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Three legibility factors were studied, using reading speed, comprehension and two other variables as criteria; these proved to be uncorrelated, raising questions concerning the meaning of "Legibility."

<b><i>Background/Aims:</i></b> Recent genomic medicine initiatives underscore the importance of including diverse participants in research. Considerable literature has identified barriers to and facilitators of increasing diversity, yet disparities in recruiting and retaining adequate numbers of participants from diverse groups continue to limit the generalizability of clinical genomic research. <b><i>Methods:</i></b> The North Carolina Clinical Genomic Evaluation by Next-gen Exome Sequencing study employed evidence-based strategies to enhance the participation of under-represented minority patients. In this study, we evaluate the impact of our efforts by systematically analyzing the "cascade" of attrition of participants throughout study interactions. <b><i>Results:</i></b> Although successful in recruiting a cohort that included ~30% non-Caucasian patients overall, the study still enrolled and retained a lower proportion of minorities compared to the pool of eligible patients who were nominated. We evaluated sociodemographic characteristics and related variables as potential factors associated with attrition throughout these phases of the study. <b><i>Conclusions:</i></b> These results suggest that varied approaches will be needed to increase participation in genomic medicine research. Our findings highlight factors to consider when developing strategies to address this critical need. Failing to include a broad range of populations in research studies will exacerbate existing disparities in the translation of genomic sequencing to medical care.

The Genetics in Primary Care (GPC) project is a USA national faculty development initiative with the goal of enhancing the training of medical students and primary care residents by developing primary care faculty expertise in genetics. Educational strategies were developed for the project by an executive committee with input from an advisory committee, comprising individuals with primary care, medical education and genetics expertise. These committees identified the key issues in genetics education for primary care as (1) considering inherited disease in the differential diagnosis of common disorders; (2) using appropriate counseling strategies for genetic testing and diagnosis, and (3) understanding the implications of a genetic diagnosis for family members. The group emphasized the importance of a primary care perspective, which suggests that the clinical utility of genetic information is greatest when it has the potential to improve health outcomes. The group also noted that clinical practice already incorporates the use of family history information, providing a basis for discussing the application of genetic concepts in primary care. Genetics and primary care experts agreed that educational efforts will be most successful if they are integrated into existing primary care teaching programs, and use a case-based teaching format that incorporates both clinical and social dimensions of genetic disorders. Three core clinical skills were identified: (1) interpreting family history; (2) recognizing the variable clinical utility of genetic information, and (3) acquiring cultural competency. Three areas of potential controversy were identified as well: (1) the role of nondirective counseling versus shared decision-making in discussions of genetic testing; (2) the intrinsic value of genetic information when it does not influence health outcomes, and (3) indications for a genetics referral. The project provides an opportunity for ongoing discussion about these important issues.

Recent high-profile analyses of trajectories and prognoses of ecosystem decline around the world have called for a renewed focus on embedding the values of the natural world across all areas of public policy. This paper reports the results of a UK-based deliberative process involving experts from a wide range of policy domains and across societal sectors: government departments, associated agencies, national and international NGOs, professional institutions, academia and independent experts. A symposium, based on a collaborative learning approach, explored instances in which ecosystem values have successfully been embedded into public policy, identified challenges to their more widespread embedding despite commitments to do so over generational timescales, and took a backcasting approach to develop actionable outcomes required to deliver transformation change across state and civil society. Emergent themes were expressed in social, technological, environmental, economic and political terms. Recommendations for interventions in complex social-ecological systems are cross-sectoral in scope and will necessarily entail multiple agents of change, well beyond governmental leadership, within any given sphere of societal activity and interest. We identify strategic challenges for, and between, a spectrum of societal policy areas, many currently overlooking ecosystem dependencies, impacts and potential benefits. Reflections on the collaborative learning approach are also provided.

Frontmatter -- Contents -- Acknowledgments -- Introduction -- PART ONE. THINKING ABOUT RELIGION AND CULTURE -- Cultural Production and New Terrain: Theology, Popular Culture, and the Cartography of Religion -- Response -- Tracings: Sketching the Cultural Geographies of Latino/a Theology -- Response -- PART TWO. CONSTRUCTING BODIES AND REPRESENTATION -- Memory of the Flesh: Theological Reflections on Word and Flesh -- Response -- Using Women: Racist Representations and Cross-Racial Ethics -- Response -- PART THREE. LITERATURE AND RELIGION -- This Day in Paradise: The Search for Human Fulfillment in Toni Morrison's Paradise -- Response -- Freedom Is Our Own: Toward a Puerto Rican Emancipation Theology -- Response -- PART FOUR. MUSIC AND RELIGION -- The Browning of Theological Thought in the Hip-Hop Generation -- Response -- The Theo-poetic Theological Ethics of Lauryn Hill and Tupac Shakur -- Response -- PART FIVE. TELEVISION AND RELIGION -- TV "Profits": The Electronic Church Phenomenon and Its Impact on Intellectual Activity within African American Religious Practices -- Response -- Telenovelas and Transcendence: Social Dramas as Theological Theater -- Response -- PART SIX. VISUAL ARTS AND RELIGION -- Response -- The Theological Significance of Normative Preferences in Visual Art Creation and Interpretation -- Response -- PART SEVEN. FOOD AND RELIGION -- She Put Her Foot in the Pot: Table Fellowship as a Practice of Political Activism -- Response -- The Making of Mexican Mole and Alimentary Theology in the Making -- Response -- Bibliography -- Contributors -- Index