Differentiating cause-of-death terminology for deaths coded as sudden infant death syndrome, accidental suffocation, and unknown cause: an investigation using US death certificates, 2003-2004

We compared written text on infant death certificates for deaths coded as sudden infant death syndrome (R95), unknown cause (R99), and accidental suffocation (W75). Using US mortality files supplemented with the death certifiers' written text for all infant deaths with International Classification of Diseases (ICD)-10 assigned codes R95, R99, and W75, we formed cause-of-death subcategories from common themes identified from the written text. Among all infant deaths in 2003-2004, the underlying cause of death was listed as R99 for 2128 deaths, R95 for 4408 deaths, and W75 for 931 deaths. Among the postneonatal deaths, the differences in subcategories varied between assigned ICD-10 codes: for R99-coded deaths, 45.8% were categorized as "Unknown" and 48.6% as "Pending"; for R95-coded deaths, 67.7% were categorized as "sudden infant death syndrome (SIDS)"; and for W75-coded deaths, 76.4% were categorized as "Suffocation." Examination of the written text on the death certificates demonstrates variability in the assigned ICD-10 codes which could have an important effect on the estimates of SIDS cases in the United States.     

Picturing neuroscience research through a human rights lens: imaging first-episode schizophrenic treatment-naive individuals

In this paper we examine imaging research involving first-episode schizophrenic treatment-naive individuals (FESTNIs) through a legal human rights lens; in particular, the lens of the Additional Protocol to the Convention on Human Rights and Biomedicine Concerning Biomedical Research. We identify a number of ethical and legal hot spots highlighted by the Protocol, and offer a series of recommendations designed to ensure the human rights compatibility of this research. Subsequently, we argue that the lack of reporting on design elements related to ethical concerns frustrates commitments at the heart of the human rights approach, namely, transparency and openness to international scrutiny. To redress this problem, we introduce two norms for the first time: ethical transparency, and ethical reproducibility. When concluding, we offer a set of reporting guidelines designed to operationalize these norms in the context of imaging research involving FESTNIs. Though we will not make this case here, we believe that parallel reporting guidelines should be incorporated into other areas of research involving human subjects.     

Temporal analysis of the cocaine metabolite benzoylecgonine in wastewater to estimate community drug use*

Abstract: Indirect estimation methods of cocaine consumption may not reflect the real extent of cocaine use. Another approach is sewage epidemiology. This direct approach is based on analysis of a stable cocaine metabolite, benzoylecgonine (BE), in wastewater. Influent to the Lubbock (Texas) Water Reclamation Plant was sampled twice a week to assess weekly variations in estimates of cocaine consumption over a 5‐month period. BE was extracted from influent wastewater samples using solid phase extraction and analyzed using gas chromatography/mass spectrometry. Measured concentrations of BE were converted to cocaine equivalents; the estimated average daily consumption of cocaine during the study period was 1152 ± 147 g. Based on BE concentrations and sewage epidemiology, higher cocaine consumption was observed on weekends compared to weekdays (p < 0.0003). This method was effective in monitoring BE in wastewater and could be used to complement survey data in estimating cocaine use at a local level.     

Bridging cross-cultural feminisms: annie besant and women's rights in England and India, 1874-1933

Abstract

Annie Besant was a Victorian radical whose outspoken views included advocacy of women's rights and opposition to British imperial policies. In her mid-forties she went to live in India. Contesting British attempts to Westernize Indian society, Besant found herself in the seemingly anomalous position of defending traditional Indian patriarchy and resisting efforts to reform the status of Indian women. Such conservatism brought on Besant criticism not only from Western liberals and Christian missionaries, but also from many Indian social reformers. When she gradually shifted her views and voiced her support for Indian women's rights, Indian nationalists condemned her as a British imperialist. The conflict between loyalty to national heritage and opposition to traditional patriarchy is one that colonized women have commonly experienced. By examining how an anti-imperialist British feminist responded to the question of women's reform in India, this paper offers another perspective on the complexities of this dilemma.     

Why are highly informed citizens sceptical of referenda?

Past work on attitudes toward the use of referenda finds that the most politically informed citizens are more sceptical of its use than their less informed counterparts. An intriguing tension presents itself in that those citizens who may be best equipped for referendum voting, the highly informed and politically sophisticated, are the least likely to support the use of this tool of direct democracy. Using data from Canadian Election Studies, we consider three explanations for relative referenda scepticism among political sophisticates. Our analyses provide evidence to support a confidence in government explanation and a concern for minority rights explanation, but not an incompetent public explanation – a curious finding considering the centrality of citizen competence in the theoretical literature on referenda.     

Technical Management in an Age of Openness: The Political,Public, and Environmental Forest Ranger

Modern bureaucracy faces trade‐offs between public and congressional input and agency expertise. The U.S. Forest Service offers an opportunity to quantitatively analyze whether an agency that is required to be more open to the public and congressional input will be forced to ignore its technical expertise in managing resources. This study uses data on 83,000 hazardous fuels reduction activities conducted by the Forest Service from 2001 to 2011. Although the results show that managers are responsive to public and congressional considerations, this has not prevented them from utilizing their technical knowledge to restore lands most deviated from natural conditions. This suggests that managers can balance responsiveness to public and political principals with technically sound management.     

Life into art and art into life: visualising the aesthetic woman or ‘high art maiden’ of the Victorian ‘renaissance’

There has been a great deal of research concerning the effect of aestheticism on men in the late nineteenth century, especially in terms of their sexuality, but its impact on women has been largely dismissed as unnecessary, as women were naturally ‘feminine’. This article examines whether ‘the self-absorption and heightened emotional life of Aestheticism’ (J.B. Bullen, 1998 [Oxford: Oxford University Press]) was tolerable in women or if it was leading to disease, decay and corruption. Aestheticism's insistence on individuality and self-discovery were to have important consequences for women, fuelling the desire for a life of their own rather than solely service to others.