A Comparison of Coronary Artery Stenosis Estimates Made by Forensic Pathologists and Medical Students

Previous studies suggest cardiovascular pathologists are less accurate than noncardiovascular pathologists (e.g., clinical pathologists) in estimating the degree of coronary artery stenosis. To further investigate the effect of training on accurate estimation of coronary artery stenosis, we designed a study to compare the accuracy of estimates made by forensic pathologists versus medical students. Six forensic pathologists and twelve medical students each independently examined 24 images of coronary artery cross sections and gave an estimate of the degree of stenosis. When comparing all 24 images, the forensic pathologists had a median difference between the estimated percentage of stenosis and actual percentage of stenosis of −12.380 and the medical students had a median difference of −16.50 (p-value of 0.08542). In estimating the percentage of stenosis, training in forensic pathology does not guarantee significantly improved accuracy compared with medical students. Our study showed no consistent statistically significant difference between estimates given by forensic pathologists and by medical students.     

Negotiated compliance at the street level: Personalizing immunization in England,Israel and Sweden

Often portrayed as behaviour that is inconsistent with policy goals, public noncompliance poses a significant challenge for government. To explore what compliance efforts entail on the ground, this study focuses on childhood immunization as a paradigmatic case where a failure to ensure compliance poses a public health risk. The analysis draws on 48 semi‐structured interviews with frontline nurses and regional/national public health officials in England (N = 15), Sweden (N = 17) and Israel (N = 16), all of which have experienced periodic noncompliance spikes, but differ in direct delivery of vaccination provision. Compliance efforts emerged as a joint decision‐making process in which improvisatory practices of personalized appeals are deployed to accommodate parents’ concerns, termed here ‘street‐level negotiation’. Whereas compliance is suggestive of compelling citizens’ adherence to standardized rules, compliance negotiation draws attention to the limited resources street‐level workers have when encountering noncompliance and to policy‐clients’ influence on delivery arrangements when holding discretionary power over whether or not to comply.     

Revisiting Adjusted ADA Scores for the U.S. Congress, 1947-2007

Philip Habel Department of Political Science, Southern Illinois University Carbondale, Mailcode 4501, Carbondale, IL 62901 This paper replicates and extends Groseclose, Levitt, and Snyder,"Comparing Interest Group Scores Across Time and Chambers: AdjustedADA Scores for the U.S. Congress," which appeared in the AmericanPolitical Science Review (1999/93:33–50). We replicatethe most recent unpublished extension by Dr. Groseclose andresearch assistants for years 1947–1999, and then we extendthe analysis to include years 2000 through 2007. We make availableinflation-adjusted ADA scores from 1947 through 2007, allowingscholars to incorporate the most recent interest group scoresinto their analyses. Author's Note: Authors are listed alphabetically. The authorswish to thank Tim Groseclose for making available both the nominalADA scores from 1947 to 1999 and the Matlab program files usedin this analysis. SA gratefully acknowledges the support ofthe Hoover Institution during her time there as the 2006–07W. Glenn Campbell and Rita Ricardo-Campbell National Fellowand the Robert Eckles Swain National Fellow. PH wishes to thankboth the Dirksen Congressional Center and the National ScienceFoundation, doctoral dissertation improvement division grant493469, for their generous support. He also wishes to acknowledgethe valuable research assistance of James Lewis, Joshua Mitchell,and Matt Bergbower. Special thanks to J. Tobin Grant, ScottMcClurg, and Wendy Tam Cho for their helpful feedback and assistance.All errors are the responsibility of the authors. Replicationmaterials and programs are available on the Political AnalysisWeb site.     

The Day I Will Never Forget: an interview with Kim Longinotto

The documentary filmmaker Kim Longinotto talks to Catherine Fowler about her latest film The Day I Will Never Forget (2003) about female genital mutilation (FGM) in Africa. Longinotto’s films have consistently interrogated our understanding of womens’ place in the world, and her latest film is no exception. She discusses how she found her subjects: Fardohsa, a midwife who has been campaigning against FGM, a group of girls who have (successfully) taken their parents to court in order to prevent FGM being practised, and Fouzia, a girl of nine who reads a poem that she wrote the day after she was circumcised, asking her mother to explain why she put her daughter through such a painful experience. Longinotto also discusses the ethical issues raised by her filming of a circumcision of two sisters, and the wider issues that her film engages: the powerless position of women in African societies, the confusion of religion and culture in discussions of FGM, and the impact of saying ‘no’ to this practice.     

Valence,Policy Ideas,and the Rise of Sustainability

This article introduces to policy studies the concept of valence, which we define as the emotional quality of an idea that makes it more or less attractive. We argue that valence explains why some ideas are more successful than others, sometimes gaining paradigmatic status. A policy idea is attractive when its valence matches the mood of a target population. Skilled policy entrepreneurs use ideas with high valence to frame policy issues and generate support for their policy proposals. The usefulness of the concept of valence is illustrated with the case of sustainability, an idea that has expanded from the realm of environmental policy to dominate discussions in such diverse policy areas as pension reform, public finance, labor markets, and energy security. As the valence of sustainability has increased, policy entrepreneurs have used the idea to reframe problems in these various policy areas and promote reforms.