Correcting the Count: Improving Vital Statistics Data Regarding Deaths Related to Obesity

Obesity can involve any organ system and compromise the overall health of an individual, including premature death. Despite the increased risk of death associated with being obese, obesity itself is infrequently indicated on the death certificate. We performed an audit of our records to identify how often “obesity” was listed on the death certificate to determine how our practices affected national mortality data collection regarding obesity‐related mortality. During the span of nearly 25 years, 0.2% of deaths were attributed to or contributed by obesity. Over the course of 5 years, 96% of selected natural deaths were likely underreported as being associated with obesity. We present an algorithm for certifiers to use to determine whether obesity should be listed on the death certificate and guidelines for certifying cases in which this is appropriate. Use of this algorithm will improve vital statistics concerning the role of obesity in causing or contributing to death.     

The Centrality of Theory in Modern Day Crime Prevention: Developments,Challenges, and Opportunities

Theory matters in crime prevention. Indeed, but this is hardly the full story. Crime prevention is oftentimes viewed as atheoretical—not grounded in the etiology of crime and offending. Reasons abound for this view, and the recent interest in an evidence-based approach to policy-making has been at the forefront. This article reviews the role that theory plays in modern day crime prevention, with a special focus on the three main crime prevention strategies: developmental, community, and situational. The review identifies a number of key challenges and opportunities for making theory more central to crime prevention. It suggests that the classification system employed in situational crime prevention has allowed for a more explicit connection between sound theory and prevention techniques, and may provide important lessons for developmental and community crime prevention.     

Mighty Morphin’ age progression: how artist,age range,and morphing influences the similarity of forensic age progressions to target individuals

When children go missing, authorities sometimes release age progressed images that are intended to approximate the person's current appearance. The current studies measured the influence of the range between the time when the child went missing and the age portrayed in the age progression on the similarity between the progressions and current images of the targets. Experiment 1 examined whole face images and Experiment 2 examined internal features only. Eight artists were recruited to produce progressions at three age ranges. Also included were averaged (morphed) images made of progressions of the same individual at a given range by different artists. Progressions across shorter ranges produced images more similar than those across longer ranges, and target comparisons yielded higher similarity ratings than foil comparisons. Although there was much variability among artists, the morphed images performed better than the average rating given to all age progressions.     

Return to Work for Healthcare Professionals with Substance Use Disorders: Clinical, Legal, and Ethical Challenges

Occupational health providers (OHPs) and other clinicians who assess readiness to work have a difficult task in assessing return to work for healthcare professionals (HCPs) with substance use disorders (SUDs). About 10 to 15 % of HCPs will misuse drugs or alcohol at some time in their career, yet they are often reluctant to seek help. This paper reviews the clinical challenges of assessing SUDs in HCPs, including risk factors, prognosis, and limited evidence base for work restrictions. Furthermore, ethical and legal challenges throughout the return to work process are reviewed for stakeholders such as HCPs with SUDs, OHPs, other providers, employers, and the public at large. Suggestions are made for stakeholders, particularly for OHPs and other providers, who are navigating this complex environment.     

Early Intervention with Compensated Lower Back-Injured Workers at Risk for Work Disability: Fixed versus Flexible Approach

Low back pain (LBP), a leading cause of disability, has been linked with profound economic, personal, and social costs (Hills 2006; World Health Organization 2003). This significant effect propels research in identifying modifiable risk factors that protract LBP; these factors can be targeted in early intervention (EI) (Pransky, Journal of Occupational & Environmental Medicine, 49(3):249–251, 2007; Schultz et al., Journal of Occupational Rehabilitation, 17:327–352, 2007, Journal of Occupational Rehabilitation, 18(2), 140–151, 2008; White et al. 2013). This randomized controlled study evaluated the effectiveness of two approaches, fixed versus flexible, in delivering proactive, interdisciplinary EI with 63 workers within a workers' compensation interdisciplinary case management setting (i.e., WorkSafeBC, Canada). Off-work 4 to 10 weeks post-back injury, the workers were also at risk of protracted work disability (N?=?24 at high risk; N?=?39 at moderate risk). Fixed, protocol-driven, interdisciplinary, multimodal, clinical, occupational, and case management-based EI was compared with a flexible, individual need-driven EI with the same modalities as the fixed approach. Results showed a significant narrowing of the outcome gap between the two interventions. High-risk injured workers tended to benefit more from a fixed, protocol-driven approach, as shown in the pilot study (Schultz et al. Journal of Occupational Rehabilitation, 18(2), 140–151, 2008). The results indicated that moderate-risk workers benefitted from a more flexible, need-based, individual, and low-intensity approach as compared with a fixed approach. The flexible approach for moderate-risk workers was also less costly and consumed fewer rehabilitation and health care resources. Recommendations for future research and practice included larger sample sizes, controllability of research interventions, risk for disability-EI matching, and conditions under which a flexible delivery of multimodal EI is more efficacious than a fixed approach, and vice versa.     

Radical exclusions,empty signifiers and an anti-war genre

Ernesto Laclau argues that Saussurean structural linguistics is one framework necessary for a post-Marxist understanding of political identities and new social movements. Disrupting the distinction between the discursive and the political, he provides insight into the formal properties of identity, difference, universality and particularity. However, this disruption means that his work is relevant not only to political theory per se but has retroactive value for understanding semiotics and signification. By considering methodological problems encountered during an analysis of an anti-war poster genre, this essay suggests that Laclau's concept of empty signifiers enables a novel understanding of genre. His schema complements approaches that emphasize the analysis of content and the analysis of audience reception, broadly conceived. Between the poles of content and reception, there are structural or relational properties enabling the contingent stability and meaningfulness of genre. These properties include the differential nature of a genre's identity, and a genre's discursive reliance on a radical exclusion.     

Nepali fuelwood production and consumption: Regional and household distinctions,substitution and successful intervention

This article uses household data from Nepal's two major populated regions (and 27 of 59 districts within those regions) to examine fuelwood consumption and production. In contrast with a purely market assessment, household analysis includes production which is consumed in the producing household. The household regressions yield coefficients and elasticities that are very different from and more reliable than a comparable assessment of market demand and supply. Household results generally support the hypotheses that expenditures on fuelwood are a small share of total household activity and that fuelwood is not sufficiently scarce to alter household behaviour. Fuelwood is sufficiently scarce, however, to alter behaviour for those households in the hill region that do not participate in market exchange. These households may be the best targets for public market interventions designed to alter fuelwood supply and deforestation.     

Exporting and importing criminality: Incarceration of the Foreign Born

Since previous studies have found that crime rates vary by immigrant group there is a need to dis‐aggregate immigrants by country of birth in order to obtain a more accurate representation of the relationship between migrants and crime. This study examines data from six countries (Australia, Canada, France, Italy, the Netherlands, and the U.S.A.) on the country of birth of their inmate populations. The following observations are reasonable conclusions from the data available. First, the percentages of each home country's inmate population that is foreign‐born varies remarkably. Second, in general foreign‐born inmates tend to come from regions outside the region within which the host country was located, though in most cases from regions that were proximate. Third, given the small number of countries reporting, it is intriguing that just a small number of countries and regions can account for such a high proportion of a home country's inmate population if one includes the numbers of a country's citizens who are housed in foreign prisons as part of that original country's inmate population. The paper concludes with a discussion of a number of policy implications that flow from these findings.     

The Effect of Transparency on Trust in Government: A Cross‐National Comparative Experiment

Transparency is considered a key value for trustworthy governments. However, the effect of transparency on citizens’ trust across national cultures is overlooked in current research. This article compares the effect of transparency on trust in government in the Netherlands and South Korea. The effect is investigated in two similar series of three experiments. The authors hypothesize that the effect of transparency differs because the countries have different cultural values regarding power distance and short‐ and long‐term orientation. Results reveal similar patterns in both countries: transparency has a subdued and sometimes negative effect on trust in government. However, the negative effect in South Korea is much stronger. The difference in the magnitude of transparency's effect suggests that national cultural values play a significant role in how people perceive and appreciate government transparency.