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Rupture of a splenic artery aneurysm is a rare and usually catastrophic event, most commonly associated with pregnancy. In spite of increasingly common reliance on abdominal angiography, magnetic resonance imaging, and computerized tomography during the past quarter century, clinicians uncommonly recognize any of the various splanchnic arterial aneurysms absent premonitory signs or symptoms. Accordingly, rupture of a visceral aneurysm, including splenic artery aneurysm, typically presents as sudden, unexpected obtundation or death. As a consequence, the initial recognition and diagnosis of splenic artery aneurysm rupture take place only at autopsy. This report presents two such cases of sudden death resulting from splenic artery aneurysm in a pregnant woman and a postpartum woman, respectively.  相似文献   
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This study examines the relationship between recidivism rates, therapeutic climate, and composition of offenders in group-based cognitive-behavioral treatment (CBT) for sexual offenders. The Group Environment Scale (GES) is employed to measure social climate. The GES is administered to 73 male sexual offenders in groups of those who only victimized adults or children (five groups) or men who both victimized adults and those who victimized children (five groups). Group environment is not found to differ significantly as a function of group composition. Group member's ratings on the GES are in the medium to high range, indicating a generally positive group environment. Although the group environment overall does not differ between groups, groups do differ significantly in terms of expressiveness. There are no differences in recidivism rates between groups as a function of group composition. The results are discussed in the light of mixing child molesters and rapists in group-based CBT.  相似文献   
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Among a number of widely used risk assessment instruments with adult sexual offenders, the Minnesota Sex Offender Screening Tool-Revised (MnSOST-R) has been subject to relatively few evaluation studies. Only two independent research groups have published replication studies in the peer-reviewed literature with data not provided by the MnSOST-R's developers, and the results regarding the accuracy of predicting sexual recidivism have been mixed. In this article, important differences between the Barbaree et al. and Langton et al. studies are presented. Analyses reported for the various subsets comprising these two samples indicate that coding discrepancies in the Barbaree et al. study account for the different findings, with a moderate level of predictive accuracy using the Receiver Operating Characteristic curve ultimately found for the MnSOST-R in both data sets.  相似文献   
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Campaign finance contributions may influence policy by affecting elections or influencing the choices of politicians once in office. To study the trade‐offs between these two paths to influence, we use a game in which contributions may affect electoral outcomes and signal policy‐relevant information to politicians. In the model, a campaign donor and two politicians each possess private information correlated with a policy‐relevant state of the world. The donor may allocate his or her budget to either an ally candidate who has relatively similar preferences or a moderate candidate whose preferences are relatively divergent from the donor's preferred policy. Contributions that increase the likelihood of the moderate being elected can signal good news about the donor's preferred policy and influence the moderate's policy choice. However, when the electoral effect of contributions is too small to demand sufficiently high costs to deter imitation by groups with negative information, this informational effect breaks down.  相似文献   
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Disproportional incarceration of black and Hispanic men has been the subject of much critical commentary and empirical inquiry. Such disproportionality may be due to greater involvement of minority men in serious crime, to discretionary decisions by local justice officials, or to the differential impact of sentencing policies, such as mandatory minimums or sentencing guidelines, that differentially impact minority men. This study investigated the extent to which the disproportional punishment of black and Hispanic men, and local variation in such disproportionality, can be attributed to unexplained disparities in local sentencing decisions, as opposed to the extent to which such differences are mediated by sentencing policies, or case-processing and extralegal factors. We use 2005–2009 federal court and Pennsylvania state court data. Our findings suggest, particularly in Federal courts, that most disproportionality is determined by processes prior to sentencing, especially sentencing policies that differentially impact minority males.  相似文献   
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This study assessed the reliability and validity of the Hare Self-Report Psychopathy Scale (Hare SRP) and the short form of the measure in a UK prison sample, using the Psychopathy Checklist Revised (PCL-R) as a reference measure. The Hare SRP and PCL-R were compared for 107 UK adult male prisoners. The SRP and SRP-SF total scores depicted excellent levels of internal consistency and homogeneity and correlated with each other with significant and large effects sizes. Total scores correlated with PCL-R total scores producing medium effect sizes and were significantly predictive of PCL-R total scores with small effect sizes. Implications for practice are discussed.  相似文献   
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