Local Institutions Research Articles

Sub-Acromioclavicular Decompression Increases the Risk of Postoperative Shoulder Stiffness after Arthroscopic Rotator Cuff Repair.

The sub-acromioclavicular (SAC) decompression is often performed during arthroscopic rotator cuff repair. However, the impact of SAC decompression on patients with postoperative shoulder stiffness (POSS) are controversial and unclear. This study is aim to evaluate the impact of additional sub-acromioclavicular (SAC) decompression during arthroscopic rotator cuff repair on the postoperative shoulder stiffness (POSS) in patients. This retrospective study examined digital data from patients with full-thickness rotator cuff tears who underwent arthroscopic rotator cuff repair at a local institution. Patient-reported outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) Score, the University of California-Los Angeles (UCLA) score, and visual analog scale (VAS) scores. Restricted shoulder mobility occurring within 6 months postoperatively, lasting more than 12 weeks, characterized by a passive forward flexion angle of <120° or an external rotation angle of <30°, with or without associated shoulder pain was identified as POSS. Factors affecting POSS were analyzed by binary logistic regression analysis. The patient-reported outcomes scores were analyzed by generalized estimating equations to examine the impact of SAC decompression. A total of 155 patients met the set criteria and were included in the study. The analysis of binary logistic regression showed that diabetes (p = 0.001) and SAC decompression (p = 0.003) were independent factors for POSS. In the analysis of each follow-up point, only at the 3-month follow-up, the ASES scores (p = 0.003), UCLA scores (p = 0.045), and VAS scores (p = 0.005) showed significant differences between the SAC decompression group and the non-decompression group. For the intergroup comparison, the results showed a significant difference in the ASES scores (β = -4.971, p = 0.008), UCLA scores (β = -1.524, p = 0.019), and VAS scores (β = 0.654, p = 0.010) throughout the study duration between the SAC decompression group and the non-decompression group. The findings of this study suggested that SAC decompression during arthroscopic rotator cuff repair increase the risk of POSS compared with those without the decompression, which indicate surgeons do not perform SAC decompression unless necessary.

Strengthening Capabilities of Local Government Institutions in Disaster Management : A Study of Flood-prone Areas in Alappuzha District, Kerala

Strengthening Capabilities of Local Government Institutions in Disaster Management : A Study of Flood-prone Areas in Alappuzha District, Kerala

Strengthening Fungal Infection Diagnosis and Treatment: An In-depth Analysis of Capabilities in Honduras.

Invasive fungal infections (IFIs) are a major public health concern in low- and middle-income countries (LMICs) due to limited diagnostic and treatment resources, leading to high morbidity and mortality. Despite their significant global burden, IFIs are underrecognized and underdiagnosed in LMICs. This study evaluates the diagnostic and therapeutic capacities for managing IFI in Honduras, a country with unique health care challenges. From March to December 2023, a comprehensive survey was conducted across multiple health care centers in Honduras. The survey, reviewed for content and clarity by local medical institutions, targeted medical microbiologists and clinicians to assess various aspects of fungal disease diagnosis and treatment. Data included the availability and use of diagnostic tools and antifungal therapies, identifying gaps and limitations in current practices. The survey revealed that Candida spp (97.4%) and Aspergillus spp (35.9%) were the most concerning pathogens. Although microscopy and culture methods were available in most institutions, their application in suspected IFI cases was inconsistent, and antifungal susceptibility testing was rarely performed. Advanced diagnostic techniques, such as antigen detection, were available in only a few institutions, while antibody detection and polymerase chain reaction testing were entirely absent. All hospitals had access to at least 1 triazole antifungal, typically fluconazole, but there was a notable scarcity of more potent antifungals, including amphotericin B formulations and echinocandins. The limited use of available diagnostic tools and the restricted availability of essential antifungals were identified as major barriers to effective IFI management. This study highlights significant gaps in the diagnostic and therapeutic capabilities for managing IFI in Honduras. The underutilization of basic diagnostic tools, the inaccessibility of advanced testing methods, and the limited availability of essential antifungal medications underscore the urgent need for capacity-building initiatives, infrastructure improvements, and policy reforms. Addressing these deficiencies is critical for enhancing the management of IFI in Honduras, with broader implications for similar LMIC settings. These findings can inform targeted interventions and resource allocation to improve outcomes for patients with IFI.

Analysis of the foreign direct investment, oil palm expansion, and food security in Indonesia: Sumatra and Kalimantan case studies

The continuing oil palm expansion on food security has prompted fierce debate. On one side, analysts argue that local community incorporation in the oil palm sector can increase food purchasing in the market. However, the expansion has also brought unprecedented consequences of losing highly nutritious food due to forest conversions. This study aims to analyze oil palm expansion and local food security in various regions in Indonesia by tackling the following questions: (a) Which factors influence palm oil expansion, and does foreign investment play a role? (b) How does palm oil expansion affect food security in Indonesia? Socioeconomic methods have been applied in this study, including a systematic literature review and qualitative interviews with key stakeholders from various domestic and international organizations. These two methods help us triangulate the academic literature findings with real-world situations as perceived by the actors in the related field. Results indicate that, firstly, foreign investors have not only made a direct investment to facilitate oil palm expansion, but also indirect financial intermediaries are held without holding financial equities to upstream oil palm companies (e.g., supply chain financing contracts, channeling using local financial institutions such as credit union). Secondly, while large corporations asserted monoculture oil palm expansions, some smallholding farmers use mixed cropland expansion to share food and oil palm crops in their own smallholding terms. With the oil palm expansion, farmers can secure a cash flow from palm oil, but an unintended outcome is less nutrition diversification, and often because of the distance to markets, some commodities are favored over a more diverse diet. The outcomes of oil palm development vary and are multifold, as some stakeholders report that some studies show improving cash flows at the farm level, but other studies insist that food insecurity still prevails.

The epidemiological and infectious characteristics of novel types of Coxiella burnetii co-infected with Coxiella-like microorganisms from Xuyi County, Jiangsu province, China

Coxiella burnetii (C. burnetii) is the causative agent of Q fever, a type of zoonoses withwidespread distribution. In 2019, a case of Q fever was diagnosed by metagenomic next-generation sequencing (mNGS) method in Xuyi County (Jiangsu province, China). The seroprevalence of previous fever patients and the molecular epidemiology of Coxiella in wild hedgehogs and harbouring ticks around the confirmed patient were detected to reveal the genetic characteristics and pathogenicity of the Coxiella strains. Four of the 90 serum samples (4.44%) were positive for specific C. burnetii IgM antibody, suggesting that local humans are at risk of Q fever. The positive rates of C. burnetii in hedgehogs and ticks were 21.9% (7/32) and 70.5% (122/173), respectively. At least 3 strains of Coxiella were found prevalent in the investigated area, including one new genotype of pathogenic C. burnetii (XYHT29) and two non-pathogenic Coxiella-like organisms (XYHT19 and XYHT3). XYHT29 carried by ticks and wild hedgehogs successfully infected mice, imposing a potential threat to local humans. XYHT19, a novel Coxiella-like microorganism, was first discovered in the world to co-infect with C. burnetii in Haemaphysalis flava. The study provided significant epidemic information that could be used for prevention and control strategies against Q fever for local public health departments and medical institutions.

Being an amateur in politics: a look at the 2022 Italian general election

ABSTRACT The scientific literature on politicians has predominantly focused on political professionalism. Scholars have defined the profile of the professional politician – characterized by a long political career involving roles in local, national and European institutions – and of the successful outsider – who enters politics thanks to external resources. However, there has been little attention to individuals, with contrasting profiles, who stand for election without prior institutional experience. Our research addresses this gap in the literature by examining candidates without electoral experience – referred to as amateurs – in the 2022 Italian general election. Through analysis of the CVs they submitted at the time of their nomination as candidates, the study explores their profiles and proposes a classification based on their previous positions in associations and political parties. The study highlights the different distributions of these two variables and illustrates the different selection strategies pursued by political parties. Moreover, the research confirms the significance of a classification system, demonstrating that different types of amateur candidates, with varying backgrounds, tend to be placed in different positions on party lists and in the district and have different chances of being elected.

Neo-institutionalism perspective on local governance in Lombok: Reinstitutionalisation of Tuan Guru in the Indonesian decentralization era

This article delves into an examination and analysis of leadership models within local government institutions in Indonesia, employing the conceptual framework of new institutionalism. We contend that informal local institutions within communities not only influence the behavior and identity of leaders as actors but, within the context of decentralization, have also undergone a process of reinstitutionalization regarding roles and functions, employing distinct patterns of appropriation. Employing an interpretive approach, this article focuses on phenomena within the management of local governance in the West Nusa Tenggara province. Data were collected through in-depth interviews, literature studies on local history, and online news searches. Through a case study of local governance in West Nusa Tenggara province, particularly Lombok, the article reveals that the Tuan Guru, an informal local institution in Lombok society, has experienced reinstitutionalization through vertical and horizontal appropriation. The conclusion drawn is that decentralization has created opportunities for informal institutions to re-establish their roles within formal governance through appropriation patterns.

Haunting the Ganges: addressing the issues of ghost gear in the Ganga River through an incentive-based institutional mechanism

Abandoned, lost, or otherwise discarded fishing gears, also known as ghost gears (GG), are major contributors to global marine and freshwater plastic pollution. GG can lead to the accidental entanglement of several threatened freshwater and marine species, especially the air-breathing aquatic vertebrates, which is a matter of global concern. There is a lack of know-how and mechanisms for collecting and recycling GG, leading to their constant accumulation in aquatic ecosystems. In this study, we have examined the mortalities of threatened aquatic species in fishing nets and have proposed an incentive-based standard operating procedure (SOP) for effective collection and disposal of GG based on field observations and extant national and international policies and made recommendations for a net buyback scheme as a possible downstream solution to reduce GG in the Ganga River Basin. It is proposed that the collection of GG can be done by the local level institutions of fishing community through the fair-price shops. The nets are then to be deposited at the block-level processing centres to be transported to the district-level consolidating centres. Recycling partners identified by the Government of India will then collect the nets directly from district centres for further upcycling and recycling. A multi-level, multi-stakeholder approach with strong upstream and downstream linkages backed with appropriate policy interventions is needed to tackle the ghost gear issue in the Ganga River basin.

Is adoption of modern dairy farming technologies interrelated? A case of smallholder dairy farmers in Meru county, Kenya

Attempts have been made to promote the adoption of modern dairy farming technologies (MDFT). However, the adoption of these technologies largely remains underutilized. This study aimed to analyze the determinants of the adoption of MDFTs in Meru County. Using purposive and proportionate sampling techniques from 355 smallholder dairy farmers in Meru County, Kenya, this study analyzed the factors that facilitate or impede the adoption of MDFTs. We use a Multivariate probit (MVP) to evaluate adoption decisions by dairy farm households facing multiple MDFTs. The results reveal a significant correlation among the eight MDFTs suggesting that modern technologies are interrelated. The MVP model results indicate that household income, education level, number of extension contacts, access to credit, farmer group membership, farming experience and livestock monetary value had positive effect on the adoption of MDFTs. Education level and extension contacts had a positive influence on the adoption of fodder establishment and preservation technologies. Farming experience in dairy farming had a positive effect on the adoption of well-structured and clean sleeping areas, and the growth of Rhodes grass. Household income had a positive effect on the growth of Rhodes grass and feed mixture. This work illustrates a need for a policy implication and insight into a need for the county government and private milk processing companies to increase extension frequency to enhance the adoption of MDFTs. Additionally, there is a need to increase access to affordable credit, this should be considered by the government by establishing strengthening a smallholder low-interest and efficient local credit schemes and institutions.

Collaborative Industry-Academia Integration in Local Undergraduate Institutions: Establishing Practical Education Bases

Collaborative Industry-Academia Integration in Local Undergraduate Institutions: Establishing Practical Education Bases

Right to information: legal positions of the Constitutional Court of Ukraine

The article reveals the legal positions of the Constitutional Court of Ukraine regarding everyone’s right to information. Attention is focused on information that is collected by state authorities, local self-government bodies, institutions and organizations, and which is not a state or other secret protected by the Law of Ukraine «On Information» and which every person has the right to familiarize himself with. Separate attention is focused on confidential information (information with limited access). One of the types of confidential information is medical information, which, on the one hand, in special cases provided for by the Fundamentals of the Health Care Legislation of Ukraine, can be disclosed to family members or a legal representative of the patient, and on the other hand, in accordance with the decision of the European Court of Human Rights person in the case of «M.K. against Ukraine» confirmation by a doctor of a patient’s illness to a member of his family, even if he learned about it from the patient himself, is an interference by the state in a person’s right to private life, and in the case of infectious diseases, it is qualified as not carried out «in accordance with the law». Attention is focused on the fact that such situations arise more and more when military personnel undergo medical examinations and that there are prohibitive norms of a special law that forbid the disclosure of medical information regarding a certain list of diseases of a military personnel to his employer (military unit), commander, family members of the military personnel. Regarding the confidentiality of information and about a person who holds a position related to the performance of the functions of the state, local self-government bodies, and about members of his family, the legal positions of the Constitutional Court of Ukraine are established: absolutely in each specific case it is determined whether information about a person belongs to confidential; there are guarantees of protection of the rights of the above-mentioned persons, and additional legal burdens, and therefore the state is called upon to ensure a balance of public and private interest. The article also draws attention to the fact that even under martial law conditions, control (direct; indirect) by institutions of public power is prohibited both in terms of content and dissemination of information, even if the state pursues such a goal as protecting the information space from what is considered harmful by the state information that is not necessary for society. The practice of the Constitutional Court of Ukraine on this issue is established. Attention is focused on the fact that censorship cannot be used in Ukraine to protect the information field of the state even in war conditions - it is prohibited in part 3 of Art. 15 of the Constitution of Ukraine.

Categories of Political Contestation in Public Libraries

Public libraries in the United States have historically been sites of political contestation. This ranges from contestation surrounding library funding to the content of library collections. Recently, activism within and against public libraries has become more frequent. This begs the question: how does political contestation in public libraries look today? Using a media analysis of U.S. public library contestation and controversy from 2014 to 2023, this paper presents a framework to categorize library contestation. This framework situates public libraries within an ongoing context of efforts to polarize local political institutions.

Meeting the critical challenge: re-tooling and re-founding defences of local democratic institutions

ABSTRACT Local government studies was born as a sub-division of public administration, but was progressively cross-fertilised with a range of disciplines, notably political geography and urban studies. This buffeted what had been normative foundations of the field, notably liberal democracy, and challenged meanings of key concepts from its lexicon, including the ‘local’, democracy, government, place and scale. These cherished concepts have been re-imagined and are now more than ever ‘up for grabs’. Subsequently, normative theorising about the local government waned. This paper argues that we need to meet the challenge set by these new insights and ask what would a defence of local government look like if we took them into account? In doing so, we should recognise both their value and limitations; engaging in the challenge will reveal the need to re-visit some long-held assumptions about not only the value of local democratic institutions but also their continuing fundamental relevance.

The role of local institutional quality for the digital and environmental transitions in Italy

In this paper we analyze the effect of institutional quality on the so-called Twin transition at provincial level in Italy. To carry out the analysis, we use two proxies for the ecological transition, namely waste management and air pollution, and two proxies for the digital transition, namely ultra-wide band connections and provincial innovative start-ups. All the models are estimated on a panel of 103 provinces with a time dimension that varies for the different dependent variables. We employ Spatial Durbin Model estimator to take into account spatial dependence across provinces. Our findings indicate that the quality of local institutions may have an important role for the ecological transition, but not for the digital transition. Higher levels of institutional quality increase the performance in waste management and reduce the level of local air pollution. Conversely, the estimated coefficient of institutional quality is not statistically significant neither for ultra-wide band nor for innovative start-ups. Institutional quality turns to be significant but negative for the digital transition when dummy variable controlling for the presence of science-oriented university is added in the model specification. These results confirm that the green transition is largely policy-driven and the local ‘institutional environment’ is an essential ingredient for its effectiveness. The driving forces of the digital transition, instead, can be better found in socio-economic factors that depend on the ‘economic quality’ of the local system and its propensity to innovate within larger-scale innovation trajectories.

Interaction between Local Institutions in a Context of Centralized Governance of the Nazinga Game Ranch (NGR), Centre-south of Burkina Faso

Interaction between Local Institutions in a Context of Centralized Governance of the Nazinga Game Ranch (NGR), Centre-south of Burkina Faso

Socio-Demographic Profile, Farming Challenges and Local Government Unit (LGU) Support to Rubber Farmers in Tampilisan, Zamboanga Del Norte: A Pre and Actual Pandemic Analysis

This study investigates the socio-demographic profile, farming challenges, and the Local Government Unit (LGU) support to rubber farmers in Tampilisan, Zamboanga del Norte, Philippines. The research employed a pre and actual-pandemic analysis to assess the effectiveness of LGU extension services in empowering rubber farmers. Data from 50 rubber farmers across 15 barangays were analyzed using a descriptive-correlation method. Findings reveal that rubber farmers in Tampilisan are predominantly middle-aged, have a high school education level, and have low monthly incomes. Farmers engage in diverse farming practices, including intercropping and integrated farming systems, demonstrating adaptive strategies for income diversification. While participation in LGU extension services was high before the pandemic, it significantly declined during the pandemic due to restrictions and limitations. Farmers identified several key challenges, including low rubber prices, capital constraints, and lack of skilled labor, which persisted before and during the pandemic. Despite these challenges, farmers reported moderate agreement on the benefits derived from LGU extension services, particularly regarding education for their children and food security for their families. Findings also suggest that farmers' income correlates with the types of crops planted, indicating that diversifying crops like coconut, banana, and fruit trees can lead to increased income. More so, the correlation between farmer participation and the acquisition of farming tools and planting materials underscores the positive impact of active engagement on resource access. Analyzing the above results, the study revealed the importance of sustained farmer engagement in extension services for enhancing agricultural resilience and livelihood sustainability. The insights elicited from this study include strengthening technical training and infrastructure, promoting farmer group participation, and fostering collaboration between the Local Government Unit (LGU), educational institutions, and government agencies to ensure the effectiveness of extension programs and support sustainable rubber farming practices in Tampilisan.

Effectiveness of local health constitutions in surveillance the pandemic of coronavirus disease-2019 in rural community of Thailand

This qualitative research aimed to study the effectiveness of the local health constitution in controlling the spread of COVID-19. It reports the role of local communities, government agencies, and healthcare providers in implementing and enforcing local health constitutions and how their engagement can be improved to enhance surveillance. We also reported factors that influence compliance and strategies for improving compliance. We also evaluated the long-term sustainability of local health institutions beyond the pandemic. The population and sample group consisted of key members of the local health constitution teams at the provincial, sub-district, and village levels in the rural area of Ubon Ratchathani. Participants were purposively selected and volunteered to provide information. It included health science professionals, public health volunteers, community leaders, and local government officials, totaling 157 individuals. The study was conducted from December 2022 to September 2023. Our research shows that local health constitutions can better engage and educate communities to actively participate in pandemic surveillance and prevention. This approach is a learning experience for responding to emergencies, such as new infectious diseases that may arise in the future. This simplifies the work of officials, as everyone understands the guidelines for action. Relevant organizations contribute to disease prevention efforts, and there is sustainable improvement in work operations.

The War on Terror: Assessing Awareness and Acceptance on The Anti-Terrorism Act (Ata) of 2020 in Oriental Mindoro, Philippines

The war on terror has been a focal point of global security efforts, with various measures implemented to combat terrorism. This study investigates the awareness and acceptance of the Anti-Terrorism Act of 2020 among the residents of Sitio who have had cases of terrorist attacks in the Municipality of Bongabong, Oriental Mindoro. The study utilized the descriptive-correlational method to systematically describe the relationship among variables. The study reveals that respondents were unaware of the provisions of the Anti-Terrorism Act and varied on the level of acceptance of its provisions. It further shows a significant relationship between the level of awareness and acceptance and factors such as age, sex, religion, income, and educational attainment. The research recommends collaboration between local leaders, educational institutions, and other civil society organizations to implement an information dissemination plan and other educational programs for anti-terrorism awareness and establish a monitoring and evaluation mechanism to assess the impact of the awareness-raising efforts of the agencies involved.

Resilience and Vulnerability of Coastal Communities: A Case Study of Tambak Lorok, Semarang-Indonesia in Facing Flood Risks

This study examines the resilience and vulnerability of the Tambak Lorok coastal community in Semarang to recurring flood events. The research adopts a descriptive qualitative approach to explore the socio-economic, environmental, and infrastructural aspects influencing the community’s adaptive capacity. Through in-depth interviews, field observations, and document analysis, the study identifies key factors contributing to the community’s vulnerability, including reliance on flood-prone economic activities, inadequate housing infrastructure, and limited access to resources. The role of local institutions is also highlighted as a critical factor in enhancing community resilience through training and support programs. Despite ongoing mitigation efforts, such as the construction of levees and drainage improvements, the findings indicate that these measures have not fully protected the community from flood impacts. The study concludes with policy recommendations aimed at improving infrastructure, diversifying economic activities, and strengthening disaster mitigation strategies to enhance the long-term resilience of the Tambak Lorok community. This research contributes valuable insights into the challenges faced by coastal communities in adapting to the increasing risks posed by climate change and environmental hazards.

The longitudinal link between institutional and community trust in a local context - findings from a Swedish panel study

ABSTRACT Decades of social science stress the vital role of trust in a robust democracy, and scholars have explored the origins of trust, highlighting the dynamic interaction between institutional trust and generalised social trust. While the literature exhibits uncertainties regarding the causal direction between these various forms of trust, it generally suggests that trust in institutions spills over to trust in people in general. This article examines a neglected aspect of trust studies – the relationship between local institutional trust and community trust. Drawing on a two-wave panel study from Sweden, the results indicate bidirectional relationships between the two forms of trust over time. In so doing, this study contributes to the prior research by showing that in a local context, where daily interactions take place between community members and representatives of local institutions, the relationship between trust in neighbours and trust in local institutions appears to be more complex and interdependent.