That Old-Time Religion: Efficiency, Benchmarking, and Productivity

Books Reviewed:
M. Berman, Productivity in Public and Nonprofit Organizations: Strategies and Techniques
Patricia Keehley, Steven Medlin, Sue MacBride, and Laura Longmire, Benchmarking for Best Practices in the Public Sector: Achieving Performance Breakthroughs in Federal, State and Local Agencies
David N. Ammons, Municipal Benchmarks: Assessing Local Performance and Establishing Community Standards     

A. Reviews: general

AN EARLY ISLAMIC FAMILY FROM OMAN: AL‐'AWTABI'S ACCOUNT OF THE MUHALLABIDS. By MARTIN HINDS. (Journal of Semitic Studies Monographs, 17.) Manchester, University of Manchester, 1991. vi, 97pp. £25.00.

THE ORIGINS OF WESTERN ECONOMIC DOMINANCE IN THE MIDDLE EAST: MERCANTILISM AND THE ISLAMIC ECONOMY IN ALEPPO, 1600–1750. By BRUCE MASTERS. (New York University Studies in Near Eastern Civilisation, 12.) New York and London, New York University Press, 1988. xviii, 240 pp.

MOROCCO IN THE REIGN OF MAWLAY SULAYM#afAN. By MOHAMED EL MANSOUR. Cambridgeshire, MENAS Press, 1990. 248 pp. + bibliography.

THE BALKAN CITY 1400–1900. By NIKOLAI TODOROV. Seattle and London, University of Washington Press, 1983. xxvii, 641pp.

SOVIET POLICIES IN THE MIDDLE EAST: FROM WORLD WAR II TO GORBACHEV. By GALIA GOLAN. Cambridge, Cambridge University Press, 1990. viii, 319 pp. £27.50

THE SUPERPOWERS AND THE SYRIAN‐ISRAELI CONFLICT. By HELENA COBBAN. (The Washington Papers.) New York, Praeger (with the Center for Strategic and International Studies, Washington, D.C.), 1991. xxii, 182 pp. Map, tables, foreword by Robert G. Neumann. $19.95

LITTLE COMMON GROUND: ARAB AGRICULTURE AND JEWISH SETTLEMENT IN PALESTINE, 1920–1948. By CHARLES S. KAMEN. Pittsburgh, University of Pittsburgh Press, 1991. xi, 327pp. $39.95.

CITIZENS APART: A PORTRAIT OF THE PALESTINIANS IN ISRAEL. By AMINA MINNS & NADIA HIJAB. (Society and Culture in the Modern Middle East.) London & New York, I.B. Tauris, 1990. xiii, 210pp. £19.95.

THE LEGAL STATUS OF THE ARABS IN ISRAEL. By DAVID KRETZMER. (Westview Special Studies on the Middle East.) Boulder, San Francisco & Oxford, Westview Press, 1990. xii, 197pp. £13.50.

WAS THE RED FLAG FLYING THERE? MARXIST POLITICS AND THE ARAB‐ISRAELI CONFLICT IN EGYPT AND ISRAEL, 1948–1965. By JOEL BEININ. London, I.B. Tauris, 1990. xix, 317pp. £29.95.

EGYPT AND THE CRISIS OF ISLAM. By ZAHIA RAGHEB DAJANI. New York, Peter Lang, 1990. ix, 255pp.

WAR AND PEACE IN THE GULF: DOMESTIC POLITICS AND REGIONAL RELATIONS INTO THE 1990s. By ANOUSHIRAVAN EHTESHAMI and GERD NONNEMAN (with a contribution by CHARLES TRIPP). Reading, Garnet Publishing, 1991. 287pp. £30.00.

SUDAN: HISTORY, IDENTITY, IDEOLOGY. Edited by HERVÉ BLEUCHOT, CHRISTIAN DELMET and DEREK HOPWOOD. (St Antony's Middle East Monographs, 25.) Reading, Ithaca Press, 1991. xvi, 298 pp. £25.00.

TRIBES, GOVERNMENT AND HISTORY IN YEMEN. By PAUL DRESCH. Oxford, The Clarendon Press, 1989. xxix, 440pp. 14 bw. plates.

SOCOTRA: ISLAND OF TRANQUILLITY. By BRIAN DOE. London, Immel Publishing, 1992. 236pp. £50.00

AN OVERVIEW OF MODERN ARABIC LITERATURE. By PIERRE CACHIA. (Islamic Surveys.) Edinburgh, Edinburgh University Press, 1990. viii, 241pp. £30.00 (hb).

THE ARABIAN ORAL HISTORICAL NARRATIVE: AN ETHNOGRAPHIC AND LINGUISTIC ANALYSIS. By SAAD A. SOWAYAN. (Semitica Viva, 6.) Wiesbaden, Harrassowitz, 1992. xii, 323pp. DM88.‐

ARABCARD. By ADRIAN BROCKETT, OWEN TAYLOR and IAN CLARK. Durham, University of Durham, Centre for Middle Eastern & Islamic Studies, 1991. (Version reviewed: 3.2). Base Package (3 diskettes): £50.

ISLAM IN EUROPEAN THOUGHT. By ALBERT HOURANI. Cambridge, Cambridge University Press, 1991.     

Why Medicare cannot promulgate a national coverage rule: a case of regula mortis

For over twenty-five years, Medicare has tried to promulgate a rule to implement the broad congressional directive to pay only for items and services that are "reasonable and necessary." A rule would clarify legal authority and describe specific criteria for evaluation of new technology in Medicare. This case study is an intractable example of a larger issue of regula mortis or dead rule. Regula mortis occurs when a mobilized interest group blocks legitimate administrative agency action, causing a regulatory stalemate. In this case, the medical device industry has prevented the implementation of a rule. The article diagnoses the condition of regula mortis, explains its effects in the Medicare case, and draws on principles of administrative law to propose remedies to break the logjam. While the case of coverage criteria is important in its own right, it has wider relevance. All health systems must grapple with the challenge of evaluating new technologies. Medicare efforts provide a starting point for the policy discussion. In our current political environment, regula mortis may be an increasingly common phenomenon and the proposed cures for it broadly applicable.     

High urine ethanol and negative blood and vitreous ethanol in a diabetic woman: a case report, retrospective case survey, and review of the literature

Several studies have shown that ethanol can be produced in urine infected with yeast or bacteria in vitro. We present the unusual case of a diabetic woman in whom ethanol was produced in her urine in vivo. The decedent was a 19-year-old woman who was noncompliant with her diabetes treatment. She presented to a local hospital in severe diabetic ketoacidosis and died shortly thereafter. Upon arrival at the hospital, a blood glucose of 553 mg/dL was detected. A urinalysis was positive for ketones (> 80 mg/dL), glucose (> 1000 mg/dL), and large budding yeast forms. A drug screen performed on the urine was positive for ethanol. At the coroner/medical examiner office, an autopsy was negative for significant anatomic findings. Toxicology analysis revealed a urine ethanol level 0.32 g/dL, although no ethanol was detected in blood or vitreous samples. A urine gram stain and culture identified Candida glabrata. A retrospective case review of all deaths related to diabetes examined at the coroner/medical examiner office from 1986 to 2003 did not reveal other cases with similar findings. This case of a noncompliant, juvenile-diabetic woman illustrates a rare finding of apparent in vivo glucose fermentation by C. glabrata to form ethanol in the urine. This case also highlights a potential difficulty in toxicologic analysis and interpretation using urine only.