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The article presents titles and abstracts of papers submitted at a meeting held in Cambridge, Massachusetts in 1938. The paper "The Sequent Occupance of a Boston Suburban Community," presented by Edward A. Ackerman focuses on areas surrounding the Boston metropolitan district. The proximity of a large city market, plots of level land and fertile soil determine the existence of these suburban fanning communities. The article "The Recession of Victoria Falls," by Wallace W. Atwood. The world famous falls on the Zainbesi have had a strange and remarkable history in recession. The gorge is serpentine with many curious off-shoots, and located on the floor of a broad and much older flat-bottomed valley. Today the water tumbles over a ledge, fully a mile in length, and into a very narrow chasm 350 ft. deep.

Background: The HEALing (Helping to End Addiction Long-termSM) Communities Study (HCS) is a multi-site parallel group cluster randomized wait-list comparison trial designed to evaluate the effect of the Communities That Heal (CTH) intervention compared to usual care on opioid overdose deaths. Covariate-constrained randomization (CCR) was applied to balance the community-level baseline covariates in the HCS. The purpose of this paper is to evaluate the performance of model-based tests and permutation tests in the HCS setting. We conducted a simulation study to evaluate type I error rates and power for model-based and permutation tests for the multi-site HCS as well as for a subgroup analysis of a single state (Massachusetts). We also investigated whether the maximum degree of imbalance in the CCR design has an impact on the performance of the tests.Methods: The primary outcome, the number of opioid overdose deaths, is count data assessed at the community level that will be analyzed using a negative binomial regression model. We conducted a simulation study to evaluate the type I error rates and power for 3 tests: (1) Wald-type t-test with small-sample corrected empirical standard error estimates, (2) Wald-type z-test with model-based standard error estimates, and (3) permutation test with test statistics calculated by the difference in average residuals for the two groups.Results: Our simulation results demonstrated that Wald-type t-tests with small-sample corrected empirical standard error estimates from the negative binomial regression model maintained proper type I error. Wald-type z-tests with model-based standard error estimates were anti-conservative. Permutation tests preserved type I error rates if the constrained space was not too small. For all tests, the power was high to detect the hypothesized 40% reduction in opioid overdose deaths for the intervention vs. comparison group both for the overall HCS and the subgroup analysis of Massachusetts (MA).Conclusions: Based on the results of our simulation study, the Wald-type t-test with small-sample corrected empirical standard error estimates from a negative binomial regression model is a valid and appropriate approach for analyzing cluster-level count data from the HEALing Communities Study.Trial Registration: ClinicalTrials.gov http://www.Clinicaltrials: gov ; Identifier: NCT04111939. [ABSTRACT FROM AUTHOR]

Background: The transition to the community after incarceration presents challenges for returning citizens, including the immediate need to secure housing, employment, and income. Additionally, health care is essential for this population due to high rates of chronic physical health and mental health problems and substance use disorders. There is growing recognition of the need for interventions that support returning citizens as they navigate community reintegration while simultaneously tending to physical and behavioral health needs. We developed and pilot tested a peer support intervention designed to provide social, emotional, and logistic support and promote linkage and engagement in healthcare for returning citizens. We tested the intervention with US military veterans in Massachusetts who were being released from prison and jail. Outcomes related to linkage to and engagement in healthcare were evaluated using an historical comparison group. Engagement in peer support, housing status, and reincarceration rates were monitored for the intervention group. Results: There were 43 veterans in the intervention group, and 36 in the historical comparison group. For linkage to primary care within 90 days of release, there were no statistically significant differences between the intervention and comparison groups (58% versus 67%). Intervention participants were significantly more likely to receive substance use treatment than the comparison group (86% versus 19%, p <.0001) and the mean monthly substance use visits was greater in the intervention group (0.96 versus 0.34, p <.007). Engagement in mental health services was greater for the intervention group than the comparison group (93% versus 64%, p <.003). There were no significant differences between groups for emergency department use and hospitalization. At the end of the study period, the majority of intervention participants who had been released for over a year were living in permanent housing (84%). Recidivism among the was low, with 7% re-arrested during the study period. Conclusions: Augmenting reentry support through intensive peer support appears to have substantial benefits for veterans in terms of engaging them in health care and contributing to their longer-term stability, including housing and recidivism. Flexible reentry support such as this intervention may be well suited to meet the widely varying needs of returning citizens. [ABSTRACT FROM AUTHOR]

Background: Despite efforts to ameliorate disparities in cancer care and clinical trials, barriers persist. As part of a multiphase community-engaged assessment, an exploratory community-engaged research partnership, forged between an academic hospital and a community-based organization, set out to explore perceptions of cancer care and cancer clinical trials by black Bostonians. Materials and Methods: Key informant interviews with health care providers and patient advocates in community health centers (CHCs), organizers from grassroots coalitions focused on cancer, informed the development of a focus group protocol. Six focus groups were conducted with black residents in Boston, including groups of cancer survivors and family members. Transcripts were coded thematically and a code-based report was generated and analyzed by community and academic stakeholders. Results: While some participants identified clinical trials as beneficial, overall perceptions conjured feelings of fear and exploitation. Participants describe barriers to clinical trial participation in the context of cancer care experiences, which included negative interactions with providers and mistrust. Primary care physicians (PCPs) reported being levied as a trusted resource for patients undergoing care, but lamented the absence of a mechanism by which to gain information about cancer care and clinical trials. Conclusions: Confusion about cancer care and clinical trials persists, even among individuals who have undergone treatment for cancer. Greater coordination between PCPs and CHC care teams and oncology care teams may improve patient experiences with cancer care, while also serving as a mechanism to disseminate information about treatment options and clinical trials [ABSTRACT FROM AUTHOR]

Background: Many people lack access to food stores that provide healthful food. Neighborhoods with poor supermarket access have been characterized as "food deserts" (as contrast with "food oases"). This study explored factors influencing food buying practices among residents of food deserts versus food oases in the city of Boston, USA. Methods: We used the mixed-methods approach of concept mapping, which allows participants to identify, list, and organize their perceptions according to importance. Resulting maps visually illustrate priority areas. Results: Sixty-seven low-income adults completed the concept mapping process that identified 163 unique statements (e.g. relating to affordability, taste, and convenience) that influence food buying practices. Multivariate statistical techniques grouped the 163 statements into 8 clusters or concepts. Results showed that average cluster ratings and rankings were similar between residents of food deserts and food oases. Conclusions: The implication of this study pertains to the importance of community resources and emergency food assistance programs that have served to minimize the burden associated with hunger and poor food access among low-income, urban populations. [ABSTRACT FROM AUTHOR]

Invasive species have tremendous detrimental ecological and economic impacts. Climate change may exacerbate species invasions across communities if non-native species are better able to respond to climate changes than native species. Recent evidence indicates that species that respond to climate change by adjusting their phenology (i.e., the timing of seasonal activities, such as flowering) have historically increased in abundance. The extent to which non-native species success is similarly linked to a favorable climate change response, however, remains untested. We analyzed a dataset initiated by the conservationist Henry David Thoreau that documents the long-term phenological response of native and non-native plant species over the last 150 years from Concord, Massachusetts (USA). Our results demonstrate that nonnative species, and invasive species in particular, have been far better able to respond to recent climate change by adjusting their flowering time. This demonstrates that climate change has likely played, and may continue to play, an important role in facilitating non-native species naturalization and invasion at the community level. [ABSTRACT FROM AUTHOR]

Communities are increasingly turning to local environmental institutions (LETs) to address unmet environmental challenges. Yet there has been very little empirical analysis of LETs, and we know surprisingly little about their origins. In this article, the authors use a rational choice framework to examine the incentives and disincentives communities face in deciding whether to establish LEIs. In particular, the authors study the decision of communities to adopt local wetlands bylaws under the Massachusetts Wetlands Protection Act. Using event history analysis, the authors find strong evidence that environmental need, economic attributes, and economic constraints have strong effects on the impulse of communities to adopt LEIs. [ABSTRACT FROM AUTHOR]

The article presents a review of mentally retarded residents. Data for a study of implications of reform in the state of Massachusetts were gathered through questionnaires that were sent to administrators of institutions, area program directors, directors of community evaluation and rehabilitation centers, associate area directors, area advisory boards and local affiliates of the State Association for Retarded Children. The study was designed to identify procedures for planning, organization and administration that were involved in implementing the 1970 legislation in Massachusetts that mandated periodic review and to evaluate these procedures against an integrated systems model linking programs for the mentally retarded in state schools to programs or resources in local communities. The periodic review mandated by law has not reached the goal of moving significant numbers of institutionalized residents into community settings. Insufficient manpower in conduct reviews and the inadequacy of community alternatives have tended to limit the number of individuals who could be released from institutions.