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541.
542.
This article presents the proposal made to the Clackamas County Board of Commissioners outlining the rationale for the Clackamas County Parent Education Program. including a proposed budget and sources of income.  相似文献   
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544.
In this paper, I take up the lives of women with persistent vulvar pain for what they can reveal about the enmeshment of gender, (hetero)sexuality and bodily practices. Women with vulvodynia are unable to perform the central heterogendering act of penetrative intercourse with a male partner. They describe this inability as rendering them effectively ‘genderless’, described as being ‘not a real woman’ or a ‘fake woman’. I analyse their perceptions of gender and bodily performance in relation to feminist theorizing about gender and sexuality, and I argue for the centrality of the lived body to the epistemology of feminist efforts to theorize gender. This paper is based on in-person interviews with 20 women and web-based open-ended interactions with 70 women with vulvodynia.  相似文献   
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Hydrophilic polymers are used to coat catheters and other intravascular devices. In general, these polymers have many salutary properties; however, in some instances, fragmentation of hydrophilic polymers coating intravascular devices can occur with fatal consequences. This report details the histopathologic changes in the lung seen following polymer fragmentation and embolization from a central venous catheter. Polymer emboli detected microscopically are intravascular and consist of basophilic, lamellated, and nonrefractile elements. Typically, an inflammatory response is present to a variable degree. Embolization can result in severe tissue injury with ischemia and infarction.  相似文献   
547.
The purpose of this case study was to raise awareness among forensic pathologists and medicolegal death investigators regarding two unique socioethnic practices and regional customs that have significant forensic implications. We present two cases involving coining (gua sha) and bloodletting (sapi) that represent two forms of traditional customs that involve the use of blunt force and sharp force trauma, respectively. In coining, the skin lesions are produced as a result of dermabrasion with oils and oval objects such as coin. In sapi, multiple superficial linear scrapes are made in the skin as part of a bloodletting ceremony. The identification of these lesions will prevent the interpretation of them as non‐voluntary‐inflicted trauma.  相似文献   
548.
State statutes regarding the best interests of the child (BIC) in deciding disputed custody were reviewed and independently coded with respect to three issues (i) the child's preference and any limits (ii) parental alienation and (iii) psychological maltreatment. Results revealed that many states allowed for the child's preferences to be considered and none qualified that preference when undue influence has occurred; parental alienation as a term was not found in any state statutes but 70% of the states included at least one BIC factor relevant to its core construct of the parent supporting the child's relationship to the other parent; and many states included a history of domestic violence or child abuse but only three states explicitly mentioned psychological maltreatment. These findings highlight yet another way in which the BICS factors lack specificity in ways that could negatively impact children caught in their parents’ conflict.  相似文献   
549.
The aim of this study was to examine associations between exposure to alienating behaviors (ABs) and anxiety and depression as mediated through psychological maltreatment and parental bonding in a sample of Italian adults in the community. Five hundred and nine adults were given a measure of exposure to ABs, the Baker Strategy Questionnaire; the Psychological Maltreatment Measure; the Parental Bonding Instrument; the State‐Trait Anxiety Inventory‐Y; and the Beck Depression Inventory‐II. Exposure to ABs was associated with psychological maltreatment, which was associated with parental bonding, which was associated with each of the three mental health outcomes: depression, state anxiety, and trait anxiety. The authors conclude that exposure to ABs in childhood represents a risk factor for subsequent poor mental health.  相似文献   
550.
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