Doctors under the knife

With Bill Clinton's new reforms only a month away, the health-care system is on the operating table--and the doctors are under the knife. Americans have a love-hate relationship with physicians: they like the care that doctors provide but hold them to blame for the nation's health-care mess. NEWSWEEK looks at how the culture of medicine may change, assesses doctors' fears--and examines the brave new world of HMOs.     

Time-Varying Risk Factors for Reassault Among Batterer Program Participants

This study uses longitudinal data to identify risk markers for reassault among batterer program participants. Data are from 308 men and their partners collected at five, 3-month intervals. Time-varying situational and behavioral risk factors, as well as time-invariant individual characteristics, are examined. The most influential risk markers, in terms of relative risk and level of statistical significance, were time-varying: 2 measures of the man's drunkenness during the follow-up interval in which the reassault occurred (OR: 3.5-16.3; p > .0005). Other included time-varying batterer characteristics had no significant effect on reassault. Two significant time-invariant batterer risk factors were (1) severe psychopathology and (2) a history of non-domestic-violence arrest, both measured at intake. Results suggest that batterers' drinking behavior after program intake may provide an important and easily observed marker for risk of reassault and that prediction of reassault with individual risk factors at program intake remains problematical.     

Detection of bullet residue in bone using proton-induced X-ray emission (PIXE) analysis

External beam proton-induced X-ray emission (PIXE) analysis has been used to verify the presence of lead in the finger bone of a murder victim. The deceased, who had been buried several years, was known to have suffered a bullet wound to his right hand several years before death. X-ray radiographs of the right second proximal phalanx revealed the possible presence of metal fragments below the surface of the bone. To verify the presence of lead in a nondestructive manner, the bone was scanned with a 1.5-MeV proton beam. PIXE analysis showed that lead was present only in the vicinity of the fragments previously detected in the radiographs. A study of gunshot residue in bone shows that the distribution of lead around the bullet hole is independent of the firing distance for distances greater than 0.6 m.     

The Politics of Local Government Stabilization Funds

The adoption, maintenance, and prudent use of budgetary stabilization funds are fundamental financial management precepts, yet the variables that influence the size of these funds are poorly understood. This article contributes to the stabilization fund literature by examining the extent to which variation in stabilization fund balances across municipalities and over time can be explained by a community's political culture and financial management capacity. The balanced panel research design includes archival data for 239 Massachusetts municipalities for each of 18 fiscal years. Stabilization fund balances are lower in communities with either an anti‐tax or a pro‐spending political culture. Stabilization fund balances are higher in communities that have the financial management capacity to accumulate budget surpluses that can be made available for appropriation to stabilization funds. Communities with the open town meeting form of government also have higher stabilization fund balances.     

The Relationships Between Childhood Sexual Abuse,Social Anxiety,and Symptoms of Posttraumatic Stress Disorder in Women

The relationships between childhood sexual abuse, social anxiety, and symptoms of posttraumatic stress disorder were examined in a sample of 313 undergraduate women. Thirty-one percent of the women reported some form of sexual abuse in childhood. Women with a history of sexual abuse reported more symptoms of anxiety, distress in social situations, and posttraumatic stress disorder than other women. Women who experienced attempted or actual intercourse reported more avoidance than women with no history of abuse and women with exposure only, and more PTSD symptoms than all other groups of women. Women who experienced fondling reported more PTSD symptoms than women with no history of abuse. Pressure, age of onset of abuse, abuse by a family friend, and abuse by other perpetrators were all significant abuse characteristics in predicting adult social anxiety. Implications of these results for research and interventions are discussed.     

Mitochondrial DNA Extraction from Burial Soil Samples at Incremental Distances: A Preliminary Study

Preservation variance of soil DNA is neglected in the literature, and exceptional cases exaggerate amplification capabilities. This study sought to amplify a short mitochondrial fragment (212 bp) specific to Sus scrofa domesticus from the soil surrounding decomposing pig remains from an open‐air locale. Samples collected above the body at incremental distances after 145 days of initial placement yielded pig DNA. A secondary sampling was collected in 2017, approximately 768 days after burial. Inhibition tests corroborated that pig DNA was no longer present in the soil resulting in a loss of original DNA between 145 and 768 days. The results provide evidence that genetic material leaches out radially from the source and DNA fragments longer than 200 bp do not persist in soil for a relatively short timeframe in western Montana. The conclusions support the collection of soil in crime scene investigation procedures within the first few months of decomposition.     

Haranguing Hong Kong

The Economic Future of Hong Kong, by Mir on Mushkat. Lynne Rienner, Publishers, Boulder and London/Hong Kong University Press, 1990. xii+171 pp. £16.50. ISBN 1–555–87197–6.

City on the Rocks: Hong Kong's Uncertain Future, by Kevin Rqfferty. Viking, London, 1989. x + 518 pp., 16 pp. plates. £15.95. ISBN0–670–80205–0.

Political Change and the Crisis of Legitimacy in Hong Kong, by Ian Scott. C. Hurst, London, 1990. xv + 480 pp. £27.50. ISBN 1–850650–527.

Kowtow! After Tiananmen Square: A Plea on Behalf of Hong Kong, by William Shawcross. Chatto CounterBlasts No. 6. Chatto and Windus, London, 1989. 57 pp. £2.99. ISBN 0–7011–3628–6.

Democracy Shelved: Great Britain, China, and Attempts at Constitutional Reform in Hong Kong, 1945–1952, by Steve Yui‐Sang Tsang. Oxford University Press, Hong Kong, 1988. xxxiv + 254 pp. £18.50. ISBN 0–19–584175–1.

Hong Kong! Hong Kong!, by Dick Wilson. Unwin Hyman, London, 1990. 284 pp. £15.99. ISBN 0–04–440622.     

Soviet propaganda and the neutron bomb decision

Abstract

In July 1977, newly elected President Jimmy Carter suddenly found himself confronted with a difficult neutron bomb decision. With a narrow victory in Congress, pro neutron‐bomb forces had successfully presented the President with the authority to proceed with production. Unfortunately, as the months passed, Carter failed to move swiftly with production of the neutron warheads which many NATO alliance members saw as a much needed deterrent to the Warsaw PACT'S massive armor superiority.

Confronted with mounting international and domestic opposition to the neutron weapon, Jimmy Carter, in the fall of 1977, insisted that the NATO allies officially support American production of the warheads before the United States would produce it. Spurred on by Carter's indecision and by certain NATO members’ reluctance to officially support the weapon, the Soviet Union shifted its propaganda machine into high gear in a massive effort to sway international opinion against the weapon.

During the first few months of 1978, Western Europe saw a flood of protests against this so‐called “inhumane” weapon. Domestic communist and left‐wing socialist opposition to the neutron bomb precipitated a precarious right‐left split within many Western European socialist parties. Nowhere was this split more graphically illustrated than within the ruling West German Social Democratic Party (SPD). Chancellor Helmut Schmidt and his moderate technocrats basically favored the neutron bomb, but feared crippling left‐wing SPD opposition and possible defections if West Germany complied with American demands to break with over 30 years of U.S.‐West German nuclear precedent and agree officially to American production of a nuclear weapon, the neutron bomb.

Only after much American cajoling did the allies move toward official NATO support for production. Carter had failed to understand the disastrous political implications which left‐wing opposition had created within the NATO countries and refused to let Schmidt and other leaders off the hook. And then in an amazing move, after Schmidt and the NATO allies had risked political ruin to reach an agreement to support the neutron bomb, President Carter pulled the rug from under them on April 7,1978, when he indefinitely delayed a decision on the weapon.

With this decision, Carter had set a dangerous precedent by yielding to Soviet pressure and had missed an opportunity to win the favor of skeptical NATO allies and critics who asserted he was too weak and indecisive. But above all, Carter had unnecessarily alienated and angered NATO leaders like Schmidt who risked possible political ruin by supporting the neutron bomb.