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441.
During a three year period, 418 victims of intimate partner violence (IPV) were examined and their injuries documented at the Center for Victims of Violence (CVV) in Hamburg, Germany. All victims were questioned if their acute injuries were attributable to recurring acts of violence by the same intimate partner. The victims' experiences with recurring IPV were analyzed and associated risk factors as well as findings of acute physical injuries were integrated into the assesment. Overall, women were significantly more often victims of recurring episodes of IPV than men. In 35.4% of cases, victims of recurring IPV sustained injuries to three or more body regions. However, women who were victimized during a single act of violence, presented with the same distribution of injuries in only 21.1% of cases (p = 0.01). The results emphasize the fact that IPV often manifests itself in a spiraling escalation of physical violence. Furthermore, blunt force trauma to the head was diagnosed significantly more often (p = 0.05). The risk of sustaining a head injury was equally high for women who experienced a first-time violent episode by their ex-partner as it was for married women or women living in a non-marital partnership during recurring episodes of IPV. In an effort to reduce the increased risk for victims of IPV, health care personnel are highly encouraged to partake in forensic medicine based continuing education. This preventative measure may prepare clinicians to recognize IPV earlier as well as to treat and advise clients appropriately.  相似文献   
442.
Slips frequently occur when the friction required between the foot and floor exceeds available surface slip resistance. To date, the ability to identify variables that predict an individual's friction needs during walking, or utilized coefficient of friction (COFU), remains limited. Understanding COFU in the context of pedestrian/walkway accidents is important as individuals who demonstrate higher COFU are at a greater risk of slipping. This study determined if whole body center of mass (CM) kinematics were predictive of peak COFU during walking. Ground reaction forces and kinematic data were recorded simultaneously as subjects walked. Stepwise regression analysis determined that the combination of the subject's CM-to-center-of-pressure angle and CM anterior (i.e., forward) velocity predicted 62% of the variance in peak COFU during weight acceptance (p < 0.001). The identified relationships between CM kinematics and peak COFU provide insight into how gait and individual anthropometric characteristics may increase risk for slip initiation.  相似文献   
443.
Environmental regulatory design addresses scientific uncertaintythrough a range of regulatory design tools. The seven approachesidentified and considered in this article are termed (1) theacknowledgement of scientific uncertainty (2) the burden shiftingapproach (3) the ‘sound science’ approach (4) theconsequences approach (5) the consensus approach (6) the estimationapproach and (7) the adaptive management approach. Analysisof some common environmental legislative frameworks suggeststhat, rather than occurring in isolation, these seven approachesare frequently incorporated into legislative regimes in a multitudeof combinations. The article also highlights the implicationsof expressly embedding a precautionary approach within pre-existingenvironmental regulatory frameworks, such as has occurred withinAustralian environmental regimes. Finally, the article exploresthe advantages and disadvantages of each approach and the variouscircumstances that favour the adoption of a particular regulatoryapproach to scientific uncertainty. In doing so, it suggestsan agenda for future empirical research on approaches to regulatorydesign for scientific uncertainty.  相似文献   
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445.
Currently, a conjunction of policy, legislative change in health and social care and the criminal justice system, combined with funding for innovative services make it opportune to assess the evidence base for interventions with women offenders. Women offenders have a distinctive criminological, health and social profile and a gender specific approach to their difficulties is advocated. This systematic review and meta-analysis focus on mental health gain in adult women offenders in forensic health settings, criminal justice institutions and in the community, following therapeutic interventions. Interventions were assessed in terms of specific outcome measures of depression, trauma symptomatology and global mental health status. Comprehensive search strategies yielded 3018 articles, from which we obtained 199 full text articles. Seventeen articles were included in the final review, of which six were excluded from the meta-analysis as there was no comparator group. There is a modest, but increasing, body of evidence for the utility of some interventions, notably those addressing the consequences of earlier trauma, including interventions which also address comorbid substance misuse. This does not amount, to date, to a robust evidence base. Limitations of these studies are discussed and include small sample sizes, their restriction mainly to prison populations and that they were substantially undertaken in the US. Variations in outcome measures follow-up and the difficulties inherent in measuring change in this complex population are also detailed. However, the review delineates definite avenues for further work. To achieve this, those responsible for policy, practice and purchase of services should both be mindful of existing evidence and promote additional, high quality research into interventions which are designed around a coherent, theoretical approach.  相似文献   
446.
This article analyses the degree of European Union (EU) actorness within the Group of Eight (G8). Drawing on the work of Jupille and Caporaso, actorness is probed along the criteria of recognition, authority, cohesion and autonomy. We argue that the vague, flexible and informal nature of the G8 has contributed to rather nuanced and ambiguous degrees of actorness. When assessing the above criteria, overall the EU's actorness remains questionable. As for recognition, while the EU is treated as an equal by other G8 delegations, actual membership remains disputed, and third parties such as the media remain reluctant to accept EU representation as equal. Authority in terms of legal competence tends to be of lesser importance in the G8, given the informal nature of this institution. Informally, the Commission has managed to enhance its authority when it can provide substantial expertise. Cohesion has proven perhaps the most limited aspect of EU actorness. Although value cohesion is substantial, there are no formal mechanisms that tie the European participants together. Commission autonomy in the G8 is considerable in terms of its own separate institutional apparatus, as well as formal performance and compliance scores that differ from those of the European G8 members. However, ultimately the Commission's freedom of action usually remains subject to the control of its principals. Yet, EU actorness tends to differ per context as our tentative analysis of the factors conducive to autonomy indicates.  相似文献   
447.
448.
Using materials gathered during field work in the penal region in the southwest corner of the Republic of Mordoviya in 2007, the authors examine the official representations of the history of the Mordovan gulag from 1930 to the present day. Through an analysis of the penal authority's institutional newspaper, its museum and anniversary celebrations marking the founding of the Mordovan gulag, the authors argue that a stress in the official history on continuity and tradition of service is evidence of growing confidence of this part of the security apparatus after their loss of status in the 1990s associated with the collapse of the penal economy and negative comment by international monitors and domestic penal reformers.  相似文献   
449.
The identity of a prisoner's wife is often a shameful societal stigma. Yet Russia's unique history of imprisonment has provided an unusually positive trope for women who have to come to terms with their partners' incarceration: the ‘Decembrist wife’ (dekabristka). This trope originated in the aftermath of the 1825 ‘Decembrist’ uprising—the first anti-monarchist revolt in modern Russian history. A handful of wives of the perpetrators voluntarily joined their husbands in Siberian exile and, in leaving behind families and comforts, created a precedent to be glorified for future generations. Upheld in Russian national mythology as a model of the exemplary wife, the dekabristka identity lives on. This paper examines its enduring power and significance in contemporary Russia.  相似文献   
450.
In rural Sri Lanka, remittances from housemaids working in the Middle East figure prominently in household livelihood strategies. This article examines the impact of housemaid remittances on living standards and suggests measures to maximise the benefits of remittances for recipient households while minimising the personal and financial costs of migration. The effectiveness of migration as a household strategy depends on a decent overseas job with a reliable income, a reduction in the costs of migrating and remitting, and the responsible management of household welfare and finances by recipients, including the maintenance of local income sources while the migrant is away.  相似文献   
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