Health service utilization among widows living with HIV/AIDS: an interview survey in Manipur, India

Widows living with HIV/AIDS (WLHA) are a vulnerable and often overlooked group. The North Eastern Indian state of Manipur, which has one of the highest concentrations of HIV/AIDS cases in India, is not an exception. This paper aims to describe the pattern of and factors contributing to the use of health services by WLHA in Manipur. Structured face-to-face interviews were conducted among 510 respondents. Only 49% of the respondents were aware of available health facilities. The place of residence (67.8%) and appointment at a convenient time (70.8%) were the main factors affecting the use of health services. To improve access to health services, it is imperative that the services of trained health providers are made easily available. Policy makers and organizations working on HIV/AIDs should work together to remove the barriers to the use of health services, making them user friendly for vulnerable groups such as WLHA.     

From Armed Neutrality to External Dependence: Swiss Security in the 21st Century

Abstract: Historically, Swiss identity was founded on beliefs in federalism, direct democracy and armed neutrality. Given continued popular support for autonomous self‐defense in an era of transnational threats, it is worth examining whether a small economically interdependent state, such as Switzerland, is single‐handedly capable of providing for its own security. To preview our conclusions, every facet of Switzerland’s security, whether against military threats, terrorism or natural disasters, today benefits from substantial international inputs. At base, Switzerland’s increasing security dependence has been driven by the following dynamics: 1) the general development of institutionalized international cooperation; 2) the evolving nature of the threats Switzerland faces; and 3) political efforts to “securitize” issues not hitherto considered as security problems. Because Swiss security dependence owes more to broad structural factors than deliberate choices, policymakers would be better off embracing this reality by proactively using international organizations to address transnational challenges.     

Organised Interests,Authority Structures and Political Influence: Danish and Norwegian Patient Groups Compared

The article presents a comparative analysis of the strategies applied by Danish and Norwegian patient organisations and organisations for disabled persons in order to promote the interests of their members. Three research questions are addressed: Are Danish and Norwegian patient organisations service organisations operating according to a ‘logic of membership’ or political pressure groups acting according to a ‘logic of influence’? Do patient organisations apply ‘insider’ or ‘outsider’ strategies in their efforts to influence healthcare policies? What impact do different authority structures have on the patient organisations' influencing strategies? The latter question is related to recent reforms in the public healthcare systems of the two countries. The major responsibility for public hospitals now rests with regional authorities in Denmark and central government in Norway. The study is based on a survey among nationwide patient organisations in the two countries and shows that most patient groups are ‘polyvalent’‘venue shoppers’ combining a variety of influencing strategies.     

Does Involvement in Performance Management Routines Encourage Performance Information Use? Evaluating GPRA and PART

The Government Performance and Results Act (GPRA) of 1993 and the George W. Bush administration’s Program Assessment Rating Tool (PART) established new routines that were intended to foster performance management practices. Using data from two surveys, the authors find that the involvement of agency employees in GPRA processes and PART reviews generally had little direct effect on performance information use once other factors are accounted for. The main exception is that managerial involvement in GPRA processes and PART reviews is associated with the use of performance data to refine measures and goals. This reflects the limits of government‐wide reform efforts that depend on difficult‐to‐observe bureaucratic behavior. The authors also find that a series of organizational factors—leadership commitment to results, learning routines led by supervisors, the motivational nature of the task, and the ability to link measures to actions—are positive predictors of performance information use.     

Configuration in the flesh: challenges in publicly promoted clusters

In this article, we study how the configuration of a publicly promoted clusters policy??the Global Clusters policy initiated by the Walloon Government in Belgium??influenced the behaviors of R&D practitioners. At first, we explored the background of the Global Cluster policy in an effort to make the program configuration visible. This first step was conducted through the gathering and analysis of data from official documents as well as publications, conference speeches and workshops produced by policy makers, evaluators and their academic collaborators. Then, we observed the transmission of the six resulting features from the policy level to the project level: we studied their appropriation by R&D practitioners in ??Mirage??, an R&D project associated to the mechanical engineering Global Cluster. As a result, we show that the particularities of Walloon Global Clusters make them a powerful instrument to enhance collateral assets while facing potential lock-in. We finally consider the way these Global Clusters should evolve to favor the exploitation of the emerged outcomes while exploring future opportunities. A good balance between exploitation and exploration as well as adequate networking and clustering instruments to support both objectives appear necessary to ensure sustainability and growth of the involved actors.     

The influence of public programs on inter-firm R&D collaboration strategies: project-level evidence from EU FP5 and FP6

Inter-firms R&D collaborations are often seen as an effective mean to access new resources, to innovate and/or to enter new markets in a turbulent environment characterized by fierce competition. However, all R&D partnerships do not have the same strategic importance. We analyze the strategic features of two types of partnerships that are seldom compared in the academic literature on R&D alliances: EU-sponsored inter-firms collaborations on the one hand, and non-sponsored, spontaneous inter-firm collaborations on the other. We compare their incentives and coordination mechanisms, and derive theoretical propositions that we test empirically. Our econometric analysis uses original data on (sponsored and non-sponsored) projects conducted by participants in the 5th and 6th European R&D Framework Programs. Our empirical findings support our main propositions. EU-funded collaborations are more exploratory and more focused on peripheral competences than spontaneous R&D collaborations. They are also less flexible, due to rigid monitoring rules which are nevertheless crucial to the projects?? success. However, there is no major difference between the different types of EU-sponsored collaborations, which pleads for a simplification of these policy instruments.     

Intimate Partner Violence and Psychological Distress among Young Couples: Analysis of the Moderating Effect of Social Support

Young adults are more likely to experience intimate partner violence (IPV) than older adults. Little is known about the effect of confiding to others about sustained violence on the mental health of victims. The objective of this study was to explore the links between IPV, help-seeking behaviors and psychological distress by gender in a sample of 233 young couples.Our results indicate the frequency of sustained psychological violence, but not physical violence, was positively associated to distress. For women, seeking help from a greater number of confidents moderated the association between violence and psychological distress. For men, results showed that frequencies of physical and psychological violence were both positively linked to distress. However, unlike women, social support had no buffering effect on men’s distress. These findings increase our understanding of the effects of social support on young adults’ distress following episodes of IPV.     

Kein Anspruch einer beamteten Chirurgin auf Betrauung mit Operationen

Ein Beamter hat kein subjektives Recht auf tats?chliche Erbringung der ihm an seinem Arbeitsplatz zugewiesenen Aufgaben. Eine im Beamtenverh?ltnis stehende Chirurgin hat daher auch keinen Anspruch auf die Betrauung mit der Durchführung von Operationen. Das vom OGH entwickelte Recht auf Besch?ftigung leitet dieser aus allgemeinen Rechtsgrunds?tzen ab. Auf ?ffentlich-rechtliche Dienstverh?ltnisse ist dies nicht übertragbar.     

Market structures,political surroundings,and merger remedies: an empirical investigation of the EC’s decisions

This paper aims to build and empirically evaluate a discrete choice model of merger remedies as a basis for policy analysis. The database consists of 229 merger cases accepted in Phase I or Phase II of the European merger process between 1990 and 2005. We focus on the following question: Which merging firms’ characteristics lead the European Commission to decide whether to require conditional acceptance? Although a lot of empirical studies have been carried out these last years, ours is distinguished by at least two original features. First, we explore determinant factors of the Commission’s decisions with a neural network model differentiating cases accepted with or without remedies (either structural or behavioral). Secondly, we implement three multinomial logit models. We find that variables related to high market power lead more frequently to a remedy outcome, no matter the phase. Innovative industries such as energy, transportation and communications positively affect the probability of a behavioral remedy. Lastly, former Competition Commissioner Mario Monti’s policy appears to be pro-remedy, i.e. seeking concessions from merging parties.     

Weihaiwei

Japan is an international giant in economic and industrial terms but remains an insular nation in some other respects, perhaps as a result of a tendency towards requiring its politicians to build a high level of consensus on issues where attitudes and opinions are strongly polarised. The Liberal Democratic Party returned to power in the December 2012 general election, committed to kick-starting the economy with more aggressive spending and monetary policies; there is also speculation that it may prove a more nationalistic government at a time of greater tension in the Japan/China relationship, although so far it is pursuing pragmatism rather than confrontation