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231.
Understanding factors that affect the severity of a juvenile-stranger sexual assault has implications for crime prevention, and potentially, the assessment and treatment of juvenile sex offenders. This study investigated how victim characteristics and the number of suspects affected the use of physical violence and weapons and the occurrence of penetration in 495 allegations of sexual assault committed by juveniles against strangers. Statistically significant interactions between victim age and gender were found for occurrence of penetration and use of violence. Differences in offense characteristics were also found between offenses with varying victim-suspect age differences. When comparing the rate of penetration in the presence and absence of violence, little change was observed for lone suspects. However, the rate of penetration increased significantly for groups in the presence of physical violence, suggesting that violence in this context may be more expressive than instrumental. Theoretical explanations and practical implications are considered.  相似文献   
232.
From October 1988 to March 2005, there were at least 92 autopsy cases where morbid obesity was present and/or where it was attributed to the cause of death in the coronial district of Auckland, New Zealand, a city with a population of over 1 million people. Obesity has been researched internationally, and much is known about associated comorbidities such as atherosclerotic disease, hypertension, and diabetes, to name a few. However, in the morbidly obese (body mass index>or=40 kg/m2), only 14 of 92 cases were found to have ischemic heart disease due to coronary atherosclerosis as the principal cause of death, and slightly over half (48/92) have some degree (mild, moderate, severe) of coronary atheroma. There is a strong positive correlation between heart weight and body weight. Only 8 livers were normal, all others showing some form of steatosis, venous congestion, and fibrosis/cirrhosis. The mean weights of the heart, lungs, and liver were above the normal reference range in almost all cases. In conclusion, the study did not follow the widely published finding of the positive correlation between morbid obesity and ischemic heart disease in terms of mortality, but the study was consistent with other studies on the organ manifestations of morbid obesity, particularly for the heart, lungs, and liver.  相似文献   
233.
One in five people in the EU and nearly one in ten in the world are now aged 65 and over. This demographic transformation is one of the great successes of the twentieth century and has profoundly altered the composition of electorates in many democracies. This article explores whether and how this population ageing reshapes the relationship between democracy and capitalism. I argue that ageing changes the economic and policy priorities of a growing share of democracies’ electorates in ways that incentivise elected governments to prioritise certain social policies and economic outcomes, such as pensions and low inflation, at the expense of others, most notably greater social investments and pursuing economic growth. As a result, gerontocracies increasingly lead to what I call a ‘gerontonomia’ characterised by democratically sustained economic stagnation.  相似文献   
234.
What international framework, if any, is higher education subject to in terms of its work, not in the sense of validating its programmes or safeguarding its academic freedom, but in terms of its funding, its operating environment and its stakeholders? Is it viewed as a business in some sense? Is it subject to trade rules and negotiations? All of these questions have, to some extent, been raised in the World Trade Organisation's ‘Doha Round’ of negotiations. Has agreement been reached or has the overall operating context of economies submerged higher education, in particular agriculture? This article analyses the brief history of the Doha Round and the possible categorization of higher education within a commercial framework. Conclusions are reached at the end.  相似文献   
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Integrated care can introduce seamless coordinated pathways that are focused around the individual needs of patients, helping to prevent missed opportunities for intervention. Within offender healthcare, sequential funnelling through designated areas where screening can take place, along with co-location of services, lends itself to integrated working, at least in theory. However, within the offender healthcare pathway, service fragmentation and autonomous, disconnected (often referred to as siloed) working, has historically been the norm. If commissioned and designed to ensure and incentivise connections between services, whilst developing high quality service-focused research activities, pathways could enable clinical and social interventions, and outcomes, on a public health scale for these highly morbid populations. As such, offender healthcare offers a real opportunity to model integration for wider introduction across other health and social care areas. Discussed within is the call for integration, its concept, and its role within offender healthcare.  相似文献   
237.
Tim Spier 《German politics》2019,28(2):222-241
In modern representative democracies political parties are the main institutions responsible for providing linkage between citizens and the state. One way to do this is through organizational linkage mechanisms, especially the representation of a party’s voters through the party membership. This paper tries to describe the attitudinal representativeness of German party memberships in terms of left-right positions using data from two party membership studies from 1998 and 2009. In a second step, the determinants of divergent attitudes of party members from the position of the parties’ voters are analyzed on an individual level, testing four possible explanations for this.  相似文献   
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