Sudden death due to dissecting pulmonary artery aneurysm: a case report and review of the literature

Pulmonary artery aneurysm and pulmonary artery dissection are rare antemortem diagnoses, most often associated with sudden death. These pathologic entities are strongly associated with chronic pulmonary hypertension due to structural cardiac defects, either congenital or acquired. We report the case of a 49-year-old woman who died suddenly due to dissection and rupture of a large pulmonary trunk aneurysm, with subsequent cardiac tamponade. Key historical and physical findings are described. Additionally, we present a discussion of the incidence, clinical presentation, pathogenesis, and pathologic diagnostic features of pulmonary artery dissection.     

Early childhood education and care reform in Canadian provinces: Understanding the role of experts and evidence in policy change

In over half of Canada's provinces, a recent commission has recommended major reform of ECEC systems; in response, provincial governments in nearly all cases have chosen to implement full‐day kindergarten funded by the province and delivered through public schools. We analyze the commission processes that led to changes to investigate the relationship between experts, policy makers, and policy outcomes. Our analysis of processes in BC, Alberta, Ontario, Quebec, and PEI leads us to conclude that governments rarely fully implement the programs supported by the evidence base and recommended by their own experts. Instead, recent policy changes have been driven by a highly selective and path‐dependent approach to the complex issue of early childhood care and education.     

Australia and the Emergence of the Modern Two-Party System

Although the Australian party system is accepted in some literature as a "classic" example of a two-party system, information about how this system came about does not feature prominently in international studies on political parties. It is here argued that Australia indeed blazed the trail for the two-party model by being the first to link parliamentary organisation directly to a mass electorate.     

Social divisions in caring

This article is concerned with the perspectives on caring developed by academic feminist researchers in Britain over the last decade. It notes how these perspectives defined caring in terms of the unpaid domestic and personal services provided through the social relations of marriage and kinship to those who found it hard to meet their own care needs. The article draws on Black feminist and disabled feminist perspectives, together with recent autocritical work by academic feminist researchers, to unpack this concept of care. It focuses on what the concept obscures about the social divisions that mediate women's experiences of care. It examines what is eclipsed and who is excluded from feminist perspectives on caring which are grounded in the experience of giving care on an unpaid basis within kinship networks based on marriage.     

Revitalizing public management training in the Americas

The decade of the 1980s signalled major changes within public administration and development-oriented activities. As a consequence of the internationalization of the agendas of practitioners and academics working in these areas, there is today a growing convergence among public policy, public management, public administration and political science. Given the complexity of the public sector cross-nationally, what has become necessary in public management education is the design of programmes that meet specific needs and priorities and which are responsive to very different national settings. This particular case study is centred around one endeavour to achieve more effective interfacing between theory and practice, in the teaching of public management and the design of development programmes in the United States (US). It is based on an assessment of a 10-year co-operative endeavour between the National Association of Schools of Public Affairs and Administration and the US Agency for International Development. The outcomes of this project provided not only leverage for important changes in the teaching programmes of schools concerned with international management education but also built a new relationship between government and a non-governmental organization through the contacting out of management development work.