HbA1c as a postmortem tool to identify glycemic control

Estimates suggest that more than 5A million U.S. citizens unknowingly have diabetes and are at increased risk of morbidity and mortality. We evaluated an immunoturbidimetric measurement of glycated hemoglobin (%HbA1c) as a postmortem tool to identify such individuals. Although postmortem samples undergo some degradation, the effects are not sufficient to invalidate the use of the test or method. Using two study populations whose medical history of diabetes was known, we found the mean %HbA1c of the non-diabetics (5.8+/-0.3) to be statistically different from that of the diabetics (12.4+/-2.8). For the population whose disease status was unknown, the %HbA1c ranged from 4.7 to 16.8. For six unknowns whose values exceeded 7.0%. the mean was 11.7%, which did not differ statistically from the diabetic mean (p = 0.6615). These studies suggest that postmortem blood samples can be used to characterize HbA1c values.     

Land tenure regimes and state structure in rural Africa: implications for forms of resistance to large-scale land acquisitions by outsiders

This paper argues for seeing African land tenure regimes as institutional configurations that have been defined and redefined as part of state-building projects. Land regimes have built state authority in the rural areas, fixed populations in rural territories, and organised rural society into political collectivities subject to central control. Land tenure regimes can be understood as varying across subnational jurisdictions (rather than as invariant across space) in ways that can be grasped in terms of a conceptual distinction between neo-customary and statist forms (rather than as infinitely diverse). Differences between the two have implications for the character of political authority in the rural areas, the nature of political identities and community structure, and the nature of property and land claims. These political effects are visible in differences in the forms of local protest and resistance to commercial land acquisitions in peri-urban Kumasi, Ghana, where a neo-customary land regime prevails, and the Kiru Valley of northern Tanzania, where land institutions are decidedly statist.     

Gender Determination of Adult Individuals by Three‐Dimensional Modeling of Canines

Gender determination is a fundamental issue in forensic anthropology. Many techniques based on bone and dental remains have been proposed. It is not always possible to implement the techniques using bones, but teeth are often perfectly preserved. It has been demonstrated that the canine has the greatest sexual dimorphism, and the aim of this work was to provide an easy and accurate dental technique for determining the gender in the absence of other skeletal elements. The sample was composed of 210 CT scans with four healthy canines. The 840 canines were modeled using MIMICS^® 10.01 software. The total volume of each tooth was determined. Seven mathematical models were determined by binary logistic regressions and ranked in order of relative performance. The seven proposed predictive models thus performed (0.910 ≤ AUC ≤ 0.938), with overall rates of correct predictions between 82.38 and 85.24%. The 4‐canine model is the most powerful for predicting the gender.     

Agenda Setting in Emergent R&D Policy Subsystems: Examining Discourse Effects of the 21st Century Nanotechnology Research and Development Act

The literature on government responsiveness to societal issues is extensive but provides a mixed assessment of effectiveness. We examine this issue in the case of policy addressing effective and safe management of research and development in the emerging field of nanotechnology. Specifically, we examine the agenda setting effects of the 21st Century Nanotechnology Research and Development Act (the Act), a piece of legislation designed to be implemented by a network of actors in the nanotechnology research and development policy subsystem. We adopt a public values lens in our examination of discourse related to societal concerns. Policy documents from Congress, an agency, and federal funding recipients are examined. Findings suggest a narrowing of public values discourse around more specific societal concerns in the documents crafted after the Act was passed.     

Participation in Micro-Finance Programmes and Women’s Mental Health in South Asia: A Modified Systematic Review

Micro-finance provides financial services to poor women from developing countries where cultural and social constraints limit their opportunities for economic advancement. Using Forbes’s process of conducting systematic review, 12 quantitative studies from South Asia reporting on the impact of micro-finance on women’s mental health outcomes were analysed. Overall, studies revealed that the duration and depth of involvement in micro-finance activities would make a difference in women’s mental health and not just receiving loans; however, rigorous programme evaluation is needed. Collaborative actions by micro-finance and health care practitioners to recognise women’s mental health needs and to strengthen measures to optimise the beneficial effects of micro-finance must be considered.     

Assessing Best Practice as a Means of Innovation

This paper argues that Best Practice and innovation are different, if related activities, with Best Practice being just one of the means by which organisations can innovate. After reviewing the literatures on innovation diffusion and policy transfer, this paper reports the findings of two surveys of Best Practice in English local authorities on, respectively, regeneration and community safety. The paper finds that innovation is related to the CPA, but use of Best Practice is not; that greater capacity affects both innovation and the use of Best Practice; and that there is little link within authorities in the degree of innovation between policy sectors. In evaluating the use of Best Practice, the paper finds that local authorities encounter problems with assessing whether Best Practice is appropriate for their authority and judging whether Best Practice is in fact best practice. With Best Practice guides, the key problem is the difficulty in assessing whether the practice is as effective as the guides suggest and whether it would really work in a particular authority. The paper concludes that more effort could be made to ensure that readers of Best Practice guides can find out how the innovations really work and how they can be adapted to local needs.     

Engaging With Criminal Prosecution: The Victim's Perspective

Despite more than a decade of policies that encourage prosecutors to proceed without the victim's input or actions in cases of intimate partner violence (IPV), prosecutors still often rely on the victim's participation to move a case forward. The purpose of this study was to identify the barriers and motivators influencing female IPV victims' engagement with the criminal justice system and their preferences regarding prosecution. Findings from focus groups with women who had experienced police response to IPV revealed that women wanted the violence to end but faced numerous barriers to engaging with the criminal prosecution process. The dominant voice favored police and prosecutors taking action toward prosecution without depending solely or heavily on the victim's active participation.     

Mixed marriage, ‘a grave injury to our church’: An account of the 1957 Fethard-on-Sea Boycott

The family was central to the religious formation and indeed the survival of southern Irish Protestantism in the mid-twentieth century. The largest Protestant denomination in the Republic of Ireland, the Church of Ireland (comprising approximately 5% of the national population in 1950) was challenged by demographic trends of late and low rates of marriage, emigration and the ever-prevalent threat of mixed marriage. Against this backdrop the church emphasised the essentiality of the socialisation of children into the church community. It cautioned against the dangers of inter-church marriage where the enforcement by the Catholic church of the 1908 Ne Temere decree obliged the Protestant partner in a mixed marriage to consent in writing to the upbringing of any children of the union as Catholics. The actions of one woman in the small village of Fethard-on-Sea in county Wexford in 1957 in challenging this dictate led to a sectarian and divisive boycott of Protestant business in the locality. Eileen Cloney, a member of the Church of Ireland, chose to leave her home with her two daughters, against the wishes of her husband Seán, rather than allow her eldest daughter attend the local Catholic school in the village. Her ‘abduction’ of her children was condemned by local and national Catholic clergy culminating in the call for a boycott of Protestant businesses and farms by the local Catholic Curate, Fr. Stafford on 12 May 1957. In this article, original oral history research as well as previously unseen documentary sources will be used in an examination of this divisive boycott and its local and national repercussions. The article will explore contemporary discourse on marriage as well as highlighting the significance of the family in church and state discourse.