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.     

Adolescents' self-perceptions of their strengths

A sample of 960 adolescents drawn from the general population was asked to complete a 22-item scale relating to their self-perceived strengths. The mean score for the 492 boys was 14.9 and that for the 486 girls was 14.4; the difference was not statistically significant. There were, nevertheless, differences for some of the items. In particular, more boys saw themselves as good at sport, confident, popular, having lots of hobbies, and attractive, while more girls saw themselves as reliable, kind, independent, and affectionate. Regression analysis suggested that boys' strengths depended upon parent, peer and school attachment, part-time work, and the number of physical activities with which they were involved. Girls' strengths were best predicted by parent attachment and the number of physical activities with which they were involved.The Dunedin Multidisciplinary Health and Development Research Unit is supported by Medical Research of New Zealand. It also draws upon the involvement of several departments of the University of Otago.Received B.Sc. (Hons.) from University of Hull (U.K.). Research interests include child health.Received Ph.D. from University of N.S.W. (Aust.). Research interests include child and adolescent mental health.     

Service to servitude? The decline and demise of life-cycle service in England

Life-cycle service was an essential institution in early-modern England that slowly died during the transition from a pre-industrial to a fully industrial economy. A socially pervasive and culturally broad movement of young people from their parental homes to live and serve in the homes of others, life-cycle service was integral to the demographic, economic, and social framework of the era and could not survive when that framework changed. This article examines the institution of life-cycle service, some of the underlying demographic, economic, and social structure that supported it, the changes in that structure that led to its demise, and the ramifications for young people of that demise. Although inevitable, the loss of life-cycle service with its broad social base denigrated service as an institution and was not without other costs especially for young women.