From a national elite to the global elite: Possibilities and problems in scaling up.

This research note highlights emerging findings that speak to the challenges of joining the transnational elite, particularly for those coming from the Global South. For a longitudinal study of wealth inheritors becoming more transnational via their educational paths, we spoke with 16 young people who were all in their early 20s and primarily from economic elite families in the Global South. Some participants had clear ambitions, while others were less sure about their future, wondering where they should move and what they should do when they got there.

Overcoming poor attendance to first scheduled colonoscopy: a randomized trial of peer coach or brochure support.

Objectives: Among patients unlikely to attend a scheduled colonoscopy, we examined the impact of peer coach versus educational brochure support and compared these with concurrent patients who did not receive support.

Methods: From health system data, we identified 275 consecutive patients aged >50 who kept <75% of visits to 4 primary care practices and scheduled for a first colonoscopy from February 1, 2005 to August 31, 2006. Using block randomization, we assigned consenting patients to a phone call by a peer coach trained to address barriers to attendance or to a mailed colonoscopy brochure.