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21.
Richard Coker Marianna Thomas Karen Lock Robyn Martin 《The Journal of law, medicine & ethics》2007,35(4):609-615
The issue of detention as a public health control measure has attracted attention recently. This is because the threat of strains of tuberculosis that are resistant to a wider range of drugs has been identified, and there is renewed concern that public health is threatened. This paper considers whether involuntary detention is justified where voluntary measures have failed or where a patient poses a danger, albeit uncertain, to the public. We discuss the need for strengthening evidence-based assessments of public health risk and suggest that we should reflect more profoundly on the philosophical foundations upon which our policies and practices are grounded. 相似文献
22.
Abstract In response to the ongoing call for a complex systems approach for understanding and informing child welfare practice and policy, this article presents a context-specific conceptual framework that combines complexity theory and network analysis. The conceptual framework rests on the complementary nature of these theoretical and methodological concepts for inter-organizational child welfare practice. Potential applications of this framework are discussed to promote network-oriented research that informs effective collaboration among organizations serving children and families. 相似文献
23.
Marianna Shvartsbeyn M.D. Daniel G. K. Phillips M.D. Michael A. Markey M.D. Alan Morrison M.D. Joyce L. DeJong M.D. Rudy J. Castellani M.D. 《Journal of forensic sciences》2010,55(5):1389-1392
Abstract: Intracerebral hemorrhage (ICH) is a well‐recognized complication of recreational cocaine use. The precise mechanism of the cocaine‐induced hemorrhagic event is unclear, although multiple factors have been implicated. We report a case of a 62‐year‐old woman who suffered left parieto‐occipital ICH with herniation and death, following a cocaine binge. Microscopic examination also revealed extensive cerebral amyloid angiopathy (CAA) in the vicinity of the hemorrhage. We additionally studied brain tissue in eight subjects between ages of 60 and 80 who were positive for cocaine metabolites at autopsy; of these, none had vascular amyloid‐β deposits by immunohistochemistry. Whereas we found no evidence that chronic cocaine use is a risk factor for CAA, given the age‐associated nature of CAA and the aging population using cocaine, CAA‐induced hemorrhage in the setting of cocaine use may be more common than recognized. This is the first reported case of CAA‐associated ICH precipitated by cocaine. 相似文献
24.
Fotaki M 《Public administration》2011,89(3):933-955
The causes and effects of marketization of public services have been analysed extensively in the literature, but there is relatively little research on how those policies impact on the development of new forms of governance, and the role of users in these new arrangements. This study reviews examples of competition, freedom of choice and personalized care in health and social services in England and Sweden, in order to examine the type of relationships emerging between the user/consumer vis-à-vis market driven providers and various agencies of the state under the marketized welfare. The article focuses on the possible roles users might assume in new hybrid arrangements between markets, collaborations and steering. A user typology: namely, that of a consumer, citizen, co-producer and responsibilized agent in various governance arrangements, is then suggested. The article concludes by arguing that pro-market policies instead of meeting the alleged needs of post-modern users for individualized public services are likely to promote a new type of highly volatile and fragile partnerships, and create a new subordinated user who has no choice but to ‘choose’ services they have little control over. 相似文献