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J Brockmann 《Issues in law & medicine》1991,7(3):347-350
HELD: Prior judicial approval is not required for a surrogate to exercise the state constitutional right of self-determination of a patient who has become incompetent and who, while competent, specifically expressed her wishes regarding medical treatment decisions orally or in writing. The surrogate, in so exercising that right, must satisfy herself that certain requirements are met. 相似文献
24.
David M. J. Wood 《Bulletin of Latin American research》2006,25(1):63-82
Jorge Sanjinés' 1960s films Revolución and Ukamau challenge the class and ethnic hierarchies of Bolivian society by casting the proletarian and indigenous masses as revolutionary liberators. The new national imaginary they evoke is tightly bound to the experimental cinematic techniques they employ, since their rejection of rationalist, realist aesthetics signals a partial undermining of the linear time of the modern nation. Ukamau both recalls and resists previous Bolivian indigenismo, which sought to co‐opt the Indian into a national mestizo consciousness. Its exoticist portrayal of the Indian ultimately limits its political effectiveness, but textual and contextual analyses show subversive Indian agency leaking through. 相似文献
25.
Jennifer P. Maxwell 《Journal of family violence》2003,18(5):281-293
This article examines the use of Eye Movement Desensitization and Reprocessing (EMDR) in helping a client address problems with persistent anxiety and a lack of self-esteem. During EMDR treatment, the client explored the dichotomous thinking that had plagued her since childhood, and correspondingly, the role of childhood physical and emotional abuse in her chronic feelings of inadequacy and anxiety. The client experienced significant improvement in her levels of anxiety and problems with self-esteem, both at the end of treatment and at 1-year follow up. Qualitative and quantitative data are utilized in this case study outlining the use of EMDR with a client diagnosed with dysthymic disorder. 相似文献
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Andrew P. Davidson 《Development in Practice》2007,17(1):39-50
The concern driving current debate on agricultural extension is increasingly that of how to help farmers learn how to deal with the complex world around them responsibly and profitably, in such a way that the extension worker is ancillary. This article seeks to deconstruct and provide a more reasoned assessment of agricultural extension services through a reflection on development paradigms, adult education, individual empowerment, and institutional pluralism. By calling into question the underlying ethical dimensions of agricultural extension, it is possible to develop an alternative paradigm and thereby generate new insights into it. The article concludes that the raison d'être of agricultural extension today must be to create an ethical basis which ensures that extension practices are more inclusive and thus responsive to the needs of farmers and other rural populations, integrating individual expectations into the wider socio-economic, cultural, political, and geographical environment. 相似文献
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RUNE J. S
RENSEN 《Public administration》2007,85(4):1045-1058
Corporate governance theory suggests that companies with dispersed and indirect ownership suffer from agency costs. A worst case is where several political authorities jointly own a company, which allows managers to operate with inferior efficiency. In political economy, the manager is not the major agency problem. Elected politicians may impair efficiency to improve their re‐election prospects. Since politicians have less influence in jointly owned firms, such companies are expected to perform better than those owned by a single public authority. Consistent with corporate governance – but not political economy – the empirical analysis suggests that dispersed municipal ownership impairs cost efficiency. In the Norwegian case of municipal refuse collection presented here, costs of dispersed ownership often outstrip gains from economies of scale. Use of jointly owned companies is not necessarily a proper response to efficiency problems inherent a fragmented local government structure. 相似文献
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P. Gill C.H. Brenner J.S. Buckleton A. Carracedo M. Krawczak W.R. Mayr N. Morling M. Prinz P.M. Schneider B.S. Weir 《Forensic Science International Supplement Series》2006,160(2-3):90-101
The DNA commission of the International Society of Forensic Genetics (ISFG) was convened at the 21st congress of the International Society for Forensic Genetics held between 13 and 17 September in the Azores, Portugal. The purpose of the group was to agree on guidelines to encourage best practice that can be universally applied to assist with mixture interpretation. In addition the commission was tasked to provide guidance on low copy number (LCN) reporting. Our discussions have highlighted a significant need for continuing education and research into this area. We have attempted to present a consensus from experts but to be practical we do not claim to have conveyed a clear vision in every respect in this difficult subject. For this reason, we propose to allow a period of time for feedback and reflection by the scientific community. Then the DNA commission will meet again to consider further recommendations. 相似文献