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排序方式: 共有482条查询结果,搜索用时 15 毫秒
471.
472.
This case report describes an incident of myiasis in Oklahoma City, Oklahoma. Paramedics treated a 53‐year‐old man in the field when he suffered cardiac arrest. He was intubated by the paramedics and transported to an emergency room, where he received two stents and a balloon pump. He was found to have a GCS of three and remained in the hospital for 7 days before passing away. After his death, the breathing tube was removed, revealing the presence of several maggots. On closer inspection, the dipteran larvae were found in both the oral and nasal cavities. Four of these larvae were reared to adulthood and identified as Lucilia cuprina (Weidemann) (Diptera: Calliphoridae), commonly known as the Australian sheep blowfly, by the Biology Department of the University of Oklahoma. Based on the fly's life cycle and rate of development, the infestation is suspected to be hospital acquired.  相似文献   
473.
A puzzle that faces public administrators within regulatory governance networks is how to balance the need for democratic accountability while increasingly facing demands from elected officials to optimize oversight of industry by utilizing the expertise of the private sector in developing risk‐based standards for compliance. The shift from traditional command and control oversight to process oriented regulatory regimes has been most pronounced in highly complex industries, such as aviation and deepwater oil drilling, where the intricate and technical nature of operations necessitates risk‐based regulatory networks based largely on voluntary compliance with mutually agreed upon standards. The question addressed in this paper is how the shift to process oriented regimes affects the trade‐offs between democratic, market, and administrative accountability frames, and what factors determine the dominant accountability frame within the network. Using post‐incident document analysis, this paper provides a case study of regulatory oversight of the deepwater oil drilling industry prior to the explosion of the Deepwater Horizon rig in the Gulf of Mexico, to explore how the shift to a more networked risk‐based regulatory regime affects the trade‐offs and dominant accountability frames within the network. The results of this study indicate that a reliance on market‐based accountability mechanisms, along with the lack of a fully implemented process‐oriented regulatory regime, led to the largest oil spill in US history.  相似文献   
474.
This article examines three major options for transforming military mental healthcare in order to end the pattern of self-inflicted and largely preventable wartime behavioral health crises plaguing American veterans, their families, and broader society since the turn of the twentieth century. Evidence is provided that the first option of maintaining the status quo consisting of internal incremental changes has proven largely ineffectual in addressing the broader issues responsible for perpetuating wartime crises. The second option describes necessary transformative changes required to end the cycle of mental health neglect and preventable crises. However, there are no signs that responsible government agencies are inclined to compel the military to overhaul its system. Lastly, we offer a legal analysis for an unprecedented class action against the Department of Defense to effect change. After reviewing the history of tort law and the US military’s immunity from the Feres Doctrine, we examine legal precedents both domestic and aboard. Legal strategies are described in detail from a landmark class action by British soldiers against the Ministry of Defense (MoD) or Multiple Claimants v. MoD (2003) who sued for failure to properly identify and treat predictable war stress injury like post-traumatic stress disorder. The successful claims from individual military plaintiffs have been instrumental in compelling the MoD to implement necessary reforms of its mental health services and possibly end their cycle of neglect and preventable wartime crises. If successful, the proposed American class action will establish a critical precedent to elevate the importance of mental healthcare on equal footing with physical medicine both within and outside of the military.  相似文献   
475.
Meg Russell  Philip Cowley 《管理》2016,29(1):121-137
Drawing on several large research projects, and using both quantitative and qualitative evidence, this article assesses the policy influence of the Westminster parliament. Frequently dismissed as powerless in both academic and more popular accounts, we instead show evidence of an institution with significant policy influence, at successive stages of the policy process. Conventional accounts have focused too much on the decision‐making stage, to the exclusion of parliament's role at earlier and later policy stages. Critics have also focused disproportionately on visible influence, overlooking behind‐the‐scenes negotiations and the role of anticipated reactions. Based on analysis of over 6,000 parliamentary votes, 4,000 legislative amendments, 1,000 committee recommendations, and 500 interviews, we conclude that Westminster's influence is both substantial and probably rising.  相似文献   
476.
The US presidential elections of 1948 and 2016 produced surprise outcomes when the predicted winners ended up losing the election. Using image repair theory, this article explains the strategies the media used to repair their image in light of predicting the wrong winner. Using a qualitative analysis of news coverage that immediately followed the 1948 and 2016 presidential elections, this study finds that the media utilized similar image repair strategies of offering explanations for poor information, highlighting the media’s good reporting, diminishing the harm caused by the inaccurate predictions, and justifying the inaccurate predictions of both elections. However, the media responses in 1948 and 2016 differed greatly in tone and in the utilization of a new attack strategy to deflect criticism of the media itself. These strategies suggest that media use of image restoration is limited because of the unique societal expectations placed on the press, and that the media’s inaccurate 2016 predictions and subsequent attack strategies may have been contributed to the heightened criticism of mainstream news.  相似文献   
477.
Speech technology has developed rapidly and has taken many different forms. One form of this technology, the internet, poses a difficult challenge for society because of the way that it provides children with easy access to various forms of 'indecent' material. US courts have struggled with the problem of how to reconcile the internet, and other more advanced technologies, with traditional First Amendment free speech doctrine. For many years, US courts distinguished between so-called 'traditional forms' of technology, and other forms of technology, in particular broadcast technology. While the courts have always provided strong protections for traditional forms of technology, they have provided less protection to broadcast technology. Importantly, the internet challenges the dichotomy between 'traditional' technology and broadcast technology, and has forced the US Supreme Court to reconsider its precedents relating to technology. This reconsideration has made it more difficult to regulate the internet for the 'health, welfare and morals' of society. This paper analyses the scope of government authority in light of recent precedent.  相似文献   
478.
479.
Most academic research on taxation relates to higher-level issues of fiscal policy. Much public debate takes place about the calculation and incidence of different taxes, but little academic research addresses the management problems that are specific to national taxation regimes. This paper identifies emerging issues and calls for joint practitioner/academic attention on an international basis to address these issues.  相似文献   
480.
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