Hawai'i, from ashes to sustainability.

Driven by fierce winds and dry, hot conditions, the fire that consumed Maui's Lahaina-the deadliest US fire in more than a century-is a sad, stark reminder of the environmental pressures on the Hawaiian islands caused by overdevelopment and industrial tourism. As Maui emerges from the ashes, there is an opportunity to reimagine the governance of habitats through sustainable and equitable processes that preserve Hawai'i's natural beauty, with a less destructive, green economy that centers on ecotourism and Indigenous environmental management.

Epigenetic age associates with psychosocial stress and resilience in children of Latinx immigrants.

To investigate associations of psychosocial stressors and resilience factors with DNA methylation age in the saliva of Latinx children of immigrants before and after the 2016 presidential election (2015-2018). We compared psychosocial exposures with four distinct measures of epigenetic age assessed in the saliva of children (6-13 years, n = 71 pre-election; n = 35 post-election). Exploratory genome-wide analyses were also conducted.

Social epigenomics: are we at an impasse?

Social scientists have placed particularly high expectations on the study of epigenomics to explain how exposure to adverse social factors like poverty, child maltreatment and racism - particularly early in childhood - might contribute to complex diseases. However, progress has stalled, reflecting many of the same challenges faced in genomics, including overhype, lack of diversity in samples, limited replication and difficulty interpreting significance of findings. This review focuses on the future of social epigenomics by discussing progress made, ongoing methodological and analytical challenges and suggestions for improvement.

From Particularities to Context: Refining Our Thinking on Illness Narratives.

This paper examines how illness narratives are used in medical education and their implications for clinicians' thinking and care of patients. Ideally, collecting and reading illness narratives can enhance clinicians' sensitivity and contextual thinking. And yet these narratives have become part of institutionalizing cultural competency requirements in ways that tend to favor standardization.