Dynamics of Sector Switching: Hazard Models Predicting Changes from Private Sector Jobs to Public and Nonprofit Sector Jobs

Policy makers and public managers emphasize the importance of bringing private sector experience and skills into the public and nonprofit sectors. One result is an increased focus on privatization and contracting out, developments to which researchers have been attentive. However, the long-standing practice of hiring people with industrial experience into the public and nonprofit sectors has received remarkably little attention. This study, based on questionnaire responses from mid- and upper-level personnel in public and nonprofit sector organizations, attempts to understand the dynamics of sector switching from the private into either the public or nonprofit sector. Using event history analysis, the article looks at switching patterns. The probability of switching into the public sector is much higher for those who held a managerial occupation in their previous private sector job than for those who held professional and technical positions. Having more subordinates in a previous private sector job is associated with a lower likelihood of switching into a public sector job. By contrast, switching into the nonprofit sector is more often associated with a promotion.     

Mental health and substance abuse insurance parity for federal employees: How did health plans respond?

A fundamental concern with competitive health insurance markets is that they will not supply efficient levels of coverage for treatment of costly, chronic, and predictable illnesses, such as mental illness. Since the inception of employer-based health insurance, coverage for mental health services has been offered on a more limited basis than coverage for general medical services. While mental health advocates view insurance limits as evidence of discrimination, adverse selection and moral hazard can also explain these differences in coverage. The intent of parity regulation is to equalize private insurance coverage for mental and physical illness (an equity concern) and to eliminate wasteful forms of competition due to adverse selection (an efficiency concern). In 2001, a presidential directive requiring comprehensive parity was implemented in the Federal Employees Health Benefits (FEHB) Program. In this study, we examine how health plans responded to the parity directive. Results show that in comparison with a set of unaffected health plans, federal employee plans were significantly more likely to augment managed care through contracts with managed behavioral health "carve-out" firms after parity. This finding helps to explain the absence of an effect of the FEHB Program directive on total spending, and is relevant to the policy debate in Congress over federal parity.     

A Multi-Drug Intoxication Fatality Involving Xyrem® (GHB)

Abstract:  Gamma-hydroxybutyrate (GHB) is best known as a recreational depressant drug, whose use has also been implicated in drug facilitated sexual assault cases. It is also available as a therapeutic agent (Xyrem^®) used for the treatment of daytime sleepiness or cataplexy associated with narcolepsy. This is a report of a case of a 53-year-old woman undergoing treatment with Xyrem^® for narcolepsy. The decedent was also prescribed tramadol, gabapentin, cetirizine, modafinil, carisoprodol, and Xyrem^®. Toxicological analysis of the blood revealed GHB 165.6 mg/L, and 90.7 mg/L in the urine. Blood GHB concentrations in the range 156–260 mg/L have been reported to induce moderately sound sleep. The combined use of central nervous system depressant drugs, together with her problematic sleep apnea, and snoring (both contraindications for GHB use) were determined to have caused this subject's death. The manner of death was determined to be accidental.     

Toluene-Impaired Drivers: Behavioral Observations, Impairment Assessment, and Toxicological Findings

Abstract:  Toluene is an aromatic hydrocarbon solvent frequently abused for its euphoric and intoxicating properties. This report describes a series of six cases involving drivers arrested for driving under the influence who subsequently tested positive for toluene. Case data including driving behavior, physiological signs and symptoms, evidence of impairment, and toxicology findings were reviewed. Blood toluene concentrations in the drivers ranged from 12 to 45 mg/L (median 23 mg/L, mean 25 mg/L, SD 12.1 mg/L). All drivers were determined to be intoxicated, and displayed symptoms including balance problems, confusion and disorientation, loss of coordination, and inability to follow instructions. They also displayed horizontal but not vertical nystagmus, elevated pulse and blood pressure, and lower body temperature. These findings are consistent with prior reports that subjects with blood toluene concentrations above 10 mg/L are invariably under the influence and their driving skills are affected.     

Hard Lessons from Hard Times: Reconsidering and Reorienting the “Managing Decline” Literature

Does the public administration research from the late 1970s and 1980s on managing decline contain useful lessons for today's Great Recession? Do these studies serve our current research needs? Why has decline continued to be a major focus of research in generic management, but not in public administration? The answers to these questions give some clues as to a possible new, revitalized research agenda for our field. Whereas public administration often viewed organizational decline as a self‐contained set of problems requiring remedial action, generic management and sociology research on decline tended to view the topic as part of organizational phases and life cycles, linking decline to growth, stability, and change. Viewing decline as part of the organizational life cycle encourages researchers to take a longer view of organizations and their management, and thus its orientation is more strategic than reactive. Three areas of decline studies are identified as relevant irrespective of sector: (1) implications of decline for human resources management, (2) effects of decline on organization structure and design, (3) the relation of strategy and decline.     

POLICING CORRUPTION AND ECONOMIC CRIME — HOW CAN WE DO IT BETTER?

While history records that economically motivated crime and misconduct in its various forms has existed since the earliest civilizations and has always raised issues of fairness and integrity, in recent years additional concerns have come to the fore. Economic stability particularly in an interdependent world, has thrown up issues related to stability and security. The tools that have been developed to address certain manifestations of economic misconduct and in particular the development of financial intelligence are now used across a much broader spectrum than merely the control of fraud and corruption. We use, for example, the regimes that have been designed to identify suspect wealth for a variety of purposes including the raising of revenue which have less relevance to the direct interdiction of financial crime. This paper considers from a practical rather than conceptual standpoint how best to address the risks and issues thrown up by economically motivated crime and also the mechanisms that have been adopted to address it. In particular it seeks to examine various ways in which economically motivated crime may be better discouraged and its impact mitigated. It does not pretend to be a deeply conceptual analysis of the relevant law given its aspiration to have a wider significance and purchase than one jurisdiction. What it does do, however, is to seek to build upon practical experience and apply it to the fashioning of enhanced weapons in the fight against economic crime.     

后西方世界秩序下的核武器与核威慑

全球国际社会正处于一个关键的变化时期。长期以来占主导地位的西方秩序在如下几个方面面临包围:霸权分散、全球资本主义危机日益加重、全球共同面临恐怖主义、大规模移民以及环境变化等带来的各种威胁。英国脱欧、特朗普当选美国总统这些事件表明,作为世界秩序核心的英语世界,已失去其主导力量。目前的发展格局将朝着多元化的后西方世界秩序发展。在此秩序下,没有超级大国,只有大国,并且这些大国大多比较自我封闭,因此,并不存在真正意义上的争夺全球霸权的现象。文化差异将比意识形态差异更为重要。文章首先将这一秩序的轮廓做一大致勾勒,然后探讨这一秩序对未来几十年核武器与核威慑所要扮演的角色来说将意味着什么。最为关注的着眼点是,全球格局从全球层面向区域层面的转变以及复杂的核扩散与核威慑态势。     

4F‐MDMB‐BINACA: A New Synthetic Cannabinoid Widely Implicated in Forensic Casework

This is the first report regarding the characterization of the new synthetic cannabinoid 4F‐MDMB‐BINACA. 4F‐MDMB‐BINACA was first analytically confirmed in seized drug material using gas chromatography–mass spectrometry (GC‐MS), liquid chromatography–quadrupole time‐of‐flight mass spectrometry (LC‐QTOF), and nuclear magnetic resonance (NMR) spectroscopy. Subsequent to this characterization, 4F‐MDMB‐BINACA was detected in biological specimens collected as part of forensically relevant casework, including medicolegal death investigations and drug impaired driving investigations, from a variety of regions in the United States. Further analysis of biological specimens resulted in the identification of the metabolites 4F‐MDMB‐BINACA 3,3‐dimethylbutanoic acid and 4‐OH‐MDMB‐BINACA. 4F‐MDMB‐BINACA is appearing with increasing frequency as a contributory factor in deaths, creating morbidity and mortality risks for drug users. Laboratories must be aware of its presence and impact, incorporating 4F‐MDMB‐BINACA into workflows for detection and confirmation.     

The Impact of Maternal Relationship Quality on Emerging Adults’ Prosocial Tendencies: Indirect Effects via Regulation of Prosocial Values

Studies document that parents serve as children’s primary socialization agents, particularly for moral development and prosocial behavior; however, less is known regarding parental influences on prosocial outcomes during the transition to adulthood. The purpose of this study was to investigate how mother–child relationship quality was related to prosocial tendencies via emerging adults’ regulation of prosocial values. Participants included 228 undergraduate students (ranging from 18 to 25 years; 90% European American) and their mothers (ranging from 38 to 59 years) from four locations across the United States. Path analyses using structural equation modeling revealed that mother–child relationship quality was related to emerging adults’ regulation of prosocial values, which was, in turn, related to emerging adults’ prosocial tendencies. Specifically, emerging adults who reported higher levels of internal regulation of prosocial values were more likely to report prosocial tendencies that de-emphasized themselves, and were less likely to report prosocial tendencies for the approval of others.