Causes and Consequences of Political Clientelism: Mexico's PRD in Comparative Perspective

PRD politicians and officials widely use clientelism to structure their relationships with citizens. This is due not only to the entrenchment of clientelism in Mexican politics or to high rates of poverty and inequality, but also to the limited institutionalization of democratic rules inside the party. The last stems largely from the party's electoral strategy in its formative years, and has resulted in uncontrolled factional battles that play out through clientelism. The Brazilian PT faced external and internal conditions quite similar to those of the PRD, but its early focus on organization building and policy change allowed it to avoid clientelism to a greater degree. This analysis problematizes the trend of using minimalist definitions that assume clientelism to be nondemocratic because these approaches result in conceptual stretching and decreased explanatory power.     

Institutionalizing gender in UK NGOs

Drawing on recent research, it has been explored how far and in what ways UK NGOs have tried to incorporate gender into the policies and procedures of their international development work, and how far a formal recognition of gender issues is shaping the way each organization functions. The strengths and weaknesses of different strategies are assessed (such as specialist staff or units, formal gender policies, gender training, equal opportunity recruitment policies, and mainstreaming) for transforming organizational practice.     

Assessing the Influence of Familial Paternalism on Child Neglect Sentencing Decisions

Familial responsibilities have been found to significantly reduce the severity of sentencing outcomes of defendants in the criminal court. Additional research also has suggested that this leniency might be contingent on the type of offense, with defendants who commit crimes which imply that they are unfit parents (e.g., drug offenses) not receiving a significant reduction in their likelihood of incarceration. Utilizing familial paternalism as the theoretical basis, the current study examines whether having children influences the sentences of defendants charged with forms of criminal child neglect. The findings indicate that having children does result in significantly reduced odds of incarceration for defendants charged with child neglect. These findings support the arguments set forth by familial paternalism. However, they do not support the inference that defendants convicted of child neglect are presumed to be unfit parents. Implication of these results and directions for future research are discussed.     

Bundaberg and beyond: duty to disclose adverse events to patients

Although much excellent work has been done in Australia and elsewhere to improve the safety and quality of health care provision, the practice of medicine is inherently risky--adverse events sometimes occur. In Australia, practical guidelines for the open disclosure of adverse events to patients have been developed and are being implemented. State and Territory medical boards have recently adopted Codes of Conduct which include disclosure provisions, although the Australian Medical Association's Code of Ethics does not yet contain express patient disclosure provisions. There is a dearth of authority concerning legal obligations to disclose known or suspected adverse events. Although many Australian jurisdictions have introduced statutory protection for those who apologise or express regret to patients following an adverse event, there is no corresponding express statutory disclosure obligation, unlike in some parts of the United States. The Bundaberg experience illustrates the complex ethical, practical and legal issues which arise in this area.     

The Impact of Intimate Partner Violence on Mothers’ Parenting Practices for Urban, Low-Income Adolescents

This study examined whether depression and social support mediated the relationship between intimate partner violence (IPV) and parenting practices. Participants were 1,057 female primary caregiver-young adolescent pairs. (Sample included greater than 90?% biological mothers; hereafter, female primary caregivers are referred to as mother.) Findings indicated that IPV was associated positively with mothers’ use of physical punishment and negatively with mothers’ involvement in their children’s education. Although depression and social support were not found to mediate the relationship between IPV and parenting practices, study findings suggest that IPV directly and negatively impacted mothers’ parenting practices. In sum, findings point to the important role that IPV may play in explaining parenting practices for mothers living in high-risk urban environments.     

Sudden death from saccular laryngeal cyst

Laryngeal cysts are benign, uncommon lesions of the larynx that have been reported on rare occasions to cause sudden death in infants and adults by acute airways obstruction. In this report, we document the sudden death of a 36-year-old woman from a previously undiagnosed, asymptomatic laryngeal saccular cyst that presented with acute, and consequent fatal, airway obstruction. Difficulty during intubation, both in theater and in emergency settings, is a frequent presenting problem. This can have significant medicolegal implications in determining possible negligence. The diagnosis, classification, and management of such cysts, and their importance to both the forensic pathologist and clinicians are discussed.