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101.
This paper takes a discourse–design approach to communication, providing a framework as to how this should be done. Design here is how individuals and institutions realize their interests in the world. We show how it is fruitful to link design more closely to the way discourse has been used in critical studies which draws attention to the motivated use of design, for thinking about design in terms of socio-political context. Due to their affordances, semiotic modes such as photography, graphics, layout, colour, numbers and writing will be deployed and co-articulated. The aim, using a discourse–design approach, is to show how we can best identify the very different affordances of such modes and how they rely on the principled design of a discourse. We illustrate this using examples from management documents at a university which draw on these different affordances in different ways to communicate the same discourse. Through this analysis we see how a neoliberal discourse based on a general design principle of coordination enters everyday practices and become very difficult to challenge.  相似文献   
102.
    
Four cases of fatal intoxications with caffeine are described. Caffeine is widely available in beverages and in different OTC-products, in many of them in combinations with other drugs like ephedrine. Caffeine is not as harmless as one might believe. An overdose of caffeine alone, intentional or not, might be deadly. It seems to be warranted to include caffeine in the drug-screening of forensic autopsy cases. It is not motivated from a medical point of view to sell pure caffeine over the counter.  相似文献   
103.
    
Physical restraint is used as a last resort emergency measure to calm and safeguard agitated and/or aggressive psychiatric patients. This can sometimes cause injuries, and rare fatalities have occurred. One mechanism of injury and death while in physical restraint is that of severe asphyxiation. We present the case of a hospitalized man in his mid‐30s, suffering from schizophrenia. The patient was obese. He became aggressive and had to be manually restrained with a “takedown.” After having been put in the prone position on the floor with a significant weight load on his body, he lost respiration and consciousness. Subsequently, he was given CPR. He regained consciousness and respiration, while the cyanosis receded in 1–2 min. Psychiatrists and pathologists should be aware that physically restraining a patient in the prone position with a significant weight load on the torso can, in rare cases, lead to asphyxiation.  相似文献   
104.
  总被引:1,自引:0,他引:1  
The voluminous participation literature notwithstanding, knowledge is still scarce on how voluntary associations more precisely provide their members with politically significant human and social capital. This article focuses on the capacities of immigrant organisations to promote the political integration of ethnic minority members. Analysing a unique dataset, based on face-to-face interviews with representatives of 106 organisations of four different immigrant groups in Greater Stockholm, the study empirically investigates what the authors refer to as an association's ' political integration potential ' (PIP) – the possibility of a given ethnic association to promote the inclusion of its members in the political community of the host society. As elements of PIP, the article examines associational-level political activity as well as support and mobilisation of individual members, and analyses how the former may be induced by the latter. Furthermore, the article tries to explain why some types of organisations do better than others in these respects. It finds that size and diversification of associations have an important impact on PIP, thus explaining observed differences between associations of the ethnic categories included in this study.  相似文献   
105.
    
This article explores food safety regulation in five European countries by comparing their main legislation and organizational characteristics. The aim is to gain insight into the particular characteristics of food safety regulation, understand major differences and similarities, and reach a firmer understanding of how regulation evolves. Food safety regulation concerns vital questions, and is a field with a long history. Food scandals – in particular the 1996 BSE crisis – and European integration have prompted major changes. The BSE scandal revealed important underlying conflicts of interest and dilemmas concerning the twin objectives of ensuring safe food while also ensuring honest trade in food. This led to a questioning of existing structures and paved the way for new regulation. The authors' main finding is that food safety regulation has similar origins, addresses similar tasks, and raises similar problems and conflicts in all five countries. A tension between protecting public health and paying heed to business interests, and a struggle for control over this policy field between the administrations of health and agriculture, are common features. However, the configuration of food safety regulation in legislative and organizational terms varies. The comparative focus reveals that national context and history are important for understanding change. This leads to the conclusion that the framing and reframing of the field depend largely on how it is structured and regulated initially, as well as on the constellations of interests and values that are operative and legitimate in each context.  相似文献   
106.
    
Canadians of Ukrainian descent constitute a significant part of the population of the Albertan capital. Among other things, their presence is felt in the public space as Ukrainian monuments constitute a part of the landscape. The article studies three key monuments, physical manifestations of the ideology of local Ukrainian nationalist elites in Edmonton: a 1973 monument to nationalist leader Roman Shukhevych, a 1976 memorial constructed by the Ukrainian Waffen-SS in Edmonton, and a 1983 memorial to the 1932–1933 famine in the Ukrainian SSR. Representing a narrative of suffering, resistance, and redemption, all three monuments were organized by the same activists and are representative for the selective memory of an “ethnic” elite, which presents nationalist ideology as authentic Ukrainian cultural heritage. The narrative is based partly upon an uncritical cult of totalitarian, anti-Semitic, and terroristic political figures, whose war crimes, ethnic cleansing, and collaboration with Nazi Germany the nationalists deny and obfuscate. The article argues that government support and direct public funding has strengthened the radicals within the community and helped promulgate their mythology. In the case of the Ukrainian Canadian political elite, official multiculturalism underwrites a narrative at odds with the liberal democratic values it was intended to promote. The failure to deconstruct the “ethnic” building blocks of Canadian multiculturalism and the willingness to accept at face value the primordial claims and nationalist myths of “ethnic” groups has given Canadian multiculturalism the character of multi-nationalism.  相似文献   
107.
108.
A fall scenario is often given to explain the reason for a head injury to an infant. Mostly the examining doctor or forensic expert has to rely on his own experience and to appraise the situation to be consistent or not with his finds. An experiment carried out on an anatomical preparation showed that the skull of a newborn baby was able to repeatedly resist forces of up to 1000 N before breaking in. Even then the fracture lines followed the bony spikes (spiculae) from the ossification centers of the skull bones. If fractures are running across these spiculae there is reason to believe that high local force has been used, and a blow against a sharp edge must be considered.  相似文献   
109.
The Norwegian Power and Democracy Project concluded that the parliamentary chain of government is weakened in every link; parties and election are less mobilizing; minority governments imply that the connection between election results and policy formation is broken; and elected assemblies have been suffering a notable loss of domain. Popular participation has moved from long‐term organisations and political parties to short‐term action groups and associations with immediate concerns. The judicialisation of politics has strengthen the legal system and weakened the autonomy of local democracy, while the expansion of market forces further affects the span of parliamentary rule. The mass media has become politically more independent, while adapting more closely to economic forces and the quest for return of investment. There has, accordingly, been centralisation of economic power through mergers and acquisitions following the globalisation of the Norwegian economy. The so‐called ‘Scandinavian’ (or ‘Nordic’) model is increasingly strained, while corporatism is partly weakened and partly restructured. After the end of the Cold War, there has also been a consistent strategy in foreign policy for the branding of Norway as a champion for peace and human rights. There is a cluster of corporate bureaucratic agencies around the high‐profile peace mediation and humanitarian engagement.  相似文献   
110.
This article addresses the development of new performance management systems related to public sector reforms. One such system is Management by Objectives and Results (MBOR), based on an official OECD model. Such a system tries to establish unambiguous goals, objectivity, and incentive elements into often traditionally trust-based systems embedded in a complex political-administrative context. To analyze such performance management systems and how they work in practice, we focus on a recent reform of the hospital structure in Norway. Using a broad institutional perspective, we argue that the MBOR-system in Norway is a mixed and complex system encompassing different kinds of logic. These include instrumental elements from the new performance management systems combined with ad hoc preventive efforts by the political leadership, the influence of cultural constraints, elements of rather inappropriate self-interested action, and pressure from the environment. The study reveals that the hospital reform in Norway in practice can be seen as an integrated model, combining informal trust-based approaches and formal performance management measures. It also shows that negative side effects and dysfunctions might occur.  相似文献   
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