Journal of Comparative Policy Analysis: Research and Practice, 2001
This article examines the saga of local government restructuring in Canada's capital city. Sp... more This article examines the saga of local government restructuring in Canada's capital city. Specifically, it analyzes the interplay between provincial and local agendas for local government reform over many years, which culminated in provincial legislation and a one‐year transition process to establish one municipality for the Ottawa city region. In doing so, the article addresses the extent to which the
Objective: To review evidence on the assessment of the child with status epilepticus (SE). Method... more Objective: To review evidence on the assessment of the child with status epilepticus (SE). Methods: Relevant literature were reviewed, abstracted, and classified. When data were missing, a minimum diagnostic yield was calculated. Recommendations were based on a four-tiered scheme of evidence classification. Results: Laboratory studies (Na ϩϩ or other electrolytes, Ca ϩϩ , glucose) were abnormal in approximately 6% and are generally ordered as routine practice. When blood or spinal fluid cultures were done on these children, blood cultures were abnormal in at least 2.5% and a CNS infection was found in at least 12.8%. When antiepileptic drug (AED) levels were ordered in known epileptic children already taking AEDs, the levels were low in 32%. A total of 3.6% of children had evidence of ingestion. When studies for inborn errors of metabolism were done, an abnormality was found in 4.2%. Epileptiform abnormalities occurred in 43% of EEGs of children with SE and helped determine the nature and location of precipitating electroconvulsive events (8% generalized, 16% focal, and 19% both). Abnormalities on neuroimaging studies that may explain the etiology of SE were found in at least 8% of children. Recommendations: Although common clinical practice is that blood cultures and lumbar puncture are obtained if there is a clinical suspicion of a systemic or CNS infection, there are insufficient data to support or refute recommendations as to whether blood cultures or lumbar puncture should be done on a routine basis in children in whom there is no clinical suspicion of a systemic or CNS infection (Level U). AED levels should be considered when a child with treated epilepsy develops SE (Level B). Toxicology studies and metabolic studies for inborn errors of metabolism may be considered in children with SE when there are clinical indicators for concern or when the initial evaluation reveals no etiology (Level C). An EEG may be considered in a child with SE as it may be helpful in determining whether there are focal or generalized epileptiform abnormalities that may guide further testing for the etiology of SE, when there is a suspicion of pseudostatus epilepticus (nonepileptic SE), or nonconvulsive SE, and may guide treatment (Level C). Neuroimaging may be considered after the child with SE has been stabilized if there are clinical indications or if the etiology is unknown (Level C). There is insufficient evidence to support or refute routine neuroimaging in a child presenting with SE (Level U).
Practice Parameter: Diagnostic assessment of the child with status epilepticus (an evidence-based review)
Abstract—Objective: To review,evidence,on the assessment,of the child with,status,epilepticus,(SE... more Abstract—Objective: To review,evidence,on the assessment,of the child with,status,epilepticus,(SE). Methods: Relevant literature were reviewed, abstracted, and classified. When data were missing, a minimum diagnostic yield was calculated. Recommendations,were,based,on a four-tiered scheme,of evidence,classification. Results: Laboratory,studies (Na,or other electrolytes, Ca, glucose) were abnormal in approximately 6% and are generally ordered as routine practice. When blood or spinal fluid cultures were done on these
Potatoes of a number of varieties of contrasting levels of resistance were planted in pureor mixe... more Potatoes of a number of varieties of contrasting levels of resistance were planted in pureor mixedstands in four experiments over 3 years. Threeexperiments compared the late blight severity and progress in mixtures with that in pure stands. Disease on susceptible or moderately resistant varieties typical of those in commercial use was similar in mixtures and pure stands. In 2 of
for the region currently influenced by the Arizona monosoonal system, which feeds moisture and su... more for the region currently influenced by the Arizona monosoonal system, which feeds moisture and summer precipitation into ~vestern North America. One major consequence predicted by global climate change scenarios is an intensification ,of monosoonal (summer) precipitation in the aridland areas of the western United States. We examined the capacity of dominant perennial shrubs in a Colorado Plateau ,cold desert ecosystem of southern Utah, United States, to .use summer moisture inputs. We simulated increases of 25 and 50 mm summer rain events on AtripIex canescens, Artemisia filifolia, Chrysothamnus nauseosus, Coleogyne ramosissima, and Vanclevea stylosa, in July and September with an isotopically enriched water (enriched in deuterium but not 180). The uptake of this artificial water source was estimated by analyzing hydrogen and oxygen isotope ratios of stem water. The predawn and midday xylem water potentials and foliar carbon isotope discrimination were measured to estimate changes in water status and water-use efficiency. At. canescens and Ch. nauseosus showed little if any uptake of summer rains in either July or September. The predawn and midday xylem water potentials for control and treatment plants of these two species were not significantly different from each other. For A. filifolia and V. stylosa, up to 50% of xylem water was from the simulated summer rain, but the predawn and midday xylem water potentials were not significantly affected by the additional summer moisture input. In contrast, C. ramosissima showed significant uptake of the simulated summer rain (>50% of xylem water was from the artificial summer rain) and an increase in both predawn and G. Lin (~)a. midday water potentials. The percent uptake of simulated summer rain was greater when those rains were applied in September than in July, implying that high soil temperature in midsummer may in some way inhibit water uptake. Foliar carbon isotope discrimination increased significantly in the three shrubs taking up simulated summer rain, but pre-treatment differences in the absolute discrimina~on values were maintained among species. The ecological implications of our results are discussed in terms of the dynamics of this desert community in response to changes in the frequency and dependability of summer rains that might be associated with a northward shift in the Arizona monsoon boundary.
Shining Light on Charities or Looking in the Wrong Place? Regulation-by-Transparency in Canada
ABSTRACT The nature of charity reporting and transparency is changing significantly; while the lo... more ABSTRACT The nature of charity reporting and transparency is changing significantly; while the longstanding focus on financial reporting remains, there is much greater emphasis on illuminating governance systems and impacts. Regulatory regimes are becoming more polycentric with the expansion of third party watchdogs and emergence of new self-regulatory bodies. With more open access to data, transparency has become an independent force in these regimes. The article outlines a conceptual model of charity regulatory regimes and applies this to analyze recent developments of regulation-by-transparency in Canada. Although the intent of encouraging greater transparency is seldom questioned, this Canadian case study demonstrates how transparency can become politicized, damaging the relationship between the regulator and the charitable sector. In addition, the open data movement means that charities now operate in a world in which neither they nor state regulators control access and use of information.
Civil society organizations (nonprofits, social enterprises, voluntary, community and charitable ... more Civil society organizations (nonprofits, social enterprises, voluntary, community and charitable organizations) are not only an integral part of the delivery of health, education, social, and other services in most developed countries, but also critical contributors to a healthy democracy and a strong economy. How civil society organizations are financed is a key aspect of their sustainability. Such financing is undergoing significant innovation and transformation. This financing ranges from traditional government funding and philanthropic support to new forms of revenue-generating social enterprises. In this themed issue of Policy & Society we bring together international scholars to critically examine the current changes underway in financing the third sector. The volume identifies and analyzes particularly innovative and effective strategies for financing this sector and assesses the implications for public policy through an intentionally broad range of cases that draw on the experience of a number of different countries in financing the third sector. #
Journal of Comparative Policy Analysis: Research and Practice, 2001
This article examines the saga of local government restructuring in Canada's capital city. Sp... more This article examines the saga of local government restructuring in Canada's capital city. Specifically, it analyzes the interplay between provincial and local agendas for local government reform over many years, which culminated in provincial legislation and a one‐year transition process to establish one municipality for the Ottawa city region. In doing so, the article addresses the extent to which the
Objective: To review evidence on the assessment of the child with status epilepticus (SE). Method... more Objective: To review evidence on the assessment of the child with status epilepticus (SE). Methods: Relevant literature were reviewed, abstracted, and classified. When data were missing, a minimum diagnostic yield was calculated. Recommendations were based on a four-tiered scheme of evidence classification. Results: Laboratory studies (Na ϩϩ or other electrolytes, Ca ϩϩ , glucose) were abnormal in approximately 6% and are generally ordered as routine practice. When blood or spinal fluid cultures were done on these children, blood cultures were abnormal in at least 2.5% and a CNS infection was found in at least 12.8%. When antiepileptic drug (AED) levels were ordered in known epileptic children already taking AEDs, the levels were low in 32%. A total of 3.6% of children had evidence of ingestion. When studies for inborn errors of metabolism were done, an abnormality was found in 4.2%. Epileptiform abnormalities occurred in 43% of EEGs of children with SE and helped determine the nature and location of precipitating electroconvulsive events (8% generalized, 16% focal, and 19% both). Abnormalities on neuroimaging studies that may explain the etiology of SE were found in at least 8% of children. Recommendations: Although common clinical practice is that blood cultures and lumbar puncture are obtained if there is a clinical suspicion of a systemic or CNS infection, there are insufficient data to support or refute recommendations as to whether blood cultures or lumbar puncture should be done on a routine basis in children in whom there is no clinical suspicion of a systemic or CNS infection (Level U). AED levels should be considered when a child with treated epilepsy develops SE (Level B). Toxicology studies and metabolic studies for inborn errors of metabolism may be considered in children with SE when there are clinical indicators for concern or when the initial evaluation reveals no etiology (Level C). An EEG may be considered in a child with SE as it may be helpful in determining whether there are focal or generalized epileptiform abnormalities that may guide further testing for the etiology of SE, when there is a suspicion of pseudostatus epilepticus (nonepileptic SE), or nonconvulsive SE, and may guide treatment (Level C). Neuroimaging may be considered after the child with SE has been stabilized if there are clinical indications or if the etiology is unknown (Level C). There is insufficient evidence to support or refute routine neuroimaging in a child presenting with SE (Level U).
Practice Parameter: Diagnostic assessment of the child with status epilepticus (an evidence-based review)
Abstract—Objective: To review,evidence,on the assessment,of the child with,status,epilepticus,(SE... more Abstract—Objective: To review,evidence,on the assessment,of the child with,status,epilepticus,(SE). Methods: Relevant literature were reviewed, abstracted, and classified. When data were missing, a minimum diagnostic yield was calculated. Recommendations,were,based,on a four-tiered scheme,of evidence,classification. Results: Laboratory,studies (Na,or other electrolytes, Ca, glucose) were abnormal in approximately 6% and are generally ordered as routine practice. When blood or spinal fluid cultures were done on these
Potatoes of a number of varieties of contrasting levels of resistance were planted in pureor mixe... more Potatoes of a number of varieties of contrasting levels of resistance were planted in pureor mixedstands in four experiments over 3 years. Threeexperiments compared the late blight severity and progress in mixtures with that in pure stands. Disease on susceptible or moderately resistant varieties typical of those in commercial use was similar in mixtures and pure stands. In 2 of
for the region currently influenced by the Arizona monosoonal system, which feeds moisture and su... more for the region currently influenced by the Arizona monosoonal system, which feeds moisture and summer precipitation into ~vestern North America. One major consequence predicted by global climate change scenarios is an intensification ,of monosoonal (summer) precipitation in the aridland areas of the western United States. We examined the capacity of dominant perennial shrubs in a Colorado Plateau ,cold desert ecosystem of southern Utah, United States, to .use summer moisture inputs. We simulated increases of 25 and 50 mm summer rain events on AtripIex canescens, Artemisia filifolia, Chrysothamnus nauseosus, Coleogyne ramosissima, and Vanclevea stylosa, in July and September with an isotopically enriched water (enriched in deuterium but not 180). The uptake of this artificial water source was estimated by analyzing hydrogen and oxygen isotope ratios of stem water. The predawn and midday xylem water potentials and foliar carbon isotope discrimination were measured to estimate changes in water status and water-use efficiency. At. canescens and Ch. nauseosus showed little if any uptake of summer rains in either July or September. The predawn and midday xylem water potentials for control and treatment plants of these two species were not significantly different from each other. For A. filifolia and V. stylosa, up to 50% of xylem water was from the simulated summer rain, but the predawn and midday xylem water potentials were not significantly affected by the additional summer moisture input. In contrast, C. ramosissima showed significant uptake of the simulated summer rain (>50% of xylem water was from the artificial summer rain) and an increase in both predawn and G. Lin (~)a. midday water potentials. The percent uptake of simulated summer rain was greater when those rains were applied in September than in July, implying that high soil temperature in midsummer may in some way inhibit water uptake. Foliar carbon isotope discrimination increased significantly in the three shrubs taking up simulated summer rain, but pre-treatment differences in the absolute discrimina~on values were maintained among species. The ecological implications of our results are discussed in terms of the dynamics of this desert community in response to changes in the frequency and dependability of summer rains that might be associated with a northward shift in the Arizona monsoon boundary.
Shining Light on Charities or Looking in the Wrong Place? Regulation-by-Transparency in Canada
ABSTRACT The nature of charity reporting and transparency is changing significantly; while the lo... more ABSTRACT The nature of charity reporting and transparency is changing significantly; while the longstanding focus on financial reporting remains, there is much greater emphasis on illuminating governance systems and impacts. Regulatory regimes are becoming more polycentric with the expansion of third party watchdogs and emergence of new self-regulatory bodies. With more open access to data, transparency has become an independent force in these regimes. The article outlines a conceptual model of charity regulatory regimes and applies this to analyze recent developments of regulation-by-transparency in Canada. Although the intent of encouraging greater transparency is seldom questioned, this Canadian case study demonstrates how transparency can become politicized, damaging the relationship between the regulator and the charitable sector. In addition, the open data movement means that charities now operate in a world in which neither they nor state regulators control access and use of information.
Civil society organizations (nonprofits, social enterprises, voluntary, community and charitable ... more Civil society organizations (nonprofits, social enterprises, voluntary, community and charitable organizations) are not only an integral part of the delivery of health, education, social, and other services in most developed countries, but also critical contributors to a healthy democracy and a strong economy. How civil society organizations are financed is a key aspect of their sustainability. Such financing is undergoing significant innovation and transformation. This financing ranges from traditional government funding and philanthropic support to new forms of revenue-generating social enterprises. In this themed issue of Policy & Society we bring together international scholars to critically examine the current changes underway in financing the third sector. The volume identifies and analyzes particularly innovative and effective strategies for financing this sector and assesses the implications for public policy through an intentionally broad range of cases that draw on the experience of a number of different countries in financing the third sector. #
Uploads
Papers by Susan Phillips