GenPhilly: A Strategy for Improving the Sustainability of Aging in Community Initiatives

GenPhilly is an innovative, replicable model that was developed in Philadelphia, Pennsylvania, to inspire and engage emerging leaders from a variety of disciplines to promote and sustain an aging-in-community agenda. Administrative support is provided by the Area Agency on Aging, Philadelphia Corporation for Aging, yet it was designed by its members to be peer-led. In this way, young professionals in their 20s and 30s can capitalize on popular culture to create unique professional development opportunities and get younger generations thinking about the type of city in which they themselves want to get older. The group has benefited the field of aging by building awareness of aging services in the wider community; facilitating cross-disciplinary learning and innovation around aging issues; stressing the competitive advantage for emerging leaders from all fields to know about aging issues; strengthening the aging network workforce; breaking down stereotypes about working with older adults; and introducing expertise from outside the aging network to benefit older adults. Encouraging the development of similar groups will not only benefit the field of aging, it will assist the next generation of leaders in many fields to plan better for their communities and for themselves.     

Research on persistent pain in late life: current topics and challenges

Older women often experience pain in their daily lives. This article provides an overview of topics addressed in the geriatric pain research published between 1999 and 2004. New areas of emphasis of research have emerged such as the recognition of body mass and weight as a factor in persistent pain, while other areas have expanded, including the focus on pain among elders with cognitive impairments and the use of alternative treatment approaches. Understanding of pain in late life is hindered by study samples that lack diversity, treatment approaches that are narrowly focused, and a lack of attention to quality of life issues.     

Enhancing the midwife-woman relationship through shared decision making and clinical guidelines

The active and passive voice allocated to women within maternity service guidelines helps construct the nature of decision making. The aim of this paper is to demonstrate that by allocating women an active voice within practice guidelines serves the interest of all parties within the health care relationship. Clinical guidelines were reviewed, and electronic databases and text were searched. The findings of this paper support that applying the principles of a shared decision making framework, within clinical practice guidelines, can assist the development of a partnership relationship between midwives and women.     

Great Expectations: Voluntary Sports Clubs and Their Role in Delivering National Policy for English Sport

Voluntary sports clubs (VSCs) account for about a quarter of all volunteering in England. The volunteers work in a mutual aid, self-production, self-consumption system whose main purpose is identifying and nurturing high-level performers. But the new HMG/Sport England strategies leading to London 2012 expects volunteers to make a major contribution to sustaining and extending participation. The study utilized six focus group sessions with a total of 36 officials and members of 36 clubs across the six counties of Eastern England to assess whether and to what extent government policy objectives can be delivered through the voluntary sector. The study focused on the perceptions and attitudes of club members about being expected to serve public policy and the current pressures they and their clubs face. The results lead the authors to question the appropriateness, sensitivity, and feasibility of current sport policy, particularly the emphasis on VSCs as policy implementers.     

Transforming gender roles in domestic and caregiving work: preliminary findings from engaging fathers in maternal,newborn, and child health in Rwanda

This article draws on Promundo and RWAMREC's programmatic experiences in Rwanda of implementing MenCare+, a gender transformative approach to engaging young and adult men (ages 15–35) in caregiving, maternal, newborn, and child health, and sexual and reproductive health and rights. We present initial results from fathers' groups with more than 600 men, including the impact of participation in these groups on men's participation in care work. The results confirm the importance for practitioners' planning strategies to engage fathers to think beyond men's token participation in care work, to use father participation as an entry point to truly transform gender dynamics within the home. The article provides practical lessons learnt to guide other organisations interested in working with men to transform norms around fatherhood and care work.     

Family interventions in early psychosis service delivery: A systematized review

The objective of this study was to explore the development of family intervention in an early psychosis context. The role played by family members and friends in the recovery of individuals with early psychosis is extremely important, and there is a growing body of literature that reflects this. However, how mental health services can best support and utilize family and friends as a core component in recovery from early psychosis is not yet established. The methodology entailed a systematic review of the international literature. Results from the current review highlight the principles of family engagement, its effectiveness to enhance service user outcomes, the need to differentiate early psychosis psycho-education from that provided in enduring illness, and challenges in implementation. The number of studies generally, and the number explicitly articulating and trialling family interventions being used in practice, are limited. This seems to highlight that—although practice guidelines acknowledge the importance of family support—there are challenges in implementation of evidence-based practice principles in this area. Changes in policy and service delivery are recommended for programs and services to better achieve family-sensitive and family-inclusive practice as core business in mental health service delivery.     

A visual narrative analysis of children’s baby loss remembrance drawings

Children experiencing the death of baby brother or sister have reported individual, familial, and communicative challenges. Siblings also have indicated that the loss of a baby in their family enriched their lives despite their pain. The present study extends this work by focusing not only on siblings but also other children enmeshed in the family system. Additionally, we heed the call for the use of arts-based methods in family communication by performing a visual narrative analysis of children’s baby loss remembrance drawings. This analysis of 131 drawings completed by children ages zero to 18 yielded three main themes, including narration of identity, narration of life and death, and narration of growing sense-making. Two continua capture these themes, including the subject of narrativization and the mode of narrativization. In presenting these findings, we provide a unique (means of) understanding children’s experience of baby loss in the family.     

How does transnationalism affect the perceptions of discrimination among Dominicans,Puerto Ricans and Cubans?

Transnationalism provides first- and second-generation immigrants with a dual frame of reference that shapes perceptions of their experiences in the United States (USA). For Caribbean Latino/as, who are likely targets of racial and ethnic discrimination, transnational ties can impact their interpretations of discriminatory incidents. This study explores the relationship between transnationalism and perceptions of discriminatory experiences of 1,577 Caribbean Latino/as Dominicans (n = 335), Cubans (n = 420), and Puerto Ricans (n = 822). These Latino/as were selected from the 2006 Latino National Survey. Suggested by our study findings, after having controlled for demographic and immigration variables, transnational Caribbean Latino/as are more likely to perceive discrimination than those not maintaining transnational ties. We conclude with a discussion of the research and practice implications.     

Automated statistical methods for measuring the strength of block ciphers

A block cipher is one of the most common forms of algorithms used for data encryption. This paper describes an efficient set of statistical methods for analysing the security of these algorithms under the black-box approach. The procedures can be fully automated, which provides the designer or user of a block cipher with a useful set of tools for security analysis.