Business Value in Public-Private Partnerships: The Positive Impact of Trust and Task-Relevant Competencies on Business Outcomes in PPPs

ABSTRACT

Governments and businesses enter public-private partnerships (PPPs) to achieve better outcomes, but successful partnerships are not easily accomplished. Because businesses’ expectations about PPP outcomes affect how and whether they participate as partners, managing PPPs effectively requires knowing not just what governments lose or gain, but also the value businesses receive. This article demonstrates how structural, collaborative, and participant factors associated with both public and private partners affect business value in PPPs. Based on a mixed-methods approach, this study tests four hypotheses on how PPPs influence value creation for businesses. The findings show that PPP experience, trust, and size have significant effects on business value. However, they only increase certain types of value, depending on the presence and performance of other factors. Moreover, the results show that businesses gain more intangible values, such as network development and knowledge, than revenue.     

Differentiating cause-of-death terminology for deaths coded as sudden infant death syndrome, accidental suffocation, and unknown cause: an investigation using US death certificates, 2003-2004

We compared written text on infant death certificates for deaths coded as sudden infant death syndrome (R95), unknown cause (R99), and accidental suffocation (W75). Using US mortality files supplemented with the death certifiers' written text for all infant deaths with International Classification of Diseases (ICD)-10 assigned codes R95, R99, and W75, we formed cause-of-death subcategories from common themes identified from the written text. Among all infant deaths in 2003-2004, the underlying cause of death was listed as R99 for 2128 deaths, R95 for 4408 deaths, and W75 for 931 deaths. Among the postneonatal deaths, the differences in subcategories varied between assigned ICD-10 codes: for R99-coded deaths, 45.8% were categorized as "Unknown" and 48.6% as "Pending"; for R95-coded deaths, 67.7% were categorized as "sudden infant death syndrome (SIDS)"; and for W75-coded deaths, 76.4% were categorized as "Suffocation." Examination of the written text on the death certificates demonstrates variability in the assigned ICD-10 codes which could have an important effect on the estimates of SIDS cases in the United States.     

Traumatic dissection of the vertebral artery in a toddler following a short fall

Spontaneous subarachnoid haemorrhage (SAH) in children is uncommon, but is sometimes seen after rupture of aneurysms, and in different disorders. Traumatic SAH is common after serious accidental head injury, but is also reported after child abuse with vigorous shaking. To avoid unnecessary accusations of innocent care givers, it is important not to misinterpret the findings as abusive head trauma in small children with SAH. In the presented case, a nearly two-year-old girl was brought to the hospital after a fall witnessed by her father. The girl was unconscious, with elevated intracranial pressure, SAH and bilateral retinal haemorrhage (RH). She was pronounced dead after 9h. Premortem angiography revealed a dissection of the right vertebral artery, and postmortem examination revealed a traumatic lesion deep in the neck, at the base of the skull. Cerebral edema, in combination with SAH and RH, is highly suggestive of abusive head trauma. However, no external lesions, no skeletal lesions, especially no long bone metaphyseal lesions, or subdural haematomas occurring at the same time as SAH, were found. There was no report of previous child abuse in the family. Based on the radiological and postmortem findings, we believe that an accidental fall caused a blunt force trauma with a subsequent dissection of the right vertebral artery. To our knowledge, accidental tear of one of the vertebral arteries, leading to SAH in a toddler, has previously not been described. Child abuse is an important exclusion diagnosis with serious legal implications.     

Touching the rainbow

Swiss‐torn painter Angelica Kauffman (1741–1807) was trained in Italy, then moved to London in 1766, where she was to stay for 15 years. Kauffman soon became one of the leading neo‐classical artists, famous for her portraits and history paintings. Her high art pictures won an enormous popularity and were executed, e.g., in interior decorations and as prints. As one of the founding members of the Royal Academy of Arts and belonging to the inner circle surrounding its president, the painter Sir Joshua Reynolds, Kauffman was commissioned for four corner roundels in the ceiling of the Council and Assembly Room in the academy's new home, Somerset House, today at Burlington House. These allegorical paintings on the appropriate theme of the Visual Arts (and part of a larger programme) are discussed in this essay, and especially one of these, representing “Painting”. By means of iconographical analysis it is argued that Kauffman, following the tradition of feminist history painters like Artemisia Gentileschi (1593–1652/53), is not only representing the theory and praxis of the artistic process but in so doing, also comments on the dominant ideology of sexual difference.     

Testing the Impact of Political Generations: The Class of 94 and Pro‐feminist Ideas in the Swedish Riksdag

How can one explain the transformation of elected assemblies like national parliaments? In this study it is argued that much can be gained from taking the assumption of political generations more seriously when trying to explain transformations of the political agenda – for example, of themes and topics brought up in the parliamentary process. More specifically, the article expands on previous research in three ways: first, it launches the concept of ‘parliamentary political generation’ where the core element is the combination of an influx of large numbers of newcomers into the elected assembly and an electoral context that is formative – that is, that exhibits characteristics that distinguish the election from other elections. Second, an empirical test is conducted where other factors such as party affiliation and social background characteristics are controlled for. Finally, the test on the impact of parliamentary political generations is conducted in a context – the Swedish Riksdag – where parliamentary party groups are strong. The data used is the Parliamentary Surveys 1985–2010 conducted at the Department of Political Science, University of Gothenburg, Sweden. The political generation in focus is the ‘Class of 94’. The results show that the Class of 94 distinguish themselves by being more feminist than their senior colleagues and other groups of newcomers in Swedish elections. This is the feminist generation in Swedish politics.     

Acute Influence of Alcohol,THC or Central Stimulants on Violent Suicide: A Swedish Population Study

Alcohol and substance abuse in general is a risk factor for suicide, but very little is known about the acute effect in relation to suicide method. Based on information from 18,894 medico‐legal death investigations, including toxicological findings and manner of death, did the present study investigate whether acute influence of alcohol, tetrahydrocannabinol (THC), or central stimulants (amphetamine and cocaine) was related to the use of a violent suicide method, in comparison with the nonviolent method self‐poisoning and alcohol‐/illicit drug‐negative suicide decedents. Multivariate analysis was conducted, and the results revealed that acute influence of THC was related to using the violent suicide method–– jumping from a height (RR 1.62; 95% CI 1.01–2.41). Alcohol intoxication was not related to any violent method, while the central stimulant‐positive suicide decedent had a higher, albeit not significant, risk of several violent methods. The study contributes with elucidating suicide methods in relation to acute intoxication.     

Building little safe and civilized communities: community crime prevention with Chinese characteristics?

This article describes a community crime prevention program in China, set against a background of rapid economic development, large internal population migration, and increasing crime rates. Traditional social control in China has been transformed to adapt to the new reform era, yet some mechanisms remain intact. Crime prevention measures and strategies resemble those adopted in the West; however, the differences, constituting the so-called Chinese characteristics with community crime prevention are significant.     

Trauma Resilience Training for Police: Psychophysiological and Performance Effects

The objective of this study is to test the effects of police trauma resilience training on stress and performance during a critical incident police work simulation. Rookie police officers (N = 18) participated in a randomized trial of a 10-week imagery and skills training program versus training as usual. Twelve months later, psychophysiological stress and police work performance were assessed during a live critical incident simulation. Training resulted in significantly less negative mood, less heart rate reactivity, a larger increase in antithrombin, and better police performance compared to controls. Trends for cortisol and self-reported stress also suggested benefits of training. This novel training program is a promising paradigm for improving police well-being, stress resiliency, and optimizing job performance.     

Youth bulges,insurrections and labor-market restrictions

This paper analyzes the link between large youth cohorts and violent conflicts when labor-market restrictions are present. Such restrictions are expected to limit the youth cohort’s access to income opportunities in the formal economy, and thus lower the youth-specific opportunity cost of insurrection activities. We develop a theoretical model of insurrection markets and integrate the youth cohort’s relative size. In equilibrium, a binding labor-market constraint interacts with the youth bulge in determining the level of insurrection activities within the society. We test the implications of our model on a sample of 135 non-OECD countries in the post-Cold War period and find the effect of the youth cohort’s relative size on conflict onsets to be moderated by changes in the labor-market conditions as measured by unemployment rates. Generally, the results provide evidence that the underlying institutional setting shapes the conflict potential inherent in a given demographic structure.