Competitive bidding and states' purchase of services: the case of mental health care in Massachusetts.

Over the past two decades states have significantly increased their use of competitive bidding to purchase health and social services from private agencies. Competitive contracting is thought to facilitate program administration, to reduce costs, and to increase the quality of delivered services. We evaluate these claims in light of Massachusetts' experience with competitive contracting for mental health care. We find that few of the expected benefits are achieved. In practice, supposedly competitive bidding systems often degenerate into administratively complicated negotiations between the state and private monopolies. This results in higher costs and lower quality of services. In light of this negative assessment, three strategies for reform are proposed and evaluated.     

The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence

The results of two studies are reported. Study I involved the development of the Inventory of Parent and Peer Attachment (IPPA), a self-report instrument for use with adolescents. Subject were 179 college students aged 16–20 years. Item content of the instrument was suggested by attachment theory's formulations concerning the nature of feelings toward attachment figures. In Study II, the convergent validity of the IPPA was examined. Also, a hierarchial regression model was employed to investigate the association between quality of attachment and self-esteem, life-satisfaction, and affective status. Respondents were 86 adolescents from the Study I sample. As hypothesized, perceived quality of both parent and peer attachments was significantly related to psychological well-being. Results of the development of a theoretically focused, exploratory classification scheme indicated that adolescents classified as highly securely attached reported greater satisfaction with themselves, a higher likelihood of seeking social support, and less symptomatic response to stressful life events.She received her Ph.D. in Psychology at the University of Washington. Her research interests include the study of attachment, stress and coping styles in adolescence.He received his Ph.D. from the University of Virginia. His research interests include attachment relationships across the life span and their influence on personality, and the development of deaf children.     

A. Reviews: general

THE HISTORY OF AL‐TABARI (TA'RIKH AL‐RUSUL WA ‘L‐MULÜK). [An annotated translation] (Bibliotheca Persica) (SUNY Series in Near Eastern Studies):

VOLUME XXVII: THE ‘ABBASID REVOLUTION [A.D. 743–750/A.H. 126–132]. Translated and annotated by JOHN ALDEN WILLIAMS. Albany, State University of New York Press, 1985. xiv, 233pp.

VOLUME XXXV: THE CRISIS OF THE ‘ABBASID CALIPHATE: [THE CALIPHATES OF AL‐MUSTA'IN AND AL‐MUTAZZ A.D. 862–869/A.H. 248–255]. Translated and annotated by GEORGE SALIBA. Albany, State University of New York Press, 1985. xii, 187pp.

VOLUME XXXVIII: THE RETURN OF THE CALIPHATE TO BAGHDAD: [THE CALIPHATES OF AL‐MUTADID, AL‐MUKTAFI AND AL‐MUQTADIR A.D. 892–915/A.H. 279–302]. Translated and annotated by FRANZ ROSENTHAL. Albany, State University of New York Press, 1985. xxii, [2], 239pp.

VOLUME XVIII: BETWEEN CIVIL WARS: THE CALIPHATE OF MU'AWIYAH [A.D. 661–680/A.H. 40–60]. Translated and annotated by MICHAEL G. MORONY. Albany, State University of New York Press, 1987. xi, 261pp.

AN INTRODUCTION TO SHI'I ISLAM: THE HISTORY AND DOCTRINES OF TWELVER SHI'ISM. By MOOJAN MOMEN. New Haven & London, Yale University Press, xxii, 397pp.

JEWISH LIFE UNDER ISLAM: JERUSALEM IN THE SIXTEENTH CENTURY. By AMNON COHEN. London, Harvard University Press, 1984.

ISLAMIC ART AND ARCHAEOLOGY: Collected Papers. By RICHARD ETTINGHAUSEN. Prepared and edited by MIRIAM ROSEN AYALON. Berlin, Gebr. Mann Verlag, 1984. 1318pp.

THEMES FROM NORTHERN SUDAN. By AHMED AL‐SHAHI. (Brismes Series No 1.) London, Ithaca Press, 1986 152pp. £15.00.

SYRIA UNDER ASSAD: DOMESTIC CONSTRAINTS AND REGIONAL RISKS. Edited by MOSHE MAOZ and AVNER YASIV. London, Croom Helm, 1986. 273pp., maps, notes. £25.00

THE STRUGGLE FOR THE ARAB WORLD: EGYPT'S NASSER AND THE ARAB LEAGUE. By TAWFIG Y. HASOU. London, Kegan Paul International, 1985. 228pp., appendices, notes, bibliography. £25.00

DESPATCHES FROM DAMASCUS: GILBERT MACKERETH AND BRITISH POLICY IN THE LEVANT, 1933–1939. By MICHAEL G. FRY and ITAMAR RABINOVICH. Jerusalem, University of Southern California and Tel Aviv University, 1985. 225pp.

THE MAKING OF MODERN LEBANON. By HELENA COBBAN. London, Hutchinson, 1985, 248pp., illus., maps, bibliography. £6.95.

THE DEVELOPMENT OF MODERN EDUCATION IN THE GULF. By SHEIKHA AL‐MISNAD. London, Ithaca Press, 1986. 386pp., tables, appendices, bibliography. £24.95.

SAUDI ARABIA: THE CEASELESS QUEST FOR SECURITY. By NADAV SAFRAN. London, Harvard University Press, 1985. 542pp., map, tables, notes, appendices, bibliography. £21.25.

THE MANPOWER IN KUWAIT. By SHAMLAN Y. ALESSA. London, Kegan Paul International, 1981. 140pp., tables, notes, bibliography. £30.00.

OMAN AND MUSCAT: AN EARLY MODERN HISTORY. By PATRICIA RISSO. London, Croom Helm, 1986. 258pp., glossary, maps, notes, bibliography. £19.95.

TUYUR ‘UMAN (Birds of Oman). By MICHAEL GALLAGHER and MARTIN W. WOODCOCK. London, Quartet, 1985. 308pp., coloured illustrations, maps, bibliography. £35.00.     

B. Reviews: general

THE HISTORY OF AL‐TABARl (TA'RIKH AL‐RUSUL WA ‘L‐MULÜK). (An annotated translation] (Bibliotheca Persica) (SUNY Series in Near Eastern Studies):

VOLUME II: PROPHETS AND PATRIARCHS. Translated and annotated by WILLIAM M. BRINNER. Albany, State University of New York Press, 1987. xii, 207pp.

VOLUME IV: THE ANCIENT KINGDOMS. Translated and annotated by MOSHE PERLMANN. Albany, State University of New York Press, 1987. xii, 205pp.

THE FIRST DYNASTY OF ISLAM: THE UMAYYAD CALIPHATE ad 661–750. By G.R. HAWTTNG. London and Sydney, Croom Helm, 1986. xx, 141pp., 4 genealogical tables, 2 maps. £19.95.

THE ADVENTURES OF IBN BATTUTA, A MUSLIM TRAVELLER OF THE 14TH CENTURY. By ROSS E. DUNN. London, Croom Helm, 1986. xvi, 357 pages, 12 maps. £22.50

TRADE AND CIVILISATION IN THE INDIAN OCEAN. AN ECONOMIC HISTORY FROM THE RISE OF ISLAM TO 1750. By K..N. CHAUDHURI. Cambridge, C.U.P., 1985. xiv + 269 pp. £25.00 Hardback, £8.95 Paperback.

MAMLUK JERUSALEM: AN ARCHITECTURAL STUDY. By MICHAEL HAMILTON BURGOYNE and DONALD S. RICHARDS. London, World of Islam Festival Trust for the British School of Archaeology in Jerusalem, 1987. xii, 623pp. £115.00

ISLAMIC TECHNOLOGY: AN ILLUSTRATED HISTORY. By AHMAD Y. AL‐HASSAN and DONALD R. HILL. Cambridge, Cambridge University Press/Paris, Unesco, 1986. xiv, [ii], 304pp. 165 illustrations, 1 map. £25.00.

OIL, INDUSTRIALISATION AND DEVELOPMENT IN THE ARAB GULF STATES. By ATIF A. KUBURSI, London, Croom Helm, 1984. 144 pp. Paperback.

BRITAIN'S INFORMAL EMPIRE IN THE MIDDLE EAST: A CASE STUDY OF IRAQ 1929–1941. By DANIEL SILVERFARB. New York: Oxford University Press, 1986. xii + 200 pp. $24.95 cloth.

IRAQ BETWEEN THE TWO WORLD WARS: THE CREATION AND IMPLEMENTATION OF A NATIONALIST IDEOLOGY. By REEVA S. SIMON. New York: Columbia University Press, 1986. xviii + 233 pp. $30.00 cloth.

SADDAM'S IRAQ: REVOLUTION OR REACTION? London, Zed Press, 1986, for CARDRI (Committee against repression and for democratic rights in Iraq). 254pp. Paper.

THE EVOLUTION OF THE SHATT AL‐ARAB BOUNDARY DISPUTE. By RICHARD SCHOFIELD, London, MENAS Press, 1986. 111 pp. Paper.

JORDAN IN THE 1967 WAR. By SAMIR A. MUTAWI. Cambridge, Cambridge University Press, 1987. 228pp. £22.50.

UNDER SIEGE: P.L.O. DECISIONMAKING DURING THE 1982 WAR. By RASHID KHALIDI. New York, Columbia University Press, 1986. 241 pp.

EMPIRE ON THE NILE. THE ANGLO‐EGYPTIAN SUDAN, 1898–1934. By M.W. DALY. Cambridge University Press, 1986. xv + 524 pp. + Map and 21 illustrations. £40.00.

ISLAM AND THE THIRD UNIVERSAL THEORY: THE RELIGIOUS THOUGHT OF MU'AMMAR AL‐QADHDHAFI. By MAHMOUD MUSTAFA AYOUB. London, KPI Ltd., 1987. 155pp.

APPROACHES TO ISLAM. (World Religions in Education Series.) By RICHARD TAMES. London, John Murray, 1982. 264pp. P/B £4.95

MORALS AND MANNERS IN ISLAM. By MARWAN IBRAHIM AL‐KAYSI. Leicester, The Islamic Foundation, 1986. 200pp. H/B £9.50 P/B £4.50

REMEMBRANCE AND PRAYER. By MUHAMMAD AL‐GHAZAALI. Translated by Yusuf Talal de Lorenzo. Leicester, The Islamic Foundation, 1986. 232pp. H/B £10.00 P/B £4.95

THE ISLAMIC WAY OF LIFE. By SAYYID ABUL A'LA MAWDUDI. Edited by Khurshid Ahmad and Khurram Murad. Leicester, The Islamic Foundation, 1986. 80pp. H/B £6.50 P/B £2.00

ADMINISTRATIVE DEVELOPMENT: AN ISLAMIC PERSPECTIVE. By A. AL‐BURAEY. London, KPI Ltd., 1985.470pp.

ARAB SOCIETY. Edited by SAMIH K. FARSOUN. London, Croom Helm, 1985. 125pp.

WOMEN OF SAUDI ARABIA. By SORAYA ALTO'RKI. New York, Columbia University Press, 1986. 183pp. $30.00

THE DEVELOPMENT OF EARLY ARABIC DRAMA 1847–1900. By MOHAMED A. AL‐KHOZAI. London, Longman, 1984. ix, 245pp. £7.95.

FROM NATIONALISM TO REVOLUTIONARY ISLAM. Edited by SAID AMIR ARJOMAND. Albany, State University of New York Press, 1984. 256pp.

OCCIDENTOSIS: A PLAGUE FROM THE WEST. By JALAL AL‐I AHMAD (translated by R. CAMPBELL, edited by HAMID ALGAR). Berkeley, Ca, Mizan Press, 1984. 160pp. $5.95.

THE RISING OF AL‐HUSAYN: ITS IMPACT ON THE CONSCIOUSNESS OF MUSLIM SOCIETY. By SHAYKH MUHAMMAD MAHDI SHAMS AL‐DIN (translated by I.K.A. HOWARD). London, Muhammadi Trust (distributed by Routledge and Kegan Paul), 1985. 218pp.

IRAN SINCE THE REVOLUTION: INTERNAL DYNAMICS, REGIONAL CONFLICTS AND THE SUPERPOWERS. Edited by BARRY ROSEN. (Brooklyn College Studies on Societies in Change, No. 47.) New York, Columbia University Press, 1985. 187pp., 27 plates, 4 maps.

IN IRAN: STUDIES IN BÁBÍ AND BAHÁ'Í HISTORY. Volume 3. Edited by PETER SMITH. Los Angeles, Kalimat Press, 1986. 237pp. HC $19.95.     

Personal identification based on radiographic vertebral features

Personal identification of human remains constitutes about 10% of the normal caseload of any forensic medicine practice. Identification can be achieved by a variety of methods, one of which is the comparison of antemortem and postmortem radiographs. There are numerous accounts of cranial and dental radiographic features useful for identification, whereas the availability of postcranial radiographs and especially plates that depict the vertebral column is less widespread among the forensic community. The authors here review the various vertebral features instrumental in positive identification that can be identified on radiographs of the spine.     

Difficulties in forensic medical evaluation of some forms of craniocerebral injury

Conclusions of 41 repeated expert evaluations of craniocerebral injuries within the framework of criminal and civil cases investigation are analyzed. Some aspects of clinical and forensic medical diagnosis of lethal and nonlethal injuries to the head, evaluation of the quality of medical care, and qualification of the severity of harm to health are discussed. Causes of typical expert errors and approaches to their prevention are shown.     

Plasma,oral fluid and sweat wipe ecstasy concentrations in controlled and real life conditions

In a double-blind placebo controlled study on psychomotor skills important for car driving (Study 1), a 75 mg dose of +/- 3,4-methylenedioxymethamphetamine (MDMA) was administered orally to 12 healthy volunteers who were known to be recreational MDMA-users. Toxicokinetic data were gathered by analysis of blood, urine, oral fluid and sweat wipes collected during the first 5h after administration. Resultant plasma concentrations varied from 21 to 295 ng/ml, with an average peak concentration of 178 ng/ml observed between 2 and 4h after administration. MDA concentrations never exceeded 20 ng/ml. Corresponding MDMA concentrations in oral fluid, as measured with a specific LC-MS/MS method (which required only 50 microl of oral fluid), generally exceeded those in plasma and peaked at an average concentration of 1215 ng/ml. A substantial intra- and inter-subject variability was observed with this matrix, and values ranged from 50 to 6982 ng/ml MDMA. Somewhat surprisingly, even 4-5h after ingestion, the MDMA levels in sweat only averaged 25 ng/wipe. In addition to this controlled study, data were collected from 19 MDMA-users who participated in a driving simulator study (Study 2), comparing sober non-drug conditions with MDMA-only and multiple drug use conditions. In this particular study, urine samples were used for general drug screening and oral fluid was collected as an alternative to blood sampling. Analysis of oral fluid samples by LC-MS/MS revealed an average MDMA/MDEA concentration of 1121 ng/ml in the MDMA-only condition, with large inter-subject variability. This was also the case in the multiple drug condition, where generally, significantly higher concentrations of MDMA, MDEA and/or amphetamine were detected in the oral fluid samples. Urine screening revealed the presence of combinations such as MDMA, MDEA, amph, cannabis, cocaine, LSD and psilocine in the multiple-drug condition.