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The investigation of alleged child abuse should be multi-professional and coordinated to minimize distress to the child and family. Much attention has focused on the joint interview process, with less prominence being given to the medical component of the initial investigation. No standard practice exists in the United Kingdom regarding the conduct of the medical examination or in the training requirements of the doctors who perform the examination. We present a model of practice which has evolved in Edinburgh and the Lothians, drawing on the combined expertise and experience of paediatricians and police surgeons, which has operated for over 2 years; and propose a formal accreditation process for doctors who wish to specialize in the field of child abuse. © 1998 John Wiley & Sons, Ltd.  相似文献   
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Abstract

The transfer and uptake of research-based knowledge by end users is a measure of the utility of research, and, from a funder's perspective, a measure of an effective investment. What constitutes uptake to social scientists and whether such practice is a routine or novel outcome of New Zealand social science research is largely unexplored. In the 2006 National Survey of Social Scientists respondents were asked to report recent experiences of knowledge transfer and research uptake, including the organization to which information had been conveyed. This paper presents an analysis of these responses. Forty-two percent of respondents reported at least one example of research transfer or uptake in their main research field in the previous 12 months. Accounts ranged from passive forms of information transfer such as making journal articles or reports available to potential end users to instances of organizational, programme, curriculum or policy change that the researcher attributed, at least in part, to the uptake of research-based knowledge. Government agencies were the target of 31% of reported examples, across sectors as diverse as agriculture, fisheries and conservation as well as those in the social, health, justice and welfare areas.  相似文献   
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Scientists disagree in their risk analyses because they use intuitive judgments to generalize results from the laboratory to circumstances not yet studied. If this assertion is correct, techniques intended to reduce intuitive judgments and increase analytical cognition should reduce scientific dispute. The results of a test case involving allegedly high risk and sharp dispute among scientists are described.  相似文献   
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Although supplemental saving plans can be an important part of an individual's financial security in retirement, contribution rates remain low, particularly among those with lower salaries and less education. We report findings from an intervention that provided information on key aspects of the employer‐provided supplemental saving plans to older public employees in North Carolina. Among workers participating in a supplemental plan, individuals who received an informational flyer increased their contributions in the months following the intervention relative to the control group. In contrast, individuals who were not enrolled in a retirement saving plan were not moved to begin contributing to a supplemental plan. The results suggest that informational interventions can induce workers who are already engaged in the saving process to reassess their level of retirement preparedness. (JEL C93, D14, D9)  相似文献   
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Little is understood about how experiencing cancer and aging together can disrupt people's socio-personal worlds and lead to existential questions about identity, life ambiguity, and death. Toward this end, we interpreted the metaphors that three aging men with cancer used in a focus group to describe their existential concerns. We also considered how two dominant cultural discourses around cancer and aging, generally referred to as discourses of “progress” and “decline”, figured into the participants' meanings. Finally, we compared the men's attitudes toward cancer and aging to dominant ideas about how men respond to these life events. Through interpretative phenomenological analysis, informed by critical phenomenology, we came to three conclusions. First, the men's interpretations of cancer and aging shared similar existential themes of tragedy and transcendence. Second, these existential concerns were informed by dominant discourses of cancer and aging, in that they followed the culturally constructed trajectories of decline and progress, respectively. The men's metaphors point to a negotiation of these two discourses. A third and related point is that the men predominantly contradicted gendered assumptions about dealing with life adversity but in some ways repeated them. This research indicates that people interpret cancer and aging in somewhat shared ways, via dominant cultural discourses, but also in individual ways depending on personal life histories. As discourses and life histories seem to influence how people make sense of aging life with cancer, it may be useful to be aware of these contexts when providing psycho-social care to aging cancer patients.  相似文献   
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Consider any exchange economy with a fixed finite set of traders whose preference orderings and feasible sets of net trades satisfy standard convexity and continuity assumptions. Suppose these traders are granted equal rights to choose net trade vectors within a common convex cone. This property, when combined with Pareto efficiency, characterizes Walrasian equilibrium without lump-sum transfers in two special cases: when there are only two goods; or when at least one trader has unique supporting prices. In general, even without imposing Pareto efficiency explicitly, conferring an additional right to mediate mutually beneficial transactions with other traders will characterize Walrasian equilibrium.An early version was presented to the Conference on Axiomatic Resource Allocation Theory in Namur, July 1999, in honour of Louis Gevers, with whom I have had many enjoyable and fruitful exchanges since we first met in 1971. A later version was presented at the conference of the Society for Social Choice and Welfare in Alicante, June/July 2000. It is a pleasant duty to acknowledge helpful discussions at these conferences with Marc Fleurbaey, François Maniquet, and Yves Sprumont, as well as subsequently with Karl Vind. Further very helpful suggestions came from two anonymous referees, as well as François Maniquet acting in an editorial role. Finally, my gratitute to the Institute of Economic Research at Hitotsubashi University, to the Japanese Ministry of Education, and to my host Kotaro Suzumura, for making possible a visit in Autumn 1998 during which preliminary research for this paper was conducted.  相似文献   
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Few creatures carry more emotion on their broad backs than whales; and few issues arouse as much passion as whaling. Each year around this time the International Whaling Commission comes under pressure to allow the resumption of commercial catching and killing of whales and the Save the Whale lobbyists protest. But how many whales are there? Can the scientists and statisticians tell us—and how much influence do they wield in the real world of whale-politik? Philip Hammond, a former Chairman of the Scientific Committee of the IWC, explains.  相似文献   
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