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Leukocytoclastic Vasculitis in an Adolescent with New-Onset Crohn's Disease. 青少年新发克罗恩病伴白细胞破溃性血管炎1例
2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-08-28 eCollection Date: 2023-11-01 DOI: 10.1097/PG9.0000000000000359
Aldo Majluta Yeb, Evelina Dedic, Braden Olsen, Carole Brathwaite, Roberto Gomara, Erick Hernandez

Extraintestinal manifestations frequently affect patients with inflammatory bowel disease. They can involve virtually any organ, with the musculoskeletal and integumentary systems being the most common. Leukocytoclastic vasculitis is a rare extraintestinal manifestation of inflammatory bowel disease, especially at disease onset. It has been reported to occur in association with Crohn's disease and trimethoprim/sulfamethoxazole (TMP-SMX) exposure independently. We report a case of a 14-year-old female who developed leukocytoclastic vasculitis after exposure to TMP-SMX and was ultimately diagnosed with Crohn's disease. The patient presented with purpura, oral ulcers, abdominal pain, and intermittent bloody stools. Colonoscopy showed colonic inflammation, and biopsies revealed severe chronic active colitis with crypt abscesses. A skin biopsy confirmed the diagnosis of leukocytoclastic vasculitis. Management consisted of high-dose steroids and infliximab, with resolutions of her symptoms. This case emphasizes that extraintestinal manifestations are multifactorial in nature, with the example of an existing genetic predisposition through Crohn's disease and a triggering factor such as TMP-SMX.

肠外表现常影响炎症性肠病患者。它们几乎可以涉及任何器官，肌肉骨骼和皮肤系统是最常见的。白细胞分裂性血管炎是一种罕见的肠外表现的炎症性肠病，特别是在疾病的发病。据报道，它与克罗恩病和甲氧苄啶/磺胺甲恶唑(TMP-SMX)暴露独立相关。我们报告一例14岁的女性谁发展白细胞破碎性血管炎后暴露于TMP-SMX和最终被诊断为克罗恩病。患者表现为紫癜、口腔溃疡、腹痛和间歇性便血。结肠镜检查显示结肠炎症，活检显示严重的慢性活动性结肠炎伴隐窝脓肿。皮肤活检证实诊断为白细胞破裂性血管炎。治疗包括大剂量类固醇和英夫利昔单抗，症状得到缓解。本病例强调肠外表现本质上是多因素的，例如通过克罗恩病存在遗传易感性和触发因素如TMP-SMX。
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引用次数: 0
Towards inclusive public administration systems: Public budgeting from the perspective of critical race theory 走向包容性公共行政体系:批判种族理论视角下的公共预算
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-08-26 DOI: 10.1111/padm.12956
J. P. Martínez Guzmán, Meagan M. Jordan, P. Joyce
While there is a developing consensus that governments need to address systemic racism, public administration scholarship has not played a large role in supporting policymakers who want to achieve that end. To institutionalize that effort, we analyze the budget process as a setting to identify inequities and incorporate social equity given its overarching reach across all programs and policies. This article uses the tenets of critical race theory to illustrate how to use the budget process to incorporate equity. The resulting racial equity budgeting (REB) framework has three tenets: acknowledging and correcting historic biases, increasing the voice of nondominant groups, and disrupting the status quo by ensuring equity in current policies. The REB framework suggests how public officials may apply these tenets to the stages of public budgeting, including the use of reparation statements, increasing the participation of underrepresented minorities, and reviewing the disaggregated impact of policies, among others.
虽然政府需要解决系统性种族主义的共识正在形成，但公共管理学术在支持想要实现这一目标的政策制定者方面并没有发挥很大的作用。为了使这一努力制度化，我们分析了预算过程，将其作为识别不平等和纳入社会公平的环境，因为它涵盖了所有项目和政策。本文使用批判种族理论的原则来说明如何使用预算过程来纳入公平。由此产生的种族平等预算(REB)框架有三个原则:承认并纠正历史偏见，增加非主导群体的发言权，通过确保现行政策的公平性来打破现状。REB框架建议政府官员如何将这些原则应用于公共预算编制的各个阶段，包括使用赔偿说明、增加代表性不足的少数民族的参与、审查政策的分类影响等。
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引用次数: 0
Coproduction of core and complementary tasks in times of service decline: Experimental evidence 服务衰退时期核心任务和补充任务的协同生产:实验证据
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-08-21 DOI: 10.1111/padm.12955
P. Damgaard, Niels Opstrup, Mette Kjærgaard Thomsen
Citizen coproduction has long been recognized as a lever to maintain service quality in times of service decline, but the key notion that citizens will “pitch in” and coproduce in times of service decline has undergone little empirical scrutiny. Using elderly care in Denmark as empirical setting, we conduct a survey experiment with a two‐by‐two factorial design in a representative sample of elderly citizens (n = 864) to evaluate the effects of a true service decline cue (Treatment 1) and of task‐specific encouragements (Treatment 2) on willingness to coproduce. We leverage the distinction between core and complementary tasks to hypothesize that service decline mostly affects coproduction of core tasks, and that this motivation can be increased with task‐specific encouragement. We find evidence that a service decline cue increases the willingness to coproduce core tasks, but no evidence of an additional effect of the task‐specific encouragement.
长期以来，公民共同生产一直被认为是在服务下降时期保持服务质量的杠杆，但公民将在服务下降时“参与”和共同生产这一关键概念几乎没有经过实证检验。以丹麦的老年护理为实证环境，我们在老年公民的代表性样本（n = 864）来评估真正的服务下降提示（治疗1）和任务特异性鼓励（治疗2）对共同生产意愿的影响。我们利用核心任务和补充任务之间的区别，假设服务下降主要影响核心任务的协同生产，并且这种动机可以通过特定任务的鼓励来增加。我们发现有证据表明，服务下降提示会增加共同完成核心任务的意愿，但没有证据表明特定任务的鼓励会产生额外影响。
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引用次数: 1
Are public spaces welcoming to all? A conjoint experiment on cultural representation and inclusionary practices in museums 公共空间欢迎所有人吗？博物馆文化表现与包容性实践的联合实验
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-08-06 DOI: 10.1111/padm.12953
Zachary Mohr, Alexandra Olivares, Jaclyn S. Piatak
While art should be for everyone, public institutions like museums are not always inclusive to all members of society. Arts participation varies by sociodemographic characteristics despite the numerous benefits of the arts. To date, much of the research has focused on how visitor characteristics influence museums, but how do museum characteristics influence arts participation? We employ a conjoint experiment where respondents assess how they value different art museum attributes. In particular, we examine differences in cultural representation of artists and museum programming as well as accessibility in terms of object labels and cost. Our findings support the need for greater use of inclusionary practices and cultural representation in museums, particularly for more relatable language labels and more community‐based program events. We also find notable differences across subgroups, such as partisanship and race, emphasizing the need for more representative, accessible, and inclusive museums.
虽然艺术应该为每个人服务，但像博物馆这样的公共机构并不总是包容所有社会成员。尽管艺术有许多好处，但参与艺术的程度因社会人口特征而异。到目前为止，大部分研究都集中在游客特征如何影响博物馆，但博物馆特征如何影响艺术参与？我们采用了一个联合实验，受访者评估他们如何评价不同的艺术博物馆属性。特别是，我们研究了艺术家的文化表现和博物馆节目的差异，以及对象标签和成本方面的可访问性。我们的研究结果支持在博物馆中更多地使用包容性实践和文化表现的必要性，特别是对于更相关的语言标签和更多基于社区的项目活动。我们还发现，不同群体之间存在显著差异，如党派和种族，强调需要更具代表性、可访问性和包容性的博物馆。
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引用次数: 0
Performance appraisal justice and employees' work engagement in the public sector: Making the most of performance appraisal design 公共部门绩效考核公正与员工工作投入:充分利用绩效考核设计
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-07-26 DOI: 10.1111/padm.12952
Lorenza Micacchi, Francesco Vidé, Giorgio Giacomelli, M. Barbieri
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引用次数: 1
Whole‐of‐government and joined‐up government: A systematic literature review 整体政府与联合政府:系统的文献综述
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-07-19 DOI: 10.1111/padm.12949
N. Aoki, Melvin Tay, Stuti Rawat
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引用次数: 1
Which managerial reforms facilitate public sector innovation? 哪些管理改革促进了公共部门的创新？
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-07-18 DOI: 10.1111/padm.12951
Ringa Raudla, Zachary Mohr, J. Douglas
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引用次数: 1
Fostering employee innovation: Linking person–organization fit to innovative behavior through knowledge sharing and reward perception 促进员工创新:通过知识共享和奖励感知将人与组织的契合度与创新行为联系起来
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-07-14 DOI: 10.1111/padm.12950
Jaeyong Lee, Myung H. Jin
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引用次数: 0
HelenSullivan, Collaboration and public policy: Agency in the pursuit of public purpose. Palgrave Macmillan, 2022. ISBN: 978‐3‐031‐09585‐6. 合作与公共政策:追求公共目标的机构。Palgrave Macmillan, 2022。ISBN: 978量3量031还是09585 6。
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-07-13 DOI: 10.1111/padm.12948
J. Corbett
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引用次数: 0
The post-pandemic world: Are big cities hollowing out? 大流行后的世界：大城市是否正在空心化？
IF 3.5 2区 管理学 Q1 POLITICAL SCIENCE
Public Administration
Pub Date : 2023-07-01 DOI: 10.1177/23998083231188188
Michael Batty
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引用次数: 0
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