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911.
Abstract. This paper assumes that Planning-Programming-Budgeting (ppb ) is preferable to the current historical budgeting procedure of municipalities. This is in part because ppb necessitates policy-making (defined as the setting of goals). The paper argues that the ability of municipalities to adopt ppb and policy-making is severely constrained by fiscal imbalance. The reliance of Canadian municipalities on conditional transfers and on the property tax has negated ppb procedures by distorting priorities and narrowing decision-making. The paper further argues that inflation will accentuate the financial problems of municipalities because of different revenue and tax elasticities. The point of departure is a brief examination of the logic behind urban government and the division of responsibilities. The second section looks at municipal fiscal imbalance, and the third analyses how fiscal imbalance negates policy-making and ppb . A final section suggests three remedies that might induce adoption of ppb . One would reduce the distortions of transfers and the other two would ease fiscal imbalance. Sommaire. Cet article suggère que le processus de Planification-Programmation et Budgétisation (ppb ) est préférable au processus de budgétisation couramment en usage dans les municipalités, en partie parce que le ppb implique la détermination d'objectifs politiques. L'article soutient que la possibilité d'adoption du ppb et d'une politique précise par les municipalités est très limitée à cause du déséquilibre fiscal. La subordination des municipalités canadiennes aux subventions conditionnelles et a Fimpôt fonder, en changeant les priorités et en limitant le pouvoir de décision, a rendu impossible le ppb. L'article soutient de plus que l'inflation accentuera les problèmes financiers des municipalités à cause des différentes élasticités des taxes et des revenus. L'étude commence par un bref examen des principes qui régissent l'administration urbaine et 3a division des responsabilités. La deuxième partie traite du déséquilibre fiscal des municipalités, et la troisième indique pour quelle raison le déséquilibre fiscal rend impossible une politique suivie et l'application du processus du ppb . Une dernière partie suggère trois solutions qui pourraient faciliter l'adoption du ppb. L'une réduirait les distortions dues aux subventions conditionnelles et les deux autres permettraient d'alléger le déséquilibre fiscal.  相似文献   
912.
Due to an awareness of the frequency of child abuse and lack of a single instrument to assess the extent of exposure to both the abusive and supportive environments provided by parents, a 70 item inventory (the EASE-PI) was developed that is a self-report on how both mother and father treated the respondent. A factor analysis, which was subsequently replicated, revealed three abusive factors (representing emotional, physical, and sexual abusiveness) and three supportive factors (love/support, promotion of independence, and positive modeling/fairness). The same factors emerged regardless of gender of respondent and gender of parent. The inventory provides a means to investigate the differential and interactive effects of exposure to emotional, physical, and sexual abusiveness and the possible mitigating effects of different types of supportive behaviors by each parent.  相似文献   
913.
In only nine of approximately 600 cases of child molestation in New Hampshire and Vermont was the perpetrator found to be a woman. Case histories and some testing data show a history of sexual assault as a child, frequent offense in the company of a dominant male partner, and a major disinhibition as a result of severe character disorder or limited intelligence. These factors not only interfered with maternal bonding and nurturing behavior but also contributed to suspension of judgment about the appropriateness of sexual contact with children.  相似文献   
914.
915.
Untreated traumatic rupture of the aorta generally results in sudden death. A case with 14 years' survival after an unrecognized traumatic rupture of the aorta is presented. Chronic traumatic aneurysm of the aorta should be kept in mind in a patient who develops sudden symptoms of arteriosclerotic heart disease months to years after a relevant thoracic trauma.  相似文献   
916.
917.
This paper reports the case of a 22-year-old white male who was found dead in a storage room as a result of a fatal ingestion of cyclopropane. Cyclopropane is a sweet-smelling, irritating gas. Autopsy findings revealed congestion and hemorrhagic edema of the lungs, congestion of the trachea, and early autolysis. Cyclopropane was determined by headspace gas chromatography and mass spectrometry. To our knowledge, this is the first reported fatality involving cyclopropane.  相似文献   
918.
919.
In the course of a scuffle, a youth of 18 years was struck a single blow across the chest with a golf club. He collapsed dead on the spot. At autopsy, a precisely located and highly distinctive patterned imprint abrasion of the precordial region was revealed providing an excellent match with the weapon. The heart showed multiple internal ruptures and there was a laceration of the lingula of the left lung. Injury to the chest wall was confined to the soft tissues, the rib cage and sternum being intact. We postulate a novel mechanism to explain the cardiac rupture.  相似文献   
920.
As part of a transcultural investigation of violent behavior in Denmark and South America, the lesions from accidents involving deliberate violence registered in three Danish emergency wards during a 1-year period were studied. A quantity of 2211 lesions were diagnosed in 1316 patients (953 male and 363 female patients). Sixty-five percent of the lesions were in the head/neck region, 13% in truncus, 18% in the upper extremities and 5% in the lower extremities. The most frequent diagnosis was an open wound in the head/neck region. Adding contusions and fractures in the same region this amounted to more than half of the total number of lesions. In the upper extremities 62% of the lesions were contusions or open wounds. Serious lesions of internal arteries were few, however always caused by sharp instruments (knives). Serious lesions due to firearms were not recorded/reported. Strangulation had been used against 1.1% of the victims, the male/female ratio being 1:6. The main part of the lesions were of minor severity when assessed on the basis of the scores in the Abbreviated Injury Scale (AIS). The lesions were, however, more serious compared to other recent studies, and it appeared that the female victims had fewer but more serious lesions than the male victims. The need for treatment and hospitalization was in the range of other recent studies.  相似文献   
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