Five stages of decomposition were identified for the submerged pig carcasses according to physical characteristics. Algal growth rates, measured quantitatively as a function of chlorophyll-a concentration, were greater on pigs compared with tiles; however, microhabitat (pools versus riffles) did not significantly influence algal growth. Additionally, there was a strong correlation between algal growth rate and time on pigs and tile substrates. This strong correlation was observed after significant rain events. Our study documents for the first time a quantitative technique to determine the length of time a corpse has been submerged in water. We suggest that algal growth rates may be a useful quantitative indicator in criminal investigations involving corpses that are completely submerged in stream or riverine habitats.     

Sudden death from saccular laryngeal cyst

Laryngeal cysts are benign, uncommon lesions of the larynx that have been reported on rare occasions to cause sudden death in infants and adults by acute airways obstruction. In this report, we document the sudden death of a 36-year-old woman from a previously undiagnosed, asymptomatic laryngeal saccular cyst that presented with acute, and consequent fatal, airway obstruction. Difficulty during intubation, both in theater and in emergency settings, is a frequent presenting problem. This can have significant medicolegal implications in determining possible negligence. The diagnosis, classification, and management of such cysts, and their importance to both the forensic pathologist and clinicians are discussed.     

Differences in the predictive validity of actuarial risk assessments in relation to sex offender type

This study seeks to expand on the previously reported validity of the Static-99, RRASOR, MnSOST-R, and SORAG in predicting sexual recidivism utilizing a regional sample of offenders. The predictive validity of each test was determined utilizing subgroups of the sample based on each offender's known offense history. The effectiveness of each instrument varied depending on offender type. The Static-99 and SORAG were both significantly predictive of sexual, violent, and any recidivism for extra-familial child molesters, and all four tests were predictive of violent or any recidivism in this subgroup. For incest offenders, all four tests were at least moderately predictive of sexual recidivism, whereas the Static-99 and the SORAG were highly predictive of violent or any recidivism. None of the four tests established consistent predictive validity across recidivism categories in regard to rapists or hands-off offenders, however, the Static-99 and the SORAG were significant in terms of sexual recidivism.     

Characterization of a novel dimorphism in the 5' flanking region of the short tandem repeat (STR) locus,c-fes/fps (FES)

The FES short tandem repeat (STR) locus contains seven to 14 repeats of the tetranucleotide sequence ATTT. A novel 10 base pair dimorphism in the 5' flanking region of the FES locus was characterized in four broad populations: African-American, Hispanic, Caucasian, and Asian. The absence of the 10 base pair sequence, or (-) allele, was closely linked to FES STR alleles with 10 or fewer repeats. The presence of the 10 base pair sequence, or (+) allele, was closely linked to FES STR alleles with 12 or more repeats. The (-) and (+) alleles occurred equally often in FES STR allele 11. The nucleotide sequence (5'-GGCTGTTTTG-3') of the (+) allele, located 179 base pairs upstream of the FES STR, was determined to be consistent within and among the four populations. Statistical and sequence analysis confirmed the linkage between the two polymorphic sites. The results indicate that the exclusion rate of the FES locus is increased, above that for the STR alone, when both polymorphic characteristics are considered.