Despite death being one of the most common reasons for discharge from a nursing home, fewer than 1% of nursing home resident deaths are autopsied. To evaluate our role as medical examiner in nursing home deaths, we conducted a retrospective review of all decedents in Jefferson County, Alabama, for the year 2001. Death certificate data indicate that 995 deaths occurred in nursing homes in Jefferson County in 2001. Of those 995 deaths, 119 (12%) were reported to the Jefferson County Coroner/Medical Examiner Office. Jurisdiction was accepted in 5 cases in which the circumstances already made clear that the death was a nonnatural event. In the remaining 96% of nursing home deaths reported to the medical examiner, the statements of the reporting person were taken to be true concerning the expected nature of the death. An independent scene evaluation was provided by a police officer or paramedic in 82% of the cases reported to the medical examiner's office. Elderly individuals, as a group, are expected to die, but the death of a particular elder may or may not be expected. In our jurisdiction, only 12% of all nursing home deaths are reported to our office, and only 4% of reported deaths are actively investigated. Actively investigating each nursing home death would overwhelm the resources currently available to our office. We advocate the study and development of criteria to aid in determining whether the death of an individual elder is sudden and unexpected. 相似文献
Tariq Modood and Pnina Werbner (eds), The Politics of Multiculturalism in the New Europe: Racism, Identity and Community (Zed, London, 1997), xii + 276 pp., ISBN 1–85649–422–5 (pb)
Steven Vertovic and Ceri Peach (eds), Islam in Europe: The Politics of Religion and Community (Macmillan, London, 1997), xxiii + 283 pp., ISBN 0–333–68703–5 (pb) 相似文献
KUL B. RAI, DAVID F. WALSH and PAUL J. BEST (eds), America in the 21st Century: Challenges and Opportunities in Foreign Policy (Prentice‐Hall, Englewood Cliffs, 1997), 259 pp., ISBN 0–13–570961‐X (pb)
BRIAN JENKINS and SPYROS A. SOFOS (eds), Nation and Identity in Contemporary Europe (Routledge, London, 1996), 294 pp.
WESLEY D. CHAPIN,Germany for the Germans? The Political Effects of International Migration (Greenwood Press, Westport, 1997), 173 pp., ISBN 0–313–30258–8 (hb)
JOHN REES,The Algebra of Revolution. The Dialectic and the Classical Marxist Tradition (Routledge, London, 1998), vi + 314 pp., ISBN 0–415–19876–3 (hb), 0–415–19877–1 (pb)
RANDY E. BARNETT,The Structure of Liberty: Justice and the Rule of Law (Clarendon Press, Oxford, 1998), 337 pp., ISBN 0–19–0829324–0 (hb)
J#AUURGEN HABERMAS,A Berlin Republic: Writings on Germany (Polity Press, Cambridge, 1998), 187 pp., ISBN 0–7456–2045–0 (pb) 相似文献
The Yasukuni Shrine is a site of contested nationalist politics in Japan and in neighbouring countries. Within Japan the status
of the Shrine exists in a tension between public and private and religious and secular meanings. These tensions are given
a specific focus in the context of the visits to the Shrine by Japanese Prime Ministers. The history of such visits is discussed
and analysed, with particular attention given to the causes and consequences of the visits by Prime Minister Koizumi Junichiro
between 2001 and 2006. It is argued that the controversies over the visits in Japan and elsewhere are best understood in the
context of ‘revisionist nationalism’ in Japan. The reactions and nationalist problematics of the PRC and Taiwan with regard
to the Yasukuni Shrine are then elaborated and analysed.
Phil DeansEmail:
Phil Deans
is Professor of International Affairs, Assistant Dean for Undergraduate Programs and Director of Research at Temple University’s
Japan Campus. He has a BA and PhD from the University of Newcastle upon Tyne and is completing the MBA in HE Management at
the University of London. Before joining Temple he was Senior Lecturer in Chinese Politics and Director of the Contemporary
China Institute at SOAS, University of London. His main research interests are in Sino-Japanese relations, with particular
reference to the Japan-Taiwan relationship. He is currently researching the impact of changing nationalist dynamics in East
Asia on Sino-Japanese relations. In addition to journal articles and chapters in edited books he is the author of Virtual Diplomacy: Japan-Taiwan relations since 1972 (forthcoming) and is co-editor (with Hugo Dobson) of Postage Stamps as Socio-Political Artefacts (Transaction, forthcoming). 相似文献
In 1993 Jon Venables and Robert Thompson were found guilty of the abduction and murder of two-year-old James Bulger. Aged ten at the time of the offence, the children were tried in an adult court before a judge and jury amidst a blaze of publicity. They were named by the trial judge and sentenced to detention at Her Majesty's Pleasure [HMp]. The Home Secretary set a minimum tariff of fifteen years imprisonment. In December 1999 the European Court of Human Rights held that, in the conduct of the trial and the fixing of the tariff, the United Kingdom government was responsible for violating the European Convention on Human Rights. This article maps how the case became a watershed in youth justice procedure and practice influencing Labour's proposals for reform and the 1998 Crime and Disorder Act. Examining the progression of appeals through the domestic and European courts, it explores the dichotomous philosophies separating the United Kingdom and European approaches to the age of criminal responsibility, the prosecution and punishment of children, and the influence of political policy on judicial decisions. Finally, the 'backlash' against 'threatening children', the affirmation of adult power and knowledge, and the implications of the European judgments in the context of a rights-based agenda are analysed. 相似文献
Debates about multiculturalism, minority rights, and identity dominated Anglo-American political theory during the majority of the 1990s, and continue to raise important questions concerning the nature of citizenship, community, and the responsibilities of liberal states. They were popular, too, among policy makers, politicians, and journalists: many academics and practitioners were, for a time, united in their support for multiculturalism. Just as the philosophical literature at that time became more 'multiculturalist', so many European states increasingly adopted multiculturalist policies as a way of including historically marginalised groups into mainstream liberal culture or, in some cases, as a way of protecting minority groups from unfair pressures from the majority culture. However, as time has gone on, the multiculturalist turn in liberal political theory, and among many European governments, has waned. In the wake of terrorist atrocities around the world, growing concerns about the erosion of civic and national identity, and fears that cultural recognition can permit illiberal practices, many academics and practitioners have sought to distance themselves from the idea that it is a role of the state to afford special treatment to cultural minorities, and have sought once again to emphasise those common bonds which unite citizens of liberal democratic states, rather than those cultural identities which may serve to divide them. This article evaluates some of the recent philosophical literature on multiculturalism against the changing political landscape in Britain and Europe and suggests that the multiculturalist position remains weakened by a number of crucial ambiguities. 相似文献
This paper provides a knowledge‐based perspective to understanding public value management (PVM). As distinct from other approaches to public administration, PVM focuses on collaborative capacity building for the creation of public value. To develop the notion of PVM further, we explore the role of a knowledge‐based strategy in a case study of change implementation in 18 disability service organisations in Western Australia. Our findings show important inter‐relationships between knowledge management strategy, adopting a person‐centred approach to service provision, and sustainability of change implementation. We discuss the implications of the study for disability sector change management and for the further exploration of the strategic role of knowledge management capabilities in the study and practice of PVM in public sector administration. The paper explores the relationship between an organisation's knowledge capture and sharing systems and processes and its ability to implement change in a way that generates long‐term benefits for both public sector employees (e.g., engaging with key stakeholders to generate innovative solutions for serving client needs) and clients (i.e., increased well‐being through better service design and support). 相似文献