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561.
Clinical evidence suggests that many patients undergo surgery that they would decline if fully informed. Failure to communicate the relevant risks, benefits, and alternatives of a procedure violates medical ethics and wastes medical resources. Integrating shared decision-making, a method of communication between provider and patient, into medical decisions can satisfy physicians' ethical obligations and reduce unwanted procedures. This article proposes a three-step process for implementing a nationwide practice of shared decision-making: (1) create model integration programs; (2) provide legal incentives to ease the transition; and (3) incorporate shared decision-making into medical necessity determinations. 相似文献
562.
563.
In this paper we analyse Stegdetect, one of the well-known image steganalysis tools, to study its false positive rate. In doing so, we process more than 40,000 images randomly downloaded from the Internet using Google images, together with 25,000 images from the ASIRRA (Animal Species Image Recognition for Restricting Access) public corpus. The aim of this study is to help digital forensic analysts, aiming to study a large number of image files during an investigation, to better understand the capabilities and the limitations of steganalysis tools like Stegdetect. The results obtained show that the rate of false positives generated by Stegdetect depends highly on the chosen sensitivity value, and it is generally quite high. This should support the forensic expert to have better interpretation in their results, and taking the false positive rates into consideration. Additionally, we have provided a detailed statistical analysis for the obtained results to study the difference in detection between selected groups, close groups and different groups of images. This method can be applied to any steganalysis tool, which gives the analyst a better understanding of the detection results, especially when he has no prior information about the false positive rate of the tool. 相似文献
564.
565.
Benjamin D. Garber 《Family Court Review》2011,49(2):322-335
When caregivers conflict, systemic alliances shift and healthy parent‐child roles can be corrupted. The present paper describes three forms of role corruption which can occur within the enmeshed dyad and as the common complement of alienation and estrangement. These include the child who is prematurely promoted to serve as a parent's ally and partner, the child who is inducted into service as the parent's caregiver, and the child whose development is inhibited by a parent who needs to be needed. These dynamics—adultification, parentification and infantilization, respectively—are each illustrated with brief case material. Family law professionals and clinicians alike are encouraged to conceptualize these dynamics as they occur within an imbalanced family system and thereby to craft interventions which intend to re‐establish healthy roles. Some such interventions are reviewed and presented as one part of the constellation of services necessary for the triangulated child. 相似文献
566.
Benjamin Steiner Lawrence F. Travis III Matthew D. Makarios Benjamin Meade 《Law & society review》2011,45(2):371-400
Parole officials have traditionally been afforded considerable discretion when making sanctioning decisions to be able to tailor sanctions according to substantively rational concerns such as individuals' unique needs and situations. However, the application of substantive rationality in sanctioning can also generate unwanted disparities because sanctioning decisions may be based on extralegal factors that parole officials consider relevant. Concerns regarding disparate treatment of offender groups have prompted a number of states to consider adopting administrative violation response policies that emphasize formal rationality and uniformity by restricting parole officers' discretion and structuring sanctioning decisions according to legally relevant criteria. By emphasizing formal rationality in sanctioning, structured sanction policies present a dilemma for parole officers—uniformity versus individualized treatment. In 2005, the state of Ohio implemented an administrative violation response policy designed to reduce parole officers' reliance on revocation hearings and promote uniformity in sanctioning decisions. This study involved an examination of whether Ohio's shift to structured sanctioning coincided with differences in legal and extralegal effects on parole officers' decisions to pursue revocation hearings. Analyses of data collected before and after the implementation of the policy revealed a reduction in the number of revocation hearings officers pursued. Only modest increases in uniformity were observed, however, because there was little disparity resulting from officers' hearing decisions before the policy was put in place. These findings are discussed within perspectives on justice system actors' decision making. 相似文献
567.
The article examines the consequences of functional overlap among regulatory international institutions for governance within institutional complexes. Whereas the existing literature assumes that states tend to exploit forum-shopping opportunities to pursue their parochial interests, we show that multiple members of several overlapping institutions operate in a setting of ‘nested games’. They have a general interest in some form of institutional complementarity within the complex and therefore take the implications for overlapping institutions into account when determining their behavior within either of these institutions. On that basis, we show first that the multiple members are likely to induce complementary processes of institutional adaptation, even if their interests diverge with regard to the specific form of institutional rearrangement; second, that a balanced distribution of power among the advocates of different institutions may be expected to produce particularly sophisticated forms of institutional adaptation that do not simply separate the domains of overlapping institutions, but establish patterns of permanent co-governance; and third that state-induced processes of institutional adaptation gradually produce a spontaneously emerging division of labor among overlapping institutions that organizes their governance activities. These theoretical claims are probed by two case studies on institutional complexes that are characterized by sharp distributional conflicts among the multiple members: First, we demonstrate the emergence of a sophisticated division of labor in the institutional complex on international trade in agricultural GMOs. Second, we show that an equally sophisticated division of labor has emerged in the institutional complex on public health-related intellectual property rights. 相似文献
568.
How is it that the U.S. Supreme Court is capable of getting most citizens to accept rulings with which they disagree? This analysis addresses the role of the symbols of judicial authority and legitimacy—the robe, the gavel, the cathedral‐like court building—in contributing to this willingness of ordinary people to acquiesce to disagreeable court decisions. Using an experimental design and a nationally representative sample, we show that exposure to judicial symbols (1) strengthens the link between institutional support and acquiescence among those with relatively low prior awareness of the Supreme Court, (2) has differing effects depending upon levels of preexisting institutional support, and (3) severs the link between disappointment with a disagreeable Court decision and willingness to challenge the ruling. Since symbols influence citizens in ways that reinforce the legitimacy of courts, the connection between institutional attitudes and acquiescence posited by Legitimacy Theory is both supported and explained. 相似文献
569.
Benjamin C. Graham Christopher B. Keys Susan D. McMahon 《Journal of prevention & intervention in the community》2014,42(1):31-44
This study explored the extent to which transportation difficulties were associated with social, psychological, and academic experiences of urban, at-risk students who recently experienced a school transition. Participants included 165 predominantly African American and Latino/a high school youth with and without disabilities, a critical population for community psychology to address given their likelihood of multiple marginalizations. Results suggested transportation problems within school predicted more school stressors and aggressive behavior. Transportation problems to and from school predicted fewer school resources, less school belonging, and more school stressors, anxiety, and depression. Greater time to get to school predicted fewer school resources, less school belonging, and more depressive symptoms. This study demonstrates the importance of including transportation in how the school day is conceptualized, and offers several implications for how transportation services can be best addressed. 相似文献
570.
Benjamin Ferland 《Journal of Elections, Public Opinion & Parties》2014,24(3):265-290
This article presents the results of an experiment that looks at the relationship between electoral systems, strategic voting and the effective number of electoral parties. The study is based on experiments conducted with groups of 21 participants. The experiments consisted of a series of elections involving four parties. Two main treatments were applied. First, four different voter distributions were created. Second, there were two kinds of electoral systems under which the subjects voted. The analysis indicates that voters do not coordinate on the same parties under different electoral rules. Importantly, we find that the classic type of strategic voting identified by Duverger (1954) is reinforced by a different type of strategic voting identified by Cox (1997), namely “strategic amplifying voting”. The results show that classic strategic voting reduces the effective number of electoral parties while strategic amplifying voting increases the latter. Overall, we show that voters' strategic behaviors mediate the impact of the electoral system on the effective number of electoral parties. 相似文献