Zora Neale Hurston’s visual and textual portrait of middle passage survivor Oluale Kossola/Cudjo Lewis

This article examines African American folklorist Zora Neale Hurston’s book-length biography and film of the last known Middle Passage survivor, Oluale Kossola/Cudjo Lewis, to explore her cinematic and literary engagement with slavery and to recover Lewis as a co-author of both documents. Hurston’s literary project, ‘Barracoon’, in which she situated herself merely as Kossola’s amanuensis and foregrounded the ‘inexpressible violence’ and ‘horror’ of his experience, represented an unusually frank twentieth-century record of enslavement and post-slavery life. Such work pre-dated and lacked the patronising tone of much of the WPA Slave Narrative Collection (1936–1938), whose investigators were mainly white and whose subjects’ accounts were often reconstructed loosely from field notes. Moreover, Hurston’s footage of Lewis circumvented literary mediation altogether to provide an Atlantic slavery survivor with an unprecedented visual outlet for self-expression.     

Using experts’ consensus (the Delphi method) to evaluate weighting techniques in web surveys not based on probability schemes

Weighting techniques in web surveys based on no probability schemes are devised to correct biases due to self-selection, undercoverage, and nonresponse. In an interactive panel, 38 survey experts addressed weighting techniques and auxiliary variables in web surveys. Most of them corrected all biases jointly and applied calibration and propensity score adjustments. Although they claimed that sociodemographic and web-related variables are the most useful auxiliary variables to employ in adjustments, they considered only sociodemographic variables to correct biases because of their availability.     

Environmental Factors in the Choice of EGMs: A Discrete Choice Experiment

EGMs are a form of entertainment, and the gambling environment is an important contributor to the overall experience. Logically, to select a play-environment, EGM gamblers must choose the platform through which to access the EGM (e.g., internet, mobile application or land-based venue), a particular provider (e.g., specific website, app vendor or branded casino), and the game itself (e.g., based on graphical theme or bonus features; Thorne et al. in J Gambl Stud, 2016. doi: 10.1007/s10899-016-9601-2). A discrete choice experiment was conducted to identify the features of the platform, provider and game that are most strongly preferred by EGM gamblers. Participants were 245 EGM gamblers from clubs in Victoria, Australia and 7516 EGM gamblers from an Australian online panel. Results indicate that the ideal environment for the average gambler consists of: gambling at a club that is close to home; with a group of friends; in a relatively quiet place that has air conditioning, cheap food and a large space to play in; on a classic game with quality animations and small bet sizes; where you feel safe and secure; and where there is a wide variety of other games to play when you are done. Segmenting these results by problem-gambler status highlights important differences in preferences between problem and non-problem gamblers. Problem gamblers are less likely to give weight to the company they share and have a preference for larger venues. Using a powerful paradigm from marketing research, the present study was able to determine the relative value of different features of the EGM gambling environment, and also contributes important insight towards what constitutes a safer environment for recreational play.     

Electronic Gaming Machine (EGM) Environments: Market Segments and Risk

This study used a marketing-research paradigm to explore gamblers’ attraction to EGMs based on different elements of the environment. A select set of environmental features was sourced from a prior study (Thorne et al. in J Gambl Issues 2016b), and a discrete choice experiment was conducted through an online survey. Using the same dataset first described by Rockloff et al. (EGM Environments that contribute to excess consumption and harm, 2015), a sample of 245 EGM gamblers were sourced from clubs in Victoria, Australia, and 7516 gamblers from an Australian national online survey-panel. Participants’ choices amongst sets of hypothetical gambling environments allowed for an estimation of the implied individual-level utilities for each feature (e.g., general sounds, location, etc.). K-means clustering on these utilities identified four unique market segments for EGM gambling, representing four different types of consumers. The segments were named according to their dominant features: Social, Value, High Roller and Internet. We found that the environments orientated towards the Social and Value segments were most conducive to attracting players with relatively few gambling problems, while the High Roller and Internet-focused environments had greater appeal for players with problems and vulnerabilities. This study has generated new insights into the kinds of gambling environments that are most consistent with safe play.     

Real Gender: Identity,Loss, and the Capacity to Feel Real

This article concerns gender and feeling real. Beginning with Judith Butler’s deconstruction of gender as an ontological category, it argues that the subjective experience of gender as real has been underaccounted for. By reviewing Butler’s work on gender melancholy and then elaborating psychoanalytic theories of identification and reality, this article links feeling real to the dual capacities to both separate from and connect with the object. To illustrate the implications for thinking gender identity and transformation, it concludes with a reading of Miles Walser’s poem about the name discarded in a gender transition.     

Barriers to the implementation of medication-assisted treatment for substance use disorders: the importance of funding policies and medical infrastructure

Despite growing interest in the use of evidence-based treatment practices, adoption of pharmacotherapies for treating substance use disorders (SUDs) remains modest. Using data from telephone interviews with 250 administrators of publicly funded SUD treatment programs, this study estimated a model of adoption of medication assisted treatment (MAT) for SUDs and examined the relative importance of regulatory, cultural, medical resource, patient-level, and funding barriers to MAT implementation. MAT-adopting programs had significantly greater medical resources, as measured by the employment of physicians and nurses, than non-adopting programs. Administrators of non-adopting programs were asked to rate the importance of 18 barriers to MAT implementation. The most strongly endorsed barriers were regulatory prohibitions due to the program's lack of medical staff, funding barriers to implementing MAT, and lack of access to medical personnel with expertise in delivering MAT. Barriers related to insufficient information about MAT and unsupportive staff attitudes were not widely endorsed. These findings suggest that efforts to promote the implementation of MAT that are inattentive to funding barriers and weaknesses in medical infrastructure may achieve sub-optimal results.     

Mesothelioma: Risk Apportionment Among Asbestos Exposure Sources

The mesothelioma epidemic in the United States, which peaked during the 2000–2004 period, can be traced to high‐level asbestos exposures experienced by males in occupational settings prior to the full recognition of the disease‐causing potential of asbestos and the establishment of enforceable asbestos exposure limits by the Occupational Safety and Health Administration (OSHA) in 1971. Many individuals diagnosed with mesothelioma where asbestos has been identified as a contributing cause of the disease have filed claims seeking compensation from asbestos settlement trusts or through the court system. An individual with mesothelioma typically has been exposed to asbestos in more than one setting and from more than one asbestos product. Apportioning risk for mesothelioma among contributing factors is an ongoing problem faced by occupational disease compensation boards, juries, parties responsible for paying damages, and currently by the U.S. Senate in its efforts to formulate a bill establishing an asbestos settlement trust. In this article we address the following question: If an individual with mesothelioma where asbestos has been identified as a contributing cause were to be compensated for his or her disease, how should that compensation be apportioned among those responsible for the asbestos exposures? For the purposes of apportionment, we assume that asbestos is the only cause of mesothelioma and that every asbestos exposure contributes, albeit differentially, to the risk. We use an extension of the mesothelioma risk model initially proposed in the early 1980s to quantify the contribution to risk of each exposure as a percentage of the total risk. The percentage for each specific discrete asbestos exposure depends on the start and end dates, the intensity, and the asbestos fiber type for the exposure. We provide justification for the use of the mesothelioma risk model for apportioning risk and discuss how to assess uncertainty associated with its application.     

What do midwives fear?

BackgroundThere is evidence that a significant number of women are fearful about birth but less is known about the fears of maternity health providers and how their fear may impact on the women they care for.AimThe aim of this study was to determine the top fears midwives in Australia and New Zealand hold when it comes to caring for childbearing women.MethodFrom 2009 to 2011, 17 workshops were held in Australia and New Zealand supporting over 700 midwives develop skills to keep birth normal. During the workshop midwives were asked to write their top fear on a piece of paper and return it to the presenters. Similar concepts were grouped together to form 8 major categories.FindingsIn total 739 fears were reported and these were death of a baby (n = 177), missing something that causes harm (n = 176), obstetric emergencies (n = 114), maternal death (n = 83), being watched (n = 68), being the cause of a negative birth experience (n = 52), dealing with the unknown (n = 36) and losing passion and confidence around normal birth (n = 32). Student midwives were more concerned about knowing what to do, while homebirth midwives were mostly concerned with being blamed if something went wrong.ConclusionThere was consistency between the 17 groups of midwives regarding top fears held. Supporting midwives with workshops such as dealing with grief and loss and managing fear could help reduce their anxiety. Obstetric emergency skills workshops may help midwives feel more confident, especially those dealing with shoulder dystocia and PPH as they were most commonly recorded.