Beyond “Sic Utere …” to the Regional General Welfare

Since the lower court opinions in Oakwood at Madison and Mt. Laurel, a definitive decision has been awaited from the New Jersey Supreme Court dealing with the issues of exclusion in housing and land use regulations. It was also expected that Justice Hall, author of the well-known Vickers' dissent, would have the chance to lead the majority in its decision, Though Madison reached the court first, it was fraught with delays and unusual circumstances, placing it in line behind Mt. Laurel. Thus, Mt. Laurel emerged as the vehicle for this court's important restatement of the law of municipal land use control. Announced March 24, 1975, the New Jersey Supreme Court's decision in Mt. Laurel was indeed written by Justice Hall—a valedictory of sorts just before his retirement from the bench in April.     

The Demise of US Spacepower: Not with a Bang but a Whimper

Spacepower is a critical element supporting the US national security strategy. As more nations gain access to technology, there is growing concern that space capabilities will be increasingly vulnerable to attack. However, a more insidious problem looms. For the last decade, the development and acquisition of US national security space systems have become more and more troubled with cost overruns and schedule delays. This grave situation has caught the attention of national security leadership and the US Congress. Panels of experts have proposed a litany of remedies. In this paper we explain and illustrate the importance of enhancing space power to better support national security needs and caution that many of the proposed acquisition solutions address symptoms, not the primary cause.

As history as shown…if the US offers an inviting target, it may well pay the price of attack. With the growing commercial and national security use of space, US assets in space and on the ground offer just such targets. The US is an attractive candidate for a ‘Space Pearl Harbor’. ¹ Report of the Commission to Assess United States National Security Space Management and Organization, Pursuant to Public Law 106–65, January 11, 2001, available at <<http://www.defenselink.mil/pubs/space20010111.html>. This report is often referred to as the Space Commission Report.

This is the way the world ends

This is the way the world ends

This is the way the world ends

Not with a bang but a whimper. ² T.S. Eliot, ‘The Hollow Men’, 1925.      

Glycogenated squamous epithelial cells as a marker of foreign body penetration in sexual assault

Nonconsensual insertion of a foreign object into the vagina, anus, or mouth in some judicial jurisdictions is synonymous with rape, and elsewhere may constitute some degree of sexual assault or battery. Few techniques, however, are available to assist the criminalist in determining whether an object has been criminally inserted. Glycogenated epithelial cells have been used as a marker for vaginal epithelium, and as such, may indicate vaginal insertion if recovered from an object. This hypothesis was tested by studying orally and vaginally inserted objects from 42 volunteers and 20 rectally inserted objects recovered from cadavers. Glycogen positivity was assayed from smears of object swabbings stained with the periodic acid-Schiff (PAS) technique. More than 75 glycogen positive cells were recovered from 39 of 42 vaginally inserted objects. Glycogenated cells were recovered from 8 of 20 rectally inserted objects (5 with more than 100 positive cells). Of 42 orally inserted objects, 32 also contained glycogen positive cells, but none with more than 28 positive cells. No glycogen positive cells were seen in skin exposed but not inserted objects. Large numbers of glycogen cells were seen in dried saliva drops. Amylase activity was not seen on 5 of 20 orally inserted shields, and thus the possibility of noninsertional saliva contamination could not be ruled out with shields yielding only small numbers of positive cells. Recovery of large numbers of glycogenated cells from foreign objects is strongly suggestive of either vaginal or anal insertion assuming amylase negativity. Glycogen positive cells are not seen secondary to glabrous skin exposure.     

Economic performance and U.S. Senate elections: Reply

Major criticisms made by Chressanthis and Shaffer (C-S) are addressed: the authors' failure to include noneconomic variables in the regression model, the inclusion of open elections in the sample, and the use of variables other than the state unemployment rate as economic performance measures. Errors in C-S's interpretations are noted. Additional regression results are reported using modifications of the authors' original model. These suggest that the change (notrelative change as in C-S) in state unemployment rate is superior, and that the authors' model yields a stronger effect of state economic performance on election outcomes than does the C-S model.John Beck contributed helpful comments.     

Efforts to improve patient safety in large,capitated medical groups: description and conceptual model

Medical care should be safer. Inpatient problems and solutions have received the most attention; this outpatient qualitative case study addresses a gap in knowledge. We describe safety improvements among large physician groups, model the key influences on their behavior, and identify beneficial public and private policies. All groups were trying to reduce medical injury, which was part of the sample design. The most commonly targeted problems are those that are similar across groups: shortcomings in diagnosis, abnormal tests follow-up, scope of practice and referral patterns, and continuity of care. Medical group innovators vary greatly, however, in implementation of improvements, that is, in the extent to which they implement process changes that identify events/problems, analyze and track incidents, decide how to change clinical and administrative practices, and monitor impacts of the changes. Our conceptual model identifies key determinants: (1) demand for safety comes from external factors: legal, market, and professional; (2) organizational responses depend on internal factors: group size, scope, and integration; leadership and governance; professional culture; information-system assets; and financial and intellectual capital. Further, safety is an aspect of quality (the same tools, decision making, interventions, and monitoring apply), and safety management benefits from prior efficiency management (similar skills and culture of innovation). Observed variation in even simple safeguards shows that existing safety incentives are too weak. Our model suggests that the biggest improvement would come from boosting the demand for quality and safety from both private and public larger group purchasers. Current policy relies too much on litigation and discipline, which have sometimes helped, but not solved, problems because they are inefficient, tend to drive needed information underground, and complicate needed cultural change. Patients' safety demand is also weak for want of information and market power. Big purchasers' demands, however, quickly influence the internal environment of medical groups, helping managers advance quality safety toward the top of groups' congested decision-making "queues."     

A method for estimating the GNP loss from a future oil embargo

This article develops a theoretical model to estimate the loss in GNP to the U.S. economy that would result from a future oil embargo. The model is based on an input-output matrix of the economy, but modifies the traditional input-output analysis in order to take account of conservation and substitution possibilities. Data generated from the 1973–74 embargo is used as a bench mark for this study in order to assure that the model produces reasonable estimates. Based upon estimates of future economic and energy growth, this study concludes that the United States will become increasingly vulnerable to economic damage as a result of a future embargo.This work was begun while the author was employed at the Center of Naval Analyses during the summer of 1974. Financial support for the continuation of this project was received from the Federal Energy Administration, and this paper is a condensed version of a report sent to the FEA. Views expressed in this paper are those of the author, and do not necessarily reflect the position of either of the above organizations.