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521.
The overwhelming majority of cases of acute subdural hematoma in the forensic setting occur as a result of head trauma. We report a case of sudden unexpected death in a middle-aged woman with a history of arachnoid cyst who had sudden spontaneous onset of severe headache that was rapidly followed by collapse and death. A postmortem multiple-slice computed tomographic scan showed a large acute subdural hematoma associated with hemorrhage into an arachnoid cyst. Subdural hemorrhage is an uncommon but well-described complication of an arachnoid cyst.  相似文献   
522.
The problem of regulatory accumulation has increasingly been recognised as a policy problem in its own right. Governments have then devised and implemented regulatory reform policies that directly seek to ameliorate the burdens of regulatory accumulation (e.g. red tape reduction targets). In this paper we examine regulatory reform approaches in Australia through the lens of policy innovation. Our contributions are twofold. We first examine the evolutionary discovery process of regulatory reform policies in Australia (at the federal, intergovernmental, and state levels). This demonstrates a process of policy innovation in regulatory mechanisms and measurements. We then analyse a new measurement of regulatory burden based on text analytics, RegData: Australia. RegData: Australia uses textual analysis to count ‘restrictiveness clauses' in regulation – such as ‘must’, ‘cannot’ and ‘shall’ – thereby developing a new database (RDAU1.0). We place this ‘restrictiveness clauses’ measurement within the context of regulatory policy innovation, and examine the potential for further innovation in regulatory reform mechanisms.  相似文献   
523.
Like most public managers nowadays, local emergency managers operate within complex, uncertain environments. Rapid changes in the scope and severity of the issues increase the extent of intergovernmental collaboration necessary to address such challenges. Using a large data set of county emergency management agency directors, variations in intergovernmental collaboration reflect influences from problem severity, managerial capacity, and structural factors. The results demonstrate that public managers who perceive problems as severe, possess specific managerial skills, lead high‐capacity organizations, and operate in less complex agency structures collaborate more often and more effectively across governmental boundaries.  相似文献   
524.
Place-based partnerships are supported by the state and include various organisations and interests within particular geographic areas. The Victorian government has established place-based partnerships to plan and coordinate resource allocation decisions to meet objectives such as economic development and social inclusion. In the literature there are positive and negative views of these partnerships. One view is that they allow regions to build competitive advantage, while another is that they are a means of pursuing a neoliberal policy agenda that seeks to reduce government protection and investment. We help clarify the tensions between positive and negative views of partnerships by examining the economic approaches used by policy actors toward place-based partnerships in Victoria. We find that policy actors combine neoclassical and institutionalist approaches to argue that partnerships generate networks that enable more efficient and equitable resource allocation within places .  相似文献   
525.
This article analyses how minority populations govern and are governed in South Lebanon’s informal Palestinian settlements and the Serbian enclave in North Kosovo. Drawing on literature about hybrid political orders, it is argued that in both settings political parties play a linchpin role in local governance. Based on this finding, three key functions of political parties in the governance of minority populations in hybrid political orders are identified: representation, provision and brokerage. Understanding the interdependencies and trade-offs between these different roles contributes to remedying the analytical blind spot regarding the nature, positions and roles of political parties in hybrid political orders.  相似文献   
526.
Multilateral development banks (MDBs) have proved to be one of the most popular and enduring forms of international organization ever created, in large part because of their unique financial model. MDBs raise most of the resources needed for operations from international capital markets rather than government budgets, which greatly increases their financial capacity and attractiveness to member governments. However, this model has a trade-off: MDBs must pay close attention to the perceptions of bond investors, who have little interest in development goals. This paper explores the influence of credit rating agencies (CRAs) on MDB operations, based on an analysis of the methodologies used by CRAs to evaluate MDBs and interviews with MDB financial staff and CRA analysts. The study demonstrates that the methodology used by Standard and Poor’s seriously undervalues the financial strength of MDBs, limiting their ability to pursue their development mandate. These findings suggest that MDB dependence on capital market financing may weaken the ability of major shareholder governments to fully control MDB activities.  相似文献   
527.
English local authorities not only have a high level of path dependency but also are capable of significant path-breaking innovations. Conventional ‘great man’ and punctuated equilibrium explanations of path-switching undervalue material factors. Theoretical sampling is used to develop and illuminate the way in which material conditions impact two significant changes in the institutional path of Birmingham City Council – the late nineteenth-century municipalisation of private providers (gas and water) and the early twenty-first century corporatisation of public services (back-office functions, building control, educational support, and museums and art galleries). Data are drawn from secondary sources including Council documents and contemporary accounts. Centrifugal pressure in the early twenty-first century result in arm’s length companies offering greater financial resilience. This contrasts with late nineteenth-century centripetal pressure to minimise the patchwork of private providers and trade for a wider public benefit.  相似文献   
528.
Decent labour standards are a prerequisite for perceived justice and social cohesion. Insofar as they have been achieved in Britain in the past, it has been the result of collective bargaining between employers and trade unions. This has all but vanished in the private sector and, it is argued, there is no chance of its being revived. Upholding labour standards now lies in the provision of statutory individual employment rights. Experience with minimum wages provides some guidance on how these might be developed through social partnership arrangements. Once achieved, such rights amount to little without effective enforcement. Increasingly important for this is the use of the law and consumer campaigns to expose poor employment practices and complex supply chains so that offending employers can be held to account. If Britain is to avoid falling into a competitive ‘race to the bottom’ with Brexit, it must institute a robust means of implementing and enforcing decent labour standards.  相似文献   
529.
Collaboration has become the predominant approach to solving complex public problems. This choice, however, often is not driven by demonstrated effectiveness. Collaboration is instead chosen in the hope that a networked arrangement will be more effective than individual organizations working on the issue alone. Questions regarding collaborative effectiveness persist and constitute a significant challenge facing both public management practitioners and public administration scholars. In light of the case study in this issue of Public Administration Review by Maurits Waardenburg and colleagues, this article reviews the current thinking on the measurement of collaborative performance and discusses steps that professionals can take to evaluate the effectiveness of their collaborative endeavors.  相似文献   
530.
The best predictor of future misbehavior is a history of aberrant and wayward conduct. Even so, few theories attempt to account for time-stable maladaptive pathways. To this end, we advance a theory of stability, what we term Coherence Theory. Coherence Theory conceptualizes stability as an emergent property that occurs when antisocial dispositions, social consequences, and misconduct coalesce within an individual. In this sense, misconduct is viewed as only one component of a larger, overarching and multi-faceted emergent construct we label as “concentrated personal disadvantage.” When these three components coalesce within an individual, temporal stability in maladaptive pathways should be expected. Using nationally representative, longitudinal data from the National Survey of Children, we test specific hypotheses derived from our theory. This study makes use of the first and second waves of survey data (N wave 1 = 2,301; N wave 2 = 1,423). The sample overall was 51% male and 52% white. Our analyses provide tentative support for the proposed theory. Concentrated personal disadvantage was found to emerge when the identified constellation of variables coalesced in individuals, and was found to be relatively stable over a 5 year period for males and females. Coherence Theory challenges traditional theories on the stability of antisocial pathways, offers specific conditions under which high levels of stability are likely, and explains why disruption off of antisocial pathways is so difficult.  相似文献   
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