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Highlights the Homeland conference on the Eucharist held at Duke University in Durham, North Carolina, from April 17-19, 1998. Cluster of papers ranging over many aspects of the Eucharist and its ecclesial and biblical context; Exploration of the notion of transubstantiation; Dearth of detailed engagement with questions of Eucharistic rite and practice.

Previews papers presented at a forum on public management held during the tenth anniversary conference of the Institute of Policy Sciences at Duke University. Focus on the ethical dimensions of public management; Entrepreneurial perspective of public management; Ethical dilemmas of entrepreneurship; Need for an alternative, less amoral public management model.

Objectives To perform an economic evaluation of a primary care-based physical activity counseling intervention that improved physical activity levels and rapid gait speed in older veterans. Design Secondary objective of randomized trial that assessed the effect of exercise counseling (relative to usual care) on physical performance, physical activity, function, disability, and medical resource use and cost. Setting Veterans Affairs Medical Center, Durham, North Carolina. Participants Male veterans aged ≥70 years (n = 398). Intervention An experienced health counselor provided baseline in-person exercise counseling, followed by telephone counseling at 2, 4, and 6 weeks, and monthly thereafter through one year. Each participant's primary care physician provided initial endorsement of the intervention, followed by monthly automated telephone messages tailored to the patient. Individualized progress reports were mailed quarterly. Measurements Intervention costs were assessed. Health care resource use and costs were estimated from enrollment through one year follow-up. The incremental cost of achieving clinically significant changes in major trial endpoints was calculated. Results The total direct cost of the intervention per participant was $459, 85% of which was counselor effort. With overhead, program cost totaled $696 per participant. Medical costs during follow-up reached $10,418 with the intervention, versus $12,052 with usual care (difference = −$1,634 (95% confidence interval = −$4,683 to $1,416; P = .29)). Expressed in terms of short-term clinical outcomes, the intervention cost $4,971 per additional patient reaching target exercise levels, or $4,640 per patient achieving a clinically significant change in rapid gait speed. Conclusion Improvements in physical activity and rapid gait speed in the physical activity counseling group were obtained at a cost that represents a small fraction of patients' annual health care costs. [ABSTRACT FROM AUTHOR]

The creation and implementation of a Christian theological seminary course, "The Education of Christian Pilgrims," in which the purpose was to prepare students to teach members of a church to be and become a consciously "pilgrim Church." This article describes the genesis of the course, creating a syllabus, the actual pilgrimage undertaken by students and professor, and suggested modifications. [ABSTRACT FROM AUTHOR]

Profiles professor Matt Cartmill of Duke University in Durham North Carolina. Personal and educational background; Notion on the impact of physical anthropology on discipline; Views on the effects of technology particularly the Internet on information dissemination.

The relationship between a mother and an adult daughter is examined in a group of free-ranging ruffed lemurs (Varecia variegata) at the Duke University Primate Center (DUPC). Although the two females were affiliative during the birth season, interactions during the mating season were predominantly agonistic. The maturing daughter was dominant to the mother, as has been observed in many caged social groups at the DUPC. Although both mother and daughter produced offspring in the same group, the daughter subsequently aggressively evicted the mother from the enclosure. It was not possible to maintain more than one long-term resident breeding female in the same social group. This pattern contrasts with observations of affiliation among breeding females in the wild. [ABSTRACT FROM AUTHOR]

Milk expression was used to determine lactation length in three species of Galago at the Duke University Primate Center. Lactation length in G. senegaltensis moholi was significantly shorter than the lactation length of either G. garnettii or G. crassicaudatus, but lactation length did not differ between G. garnettii or G. crassicaudatus. Litter size had no significant effect on lactation length. The lactation lengths determined in this study are substantially longer than those reported by investigators who used observational techniques. These discrepancies may be partially explained by failure to observe nursing during the diurnal inactive period. [ABSTRACT FROM AUTHOR]

Eighteen years of birth records for three species of Galago at the Duke University Primate Center were examined to determine the effects of isolation of pregnant females on neonatal mortality rates. Isolation significantly decreased neonatal mortality rates in all three species over neonatal mortality rates in infants born to unisolated females. The frequency of cannibalism of infants did not differ between isolated and unisolated females. Secondary sex ratio differed significantly from 1:1 for all three species, but higher mortality in males in the first 10 days of life resulted in sex ratios that did not differ from 1:1 in G. garnettii and C crassicaudatus. [ABSTRACT FROM AUTHOR]

A loud call of the ruffed lemur (Varecia variegata) was analyzed for subspecific and gender differences according to four variables: pulse rate, median pulse duration, median high frequency, and median Low frequency. These vocalizations of black-and-white and red ruffed lemurs and one hybrid ruffed lemur were recorded at the Duke University Primate Center (Durham, NC). Significant differences were found between subspecies but not between the sexes. Quantitative differences in this loud call of ruffed lemur subspecies indicate that these prosimians exhibit subspeciation trends similar to anthropoid primates for which comparable data exist. Preliminary data are presented that support the hypothesis that the vocalization functions as a terrestrial predator alarm call. [ABSTRACT FROM AUTHOR]

A 1963 nonviolent mass demonstration for civil rights at Durham, N.C., is here described on the basis of interviews with participants, businessmen, and political figures. A utility model to help account for the personnel, form, and site of such a protest includes the processes of evolution, contagion, and reinforcement. [ABSTRACT FROM AUTHOR]

The article presents information on exercise-induced asthma (EIA). It states that EIA can occasionally lead to death, as recently reported of a star basketball player at North Carolina Central University, Durham, North Carolina. Although coaches and athletic trainers should be well aware of the existence of this condition and its possibly severe consequences, a survey of 49 high school coaches found that the only 24 percent of them had had some instruction on asthma and only 8 percent knew that EIA can be triggered by cold dry air.