Our understanding of economic sanctions has progressed significantly over the past three decades. Sanctions scholars have done a remarkable job at using empirical anomalies to guide theoretical developments and then using these to guide the next iteration of data collection and empirical testing. Here, I argue that mounting empirical evidence suggests it is time to develop a new theoretical perspective. I identify a number of empirical results, some unpublished, that are hard to reconcile with existing theory, and I argue that there is enough consistency in these results to suggest which way to turn. 相似文献
Medium‐chain acyl‐CoA dehydrogenase (MCAD) deficiency is a rare but important component of the differential diagnosis for adults with a history of premortem mental status changes and the postmortem finding of hepatic steatosis. This case report describes a 30‐year‐old white man who, following a period of nausea and vomiting, was admitted to the hospital with sudden mental status deterioration followed rapidly by clinical deterioration and death. Treating physicians in this case suspected acute illicit drug toxicity with synthetic cathinones based on social history. Clinicians and medical examiners should be aware that the presentation, signs, and symptoms described may indicate an underlying inborn error of metabolism such as MCAD deficiency and take action accordingly. 相似文献
This article proposes an original theoretical approach to the analysis of community‐level action for sustainability, focusing on its troubled relationship to the sharing economy. Through a conversation between scholarship on legal consciousness and diverse economies, it shows how struggles over transactional legality are a neglected site of activism for sustainability. Recognizing the diversity of economic life and forms of law illuminates what we call ‘radical transactionalism': the creative redeployment of legal techniques and practices relating to risk management, organizational form, and the allocation of contractual and property rights in order to further the purpose of internalizing social and ecological values into the heart of economic exchange. By viewing sharing‐economy initiatives ‘beyond Airbnb and Uber’ as sites of radical transactionalism, legal building blocks of property and capital can be reimagined and reconfigured, helping to construct a shared infrastructure for the exercise of collective agency in response to disadvantage sustained by law. 相似文献
Social services departments have been an integral feature of local authorities in England for delivering social services since 1970 with a distinct identity, a largely uniform set of social service functions and similar organisational structure. This model of a unified social services department has survived major structural reorganisations in local government, the community care initiatives and social services modernisation agendas. This paper reviews recent government initiatives to promote closer collaboration between health and social services and identifies the different models now in place or being put into place. These include formal partnerships, integrated management, integrated care trusts and the example of fully integrated health and social services trusts. The paper considers whether such developments along with the establishment of new children's trusts will finally mean the disintegration of local authority social services departments, whether the Seebohm vision has been abandoned and what future there is for social care within local government. 相似文献
The importance of livestock as a pathway out of poverty is widely recognised, but the effectiveness of pro-poor livestock development projects has been questioned. This study examines a sample of livestock development projects to draw lessons about their effectiveness and identify best practice. A large proportion of projects (60 per cent) were categorised as having not been successful. Project success is found to be positively associated with size of project, diversity of direct project beneficiaries, institution development activities in projects, and effective monitoring and evaluation activities. Lack of reliability of government partners, and inclusion of other agricultural activities together with livestock activities in projects, undermine success.
Résultats en matière de développement pro-pauvres des projets basés sur l’élevage : analyse et enseignements tirés de la documentation de projets
L'importance de l’élevage comme moyen d’échapper à la pauvreté est largement reconnu, mais l'efficacité des projets de développement pro-pauvres basés sur l’élevage a été mise en cause. Cette étude examine un échantillon de projets de développement basés sur l’élevage pour en tirer des enseignements concernant leur efficacité et identifier les meilleures pratiques. Un considérable pourcentage des projets (60 pour cent) ont été catégorisés comme n'ayant pas réussi. Le succès des projets se révèle être positivement associé à la taille du projet, à la diversité des bénéficiaires directs du projet, aux activités de développement des institutions dans le cadre des projets, et à des activités efficaces de suivi et d’évaluation. Le manque de fiabilité des partenaires gouvernementaux et l'inclusion d'autres activités agricoles dans les activités d’élevage dans le cadre des projets ont aussi une incidence négative sur le succès.
Desempeño de los proyectos de desarrollo ganadero en pro de los pobres: análisis y aprendizajes a partir de la documentación de los proyectos
Es ampliamente reconocida la importancia que tiene el ganado como un medio para salir de la pobreza. Sin embargo, se ha cuestionado la efectividad de algunos proyectos de desarrollo ganadero en pro de los pobres. El presente estudio examina una muestra de proyectos de desarrollo ganadero, con el fin de obtener aprendizajes sobre su efectividad y de identificar las mejores prácticas. Un elevado porcentaje (60%) de los proyectos fue clasificado como no exitoso. Se encontró que el éxito del proyecto se asocia positivamente a su tamaño, a la diversidad de los beneficiarios directos, a las actividades de desarrollo llevadas a cabo por las instituciones participantes en el proyecto, así como a actividades de monitoreo y de evaluación efectivas. El éxito de los proyectos se ve disminuido por la falta de formalidad de las contrapartes gubernamentales y por la incorporación de otras actividades agrícolas en los proyectos ganaderos.
Desempenho de projetos sobre gado pra o desenvolvimento dos pobres: análise e lições extraídas da documentação de projetos
A importância da criação de gado como um caminho para sair da pobreza é altamente reconhecida, mas a efetividade de projetos sobre a criação de gado para o desenvolvimento de pessoas pobres tem sido questionada. Este estudo examina uma amostra de projetos sobre criação de gado para o desenvolvimento visando extrair lições sobre sua efetividade e identificar as melhores práticas. Uma grande proporção dos projetos (60 por cento) foi classificada como não tendo sido bem-sucedida. Constatou-se que o sucesso do projeto está positivamente associado ao seu tamanho, diversidade dos seus beneficiários diretos, atividades de desenvolvimento institucional nos projetos e monitoramento efetivo e atividades de avaliação. A falta de confiança de parceiros do governo e a inclusão de outras atividades agrícolas, juntamente com as atividades de criação de gado nos projetos, impossibilitam o seu sucesso. 相似文献
Behaviors that pose threats to safety and health, including binge drinking and unprotected sex, increase during a week-long
break from university. Understandings with peers regarding these behaviors may be important for predicting behavior and related
harms. College students (N = 651; 48% men) reported having understandings with their friends regarding alcohol use (59%) and sexual behavior (45%) during
Spring Break. These understandings were to engage in behaviors characterized by risk (e.g., get drunk [23.5%], have sex with
someone new [5.2%]) and protection (e.g., drink without getting drunk [17.8%], use condoms [15.8%]). After controlling for
previous semester behavior and going on a Spring Break trip, Get Drunk Understandings predicted a greater likelihood of binge
drinking and alcohol-related consequences; No/Safe Sex Understandings predicted condom use; and Sex Understandings predicted
not using condoms. Understandings with friends regarding Spring Break behavior may be important proximal predictors of risk
behaviors and represent potential targets for event-specific prevention. 相似文献
Death due to accidental primary hypothermia in cold climates is relatively common, with previous case series reflecting this. In contrast, hypothermia‐related death as a result of an underlying medical cause, such as a brain tumor, is rare. The literature clearly illustrates a theoretical causal relationship between brain neoplasms and hypothermia through the infiltration of the hypothalamus; however, the number of reported cases is minimal. Two cases are presented where autopsy confirmed hypothermia as the cause of death with both cases revealing widespread glioblastoma multiforme in the brain. Both decedents were elderly with a number of comorbidities identified during autopsy that could explain death; however, hypothermia was deemed the most likely cause. It is proposed that both decedents died of hypothermia as a result of the tumor's effect on thermoregulation. These cases underline the importance of forensic pathologists to be aware of the relationship between brain tumors and hypothermia and to not dismiss death as being due to other disease processes. 相似文献