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201.
Amy V. Rapkiewicz M.D. Katherine Kenerson M.D. Kenneth D. Hutchins M.D. Fintan Garavan M.D. Ph.D. Emma O. Lew M.D. Mark J. Shuman M.D. 《Journal of forensic sciences》2018,63(5):1406-1412
Cosmetic procedures are common and utilize many techniques to obtain aesthetically good outcomes for patient satisfaction with acceptable safety standards. Cosmetic procedures that involve the gluteal region are becoming increasingly popular as various procedures can target the gluteal region such as liposuction, tumescent liposuction, cosmetic filler injections, autologous fat transfer, depot drug delivery, and implants. Complications of cosmetic gluteal procedures can be localized or systemic with systemic complications being responsible for most deaths. These reported systemic complications include sepsis, thromboembolism, fat embolism with or without fat embolism syndrome, macroscopic fat embolism, anesthesia‐related and blood volume abnormalities. We herein report 10 deaths due to elective gluteal cosmetic procedures. Autologous fat transfer (fat grafting, lipoinjection) following liposuction resulted in 8 of 10 fatal outcomes of the gluteal aesthetic procedures. A comprehensive discussion of gluteal anatomy, gluteal contouring procedures, and the approach to such cases is presented along with the autopsy findings of the reported cases. 相似文献
202.
Danielle N. Moyer Amy R. Page Darby Q. McMakin Amy R. Murrell Ethan G. Lester Haley A. Walker 《Journal of family violence》2018,33(4):269-279
Evidence supports the use of acceptance and commitment therapy (ACT) for well-being and behavior change among parents. This study examined the impact of a brief ACT intervention on positive parenting strategies, psychological flexibility, and distress among parents who have experienced relationship violence.As part of a larger study, 43 parents were recruited from a community outreach center and completed measures of parenting, ACT processes, and distress. Participants were pseudo-randomly assigned to either receive their treatment-as-usual (TAU) or ACT plus TAU. Twenty-five participants received four weekly sessions of ACT plus TAU, and 18 received TAU only. Positive parenting behaviors among parents in the ACT?+?TAU group improved immediately following treatment compared to the TAU group. Improvements were maintained six weeks following treatment. The hypothesis that psychological flexibility would mediate improvements was not supported.The present study provides initial, preliminary support for the secondary benefits of brief, broad ACT interventions for positive parenting behaviors among parents who have experienced relationship violence. Clinical implications for implementing ACT for parents who have experienced relationship violence and methodological limitations are discussed. 相似文献
203.
The present study compared impact of participating in laboratory research assessments on couples experiencing partner violence
and nonviolent couples. Across two studies, 192 couples participated in a variety of potentially distressing laboratory procedures,
including discussing relationship problems, viewing videotapes of their discussions, and completing questionnaires about personal
and relationship problems. At the end of each laboratory session, participants rated their emotions about their partners as
a result of having participated in the study procedures. Couples, recruited from the community, were placed into one of three
groups: experiencing violence (V), nonviolent but maritally distressed (NVD), and nonviolent and nondistressed (NVND). Overall,
study participants did not report high levels of negative feelings toward their spouses at the end of lab sessions. Few differences
between V and NVD spouses were statistically significant, suggesting that violent spouses are not at greater risk than NVD
spouses for negative feelings following study participation, although the finding of greater fear among V partners in one
study deserves future attention. Relative to V and NVD couples, happy couples reported more positive and fewer negative feelings;
NVD wives were the most likely to report negative emotions, in sessions involving a marital problem discussion. These findings
can be used in discussions with Institutional Review Boards about the potential risks of laboratory procedures for violent
couples recruited from the community.
相似文献
Kahni ClementsEmail: |
204.
A Framework for Analyzing Emergency Management with an Application to Federal Budgeting 总被引:4,自引:1,他引:3
Emergency management is a complex policy subsystem that involves an intergovernmental, multiphased effort to mitigate, prepare for, respond to, and recover from disasters. This article develops a framework for analyzing the fiscal and functional aspects of disaster policy. It uses established theories of intergovernmental relations to offer a rationale for examining the capabilities required to implement disaster policy and the behavioral incentives that drive policy formulation. In particular, the article identifies the extent to which the capabilities and political objectives characteristic of each level of government are aligned, and illustrates the interplay between incentives and competencies by reviewing the federal disaster funding process. The current rules for federal budgeting may inappropriately promote spending on disaster response and recovery, while de-emphasizing mitigation and preparedness. Various proposals for reform could establish more coherent incentives, making disaster spending more consistent with the relative functional capabilities of the various levels of government. 相似文献
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206.
Self-report measures of empathy and emotional intelligence have frequently revealed significant gender differences, with females typically scoring higher than males on these dimensions. In this study, we investigated whether, in line with a social identity approach, manipulating the gender normativity of empathy and emotional intelligence would ameliorate typically observed differences. Male and female participants (N = 330) were randomly assigned to read one of three narratives comprising fictitious neurological research evidence which claimed that males (Condition 1) or females (Condition 2) or neither males nor females (Condition 3) scored higher on measures of empathy and emotional intelligence. Results indicated that, in Conditions 2 and 3, females scored significantly higher than males on self-reported empathy. However, when information suggested that males were superior to females (Condition 1), no significant gender differences in self-reported empathy were observed. A similar pattern was found for emotional intelligence, however the predicted interaction effect failed to reach significance. The role of social context in determining gender differences in emotional functioning is discussed with particular reference to gender differences in motivation. 相似文献
207.
Conventional development of latent fingerprints is compromised when the prints are decomposed by extreme temperatures, such as those encountered when a weapon cartridge is fired, an improvised explosive device is detonated, and/or in arson cases. Understanding how these extreme temperatures alter the chemical and physical properties of latent fingerprint residue could aid in the discovery of a reagent that could effectively develop these decomposed fingerprints. To mimic scenarios where fingerprints may be exposed to high heat conditions, standards of the five most abundant amino acids in fingerprint residue as well as extracted fingerprint residue were pyrolized under controlled conditions. Compounds identified as pyrolytic decomposition products were 3,6-dimethylpiperazine-2,5-dione (from alanine), maleimide, and 2,5-furandione (from aspartic acid). The pyrograms and selected ion traces show these products to hold promise as indicators of decomposed fingerprint residues and, therefore, may serve as good candidate substrates for a developing reagent. 相似文献
208.
209.
Anticipating whether an adversary group will continue to use their usual (“conventional”), expected attack methods is important for military and counterterrorism practitioners tasked with protecting the security of others. Conventional attack methods are by their nature easier to plan and prepare for whilst “innovative” methods may take those responsible for security and counterterrorism by surprise and, as such, may have more impact and more serious consequences. The present study aimed to develop understanding of how, when, and why adversary groups might decide to use conventional attack methods or opt to do something innovative instead. A literature review was conducted and findings were applied to develop a thorough understanding of the decision-making process that underlies an adversary group's choice of attack method. Identified are three stages preceding the execution of an attack: a) “strategic direction”; b) “incubation”; and c) “planning and preparation,” plus “overarching” and “contextual” factors that can influence the process at each stage. It is suggested that it is these factors and how they influence decision-making that result in innovative methods being used to execute an attack, or convention prevailing. Findings can aid practitioners and policy-makers in counterterrorism, security, and law enforcement, to support their understanding, evaluation, and countering of current and future threats. 相似文献
210.