Constitutional Design: Separation of Financing and Project Decision

We examine the provision of public projects under separate tax and subsidy rules. We find that tax rules separated from project cum subsidy decisions exhibit several advantages when incentive problems of the agenda-setter are taken into account. In particular, tax rules may prevent the proposal of inefficient projects which benefit only a small lobby group. We propose “redistribution efficiency” as a socially desirable property of proposals and find that tax rules always guarantee redistribution efficiency. We show that rules on subsidies combined with discretion regarding taxes always yield socially inferior proposals. Finally, tax rules induce the agenda-setter to look for potential improvements of public projects.constitutional design, provision of public projects, voting, taxes and subsidies

Management of Traumatic Brain Injury: Application of Guidelines for Diagnostics and Therapy

In the past years several recommendations have been published concerning the diagnostic work-up and treatment of patients with traumatic brain injury (TBI). They show that with regard to the surgical management of acute epidural hematomas, acute subdural hematomas, traumatic parenchymal lesions, posterior fossa mass lesions, as well as depressed skull fractures there is a lack of controlled studies, which would allow to define standards of treatment or guidelines, respectively. Nonetheless, treatment protocols serve an important purpose, because they may improve management of TBI patients by promoting uniform decision-making in the treatment of these patients, namely in • the identification of the few patients likely to suffer from complications among the large number of patients who sustain a mild to moderate head injury and • strategies for avoiding posttraumatic cerebral ischemia. In this context, the authors focus on the importance of plain skull X-rays and CT scan, respectively, in the work-up of mild TBI patients and on the indications for decompressive craniectomy for the relief of intractable elevation of intracranial pressure following severe TB

Vasospastic Phenomena on the Luminal Replica of Rat Brain Vessels

Strikingly localized ring-like constrictions (other than sphincters, cushions and offshoot furrows) have appeared on the casted vessels of some of our preparations. Morphology of the phenomena reveals diverse degree of active contraction of the vessel wall, ranging from corrugation of the luminal surface to near severance of the acrylic cast. Distribution of the vasospastic phenomena reveals as particularly affected the arteries in the diameter range between 25 and 75 μm, that belong either to intra-arterial anastomoses between the branches of each of the three major cerebral arteries or to their terminal junctions in the border zones (inter-arterial anastomoses). Among the possible causes for the occurrence of the observed vasospasms, we indicate the susceptibility to raised intraluminal pressure during injection, producing contraction of the smooth muscle cell. Reactivity appears heightened in the anastomotic districts of the circulation. The evidence of so-called plastic strips clinging to constricted sections of affected vessels prompts re-examination of their proposed origin as plastic wrapping . Rather, they appear to be remnants of dynamic elements of the vascular wall (smooth muscle cells) that resisted corrosion

The Capillary Bed in the Choroid Plexus of the Lateral Ventricles: A Study of Luminal Casts

Micro-angioarchitecture of the choroid plexus of the lateral ventricles is investigated in microcorrosion casts of animal and human preparations studied with the scanning electron microscope. The capillary bed in the diverse regions of the tissue belongs to one of three patterns: (1)-a network of capillary meshes that envelop the larger arteries and veins predominates in the central segment. (2)-in the villous regions a leaf-like organization of sinusoids is found together with (3)-fronds of glomerular formations. Glomeruli are formed when arterial afferents and venous efferents converge in a quasi hilar structure before branching in arterio-venous loops. Nodular thickenings are observed on glomerular capillaries The preparations studied (rat, dog, human) are remarkably similar and differ mostly in degree of occurrence of common architectural patterns. Arterio-venous communications are found at the hilus of human glomerular formations

Structural Software-Based Self-Test of Network-on-Chip

Abstract—Software-Based Self-Test (SBST) is extended to the switches of complex Network-on-Chips (NoC). Test patterns for structural faults are turned into valid packets by using satisfiability (SAT) solvers. The test technique provides a high fault coverage for both manufacturing test and online test

Einwanderungspopulationen: soziodemographische Daten als Indikatoren im internationalen und interethnischen Kulturvergleich

Dieser Beitrag resultiert aus methodologischen Problemen, die im Rahmen eines laufenden Forschungsprojekts auftraten. Ziel dieser Studie ist, die mutmaßlich differenzielle Integration und Assimilation (als abhängige Variable) eingewanderter Minderheiten verschiedener Ethnien in sieben europäischen Ländern zunächst deskriptiv zu erfassen, dies mittels demographischer Daten der in die Untersuchung einbezogenen Länder zu tun, und über einen theoriengeleiteten internationalen und interethnischen Vergleich zu Modellen zu kommen, welche die vermuteten Unterschiede von Integrations- und Assimilationsprozessen erklären können. Es werden die erheblichen Probleme in der Phase der Datenerfassung dargestellt, die vor allem die Schwierigkeit betreffen, einen vergleichbaren Datensatz zu erstellen. Die Probleme, die sich beim Vergleich nationaler Datensätze stellen, verweisen auf die Einbettung von Migrationsbewegungen in zwei übergreifende Zusammenhänge: Migrationsbewegungen vollziehen sich vor dem Hintergrund eines globalen Weltsystems und sind zugleich eingebettet in Prozesse sozialen Wandels. (GF

Penetration of cefuroxime into the cerebrospinal fluid of patients with traumatic brain injury

Cefuroxime levels were measured in cerebrospinal fluid (CSF) and serum of four patients with traumatic brain injury following the implantation of intraventricular catheters. The levels ranged from 0.15 to 2.03 μg/mL in CSF and from 1.8 to 66.9 μg/mL in serum. No ventriculostomy related infections were detecte

Early Placement of Optional Vena Cava Filter in High-Risk Patients with Traumatic Brain Injury

Objectives:: Patients sustaining severe trauma are at high risk for the development of venous thromboembolic events (VTE). Pharmacologic VTE prophylaxis may be contraindicated early after trauma due to potential bleeding complications. The purpose of this study was to evaluate safety and feasibility of early prophylactic vena cava filter (VCF) placement and subsequent retrieval in multiple injured patients with traumatic brain injury (TBI). Methods:: Analysis of single-institution case series of consecutive patients who received a prophylactic VCF after severe TBI (Abbreviated Injury Scale, AiS ≥ 3) between August 2003 and October 2006. Results:: A total of 34 optional VCF were prophylactically placed with a median delay of 1 day after trauma (range, 0-7 days). All patients had sustained multiple injuries (median Injury Severity Score 41, range, 18-59) with severe TBI (median AiS 4, range 3-5). Median age was 41 years (range, 17-67 years). Two patients had succumbed before potential filter retrieval. Of the remaining patients, 27 (84%) had their filters uneventfully retrieved between 11 and 32 days (median, 18 days) after placement with no retrieval-related morbidity. Five VCF (16%) were left permanently. In one patient (3%) early inferior vena cava occlusion and deep venous thrombosis occurred 14 days after VCF placement. Symptomatic pulmonary embolism was observed in one patient (3%) 5 days after VCF retrieval. Overall trauma-related mortality was 9%. Conclusions:: Early VCF placement may be of benefit for multiple injured patients with TBI when pharmacologic VTE prophylaxis is contraindicated. VCF retrieval is safe and feasible. Filter placement- and retrieval-related morbidity is lo

Early Placement of Optional Vena Cava Filter in High-Risk Patients with Traumatic Brain Injury

Objectives:: Patients sustaining severe trauma are at high risk for the development of venous thromboembolic events (VTE). Pharmacologic VTE prophylaxis may be contraindicated early after trauma due to potential bleeding complications. The purpose of this study was to evaluate safety and feasibility of early prophylactic vena cava filter (VCF) placement and subsequent retrieval in multiple injured patients with traumatic brain injury (TBI). Methods:: Analysis of single-institution case series of consecutive patients who received a prophylactic VCF after severe TBI (Abbreviated Injury Scale, AiS ≥ 3) between August 2003 and October 2006. Results:: A total of 34 optional VCF were prophylactically placed with a median delay of 1 day after trauma (range, 0-7 days). All patients had sustained multiple injuries (median Injury Severity Score 41, range, 18-59) with severe TBI (median AiS 4, range 3-5). Median age was 41 years (range, 17-67 years). Two patients had succumbed before potential filter retrieval. Of the remaining patients, 27 (84%) had their filters uneventfully retrieved between 11 and 32 days (median, 18 days) after placement with no retrieval-related morbidity. Five VCF (16%) were left permanently. In one patient (3%) early inferior vena cava occlusion and deep venous thrombosis occurred 14 days after VCF placement. Symptomatic pulmonary embolism was observed in one patient (3%) 5 days after VCF retrieval. Overall trauma-related mortality was 9%. Conclusions:: Early VCF placement may be of benefit for multiple injured patients with TBI when pharmacologic VTE prophylaxis is contraindicated. VCF retrieval is safe and feasible. Filter placement- and retrieval-related morbidity is lo