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Decentralized environmental governance theory suggests that decentralization can produce better environmental performance mainly because lower-level governments are closer to the people and environmental issues and are considered more legitimate than the national government. However, China's decentralized system of environmental governance has been often regarded as a key factor in creating pollution problems rather than in solving them. To explain this puzzle, this article, using Blame Avoidance Behaviour in government theory as a theoretical framework, examines how blame avoidance behaviour shapes China's decentralized system of environmental governance from three perspectives: first, actors and the chain of blame shaped by the hierarchical power structure among environmental policymakers and implementers; second, the strategies of discursive domination and decentralization for blaming environmental problems on local officials; and lastly, the contextual factor of "hierarchical governmental trust." Drawing on documentary discursive analysis and extensive fieldwork, this article suggests that the dysfunction of China's decentralized environmental governance structure may in fact be an outcome of a blame-shifting game between central and local governments. (China Q/GIGA)

The framework of collaborative water governance (CWG) has been championed as a promising model for water management across the globe. China is a country confronted by serious water pollution and shortage problems. In recent years, many scholars and practitioners have turned to CWG as an effective model for water crisis management in China. However, the political nature of CWG and China's Authoritarian Environmentalism is inherently conflictual, hence, the development of CWG in China poses a theoretical puzzle, i.e., how the bottom-up CWG model can coexist with the top-down Authoritarian Environmentalism in China's water politics. To better understand this puzzle, this article explores CWG's intertwinement with environmental authoritarianism through a case study of "safe water supply project" in 11 coal-mining villages in Shanxi province of North China. Drawing on fieldwork between 2019 and 2021 in H city of Shangxi province, this research shows that the central government's pledge to provide safe water to every villager in rural China has not materialized so far. The dilemma of safe water supply in coal mining villages in H city shows that, on one side, the central government attempted to show its great will and commitment to providing safe water to everyone in rural China through an approach of environmental authoritarianism; while on the other side, the local governments tended to select the CWG model as a method for practical implementation as well as a blame avoidance strategy. Our study identifies five stakeholders in the villages' safe water supply projects: the Department of Water Resources of the City Government, the Township Government, Coal Mining Enterprises, village cadres and villagers. The outcome of the safe water supply project in these villages is constrained by the transparency and trust deficit among stakeholders when facing cooperation and conflict management obstacles.

Lambert-Eaton myasthenic syndrome (LEMS) is a neuromuscular junction disorder characterized by fluctuating proximal limb muscle weakness, decreased deep tendon reflexes and various autonomic symptoms. LEMS is reportedly the most common neurological paraneoplastic syndrome. This is the case report of a patient with small-cell lung cancer (SCLC) who developed LEMS. A 68-year-old male patient presented with a 6-month history of progressive weakness of the proximal limbs and a 2-month history of xerostomia. The patient was admitted to the Department of Neurology of the People's Liberation Army General Hospital of Shenyang Military Region (Shenyang, China). The symptoms of the patient were not relieved with supportive therapy. Further laboratory tests, electrodiagnostic studies, chest computed tomography and immunohistochemical staining confirmed the diagnosis of LEMS in the presence of SCLC. Following administration of two cycles of rescue chemotherapy with a combination of etoposide and cisplatin, the symptoms of the patient were gradually relieved and, after six cycles of therapy, the primary malignancy completely regressed. In conclusion, a diagnosis of LEMS may lead to the timely detection of SCLC, significantly improving patient prognosis and survival.