HPSA and the Anti-Kickback safe harbor: are we sending doctors to the right neighborhoods?

This article explores the problems within a niche area of health law, the Health Professional Shortage Area (HPSA) safe harbor of the Anti-Kickback Statute. The author advocates for its removal by discussing how the HPSA designation is being used incorrectly to curb fraudulent behavior and how the current provision serves few hospitals. The author concludes by suggesting innovative solutions to remedy the problems with the current HPSA designation system.     

District Judges and Possession Proceedings

In this article, we draw on data obtained in interviews with District Judges about the factors which they say influence the exercise of their discretion in possession proceedings. Analysing the data set enabled us to create three ideal types of judicial decision—making which we have labelled 'liberal', 'patrician', and formalist'. We discuss the differences between each ideal type across five different variables: the District Judge role; approach; view of occupiers; the problem; behaviour of occupiers. Our data demonstrate a set of reasons to explain different approaches and outcomes between different District Judges (as well as the perhaps unlikely identification of a 'maverick' or 'idiosyncratic' style of judging). We conclude by suggesting on the basis of our data that, despite calls to structure or remove the discretion from District Judges, any such changes are unlikely to have much effect.     

With Strings Attached: Statutory Delegations of Authority to the Executive Branch

While research on the influence of divided government upon legislative outputs is available, relatively little identifies the effects of divided government on legislative control of bureaucratic discretion. Some suggest that inter‐branch conflict between the President and Congress leads legislators to seek to retain legislative control over the bureaucracy. As a result, periods of divided government increase statutory control and reduce agency autonomy. Close examination of statutes creating each federal agency between 1946 and 1997 reveal that divided government increases specificity of statutory control. In addition, the particular type of divided government involving split partisan control between the chambers of Congress fosters greater specific statutory control when new government agencies are created.     

Normative Beliefs and Relational Aggression: An Investigation of the Cognitive Bases of Adolescent Aggressive Behavior

The relations between normative beliefs about different forms of aggression and corresponding aggressive behaviors were investigated in 2 studies of adolescents. In Study 1, we revised an instrument designed to assess normative beliefs about aggression to include beliefs about the acceptability of relational aggression, and we examined the psychometric properties of the instrument. In Studies 1 and 2, the unique associations of normative beliefs about relational and physical aggression with self-reported relational and physical aggression were examined. Findings across both studies revealed that beliefs-behavior associations were specific to aggression forms. In other words, beliefs about relational aggression were uniquely associated with engagement in relationally aggressive acts, whereas beliefs about physical aggression, but not relational aggression, contributed unique information about adolescents’ level of physical aggression. No gender effects were found. Results are discussed within a social-cognitive framework, and implications are explored for future prevention and intervention efforts to reduce aggressive behaviors.Assistant Professor in the Department of Human Development at Washington State University, Pullman, Washington. Dr Werner received her PhD from the University of Minnesota—Twin Cities Campus. Her research focuses on social-cognitive, peer, and family relationship correlates of relational and physical aggression.Assistant Professor in the Department of Psychology at Penn State Erie, The Behrend College, Pennsylvania. Dr Nixon received her PhD at West Virginia University. Her primary research interests include prevention and intervention of relational aggression and program evaluation.     

Enhancement of Aged and Denatured Fingerprints Using the Cyanoacrylate Fuming Technique Following Dusting with Amino Acid‐Containing Powders

We have carried out experiments to investigate the aging of latent fingerprints deposited on black PVC over a period of 4–15 weeks. A thumbprint was used in each case and before deposition of the print the donor rubbed their thumb around their nose to add sebaceous deposits. We have studied the effect of heat, light, and moisture and we find that moisture is the most significant factor in the degradation of the latent print. We have attempted to enhance these latent prints by dusting with valine powder or powders composed of valine mixed with gold or red fluorescent commercial fingerprint powders. To make a direct comparison between “treated” and “untreated” prints, the prints were cut in half with one‐half being “treated” and one‐half not. Our studies show the best results being obtained when powders of valine and red fluorescent powders are applied prior to cyanoacrylate fuming.     

Attachment as a source of informal social control in urban neighborhoods

Studies had suggested that informal social control is key to understanding neighborhood crime rates. Yet little is known about sources of informal social control in urban neighborhoods, and less is known about the role of neighborhood attachment in fostering informal social control. To fill this gap, this study addressed three questions: (1) Does neighborhood attachment, operationalized as a multidimensional construct, contribute to neighborhood levels of informal social control? (2) Does neighborhood attachment help explain the lower levels of informal social control typically observed in structurally disadvantaged neighborhoods? (3) If so, what dimensions of neighborhood attachment are most important and how? Using multilevel data from the Project on Human Development in Chicago Neighborhoods, hierarchical linear modeling (HLM) results indicated that systemic ties and attitudinal attachment were positively associated with neighborhood levels of informal social control, and that these dimensions of neighborhood attachment explained some of the associations between neighborhood structural conditions and informal social control.     

Public service responsiveness to users' demands and needs: theory, practice and primary healthcare in England

Analyses and policy statements about publicly funded services frequently distinguish 'demands' from 'needs'. The distinction has been challenged, calling into question the coherence of formulating welfare policy and evaluating public services in terms of needs. This paper explicates the conceptual distinction between demands and needs in terms of derived demand and information asymmetry. 'Needs' can be defined as 'rational demands', where 'rational' means 'consistent and evidence–based', and 'demands' as 'desires' rather than 'effective (i.e. economic) demand'. On that basis, practical demand management in needs–based public services would require:
1. Knowledge of users' demands for services;
2. Content analyses of users' demands to identify any misinformed demands;
3. Conversion of any misinformed demands into evidence–based specifications of needs;
4. Formulating coherent, evidence–based demands on behalf of users who cannot to do so themselves.
A study of English NHS Primary Care Groups explores the problems which authorities responsible for publicly funded services face in undertaking these activities. Demand management receives low priority in terms of the incentives and intellectual resources applied to it. Needs assessment has higher priority but is regarded as a branch of evidence–based professional practice, controlled by professionals rather than responsive to users. This separation tends to defeat the purposes of needs–based public services.