Evaluating the Potential for Unintentional Occupational Exposure to Fentanyl and Fentanyl Analogues Among Medicolegal Death Investigators and Autopsy Technicians

Recent increases in deaths in the United States from synthetic opioids such as fentanyl and fentanyl analogues (fentanyls) have raised concerns about possible occupational exposures to these potent agents. Medicolegal death investigators and autopsy suite staff might perform job tasks involving exposure to fentanyls. The potential for exposure to fentanyls among medicolegal death investigators and autopsy technicians at a state medical examiner's office was evaluated through review of caseload characteristics, injury and illness logs, and procedures and policies and discussions with management and employee representatives. The evaluation showed that this medical examiner's office had low potential for work-related exposure to fentanyls; its standard operating procedures and personal protective equipment requirements should reduce the potential for occupational exposure. Medicolegal death investigation agencies can develop and implement guidance to control exposures and provide workforce education and training to reduce the potential for work-related exposure to fentanyls.     

Comparing Sexual-Minority and Heterosexual Young Women’s Friends and Parents as Sources of Support for Sexual Issues

The present study provides a comparative analysis of sexual-minority and heterosexual emerging adult women’s experiences seeking support for sexual issues from parents and friends. Participants included 229 college women (88 sexual-minority women; 141 heterosexual women), ranging from 18 to 25 years of age, who provided written responses to an inquiry about a time they went to friends and parents for support for a issue related to their sexuality. Responses indicated that the majority of participants had sought support from either a parent or a friend and that mothers and female friends were more likely involved than fathers or male friends, respectively. Sexual issues that participants reported discussing with parents and friends were inductively grouped into five categories: dating and romantic relationships, sexual behavior, sexual health, identity negotiation, and discrimination and violence. Issues that were discussed differed based on sexual orientation identity and the source of support (parent or friend); they did not differ by age. Participants generally perceived parents and friends’ responses as helpful, though sexual-minority participants perceived both parents and friends’ responses as less helpful than did heterosexual participants. Overall, results suggest both similarities and differences between sexual-minority and heterosexual young women’s experiences seeking support for sexual issues from parents and friends.     

Changing knowledge and perceptions of African indigenous vegetables: the role of community-based nutritional outreach

African indigenous vegetables (AIVs) have potential to sustainably address malnutrition, a growing problem in sub-Saharan Africa. Their consumption is however, limited by poor perceptions and lack of awareness of nutritional benefits. There is limited evidence of the effectiveness of community-focused information dissemination approaches in influencing participants’ perceptions and uptake of innovations in AIVs to address malnutrition. This article aims to fill this knowledge gap, using a case study focusing on pastoral communities in Monduli district in northern Tanzania. Target communities participated in a community-based nutritional outreach facilitated by the Good Seed Initiative (GSI), held at Monduli district hospital in September 2014. The results provide evidence of the achievements of the GSI intervention, and the effectiveness of alternative information dissemination approaches.     

The military dimension of Russia’s connection with Europe

The Russian challenge to the European security system is internal rather than external, because despite all the political efforts at distancing Russia from Europe, the indivisibility remains undiminished. The underlying assumption for Russia’s course is that the West is in irreversible decline, and the conclusion about the dissolution of the West-controlled world order is established in the key doctrinal documents. Instead of passively waiting for this meltdown to develop, it makes perfect sense for the Russian leadership to accelerate it pro-actively, using various levers, including military force. Moscow acts on the assumption that its “unconventional” methods could yield results only if augmented by military threats, against which the Europeans cannot master convincing counter-argument. The imperative to sustain and update credibility of these threats necessitates allocation of greater share of available resources to military build-up, which clashes with economic rationale of reducing this burden in the situation of protracted stagnation.     

Towards an evidence-based approach to communicating uncertainty in intelligence analysis

Intelligence products have a degree of uncertainty associated with them. This is typically expressed using linguistic probabilities (e.g., ‘likely’), and some organizations have adopted standardized lexicons for communicating uncertainty. This paper empirically shows that intelligence analysts use a wide heterogeneity of language to communicate uncertainty. This does not include all of the phrases in standardized lexicons used by the intelligence community. In addition, analysts may use some phrases differently to that advocated. Miscommunication of uncertainty can have deleterious effects on decision-making, and so standardization of uncertainty communication should be evidence-based. This paper discusses ways in which such evidence can be generated.     

Rule growth and government effectiveness: why it takes the capacity to learn and coordinate to constrain rule growth

This paper asks whether strong bureaucracies can effectively constrain the continuously growing stock of rules in modern democracies through organizational coordination and learning. To answer this question, the paper analyzes the growth of rule stocks in the areas of environmental policy and social policy in 23 OECD countries over the period between 1976 and 2005. To do so, it develops a new measure of rule growth based on the content of laws and regulations rather than their length. The analysis highlights that effective bureaucracies are indeed better able to contain rule growth in these areas than weak bureaucracies. Since rules have to be implemented, countries suffering from bureaucratic capacity and quality constraints thus appear to be stuck in an implementation deficit trap. Appropriate implementation is not only inherently more challenging for countries with weak public administrations, but the body of rules to be implemented also tends to grow quicker in these countries.     

The European Court of Justice and its political impact

This article reviews recent advances in the study of the European Court of Justice (ECJ) and its political impact at the European and member state levels. New quantitative as well as qualitative analyses show with great empirical precision that member state preferences guide the Court. The article summarises these findings, but argues that greater attention needs to be given to the (over-)constitutionalisation of EU law in order to fully capture the political impact of ECJ jurisprudence. Even if European judges are less activist than is often assumed and individual decisions are more restrained in the face of member state opposition, incrementally, case law evolves in a highly expansive fashion. And, exercising caution regarding unrealistic expectations about quasi-deterministic judicial law-making, it is found that the Court’s constitutionalised jurisprudence impacts heavily on European and member state policy-making.     

Marx,Engels, and Ecology*

The following is a brief survey of Marx and Engels’ views on ecology, from the viewpoint of their relevance for 21th-century ecosocialism. While there are some serious limitations in the way both consider the “development of productive forces,” there are powerful insights in their discussion of the destructive consequences of capitalist expansion for the environment—an expansion that generates a disastrous metabolic rift in the exchanges between human societies and nature. Some ecological Marxists distinguish between “first stage ecosocialists”—who believe that Marx analyses on ecological issues are too incomplete and dated to be of real relevance today—and “second stage ecosocialists,” who emphasize the contemporary methodological significance of Marx’s ecological critique of capitalism. This paper tries to argue for a third position (which probably could be accepted by several people of the two groups above): Marx and Engels’ discussion on ecological issues is incomplete and dated but despite these shortcomings it does have real relevance and methodological significance today.     

Job Choice and Performance: Revisiting Core Assumptions about Public Service Motivation

Although there has been considerable enthusiasm for public service motivation (PSM) research in recent years, two of PSM's fundamental assumptions have been relatively untested: its impacts on job choice and on job performance. Using panel data from two different studies, we offer stronger observational tests of these core assumptions. The findings provide mixed evidence. When testing PSM's effect on employment choice, we find that PSM measured during a law student's first year predicts the sector in which they are employed after graduation three years later. In a separate study investigating PSM's effect on job performance, we find that government employee PSM does not predict employee absenteeism or supervisor assessments of their in-role and extra-role performance. Our findings support recent calls for a more nuanced theory and analyses of PSM to help better understand its implications for recruiting, retaining, and motivating the workforce used to provide public goods and services.