Background: Congenital radial club hand (RCH), as a rare congenital deformity of the upper extremity, is characterized by a wide spectrum of malformations including radial deviation. Centralization surgery is the standard treatment for severe cases that have been associated with a high rate of recurrence. This study reports the long-term results and recurrence rate of radial deviation following...

Over time various drivers affecting information technology architecture design have been proposed which favored more centralization or decentralization. The last major shift towards centralization started in the late 1990s and was motivated by standardization, integration, and cost issues. With the advent of ubiquitous computing, the next inflection point heading towards decentralization might ...

School finance reform in Michigan involved centralization (at the state level) of spending decisions about schools, a large tax shift (mostly from property to sales), and a small tax cut. The changes came about after two decades of failed attempts to reduce property taxes in the state, and were the immediate result of an unlikely piece of legislation that abolished all funding for public school...

The questions of centralization and decentralization arise in every polity. The constitution or the practice or both have to settle how much of policy making is to be decided by the central government and by component bodies. By and large liberalism and decentralization tend to go together while authoritarianism tends to be associated with centralization. The constitutional model which is gener...

after a relatively long period of centralization and with the beginning of decentralization experiences since 1970s, the periodical orientations and trends of governments towards both centralization and decentralization systems appeared. stemming generally from political and economic domains, decentralization entered curriculum and education system from these domains. problems such as deficienc...

In a typical corporate hierarchy, the manager is delegated the authority to make strategic decisions, and to contract with other employees. We study when such delegation can be optimal. In centralization, the owner retains the authority, which fails to motivate the manager to acquire valuable information, leading to suboptimal decisions and inefficient incentive provision to the worker. Benefic...