Stewardship and health systems strengthening: An overview

The World Health Organization (WHO) introduced the concept of stewardship to clarify the practical components of governance in the health sector. For the WHO, stewardship concentrated on how government actors take responsibility for the health system and the wellbeing of the population, fulfill health system functions, assure equity, and coordinate interaction with government and society. This article overviews the contents of this special issue, which offers examples of how health stewards in a variety of countries have addressed issues of health security, primary care expansion, family planning, and quality of care. The contributors' articles draw lessons for policy, programs, and management useful for practitioners and scholars. Our overview identifies several themes emerging from the articles: the foundational role of legal frameworks for effective stewardship, the importance of institutional arrangements as enablers, the influence of regional and global entities on national stewardship, the connection between credible decision‐making structures and stewardship, and pathways to sustainable financing and domestic resource mobilization. The discussion concludes with highlighting several gaps in knowledge and practice related to health stewardship.     

Cone‐beam Computed Tomography for Analyzing Variations in Inferior Alveolar Canal Location in Adults in Relation to Age and Sex*

Abstract: Previous studies have indicated that the relative position of the inferior alveolar canal and its mental and mandibular foramina in adults vary with age and show sexual dimorphism. Conceivably, these purported differences could be of forensic value for determining identity of human remains. This study was designed to determine the influence of age and sex on the relative position of inferior alveolar canal and its foramina in cone‐beam computed tomography (CBCT) studies of adults. Existing CBCT studies of the maxillofacial region from dentate adult patients selected at random and ranging in age from 18 to 80 years (110 women and 55 men) were acquired, and the location of the inferior alveolar canal was assessed at three points: the mandibular foramen in axial view, the inferior alveolar canal in coronal view, and the mental foramen in coronal view. Measurements were also expressed for the mental foramen as the percentile position from the nearest superior bony crest to the inferior border; corresponding position of the mandibular foramen from the anterior to the posterior border of the mandibular ramus; and for the inferior alveolar canal at the level of first permanent molar from the nearest buccal bony surface to the lingual surface and from the superior alveolar crest to the inferior border. Regression analyses were performed on the variables with regard to the effects of age and sex. Most analyses resulted in no statistical significance (p < 0.05). A few of the sex‐specific traits demonstrated near‐statistically significant effects; however, these characterizations generally resulted in a 1% or less change per age decade. Overall, the results demonstrated that the relative location of the inferior alveolar canal and associated foramina in adults remain fairly constant without regard to age and sex.     

The Enforcement of the Treaty of Versailles, 1919–1923

This paper uses the episode of the Kapp putsch in March 1920 to isolate and analyze a number of high policy themes that dominated the period from the signature of the Treaty of Versailles through to the Franco-Belgian invasion of the Ruhr. These included: the questions of what mechanisms existed to enforce the treaty; the sanctions available to the victorious governments to enforce their will; the position and problems of the German government; the relationship and suspicions existing between Britain and France and the differing aims, ambitions, and approaches of the major participants.     

EU DEVELOPMENTS IN IP, IT AND TELECOMMUNICATIONS LAW

This is the latest edition of Baker & McKenzie’s column on recent developments in EC law relating to IP, IT and Telecommunications. This article is updated for each edition of this Journal to reflect those developments on a European level which are considered important for practitioners, students and academics in a wide range of information technology, E-commerce, telecommunications and intellectual property areas. It cannot be exhaustive but intends to address the important points. For clarity, developments are not always kept on the table once finalized, readers should revert to earlier issues/academic texts for legislation which is more than six months old. This is a reference guide, and links to outside websites are included where possible. No responsibility is assumed for the accuracy of information contained in these links.     

Pivot but Hedge: A Strategy for Pivoting to Asia While Hedging in the Middle East

The U.S. government's new emphasis on the Asia-Pacific represents a bold strategic choice that could animate U.S. national security policy for years to come. Yet the United States must balance its rightful new focus on the Asia-Pacific with the volatility that still exists in other areas of the world. The United States should pivot to the Asia-Pacific—but to protect its vital interests, it should also hedge against threats elsewhere, particularly in the greater Middle East. To implement a “Pivot but Hedge” strategy, the U.S. government should do three things. First, it should exercise caution when cutting the defense budget. Second, it should give the military services greater leadership roles in specific regions: naval and air forces should lead in the Asia-Pacific, while ground forces should lead in the greater Middle East. Third, it should maintain expansible, capable, and well-trained ground forces as a hedge against global uncertainty.     

Out on the town: an evaluation of brief motivational interventions to address the risks associated with problematic alcohol use

Alcohol has long been identified as a significant contributory factor in crime and anti social behaviour, yet there is a dearth of effective treatment available for those individuals whose drinking contributes significantly to their criminality, and subsequently the health risks and the economic and wider social implications associated with it. The literature on treatment programmes is drawn almost exclusively from medical experience but indicates that brief interventions are at least as effective as more intensive programmes in reducing alcohol consumption in at-risk groups. This research was undertaken to evaluate projects based in the West Midlands, United Kingdom, providing brief motivational interventions to offenders arrested for offences where alcohol is identified as a significant contributory factor. The evaluation indicates that an arrest referral scheme as developed in the West Midlands can achieve good levels of identification and referral, acceptable attendance, retention rates, and effective outcomes in terms of attitude and behaviour change.     

Affirmative action: What do we know?

An Erratum for this article has been published in Journal of Policy Analysis and Management,26(1), 215.