Natural Settings Trials — Improving the Introduction of Clinical Genetic Tests

Approaches to genetic testing differ in the research setting and the clinical setting. More data are needed to develop approaches that will best facilitate the use of new genetic tests in the clinical setting, especially settings where genetic testing has not been widely used, such as in primary care. Furthermore, data are needed to establish the clinical utility of new genetic tests in the general practice setting. Natural setting trials are proposed as a strategy to develop this information. While natural setting trials are clinical research studies and will expose participants to some degree of risk, the risks are different, and arguably less than the risks those same individuals would otherwise face if the test went directly into clinical practice. Ultimately, clinical practice and safety of new genetic tests can be improved by adding the evaluation provided by natural setting trials.     

Migration of a Kirschner wire used in the fixation of a subcapital humeral fracture, causing cardiac tamponade: case report and review of literature

Metallic pins and wires are frequently used for fixation of fractures and dislocations. Migration is one of the potential complications of such fixation methods. Usually, migration of the pins causes only minor complications, but if the device migrates to a vital cavity, serious damage and even death may ensue. The shoulder girdle is one of the areas in which pins and wires are mostly used, the humeral neck fractures being one of them. We report a case in which a Kirschner wire migrated from a subcapital humeral fracture site into the aorta and pericardium, causing sudden cardiac tamponade and death.     

Comment on Andrew S. Carron and R. Dan Brumbaugh,Jr.’s “The viability of the thrift industry”

Abstract

Krueckeberg summarizes Hernando de Soto's premise on property rights and offers a critical interpretation of de Soto's work, arguing that it emphasizes efficiency over equity and, ultimately, that enhanced property rights alone are unlikely to significantly improve housing stability or access to capital for households living in informal arrangements. I clarify several of Krueckeberg's discussions of de Soto's ideas from the perspective of the Institute for Liberty and Democracy (ILD).

The ILD perspective, informed by de Soto's writings, contrasts with Krueckeberg's in the following five areas: access to utilities and services in squatter settlements, the criminal nature of these communities, the ability of the poor to fulfill the responsibilities of formal ownership, their ability to borrow against formally owned property, and the impact of formalizing property on rental housing. I close by considering how the ILD perspective on formalization might be brought to bear in the United States.     

Reviews

Culture in Africa: An Appeal for Pluralism edited by Raoul Granqvist. Seminar Proceedings No.29. The Scandinavian Institute of African Studies, Uppsala. 1993. 204 pp. illustrated.

Social Change And Economic Reform in Africa edited by Peter Gibbon. Nordiska Afrikainstitutet, Uppsala. 1993. 379 pp. including references and notes on contributors.

The Idea of Africa by V.Y.Mudimbe. Indiana University Press, Bloomington & Indianapolis, and James Currey, London. 1994. xvii plus 234 pp. including illustrations, bibliography and index.

Can National Dialogue Break the Power of Terror in Burundi? Report on the Impact of the International Conference National Dialogue Held in Bujumbura, May 15–18, on Burundian Efforts to Restore Domestic Process in the Country by Zdenek Cervenka and Colin Legum. Current African Issues 17. Nordiska Afrikainstitutet, Uppsala, Sweden. 1994. 29 pp.

Ethnicity in Focus: The South African Case by Simon Bekker. Indicator SA Issue Focus, Centre for Social and Development Studies, University of Natal. 1993. iii plus 117pp. including notes, bibliography and index.

Liquor and Labour in Southern Africa edited by Jonathan Crush and Charles Ambler. Athens and Pietermaritzburg: Ohio University Press and University of Natal Press. 1992. 412 pp. including figures, tables and index.

Chelewa, Chelewa, The Dilemma of Teenage Girls edited by Zubeida Tumbo‐Masabo and Rita Liljestrom. Nordiska Afrikainstitutet. 1994. 218 pp.

Towards More Appropriate Technologies? Experiences from the Water and Sanitation Sector by Mariken Vaa. Report No. 94, Nordiska Afrikainstitutet, Uppsala. 1993. 91 pp. including references.

From the Mountains to the Plains. The Integration of the Lafofa Nuba into Sudanese Society by L.O. Manger. Scandinavian Institute of African Studies, Uppsala. 1994. 175 pp.

The New Local Level Politics in East Africa. Studies on Uganda, Tanzania and Kenya edited by Peter Gibbon. Nordiska Afrikainstitutet, Uppsala. 1994. Research Report No. 95. 118 pp. including figures, notes and references. Paperback. US$9.95.

Tanzania: The Limits to Development from Above by Kjell J. Havnevik. The Scandinavian Institute of African Studies, Uppsala, Sweden. 1993. 343 pp. including tables, bibliography and appendices.

A Blighted Harvest: The World Bank and African Agriculture in the 1980s by Peter Gibbon, Kjell J. Havnevik and Kenneth Hermele. James Currey, London and Africa World Press, Trenton, New Jersey. 1993.     

Kinshasa: An urban elite considers city,nation and state

The declining salience of the nation state has led to an interest in whether other socially constructed forms, such as the city, have replaced it as a source of accumulation, belief and identity. This article seeks to explore whether this is true in the case of the capital of one of Africa's least successful states, Kinshasa in the Democratic Republic of the Congo (DRC). A survey explored the views towards the city of Kinshasa on the past of a variety of middle-class professional people as potential leaders in different occupations resident in different quarters of the city with roots in different parts of the DRC. Despite their somewhat abject material condition and despite extensive contacts internationally, the old dream of the nation state remains relatively strong among them while feelings towards the city largely reflect its situation in that dream rather than any new kind of loyalty. Members this class have extensive national networks of professional contact that help define their identity. New kinds of urban identity with cultural or political meaning beyond this could not be discerned contrary to the perspective held out initially.     

Reviews

Scribe, Griot and Novelist: Narrative Interpreters of the Songhay Empire by Thomas A Hale. University of Florida Press, Gainesville (Florida, U.S.A.), 1990. xiv plus 313 pp. including notes, bibliography and index. £23.06. Hardback.

General History of Africa VII. Africa under Colonial Domination 1880–1935 (abridged edition) edited by A. Adu Boahenforthe UNESCO International Scientific Committee for the Drafting of a General History of Africa. UNESCO (Paris), University of California Press (Berkeley) and James Currey (London), 1990. xxi plus 387pp. including illustrations, bibliography and index. £4.95. Paperback.

South Africa: Constitutional Development ‐ A Multi‐disciplinary Approach by Donovan Marais. Southern Book Publishers, Johannesburg, 1989. 315pp. Notes and index. R37.50. Paperback.

Transport Planning for Third World Cities edited by Harry T. Dimitriou. Routledge, London, 1990. xxii plus 432pp. including figures, tables, notes, bibliography and index. £40.00. Hardback.

The Founder: Cecil Rhodes and the Pursuit of Power by Robert I. Rotberg with Miles F. Shore. Oxford University Press, New York, 1989. xxii plus 800pp. including maps, illustrations and bibliography. $35.00 and £25.00.

The Development of the Executive underthe Nigerian Constitutions, 1960–81 by J.D. Ojo. Ibadan University Press, Ibadan, 1985.189pp.

Cultural Forces in World Politics by Ali A. Mazrui. James Currey, London 1990.262pp. R46.60. Paperback.

Urban Markets ‐ Developing Informal Retailing by David Dewar and Vanessa Watson. Routledge, London, 1990. xii plus 154pp. £30.00. Hardback.

State‐Administered Rural Change: Agricultural Cooperatives in Kenya by Björn Gyllström. Routledge, London and New York, 1991. xvii plus 319pp. including figures, tables, appendices, notes, bibliography and index. Hardback.

The African Frontier: The Reproduction of Traditional African Societies. Edited and with an introduction by Igor Kopytoff. Indiana University Press, Bloomington and Indianapolis. 1987. vii plus 288pp. including maps, notes and index. R70.15. Hardback.

Studies in the Economic History of Southern Africa. Volume Two: South Africa, Lesotho and Swaziland edited by Z.A. Konczacki, Jane L Parpart and Timothy M. Shaw. Frank Cass & Co. Ltd., London, 1991. xvii plus 290pp. including maps, figures, tables, notes, bibliography and index. £35.00 Hardback. £19.50 Paperback.

Incentives and Agriculture in East Africa by Mats Lundahl. Routledge, London, 1990.223pp. Hardback.

African Agriculture: The Critical Choices edited by HA Amara and B. Founou‐Tchuigoua. UN University Press, Tokyo and Zed Books, London, 1990. 227 pp. Paperback.

A History of Agriculture in West Africa: A Guide to Information Sources by S.C. Saha. Studies in African Economic and Social Development, Volume 6, The Edwin Mellen Press, New York and Lampeter, Wales. 136pp. $49.95. Hardback.

Ethnographic Decision Tree Modelling by Christina H. Gladwin. Sage University Paper Series on Qualitative Research Methods Vol.9. Beverly Hills CALSage, 1989.96pp. $6.50. Paperback.

Samora Machel: A Biography by lain Christie. London: Panaf 1989. 181pp including photographs, bibliography and index. Paperback.

Mozambique: Norwegian Assistance in a Context of Crisis by Grete Brochmann & Arve Ofstad. Fantoft: Christian Michelsen Institute, 1990. vii plus 173pp. including tables, bibliography and index. Paperback.

Self‐Employment for Disabled People: Experiences from Africa and Asia by Malcolm Harper and Willi Momm. International Labour Office, Geneva, 1989. viii plus 85pp. Swiss Francs 15. Paperback.

Technology, Gender and Power in Africa by Patricia Stamp. Ottawa, Ontario, International Development Research Centre, 1989. x plus 185pp. Paperback.

The Devils are Among Us: The War for Namibia by Denis Herbstein and John Evenson. Zed Books Ltd., London, 1989. ix plus 202pp. including maps, photographs, bibliography, glossary and index. Paperback.

Zimbabwe: A Model for Namibia? A Comparison of Events in Zimbabwe‐Rhodesia 1979–1980 with the Situation in SWA in 1989by Ted Sutton‐Pryce. Academica, Pretoria, 1989. vii plus 77pp. including photographs and acknowledgements. R12.50 plus VAT. Hardback.

The Failure of the Centralised State: Institutions of Self‐Governance in Africa edited by James S. Wunsch and Dele Olowu. Westview Press, Boulder, San Francisco and Oxford, 1990. viii plus 334pp. including tables, notes, bibliography and index. Paperback.     

The forensic expert witness--an issue of competency

Scientists submitting expert opinions within the legal system are expected to be knowledgeable in the forensic aspects of their particular science, as well as to be ethical and unbiased. Scientists are seldom able to decline a request to provide an expert opinion in their field, even when their forensic expertise is minimal. The competence of scientists providing expert opinions in forensic cases is reviewed here. Three examples of the perils of uninformed "expertise" in forensic biology, medicine and anthropology are presented.     

FIZZ, FROTH, FLAT: The Challenge of Converting China's SOEs into Shareholding Corporations

China's attempts to convert its state firms into shareholding corporations have failed to alter SOE management behavior. This article examines this failure by looking at the flotation of Tsingtao Brewery shares in Hong Kong. The article argues that for reforms to be meaningful, changes need to be made to economic, political and legal institutions by which SOEs operate. These changes, such as allowing SOE directors managerial autonomy and clarifying areas of the Company Law, create incentives for managers to run their firms as business entities responsive to market forces and responsible to their investors.     

Driving South: The globalization of auto consumption and its social organization of space

ABSTRACT

Don Mitchell is one of the most influential contemporary cultural geographers and has long been at the forefront of scholarship on intersections of capital, nature and labor. His work engages the geo-historical processes of landscape co-production and discusses how social, political and labor struggles that formed landscapes have been hidden or erased. Mitchell’s research and work are informed by an urgency to uncover the forces shaping the human–land dialectic. It is difficult not to sense profound urgency at the current political–ecological conjuncture, which is why we turned to Don Mitchell to reflect on his research, intellectual practice and the state of academia and activism today. The first section of the interview centers on Mitchell’s research and the tools and methods he employs in his work. In the second section of the interview, we discuss strategies and tactics in resistance struggles, campus activism and radical scholarship. Infused throughout the interview are the influences that have shaped Mitchell’s unique approach to teaching, research and a critical academic life. We conclude with a section on current academic practice.