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In 2010, following a series of high-profile absconding incidents, electronic monitoring (EM) using Global Positioning System technology for patients on leave was trialled as part of a comprehensive protocol for risk management and recovery. We conducted a preliminary evaluation of effect on leave and leave violation. The total number of leave episodes and leave violations over a four-month period prior to the introduction of EM was compared with the totals in two corresponding follow-up periods in the two years after the introduction. Total episodes of leave increased by almost 60%. There was a significant association between year and type of leave episode, with leave episodes after the introduction of EM more likely to be unescorted. Episodes of leave violation reduced in each of the two follow-up periods after introduction of EM. These findings suggest potential benefits for speed of patient recovery, reduced length of stay, reduced costs and public safety.  相似文献   
63.
This article dwells on the state of play of armed humanitarian intervention in the long 19th century. It starts with the birth of the idea in previous centuries by jurists of the naturalist school. It then presents the behaviour of the great powers in three celebrated humanitarian cases of the 19th century (the Greek independence struggle, the Lebanon-Syria massacres and the Bulgarian atrocities)with emphasis on their initial reluctance to intervene and their motives for intervening, as well as the role of public opinion in spurring intervention. The overall situation will be appraised with emphasis on the Christian bias and the Orientalist approach towards the Ottoman Empire. Then the views of international jurists (publicists) will be presented, followed by the attitude of major political philosophers. The overall picture that emerges in the 19th century is one of striking relevance to today's concerns as seen by six concluding propositions.  相似文献   
64.
ABSTRACT

Youth in Medellín, Colombia have been recognized as potential peacebuilders through initiatives for urban peace and non-violence, including the initiative Legión del Afecto. This paper explores the development of the Legión del Afecto in order to ask questions about the peace building potential of specific frames (e.g. coexistence) and specific strategies of mobilization (e.g. embodied). We describe how differences between the earlier and later years of the Legión have come to highlight tensions between affective versus market-based relationships in motivating youth. These tensions may be productive, but without serious attention to reflexivity, may also derail peacebuilding efforts.  相似文献   
65.
Morphological changes in the width of latent fingermark ridges occur naturally over time. This could be used to examine the aging process of latents and eventually estimate time of deposition. In a crime context, it is common practice to compare a questioned (aged) fingermark with a database of known (inked) prints. Therefore, in the absence of fresh fingermarks for aging purposes, it is of interest to reveal correlations between these two categories of fingerprints with regard to the widths of their ridges. The present study explores correlations of ridge widths between flat and rolled inked prints with latent fingermarks visualized with carbon black (CB) and titanium dioxide (TiO2)-based powders among a small population of ten donors. Results revealed consistent differences between the ridge widths of latent and inked prints as well as flat and rolled impressions. Latent fingermarks visualized with CB and TiO2 powders showed ridges with comparable widths.  相似文献   
66.
Insulin glargine is a long-acting insulin analog that is converted after enzymatic cleavage of the arginine pair of the β-chain into its main metabolite M1 (21A-Gly-insulin), which is responsible for the hypoglycemic activity. In all the overdose cases described in the literature, only M1 concentrations have been reported, whereas insulin glargine was always absent or below the limit of quantitation. In this study, we present a case of suicide of a young nurse by injection of insulin glargine in which the parent molecule was found at a toxic concentration in blood. The determination and the discrimination of insulin glargine from human insulin and other synthetic analogs in the blood specimen were performed by liquid chromatography coupled to high-resolution mass spectrometry (Waters XEVO G2-XS QToF) and extraction after precipitation in the presence of bovine insulin (internal standard), with a mixture of acetonitrile/methanol +1% formic acid followed by purification on solid phase extraction cartridges C18. Glargine insulin tested highly positive in the blood with a concentration of 1.06 mg/L. Due to the difficulty in obtaining a M1 pure standard, the metabolite could not be dosed. This unique presence of the parent molecule, reported for the first time, can be explained by inter-individual variability in the rate of conversion to metabolite. Intravenous injection versus subcutaneous injection can also explain the presence of insulin glargine. Finally, the dose injected may have been so high that saturation of the proteolytic enzymes responsible for conversion to M1 should have occurred.  相似文献   
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This article presents the findings of a re-evaluation of all 5,200 aid projects that OECD donors reported for 2012 as “climate change adaptation”-related, based on the “Rio marker” classification system. The findings confirm those from the academic and grey literature that the absence of independent quality control makes the adaptation Rio marker data almost entirely unreliable. This lack of credibility impedes meaningful assessments of progress toward the mainstreaming of adaptation in development cooperation activities. It also erodes trust in international climate negotiations, given that these data are frequently used in the financial reporting of developed countries to the UNFCCC.  相似文献   
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In this article, we examine the impact of acculturation strategies on minority stress and mental health in lesbian, gay, or bisexual (LGB) youth in Flanders, Belgium. Building on previous identity minority studies and on the social stress model, we investigate how LGB youth acculturate within both the LGB subculture and mainstream society and how this correlates with their mental health. Our sample is taken from an online survey and represents 561 LGB youth aged 14 through 21. The four traditional acculturation strategies are represented in this population (integration, separation, marginalization, assimilation). Bisexual boys are mostly absent from separation and integration strategies; gay and lesbian youth in middle adolescence are significantly more represented in the separation strategy compared to their late adolescence counterparts. Further, our findings suggest the relevance of identification with the LGB community, especially for internalized negative attitudes toward homosexuality. LGB youth who identify with the LGB community score significantly lower on this internalized homonegativity.  相似文献   
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