The Political Economy of Rule of Law Reform in Developing Countries

In this paper, the authors briefly review the recent experience with rule of law reform initiatives in Latin America, Africa, and Central and Eastern Europe, drawing on more detailed case studies by the authors. The authors are currently working on a similar case study on rule of law reform experiences in Asia

Benefits and Risks of Weight-Loss Treatment for Older, Obese Women

Background: A key issue in the treatment of obesity in older adults is whether the health benefits of weight loss outweigh the potential risks with respect to musculoskeletal injury. Objective: To compare change in weight, improvements in metabolic risk factors, and reported musculoskeletal adverse events in middle-aged (50-59 years) and older (65-74 years), obese women. Materials and methods: Participants completed an initial 6-month lifestyle intervention for weight loss, comprised of weekly group sessions, followed by 12 months of extended care with biweekly contacts. Weight and fasting blood samples were assessed at baseline, month 6, and month 18; data regarding adverse events were collected throughout the duration of the study. Results: Both middle-aged (n = 162) and older (n = 56) women achieved significant weight reductions from baseline to month 6 (10.1 +/- 0.68 kg and 9.3 +/- 0.76 kg, respectively) and maintained a large proportion of their losses at month 18 (7.6 +/- 0.87 kg and 7.6 +/- 1.3 kg, respectively); there were no significant differences between the two groups with respect to weight change. Older women further experienced significant reductions in systolic blood pressure, HbA(1c), and C-reactive protein from baseline to month 6 and maintained these improvements at month 18. Despite potential safety concerns, we found that older women were no more likely to experience musculoskeletal adverse events during the intervention as compared with their middle-aged counterparts. Conclusion: These results suggest that older, obese women can experience significant health benefits from lifestyle treatment for obesity, including weight loss and improvements in disease risk factors. Further investigation of the impact of weight loss on additional health-related parameters and risks (eg, body composition, muscular strength, physical functioning, and injuries) in older adults is needed.National Heart, Lung and Blood Institute R18HL73326University of FloridaDivision of Statistics and Scientific Computatio

Rationales and Instruments for Government Intervention in Natural Disasters

The world, over the course even of its relatively recent history, has known many natural disasters, including earthquakes, volcanic eruptions, tsunami, hurricanes, floods, droughts, and pandemics. The 1918-1919 Spanish flu pandemic killed more than 20 million people (some estimates run as high as 50 million). The current AIDS pandemic has already killed more than 20 million people (most in sub-Saharan Africa), and there are serious concerns that a new avian flu pandemic could kill hundreds of millions of people around the world. The recent earthquake in Pakistan is estimated to have killed over 70,000 people. The tsunami in the Indian Ocean in December 2004 killed 300,000 people (Winchester 2003; Winchester 2005; Barry 1997). Richard Posner, in his recent provocative book, Catastrophe (2004), worries about much more remote but more devastating natural disasters such as asteroid collisions with the earth or extreme forms of global warming followed by an ice age

Towards a New Compact for University Education in Ontario

Over the past decade, a number of different industrialized democracies have critically examined the structure and performance of their postsecondary education systems. By and large, the focus of this attention has been on the capacity of the state to support the needs and aspirations of the traditional publicly funded research-intensive university. In the received model, the public research university receives significant levels of funding from the state to support its research and teaching activities, but is subject to some level of state oversight and control so as to render the activities of the institution congruent with the public interest. The level of state intervention in the affairs of the public research university (and its precise form) varies of course from jurisdiction to jurisdiction, but typically involves some regulation of programs (priority may be placed on education and research programs that are geared to the local economy), tuition fees (typically set at below market rates), student financial assistance, and admissions (preferential treatment for in-state versus out-of-state or out-of-country students). In contrast, privately funded research universities (to the extent that they are permitted to operate in jurisdictions supporting public university education) are not subject to the same degree of oversight, but also do not receive the same degree of public funding

The Political Economy of Rule of Law Reform in Developing Countries

In this paper, the authors briefly review the recent experience with rule of law reform initiatives in Latin America, Africa, and Central and Eastern Europe, drawing on more detailed case studies by the authors. The authors are currently working on a similar case study on rule of law reform experiences in Asia