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221.
The differentiation of SIDS from accidental or inflicted suffocation may be impossible without corroborating findings from the death scene or autopsy or in the absence of a confession from a perpetrator. Pulmonary intra-alveolar hemorrhage (PH) has been proposed as a potential clue to suffocation, but none of the previous studies on this topic have limited SIDS cases to those who were in a safe sleep environment, in which all were found supine and alone on a firm surface with their heads uncovered. Our aims are to: (1) compare PH in SIDS cases found in a safe sleep environment to a control group comprised of infants whose deaths were attributed to accidental or inflicted suffocation and (2) assess the effect of age, CPR, and postmortem interval (PMI), with regard to the severity of PH in this subset of safe-sleeping SIDS cases. We conducted a retrospective study of all postneonatal cases accessioned by the Office of the Medical Examiner in San Diego County, California who died of SIDS or suffocation between 1999 and 2004. A total of 74 cases of sudden infant death caused by SIDS (34 cases as defined above, comprising 8% of the total SIDS cases), accidental suffocation (37), and inflicted suffocation (3) from the San Diego SIDS/SUDC Research Project database were compared using a semiquantitative measure of pulmonary intra-alveolar hemorrhage. The most severe (grade 3 or 4) PH occurred in 35% of deaths attributed to suffocation, but in only 9% of the SIDS cases. Age, duration of CPR attempts and PMI had no effect on the severity of PH in SIDS. Our results indicate that the severity of PH cannot be used independently to differentiate SIDS from suffocation deaths. Each case must be evaluated on its own merits after thorough review of the medical history, circumstances of death, and postmortem findings. 相似文献
222.
We examined relationships between abuse, coping, and psychological health among 143 women who had experienced abuse in adult relationships. Measures included characteristics of the abuse, problem-focused and emotion-focused coping, Sense of Coherence, and four measures of psychological wellbeing--the SF-36 Mental Component Scale, the General Health Questionnaire, Center for Epidemiologic Studies Depression scale, and a measure of perceived negative effects of the abuse. Problem-focused coping was not related to psychological health, and the influence of emotion-focused coping on psychological health was indirect. Sense of coherence had significant direct effects on psychological health. Both emotion-focused coping and sense of coherence were related to aspects of the abusive experience. The concept of sense of coherence has parallels with the recently proposed concept of meaning-focused coping, and the data suggest that finding meaning in adverse events such as abuse is associated with better psychological well-being. 相似文献
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224.
Christina Eckes 《European Law Journal》2012,18(2):230-250
The number of international law obligations that have binding force on the Union and/or its Member States is sharply increasing. This paper argues that in this light the well‐functioning of the European Union ultimately depends on the protection of the principle of supremacy from law originating outside of the EU legal order. The supremacy of EU law is essential to ensuring that Member States cannot use national rules to justify derogation from EU law. As a matter of principle, international treaties concluded by the Member States rank at the level of ordinary national law within the European legal order and below all forms of European law (both primary and secondary). Article 351 TFEU exceptionally allows Member States to derogate from primary EU law in order to comply with obligations under anterior international agreements. It does not however allow a departure from the principle of supremacy that underlies the European legal order. In Kadi I, the Court of Justice of the European Union stated that Article 351 TFEU, while it permits derogation from primary law, may under no circumstances permit circumvention of the “very foundations” of the EU legal order. This introduces an additional condition that all acts within the sphere of EU law need to comply with a form of “super‐supreme law”. It also strengthened the principle of supremacy and gave the Court of Justice the role of the guardian of the Union's “foundations”. The Court of Justice acted on the necessity of defending the Union as a distinct legal order, retaining the autonomous interpretation of its own law, and ultimately ensuring that the Union can act as an independent actor on the international plane. 相似文献
225.
Peter K. Smith Christina Salmivalli Helen Cowie 《Journal of Experimental Criminology》2012,8(4):433-441
Objectives
Recent decades have seen a focus on intervention programs to reduce school bullying, in light of the severe negative consequences of such behavior. A recent meta-analysis by Ttofi and Farrington (Journal of Experimental Criminology 7: 27?C56, 2011) provided encouraging findings in terms of some significant reductions in bullying and victimization achieved by many programs. They also report analyses of effect sizes associated with specific program elements and design features of the interventions. While this is an important step forward, we critique some of the strong policy implications which they draw from these latter analyses.Methods
We discuss four important areas to substantiate this critique: analytical procedure, definitional issues, historical issues, and recent empirical data. As context, we use two particular program elements described by Ttofi and Farrington, namely use of disciplinary measures and work with peers, and one design feature, namely age of pupils.Results
The findings for the program elements and design feature examined are complex and do not justify strong policy implications at this stage.Conclusions
We conclude with suggestions for future research directions. 相似文献226.
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228.
Health-related research suggests the belief in a just world can act as a personal resource that protects against the adverse effects of pain and illness. However, currently, little is known about how this belief, particularly in relation to one’s own life, might influence pain. Consistent with the suggestions of previous research, the present study undertook a secondary data analysis to investigate pain catastrophizing as a mediator of the relationship between the personal just world belief and chronic pain outcomes in a sample of chronic pain support group attendees. Partially supporting the hypotheses, catastrophizing was negatively correlated with the personal just world belief and mediated the relationship between this belief and pain and disability, but not distress. Suggestions for future research and intervention development are made. 相似文献
229.
Inter-/Intra-observer Reliability of Hand Assessment Using Skin Detail: A Count-based Method
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Christina A. Malone M.F.S. Michael J. Salyards Ph.D. Meredith Hein B.S. 《Journal of forensic sciences》2015,60(6):1605-1612
Skin detail of the hand is used in photographic comparisons, yet its reliability has not been evaluated. This study examines a count-based method for documenting skin features. In Part I, 14 individuals counted skin features on 40 color images of the hand, three of which were repeated. An average correlation value of 0.557 was obtained for interobserver assessment; values ranged from 0.545 to 0.832 for intra-observer assessment. The variation in correlation values for hands suggests that there are certain distinguishing characteristics that increase reliability. In Part II, 17 examiners assessed 20 nonrepeated grayscale images of hands by circling skin features. An average correlation value of 0.674 was obtained, but visual assessment of examiner markings suggested some examiners grouped features whereas others viewed them individually. The results suggest further research is warranted, some hands may be more suitable for comparisons, and a standardized method for examining skin features is needed. 相似文献
230.
Christina Luke 《Diplomacy & Statecraft》2013,24(1):110-139
The cultural heritage of Honduras offers a critical platform for United States heritage diplomacy under the United States Department of State, Bureau of Educational and Cultural Affairs, Cultural Heritage Center. Of specific note is the formal 2004 Honduran–American Memorandum of Understanding for the preservation of cultural property and, beginning in 2001, periodic projects under the Ambassadors Fund for Cultural Preservation. The diplomatic efficacy of American cultural heritage policy and the Ambassadors Fund comes from long-term, sustained funding from the National Science Foundation, the National Endowment for the Humanities, and the Fulbright Program. Established networks by archaeologists have enabled the successful re-entry of United States cultural diplomacy in Honduras in the last decade. 相似文献