Death during transforaminal epidural steroid nerve root block (C7) due to perforation of the left vertebral artery

Treatment for individuals suffering from migraines and pain due to an inflammation or impingement of a nerve range from noninvasive methods such as massage, physical therapy, and medications to invasive methods such as epidural steroid injections and surgery. Each method of treatment has an associated level of risk. While minor to moderate complications from such procedures do occur, deaths are very rare. We report the first cited case of a death associated with the pain management procedure called nerve root block, also referred to as a transforaminal epidural steroid injection. We present the medical history and autopsy findings of a 44-year-old white female who died of massive cerebral edema secondary to the dissection of the left vertebral artery and subsequent thrombosis due to the perforation of that artery by a 25-gauge spinal needle during a C-7 nerve root block.     

Politicians,Scandals, and Trust in Government

In this paper we examine the role that political scandals play in eroding regard for government and political institutions in general. We know that scandals can lower regard for individual politicians and government leaders. Yet, less is known about how scandal influences attitudes toward institutions and the political process. It has been widely assumed that such attitudes are influenced by factors that lie largely beyond the control of individual politicians. Using data from the U.S. and the U.K. we show that scandals involving legislators can have a negative influence on their constituent's attitudes toward institutions and the political process. One consequence of this finding is that, instead of looking for scapegoats in Hollywood or among the failings of voters themselves, politicians should first get their own House in order.     

Remaking New Zealand's Economic Policy: Institutional Elites as Radical Innovators 1984–1993

During the mid-1980s and early 1990s the New Zealand economy moved from being one of the most regulated outside the former communist bloc to among the most liberal in the OECD. Largely unheralded and begun by an ostensibly social democratic Labour government, changes included the floating of the exchange rate; extensive liberalization of financial, capital and other markets; lowering of trade protection; fiscal restraint and monetary disinflation; changes to the machinery of government; corporatization and then sale of state assets; and changes to industrial relations frameworks (Castles, Gerritsen and Vowles 1996). Known as Rogernomics after Minister of Finance Roger Douglas, these economic policies were heavily derivative of neoclassical economic theories, such as the New Classical and Chicago schools, public choice and new institutional economics (Boston et al. 1996, ch. 2; Goldfinch 1997). This article explains how such radical economic restructuring occurred through the influence of a select group of strategically located institutional elites.     

Voter behavior under STV-PR: Solving the puzzle of the Irish party system

This paper examines voter preferences when voters are allowed to rank order large numbers of candidates both within and between different parties (STV-PR). How voters complete such a ballot has consequences both for models of voting behaviour and also for patterns of party competition. More concretely, although such a system should promote a great deal of candidate centered voting behaviour, this does not, in fact, seem to occur for the case we examine. While Irish voters do seem to exhibit multiple party loyalties they are, nevertheless, party and not candidate specific loyalties. The consequences of this for both a Michigan account of party loyalty and also standard interpretations of Irish party competition are discussed.     

When the Party's Over. The Politics of Fiscal Squeeze in Perspective

When the Party's Over. The Politics of Fiscal Squeeze in Perspective. Edited by Christopher Hood, David Heald, Rozana Himaz (Oxford: Oxford University Press, 2014), £60.00 (cloth).     

ASEAN in the twenty-first century: a sceptical review

Over the past few years, the Association of Southeast Asian Nations (ASEAN) has undertaken institutional reforms in the hope of rejuvenating itself for the twenty-first century. This paper utilizes the theory of subaltern realism (SR) to examine these initiatives. SR emphasizes that developing world states are weak and internally divided. As such, they formulate regional relations from the perspective of doing what is needed to further the state-building process. This paper assesses two of these reforms—the ASEAN Charter and the idea of the ASEAN Community idea—from the SR perspective and concludes that these measures are unlikely to have the desired rejuvenating effect. The ASEAN Charter envisions an ASEAN that is more intrusive than most of its members will tolerate. The ASEAN Community is not supported by a strong ASEAN identity. However, the regional environment of East Asia creates a political space wherein a unified and motivated ASEAN has the potential to exercise considerable influence. ASEAN member states are faced with the dilemma of determining how to balance their demands for sovereignty with the real advantages they will gain by supporting ASEAN. SR needs to be further developed before it can offer guidance in evaluating this situation.     

Global Reordering and China’s Rise: Adoption,Adaptation and Reform

Abstract

While much of the debate over the implications of China’s rise tends to dichotomise around either status quo or revisionist predictions, the reality seems to lie somewhere in between. In broad terms, China has embraced multilateral forms of cooperation and governance. This does not mean, however, that it is satisfied with the distribution of power in many international institutions, or some of the norms and principles that underpin them. This has resulted in a reformist position, with China increasingly willing to offer its own supplementary alternatives. China’s rise has also provided an important economic alternative to dealing with the West, and considerably undermined the ability of others to establish their preferences and world views. China’s lack of commitment to democracy and the external promotion of human rights remains a key reason why some analysts remain unconvinced about the long-term ambitions of an illiberal actor in a global liberal order.     

Citizen Opinion and Constitutional Choices: The Case of the UK

Political Behavior - In recent years, political scientists have begun to pay greater attention to political institutions and questions of institutional change. This article addresses a question...     

Has the human security agenda come of age? Definitions,discourses and debates

The concept of human security (HS) and its accompanying agenda, 20 years after the publication of the Human Development Report (1994), are still in a state of flux. This article summarises the extent to which, based on an in-depth analysis of the original HS dimensions in the articles in this Special Issue, the HS agenda has evolved, to the extent that it has become a clearly articulated concept both in academic terms and as a guide to concrete political action for policy-makers. It is argued in this article, perhaps not surprisingly given the nature of the concept and its dimensions, that there is a great degree of variation over space, place and time in the way that it is constructed, received and appropriated. Importantly, it is suggested that personal, political and community security have all struggled to develop a shared understanding that has become a firm guide to action, whereas food security, health security, environmental security and economic security have not only become firm parts of debate and discussion, but also significant policy areas that have had considerable time, effort and money devoted to resolving. Overall, the debate on HS is still also very much in flux 20 years on, but there can be no doubt that it has had a major impact academically and in terms of political action.