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91.
Omalu BI Luckasevic T Shakir AM Rozin L Wecht CH Kuller LH 《The American journal of forensic medicine and pathology》2004,25(3):237-242
Obesity has attained epidemic proportions in the United States, with more than 50% of adults classified as overweight or obese. If untreated, morbidly obese patients have a 1 in 7 chance of reaching normal life expectancy. The surgical treatment of obesity has emerged as the most effective treatment modality in long-term weight control and has become increasingly popular, with attendant postoperative complications and death. We performed a cross-sectional, coroner based, 2-year retrospective review of archival case records for decedents who died following bariatric surgery for the treatment of obesity to identify underlying causes of death and forensic characteristics of this cohort. Fifteen (0.5%) out of 3097 archival cases died following bariatric surgery, with approximately 73% of decedents dying within 6 months of surgery. The underlying causes of death in 80% of decedents were natural comorbidities of obesity, with cardiovascular diseases (33%) being the most frequent causes of death, followed by gastrointestinal diseases (20%), acute pulmonary thromboembolism (13%), and acute bacterial pneumonia (13%). The majority of decedents were white females who remained morbidly obese after bariatric surgery. Only 2 decedents died of direct inadvertent/accidental surgical complications. 相似文献
92.
The analysis of politics in antiquity presents new opportunities for political science and international relations, particularly the ancient New World ( c . 2000 B.C. to A.D. 1521). Governance through leadership and institutions, collective action, war and peace, alliance dynamics, regional hegemonies, interstate rivalries, and other universal patterns of world politicsexisted in Mesoamerica, antedating the modern state system. We report findings from a study to record systematically the rise and fall of Maya polities in the Mesoamerican political system, using sources from archaeology and epigraphy. Based on tests of competing hypotheses and new distribution statistics and hazard rates (survival analysis) for 72 Maya polities, our findingssupport a model of Maya political dynamics based on Preclassic origins, punctuated phases of development, multiple cycles of system expansion and collapse, and weaker political stability for increasingly complex polities. We draw two main implications: (a) a new theory of the Maya political collapse(s), based on their failure to politically integrate; and (b) confirmation for a newperiodization of Maya political evolution, different from the traditional cultural periodization, based on several cycles of rise-and-fall, not just one. Our findings may also make possible future investigations in areas such as the war-polarity and war-alliances hypotheses. 相似文献
93.
The events of September 11, 2001, have raised troubling questions regarding the reliability and security of American commercial air travel. This article applies the concepts and logic of high–reliability organizations to airport security operations. Contemporary decision theory is built on the logic of limited or buffered rationability and is based on the study of error–tolerant organizations. The concept of high–reliability organizations is based on the study of nearly error–free operations. For commercial air travel to be highly secure, there must be very high levels of technical competence and sustained performance; regular training; structure redundancy; collegial, decentralized authority patterns; processes that reward error discovery and correction; adequate and reliable funding; high mission valence; reliable and timely information; and protection from external interference in operations. These concepts are used to inform early–stage issues being faced by both local airports and the newly established Transportation Security Administration. 相似文献
94.
Drawing on previous research concerning the role that source cues play in political information processing, we examine whether
an ideological identity match between the source of a framed message and the respondent moderates framing effects. We test
our hypotheses in two experiments concerning attitudes toward a proposed rally by the Ku Klux Klan. In Experiment 1 (N = 274), we test our hypothesis in a simple issue framing experiment. We find that framing effects occur for strong identifiers
only when there is a match between the ideology of the speaker and respondent. In Experiment 2 (N = 259), we examine whether matched frames resonate equally well when individuals are simultaneously exposed to competing
frames. The results from this experiment provide mixed support for our hypotheses. The results from our studies suggest that
identity matching is an important factor to consider in future framing research. 相似文献
95.
Regulatory theory suggests that providing agencies with multiple sanctioning options allows them to dispose promptly of less serious matters and thereby conserve resources to pursue serious offenders. However, agencies dependent on third‐party monitoring may have their enforcement agendas skewed toward more trivial violations. We consider these competing expectations by analyzing enforcement actions at the US Federal Election Commission (FEC) from 1999 to 2004 . The FEC – an agency heavily dependent on third‐party monitoring – expanded its enforcement options in 2000 by creating two new programs to pursue low‐level offenders, while leaving its monitoring strategy unchanged. We hypothesized that more sanctioning options would allow the FEC to allocate its resources more efficiently, and thus deal more effectively with the skew created by third‐party monitoring. We found instead that although the FEC disposed more promptly of low‐level infractions, it was no more effective at focusing on serious violations. Our results suggest that for many agencies, expanding enforcement options without addressing monitoring has limited ability to resolve enforcement problems. 相似文献
96.
ABSTRACTWe compare sources of Donald Trump’s appeal in the 2016 US presidential campaign to the appeal of right-populists from Australia, Canada, New Zealand and the UK. We compare the appeal of right-populist to center-right candidates in each case (as measured with feeling thermometers) and test hypotheses about how the appeal of right-populists differs from that of center-right candidates. Standard predictors of affect toward right-of-center candidates were generally less relevant as a basis of affect toward right-populist candidates. This comparative perspective demonstrates that Trump’s appeal was based on racial resentment, anti-immigration sentiments and anxiety. Affect toward Trump and other right-populists from these Anglo-democracies fits patterns previously observed in Europe, a pattern that appears to be world-wide. 相似文献
97.
This study examines the effects of 14 estimator variables (e.g., disguise of robber, exposure time, weapon visibility) and system variables (e.g., lineup instructions, exposure to mugshots) on a number of measures of eyewitness performance: identification accuracy, choosing rates, confidence in lineup choice, relation between confidence and identification accuracy, memory for peripheral details, memory for physical characteristics of target, and time estimates. Subjects viewed a videotaped reenactment of an armed robbery and later attempted an identification. Characteristics of the videotape and lineup task were manipulated. Prominent findings were as follows: identification accuracy was affected by both estimator and system variables including disguise of robber, weapon visibility, elaboration instructions, and lineup instructions. Memory for peripheral details was positively correlated with choosing on the identification task but negatively correlated with identification accuracy. 相似文献
98.
Todd A. Eisenstadt 《拉美政治与社会》2003,45(1):25-54
This article studies the development of informal bargaining tables to mitigate postelectoral conflicts in some 15 percent of Mexico's local elections between 1989 and 2000, even as formally autonomous electoral commissions and courts were being constituted. By documenting the dual institutions that resulted, the study qualifies theories of institutional design that take actor consent for granted. It argues that in the Mexican case and perhaps others, elections, particularly subnational elections, are focal points for informal bargaining over rules that are the true motors of protracted transitions. It finds electoral institutions to be critical to democratization, but for reasons beyond those given by most institutionalists. 相似文献
99.
A general theory of interpersonal exchange is developed from a public goods, public choice point of view and within an analytical context that assesses both the benefits and the costs of social interaction. Social transaction benefits and costs are specified as a composite function of interpersonal bindingness, which itself depends upon five parameters. The model provides for the determination of an optimal personal degree of bindingness in a two-person relationship. Extensions encompass the more interesting reaction case, where two individuals each select their own optimal personal bindingness levels. Applications and conclusions complete the paper. qu]When love beckons to you, follow him, Though his ways are hard and steep ... For even as love crowns you so shall he crucify you. Even as he is for your growth so is he for your pruning. Kahlil Gibran The Prophet 相似文献
100.
Although some community violence research has examined the context of community violence, including the social, economic, and structural organization of neighborhoods, more needs to be learned about family, school, and community-level factors that may promote and lessen the incidence and prevalence of community violence. In addition, further research is needed on various social, environmental, and contextual factors hypothesized to protect youth from exposure. This article (a) reviews and examines the relation between neighborhood context and risk of violence exposure, (b) reviews current literature on predictors of community violence and mental health and behavioral consequences for children and families adversely affected by community violence, (c) examines sources of resilience and community strengths that extend beyond the individual, (d) discusses the contributions and limitations of current conceptualizations of risk and resilience, and (e) highlights directions for future research. Information from this review can inform community and government efforts to lessen community violence through prevention and treatment. 相似文献