Comamonas testosteroni meningitis in a homeless man

We report a case of meningitis caused by Comamonas testosteroni in a 54-year-old, alcoholic, homeless man. He, as a pedestrian, was struck by a car and suffered multiple fractures of the facial bones including the left frontal sinus. Over the course of 2-week hospitalization, he was clinically diagnosed with multiple cerebral and cerebellar infarcts resulting in altered mental status. He was pronounced dead 15 days after the injury. At the time of autopsy, diffuse purulent meningitis was found on gross examination. A swab culture of the brain surface was positive for C. Testosteroni, a saprophytic organism commonly found in soil and water. This is the first reported case of fatal meningitis caused by this micro-organism.     

Beyond opportunism: Intermediary loyalty in regulation and governance

Regulators and other governors rely on intermediaries to set and implement policies and to regulate targets. Existing literatures focus heavily on intermediaries of a single type – Opportunists, motivated solely by self-interest. But intermediaries can also be motivated by different types of loyalty: to leaders (Vassals), to policies (Zealots), or to institutions (Mandarins). While all three types of loyalists are resistant to the traditional problems of opportunism (slacking and capture), each brings pathologies of its own. We explain the behavioral logic of each type of loyalty and analyze the risks and rewards of different intermediary loyalties – both for governors and for the public interest. We illustrate our claims with examples drawn from many different realms of regulation and governance.     

Sociolinguistic and psycholinguistic indications of behavior disorders: analysis of a prisoner's discourse

Human verbal language communicates both manifest and latent messages concerning the speaker's world and behavior. To understand his world and analyze his problems,(1) it is important to decode the latent messages as they may hint at the root causes. The authors present a discourse analysis of a prisoner's text and a semantic and morphological analysis of it. This text reflects contempt for the law and its representatives, together with a weak attachment to legitimate society, neutralization of personal responsibility, denial of guilt, and low self-esteem. Sociolinguistic and psycholinguistic analysis points toward a more profound evaluation of the perceptions and world of the speaker. It seems that he yearns for attachment, for understanding and social acceptance, and perhaps even to abandon crime. The prisoner's latent feelings of helplessness and fear of humiliation may help the therapist establish a therapeutic relationship and help him change his perceptions and behavior.     

Municipality size,political efficacy and political participation: a systematic review

ABSTRACT

It is an old adage that local government is a training ground for democracy. Its human scale means that political amateurs can contribute effectively and meaningfully to the politics of a state. But in a political climate seemingly driven to consolidate local government into ever larger units, can a not so local local government still elicit an efficacious and participatory citizenry? This paper explores the effect of municipality population size on two important aspects of democratic culture: political efficacy and political participation. Via a two-part systematic review, the paper examines how extant empirical literature bears on the relationship between size and both of these aspects, hypothesising that political efficacy plays a mediating role between size and participation. The findings are unequivocal: citizens of smaller municipalities feel a greater sense of political efficacy and participate to a greater degree in local politics.     

Potential impact on birth rates of reforms in laws governing contraceptive marketing

This article attempts to estimate the potential impact on birth rates of relaxing various legal restrictions on the marketing of contraceptives and to identify countries offering particular potential for such policies. The approach is through a quasi-experimental cross-sectional analysis of various configurations of laws in 82 countries. Results indicate that relaxation of a complex of interrelated restrictions offers the potential to lower birth rates and hence population growth by a full percentage point. The estimates are made in context of an analysis of covariance in which other key determinants of birth rates (measures of economic, demographic and health status) are also considered. While the cross-sectional design does not allow assessment of time frame for the impact of such changes, some guidance is available from the experience of two countries.     

The Role of Elite Accounts in Mitigating the Negative Effects of Repositioning

Repositioning by political elites plays a key role in a variety of political phenomena, including legislative policymaking and campaigning. While previous studies suggest that repositioning will lead to negative evaluations, these studies have not explored the role of elite communications in structuring mass responses. We argue that this omission is problematic because elite explanations for their actions may limit the costs associated with ‘flip-flopping’ by persuading some citizens to update their attitudes so that they agree with the elite’s new stance and also by molding beliefs about the motives of the elite when repositioning. We present evidence supportive of this argument obtained from two large experiments conducted on samples of American adults. Ultimately, we show that elites offering a satisfactory justification for their change can avoid most, if not all, of the evaluative costs that would otherwise occur. This study thus has important implications not just for this particular element of elite behavior, but also related questions concerning governmental accountability and representation.