Welfare Loss with Municipal Amalgamations and the Willingness-to-Pay for the Municipality Name

Functional advantages and drawbacks are commonly mentioned to rationally justify or condemn municipality amalgamations. However, many consolidation projects are resisted by local governments or citizens on the grounds that amalgamation would dampen local identity. A municipality’s name change is probably the most visible sign of the loss of community bond experienced by citizens at amalgamation time. This article aims to put a value on this loss by measuring citizen willingness to pay for their city name. This methodological approach innovates upon the literature on municipal amalgamation and place branding by exploiting the versatility of the so-called contingent valuation method (CVM). CVM confronts respondents, in a survey setting, with a hypothetical market in which a characteristic of interest is exchanged. Here the characteristic is the possibility to retain one’s city name for an amalgamated jurisdiction. The article presents the estimates provided by a survey conducted in four Swiss cities.     

Taking Stock of the Kaiser Permanente Partnership Story

The success of the 2000 interest-based contract negotiation at Kaiser Permanente (KP) does not mean that future challenges to this approach to negotiation have evaporated. Among the factors that contributed to the success thus far were: establishing buy-in to what was a new approach for many people; effective coordination in a complex environment; deadline pressure; managing internal negotiations; effective leadership; an investment in training; facilitation; creative brainstorming; and establishing ground rules. In addition to reviewing the KP experience, the authors focus on lessons learned and guidelines for future negotiations, as well as the role of interest-based processes in an organization's daily routine.     

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.     

Dental maturity in South France: A comparison between Demirjian's method and polynomial functions

The dental maturity of 1031 healthy southern French subjects aged between 2 and 18 years was studied with dental panoramic tomograms. Demirjian's method based on seven and eight teeth has been used to determine maturity scores as a function of age and polynomial functions to determine age as a function of score. We give gender-specific tables of maturity scores and development graphs for each method. The goal of these methods is different because of the nature of the predictions. The percentiles give the dental maturity compared to a standard for a specific age, and polynomial functions give an age prediction with a confidence interval for age. The variations in dental maturity are specific to each population. Thus, the aim of this study is to give the dental maturity standards for southern French children and to compare both the efficiency and applicability of each method in several fields such as forensic sciences or dental health for the clinicians. The addition of the third molar increased the reliability and the capacity of prediction up to 18 years. The polynomial functions showed the best reliability (1.3% of misclassified) and the percentile methods the best accuracy (more or less 1.2 years, on average, between 2 and 18 years of age).     

Bringing Social Norms Back In

This article gives a rationalistic, individualistic explanation of social norms. Two different explanatory models for aggregate social phenomena are presented. It is argued that the emergence of such norms can be given a kind of socio-cultural evolutionary explanation, with boundedly rational actors, in social interaction situations having the characteristics of community. Their maintenance in larger settings, however, require that they are internalized into behavioral habits. These results, it is argued, are relevant for several fields of political science.