Elections
News Type
News
Date
Paragraphs

Patrick Meier, a PhD Candidate at Fletcher School, Tufts University introduced his research to investigate the relationship between increased availability of ICTs and popular resistance movements.

A key question in the relatively new field of digital activism is whether new technologies will help or hinder efforts to remove authoritarian governments. What we tend to see are patterns of repression by regimes, followed by circumvention as activists find ways to work around new restrictions. The ability to learn and adapt would seem to be crucial in determining whether activists or governments gain the upper hand.

When studying this area more closely, a number of research gaps emerge. Firstly, many studies use ‘information revolution' and ‘internet' interchangeably; this fails to recognize the importance of other technologies such as mobile phones. Secondly, discourses from complexity science that model how networks operate have not yet been brought into this literature. Thirdly, since the majority of studies to date are qualitative in nature, there is a real lack of quantitative analysis. The result is that we are left with a collection of anecdotes, some demonstrating that technology has promoted activism, and others detailing how repressive regimes are using technology successfully for their own ends. This anecdotal approach produces little clarity about the relationship between technology and political activism.

One of the aims of Patrick's dissertation research is to help fill this quantitative void. He is currently conducting a large-N study that will try to answer the question: are ICTs a statistically significant predictor of protest activism? The study looks at 38 countries between1990 and 2007. Countries were selected using two criteria: first, whether they were defined as having a score in the range -5 to -10 on the Polity IV measure of autocratic tendency; second, whether they were featured amongst the prominent examples in the existing literature about digital activism. To measure levels of protest activity, Patrick will be using a data set that uses Reuters newswire reports. Control variables include population, levels of unemployment, internal wars and elections.

Preliminary findings are quite counter intuitive, suggesting that there is a negative relationship between increasing use of technologies like mobile phones and numbers of protests. Recognizing some of t he inherent problems and limitations associated with a large-N study, Patrick will also be conducting detailed qualitative research into four case study countries to gain a better understanding of how technology impacts activism in different contexts.

Patrick will be updating progress and results of his research at his blog iRevolution.

All News button
1
News Type
News
Date
Paragraphs

Ken Banks, the founder of kiwanja.net, spoke about the importance of technology solutions that meet the needs of those working in the developing world and his own work in this area through FrontlineSMS.

While current excitement in the technology world may be focused on increasing centralization through cloud computing, this means little to people working in the developing world where internet connectivity is unavailable or unreliable.  Too little investment is going into building tools that will genuinely assist the work many non-profits are doing now.

Ken developed FrontlineSMS to tap into the potential of mobile phones, which are now widely available and used in the developing world. This is a two way communication system that can be used anywhere where there is a mobile phone signal.  FrontlineSMS is available as a free download and Ken's approach has been not to dictate implementation but rather to allow people to use this very general tool in whatever ways meet their particular needs. This has resulted in diverse applications, for example:

  • Monitoring election practices in Nigeria in 2007
  • Sending security alerts to humanitarian workers in conflict areas of Afghanistan
  • Encouraging young people to take part in elections in Azerbaijan
  • Updating local people on the location of speeches during President Obama's visit to Ghana

There is also great potential to combine FrontlineSMS with traditional media, such as radio, that is already widespread throughout Africa, to make this much more interactive.

Ken offered a number of points of guidance for those thinking about designing technology with social applications:

  • Work with the equipment that people already have at their disposal
  • Make equipment easy to assemble and intuitive
  • Price it at a level people can afford
  • Think about how use can be replicated - how will other NGOs find out about it?
  • Assume a situation of no internet connectivity
  • Where possible, give users an ability to connect with others - for example through a forum (this has been particularly successful at FrontlineSMS, with a third of those who download the software joining the online community)
  • Don't let a social science approach dominate - it is much better to think in a multi-disciplinary way
  • Use technology that is appropriate to the context - don't bring in tools that require knowledge and equipment not already held in the community
  • Collaborate, don't compete. Sometimes NGOs can rush to do the same things; examples of genuine cooperation are hard to find

Looking ahead, Ken will be developing functionality for FrontlineSMS that makes use of internet connectivity where this is available. He is also working on finding additional funding to help organizations pay for text messages.

All News button
1
-

The routine employment of torture on the popular television series 24 has given rise to the charge that the program lends verisimilitude to  the questionable premise that torture is a legitimate and effective means of interrogation. A growing body of evidence suggests the critics' charge is correct. Indeed, the Dean of the US Military Academy at West Point grew sufficiently concerned about the pernicious effects 24 was having on his cadets that he traveled to California to meet with the show's creators to ask them to tone down the use of torture on the program. The Intelligence Science Board has echoed the critics' concerns, arguing that similar reality-distorting attitudes towards torture can be seen in the public at large. But how and why can a wholly fictional program like 24 actually influence political reality? Is this case something of an exception, or more akin to the rule?  Unfortunately, evidence suggests that fiction and other socially constructed portrayals of political reality-including propaganda, false flag operations and conspiracy theories-have long exercised demonstrable effects on political reality, often in unforeseen and unintentional ways.

Through the lens of the invasion panic that gripped Great Britain in the late nineteenth century, Greenhill will explore how and why national security-related "social facts"-i.e., things that are deemed to be "true" simply because they are widely believed to be true-can become broadly adopted and disseminated and, by extension, thereby influence the development and conduct of national security policy. Greenhill will further explore what this historical case can tell us about the theoretical and policy implications such "social facts" may hold for the threats we face today, including terrorism and the proliferation of weapons of mass destruction.

Kelly M. Greenhill is Assistant Professor of Political Science and International Relations at Tufts University and Research Fellow at Harvard University's Kennedy School of Government. She holds a Ph.D. and an S.M. from M.I.T., a C.S.S. from Harvard University, and a B.A. from UC Berkeley. Greenhill previously held pre- or post-doctoral fellowships at Harvard University's Olin Institute for Strategic Studies and Belfer Center for Science and International Affairs, and at CISAC.

Her work has appeared in a variety of venues, including the journals International Security, Security Studies, and International Migration as well as in the New York Times, the Los Angeles Times and in briefs prepared for the U.S. Supreme Court. Greenhill has two books shortly forthcoming with Cornell University Press: the first, Weapons of Mass Migration: Forced Displacement, Coercion and Foreign Policy, focuses on the use of large-scale population movements as instruments of state-level coercion; and the second, Sex, Drugs and Body Counts: The Politics of Numbers in Global Crime and Conflict (co-edited with Peter Andreas), examines the politicization and manipulation of crime and conflict-related statistics. She is currently at work on a new book, a cross-national study that explores why, when, and under what conditions, fiction, so-called "social facts" and other non-factual sources of information-such as rumors, conspiracy theories and propaganda-materially influence the development and conduct of national security policies.

Lynn Eden is Associate Director for Research at the Center for International Security and Cooperation, Freeman Spogli Institute for International Studies, Stanford University. Eden received her Ph.D. in sociology from the University of Michigan, held several pre- and post-doctoral fellowships, and taught in the history department at Carnegie Mellon before coming to Stanford. In the area of international security, Eden has focused on U.S. foreign and military policy, arms control, the social construction of science and technology, and organizational issues regarding nuclear policy and homeland security. She co-edited, with Steven E. Miller, Nuclear Arguments: Understanding the Strategic Nuclear Arms and Arms Control Debates (Ithaca, N.Y.: Cornell University Press, 1989). She was an editor of The Oxford Companion to American Military History (New York: Oxford University Press, 2000), which takes a social and cultural perspective on war and peace in U.S. history. That volume was chosen as a Main Selection of the History Book Club.

Eden's book Whole World on Fire: Organizations, Knowledge, and Nuclear Weapons Devastation(Ithaca: Cornell University Press, 2004; New Delhi: Manas Publications, 2004) explores how and why the U.S. government--from World War II to the present--has greatly underestimated the damage caused by nuclear weapons by failing to predict damage from firestorms. It shows how well-funded and highly professional organizations, by focusing on what they do well and systematically excluding what they don't, may build a poor representation of the world--a self-reinforcing fallacy that can have serious consequences, from the sinking of the Titanic to not predicting the vulnerability of the World Trade Center to burning jet fuel. Whole World on Fire won the American Sociological Association's 2004 Robert K. Merton Award for best book in science, knowledge, and technology.

Reuben W. Hills Conference Room

Kelly M. Greenhill CISAC Visiting Assistant Professor of Political Science, Tufts University Speaker

Not in residence

0
Affiliate
rsd15_078_0365a.jpg PhD

Lynn Eden is a Senior Research Scholar Emeritus. She was a Senior Research Scholar at Stanford University's Center for International Security and Cooperation until January 2016, as well as was Associate Director for Research. Eden received her Ph.D. in sociology from the University of Michigan, held several pre- and post-doctoral fellowships, and taught in the history department at Carnegie Mellon before coming to Stanford.

In the area of international security, Eden has focused on U.S. foreign and military policy, arms control, the social construction of science and technology, and organizational issues regarding nuclear policy and homeland security. She co-edited, with Steven E. Miller, Nuclear Arguments: Understanding the Strategic Nuclear Arms and Arms Control Debates (Ithaca, N.Y.: Cornell University Press, 1989). She was an editor of The Oxford Companion to American Military History (New York: Oxford University Press, 2000), which takes a social and cultural perspective on war and peace in U.S. history. That volume was chosen as a Main Selection of the History Book Club.

Eden's book Whole World on Fire: Organizations, Knowledge, and Nuclear Weapons Devastation (Ithaca: Cornell University Press, 2004; New Delhi: Manas Publications, 2004) explores how and why the U.S. government--from World War II to the present--has greatly underestimated the damage caused by nuclear weapons by failing to predict damage from firestorms. It shows how well-funded and highly professional organizations, by focusing on what they do well and systematically excluding what they don't, may build a poor representation of the world--a self-reinforcing fallacy that can have serious consequences, from the sinking of the Titanic to not predicting the vulnerability of the World Trade Center to burning jet fuel. Whole World on Fire won the American Sociological Association's 2004 Robert K. Merton Award for best book in science, knowledge, and technology.

Eden has also written on life in small-town America. Her first book, Crisis in Watertown (Ann Arbor: University of Michigan Press, 1972), was her college senior thesis; it was a finalist for a National Book Award in 1973. Her second book, Witness in Philadelphia, with Florence Mars (Baton Rouge: Louisiana State University Press, 1977), about the murders of civil rights workers Schwerner, Chaney, and Goodman in the summer of 1964, was a Book of the Month Club Alternate Selection.

CV
Lynn Eden Senior Research Scholar and Associate Director for Research, CISAC Commentator
Seminars
-

One of the routine assumptions of students of democratization has been that there is a close, causal relationship between liberalization and democratization. The former is said to drive those who concede it toward convoking credible elections and, eventually, tolerating ruler accountability to citizens. The link between those processes of regime transformation is alleged to be the mobilization of civil society. It has been argued that the weakness or absence of this linkage is one (among many) of the conditions which make the polities of the Middle East and North Africa resistant to democratization. We propose to open a public discussion on this topic.

Philippe Schmitter is Professor Emeritus at the European University Institute (EUI), and was on the faculty of the EUI from 1996 to 2004, after ten years at Stanford University. He is also a recurrent visiting professor at the Central European University in Budapest, at the Istituto delle Scienze Humanistiche in Florence and the University of Siena.

He has been vice-president of the American Political Science Association and the recipient of numerous professional awards and fellowships, including a Guggenheim in 1978, the award for lifetime achievement in European politics by the ECPR in 2008, and the award for lifetime achievement in the study of European integration by EUSA in 2009.

Sean Yom is a Hewlett Postdoctoral Fellow at CDDRL at Stanford University. He finished his Ph.D. at the Department of Government at Harvard University in June 2009, with a dissertation entitled "Iron Fists in Silk Gloves: Building Political Regimes in the Middle East". His primary research explores the origins and durability of authoritarian regimes in this region, focusing on the historical interplay between early social conflicts and Western geopolitical interventions.

Encina Ground Floor Conference Room

CDDRL
Stanford University
Encina Hall
616 Serra Street
Stanford, CA 94305-6055

0
Visiting Scholar 2010
Schmitter.JPG PhD

Philippe C. Schmitter is a visiting scholar at CDDRL during winter quarter 2010. Since 1967 he has been successively assistant professor, associate professor and professor in the Politics Department of the University of Chicago, then at the European University Institute (1982-86) and at Stanford (1986-96). He was Professor of Political Science at the European University Institute in Florence, Department of Political and Social Sciences until September 2004. He is now Emeritus of the Department of Political and Social Sciences at the European University Institute.

He has been visiting professor at the Universities of Paris-I, Geneva, Mannheim and Zürich, and Fellow of the Humboldt Foundation, Guggenheim Foundation and the Palo Alto Centre for Advanced Studies in the Behavioral Sciences.

He has published books and articles on comparative politics, on regional integration in Western Europe and Latin America, on the transition from authoritarian rule in Southern Europe and Latin America, and on the intermediation of class, sectoral and professional interests.

His current work is on the political characteristics of the emerging Euro-polity, on the consolidation of democracy in Southern and Eastern countries, and on the possibility of post-liberal democracy in Western Europe and North America.
Recently, Professor Schmitter was awarded the The Johan Skytte Prize in political science (2009).

He earned his PhD from the University of California at Berkeley.

Philippe C. Schmitter Professor Emeritus Speaker European University Institute, Visiting Scholar at CDDRL

N/A

0
CDDRL Hewlett Fellow 2009-2010
YOM_webphoto.jpg PhD

Sean Yom finished his Ph.D. at the Department of Government at Harvard University in June 2009, with a dissertation entitled "Iron Fists in Silk Gloves: Building Political Regimes in the Middle East." His primary research explores the origins and durability of authoritarian regimes in this region. His work contends that initial social conflicts driven by strategic Western interventions shaped the social coalitions constructed by autocratic incumbents to consolidate power in the mid-twentieth century--early choices that ultimately shaped the institutional carapaces and political fates of these governments. While at CDDRL, he will revise the dissertation in preparation for book publication, with a focus on expanding the theory to cover other post-colonial regions and states. His other research interests encompass contemporary political reforms in the Arab world, the historical architecture of Persian Gulf security, and US democracy promotion in the Middle East. Recent publications include articles in the Journal of Democracy, Middle East Report, Arab Studies Quarterly, and Arab Studies Journal.

Sean Yom Postdoctoral fellow Commentator Stanford University
Seminars
-

Mvemba Phezo Dizolele is the Peter J. Duignan Distinguished Visiting Fellow at the Hoover Institution in Palo Alto, CA and an African Studies visiting scholar at Johns Hopkins University School of Advanced International Studies in Washington, DC.

His analyses have been published in the New York Times, International Herald Tribune, St Louis Post-Dispatch and other outlets. A frequent commentator on African affairs, he  has been a guest analyst on PBS' NewsHour with Jim Lehrer and Foreign Exchange with Fareed Zakaria, NPR's On Point and the Diane Rehm Show, the BBC World News, Al Jazeera and the Voice of America.

Dizolele was a fellow at the Pulitzer Center on Crisis Reporting and covered the 2006 historic elections in the Democratic Republic of Congo. He served as an election monitor with the Carter Center in the run-off between Joseph Kabila and Jean-Pierre Bemba. He was also embedded with United Nations peacekeepers in Congo's war-torn Ituri and South Kivu provinces as a reporter.

He has spoken extensively on the DRC at various institutions, including the US Institute of Peace, US Holocaust Memorial Museum, Georgetown University School of Foreign Service, Yale University Law School and Stanford University Graduate School of Business.

He is currently working on his book, Mobutu: the Rise and Fall of the Leopard King, a biography of the late Congolese president to be published by Random House UK.

Encina Ground Floor Conference Room

Mvemba Dizolele Peter J. Duignan Distinguished Visiting Fellow Speaker Hoover Institution
Seminars
Paragraphs

Background: Since California lacks a statewide trauma system, there are no uniform interfacility pediatric trauma transfer guidelines across local emergency medical services (EMS) agencies in California. This may result in delays in obtaining optimal care for injured children.

Objectives: This study sought to understand patterns of pediatric trauma patient transfers to the study trauma center as a first step in assessing the quality and efficiency of pediatric transfer within the current trauma system model. Outcome measures included clinical and demographic characteristics, distances traveled, and centers bypassed. The hypothesis was that transferred patients would be more severely injured than directly admitted patients, primary catchment transfers would be few, and out-of-catchment transfers would come from hospitals in close geographic proximity to the study center.

Methods: This was a retrospective observational analysis of trauma patients ≤ 18 years of age in the institutional trauma database (2000–2007). All patients with a trauma International Classification of Diseases, 9th revision (ICD-9) code and trauma mechanism who were identified as a trauma patient by EMS or emergency physicians were recorded in the trauma database, including those patients who were discharged home. Trauma patients brought directly to the emergency department (ED) and patients transferred from other facilities to the center were compared. A geographic information system (GIS) was used to calculate the straight-line distances from the referring hospitals to the study center and to all closer centers potentially capable of accepting interfacility pediatric trauma transfers.

Results: Of 2,798 total subjects, 16.2% were transferred from other facilities within California; 69.8% of transfers were from the catchment area, with 23.0% transferred from facilities ≤ 10 miles from the center. This transfer pattern was positively associated with private insurance (risk ratio [RR] = 2.05; p < 0.001) and negatively associated with age 15–18 years (RR = 0.23; p = 0.01) and Injury Severity Score (ISS) > 18 (RR = 0.26; p < 0.01). The out-of-catchment transfers accounted for 30.2% of the patients, and 75.9% of these noncatchment transfers were in closer proximity to another facility potentially capable of accepting pediatric interfacility transfers. The overall median straight-line distance from noncatchment referring hospitals to the study center was 61.2 miles (IQR = 19.0–136.4), compared to 33.6 miles (IQR = 13.9–61.5) to the closest center. Transfer patients were more severely injured than directly admitted patients (p < 0.001). Out-of-catchment transfers were older than catchment patients (p < 0.001); ISS > 18 (RR = 2.06; p < 0.001) and age 15–18 (RR = 1.28; p < 0.001) were predictive of out-of-catchment patients bypassing other pediatric-capable centers. Finally, 23.7% of pediatric trauma transfer requests to the study institution were denied due to lack of bed capacity.

Conclusions: From the perspective an adult Level I trauma center with a certified pediatric intensive care unit (PICU), delays in definitive pediatric trauma care appear to be present secondary to initial transport to nontrauma community hospitals within close proximity of a trauma hospital, long transfer distances to accepting facilities, and lack of capacity at the study center. Given the absence of uniform trauma triage and transfer guidelines across state EMS systems, there appears to be a role for quality monitoring and improvement of the current interfacility pediatric trauma transfer system, including defined triage, transfer, and data collection protocols.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Academic Emergency Medicine
Authors
Paragraphs

A collection of core faculty Victor Fuchs' articles on actions needed for meaningful health care reform in the United States.

  • Eliminating "Waste" in Health Care
  • Four Health Care Reforms for 2009
  • Cost Shifting Does Not Reduce the Cost of Health Care.
  • The Proposed Government Health Insurance Company - No Substitute for Real Reform
  • Reforming US Health Care - Key Considerations for the New Administration.
  • Health Reform: Getting The Essentials Right
  • Health Care Reform - Why So Much Talk and So Little Action?
  • Three "Inconvenient Truths" about Health Care
  • The Perfect Storm of Overutilization
  • Who Really Pays for Health Care? The Myth of "Shared Responsibility".
  • What Are The Prospects For Enduring Comprehensive Health Care Reform?
  • Essential Elements of a Technology and Outcomes Assessment Initiative
All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
SIEPR
Authors
Paragraphs

Abstract

BACKGROUND:

Concern about patient safety has promoted efforts to improve safety climate. A better understanding of how patient safety climate differs among distinct work areas and disciplines in hospitals would facilitate the design and implementation of interventions.

OBJECTIVES:

To understand workers' perceptions of safety climate and ways in which climate varies among hospitals and by work area and discipline.

RESEARCH DESIGN:

We administered the Patient Safety Climate in Healthcare Organizations survey in 2004-2005 to personnel in a stratified random sample of 92 US hospitals.

SUBJECTS:

We sampled 100% of senior managers and physicians and 10% of all other workers. We received 18,361 completed surveys (52% response).

MEASURES:

The survey measured safety climate perceptions and worker and job characteristics of hospital personnel. We calculated and compared the percent of responses inconsistent with a climate of safety among hospitals, work areas, and disciplines.

RESULTS:

Overall, 17% of responses were inconsistent with a safety climate. Patient safety climate differed by hospital and among and within work areas and disciplines. Emergency department personnel perceived worse safety climate and personnel in nonclinical areas perceived better safety climate than workers in other areas. Nurses were more negative than physicians regarding their work unit's support and recognition of safety efforts, and physicians showed marginally more fear of shame than nurses. For other dimensions of safety climate, physician-nurse differences depended on their work area.

CONCLUSIONS:

Differences among and within hospitals suggest that strategies for improving safety climate and patient safety should be tailored for work areas and disciplines.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Medical Care
Authors
Laurence C. Baker
Paragraphs

Abstract

OBJECTIVE:

To examine the relationship between measures of hospital safety climate and hospital performance on selected Patient Safety Indicators (PSIs).

DATA SOURCES:

Primary data from a 2004 survey of hospital personnel. Secondary data from the 2005 Medicare Provider Analysis and Review File and 2004 American Hospital Association's Annual Survey of Hospitals.

STUDY DESIGN:

A cross-sectional study of 91 hospitals.

DATA COLLECTION:

Negative binomial regressions used an unweighted, risk-adjusted PSI composite as dependent variable and safety climate scores and controls as independent variables. Some specifications included interpersonal, work unit, and organizational safety climate dimensions. Others included separate measures for senior managers and frontline personnel's safety climate perceptions.

PRINCIPAL FINDINGS:

Hospitals with better safety climate overall had lower relative incidence of PSIs, as did hospitals with better scores on safety climate dimensions measuring interpersonal beliefs regarding shame and blame. Frontline personnel's perceptions of better safety climate predicted lower risk of experiencing PSIs, but senior manager perceptions did not.

CONCLUSIONS:

The results link hospital safety climate to indicators of potential safety events. Some aspects of safety climate are more closely related to safety events than others. Perceptions about safety climate among some groups, such as frontline staff, are more closely related than perceptions in other groups.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Health Services Research
Authors
Laurence C. Baker
Paragraphs

Objective

To determine whether eligible extremely-low-birth-weight children (<1000g) were enrolled in the federally enacted, state-coordinated Early Intervention (EI) program intended to help children with developmental delay or disability regardless of parental income, and the factors associated with enrollment.

Methods

Retrospective analysis of 884 EI-eligible ELBW children born in South Carolina with birth weight 401 to 999g, gestation ≥24 weeks, and survival for the first 120 days of life. We created a linked data set with data from Early Intervention (1996–2001), Vital Records (1996–1998), death certificates, and Medicaid. Each child was followed from birth to 3 years old, the program eligibility period.

Results

A total of 54% of ELBW children were enrolled in EI at any time from birth to 36 months. Even among children ever enrolled in Medicaid (83% of all ELBW children), only 63% were enrolled in EI. Being born in a multiple gestational birth, having heavier birth weight (750 to 999g), and having ever enrolled in Medicaid were positively associated with EI enrollment. Among Medicaid patients for whom perinatal data were available, additional risk adjustment showed that EI enrollment was more likely with birth in level 3 hospitals, birth weight 750 to 999g, Neonatal Medical Index severity level V (most severe), and longer initial length of hospital stay.

Conclusions

Only about half of eligible ELBW children in South Carolina were enrolled—much lower than reported elsewhere. Efforts are needed to understand why eligible infants are not being enrolled and to develop strategies to remedy the situation.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Academic Pediatrics
Authors
C. Jason Wang
Subscribe to Elections