Recent Iowa trends in sudden unexpected infant deaths: the importance of public health collaboration with medical examiners' offices

During the winter in 2008, Iowa experienced an increase in sudden unexplained infant deaths (SUIDs). SUIDs and infectious causes of infant deaths generally average 3 monthly (SD = 1.0) in Iowa. However, in January 2008, 9 infant deaths were reported to the Iowa Department of Public Health and the Iowa Office of the State Medical Examiner. Between January and March of 2008, joint investigation of 22 SUIDs was conducted. The investigations required the involvement of multiple medical examiners from various jurisdictions, testing for pathogens at the University Hygienic Laboratory, epidemiologic support from the Iowa Department of Public Health, and consultation with the Centers for Disease Control and Prevention. The preliminary hypotheses for the increase in the infant mortality included viral respiratory disease and/or possible novel respiratory viral infections being the cause. Collaboration between public health and the medical examiner offices resulted in timely assessment of the cases. While no single causative agent was responsible for the increase seen in the number of infant deaths, respiratory pathogens played a role in the deaths of 15 of 22 children.     

The power of small-scale solar: gender,energy poverty,and entrepreneurship in Tanzania

Energy poverty is a major challenge in the developing world, with an estimated 1.2 billion people lacking household electricity. Although energy poverty affects both men and women, the burden of household energy supply disproportionately affects women in low-income countries in the developing world. This article examines the impact of a women-oriented solar lighting social enterprise, Solar Sister, in Tanzania for both solar entrepreneurs and customers, demonstrating that solar lanterns positively impact household savings, health, education and women’s economic productivity and empowerment. Our study argues that Solar Sister’s approach is successful because of its explicit gender lens. Providing energy access to women translates to a pro-woman, pro-child, and pro-family development intervention.     

Mediators or partners? Practitioner perspectives on partnership

Partnership has become a key word in the jargon of international development. This article presents the results of research into the perspectives of Cambodian and Filipino NGO workers on their funding relationships. Largely confirming the negative literature about partnership, practitioners generally expressed a view that their relationships with funders are not consistent with the rhetoric of power sharing and collaboration that often accompanies discussions of the subject. In spite of this, practitioners articulated a desire for collaborative relationships with Northern organisations, ideally with a greater focus on the local context and personal relationships. Practitioners believe that an important part of their role is mediating development in order to make it more relevant and responsive.     

Smoke screen: A theoretical framework

We develop a theory of smoke screening (ambiguity) as a means of maximizing political support when the voters' evaluation of a candidate depends on the quality of information they receive, on their ability to obtain and process relevant information and finally on the candidate's popularity (goodness of reputation). We show that the more favorable a candidate's standing relative to his competence the greater the incentive to milk good reputation by generating smoke screens; and that the more “savvy” (educated, knowledgeable, involved etc.) the public the lower the amount of smoke screening activities undertaken.     

Perceived parental authority: Reasonable and unreasonable

A questionnaire study of 844 teenagers from four midwestern high schools focused on phenomena associated with their perceptions of which parent was the real boss and of how reasonable this boss was in dealing with the adolescent. Father was perceived to be the family authority about three times more often than was mother, although sons tended to see father as boss more often than did daughters, who tended to see mother as boss more often than did sons. Paternal and maternal authorities did not differ in perceived reasonableness. When either mother or father was perceived as a reasonable authority, the teenagers saw mother as highly involved, objective, and as enjoying life. Perception of high reasonableness in paternal authority was associated with the perception of father as involved, objective, enjoying life, and as not rigorous in his expectations for the child's compliance and achievement.     

Parental criticism and the adolescent experience

In a questionnaire study of 883 high school students, subjects were asked the extent to which their parents criticized them for 18 criticizable behaviors or attitudes. Over 50% of the respondents reported being criticized for being disobedient, lazy, and messy—issues central to family life. Further analyses indicated a relationship between perceived criticism and self-image. The more criticism the teenager perceived for a specific behavior or attitude (e.g., being selfish), the more likely that teenager was to perceive himself/herself as being that way. The differential impact of criticism in the context of parental rejection was also explored.Received M.D. from Rush Medical College. Research interests are birth order and adolescence.Received Ph.D. from the University of Chicago. Research interests are adolescence and psychotherapy.