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151.
Research on state fragility has seldom examined questions of persistence and transition of states. We develop a sixfold typology of states to examine how key structural features of states evolve and contribute to successful exits from fragility in some cases and persistence in others. Particularly worrisome is the lack of positive transition among the weakest states. Our findings are derived from a minimalist construct of a refined time series data set involving state indicators of authority, legitimacy, and capacity. Case studies of some of the more turbulent examples support our state trajectories. Additionally, changes in legitimacy most often led state transitions into or out of fragility. Implications of intervention policy for transitioning states out of fragility are addressed, and these are given particular focus since fragile states experience at least twice the intensity/incidence of internal armed conflict compared to other states.  相似文献   
152.
Opioid‐related mortality happens, even in healthcare settings. We describe serial postmortem fentanyl blood concentrations in a hospital inpatient who fatally abused transdermal fentanyl. This is a single‐patient case report. A 42‐year‐old man with lymphoma was started on transdermal fentanyl therapy while hospitalized for chronic abdominal pain. The patient was last seen awake 1.3 h prior to being found apneic and cyanotic. During the resuscitation attempt, a small square‐shaped film was removed from the patient's oropharynx. Femoral blood was collected 0.5 and 2 h postmortem, and the measured fentanyl concentration increased from 1.6 to 14 ng/mL. Study limitations include potential laboratory or collection errors and missing data. (i) Providers must be vigilant for signs of fentanyl patch abuse. (ii) Postmortem blood concentrations are not static postmortem, likely secondary to decreasing pH, increased aqueous solubility, and tissue redistribution, and are therefore unlikely to accurately represent antemortem blood concentrations.  相似文献   
153.
There have been periodic electronic news media reports of potential bioterrorism-related incidents involving unknown substances (often referred to as “white powder”) since the 2001 intentional dissemination of Bacillus anthracis through the U.S. Postal System. This study reviewed the number of unknown “white powder” incidents reported online by the electronic news media and compared them with unknown “white powder” incidents reported to the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Federal Bureau of Investigation (FBI) during a 2-year period from June 1, 2009 and May 31, 2011. Results identified 297 electronic news media reports, 538 CDC reports, and 384 FBI reports of unknown “white powder.” This study showed different unknown “white powder” incidents captured by each of the three sources. However, the authors could not determine the public health implications of this discordance.  相似文献   
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This report supplements a prior article in this journal (Rogers and Williams, 1994). Utilizing Ted Palmer's 1991 formulation, we identified a set of indicators relevant to juvenile court decision-making and to policy formulation. Here, through a more stringent statistical technique, we provide additional evidence of the potential that juvenile court histories possess for both theory and practice. We explore case materials gained and maintained by juvenile probation officers as a way of generating outcome predictors for whether youth receive probation or institutionalization. Using discriminant function analysis, we obtain relatively good prediction. Delinquency history and social psychological variables are found to enhance prediction of case outcomes. Contrary to some scholars, we believe the juvenile court is here to stay. Thus, the fundamental issue becomes one of making it a more efficient, effective instrument for reintegrating youths it must serve. As this institution approaches its centennial in 1999, we believe the court must become a focal point of research. This article is intended to further that task. After identifying the three strongest predictive variables (offense after first hearing, alienation, and denial of blame), we employ our seven key indicators as a guide for illustrating their everyday application for juvenile probation officers working with their youthful clientele.  相似文献   
156.
This study provided some new empirical evidence relating to the hypothesis that there was convergence between certain male and female offenses over time. Using time-series data for adults charged with offenses in Canada over the period 1983 to 2000, several formal statistical tests of this convergence hypothesis were conducted. This study allowed for the particular characteristics of the data, such as various types of structural breaks and changes over time in the process that generated the data. A number of new tests that had not previously been applied to this problem were employed, and the results that were obtained provided the first strong evidence in favor of gender-convergence for a range of offenses in Canada.  相似文献   
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This study examines whether offering sex education to young teenagers affects several measures of adolescent sexual behavior and health: virginity status, contraceptive use, frequency of intercourse, likelihood of pregnancy, and probability of contracting a sexually transmitted disease. Using data from the National Longitudinal Study of Adolescent Health, I find that while sex education is associated with adverse health outcomes, there is little evidence of a causal link after controlling for unobserved heterogeneity via fixed effects and instrumental variables. These findings suggest that those on each side of the ideological debate over sex education are, in a sense, both correct and mistaken. Opponents are correct in observing that sex education is associated with adverse health outcomes, but are generally incorrect in interpreting this relationship causally. Proponents are generally correct in claiming that sex education does not encourage risky sexual activity, but are incorrect in asserting that investments in typical school-based sex education programs produce measurable health benefits.  相似文献   
160.
This paper adapts a simple model from the optimal contracting literature to explain the relationship between political parties and non-incumbent candidates. The model predicts that legislators with a higher opportunity cost of government service will receive better committee assignments. Using data that spans 12 Congresses (97th to 108th), I find that when the opportunity cost of Senate service is measured by previous occupation, freshmen senators with a high opportunity cost for serving (those who were lawyers) were given good committee assignments, while freshmen senators with a low opportunity cost for serving (professors, and those with relatives already in politics) were given worse committee assignments.  相似文献   
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