Evaluation of Knowledge Regarding Diagnostic Strategies for Genetic Diseases in Select Residents

Genetics education for physicians has been a popular publication topic in the United States and in Europe for over 20 years. Decreasing numbers of medical genetics professionals and an increasing volume of genetic information has created a dire need for increased genetics training in medical school and in clinical practice. This study aimed to assess how well pediatrics-focused primary care physicians apply their general genetics knowledge to clinical genetic testing using scenario-based questions. We chose to specifically focus on knowledge of the diagnostic applicability of Chromosomal Microarray (CMA) technology in pediatrics because of its recent recommendation by the International Standard Cytogenomic Array (ISCA) Consortium as a first-tier genetic test for individuals with developmental disabilities and/or congenital anomalies. Proficiency in ordering baseline genetic testing was evaluated for eighty-one respondents from four pediatrics-focused residencies (categorical pediatrics, pediatric neurology, internal medicine/pediatrics, and family practice) at two large residency programs in Houston, Texas. Similar to other studies, we found an overall deficit of genetic testing knowledge, especially among family practice residents. Interestingly, residents who elected to complete a genetics rotation in medical school scored significantly better than expected, as well as better than residents who did not elect to complete a genetics rotation. We suspect that the insufficient knowledge among physicians regarding a baseline genetics work-up is leading to redundant (i.e. concurrent karyotype and CMA) and incorrect (i.e. ordering CMA to detect achondroplasia) genetic testing and is contributing to rising health care costs in the United States. Our results provide specific teaching points upon which medical schools can focus education about clinical genetic testing and suggest that increased collaboration between primary care physicians and genetics professionals could benefit patient health care overall.

Militares, gobierno y sociedad civil, en Israel

Este trabajo trata acerca de las cambiantes relaciones entre las fuerzas armadas, el gobierno y la sociedad civil en Israel. A pesar de que Israel cuenta con una democracia bien establecida, una sociedad civil activa e históricamente las fuerzas armadas han mostrado una subordinación a los gobiernos electos, los cambios que afectan los distintos niveles de la democracia en el país, los desarrollos sociales y la naturaleza evolutiva de sus fuerzas armadas presentan un desafío para el análisis. El marco de este tema es lo que generalmente es conocido como el conflicto Árabe-Israelí, en sus diversas fases. La larga duración de los conflictos en los que Israel ha estado involucrado desde su establecimiento como un estado independiente en 1948, sus múltiples y cambiantes características, ambos generan presiones sobre los distintos actores fuerzas armadas, sociedad y gobierno - y sirven como un recurso para la legitimación y deslegitimación de iniciativas, actitudes y políticas.

La inacabada construcción de la democracia interna : el voto directo en la UCR y el Partido Demócrata de Córdoba (1941-1942)

En Argentina, los primeros ensayos de voto directo en las elecciones internas de los partidos políticos tuvieron lugar en las décadas del treinta y el cuarenta del siglo XX. Con anterioridad, los candidatos eran elegidos por notables que imponían sus decisiones en las convenciones partidarias. En este artículo, se plantea analizar su implementación en Córdoba por la UCR y el Partido Demócrata, a partir de una coyuntura cuya relevancia trascendía los límites provinciales: las últimas elecciones parlamentarias nacionales antes del golpe militar de junio de 1943. La reconstrucción historiográfica muestra sus alcances así como las resistencias a la democratización en ambos partidos.

A mulher na política do Brasil

O artigo discute a desigualdade de gênero entre homens e mulheres no Brasil na ocupaçao de cargos políticos eletivos. Trata-se de uma pesquisa bibliográfica e documental que utiliza os dados estatísticos do Tribunal Superior Eleitoral (TSE) das eleiçoes de 2006, 2008, 2010 e 2012 para avaliar se houve um aumento real de mulheres ocupando cargos políticos eletivos com a criaçao da lei No 12.034/2009 que obrigou partidos/coligaçoes a reservar, no mínimo, 30 das vagas para candidatura femininas. Os resultados mostram apesar do Brasil em 2010 ter eleito a primeira mulher Presidenta do país, das mulheres serem a maioria da populaçao segundo o IBGE (2010) e representarem 52 do eleitorado do país conforme o TSE (2010), elas ainda sao "subrepresentadas" nos cargos políticos eletivos, ocupados por maioria masculina. Visto que a média de mulheres eleitas no Brasil é, em torno, de 10 do total, mesmo com o maior número de candidaturas femininas em decorrência da exigência Legal

La ciudadanía política de las mujeres y las elecciones de 1951

Este estudio analiza los derechos políticos de las mujeres en la Argentina después de la ley 13010 (1947) que les permitió acceder al voto y se electas. El propósito del artí culo es comprender tres diferentes dimensiones de la ciudadanía política. Primero, se enfoca en un grupo de mujeres que votaron por primera vez en 1951 con el objetivo de comprender sus ideas sobre su nuevo status. Segundo, se analiza el comportamiento electoral de varones y mujeres en las urnas en 1951. Tercero, se explora cómo Eva Perón influenció la percepción de la representación y los límites del poder femenino en las relaciones políticas.

La ciudadanía política de las mujeres y las elecciones de 1951

Este estudio analiza los derechos políticos de las mujeres en la Argentina después de la ley 13010 (1947) que les permitió acceder al voto y se electas. El propósito del artí culo es comprender tres diferentes dimensiones de la ciudadanía política. Primero, se enfoca en un grupo de mujeres que votaron por primera vez en 1951 con el objetivo de comprender sus ideas sobre su nuevo status. Segundo, se analiza el comportamiento electoral de varones y mujeres en las urnas en 1951. Tercero, se explora cómo Eva Perón influenció la percepción de la representación y los límites del poder femenino en las relaciones políticas.

A mulher na política do Brasil

O artigo discute a desigualdade de gênero entre homens e mulheres no Brasil na ocupaçao de cargos políticos eletivos. Trata-se de uma pesquisa bibliográfica e documental que utiliza os dados estatísticos do Tribunal Superior Eleitoral (TSE) das eleiçoes de 2006, 2008, 2010 e 2012 para avaliar se houve um aumento real de mulheres ocupando cargos políticos eletivos com a criaçao da lei No 12.034/2009 que obrigou partidos/coligaçoes a reservar, no mínimo, 30 das vagas para candidatura femininas. Os resultados mostram apesar do Brasil em 2010 ter eleito a primeira mulher Presidenta do país, das mulheres serem a maioria da populaçao segundo o IBGE (2010) e representarem 52 do eleitorado do país conforme o TSE (2010), elas ainda sao "subrepresentadas" nos cargos políticos eletivos, ocupados por maioria masculina. Visto que a média de mulheres eleitas no Brasil é, em torno, de 10 do total, mesmo com o maior número de candidaturas femininas em decorrência da exigência Legal

La ciudadanía política de las mujeres y las elecciones de 1951

Este estudio analiza los derechos políticos de las mujeres en la Argentina después de la ley 13010 (1947) que les permitió acceder al voto y se electas. El propósito del artí culo es comprender tres diferentes dimensiones de la ciudadanía política. Primero, se enfoca en un grupo de mujeres que votaron por primera vez en 1951 con el objetivo de comprender sus ideas sobre su nuevo status. Segundo, se analiza el comportamiento electoral de varones y mujeres en las urnas en 1951. Tercero, se explora cómo Eva Perón influenció la percepción de la representación y los límites del poder femenino en las relaciones políticas.

A mulher na política do Brasil

O artigo discute a desigualdade de gênero entre homens e mulheres no Brasil na ocupaçao de cargos políticos eletivos. Trata-se de uma pesquisa bibliográfica e documental que utiliza os dados estatísticos do Tribunal Superior Eleitoral (TSE) das eleiçoes de 2006, 2008, 2010 e 2012 para avaliar se houve um aumento real de mulheres ocupando cargos políticos eletivos com a criaçao da lei No 12.034/2009 que obrigou partidos/coligaçoes a reservar, no mínimo, 30 das vagas para candidatura femininas. Os resultados mostram apesar do Brasil em 2010 ter eleito a primeira mulher Presidenta do país, das mulheres serem a maioria da populaçao segundo o IBGE (2010) e representarem 52 do eleitorado do país conforme o TSE (2010), elas ainda sao "subrepresentadas" nos cargos políticos eletivos, ocupados por maioria masculina. Visto que a média de mulheres eleitas no Brasil é, em torno, de 10 do total, mesmo com o maior número de candidaturas femininas em decorrência da exigência Legal

It's confusing when the Swiss go to the polls. Here are 6 surprising things about their elections

On Sunday, Switzerland votes on its federal parliament. The members of both chambers - 200 National Councillors and 46 Councillors of States - are directly elected, with the 26 Swiss cantons (or provinces) forming the districts. Seats in the National Council are distributed to the cantons based on their population size, while in the Council of States each full canton gets two seats and the six half-cantons get one each. Here are six things to look out for.

Politics of the 1945 Constitution:Democratization and Its Impact on Political Institutions in Indonesia

Introduction : Before 1998, no one could think about the amendment of the 1945 Constitution. The 1945 Constitution was a product of nationalist who had hard fought for independence from the Dutch colonization. This historical background made it the symbol of independence of the Indonesian nation. Thus, it has been considered as forbidden to touch contents of the 1945 Constitution whereas political leaders have legitimized their authoritarian rulership by utilizing a symbolic character of the Constitution. With the largest political turmoil since its independence, that is, a breakdown of authoritarian regime and democratic transformation in 1998-1999, however, a myth of the "sacred and inviolable" constitution has disappeared. A new theme has then aroused: how can the 1945 Constitution be adapted for a new democratic regime in Indonesia? 　　　The Indonesian modern state has applied the 1945 Constitution as the basic law since its independence in 1945, except for around 10 years in the 1950s. In the period of independence struggle, contrary to the constitutional provision that a kind of presidential system is employed, a cabinet responsible for the Central National Committee was installed. Politics under this institution was in practice a parliamentary system of government. After the Dutch transferred sovereignty to Indonesia in 1949, West European constitutionalism and party politics under a parliamentary system was fully adopted with the introduction of two new constitutions: the 1949 Constitution of Federal Republic of Indonesia and the 1950 Provisional Constitution of Republic of Indonesia. Since a return from the 1950 Constitution to the 1945 Constitution was decided with the Presidential Decree in 1959, the 1945 Constitution had supported two authoritarian regimes of Soekarno's "Guided Democracy" and Soeharto's "New Order" as a legal base. When the 32-year Soeharto's government fell down and democratization started in 1998, the 1945 Constitution was not replaced with a new one, as seen in many other democratizing countries, but successively reformed to adapt itself to a new democratic regime. In the result of four constitutional amendments in 1999-2002, political institutions in Indonesia are experiencing a transformation from an authoritative structure, in which the executive branch monopolized power along with incompetent legislative and judicial branches, to a modern democratic structure, in which the legislative branch can maintain predominance over the executive. However, as observed that President Abdurrahman Wahid, the first president ever elected democratically in Indonesian history, was impeached after one and a half years in office, democratic politics under a new political institution has never been stable. 　　　Under the 1945 Constitution, how did authoritarian regimes maintain stability? Why can a democratic regime not achieve its stability? What did the two constitutional amendments in the process of democratization change? In the first place, how did the political institutions stipulated by the 1945 Constitution come out? Through answering the above questions, this chapter intends to survey the historical continuity and change of political institutions in Indonesia along with the 1945 Constitutions and to analyze impact of regime transformation on political institutions. First, we examine political institutions stipulated by the original 1945 Constitution as well as historical and philosophical origins of the constitution. Second, we search constitutional foundations in the 1945 Constitution that made it possible for Soekarno and Soeharto to establish and maintain authoritarian regimes. Third, we examine contents of constitutional amendments in the process of democratization since 1998. Fourth, we analyze new political dynamics caused by constitutional changes, looking at the impeachment process of President Abdurrahman Wahid. Finally, we consider tasks faced by Indonesia that seeks to establish a stable democracy.

The urban middle class in the instability of new democracies

The recent revolts of the middle class in the national capitals of the Philippines and Thailand have raised a new question about democratic consolidation. Why would the urban middle class, which is expected to stabilize democracy, expel the democratically elected leaders through extra-constitutional action? This article seeks to explain such middle class deviation from democratic institutions through an examination of urban primacy and the change in the winning coalition. The authoritarian regime previously in power tended to give considerable favor to the primate city to prevent it revolting against the ruler, because it could have become a menace to his power. But after democratization the new administration shifts policy orientation from an urban to rural bias because it needs to garner support from rural voters to win elections. Such a shift dissatisfies the middle class in the primate city. In this article I take up the Philippines as a case study to examine this theory.

Non-economic voting and incumbent strength in Turkey

Evidence suggests that incumbent parties find it harder to be re-elected in emerging than in advanced democracies because of more serious economic problems in the former. Yet the pro-Islamic Justice and Development Party (AKP) has ruled Turkey since 2002. Does economic performance sufficiently account for the electoral strength of the AKP government? Reliance on economic performance alone to gain public support makes a government vulnerable to economic fluctuations. This study includes time-series regressions for the period 1950-2011 in Turkey and demonstrates that even among Turkey's long-lasting governments, the AKP has particular electoral strength that cannot be adequately explained by economic performance.

Presidentialism and political parties in Indonesia : why are all parties not presidentialized?

This paper analyzes whether the "presidentialization of political parties" is occurring in newly democratizing Indonesia, as argued by Samuels and Shugart (2010). In Indonesia not all parties are becoming presidentialized. Parties are presidentialized when they have a solid organizational structure and have the potential to win presidential elections. Parties established by a presidential candidate need not face an incentive incompatibility between their executive and legislative branches, since the party leader is not the "agent" but the "principal". On the other hand, small and medium-sized parties, which have few prospects of winning presidential elections, are not actively involved in the election process, therefore party organization is not presidentialized. As the local level, where the head of government has been directly elected by the people since 2005 in Indonesia, the presidentialization of political parties has begun to take place.

ロウハーニー大統領の登場から核協議の進展へ -- 米国オバマ政権の対イラン外交の転換と日本

The recent rapprochement between Iran and the United States after Hassan Rouhani was elected president in June 2013 may represent an important geopolitical shift that would alter the politics of the Middle East. The main purpose of this paper is to evaluate this political shift, examine whether the interim nuclear agreement between Iran and the United States would lead to some structural shifts in the Middle East, and analyze to what extent this change can be sustainable for both sides. The main Part of this paper is divided into three sections. The first section examines in detail the process of Iran's Presidential election in June 2013, especially the sudden change of atmosphere which took place just three days before election day. The second section is devoted to analyzing the Obama administration’s shift to diplomacy with Iran. And the third section treats the on-going nuclear negotiations between Iran and P5+1, which is expected to reach a comprehensive solution. The paper argues that the dramatic shift in the US policy toward Iran is not limited to the bilateral relationships between the US and Iran, but it is related to several key issues in the Middle East, in particular to those in Syria, Iraq and Afghanistan. This changing process in Iranian politics and the path to diplomacy is profitable for Japanese national interest, and that Japan should also contribute to Iran's return to the international community.