THE FOCUS OF REFORM IN COMMONWEALTH GOVERNMENT ADMINISTRATION*

Challenge to Established Convention … the simple image of the official as the instrument of Ministerial authority accountable to the Minister alone, working unseen, unheard and anonymous, is now seriously inaccurate.     

Does hypernatremia cause subdural hematoma in children?: two case reports and a meta-analysis of the literature

Hypernatremia has been causally linked with subdural hematoma (SDH), but more recently this has been called into question. Conversely, there is a well-established link between SDH and injury. We wish to examine the evidence base that hypernatremia in infants and young children causes SDH.We present 2 cases of children with severe hypernatremia whose intracranial contents were assessed by imaging in the first case and postmortem examination in the second. Neither demonstrated SDH. The first case was important as the hypernatremia was iatrogenic occurring in a controlled hospital environment.We also searched the literature from 1950 to 2007, collecting data on all reported cases of hypernatremia in children younger than 7 years whose intracranial contents were examined by imaging, surgery, and/or postmortem examination. Of 124 cases reported in 31 articles, 112 cases developed hypernatremia in the community, and 12 in the hospital. Subdural hematoma was demonstrated in 7 cases, all of which had developed hypernatremia in the community under circumstances that would make it difficult to exclude nonaccidental injury. None of the 12 cases that developed hypernatremia in a controlled hospital environment had SDH.The evidence base supporting the hypothesis that hypernatremia causes SDH is poor, depending on isolated reports with uncertain histories.     

Terrorism in India as a Determinant of Terrorism in Pakistan

Terrorism in Pakistan springs from many factors such as, poverty, corruption, inequality, sham democracy, and low-level literacy; however, the effect of terrorism in India over terrorism in Pakistan remains unnoticed. This study explores the role of terrorism in India as a determinant of terrorism in Pakistan. This fangled determinant of terrorism in Pakistan forms the premise of our work. The Johansen cointegration analysis technique confirms the long-run relationship among terrorism in India and Pakistan and unemployment in Pakistan. Error correction model (ECM) resulted 55% of convergence annually. Besides, ECM verifies both short and long-run causalities. The VECM Granger and Modified Wald (MWALD) causality tests reveal that terrorism in India and unemployment in Pakistan Granger causes terrorism in Pakistan, but no reverse causality exists. The study concludes that both terrorism in India and unemployment in Pakistan results in terrorism in Pakistan. Coping with terrorism, Pakistan and India must revisit their respective roles; and simultaneously, Pakistan should address the unemployment problem—which facilitates recruitment for the terrorist organizations.