The Utility of the Proximal Epiphysis of the Fifth Metatarsal in Age Estimation

Radiographs of 277 living individuals were assessed via a numerical scoring system to determine the timing of appearance and degree of fusion between the proximal epiphysis of the fifth metatarsal and its diaphysis. The epiphysis was observed to first appear in females at 8 years and 10 years in males and fuse by 14 years in females and 15 years in males. When assessing the level of agreement of category assignment, inter‐observer agreement was 78% for females and 64% for males whereas intra‐observer agreement was 77% for females and 86.1% for males. These results suggest that the maturation of the proximal epiphysis of the fifth metatarsal may be of value in age estimation in the child and that the scoring system is sufficiently robust to merit continued investigation. Previously this epiphysis has been considered an inconstant feature, but this research confirmed its presence in all individuals studied.     

Searchers vs surveyors in estimating the monetary value of a QALY: resolving a nasty dilemma for NICE

Recently, for many health economics researchers, empirical estimation of the monetary valuation of a quality-adjusted life year (QALY) has become an important endeavour. Different philosophical and practical approaches to this have emerged. On the one hand, there is a view that, with health-care budgets set centrally, decision-making bodies within the system can iterate, from observation of a series of previous decisions, towards the value of a QALY, thus searching for such a value. Alternatively, and more consistent with the approach taken in other public sectors, individual members of the public are surveyed with the aim of directly eliciting a preference-based - also known as a willingness-to-pay-based (WTP-based) - value of a QALY. While the former is based on supply-side factors and the latter on demand, both in fact suffer from informational deficiencies. Sole reliance on either would necessitate an acceptance or accommodation of chronic inefficiencies in health-care resource allocation. On the basis of this observation, this paper makes the case that in order to approach optimal decision making in health-care provision, a framework incorporating and thus, to a degree, reconciling these two approaches is to be preferred.     

Developmental and Validation of The Illustrated Version of The Home Inventory for Dangers and Safety Precautions: Continuing to Address Learning Needs of Parents in Injury Prevention

This paper describes the development and validation of the Home Inventory for Dangers and Safety Precautions – Illustrated Version to be used with parents whose children are at significant risk for home injury. Because illustrations are useful in facilitating learning by parents who have difficulty ensuring child and self home safety, colored illustrations representing 6 home rooms or areas were empirically developed for assessment purposes. The dangers depicted were selected from previous work and represented those associated with the majority of family home injuries. Score-sheets contained dangers and associated precautions administered to 62 referred young parents. Administration and psychometric characteristics were examined; specific hypotheses were tested. Obtained measures of internal consistency for dangers and precautions for all illustrations (except for Stairway) and for totals were satisfactory. Administration was suitable for use with this population. Parents were able to identify approximately half of the depicted dangers while being able to provide a suitable precaution for 40%. Reading comprehension was predictive of danger identification whereas reading recognition was predictive of precautions given. The HIDSP-IV is useful in assessing a parent's knowledge of dangers and precautions from which more individualized home safety instruction can occur.     

Characteristics of court-involved men and non-court-involved men who abuse their wives

The characteristics of court involved (CI) (n=86) and non-court-involved (NCI) men (n=42) who abused their wives and attended a treatment program were investigated. The groups experienced similar childhoods concerning family violence. The NCI men had more years of education, were more likely to be employed full-time, and tended to earn more money than the CI men. The NCI men also had more social support and scored higher on interpersonal problems than the CI men. The CI men were more likely to be separated, more reported drinking during their most recent assaultive occasion. Compared to the norms on the Basic Personality Inventory, both groups scored significantly higher on depression, anxiety, feelings of alienation, hypochondriasis, and impulse expression. CI men had higher denial and social introversion scores and NCI men had higher interpersonal problem scores than the norm. These findings have some implications for the planning of treatment programs.     

What is language? A response to Philippe van Parijs

When we consider the issue of linguistic justice, we must define what we mean by language. Standardisation of languages is closely associated with the development of the nation state, and the de Saussurian conception of language as system is in concert with nationalism and its divisions. In the early twenty-first century, however, this view of the world as a mosaic of stable national monolingualisms is outdated. In a globalising world, much of the political, social and economic structure that is developing is transnational and patterns of contact, both real and virtual, have become extraordinarily complex. In the resulting communities of communication of this superdiverse world, much language practice is more function driven than in the recent past. New practices mean that we cannot consider questions of linguistic justice in this new world order using the linguistic toolkit of the old. The flows, exchanges and networks of globalisation present us with a new paradigm and we need to recalibrate concepts.