Assessment of accuracy of suicide mortality surveillance data in South Africa: investigation in an urban setting

Although it is not a legal requirement in South Africa, medical practitioners determine the manner of injury death for a surveillance system that is currently the only source of epidemiological data on suicide. This study assessed the accuracy of suicide data as recorded in the system using the docket produced from standard medico-legal investigation procedures as the gold standard. It was conducted in one of three cities where the surveillance system had full coverage for the year 2000. In the medico-legal system, one-third of cases could not be tracked, had not been finalized, or had unclear outcomes. For the remaining cases, the sensitivity, specificity, and positive and negative predictive values were generally high, varying somewhat across sex and race groups. Poisoning, jumping, and railway suicides were more likely than other methods to be misclassified, and were more common among females and Whites. The study provides encouraging results regarding the use of medical practitioner expertise for the accurate determination of suicide deaths. However, suicides may still be underestimated in this process given the challenge of tracing disguised suicides and without the careful examination of potential misclassifications of true suicides as unintentional deaths.     

The Rise and Fall of Paid Maternity Leave Policy in the Years of the Keating Government

In 2010, Australia finally introduced maternity leave, making it one of the last OECD nations to do so. Yet this policy had been announced by the Keating Government some sixteen years earlier, only to be watered down and then ultimately scuppered by subsequent governments. How, then, do we make sense of the rise and fall of this policy in the 1990s? This paper examines this question, arguing that while effective mobilisation by women in the labour movement was crucial to placing this issue on the Keating Government's policy agenda, the continued dominance of a male breadwinner model ultimately served to provide powerful impediments to policy implementation. The paper draws on interviews with key actors and analysis of policy debate to make this case, employing the concepts of policy windows and path dependency to make sense of the opportunities and impediments to policy change respectively. While an important and neglected story of maternity leave policy in Australia, this analysis has important implications for understanding policy‐making, policy trajectory and even gender roles in Australian politics and society.     

interview with Sarah Waters (CWWN conference,University of Wales,Bangor, 22nd April 2006)

Sarah Waters was born in Pembrokeshire in South Wales in 1966. She is the author of four novels, Tipping the Velvet (1998), Affinity (1999), Fingersmith (2003) and The Night Watch (2006). Among her many awards and nominations one can include the Sunday Times Young Writer of the Year (2000), Author of the Year at the British Book Awards (2003), and the South Bank Award for Literature (2003). Most recently, The Night Watch has been short-listed for the Orange Prize. It was my great pleasure to have the opportunity to interview her at the inaugural conference of the Contemporary Women's Writing Network (CWWN), ‘For Love or Money? Contemporary Women's Writing in the Marketplace’, which was held at the University of Wales, Bangor, in April 2006.     

Promoting Multilingual Consistency for the Quality of EU Law

The process of elaborating EU legislation includes the activity of translation. Drafting and translation cannot be considered separately but are rather two complementary activities whose aim is the quality of legislation. In order to achieve the required quality of legislation, one guiding principle is consistency of terminology. This study examines the particular case of two terms in German that appeared in the EC Treaty: Entscheidung and Beschluss. The inconsistent use of the two terms was the source of interpretative problems, as observed in Case C-370/07 Commission v Council. A comparison of the contested provisions in the EC Treaty and the provisions in the Treaty on the Functioning of the European Union shows that the terminological inconsistency has been corrected. After the examination of this case, we elaborate on the impact of terminological consistency on interpretation as reflected in requests for preliminary rulings.     

Belgian population data for 15 STR loci (AmpFlSTR SGM Plus and AmpFlSTR profiler PCR amplification kit)

The allele and genotype distributions for 15 STR loci included in the AmpFlSTR SGM Plus and AmpFlSTR Profiler kits (Applied Biosystems, Foster City, USA) were determined in a sample of 222 unrelated individuals of Belgian origin.     

Reaching suicidal people with media campaigns: new challenges for a new century

Five variables were investigated in the evaluation of Suicide Prevention Weeks (SPW) held in 1999, 2000, and 2001 in Québec, Canada: exposure to the campaign, previous suicide ideation, knowledge, attitudes, and intentions. After the year 2000 campaign, a telephone survey conducted on a representative sample of 1020 men revealed that only those actually exposed to the SPW had gained more knowledge of suicide facts and resources. However, the SPW did not influence attitudes or intentions to seek help. Results are not surprising, considering the low intensity of the campaign, especially in the media. Campaigns aimed at changing suicidal behaviors must be intensive.     

The Effect of Safety Net Generosity on Maternal Mental Health and Risky Health Behaviors

Single mothers are more likely to experience mental health problems and stress-related negative health behaviors than their married counterparts, but a more generous safety net may improve these outcomes. We use a simulated safety net eligibility approach that accounts for interactions across safety net programs and relies on changing policies across states and time to identify causal effects of safety net generosity on psychological distress and risky behaviors of single mothers. Results suggest that a more generous safety net is protective of maternal mental health: a $1,000 increase to the simulated potential combined cash and food benefit package reduces severe psychological distress by 8.4 percent. Breaking out effects by individual programs while still controlling for potential benefits from other programs, we find protective effects of tax credits, cash benefits provided by Temporary Assistance for Needy Families, and food benefits provided by Supplemental Nutritional Assistance, but no effects of Medicaid eligibility. The effects are primarily driven by single mothers with the lowest levels of education. We find no significant effects of generosity on daily smoking, but we find evidence that benefits reduce the likelihood of heavy drinking. Results suggest that government investments in resources available to low-income families can be effective at improving well-being.     

Implementing Environmental Sustainability in Local Government: The Impacts of Framing,Agency Culture,and Structure in US Cities and Counties

This article focuses on the organizational factors of environmental sustainability implementation in local government. We investigate the interactions, as well as direct and indirect impacts, of the framing of environmental sustainability and organizational culture and structure on implementation outcomes. We use a survey of 217 city/county planners and managers in 146 randomly selected American mid-sized cities and counties. The survey was specifically designed to tease out organizational features and their impacts. We model these impacts using structural equation modeling. We find that horizontally and vertically integrated organizational structure supports two essential dimensions of organizational culture: innovation adoption and consensus building. These cultural traits positively impact the framing of environmental sustainability at the core of organizations’ logic, which in turn significantly supports implementation outcomes. These findings provide important insights into city/county managers seeking to promote sustainability, and provide a base for future studies of the organizational factors of implementation.     

Distinguishing Atherosclerotic Calcifications in Dry Bone: Implications for Forensic Identification

Atherosclerotic calcifications, as calcified atheromatous elements, are markers of cardiovascular disease. However, the literature gives little information regarding their morphological aspect, making their identification very rare in skeletonized cases. In this paper, we document the morphological, histological, and SEM aspects of atherosclerotic plaques collected from unclaimed cemeterial skeletal remains from an identified osteological collection and extracted from well‐preserved cadavers autopsied at the medico‐legal institute of Milan. Each of the three analyses provided similar results: atherosclerotic calcifications are convex‐concave plaques with a stratified structure, a pale‐yellow coloration in autopsy cases and yellow to brown when recovered in dry bone. Histologically, undecalcified and decalcified sections showed a stratified aspect formed by superimposed layers. Lastly, the SEM analysis showed a precise view of the stratified structure of the plaques in transverse section. As markers of disease, atherosclerotic calcifications can provide important antemortem information on the deceased that may be compared to antemortem data.