The Principle of Mercy: taking the Crucified People from the Cross

Reviewed Book: Sobrino, Jon. The principle of mercy: taking the crucified people from the cross. Maryknoll, NY: Orbis Books, 1994

Hispanic Women: Prophetic Voice in the Church

Reviewed Book: Isasi-Díaz, Ada María . Hispanic Women: Prophetic Voice in the Church. Minneapolis: Augsburg Fortress, 1992

‘Children not trophies’: an ethnographic study of private family law practice in England

The welfare of the child in the context of private family law proceedings is of significant international interest. This paper presents findings from an ethnographic study of private law proceedings in England, which explored legal professionals’ experiences of and practice within space and place. Data are derived from interviews with professionals, and observations from the waiting areas, canteens, interview rooms and offices of lawyers who represent parents in private family law proceedings. The paper focuses on winners and losers in the area of private family law, and the ‘trophy’, the child, who appears to be lost in the battleground of legal proceedings, but remains the ultimate prize. The concept of space is explored before moving to reflect upon the data from the interviews. The themes that emerge from the data are the relationships between the public space of the court and the vulnerability of the parties as they attempt with greater or less ease, to navigate the complexities of this formal and procedurally driven space. This paper explores the idea of the child as the ultimate ‘trophy’ within private law proceedings to consider its significance for family justice practice in England, and to elicit a greater understanding of the importance of space and place in private law proceedings that have remained largely unexplored

Impact of an EHR-based tool on COPD Management in Primary Care

Background: GOLD (2017) guidelines provide evidence based recommendations for treating COPD, although their employment in clinical practice is inconsistent. Lack of a standardized method to view COPD specific information within the EHR during patient encounters complicates visits and development of GOLD-guided treatment plans. Our goal is to determine the impact of an EHR-based tool on relevant COPD disease measurements (spirometry rates, pneumococcal vaccination rates and COPD Action plans) Methods: An EHR-based tool (SmartPhrase) was developed and released to providers to facilitate GOLD(2017) guideline reference during patient encounters. Computer based instructional videos of GOLD (2017) guidelines and EHR-based tool were presented to providers prior to 90 day intervention. A two-pronged pre-and post-intervention analysis was carried out examining 1) subjective provider application of GOLD (2017) guidelines, and 2) objective inclusion of GOLD guidelines within the EHR patient encounter of COPD patients aged \u3e 18 at a rural Primary Care clinic. Results: Compared to pre-intervention, providers reported EHR-tool was rated as ‘likely’ to improve job performance and effectiveness when treating COPD patients (from 42.8% to 75%) and ‘likely’ to make documenting COPD-specific data easier (28.5% to 75%), increased tendency to order Spirometry (33.9%) and refer to Pulmonary Rehab more frequently (25%). Compared to pre-intervention, objective changes in spirometry rates increased 3.9%, vaccination rates for PCV13 and PPSV23 increased slightly (both 1.9%); there were no changes in number of COPD Action plans. Conclusions: Preliminary data suggests that an EHR-based tool is a potentially effective tool to increase awareness and application of GOLD guidelines in the treatment of COPD in Primary Care. Increased intervention period of 12 months may provide more insight into changes in treatment practices

A Majestic Presence: A Study of the Development of the Majestic Theater In Gettysburg

In an era of collective entertainment, before private home entertainment systems, people sought amusement within their communities. One aspect of this community entertainment, the theater, offered a social gathering place. Theaters provided an important dual role for the community—both for entertainment and also a certain amount of public service. Theaters in the 1920s and 1930s, in small towns such as Gettysburg, Pennsylvania, served a much different purpose than they do today, with a more prominent and more important role within society. In the 1920s and 1930s, Gettysburg had several theaters. The two most prominent were the Majestic and the Strand (known as the Photoplay before the 1926 renovation). These buildings acted as true centers and hubs for Gettysburg and the surrounding area. These theaters, “served as a showplace and a gathering place for people of all ages from Adams County and the surrounding area of Northern Maryland.” The building’s primary use, as a theater, provided a much needed social environment where people could come, relax, and be entertained, people would come from all over to attend the movies. As the years went on, renovations were made to improve the building. Even more important than the Majestic’s role as a theater were its ties with the community

Mothers' and Fathers' Labor Supply in Fragile Families: The Role of Child Health

We estimate the effect of poor child health on the labor supply of mothers and fathers post welfare reform, using a national sample of mostly unwed parents and their children-a group at high risk of living in poverty. We account for the potential endogeneity of child health and find that having a young child in poor health reduces the mother's probability of working, the mother's hours of work, and the father's hours of work. These results suggest that children's health problems may diminish their parents' capacity to invest in their health.