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When I took up the task of writing a review of the Routledge handbook of international local government, it occurred to me, as a member of the generation of the 1950s, that I had not even considered whether such compendiums were even necessary in times of easy internet searching. This review will look at whether that is indeed the case.
Social-science handbooks naturally are very broad. This also applies to the particular handbook under review. It comprises six content-thematic parts with 33 chapters by 73 authors from 21 countries, with the UK and USA dominant. The focal points, discussed in more detail below, are local elections and local governance, local governments in different jurisdictions, the challenges of local government services, citizen engagement in local affairs, and local authorities in multi-level finance systems that shape how municipal governments ‘get and spend’ public money. These are exactly the topics actually discussed in the international community of political scientists.
As a preliminary, the editors work out the theoretical-methodological foundations of the topic. They define ‘the local’ as ‘geographically defined sub-national state administrative or political divisions’ (p. 3). As next steps, they analyse the difference between government and governance, and investigate whether local government is globally important and relevant. Fortunately, they conclude that this is indeed the case.
Part I of the handbook illustrates ‘substantive variations’ in the local electoral systems and ‘notable divergences in the values and assumptions of local governance among democratic countries’ (p. 23). That topic is indeed central to local authorities’ legitimacy in democratic political systems. The focus of this part of the handbook is on current research and debates around local electoral systems, the challenges of local political leadership and the councillor’s role in modern local policy. Current trends at the local level are analysed from the actors’ perspectives or from an economic point of view by comparing institutionalised differences in city managers, mayors and council members across different jurisdictions. Sections that investigate traditional leadership and local government in Pacific Island countries are of particular interest to most Western readers, because in Europe and North America we know too little about such issues in that part of the world.
Part II of the handbook presents current development processes and challenges in various local government systems. The chapters are territorially oriented around nation states or sub-national regions. This part of the handbook deal with local government in the Pacific Islands, Latin America, and New Zealand and in the Caribbean. However, the rationale behind country selection is not always clear; important countries like China, India and Nigeria, just to name a few, are absent. Unfortunately, there is no summary article highlighting similarities and differences, as well as the challenges in local government, relating to the countries studied in the book.
The development of local services is the focus of Part III of the handbook, however, the definition of local services remains highly controversial and their scope varies widely between the countries. From the 1980s onwards, there was a long-term trend towards the marketisation and economisation of local politics, but since the turn of the millennium, there has been a counter-trend of the return of municipalities and third sector in the fields of local public services (Wollmann 2018). The book analyses the US and Georgia as case studies for development trends, finding that local government entrepreneurship remains an important factor in promoting economic development and strengthening capacities.
I was pleased to see that Part IV, the next and most extensive part of the handbook, deals with citizen engagement, because the future of local self-government across the world depends not only on top down activities by local governing elites, but above all on the commitment of the inhabitants of cities and municipalities. Practices and challenges of citizen participation in local government are analysed in inspiring case studies of mid-sized cities in Russia and the United States. The contribution on urban governance of austerity in Europe is also of particular interest. The 2008 global financial crash and the subsequent severe budgetary pressure on municipalities in many countries was a key event in the history and development of local self-government, confronting municipalities with ‘the harsh realities of political economy’ (p. 293). Several articles analyse the causes of the declining confidence of the citizens in local authorities in some countries. In contrast, the open budget tool in Brazil is as a positive example of collaborative stakeholder engagement.
Part V deals with multi-level governance. With the exception of Australia, it is all about Europe, especially the role of municipalities in the EU’s multilevel system. The authors conclude that ‘local authorities are essential for executing EU legislation, and this turn allows them to shape EU policies’ (p. 401). This part of the handbook includes the issue of local territorial reforms, which are central to local autonomy, combined with analyses of redesigning regional government and local-level Europeanisation. Subsequently, by comparing the local government systems of Southern Europe (France, Italy, Portugal and Spain), the authors underline convincingly the role of traditions, identity, legal frameworks and institutions in local government.
Part VI of the book deals with the financial dimension of local self-government under the heading ‘Getting and spending’. This is indeed the ‘key source of dispute between local and central government’ (p. 467) and the crucial factor shaping true local autonomy. Meritoriously, this part also contains a chapter on the fight against corruption and unethical behaviour by public servants. Based on research linking corruption to transparency and accountability, two case studies describe how Tbilisi (Georgia) and Lviv (Ukraine) try to reduce corruption in government budgeting and procurement. Enhancing Value-For-Money audit in local government highlights another important side of local finance. An interesting comparison reveals significant differences in local government revenues in European Union member states between 2000 and 2014.
Of course, even in a 530-page book, some important aspects remain underexposed. Above all, I would have liked more attention on some of the enormous future challenges facing democratic systems and with them local governments all over the world, such as digitisation (e.g. in smart cities), the integration of migrants or climate change. The international networking of municipalities should also be given greater prominence.
To sum it up, The Routledge Handbook on International Local Government is indeed ‘ambitiously titled’ as the editors underline. Yet, despite my critical objections about its focus on current issues rather than future challenges, they largely fulfil this promise and their general approach has worked well. Across continents and political-administrative cultures, illustrated with many new research findings, they have created an outstanding publication focusing on the challenges and policy of local self-governmental authorities and other local stakeholders. There is a good chance that this handbook will belong in future to the social science standard works on local issues, and be included in academic political science teaching. May the publisher’s wish come true; that this book stimulates its readers to develop further research ideas.
Finally, I come back to my initial question. ‘Old fashioned’ printed handbooks like these continue to make sense, even in modern digital times.
We evaluated the effectiveness and acceptability of metacognitive interventions for mental disorders. We searched electronic databases and included randomized and nonrandomized controlled trials comparing metacognitive interventions with other treatments in adults with mental disorders. Primary effectiveness and acceptability outcomes were symptom severity and dropout, respectively. We performed random-effects meta-analyses. We identified Metacognitive Training (MCTrain), Metacognitive Therapy (MCTherap), and Metacognition Reflection and Insight Therapy (MERIT). We included 49 trials with 2,609 patients. In patients with schizophrenia, MCTrain was more effective than a psychological treatment (cognitive remediation, SMD = -0.39). It bordered significance when compared with standard or other psychological treatments. In a post hoc analysis, across all studies, the pooled effect was significant (SMD = -0.31). MCTrain was more effective than standard treatment in patients with obsessive-compulsive disorder (SMD = -0.40). MCTherap was more effective than a waitlist in patients with depression (SMD = -2.80), posttraumatic stress disorder (SMD = -2.36), and psychological treatments (cognitive-behavioural) in patients with anxiety (SMD = -0.46). In patients with depression, MCTherap was not superior to psychological treatment (cognitive-behavioural). For MERIT, the database was too small to allow solid conclusions. Acceptability of metacognitive interventions among patients was high on average. Methodological quality was mostly unclear or moderate. Metacognitive interventions are likely to be effective in alleviating symptom severity in mental disorders. Although their add-on value against existing psychological interventions awaits to be established, potential advantages are their low threshold and economy.
The pathophysiological influence of gene-lifestyle interactions on the risk to develop type 2 diabetes (T2D) is currently under intensive research. This systematic review summarizes the evidence for gene-lifestyle interactions regarding T2D incidence. MEDLINE, EMBASE, and Web of Science were systematically searched until 31 January 2019 to identify publication with (a) prospective study design; (b) T2D incidence; (c) gene-diet, gene-physical activity, and gene-weight loss intervention interaction; and (d) population who are healthy or prediabetic. Of 66 eligible publications, 28 reported significant interactions. A variety of different genetic variants and dietary factors were studied. Variants at TCF7L2 were most frequently investigated and showed interactions with fiber and whole grain on T2D incidence. Further gene-diet interactions were reported for, eg, a western dietary pattern with a T2D-GRS, fat and carbohydrate with IRS1 rs2943641, and heme iron with variants of HFE. Physical activity showed interaction with HNF1B, IRS1, PPAR gamma, ADRA2B, SLC2A2, and ABCC8 variants and weight loss interventions with ENPP1, PPAR gamma, ADIPOR2, ADRA2B, TNF alpha, and LIPC variants. However, most findings represent single study findings obtained in European ethnicities. Although some interactions have been reported, their conclusiveness is still low, as most findings were not yet replicated across multiple study populations.
The field of cognitive aging has seen considerable advances in describing the linguistic and semantic changes that happen during the adult life span to uncover the structure of the mental lexicon (i.e., the mental repository of lexical and conceptual representations). Nevertheless, there is still debate concerning the sources of these changes, including the role of environmental exposure and several cognitive mechanisms associated with learning, representation, and retrieval of information. We review the current status of research in this field and outline a framework that promises to assess the contribution of both ecological and psychological aspects to the aging lexicon.
One commonly proposed method to limit flood risk is land-use or zoning policies which regulates construction in high-risk areas, in order to reduce economic exposure and its vulnerability to flood events. Although such zoning regulations can be effective in limiting trends in flood risk, they also have adverse impacts on society, for instance by limiting local development of areas near the water. In order to judge whether proposed land-use or zoning policies are a net benefit to society, they should be accepted or rejected based on a societal cost-benefit analysis (CBA). However, conducting a CBA of zoning regulation is complex and comprehensive guidelines of how to do such an analysis are lacking. We offer guidelines for good practice. In order to assess the costs and benefits of zoning as a climate change adaption strategy, they should be assessed at a societal level in order to account for public good features of flood risk reduction strategies, and because costs in one area can be benefits in another region. We propose a multistep process: first, determine the spatial extent of the zoning policy and how interconnected the zoned area is to other locations; second, conduct a CBA using monetary costs and benefits estimated from an integrated hydro-economic model to investigate if total benefits exceed total costs; third, conduct a sensitivity analysis regarding the main assumptions; fourth, conduct a multicriteria analysis (MCA) of the normative outcomes of a zoning policy. A desirable policy is preferred in both the CBA and MCA. This article is categorized under: Engineering Water > Planning Water Human Water > Value of Water Science of Water > Water Extremes Human Water > Methods
Bacterial molybdoenzymes are key enzymes involved in the global sulphur, nitrogen and carbon cycles. These enzymes require the insertion of the molybdenum cofactor (Moco) into their active sites and are able to catalyse a large range of redox-reactions. Escherichia coli harbours nineteen different molybdoenzymes that require a tight regulation of their synthesis according to substrate availability, oxygen availability and the cellular concentration of molybdenum and iron. The synthesis and assembly of active molybdoenzymes are regulated at the level of transcription of the structural genes and of translation in addition to the genes involved in Moco biosynthesis. The action of global transcriptional regulators like FNR, NarXL/QP, Fur and ArcA and their roles on the expression of these genes is described in detail. In this review we focus on what is known about the molybdenum- and iron-dependent regulation of molybdoenzyme and Moco biosynthesis genes in the model organism E. coli. The gene regulation in E. coli is compared to two other well studied model organisms Rhodobacter capsulatus and Shewanella oneidensis.
Electrochemical synthesis and signal generation dominate among the almost 1200 articles published annually on protein-imprinted polymers. Such polymers can be easily prepared directly on the electrode surface, and the polymer thickness can be precisely adjusted to the size of the target to enable its free exchange. In this architecture, the molecularly imprinted polymer (MIP) layer represents only one ‘separation plate’; thus, the selectivity does not reach the values of ‘bulk’ measurements. The binding of target proteins can be detected straightforwardly by their modulating effect on the diffusional permeability of a redox marker through the thin MIP films. However, this generates an ‘overall apparent’ signal, which may include nonspecific interactions in the polymer layer and at the electrode surface. Certain targets, such as enzymes or redox active proteins, enables a more specific direct quantification of their binding to MIPs by in situ determination of the enzyme activity or direct electron transfer, respectively.
Purpose: The aims of this systematic review are to provide a critical overview of short-term memory (STM) and working memory (WM) treatments in stroke aphasia and to systematically evaluate the internal and external validity of STM/WM treatments. Method: A systematic search was conducted in February 2014 and then updated in December 2016 using 13 electronic databases. We provided descriptive characteristics of the included studies and assessed their methodological quality using the Risk of Bias in N-of-1 Trials quantitative scale (Tate et al., 2015), which was completed by 2 independent raters. Results: The systematic search and inclusion/exclusion procedure yielded 17 single-case or case-series studies with 37 participants for inclusion. Nine studies targeted auditory STM consisting of repetition and/or recognition tasks, whereas 8 targeted attention and WM, such as attention process training including n-back tasks with shapes and clock faces as well as mental math tasks. In terms of their methodological quality, quality scores on the Risk of Bias in N-of-1 Trials scale ranged from 4 to 17 (M = 9.5) on a 0-30 scale, indicating a high risk of bias in the reviewed studies. Effects of treatment were most frequently assessed on STM, WM, and spoken language comprehension. Transfer effects on communication and memory in activities of daily living were tested in only 5 studies. Conclusions: Methodological limitations of the reviewed studies make it difficult, at present, to draw firm conclusions about the effects of STM/WM treatments in poststroke aphasia. Further studies with more rigorous methodology and stronger experimental control are needed to determine the beneficial effects of this type of intervention. To understand the underlying mechanisms of STM/WM treatment effects and how they relate to language functioning, a careful choice of outcome measures and specific hypotheses about potential improvements on these measures are required. Future studies need to include outcome measures of memory functioning in everyday life and psychosocial functioning more generally to demonstrate the ecological validity of STM and WM treatments.
In this volume, Egeberg and Trondal put forward an ‘organizational approach to public governance’ (p. 1) that, in their view, complements existing explanations for organizational change and behaviour in governance processes (‘Understanding’) and produces relevant advice for practitioners, specifically anyone involved in reorganizing public administration (‘Design’). Following the authors’ introduction of the theoretical reasoning behind their approach (chapter 1), they present supporting findings that are based on new material (chapters 2 and 9), but mainly draw on six previously published research articles (chapters 3–8). Egeberg and Trondal conclude with possible ‘design implications’ of said findings (chapter 9). Their ‘organizational approach’ focuses on the impact of selected organizational characteristics on decision‐making in and on behalf of government organizations in policy‐making generally (‘public governance’) and administrative politics more specifically (‘meta‐governance’). The authors concentrate on three sets of ‘classical’ organizational characteristics: structure (mainly vertical and horizontal specialization), demography (personnel composition), and locus (geographical location). The conceptual part of the volume convincingly summarizes ‘formal organization matters’—arguments from the literature for each of the individual organizational factors. Their main, already well‐established argument is that the way an organization is formally set up makes some (reform) decisions more likely than others—a line of reasoning that the authors present as neglected in governance literature.
In the following five empirical chapters, the authors show that aspects of horizontal and vertical specialization—mainly operationalized by Gulicks’ principles of horizontal specialization and the idea of primary versus secondary affiliation of staff—affect organizational behaviour. Readers learn that whether government levels are organized according to a territorial or non‐territorial principle impacts the power relationship between levels: non‐territorial organization at the supranational level tends to empower the centre against lower levels of government. There are two chapters on the decision‐making behaviour of commissioners and officials in the European Commission, both showing that organizational affiliation trumps demographic background factors such as nationality, even with temporary staff.
Chapter 5 addresses coordination dynamics in the European multi‐level system and finds that coordination at the territorially organized national level thwarts non‐territorially organized coordination at the supranational level, resulting in the phenomenon of ‘direct’ national administration bypassing their national executives. Further, the authors show that vertical specialization—while controlling for other factors such as issue salience—has an effect on officials’ behaviour at the national level: agency officials in Norway report significantly less sensitivity towards political signals from the political executive than their colleagues in ministries. Chapter 7 discusses the relevance of geographical location for the relationship between subordinated organizations and their political executive. The authors find that the site of Norwegian agencies does not significantly affect their autonomy, influence, or inter‐institutional coordination with the superior ministry.
The last empirical chapter focuses on the effect of formal organization on meta‐governance, that is, administrative politics. Based on a qualitative case study of a reorganization process in Norway in 2003 involving the synchronized relocation of several agencies after many failed attempts, the authors conclude that administrative reforms can be politically steered and controlled through the organization of the reform process. They argue that amongst other factors the strategic exclusion of opposing actors from the reform process as well as the deliberate increase in situations demanding quick decisions (‘action rationality’, p. 119) by political leaders helps explain the reform's unexpected success. The last chapter is dedicated to the synthesis of the results and to design implications. Supported by new data from a 2016 survey among Norwegian public officials, the authors conclude that organizational position is the most important influencer of decision‐making behaviour, with educational background and previous job experience also playing a large role (p. 135). Consequently, their suggestions for practitioners involved in meta‐governance processes concentrate on aspects of the deliberate crafting of organizational specialization to shape organizational positions, and spend less time discussing location and employee demographics. The authors illustrate and contextualize their recommendations with the help of three empirical examples: organizing good governance by balancing political control and independence in the case of agencification, organizing for coping with boundary‐spanning challenges such as climate change through inter‐organizational structural arrangements, and designing permanent organizational structures for innovative reforms in the public sector (pp. 137 ff.).
This volume is an excellent compilation of theoretically informed applications of the all too often undefined ‘organization matters’ argument. It juxtaposes—particularly in the theory chapter and in the last chapter on design implications—organizational arguments against other explanations of organizational change like historical institutionalism or the garbage can model of decision‐making. However, two major aspects of the book's approach are less convincing. First, supplementary explanations such as the garbage can model that are discussed in the reflections on meta‐governance are neither argumentatively nor empirically applied to public governance; why should, for example, the ‘solutions in search of a problem’ idea only be applicable to decisions on reform policy, but not to decisions in all other policy areas? Similarly, it would have been nice to read more on the authors’ idea on the interaction between organizational factors and between them and other explanations in the empirical cases on public governance—this would have allowed the reader to get a better idea about how much formal organization matters. The view on bureaucrats’ demographic background is slightly confusing: it is presented as a competing approach (p. 7), but also as one of the main organizational factors (p. 12).
Second, as the authors themselves state, the concept of governance is about ‘steering through collective action’ (p. 3) and focuses on interactive processes, and explicitly includes non‐governmental actors in the policy‐making equation. Against this background it seems unfortunate that most of the work presented in the book takes an exclusively governmental perspective and the justification for it remains rather superficial. It would be preferable and even necessary to see the organizational arguments—at least theoretically or through discussing appropriate literature—applied to interactive governance processes involving other actors and/or to non‐bureaucratic organizations.
Regarding its methodology, the specifics of the proposed approach deserve to be addressed more systematically and critically in the book. Except for chapters 2, 3 and 5 (literature‐based studies) as well as chapter 8 (single case study), the empirical studies follow a quantitative logic and are informed by data on self‐reported behaviour through large‐N panel surveys with public officials. In terms of analysis, descriptive statistics or basic inferential statistics (linear regression) are employed. Certainly, the authors are aware of the limitations of their data sources, such as the results being possibly affected by social desirability, and they discuss and justify them in the chapters individually (e.g., on pp. 47, 89). Still, their approach could be strengthened with a more cautious account on the extent to which their choice of data and methods is able to uncover the ‘causal impact of organizational factors in public governance processes’ (p. 131, emphasis added) and with some suggestions for widening their methodological toolbox in the future. On this note, the survey method presented as new on p. 135 is not a particularly convincing choice. The authors do not lay out a research agenda; a surprising omission. This is, however, somewhat made up for by the concluding chapter's stimulating discussion of the possible real‐world implications of their findings and perspective, skilfully using organization theory as a ‘craft’ (p. 29).
Low birth weight (LBW) is associated with diseases in adulthood. The birthweight attributed risk is independent of confounding such as gestational age, sex of the newborn but also social factors. The birthweight attributed risk for diseases in later life holds for the whole spectrum of birthweight. This raises the question what pathophysiological principle is actually behind the association. In this review, we provide evidence that LBW is a surrogate of insulin resistance. Insulin resistance has been identified as a key factor leading to type 2 diabetes, cardiovascular disease as well as kidney diseases. We first provide evidence linking LBW to insulin resistance during intrauterine life. This might be caused by both genetic (genetic variations of genes controlling glucose homeostasis) and/or environmental factors (due to alterations of macronutrition and micronutrition of the mother during pregnancy, but also effects of paternal nutrition prior to conception) leading via epigenetic modifications to early life insulin resistance and alterations of intrauterine growth, as insulin is a growth factor in early life. LBW is rather a surrogate of insulin resistance in early life - either due to inborn genetic or environmental reasons - rather than a player on its own.
Background & aims: Low muscle mass is associated with increased falls, medical complications, length of hospital stay and loss of independence. An increasing number of studies has also shown the association between sarcopenia and health care expenditure. The following narrative review summarizes the current evidence on the economic relevance of low muscle mass (MM) or sarcopenia. Methods: An extensive search of the literature in Medline identified twelve studies in English, which evaluated direct and indirect health care expenditure in patients with low muscle mass or sarcopenia (low MM and strength or mobility). Results: Three studies analysed the cost of age-related loss of MM or strength in large surveys of the general, older population. Six retrospective analyses evaluated perioperative medical costs related to low MM in primarily older patients from different medical areas. One prospective study presented hospital costs related to sarcopenia in patients with gastric cancer. Two studies presented data from general hospital patients. Despite the difference in diagnostic criteria, study population and statistical design, low MM and sarcopenia were consistently identified as predictors of increased health care expenditure in community, perioperative and general hospital settings. Conclusions: Low MM and sarcopenia are prevalent and associated with significantly higher health care costs. Considering the demographic change, which will lead to an increasing number of patients with sarcopenia, every effort should be made to identify and treat patients with sarcopenia. The use of a unified definition and diagnostic criteria would allow a better comparison of data. (C) 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.