Literatur

Ohne Zusammenfassung     

Why Do Institutions Matter? An Audience–Cost Theory of Institutional Commitment

Institutions constrain political choices and thus commit the future path of policy. Well–designed institutions square the circle of generating commitment that is both credible and flexible. This article develops an audience–cost theory of flexible commitment that addresses some vexing questions. Where does institutional commitment come from? Why is institutional commitment feasible when policy commitment is not? How can an institution achieve credible and flexible commitment without flexibility undermining credibility by opening the back door to defections? How does partial commitment work, or how is it possible for defections to occur in an equilibrium with credible commitment? Why do policy–makers sometimes respect institutional constraints and other times defect on institutional commitments? Why are some defections punished severely, while others are instantly forgiven and forgotten?     

The influence of institutions and culture on health policies: different approaches to integrated care in England and The Netherlands

The concept of integrated care has assumed growing importance on the policy agendas both in England and The Netherlands and elsewhere. It is characterized as health and health care-related social care needed by patients with multi-faceted needs. This article compares policy approaches to integrated care in England and The Netherlands. Differing political strategies and conditions for integrated care correspond to the dissimilarities in the institutional structure and culture of their health care systems. Health care systems are understood as specific national and historical configurations. We review the last decade's relevant policy processes, using the concepts of hierarchy, market and network. The state health care system in England relies mainly on hierarchical steering, thus creating tight network structures for integrated care on the local level. The Netherlands, with its health care system in a public-private mix, has set incentives for voluntary, loosely coupled and partly market-driven cooperation on the local level. Implications for success or failure are mixed in both configurations. Policy recommendations have to be tailored to each systems' characteristics.     

You’ve got to fight to be white: the rural foundation of the new militia for race control

In this paper, we situate the recent rise of racialized and often violent political discourse within a framework of a class-based conception of nature and property. In this theoretical work, we contribute to thinking about how Whites are racially constituted by showing how an understanding of whiteness among the far right is significantly linked to narratives surrounding rural spaces as havens of individualism and in sharp contrast to the perceived multiculturalism of the city. In developing our argument, we utilize public statements made by Ted Nugent as observable examples of this far-right, violent, and racialized rhetoric. We argue that the far right is able to create a common ground with moderate conservatives around a shared understanding of rural places as embodiments of virtuous white culture, private property, and individualism. This politicized whiteness project, we argue, helps to galvanize and strengthen a conservative coalition while simultaneously pulling their collective ideology further to the right.     

Diagnostic Value of PSA and AP Tests for the Detection of Spermatozoa in Postmortem Swabs from the Genital and Anal Region in Males

The aim of this study was to clarify whether positive results for prostate‐specific antigen (PSA) and acid phosphatase (AP) occur in postmortem swabs from the genito‐anal region in males (n = 80; 4 regions) and females (n = 20; 3 regions) and to calculate the positive predictive value (PPV) concerning the presence of spermatozoa. In male subjects, the highest incidence of positive test results was found in urethral swabs (PSA 76%, AP 71%) and the lowest frequencies appeared in perianal and rectal swabs (15–20%). Microscopic evaluation for spermatozoa was positive between 39% in urethral swabs and 1% in rectal swabs. PPV regarding positive identification of spermatozoa was 33.3% for PSA and 31.5% for AP. The combination of both tests yielded a PPV of 38.2%. In female cases, no spermatozoa were identified, and one case was PSA‐ and AP‐positive in perianal swabs. Our findings indicate that PSA and AP tests are of limited value for the postmortem detection of spermatozoa in male subjects.