Discrimination of Falls and Blows in Blunt Head Trauma: A Multi‐Criteria Approach

Abstract: In the discrimination of falls versus blows, the hat brim line (HBL) rule is mentioned in several textbooks as the most useful single criterion. Recent studies, however, have found that the HBL rule is only moderately valid and that its use on its own is not recommended. The purpose of this 6‐year retrospective study was to find additional individually useful criteria in the distinction of falls from blows. Overall, the following criteria were found to point toward blows: more than three lacerations, laceration length of 7 cm or more, comminuted or depressed calvarial fractures, lacerations or fractures located above the HBL, left‐side lateralization of lacerations or fractures, more than four facial contusions or lacerations, presence of ear lacerations, presence of facial fractures, and presence of postcranial osseous and/or visceral trauma. Based on the most discriminating criteria, a decision tree was constructed to be potentially applicable to future cases.     

Book reviews

Deane Curtin, Chinnagounders’ Challenge: The Question of Ecological Citizenship. Bloomington: Indiana University Press, 1999.

Jim Yong Kim, et ah, ed., Dying For Growth: Global Inequality and the Health of the Poor. Monroe, ME: Common Courage Press, 2000.

Lester R. Brown, Christopher Flavin, Hilary French, et al., eds., State of the World 1998. New York: W.W. Norton and Company, 1998.

Margit Mayer and John Ely, eds., The German Greens. Paradox Between Movement and Party. Translated by Michael Schatzschneider. Philadelphia: Temple University Press, 1998.     

Police Response to Intimate Partner Violence in Canada: Do Victim Characteristics Matter?

This study examines the role of sociodemographic factors and violence characteristics in influencing women's reporting behaviors and types of police intervention received in response to intimate partner violence (IPV) in Canada. A subset of female respondents to Canada's 1999 General Social Survey who experienced physical or sexual IPV by a male perpetrator and who had contact with the police as a result of the violence was used for this analysis (n = 383). Findings suggest significant racial, economic, and social variations in women's motivation for self-reporting violence to the police as well as in the types of law enforcement interventions administered by police in response to reports of IPV. Implications for policy development are examined.     

Does Interest-Based Bargaining (IBB) Really Make a Difference in Collective Bargaining Outcomes?

This study seeks to identify what specific kinds of compromises result from IBB, or interest-based bargaining, and what differentiates agreements that are reached using this method from the ones that are negotiated through more traditional forms of collective bargaining. The authors compare the changes to collective agreements in 19 cases that used interest-based bargaining and the changes to agreements in 19 cases that used more traditional forms of negotiation. Their analysis reveals that clauses dealing with joint governance and organizational innovation underwent more changes when the parties adopted the IBB approach. In addition, IBB has given rise to more union concessions.     

The Provision of Highways in Canada and the Federal Government

This article presents the role of the Canadian federal governmentin the provision of highways since 1867, describes the CanadianNational Highway System, and presents 1989–1998 data onhighway-related revenues and expenditures by the governmentsin both Canada and the United States. The article then examineswhy the Canadian federal government intervention on highwaysis incontestably smaller than that of the federal governmentin the United States. Our hey finding is that the policy ofthe Canadian government in the provision of highways since Confederationin 1867 can be characterized as "no policy." Its interventionsare best characterized by various ephemeral programs, the mainpurposes of which are often other than coordinating or promotinghighway construction.     

La gestion ministérielle et les organismes centraux†

Sommaire. Les relations que doivent établir les gestionnaires des ministères avec les organismes centraux constituent une des composantes importantes de l'administration quotidienne dans le secteur public. Il est certain que ces relations exercent une influence significative sur l'efficacité de la gestion ministérielle. Le ministère des Affaires sociales a étéà l'origine, au cours des dernières années, de plusieurs changements profonds dans certains secteurs de la politique sociale. Il a étéà même de constater è quel point ces relations peuvent conditionner l'efficacité des ministères. L'objet du présent article est précisément de dégager un certain nombre de considérations sur les relations qui s'établissent entre, d'une part, les ministères à vocation de services et les organismes centraux tels la Commission de la fonction publique et le Conseil du trésor, et d'autre part, entre ces mêmes ministères et des ministères qui exercent un rôle de soutien tels les ministères des Trauvaux publics et de l'Approvisionnement, de la Fonction publique, des Communications, et de la Justice. Abstract. The relations that administrators of government departments are required to establish with the central government agencies constitute an important component of day-to-day administrative activities in the public sector. These relations are bound to have an effect on the efficiency of government administration. In recent years the Social Affairs Department has been instrumental in bringing about some far-reaching changes in certain areas of social policy. It has had occasion to determine to what extent these relations affect the efficiency of government departments. The following article offers a number of observations on the relations, on the one hand, between government departments providing direct services to the public and central government agencies, such as the Civil Service Commission and the Treasury Board, and, on the other, between those departments and government departments of a supportive nature, i.e. the Public Works and Supplies Department, the Civil Service Department, the Communications Department and the Justice Department.     

Impact of Political Structures and Informal Political Processes on Health Policy: Comparison of the United States and Canadab

A number of factors, including cultural, social, economic, political, and historical, influence policy. United States and Canada's health care systems are the conscious and subconscious outcomes of formal political structures and informal political processes. The Canadian parliamentary political system encourages centralized, organized, planned policy in health care. However, this is accomplished at the risk of leaving some individuals—physicians in this case—quite frustrated. American constitutional features, the presidential system, weak political parties, and the tireless participation of interest groups in the political process all function to discourage the formation of highly rational and efficient policy. While few special interests are ever completely satisfied with the legislation produced, seldom is any organized group completely thwarted. Therefore, it is no surprise that a tightly integrated national program of universal health insurance was not adopted by Congress in 1993–1994. Political structures and processes discourage effective, comprehensive health care reform in the United States.