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Most social justice critiques of medical care focus upon the allocation of extant, but scarce, resources. In contrast to that focus, this article explores the preallocative arena of factors which shape the supply and availability of medical care. We identify four such factors: (1)medicalization — the tendency to regard as biologically caused various human problems which were in earlier eras ignored or attributed to other causes; (2)social inclusion — the bringing of economically deprived and socially marginal groups into participation in the medical care system; (3)biomedical transcendence — the elevation of biomedically derived concepts of human function into a social and personal world view; and (4)health absolutism — the ideology which holds individuals accountable for their own health and which, contrary to the thrust of the other factors, deemphasizes access and social equity for professionally provided medical care. While these forces all enhance the place of health as a social value, it is by no means certain that they will lead to a society which is more medically just. The article concludes with an appeal for critical analysis of the processes which shape both the medical care system and the broad social concern with medical care.  相似文献   
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Deaths occurring due to rattlesnake envenomization are extremely rare and must be thoroughly investigated in the same manner as any other type of death. Our research presents the case of an adult white male who suffered a fatal timber rattlesnake (Crotalus horridus) envenomation in northwest Florida in 2018. Blood samples were taken from the decedent's heart and vasculature of the chest and sent for serum proteomic analysis. Serum proteomic analysis was utilized in order to identify proteins from timber rattlesnake (C. horridus) found within the victim's blood. The confirmation of the presence of timber rattlesnake venom within the victim's blood allows the forensic pathologist to determine the cause of death most accurately and likewise, assists with the manner of death determination. Blood samples were separated into two groups: one with the abundant endogenous proteins depleted to facilitate detection of lower abundant proteins and one undepleted. In the depleted sample, a total of 712 proteins were identified, with 47 of the proteins (6.6%) occurring originating from timber rattlesnake (C. horridus). Likewise, a total of 742 proteins were identified in the undepleted sample, with 52 of the proteins (7.0%) occurring in timber rattlesnake (C. horridus). No timber rattlesnake (C. horridus) proteins were found in control human serum.  相似文献   
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In 2000, the United States Congress passed the Victims of Trafficking and Violence Protection Act requiring its State Department to issue annual Trafficking in Persons Reports (TIP Reports) describing “the nature and extent of severe forms of trafficking in persons” and assessing governmental efforts across the world to combat such trafficking against criteria established by US law. This article examines the opportunities and risks presented by the TIP Reports, tracing their evolution over the past decade and considering their impact on the behavior of states. In looking to the future, the article focuses on how this influential unilateral compliance mechanism could improve its legitimacy, respond to negative impacts, and better contribute to the international legal regime around trafficking.  相似文献   
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Politics in the Irish Republic derives its special party orientation from a bitterly‐contested civil war waged relatively early in the nation‐state's history. In Ireland, as in America, the loser in the civil war has turned out to be the most successful political party. Fianna Fail is a national coalition of regions, interests, and classes which has rarely been out of power thanks to the professionalism of its electoral machine and its understanding of the importance of localism in Irish politics. Until recently, Irish political expectations were relatively low. Today, in the wake of major cultural and economic change, nascent class conflict may challenge the conservative status quo.  相似文献   
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De Valera and the Ulster Question 1917–73. By John Bowman. Oxford: Oxford University Press, 1982. Pp.369. £17.50.

The Age of de Valera. By Joseph Lee and Gearoid O'Tuathaigh. Dublin: Ward River Press, 1982. Pp.216. £4.95.

De Valera's Finest Hour 1932–59. by T. Ryle Dwyer. Cork: Mercier Press, 1982. Pp.205. £4.50.

Sean Lemass and the Making of Modern Ireland 1945–66. By Paul Bew and Henry Patterson. Dublin: Gill and Macmillan, 1982. Pp.224. IR£15.00.  相似文献   
17.
La Lega Lombarda. Edited by Renato Mannheimer. Milan: Feltrinelli, 1991. Pp.203. L.20,000. ISBN 88–07–09023–6.

I Lombardi Alia Nuova Crociata. By Daniele Vimercati. Milan: Mursia, 1990. Pp.vii + 167. L.25,000. ISBN 88–425.

Vento Dal Nord, La Mia Lega, La Mia Vita. By Umberto Bossi with Daniele Vimercati. Milan: Sperling & Kupfer. Pp.xiv + 204. L.24.500. ISBN 88–200–1309–6.

Che Cosa Vuole La Lega. By Giulio Savelli. Milan: Longanesi, 1992. Pp.187. L.23,000. ISBN 88–304–1091–8.

Tutti a casa, terroni. By Salvatore Scarpino. Milan: Leonardi, 1992. Pp.126. L.14,000. ISBN 88–355–1064–3.

Brigate Rozze, A Sud e a Nord del Senatore Bossi. By Max Ottomani. Naples: Tulio Pironti Editore. Pp.163. L.23,000. ISBN 88‐.

Le Parole della Lega. By Stefano Allievi. Milan: Garzanti, 1992. Pp.115. L. 18,000. ISBN: 88–11–65055–0.

Gli Stati Uniti d'Italia, Antologia dei Federalisti Italiani. Edited by Renzo Del Carria & Claudio De Boni. Messina: G. D'Anna, 1991. Pp.258. L.20,000.  相似文献   
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It has been suggested that a nexus between terrorist groups and those involved in organised crime exists. This study explores the co-operative possibilities that exist between these phenomena, focusing specifically on the level of assistance participants in organised criminal activity might provide to those engaged in terrorism, the “initial nexus.” This was achieved initially through interviews with subject matter experts with knowledge of the organised crime and counter terrorism situation in Scotland. Thereafter, law enforcement personnel who investigate serious and organised crime were interviewed, and their opinions sought in respect of the likely actions of those they investigate. The data gathered is subject to analysis and comment are provided as to what level of co-operation between those involved in organised crime and terrorism can be expected; what motivational factors may have a bearing on the level of co-operation provided; and discussion of “tipping points,” ethical or otherwise, where the withdrawal of co-operation could occur, providing opportunities for increasingly successful law enforcement intervention.  相似文献   
20.
This article critically examines the development of legal consciousness among legal aid plaintiffs in Shanghai. It is based on 16 months of research at a large legal aid center and in‐depth interviews with 50 plaintiffs. Chinese legal aid plaintiffs come to the legal process with high expectations about the possibility of protecting their rights; however, they also have only a vague and imprecise knowledge of legal procedure and their actual codified rights. Through this process of legal mobilization, plaintiffs' legal consciousness changes in two separate dimensions: changes in one's feelings of efficacy and competency vis‐à‐vis the law, and changes in one's perception/evaluation of the legal system. Put another way, the first dimension is “How well can I work the law?” and the second is “How well does the law work?” In this study I observe positive changes in feelings of individual efficacy and competency that are combined with more negative evaluations/perceptions of the legal system in terms of its fairness and effectiveness. The positive feelings of efficacy and voice provided by the legal process encourage labor dispute plaintiffs in the post‐dispute period to plan new lawsuits and to help friends and relatives with their legal problems. Disenchantment with the promises of the legal system does not lead to despondency, but to more critical, informed action. This study provides new evidence on the nature of China's developing legal system with a focus on the social response to the state‐led “rule of law” project.  相似文献   
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