Happiness and Toska: An Essay in the History of Emotions in Pre-war Soviet Russia

This article examines the question of what can be gained from an investigation of people's emotions in Stalin's Russia. Such an investigation is inevitably limited by the type of sources available. However, the available sources on Soviet subjectivity provide some evidence of both "official" Soviet emotions (such as enthusiasm and righteous anger against enemies) and less officially prescribed, but widespread, emotions, such as fear, melancholy ( toska ), malice ( zlost' ) and personal happiness. This article focusses on accounts of happiness ( schast'e) and the yearning sadness known as toska , a frequently encountered counterpart of the former. The civic obligation to express public, collective happiness impinged on the capacity to express private happiness: grief and melancholy could be expressed, as long as they were not connected to complaints about the régime.     

Just Evidence: The Limits of Science in the Legal Process

Both opponents and proponents of the death penalty express faith in science and in DNA evidence to justify their positions. This article examines the production of forensic evidence as a social activity and suggests that tendencies toward bias and error may not apply symmetrically in inculpation and exoneration contexts.     

Stewardship of quality of care in health systems: Core functions,common pitfalls,and potential solutions

National Ministries of Health in low‐ and middle‐income countries (LMICs) have a key role to play as stewards of the quality agenda in their health systems. This paper uses a previously developed six‐point framework for stewardship (strategy formulation, intersectoral collaboration, governance and accountability, health system design, policy and regulation, and intelligence generation) and identifies specific examples of activities in LMICs in each of these domains, pitfalls to avoid, and possible solutions to these pitfalls. Many LMICs now have quality strategies with clear vision statements. There are good examples of quality agencies and donor collaboration councils to coordinate activities across different sectors. There are multiple options for accountability, including public reporting, community accountability structures, results‐based payment, accreditation, and inspection. To improve health system design, available tools include decision support tools, task‐shifting models, supply chain management, and programs to train quality improvement staff. Policy options include legislation on disclosure of adverse events, and regulations to ensure skills of health care providers. Lastly, health information tools include patient registries, facility surveys, hospital discharge abstracts, standardized population and patient surveys, and dedicated agencies for reporting on quality. Policy‐makers can use this article to identify options for driving the quality agenda and address anticipated implementation barriers.