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981.
Elisabeth Martin Marie-Pascale Pomey Pierre-Gerlier Forest 《Canadian public administration. Administration publique du Canada》2010,53(4):467-488
Abstract: This article focuses on Quebec's most recent reform in the regionalization of health care to understand why the government chose to transform the regional boards into agencies. This case study used interviews and documentary analysis. Rooted in a political science perspective, the conceptual framework is inspired by the work of John Kingdon (1995) and draws on the four variables that influence the choice of policy: ideas, interests, institutions and events. Results of the case study suggest that Quebec's Commission of Study for Health and Social Services (the Clair Commission) in 2000 and the 2002 pre-electoral environment put the issue on the agenda. In 2003, the newly elected Liberal government passed Bill 25 – An Act Respecting Local Health and Social Services Network Development Agencies, which represented a political compromise: originally slated for eradication, the regional tier survived but in a new form. The element that sparked reform was the change in government following the elections. Different inquiry reports spread the reform's ideas, while interest groups articulated contrasting visions on the transformation. Above all, regional institutions showed great resilience in the face of change. From a historical perspective, this regionalization policy is a step backward: the regional tier is now stronger from a managerial and technocratic point of view, but it is politically and democratically weakened. This suggests a government intention, at that time, to maintain the regional level as a means of retaining centralized control over Quebec's health-care system. 相似文献
982.
983.
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986.
Martin Folly 《Diplomacy & Statecraft》2000,11(2):105-136
In March 1944, the Soviets requested permission to base some aircraft in southern Italy. As the area was under Anglo-American control, this raised some significant issues concerning wartime cooperation with the Soviets. Once it was set up, the base (at Bari) was used to send an unannounced mission to the Communist part of the Greek resistance movement. This paper considers the development of British attitudes towards these Soviet activities and demonstrates how the issue throws light on the making of British policy towards the USSR at this time: the conflicting views in different departments concerning the best method of handling the Soviets and the strategic significance of Soviet activities in the Balkans and the Mediterranean. 相似文献
987.
988.
Martin Myant 《欧亚研究》2008,60(3):511-514
989.
Fritz Pragst Andreas Correns Friedrich Priem Sieglinde Herre Hubert Martin 《Forensic Science International Supplement Series》2007,170(2-3):207
A 74-year old woman in postoperative treatment after a colonic surgery died immediately after perfusion of about 1.5 mL of a white emulsion which was believed to contain 1% propofol via cardiac catheter into the right atrium. It was strongly suspected that a syringe with a zinc oxide shake lotion (consisting of 20% ZnO, 20% talc, 25% glycerol and 35% water) which was intended for external treatment had been mistaken for the propofol syringe. During autopsy, an anatomic cause of death could not be found. In order to exclude an intoxication and to determine the significance of the perfusion fluid in this context, toxicological and histological investigations were performed. Propofol and other drugs applied to the patient were found in therapeutic or sub-therapeutic range. However, in comparison to a control case, the zinc concentrations determined by AAS were about 200 times higher in lung tissue, 10 times higher in heart blood and 3–4 times higher in kidney and liver tissue. No increase was seen in venous blood. Histology showed a strong embolism of the lung tissue with birefingent sharp-edged crystals, which were identified as the talcum, and an amorphous component (ZnO). The same embolism was seen to a medium extent also in the brain sections and to a low extent in heart, liver, pancreas and kidney. Pulmonary embolism by talcum and zinc oxide was established as the cause of death which occurred by syringe swap due to insufficient security precautions in the drug administration. The results are discussed in context of pulmonary microembolism cases frequently described for drug addicts after injection of crashed talcum containing tablets. 相似文献
990.
Dorit Becker Klaus Bender Jeanett Edelmann Frank Gtz Lotte Henke Sandra Hering Carsten Hohoff Karolin Hoppe Michael Klintschar Matthias Muche Burkhard Rolf Reinhard Szibor Volker Weirich Martin Jung Werner Brabetz 《Forensic Science International: Genetics Supplement Series》2007,1(3-4):232-237
The molecular origin of DNA mutations and the mutation rates were analyzed at 14 short tandem repeat (STR) loci with samples from trio cases derived from 10 different German population samples. STR loci comprised of D2S1360, D3S1744, D4S2366, D5S2500, D6S474, D7S1517, D8S1132, D10S2325, D12S391, D18S51, D19S246, D20S480, D21S226, and D22S689. In a total of 488 meioses, 16 isolated genetic inconsistencies in 8 different STRs were observed, whereas no mutations were found at the other loci. The data of five mutations suggested the presence of silent or null alleles due to sequence variation in primer binding site. This could be confirmed for four suspected cases by the use of alternative primer sets and by DNA sequence analyses. Furthermore, this study revealed nine new allelic variants at five different loci. 相似文献