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Up to 25% of institutionalized patients with cognitive deficiencies display pica-like behavior, with an estimated annual incidence of small bowel obstruction of 2%. We present a case based on the forensic autopsy of a 41-year-old woman who died as a result of a missed diagnosis of small bowel obstruction after ingesting a foreign body. The case underlines the importance of precaution when treating patients with cognitive deficiency and/or language deficits and gastrointestinal symptoms. In such cases, it is important to employ a liberal threshold for radiological investigations and, if possible, obtain a medical history from a person close to the patient.  相似文献   
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建立欧中战略伙伴关系是2004年在海牙举行的欧盟-中国峰会上确立的目标,虽然在2004年和2005年欧中峰会之间的9个月里,欧中之间的联系加强了,但是直到2005年12月,欧洲理事会才授权欧盟委员会就签署一项伙伴合作协定与中国进行谈判.  相似文献   
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For helpful suggestions and criticism I am grateful to Delf Buchwald (Göttingen), Malte Dießelhorst (Göttingen), Ralf Dreier (Göttingen), Bonnie Litschewski Paulson (Göttingen and St. Louis), Martin Schulte (Münster), Alexander Somek (Vienna), and Kenneth I. Winston (Boston). In correspondence, Walter Ott (Zurich) and Carola Vulpius (Dresden) responded in a most helpful way to my queries.  相似文献   
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Mit der Einführung einer Entgeltpflicht für die Entnahme von Wasser in Nordrhein-Westfalen ist der erlaubnisfreie wasserrechtliche Eigentümergebrauch in den Mittelpunkt des Interesses gerückt. Denn wer Wasser im Rahmen des Eigentümergebrauchs aus einem oberirdischen Gewässer entnimmt, ist von dieser Entgeltpflicht befreit. Der folgende Beitrag erläutert die im Zusammenhang mit der Gewinnung nichtenergetischer Rohstoffe insoweit relevanten Fragen. * Die Verfasser sind, Mitarbeiter der Anders u.Thomé Rechtsanwaltsgesellschaft mbH in Krefeld  相似文献   
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This essay offers both a critique of the theory and practice of criminology and an alternative programme via a sketch of a cultural criminology utilising cultural and literary analysis. The first part of the essay calls for the problematisation of the issues of value and representation in the criminological project and offers a competing account of the theoretical basis of the project of criminology based upon a cultural politics of difference and the ethics of radical alterity. The second part of the essay is a demonstration of how this theoretical basis might operate in practice through a cultural criminological reading of Maurice Blanchot's novelThe Most High (1948, 1996). This novel is an account of the relationship between language and transgression in a totalitarian society at the end of history. An alteration in the discursive practices of the criminological project premised upon a competing theoretical perspective suggests that criminology (specifically the relation between law and transgression, deviancy and regulation) can become an important element in explanations regarding the organisation and disorganisation of contemporary urban culture utilising the strengths of its prior application (specifically narratology) and abandoning its fear of culture.  相似文献   
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Islam  Muhammed N.  Winer  Stanley L. 《Public Choice》2004,118(3-4):289-323
Ronald Wintrobe (1990, 1998) has recently provided atheoretical foundation for estimating equations that attemptto explain the dependence of civil liberties and politicalrights in non-democratic regimes on the history of economicgrowth. This theory suggests that data from different kinds ofnon-democratic countries should not be pooled without allowingcoefficients to vary with regime type. It also placesinteresting restrictions on the signs of the coefficients ofeconomic growth in equations explaining freedom in the typesof regimes Wintrobe identifies. In this paper, we employ theserestrictions to test Wintrobe's theory. Some additionalhypotheses about the difference between democratic andnon-democratic regimes and about the role of education, notconsidered by Wintrobe, are also investigated.The results indicate clearly that the relationship between thedegree of freedom – as measured by the sum of the Gastilindexes of civil liberties and political rights – andeconomic growth varies significantly across all types ofregimes. Totalitarians (that attempt to maximize power) areclearly different than tinpots (that just attempt to maintainpower) in this respect, and non-democratic regimes differ fromdemocracies. Other aspects of the theory are partiallyconfirmed. In particular, in totalitarian regimes, positivegrowth reduces freedom, and negative growth increases it insome specifications. The theory predicts the opposite patternfor tinpots, and we do find that negative growth reducesfreedom in tinpot regimes. However, positive growth in tinpotsalso appears to reduce freedom in some cases, which is not inaccord with the theory. Secondary schooling has a positive effect on freedom, as inprevious empirical work, a result that is shown here to holdeven when each type of regime is considered separately. Butthe effect of primary schooling is different: in tinpot andtotalitarian regimes, but not in democracies, primaryschooling is associated with reduced freedom.  相似文献   
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