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SUMMARY: ‘Munchausen Syndrome by Proxy’ describes the abuse incurred by children as a result of their parents inventing false illness stories. It is a complex mixture of emotional and physical abuse which, because of the medical elements, can be particularly difficult to manage through current procedures. The authors have been involved with more than 200 such families and studied the reasons for delay before intervention, problems with placement of the child and access arrangements, and the difficulties encountered by professionals in securing long-term involvement and satisfactory supervision. These are considered in relation to the various outcomes for the children assessed at follow-up 1–14 years after the initial abuse. 相似文献
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Summary This paper is an attempt to answer the following questions.Can we, and should we, try to prevent suicidal behaviour; howsuccessful are the efforts at suicide prevention of lay andmedical agencies; and what social policies could be employedto prevent suicidal behaviour? 相似文献
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Global production networks (GPNs) have become a key framework in conceptualizing linkages, power and structure in globalized production. However, this framework has been less successful in integrating the influence of digital information and ICTs in production, and this problematic in a world where relationships and power are increasingly mediated by digital information flows and resources. We thus look to adapt the GPN framework to allow more substantive analysis of ‘the digital’. Primarily, this is done through a theoretical analysis of the three core categories of the GPN framework – embeddedness, value and networks – to highlight how these categories can better integrate a more dynamic and contested conceptualization of the digital. Illustrations from research on the digitalization of tea sector GPNs in East Africa highlight how these theoretical advances provide new insights on the digital and its expanding role in economic production. 相似文献
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This essay reviews sport-related articles that have previously appeared in the JHS, alongside a range of other historical works, and in so doing recognizes the importance of persisting themes in the socio-cultural, historical analysis of sport. Such themes have appeared in wide-ranging socio-historical and figurational work, and also underpin the contributions to this special issue: they include the dynamics of cultural importation, diffusion and appropriation; and the cultural significance of sport in wider status and power relations. Emphasizing the compatibility of the historical and the sociological imaginations, and confirming recent positions on the integration of the cultural and the social in historical work, the article goes on to contextualize the place of sport in Europe in the period from the later decades of the nineteenth century into the fourth decade of the twentieth century. Referencing classic debates on historical method and periodization – particularly Braudel's discussions of event, conjuncture, and longue durée– the article identifies core conjunctural features of European sport in the period: internationalism/early globalization; increasing forms of mediatization; emergent individualism; and commercialized consumption and celebrity. 相似文献
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This paper investigates the link between the optimal level of nonfinancial firms' short-term leverage and macroeconomic and idiosyncratic sources of uncertainty. We develop a structural model of a firm's value maximization problem that predicts a negative relationship between uncertainty and optimal levels of borrowing. This proposition is tested using a panel of nonfinancial U.S. firms drawn from the COMPUSTAT quarterly database covering the period 1993–2003. The estimates confirm that as either form of uncertainty increases, firms decrease their levels of short-term leverage. This effect is stronger for macroeconomic uncertainty than for idiosyncratic uncertainty. ( JEL C23, D8, D92, G32) 相似文献
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We investigate the relationship between accident rates and industry structure for the United States’ steel industry during the first four decades of the 20th century. We develop a dominant firm theoretical model linking accident rates to number of competitors, showing a positive correlation between accident avoidance and the number of fringe competitors. We then test this theory empirically and, when controlling for other influences, find that reductions in the dominant firm’s market share reduce worker injury rates substantially. (JEL L13, L61, N62, N82) 相似文献
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The inherent instabilityof complex supplychains is well understood and documented; the potential benefits of taking time out of the chain in terms of reduced inventory and lower operating costs are clearly substantial. There is now a broad community of managers and practitioners who know ‘what’ in principle needs to be done. The issue for all is ‘how’ to go about it for their particular business. This paper builds on an organizational trade-off model through which logistics moderates the conflicting demands and culture of manufacturing on the one hand and marketing on the other. The paper introduces three practical techniques for securing the benefits of supply chain management: time-based simulation; cost-to-serve; and piloting change. Used together these methodologies can deliver breakthrough in supply chain effectiveness. 相似文献
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