Different countries, different needs: the role of private health insurance in developing countries

This article discusses the role of private health insurance (PHI) in developing countries. Three broad regional clusters are identified that share similar characteristics and policy challenges for the effective integration of private insurance into national health care systems: (1) Latin America and Eastern Europe, where there are already developed insurance industries facing important market and policy failures; (2) the Middle East/North Africa region and East Asia, where there is a projected strong growth of PHI that needs to be accompanied by efficient regulation; and finally, (3) South Asia and Sub-Saharan Africa, where PHI will only play a marginal role in the foreseeable future while the scaling up of small-scale, nonprofit insurance schemes appears to be of critical importance. Overall, this survey shows that the role of private insurance varies depending on the economic, social, and institutional settings in a country or region. Private health insurance schemes can be valuable tools to complement existing health-financing options only if they are carefully managed and adapted to local needs and preferences.     

Smooth as Silk? A First Look at the Post MFA Textiles and Clothing Landscape

Despite the imposition of temporary safeguard measures on Chineseexports by both the United States and the European Union in2005, few countries other than China and India have increasedtheir clothing exports in markets where Multi-Fiber Arrangementquotas had been removed, e.g. the European Union, the UnitesStates, and Canada. This article argues that the eliminationof import quotas has exposed the vulnerability of fragmentedsupply chains and favoured countries able to display an integratedsupply chain, i.e. domestic production of high quality textileand clothing products. In terms of trade policy implications,the elimination of quotas has reduced the attractiveness ofoutward processing programmes and, conversely, increased theattractiveness of other preferential trade arrangements, suchas regional trade arrangements and the Generalized System ofPreferences. The July 2006 postponement of the Doha Round negotiationsrepresents a setback for WTO Members and, with respect to thetextile and clothing issues, widespread anxiety among supplyingcountries due to the competitive strength of China acts againsta package of significant tariff reduction applied on a most-favoured-nationbasis. To move the Doha negotiations forward, political willis required in agricultural negotiations, including a development-friendlyresolution of the problem of cotton subsidies.     

Vers une redéfinition de la politique d'achat du Québec

Sommaire: Les marchés publics constituent pour le Gouvernement du Québec un précieux instrument de développement socio-éonomique et un puissant levier dans la réalisation de certains objectifs bien particuliers. Aussi, afin de stimuler et de favoriser le développement de l'économie québécoise, la politique d'achat du Gouvernement du Québec révèle plusieurs mesures préférentielles. Elle tente explicitement de maximiser l'utilisation de produits québécois, de canaliser une part substantielle des achats publics vers les entreprises québécoises. Cette politique d'achat préférentielle a été récemment raffermie et ce, malgré le mouvement international de plus en plus vigoureux visant l'élimination des obstacles à la libre circulation des biens et services. Toutefois, au niveau interprovincial, ce même Gouvernement, dans une volonté d'emboîter le pas et de s'aligner sur l'actuelle tendance à la libéralisation des échanges commerciaux, a spontanément souscrit à l'Accord intergouvernemental sur les marchés du secteur public qui prône l'abolition des barrières au commerce interprovincial. Le Gouvernement du Québec doit désormais tenter de concilier l'existence des principes et objectifs de ces deux textes conflictuels. La présente étude offre une vision globale, suggère un survol de la politique d'achat du Gouvernement du Québec et de son champ d'application, dam le contexte de la libéralisation des échanges commerciaux interprovinciaux. Elle souligne que l'Accord ne sonne pas le glas de la politique d'achat du Québec mais en implique une sérieuse et profonde remise en cause. En effet, la politique d'achat devra nécessairement débouher sur une façon originale d'utiliser les marchés publics tout en s'insérant dans le cadre de l'Accord. Abstract: For the Government of Quebec, public contracts are an invaluable tool for socio-economic development and a powerful lever for the achievement of some quite specific objectives. In order to stimulate and promote the development of the Quebec economy, the purchasing policy of the provincial government involves several preferential measures. It explicitly attempts to maximize the use of Quebec products, and to channel a substantial portion of public purchases to Quebec firms. This preferential purchasing policy has been strengthened recently, in spite of the growing international movement towards eliminating impediments to the free trade of goods and services. However, at the interprovincial level, in order to fall in step and align itself with the present trend towards freer trade, the Government of Quebec spontaneously subscribed to the Intergovernmental Accord on Public Sector Contracts, promoting the elimination of interprovincial trade barriers. The Government of Quebec must now aim to reconcile the principles and objectives of these two conflicting approaches. This study provides an overview and suggests a survey of the provincial government's purchasing policy and its field of application, within the context of the liberalization of interprovincial trade. It stresses that the accord does not negate Quebec's purchasing policy, although it does involve a thorough review of it. Indeed, the purchasing policy must necessarily lead to an original way of using public contracts while still staying within the bounds of the accord.     

Blunt Craniofacial Trauma as a Manifestation of Excited Delirium Caused by New Psychoactive Substances

The body of a 19‐year‐old male was found apparently concealed underneath bushes with recent head and facial trauma, and multiple superficial abrasions. Subsequently, it was discovered that the decedent had been running into objects and buildings following the ingestion the evening before of what was thought to be lysergic acid diethylamide (LSD). Blood staining of a nearby wall close to where the body was lying was in keeping with the described behavior. Toxicology revealed 3,4‐methylenedioxymethamphetamine (Ecstasy), in addition to two only recently available drugs 2‐(4‐bromo‐2,5‐dimethoxyphenyl)‐N‐[(2‐methoxyphenyl)methyl]ethanamine, (25B‐NBOMe), and 1‐(3,4‐methylenedioxyphenyl)‐2‐(1‐pyrrolidinyl)‐1‐butanone, (MDPBP). At autopsy, the skull was fractured with cerebral swelling, contusions, and subarachnoid hemorrhage. Death was due to blunt cranial trauma against a background of mixed drug toxicity. The case demonstrates a rare cause of death in a drug‐induced acute delirium, as well as highlighting two new designer street drugs that may result in significant aberrant behavior.     

Title VII retaliation claims

Section 704(a) protects employees who engage in activity aimed at remedying employment practices they believe to be unlawful. Such activity may take the form of participation in governmental investigations or proceedings, or expressing opposition to an employer's practices through internal complaints to management, circulating petitions among employees, directly challenging an employer's affirmative action plan, etc. As the Ninth Circuit's recent Crown Zellerbach decision demonstrates, employers must proceed with caution before taking disciplinary action against an employee who engages in arguably protected 704(a) activity. The following article discusses employee activity protected by section 704(a) and examines various employer defenses and concerns in a retaliation case.     

Practical benzylation of N,N-substituted ethanolamines related to chemical warfare agents for analysis and detection by electron ionization gas chromatography–mass spectrometry

The benzylation of three low molecular weight N,N-disubstituted ethanolamines related to chemical warfare agents (CWAs) to furnish derivatives with improved gas chromatography-mass spectrometry (GC-MS) profiles is described. Due to their low molecular weight and polar nature, N,N-disubstituted ethanolamines are notoriously difficult to detect by routine GC-MS analyses during Organisation for the Prohibition of Chemical Weapons (OPCW) proficiency tests (PTs), particularly in scenarios when they are present at low levels (~1–10 ppm) amidst more abundant interferences. Our studies revealed that the optimal derivatization conditions involved the treatment of the ethanolamine with benzyl bromide in the presence of an inorganic base (e.g., Na₂CO₃) in dichloromethane at 55°C for 2 h. This optimized set of conditions was then successfully applied to the derivatization of N,N-dimethylethanolamine, N,N-diethylethanolamine and N,N-diisopropylethanolamine present separately at 1 and 10 μg/mL concentrations in a glycerol-rich matrix sample featured in the 48th OPCW PT. The benzylated derivatives of the three ethanolamines possessed retention times long enough to clear the massive glycerol-containing matrix interferences. The protocol herein is introduced as an alternative method for derivatization of these CWA and pharmaceutically important species and should find broad applicability in laboratories where routine forensic analysis is carried out.     

Form follows function: Applying photographic content analysis to forensic firearm identification

Drawing forensic conclusions from an image or a video is known as “photographic content analysis.” It involves the analysis of an image, as well as objects, actions, and events depicted in images or video. In recent years, photographic depictions of objects suspected as illegal firearms have substantially increased, appearing on CCTV surveillance footage, captured by mobile phones and shared on social media. However, the law in Israel states that a person can be charged with illegally possessing a firearm only if it can be proven that the object is capable of shooting with lethal bullet energy. This becomes more challenging in cases where the firearm was not physically seized, and the evidence exclusively consists of images and video. In this study, photographic content analysis was applied to images and video where objects suspected as commercial or improvised firearms had been depicted. An image and event sequence reconstruction video databases of both firearms and replicas were created in order to better define firearm-specific functional morphological features. We demonstrate that it is possible to classify an object as a firearm by analyzing the functional, and not only the esthetic, morphology in images and video. It is also shown that event sequence reconstruction in video may be used to infer that an object suspected as a firearm has the capacity to shoot by confirming the occurrence of a shooting act or shooting process. Thus, photographic content analysis may be used to forensically establish that an object depicted in an image or a video is a firearm by ruling out other known scenarios, and without physically seizing it.     

Damage characteristics of fabrics created by TASER probes

TASER® weapons are conducted energy weapons (CEWs) that are frequently used by police departments around the world. CEWs can be deployed in two methods: drive stun application and probe deployment. This study aims to examine damages caused by TASER devices on fabrics and whether types of fabric material and TASER models could contribute to different damage features. Three types of white fabric were used, including 100% cotton, 100% polyester, and 65:35 polyester-cotton blend. Three models: TASER X26P, TASER X2, and TASER 7 were shot onto each type of fabric, with five repetitions each. Each damaged area on the fabric caused by a probe is a sample (n = 90) and was examined with a Keyence digital microscope. Images were captured by the Keyence microscope and measurements were recorded, including damage dimensions, fabric condition, evidence of burning, and extra findings. The presence of fused yarn ends was found to be statistically significant across the fabric types, and no damage features were found that may assist in the identification of TASER models. Other damage features including damage dimensions, discoloration, and fiber deformation were not found to be showing apparent differences according to statistical analysis. The conclusions made by this research should be used with caution due to the small sample size.     

The prevalence of mental disorders in a German sample of male incarcerated juvenile offenders

The current study investigated the prevalence of mental disorders among incarcerated juvenile offenders in Germany and sought to identify clinically relevant subgroups. In sum, 149 newly incarcerated male juvenile delinquents (M age = 19 years) were included. Diagnostic tools included the German version of the Structured Clinical Interview for DSM-IV and the Psychopathy Checklist-Screening Version. The most prevalent diagnoses in the sample included conduct disorders (81%), Cluster B personality disorders (up to 62%), and substance-related disorders (up to 60%). Moreover, psychopathic features were found among 21% of the participants. Cluster analysis distinguished three subgroups among this group of young offenders. The most problematic consisted of juveniles with multiple psychopathology, including antisocial traits, personality pathology, higher scores on the Psychopathy Checklist, as well as multiple substance abuse. Study outcomes are discussed in light of their implications for the development of effective treatment for juvenile offenders.