Standards for Constitutional Review of Privacy-Invading Welfare Reforms: Distinguishing the Abortion-Funding Cases and Redeeming the Undue-Burden Test

As the debate on welfare reform proceeds relentlessly toward what many hope will be a drastically altered system, critics of reform proposals have wisely focused their attention on the competing policy choices faced by Congress and the president (and ultimately perhaps the states). As a result, Congress\u27s avowed determination to limit available funds and to abolish certain entitlements to public assistance has prompted arguments about the merits of programs that might compete for dwindling federal dollars. For example, should Congress stop welfare payments to unmarried teenage mothers? Should it cap the amount of support a family receives, regardless of the birth of additional children? Alternatively, should state governments make such decisions because of their greater familiarity with the particular problems faced by their poor citizens, or should uniform federal rules of eligibility continue to control? Many of the most disputed calls for change explicitly target the reproductive and familial choices made by welfare recipients, private matters that in other contexts have been held presumptively outside the reach of governmental authority. Such privacy-invading reforms unquestionably include plans to influence personal decisions about how many children a family should have, whether unmarried teenagers should have children at all, and whether an individual should marry. In addition, the term could arguably cover plans to influence single parents\u27 decisions about working outside the home even while children are young, plans to influence the decisions of families with teenage mothers about living arrangements, and plans to press for more cooperation in paternity establishment. Although critics have not hesitated to point out what is wrong with the proposed changes in welfare, one argument remains noticeably absent from the debate: the contention that the Constitution prohibits reform measures invading protected individual rights or requiring the poor to compromise liberties guaranteed to others

Progressive Star Bursts and High Velocities in the Infrared Luminous, Colliding Galaxy Arp 118

In this paper we demonstrate for the first time the connection between the spatial and temporal progression of star formation and the changing locations of the very dense regions in the gas of a massive disk galaxy (NGC 1144) in the aftermath of its collision with a massive elliptical (NGC 1143). These two galaxies form the combined object Arp 118, a collisional ring galaxy system. The results of 3D, time-dependent, numerical simulations of the behavior of the gas, stars, and dark matter of a disk galaxy and the stars and dark matter in an elliptical during a collision are compared with multiwavelength observations of Arp 118. The collision that took place approximately 22 Myr ago generated a strong, non-linear density wave in the stars and gas in the disk of NGC 1144, causing the gas to became clumped on a large scale. This wave produced a series of superstarclusters along arcs and rings that emanate from the central point of impact in the disk. The locations of these star forming regions match those of the regions of increased gas density predicted the time sequence of models. The models also predict the large velocity gradients observed across the disk of NGC 1144. These are due to the rapid radial outflow of gas coupled to large azimuthal velocities in the expanding ring, caused by the impact of the massive intruder.Comment: 12 pages in document, and 8 figures (figures are separate from the document's file); Submitted to Astrophysical Journal Letter

Sex difference and intra-operative tidal volume: Insights from the LAS VEGAS study

BACKGROUND: One key element of lung-protective ventilation is the use of a low tidal volume (VT). A sex difference in use of low tidal volume ventilation (LTVV) has been described in critically ill ICU patients.OBJECTIVES: The aim of this study was to determine whether a sex difference in use of LTVV also exists in operating room patients, and if present what factors drive this difference.DESIGN, PATIENTS AND SETTING: This is a posthoc analysis of LAS VEGAS, a 1-week worldwide observational study in adults requiring intra-operative ventilation during general anaesthesia for surgery in 146 hospitals in 29 countries.MAIN OUTCOME MEASURES: Women and men were compared with respect to use of LTVV, defined as VT of 8 ml kg-1 or less predicted bodyweight (PBW). A VT was deemed 'default' if the set VT was a round number. A mediation analysis assessed which factors may explain the sex difference in use of LTVV during intra-operative ventilation.RESULTS: This analysis includes 9864 patients, of whom 5425 (55%) were women. A default VT was often set, both in women and men; mode VT was 500 ml. Median [IQR] VT was higher in women than in men (8.6 [7.7 to 9.6] vs. 7.6 [6.8 to 8.4] ml kg-1 PBW, P < 0.001). Compared with men, women were twice as likely not to receive LTVV [68.8 vs. 36.0%; relative risk ratio 2.1 (95% CI 1.9 to 2.1), P < 0.001]. In the mediation analysis, patients' height and actual body weight (ABW) explained 81 and 18% of the sex difference in use of LTVV, respectively; it was not explained by the use of a default VT.CONCLUSION: In this worldwide cohort of patients receiving intra-operative ventilation during general anaesthesia for surgery, women received a higher VT than men during intra-operative ventilation. The risk for a female not to receive LTVV during surgery was double that of males. Height and ABW were the two mediators of the sex difference in use of LTVV.TRIAL REGISTRATION: The study was registered at Clinicaltrials.gov, NCT01601223

Self-reported quality of life of 8-12 year old children with cerebral palsy: a cross-sectional European Study

BACKGROUND: Little is known about the quality of life (QoL) of disabled children. We describe self-reported QoL of children with cerebral palsy, factors that influence it, and how it compares with QoL of the general population. METHODS: 1174 children aged 8-12 years were randomly selected from eight population-based registers of children with cerebral palsy in six European countries and 743 (63%) agreed to participate; one further region recruited 75 children from multiple sources. Researchers visited these 818 children. 318 (39%) with severe intellectual impairment could not self-report; 500 (61%) reported their QoL using KIDSCREEN, an instrument with scores in ten domains, each with SD=10. Multivariable regression was used to relate QoL to impairments, pain, and sociodemographic characteristics. Comparisons were made with QoL data from the general population. FINDINGS: Impairments were not significantly associated with six KIDSCREEN domains. Comparison of least and most able groups showed that severely limited self-mobility was significantly associated with reduced mean score for physical wellbeing (7.6, 95% CI 2.7-12.4); intellectual impairment with reduced mean for moods and emotions (3.7, 1.5-5.9) and autonomy (3.3, 0.9-5.7); and speech difficulties with reduced mean for relationships with parents (4.5, 1.9-7.1). Pain was common and associated with lower QoL on all domains. Impairments and pain explained up to 3% and 7%, respectively, of variation in QoL. Children with cerebral palsy had similar QoL to children in the general population in all domains except schooling, in which evidence was equivocal, and physical wellbeing, in which comparison was not possible. INTERPRETATION: Parents can be reassured that most children aged 8-12 years with cerebral palsy will have similar QoL to other children. This finding should guide social and educational policy to ensure that disabled children participate fully in society. Because of its association with QoL, children's pain should be carefully assessed

Gender Bias in Parental Investments in Children’s Education: A Theoretical Analysis

Human capital accumulation is one of the main engines of economic growth. Thus, many LDCs have introduced laws over the past 30 years for compulsory education and have increased their investment in public schooling. Nevertheless, the level of education in most poor countries is still very low, particularly for girls. The goal of this article is to develop a model of household decision-making in order to better understand what variables affect parents’ decision to educate girls less than boys. In the first part of the paper, a unitary model, a non-cooperative household model, and a bargaining model are developed and compared to explain factors that might produce gender bias in investment in education. As a result, the number of years of education for male and female children depends on the different costs and returns of educating girls and boys and, in the non-consensus models, on each parent’s preferences and decision power. The second part of the paper contains a simulation of the models assuming different policies for increasing women’s education using figures from the Living Standard Measurement Studies of Cote d’Ivoire. Copyright Springer Science+Business Media, Inc. 2005education, gender bias, household bargaining model, D1, C78, J16,