Supporting Joint Effort

2021 ◽  
Vol 43 ◽  
pp. 131-143
Author(s):  
Meenakshi Mannoe

In 2018, several members of Joint Effort, a solidarity group rooted in principles of prison abolition and anti-carceral feminism, gathered to share their work. Current restrictive policies being imposed by the Correctional Service of Canada have meant that Joint Effort’s valuable inreach services at the Fraser Valley Institution for Women are being eradicated through bureaucratic requirements. The current clearance system requires that members of Joint Effort submit to an invasive screening process, in order to obtain permission to enter the correctional site. This article explores the roots of abolitionist organizing in Canada, the importance of prison inreach, and the ways that correctional bodies stymie prisoner support and solidarity movements. Several suggestions for community-based responses are described, as the clearance issue impacts any allies who support people held in detention facilities across Canada.

Author(s):  
Hannah E. Britton

Recently in South Africa, social problems such as gender-based violence are interpreted primarily as legal issues that may be ameliorated by carceral solutions. These approaches are appealing because political leaders know how to set sentencing guidelines, monitor arrests, and track prosecutions. Yet what the postapartheid case underscores is that such reactive approaches are woefully inadequate to address the complexity of violence that individuals, families, and communities face. The service providers in this project argue that the prevention of gender-based violence starts with community-based approaches. When communities are strengthened, leaders are better able to foster social transformation. Service providers are calling for a broader understanding of the upstream solutions to address all forms of violence and to uproot the legacies of violence and oppression.


2021 ◽  
Author(s):  
Elizabeth J Siembida ◽  
Holli A Loomans-Kropp ◽  
Irene Tami-Maury ◽  
David R Freyer ◽  
Lillian Sung ◽  
...  

Abstract Background Although it is well documented that adolescents and young adults (AYAs) with cancer have low participation in cancer clinical trials (CCTs), the underlying reasons are not well understood. We utilized the NCI Community Oncology Research Program (NCORP) network to identify barriers and facilitators to AYA CCT enrollment, and strategies to improve enrollment at community-based and minority/underserved sites. Methods We performed one-on-one semi-structured qualitative interviews with stakeholders (NCORP Site Principle Investigators, NCORP Administrators, Physicians involved in enrollment, Lead Clinical Research Associates or Clinical Research Nurses, Nurse Navigators, Regulatory Research Associates, Patient Advocates) in the AYA CCT enrollment process. NCORP sites that included high- and low-AYA enrolling affiliate sites and were diverse in geography and department representation (eg, pediatrics, medical oncology) were invited to participate. All interviews were recorded and transcribed. Themes related to barriers and facilitators and strategies to improve enrollment were identified. Results We conducted 43 interviews across 10 NCORP sites. Eleven barriers and 13 facilitators to AYA enrollment were identified. Main barriers included perceived limited trial availability and eligibility, physician gatekeeping, lack of provider and research staff time, and financial constraints. Main facilitators and strategies to improve AYA enrollment included having a patient screening process, physician endorsement of trials, an “AYA champion” on site, and strong communication between medical and pediatric oncology. Conclusions Stakeholders identified several opportunities to address barriers contributing to low AYA CCT enrollment at community-based and minority/underserved sites. Results of this study will inform development and implementation of targeted interventions to increase AYA CCT enrollment.


Author(s):  
Aldo Laudi

This chapter presents a case of a centralised and collaborative approach to interoperability in public administration: SEMIC.EU, the Semantic Interoperability Centre Europe.SEMIC.EU is a horizontal measure of the European Commission implemented with the primary purpose of enhancing semantic interoperability in public administrations and projects across Europe. The European Commission service calls on projects and individuals alike to share their solutions for semantic interoperability (so called “assets”) or to find them through a joint effort. A standardised clearing process governs the evolution of the contributed data models, XML schemas, code lists and ontologies and gives guidance to potential re-users.The chapter argues that especially at a high level of administration like the European one, the guiding principles for common solutions to semantic interoperability coordination must be. exchange of existing practices and community-based negotiation of purposes and meanings.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 10540-10540
Author(s):  
Roger Kim ◽  
Katharine A. Rendle ◽  
Christine Neslund-Dudas ◽  
Robert T. Greenlee ◽  
Andrea N. Burnett-Hartman ◽  
...  

10540 Background: In the NLST and NELSON trials, most low-dose CT (LDCT) screen-detected lung cancers were not diagnosed during the first round of screening, suggesting that longitudinal adherence to lung cancer screening (LCS) recommendations is key. Adherence was as high as 95% in clinical trials, but limited data exist regarding LCS adherence in clinical practice. We aimed to determine adherence to Lung-RADS recommendations among community-based patients undergoing LCS. Methods: We performed a multicenter retrospective cohort study of patients screened for lung cancer at healthcare systems within the Lung Population-based Research to Optimize the Screening Process (PROSPR) Consortium. We included 55-80 year-old current or former smokers who received a baseline (T0) LDCT with a Lung-RADS score between January 1, 2015 and September 30, 2017 and excluded patients who were diagnosed with lung cancer prior to the T0 scan. Over a 24-month period, we calculated the proportion of patients adherent to Lung-RADS recommendations and evaluated associations with patient-level (age, sex, race, ethnicity, smoking status, body mass index, Elixhauser comorbidities, year of T0 scan, and Lung-RADS score) and census tract (median family income, level of education) data, using multivariable logistic regression with mixed effects to account for site variability. Results: Of the 6,723 patients in our cohort (median age 65 years [IQR 60-69]; 45.1% female; 73.0% white; 59.0% current smokers), 5,583 (83.0%) had Lung-RADS 1 or 2 T0 scans, 733 (10.9%) Lung-RADS 3, 274 (4.1%) Lung-RADS 4A, and 133 (2.0%) Lung-RADS 4B or 4X. Overall, 55.2% (3,709/6,723) of patients were adherent (Table). In the final multivariable model, Black patients had reduced adherence compared to white patients (adjusted odds ratio [aOR] 0.79, 95% CI 0.66-0.94), while greater adherence was observed in former smokers compared to current smokers (aOR 1.33, 95% 1.19-1.49). Compared to individuals with a negative T0 scan (Lung-RADS 1 or 2), those with Lung-RADS 3 (aOR 1.56, 95% CI 1.31-1.86), 4A (aOR 1.63, 95% CI 1.24-2.15), or 4B/4X (aOR 3.59, 95% CI 2.30-5.60) T0 scans had greater odds of adherence. Conclusions: In the largest study of real-world patients receiving LCS to date, adherence to Lung-RADS recommendations is lower than previously observed in clinical trials. Our results highlight the need for further study of system-level mechanisms to improve longitudinal LCS adherence rates.[Table: see text]


2019 ◽  
Vol 48 (4) ◽  
pp. 421-442 ◽  
Author(s):  
Anna Terwiel

In recent years, critiques of “carceral feminism” have proliferated, objecting to feminist support for punitive policies against sexual and gendered violence that have contributed to mass incarceration. While the convergence of feminist and antiprison efforts is important, this essay argues that critiques of carceral feminism are limited insofar as they present a binary choice between the criminal legal system and informal community justice practices. First, this binary allows critics to overlook rather than engage feminist disagreements about the state and sexual harm. Second, the narrow focus on alternative solutions to harm obscures the plural and contested nature of prison abolition, which may include efforts to seize the state and to problematize carceral logics. Drawing on Michel Foucault, alongside Angela Davis and other contemporary prison abolitionists, I suggest that feminist prison abolition is better served by envisioning a spectrum of decarceration.


2002 ◽  
Vol 17 (S2) ◽  
pp. S48
Author(s):  
Robyn R. M. Gershon ◽  
Kristine A. Qureshi ◽  
Stephen S. Morse ◽  
Marissa A. Berrera ◽  
Catherine B. Dela Cruz

1999 ◽  
Vol 63 (12) ◽  
pp. 969-975 ◽  
Author(s):  
WR Cinotti ◽  
RA Saporito ◽  
CA Feldman ◽  
G Mardirossian ◽  
J DeCastro

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