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61.
We report a case of meningitis caused by Comamonas testosteroni in a 54-year-old, alcoholic, homeless man. He, as a pedestrian, was struck by a car and suffered multiple fractures of the facial bones including the left frontal sinus. Over the course of 2-week hospitalization, he was clinically diagnosed with multiple cerebral and cerebellar infarcts resulting in altered mental status. He was pronounced dead 15 days after the injury. At the time of autopsy, diffuse purulent meningitis was found on gross examination. A swab culture of the brain surface was positive for C. Testosteroni, a saprophytic organism commonly found in soil and water. This is the first reported case of fatal meningitis caused by this micro-organism.  相似文献   
62.
Human verbal language communicates both manifest and latent messages concerning the speaker's world and behavior. To understand his world and analyze his problems,(1) it is important to decode the latent messages as they may hint at the root causes. The authors present a discourse analysis of a prisoner's text and a semantic and morphological analysis of it. This text reflects contempt for the law and its representatives, together with a weak attachment to legitimate society, neutralization of personal responsibility, denial of guilt, and low self-esteem. Sociolinguistic and psycholinguistic analysis points toward a more profound evaluation of the perceptions and world of the speaker. It seems that he yearns for attachment, for understanding and social acceptance, and perhaps even to abandon crime. The prisoner's latent feelings of helplessness and fear of humiliation may help the therapist establish a therapeutic relationship and help him change his perceptions and behavior.  相似文献   
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Motivational interviewing (MI) is a communication style focused on enhancing clients’ own motivation towards change. In the justice system MI has evidence to support that it enhances communication and change behaviors in youth. As most MI training is designed for healthcare settings training and implementation of MI must be adapted to fit the juvenile justice model. This includes both rehabilitation and restorative justice. Here we describe the details that allowed one county small county in Pennsylvania to roll out MI training and initial skills review in less than 6 months. The case reviews the details of planning, trainings, and timing of activities. We then discuss what elements of those details fit into a greater implementation plan that may be applied elsewhere. Four key elements were instrumental to implementation: 1) appreciation of JPO time constraints, 2) cost containment 3) using blending to enhance JPO flexibility with MI use, and 4) policies that normalize use of MI. This outline may assist other courts in their own implementation efforts.  相似文献   
65.
Hall  Joshua C. 《Public Choice》2020,183(3-4):405-416
Public Choice - In 1970, James Buchanan and Nicos Devletoglou published Academia in Anarchy: An Economic Diagnosis. Even though the book focuses on the industry Buchanan worked in for nearly...  相似文献   
66.
Abstract

Kawabata Yasunari held a deep interest in the study of spiritualism from his very youth. He demonstrates his knowledge of the field in his writing in a variety of ways, particularly in the short stories he published during the prewar period. Thus far, scholarship has considered Kawabata's relationship with spiritualism primarily in terms of his biography: there has yet to be a satisfactorily rigorous study taking into account historical context and his use of spiritualism as novelistic technique. This article analyzes Kawabata and spiritualism with respect to modernism by looking at the short stories ‘The Full White Moon’, ‘Requiem’, and ‘Lyric Poem’. This analysis will also help illuminate the diversity of Kawabata's approaches to modernism.  相似文献   
67.
The study of political conflict in legislatures is fundamental to understanding the nature of governance, but also difficult because of changes in membership and the issues addressed over time. Focusing on the enduring issue of civil rights in the United States since Reconstruction, we show that using current methods and measures to characterize elite ideological disagreements makes it hard to interpret or reconcile the conflicts with historical understandings because of their failure to adequately account for the policies being voted upon and the consequences of the iterative lawmaking process. Incorporating information about the policies being voted upon provides a starkly different portrait of elite conflict—not only are contemporary parties relatively less divided than is commonly thought, but the conflict occurs in a smaller, and more liberal, portion of the policy space. These findings have important implications for a broad range of work that uses elite actions to compare political conflict/polarization across time.  相似文献   
68.
Key trends link a globally connected urban archipelago and its hinterlands, warranting new studies of power in its most contemporary forms. This article locates land power and where that power is exercised – looking at the burgeoning global land rush from the perspective of cities. Urbanisation continues to drive vast political transitions, uprooting longstanding agrarian modes of living while creating myriad inequalities within cities. Are the world’s most powerful agglomerations active agents in this transformation? Answering affirmatively, the article reframes urbanisation as a vast, global geopolitical transfer of power from rural to urban. Leading global cities like New York, London, Hong Kong, Chicago and Singapore are not merely impressive collections of factor endowments. They are also sites of concentrated power with coercive influences beyond municipal boundaries. The article asks how cities project power in the contemporary global system. Juxtaposing data on global connectivity with the location strategies of private firms, we learn that the world’s most successful global cities are also sources of exploitative accumulations of land.  相似文献   
69.
ABSTRACT

It is an old adage that local government is a training ground for democracy. Its human scale means that political amateurs can contribute effectively and meaningfully to the politics of a state. But in a political climate seemingly driven to consolidate local government into ever larger units, can a not so local local government still elicit an efficacious and participatory citizenry? This paper explores the effect of municipality population size on two important aspects of democratic culture: political efficacy and political participation. Via a two-part systematic review, the paper examines how extant empirical literature bears on the relationship between size and both of these aspects, hypothesising that political efficacy plays a mediating role between size and participation. The findings are unequivocal: citizens of smaller municipalities feel a greater sense of political efficacy and participate to a greater degree in local politics.  相似文献   
70.
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