Canadian "medical necessity" and the right to health

In this article, Kathryn Garforth examines legal claims to health care in South Africa and Canada. Both countries face rising costs of health care that put a great strain on publicly funded systems, albeit in radically different contexts. Kathryn argues that despite these differences there are similarities in how litigants in South Africa and Canada have framed their claims to healthcare services, in how governments have responded, and in the factors courts have analyzed in reaching decisions. In South Africa, the leading case is Treatment Action Campaign (TAC) et al v Minister of Health et al, a constitutional challenge, while in Canada the relevant jurisprudence concerns the interpretation of the concept of medical necessity, articulated for the most part in non-constitutional cases.     

Central Weakness and Provincial Autonomy: Observations on the Devolution Process in Russia

A specialist on regional politics and center-periphery relations in the Russian Federation examines the process of devolution of authority from Moscow to the regions in the 1990s. A discussion of the process by which federal treaties were negotiated is followed by an examination of types of de facto policy autonomy that have emerged at the regional level by default. Research sources include Russianlanguage documents and interviews with a range of central and regional officials. There follows a discussion of the impact on the devolution process of the institutional structure of the Russian state.     

The IPV-WDA: Developing an Abusive Workplace Disruptions Assessment Using Item Response Theory

Intimate partner violence (IPV) is a pervasive public health problem impacting millions of women, families, and employers each year. Abusive partners purposively sabotage survivors’ employment to maintain control over them. While previous scales have been developed to measure the impact of IPV on work and economic stability, the current study creates and pilot tests a technology-inclusive measurement of workplace disruptions for survivors of IPV. It was hypothesized that statistical analysis would produce subscales of poor workplace performance and employment instability. The 34-item Intimate Partner Violence and Workplace Disruptions Assessment (IPV-WDA) developed for this study is based on individual interviews with IPV survivors, consultations with expert scholars and advocates, and comparisons of items with existing measurements. The current study used item response theory (IRT-Rasch model) to develop and pilot test the IPV-WDA with a sample of intimate partner violence survivors (N?=?41) who had been employed while experiencing abuse. The IPV-WDA showed unidimensionality, high reliability, and validity, as well as items that ranged from common to severe experiences. All items provided unique information on survivors’ experiences of workplace disruptions indicating they should be retained. Based on findings of overall reliable and valid performance, the technology inclusive and comprehensive IPV-WDA should be used in future research. Specifically, researchers should prioritize using it with larger samples so that individual item findings can shape the conceptualization of abusive workplace disruptions and be the target of future intervention research.

     

Portraying history and heroism in Rebecca West's The sentinel

Rebecca West's early interest in the suffragette movement gives us a strong sense of her development as a writer and feminist thinker, as her feminist perspective shifts from impassioned and enthusiastic supporter of the suffragettes in her incomplete novel, The Sentinel, to the more measured assessments in her early journalism. This article discusses some of the ways in which the imagery, iconography and militant discourse of suffragette writing and public speaking shaped the imagination of the young Rebecca West. It also shows how her celebration of female heroism in The Sentinel, often conveyed through detailed depictions of the women she admired, creates a vivid and informed version of feminist history.     

Parole release decisions revisited: An analysis of parole release decisions for violent inmates in a southeastern state

In an attempt to discover the major predictors of parole decision-making in one southeastern state, this study examined the cases of 762 inmates under the supervision of the Alabama Department of Corrections who were eligible for parole from June 1, 1993 through May 31, 1994. Of the 762 eligible inmates, only 138 (18 percent) were granted parole. Using parole disposition (granted or denied) as the dependent variable, this study investigated the offense, offender, and general parole variables and their impact on parole decisions. Logistic regression findings indicated that the strongest predictors of parole release decisions were the length of the original sentence assessed for the offense, the total number of felonies for which the inmate was serving time, and the warden and senior officers' recommendations. These variables, which were also significant at the bivariate level of analysis, explained approximately 47 percent of the variation in the dependent variable. A major concern of the study was the generalizability of the findings.