Factors affecting perceptions of medical errors

The purpose of the study was to assess how three factors affect subjects' perceptions of a medical error made in a hypothetical scenario. The factors were (i) type of compensation system, (ii) degree of procedural “voice” present in the physician-patient relationship, and (iii) magnitude of damage sustained by the patient. Perceptions were defined to include subjects' (i) emotional reactions to the incident, (ii) causal attributions about the incident, (iii) evaluations of the faimess of the compensation systems, and (iv) compensation demands. Results indicated that damage magnitude was the only factor that affected subjects' emotional reactions to the described incident and their compensation requests. When damage was severe, subjects reacted more negatively to the event and demanded greater compensation. Subjects rated the no-fault system and greater voice conditions as more fair. In general, subjects causally analyzed the error incident in a manner that was less blameworthy of the physician when procedural justice was high, especially if this was combined with a no-fault compensation system. Results were discussed in terms of Wexler and Winick's (1991) model of therapeutic jurisprudence.     

Defendant and Victim Sex,Sexism, and Decision Making in an Ambiguous Assault Case

The aim of the present study was to better understand how the sex of a defendant and of a victim in an ambiguous assault case impact juror verdicts and perceptions of the defendant. Juror sexist attitudes and the impact of these beliefs on decision making were also investigated. Mock jurors completed a measure of sexist attitudes and read a brief summary of an assault case in which the sexes of the defendant and victim were manipulated. Participants then rendered a verdict and provided sentencing recommendations. Mock jurors recommended the harshest sentence for the male defendant who assaulted a female victim. However, the female defendant, regardless of victim sex, was perceived as more psychopathic. Results are discussed in terms of the selective chivalry theory of sexism.     

Measuring the success of HIV/AIDS NGOs among Nairobi's youth

NGOs receive praise and criticism for their international development efforts, but more work is needed to measure their contributions. This article lays out the contributions of local NGOs to HIV-prevention efforts. It draws on data from a survey of young people's experiences with NGOs to demonstrate the reach of several local HIV-prevention NGOs in Nairobi, Kenya. It argues that even small NGOs are capable of making measurable contributions to development in their fields. It also shows how factors such as education levels, religiosity, and discussions about HIV/AIDS can support NGO efforts by encouraging youth to participate in HIV-prevention programming.     

A feminist challenge to the gendered politics of the public/private divide: on due diligence,domestic violence,and citizenship

This article examines the feminist appropriation of the legal principle of due diligence to politicize acts of violence at the hands of private actors within the private sphere. This move expanded traditional notions of state responsibility for violence against women under international human rights law. Using frame analysis, we focus on the institutionalization of this feminist understanding of due diligence through its discursive incorporation in international human rights policy documents and its mobilization in cases of domestic violence litigated within the UN and the Inter-American and European human rights systems. Through this discursive framing work and its institutionalization, feminists have challenged the gendered politics of the public/private divide to change the terms on which differently positioned women can engage with the state and global governance institutions. We argue that this change can potentially reconfigure women's state-bounded and transnational citizenship. The implications of due diligence as a political and sociological concept require more careful consideration by citizenship and human rights scholars.     

Analysis of hydrogen peroxide field samples by HPLC/FD and HPLC/ED in DC mode

The goal of this paper is to describe applications of two recently developed HPLC methods for the analysis and confirmation of the presence of hydrogen peroxide residues in field studies. The procedure utilizes two different HPLC systems, one with post-column derivatization followed by fluorescence detection (HPLC/FD), and the other with electrochemical detection (HPLC/ED). The two systems were utilized to detect hydrogen peroxide in a variety of typical forensic samples including pre- and post-blast samples, as well as a series of environmental control samples. Peroxide-based organic explosives were also examined due to their propensity to produce peroxide residues following detonation. Because samples collected from post-blast scenes are frequently shipped or stored prior to analysis, the effects of storage time, temperature and type of substrate material on the recovery of hydrogen peroxide residues were also investigated. The combined results of the study demonstrate the capability of two HPLC approaches with selective detection in the analysis and investigation of suspected incidents involving peroxide based explosives.     

GENDERED AND CLASS RELATIONS OF OBESITY

Rising attention to the ‘social determinants of health’ puts questions of gender and class squarely on the public health agenda. Most health outcomes and health risk factors are inversely correlated with social class: people with better education, better jobs and higher incomes typically enjoy better health. By comparison, gender differences in health are quite variable, depending on the health outcome or risk of interest. Furthermore, the distribution of any given risk factor tends to vary from society to society, from time to time, and between specific sub-populations. Public health research rarely considers class and gender together. In this paper we summarise and problematise the interplay between gender and class in empirical research on the ‘problem’ of obesity. We suggest that some of the difficulties in explaining research findings arise from limitations in the evidence base used to measure obesity, conceptual ‘slippage’ between key terms like gender and sex, and an erasure of social class from academic language. It is via an examination of these issues that underpin current obesity research that we offer more innovative and effective ways to approach the underlying theoretical and health promotion problems. Nevertheless, we acknowledge the considerable practical and intellectual challenges of analysing and reporting social determinants like gender and class in an environment that demands certain kinds of scientific evidence.     

“I Got Your Back”: Friends’ Understandings Regarding College Student Spring Break Behavior

Behaviors that pose threats to safety and health, including binge drinking and unprotected sex, increase during a week-long break from university. Understandings with peers regarding these behaviors may be important for predicting behavior and related harms. College students (N = 651; 48% men) reported having understandings with their friends regarding alcohol use (59%) and sexual behavior (45%) during Spring Break. These understandings were to engage in behaviors characterized by risk (e.g., get drunk [23.5%], have sex with someone new [5.2%]) and protection (e.g., drink without getting drunk [17.8%], use condoms [15.8%]). After controlling for previous semester behavior and going on a Spring Break trip, Get Drunk Understandings predicted a greater likelihood of binge drinking and alcohol-related consequences; No/Safe Sex Understandings predicted condom use; and Sex Understandings predicted not using condoms. Understandings with friends regarding Spring Break behavior may be important proximal predictors of risk behaviors and represent potential targets for event-specific prevention.