Rejoinder

Abstract

Many of Mr. van Walt's criticisms are based solely on fabrications of his own making. For example, I am accused, twice, of referring to myself as a “scholar” and to my article as “scholarly.” I could find no trace of either. I am further accused of considering all Tibetan refugee accounts as “unreliable.” To be sure, I believe that one cannot base the study of historical events solely on refugee accounts, but that does not make all of these stories “unreliable.” After all, Dawa Norbu, a refugee himself, wrote in Red Star Over Tibet, “I never saw or heard of any case of misconduct by a Red soldier.” I would never argue that this statement was unreliable. We are further told that I refer to Tibetans as Chinese when in the second paragraph of my review I wrote, “… Tibetans [are] only one of 56 minority nationalities.” Chinese citizens yes, ethnic Hans no. A final example, although there are many more, is Mr. van Walt's attempt to attribute to me the opinion that

… the only importance to the Western academic world is that the situation in Tibet can teach us how to eliminate a “mystical religion” and that “it gives clues as to how Peking will integrate a capitalist Taiwan into a Communist China in the future”. (emphasis added)     

Old conservatism in ‘new’ clothes

This review article considers two books about development theory and practice informed by what is variously referred to as an ‘impasse'/'post‐impasse'/'post‐Marxist’ framework. The latter, its adherents maintain, is a new approach to development that transcends economic reductionism and instead recognises/celebrates cultural ‘difference’, ‘diversity’ and ‘choice’. By contrast, it is argued here that many of the allegedly ‘new’ claims/arguments advanced by the postmodern ‘impasse’ are those traditionally made not just by populism but also by conservatism.

Beyond the Impasse: New Directions in Development Theory, edited by F.J. Schuurman. London: Zed Books, 1993. Pp.ix + 233. £13.95 (paperback). ISBN 1 85649 2109

Rethinking Social Development: Theory, Research and Practice, edited by D. Booth. Harlow: Longman Scientific & Technical, 1994. Pp.ix + 319. £19.99 (paperback). ISBN 0 582 234972     

Europe at the Fin de Siècle

In 1968 he was a prominent spokesman for noncommunist intellectuals, and he later became a founding member and leader of the human and civil rights movement “Charter 77.” The danger of totalitarianism has been his constant theme.     

How to Succeed in Reorganizing: The Case of the Norwegian Health Administration*

There has been a growing concern about administrative reform in many countries during the last 10–20 years. The central administrative apparatus has been restructured, partly as an instrument to fulfill collective, political goals. This study of the reorganization of the central health administration in N orway shows that political and administrative leaders increase their control through a planned reorganization. But such a comprehensive reform also creates problems in adjusting to new administrative roles.     

Analysis of ionic ratios in myocardial tissue and their relation to cardiac damage

The authors evaluated the usefulness of the postmortem biochemical analysis of ionic ratios in different parts of the heart and their relation to cardiac damage caused by chest trauma, as observed by anatomopathologic study. Fifty-nine 59 cases were studied, selected from routine necropsies, and samples were taken from different sites of cardiac tissue. The cause of death was trauma in 40 cases and nontraumatic causes in 19 cases. The object of this study was to analyze the levels of Na+, K+, Ca+2, Mg+2, and Zn+2 in different zones of the heart, and the relationship between intracellular and extracellular ion ratios and the different causes of death and any anatomopathologic alterations observed. The biochemical tests revealed a possible relation between the ionic values and cause of death. Alterations in cell membrane permeability and corresponding modification of the ionic ratios were produced earlier than histologic alterations, which need longer to establish themselves whether or not they follow a traumatic process.     

Detection of ketosis in vitreous at autopsy after embalming

Ketosis occurs in ketoacidosis or malnourishment. When either is suspected in relation to a death, it may be important to analyze for ketosis at autopsy. We encountered a case where starvation was suspected in a deceased nursing home resident, where the body had been embalmed prior to autopsy. Gas chromatography (GC) was unable to separate acetone from formaldehyde, a component of embalming fluid. The Acetest is a simple test that can detect acetone and acetoacetate in body fluids. We validated the Acetest with GC on vitreous. The Acetest and GC were consistent except at very low levels of acetone or acetoacetate. The sensitivity of the Acetest for acetoacetate in vitreous was 10 mg/dL, consistent with early starvation. Significant interference from embalming fluid did not occur. The Acetest was negative in the described case. The Acetest is a simple and useful test for the detection of ketosis in embalmed autopsies.