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We investigate what aspects of adult day care are regulated by licensure and certification requirements, whether differences exist among centers according to their regulatory status, and the relationship between regulatory status and satisfaction. The data come from a national survey of adult day care center. We find that adult day care regulations are primarily structural in nature and that differences do exist among centers by regulatory status. Participants are very satisfied with the centers and their staff overall, especially at centers that are regulated; their satisfaction with milieu is less at regulated centers and with amenities is unaffected. Day care regulations have not been extended to the processes and outcomes of care as nursing home regulations recently have been. The choice that now faces policymakers is between increasing these regulations or relying on market mechanisms to protect day care participants.  相似文献   

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This article is a response to Professor John Keown's criticism of my article "Finding a Way Through the Ethical and Legal Maze: Withdrawal of Medical Treatment and Euthanasia" (2005) 13(3) Medical Law Review 357. The article takes up and responds to a number of criticisms raised by Keown in an attempt to further the debate concerning the moral and legal status of withdrawing life-sustaining measures, its distinction from euthanasia, and the implications of the lawfulness of withdrawal for the principle of the sanctity of life.  相似文献   

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Purpose

Extant scholarship has examined pornography's putative link to the commission of sex crime. Yet, virtually no research speaks to whether an offender's exposure to pornography during many different stages of life elevates the violence of a sex offense. The current study addresses this gap.

Methods

Using retrospective longitudinal data, we systematically investigate the effect of offender pornography exposure during adolescence, adulthood, and immediately prior to the offense on the level of physical injury as well as the extent of humiliation experienced by sex crime victims.

Results

Findings indicate that adolescent exposure was a significant predictor of the elevation of violence—it increased the extent of victim humiliation. Results also suggest a tempering, or cathartic effect of pornography—using pornography just prior to the offense was correlated with reduced victim physical injury. No effects, however, were observed for adult pornography exposure.

Conclusion

Pornography use may differentially influence offenders’ propensity to harm or degrade victims over the life course.  相似文献   

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石茂生 《法学杂志》2015,36(2):95-102
既有的检察权与审判权关系理论存在诸多的不周延性,因此应该突破传统用司法理论分析检察权与审判权关系的思维模式,结合司法运行过程中检察权与审判权的运作,对检察权与审判权的关系进行实证分析。检察权与审判权之间的关系呈现结构复杂、层次多样的样态,应关注检察权与审判权融合共生的一面,重视检察权在司法运行中的作用。  相似文献   

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It has been assumed that the best policy for promoting quality of life in nursing homes is direct regulation. In this paper it is argued that if our experience in regulating quality of care is any indication, we may not possess the political will to successfully regulate quality of life. Moreover, from a legal perspective, the less concrete nature of the concept of quality of life may make it more difficult to regulate than quality of care. Finally, although regulation would probably be necessary if potential nursing home residents (and their agents) lacked the information or rationality to make choices that promoted their interests, this has never been shown to be the case empirically. Therefore, we may not be forced to choose regulation to achieve an adequate quality of life. Alternative--and perhaps better--policies may be available.  相似文献   

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