Alternatives to Competitive Tendering and Privatisation: A Case Study from the Australian Health Industry

The international trend towards economic and financial management reforms is well documented with most governments now being involved in public sector restructuring programs, which have at their core the aim of improving the quality of administrative functions through a more responsive approach by state agencies (OECD 1996). In nations with administrative systems derived from British models these efforts may be generally referred to as 'the de-Sir Humphreying of the Westminister model' (Hood 1990:105). In essence this approach has had three aims. First, it has attempted to diminish the role of thestate and make the bureaucracy more responsive to political leaders. Second, it has aimed for greater efficiency through the use of private sector management techniques. Third, it has focused on the citizen as a customer and service recipient (Aucoin 1990:16).     

Neck injuries: II. Atlantoaxial dislocation--a pathologic study of 14 traffic fatalities.

C1-C2 vertebral dislocations have not been commonly recognized at autopsy. Among 66 subjects with neck injuries, drawn from a series of 155 traffic fatalities, were 14 with injuries at the level of the atlantoaxial motion segment, ranging in age from 8 months to 93 years. Thirteen had sprains or lacerations of the atlantoaxial facet joints, and one had a healed C1 fracture. Six of the 14 had odontoid fractures. None had transverse ligament lacerations. Injuries of the alar ligaments and the tectorial membrane were frequent. Only 3 subjects had subaxial cervical injury. All 14 had evidence of impact to the head or neck. Four had fractures of the mandible or facial bones, and 5 had skull fractures. Subdural and subarachnoid hemorrhages were found in 7 and 6, respectively. Brainstem lacerations were not uncommon, but only one had a pontomedullary laceration. Spinomedullary cord injuries occurred in 5. Acute neurogenic shock was the major mechanism of death in 9 of the 14, including 5 with major cardiovascular lacerations. Delayed effects of craniocerebral trauma accounted for the majority of the remainder. The biomechanical mechanisms are discussed.     

Creating clones, kids & chimera: liberal democratic compromise at the crossroads

The objective of this article is to find middle ground between the supporters and opponents of biotechnology by perpetuating the existing legal compromise pertaining to the complete range of health and welfare doctrines relevant to the biotechnological industry. The author aspires neither to add to nor detract from this liberal democratic consensus, but to preserve its constitutive balance between positivism and natural law and over-regulation and under-regulation in the hopes of stabilizing new political fault lines developing around the few biotechnological innovations already grabbing headlines. The most feasible solution is to extend the existing liberal democratic compromise with respect to equal protection, reproductive rights, the First Amendment, human subject experimentation, patent law, and parental rights. This includes banning or monopolizing certain biotechnologies and extending substantive special respect to the ex vivo living human embryo. Biotechnology must not be left to regulate itself.     

Osteometric sorting of commingled human remains

This paper describes the method of osteometric sorting. Osteometric sorting is the formal use of size and shape to sort bones from one another. The method relies heavily on measurement data and statistical models and is designed to maximize objectivity. The goal of this paper is to validate the use of osteometric sorting and to provide case examples of its utility. Selected regression models are also presented for use with osteometric sorting. We advocate this technique as one tool among many in the anthropologist's toolkit for sorting commingled skeletal remains.     

Social competence during adolescence: Social sensitivity,locus of control,empathy, and peer popularity

In male and female adolescents aged 14, 15, 17, and 18 years of age, the predictive relationship between social competency and peer relations and age differences in social competence were studied. Based upon a social deficit hypothesis, linear age differences were observed in social knowledge, locus of control, and a trend in empathy. Some sex differences were found, but no sex by age interactions were observed. The predicted relationship between social competency and peer popularity was supported, but was different according to sex of the adolescent.Support for this project was provided by the Science/Education Administration of the USDA and the Utah State University Agricultural Experiment Station through the W144 Regional Research Project on Social Competency in Childhood.Received Ph.D. from Penn State University. Research interests are adolescent personality and social development.