A Comparison of Coronary Artery Stenosis Estimates Made by Forensic Pathologists and Medical Students

Previous studies suggest cardiovascular pathologists are less accurate than noncardiovascular pathologists (e.g., clinical pathologists) in estimating the degree of coronary artery stenosis. To further investigate the effect of training on accurate estimation of coronary artery stenosis, we designed a study to compare the accuracy of estimates made by forensic pathologists versus medical students. Six forensic pathologists and twelve medical students each independently examined 24 images of coronary artery cross sections and gave an estimate of the degree of stenosis. When comparing all 24 images, the forensic pathologists had a median difference between the estimated percentage of stenosis and actual percentage of stenosis of −12.380 and the medical students had a median difference of −16.50 (p-value of 0.08542). In estimating the percentage of stenosis, training in forensic pathology does not guarantee significantly improved accuracy compared with medical students. Our study showed no consistent statistically significant difference between estimates given by forensic pathologists and by medical students.     

Uncovering land tenure insecurities: tips for tenure responsive land-use planning in Ethiopia

Land-use planning, although a mechanism for development, can also generate insecurity during its implementation. This article argues that tenure security and land-use planning should not be implemented in isolation from each other. It posits that land-use planning – rather than restricting the security of people's tenure – has the potential to serve as a means of securing tenure. The article explores tenure (in)security elements in land-use planning as a crucial challenge in the urban town of Gelan Sidama Awash, Ethiopia. Using data collected through stakeholders’ interviews, it uncovers their tenure security challenges, and outlines a set of measures for enhancing tenure security through land-use planning.     

Sustainable governance of natural resources and institutional change–an analytical framework

This article presents a conceptual framework for analysing the governance of natural resource use, as governance is often the primary issue when natural resources are overexploited and degraded. It addresses both spontaneous and active governance, including institutional change induced by development co‐operation. Drawing on existing frameworks of institutional analysis, fundamental modifications are presented to adapt the concept to the context of international co‐operation, and to include dynamic aspects of institutional change as well as multiple actor interactions. Tested in several case studies, the framework was found suitable and relevant for use in project planning and evaluation, as well as for comparing governance issues across cases in a conceptually rigorous way. Copyright © 2007 John Wiley & Sons, Ltd.     

IMPACT ASSESSMENT AND DEMOCRATIC POLITICS

The advent of impact assessment as a tool of policy is the latest chapter in our understanding of the relationship between science and politics. As such, it presents at least two challenges to democratic politics. Given its emphasis on appropriate procedural character of conteniporary democratic systems. And by raising the value of technical and scientific information in environmental disputes, impact assessment poses a challenge to existing concepts of popular sovereignty, based as they are on interest and preference rather than knowledge. These challenges, however, do not rep- resent irreconcilable differences. Although there may be an inherent ten- sion between impact assessment and democratic politics, there are also areas of affinity between the two. And we are destined to accept and adapt to this tension because, in fact, understanding is one of our principal defenses against tyranny.     

Jābir,the Buddhist Yogi

This paper is dedicated to the memory of Victor Danner. I would like to thank Dan Martin for his many valuable contributions to this paper, and to the Research Institutes for Imer Asian Studies for their financial support.