Association between CMD signs and symptoms, oral parafunctions, race and sex, in 4–6-year-old African-American and Caucasian children

The associations between oral parafunctions, signs and symptoms of craniomandibular disorders (CMD), race, and sex were analysed in recordings from 203 4-6-year-old African-American and Caucasian children. Significant correlations were found between bruxism, nail biting, thumb sucking and most of the CMD signs and symptoms. There were also significant associations between most of the signs and symptoms and race, while significant association with sex was found only regarding headache, TMJ sounds and chewing pain. Significant associations were found between most CMD signs and TMJ sounds supporting the view that joint sound recordings have diagnostic value. There were also significant associations between the pain variables recorded by questionnaire and those recorded by palpation, which indicates that reliable data can be obtained by interviewing children as young as five. The results of this study support the concept that oral parafunctions have a significant role in the aetiology of CMD. The results also show that race and sex need to be considered when analysing the possible aetiological role of oral parafunctions in CMD. Longitudinal studies, beginning with low age groups are needed to better determine the role of childhood oral parafunctions in CMD aetiology.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75673/1/j.1365-2842.1995.tb00241.x.pd

Implementation and effects of user participation in playground management: a comparative study of two Swedish municipalities

This paper describes and analyses how customer orientation strategies, with the focus on user participation, are implemented in playground management and their effects on managers’ attitudes and work with physical playgrounds. A comparative case study was conducted in two Swedish municipalities that involve users in different ways: through a manager-driven participation process and through informal user-initiated dialogue. The empirical material consisted of qualitative interviews with professionals in the management organisations and studies of local playgrounds. Implementation of strategies for user participation and tactical management activities appeared to be of importance. The manager-driven participation strategy was associated with a particularly positive attitude among managers, but also difficulties such as maintaining continuous dialogue with users. The small differences found in playground provision between the two municipalities give reason to question the physical effects of participation processes, and show the need for further research

IMPACT OF PRODUCTIVITY MEASUREMENT SYSTEMS ON MUNICIPAL PERFORMANCE

Recently, a challenge to the use of traditional productivity and performance measurement tools has emerged. The focus of this debate i s whether such tools are instrumental for making critical trade-off decisions or program changes. In a nationwide survey of municipalities on this subject, the authors found that performance measurement systems are used across a number of service-related functions. While their perceived contribution to overall municipal performance tended to diminish for Individual worker productivity and morale concerns, the respondents-on balance-viewed the returns from performance measurement systems as worth the costs. The work concludes with several implications for possible adoption. Copyright 1985 by The Policy Studies Organization.