Ontario: pressure from stakeholders leads to improved access to selected drugs

A campaign spearheaded by the Canadian Treatment Action Council, and involving other disease groups, has convinced the Ontario government to cover the costs of vaccines for HIV-positive children and to speed up access to other subsidized drugs.     

Zaleplon and driving impairment

Zaleplon, a sedative-hypnotic, was identified in the blood of a subject arrested for impaired driving. Symptoms reported were those of central nervous system (CNS) depression. The zaleplon concentration was determined to be 0.13 microg/mL. Symptoms included slow movements and reactions, poor coordination, and lack of balance. Although no quantitative relationship between blood concentrations and degree of driving impairment is currently possible, it is reasonable to conclude that because of its specific activity as a sedative-hypnotic, blood concentrations consistent with doses exceeding therapeutic concentrations of zaleplon have the potential to cause impairment of psychomotor function, and would impair a person's level of consciousness and driving ability.     

Managing Carrots and Sticks: Changes in State Administrators' Perceptions of Cooperative and Coercive Federalism During the 1990s

The so-called devolution revolution was a significant themein American federalism in the 1990s. Opinions on the issue varywidely. Some suggest that "major changes" occurred in intergovernmentalrelations. Others were pessimistic about the occurrence of anydevolution during the decade. We investigated changes in intergovernmentalrelations between the national and state governments in the1990s on the basis of Elazar's approach to American federalisminvolving: (1) administration, (2) cooperation and coercion,and (3) regulation. We used American State Administrator's Project(ASAP) data collected in 1994 and 1998 to access state administrators'perceptions of national fiscal and regulatory impacts on stateagencies. We conclude that state administrators' perceptionof national fiscal and regulatory impacts changed only moderatelyfrom 1994 to 1998, and that evolution rather than revolutiondescribes better the character of state-national intergovernmentalchanges during the 1990s.     

Who Governs Japan? Politicians and Bureaucrats in the Policy-making Processes

The long-running debate about who governs Japan has been given a new twist by 'rat-choicers' who argue that Japan has been governed for the last thirty years or more neither by bureaucrats nor by a 'conservative coalition' of bureaucrats, politicians and businessmen but by the Liberal Democratic Party alone. This article examines their arguments and sets them in the context of other competing and conflicting explanations. It is argued that more relevant and researchable questions are what is governed and how, an approach calling for a more nuanced analysis of policy making in order to observe the impact on different policies and policy-processes of the role of the state and its institutional structures and their embedded 'collective identities'.     

The Effect of Jury Deliberations on Jurors' Reasoning Skills

The effect of jury deliberation on jurors' reasoning skill in a murder trial was examined. Specifically, the effect of deliberating on reasoning competence (as defined by Kuhn, Weinstock and Flaton, 1994) was explored. One hundred and four participants viewed a videotaped murder trial and either deliberated in 12-person juries or ruminated on the case individually. Among those assigned to juries, half had their reasoning skill assessed prior to deliberations, while the others were tested after deliberating. Jurors in the individual rumination condition were assessed after they had the opportunity to reflect on the case alone. As hypothesized, post-group-deliberation jurors were more likely to discount both the selected verdict and alternative theories and incorporate judgmental supporting statements than were the other mock jurors. However, the mock jurors did not differ with regard to making statements that supported alternative verdicts or including judgmental statements that discounted their chosen verdict. In terms of Kuhn's reasoning continuum from satisficing (low level) to theory–evidence coordination (high level), there is some evidence that post-group-deliberation jurors may be closer to the high end than predeliberation jurors or post-individual-rumination jurors in some aspects of the task, but not in others.