From the Courthouse to the Chalkboard

Reviewing Michael J. Klarman, From the Closet to the Altar: Courts, Backlash, and the Struggle for Same-Sex Marriage (2012)

From the Courthouse to the Chalkboard

Reviewing Michael J. Klarman, From the Closet to the Altar: Courts, Backlash, and the Struggle for Same-Sex Marriage (2012)

The Hand in the Brew: Judges and Their Communities

Reviewing: Paul W. Kahn, Making the Case: The Art of the Judicial Opinion (Yale University Press 2016); Douglas E. Edlin, Common Law Judging: Subjectivity, Impartiality, and the Making of Law (University of Michigan Press 2016)

The effect of metapopulation processes on the spatial scale of adaptation across an environmental gradient

We show that the butterfly Aricia agestis (Lycaenidae) is adapted to its thermal environment in via integer changes in the numbers of generations per year (voltinism): it has two generations per year in warm habitats and one generation per year in cool habitats in north Wales (UK). Voltinism is an “adaptive peak” since individuals having an intermediate number of generations per year would fail to survive the winter, and indeed no populations showed both voltinism types in nature. In spite of this general pattern, 11% of populations apparently possess the “wrong” voltinism for their local environment, and population densities were lower in thermally intermediate habitat patches. Population dynamic data and patterns of genetic differentiation suggest that adaptation occurs at the metapopulation level, with local populations possessing the voltinism type appropriate for the commonest habitat type within each population network. When populations and groups of populations go extinct, they tend to be replaced by colonists from the commonest thermal environment nearby, even if this is the locally incorrect adaptation. Our results illustrate how stochastic population turnover can impose a limit on local adaptation over distances many times larger than predicted on the basis of normal dispersal movements

Human Trafficking in the Emergency Department

Human trafficking continues to persist, affecting up to 200 million people worldwide. As clinicians in emergency departments commonly encounter victims of intimate partner violence, some of these encounters will be with trafficking victims. These encounters provide a rare opportunity for healthcare providers to intervene and help. This case report of a human trafficking patient from a teaching hospital illustrates the complexity in identifying these victims. Clinicians can better identify potential trafficking cases by increasing their awareness of this phenomenon, using qualified interpreters, isolating potential victims by providing privacy and using simple clear reassuring statements ensuring security. A multidisciplinary approach can then be mobilized to help these patients

Development of a scale to measure individuals’ ratings of peace

Background: The evolving concept of peace-building and the interplay between peace and health is examined in many venues, including at the World Health Assembly. However, without a metric to determine effectiveness of intervention programs all efforts are prone to subjective assessment. This paper develops a psychometric index that lays the foundation for measuring community peace stemming from intervention programs. Methods: After developing a working definition of ‘peace’ and delineating a Peace Evaluation Across Cultures and Environments (PEACE) scale with seven constructs comprised of 71 items, a beta version of the index was pilot-tested. Two hundred and fifty subjects in three sites in the U.S. were studied using a five-point Likert scale to evaluate the psychometric functioning of the PEACE scale. Known groups validation was performed using the SOS-10. In addition, test-retest reliability was performed on 20 subjects. Results: The preliminary data demonstrated that the scale has acceptable psychometric properties for measuring an individual’s level of peacefulness. The study also provides reliability and validity data for the scale. The data demonstrated internal consistency, correlation between data and psychological well-being, and test-retest reliability. Conclusions: The PEACE scale may serve as a novel assessment tool in the health sector and be valuable in monitoring and evaluating the peace-building impact of health initiatives in conflict-affected regions

The Commercial Sexual Exploitation and Sex Trafficking of Minors in the Boston Metropolitan Area: Experiences and Challenges Faced by Front-Line Providers and Other Stakeholders

Objectives: The commercial sexual exploitation of children (CSEC), including sex trafficking of minors, is considered a severe form of abuse and violence against minors. We use a public health lens to examine perceptions regarding the context and process of CSEC and sex trafficking of minors in the Boston area, the response of the health care sector, and opportunities to improve the health and well-being of exploited/trafficked minors. Methods: Using case study methodology, we conducted 22 semi-structured qualitative interviews of 25 key anti-trafficking stakeholders active in the Boston area. Results: Key informants identified CSEC involving boys, girls, and transgender youth as a local problem. Many social and economic factors facilitate sex trafficking, including child sexual abuse, domicile instability, and financial insecurity. The health needs of commercially sexually exploited minors are numerous, and local health care services are variable, particularly in the realm of mental health. Various factors function as barriers to a greater health care sector response, including low awareness of CSEC and sex trafficking of minors among health care providers. Gaps in CSEC prevention and response include early recognition of signs and symptoms, CSEC-knowledgeable trauma-sensitive health care services, and emergency shelter. Conclusions: CSEC, including sex trafficking of minors, is a recognized occurrence in the Boston area that requires a multidisciplinary response across multiple sectors. A more robust health care system response in coordination with other active stakeholders could help enhance the overall impact of local anti-CSEC/trafficking efforts. Increased health trainings, policy advocacy, and the use of multidisciplinary teams may be an effective way to partner across sectors and ensure wraparound services for exploited youth