However, numerous reports of centralisation at long-term follow-up have shown recurrent radial wrist deviation, stiffness and growth disturbances.
There is also more chances of recurrence of deviation in centralisation and soft tissue deficiency corrected with z-plasty.
Furthermore, history cautions us to be wary of the perils of taking centralisation to extremes.
Which means we can still heed the lessons of times past and avoid allowing the centralisation pendulum to swing far in the direction of stunting initiative and suppressing individual entrepreneurship.
How does the centralisation of strategic and tactical GAM activities influence GAM performance in terms of effectiveness and efficiency?
s (2001) call to investigate centralisation as an important aspect of GAM organisation.
In real life, we seldom find any system similar to pure centralisation (where all decisions are taken by a single person) or pure decentralisation where everyone is actively involved in the decision-making process.
Centralisation versus Decentralisation in Education
Amateur Denis Cullen, who rode Centralisation
and was banned for 28 days, did not appeal.
It is clear that no further rationalisations or centralisations
of services should proceed until there is a national plan discussed with and agreed by communities, health unions and professionals that saves our health service from the death by a thousand cuts that it is currently experiencing.
, a 10-1 shot who was beaten three-quarters of a length by the Charlie Swan-trained Gonemoggelease, was banned from racing for 42 days after the stewards found that the seven-year-old had not been allowed to run on his merits.
We are having to face up to centralisation
in the economy, in housing, with communities losing powers over their own areas, and in education, where local schools are closing.