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Armed combat in childhood is a form of child abuse. It may lead to serious consequences, including post‐traumatic stress disorder. The inherent emotional abuse and acts or omissions by caregivers may cause behavioural, cognitive, emotional or mental disorder in the child. Nineteen former child soldiers were interviewed in a rehabilitation centre using a standard questionnaire. Reasons for recruitment included: volunteered (18), hatred of enemy (revenge) (5), virtue of being a freedom fighter (martyrdom) (9), as a means of supporting their family (economic) (3). One child was abducted, 7 joined for fear of the ‘enemy’ abducting them, and in 5 a family member was killed by ‘enemy’ or own group. The children were involved in manual labour (15), guard duty (15), front‐line fighting (7), bomb manufacture (5), setting sea/land mines (5) and radio and communication (2). Fifteen were trained in firearms and 14 in self‐destruction. Twelve children attempted to or did run away and 11 refused to obey orders or argued. This led to various punishments, including kitchen duty, beatings, imprisonment, blackmail or death threats. A majority of the children felt sad and emotionally upset when they remembered their mother and family. Children's involvement in war, whatever the ‘justifications’ may be, should always be considered as forced, as they cannot truly comprehend their action in war. The responsibility must be taken by the adult caregivers. The following definition of the abuse of children in armed conflict is proposed: ‘The involvement of dependent, developmentally immature children and adolescents in armed conflict they do not truly comprehend, to which they are unable to give informed consent, and which adversely affects the child's right to unhindered growth and identity as a child’. Firm international agreement on guidelines for the lower age limit of recruitment of children into armed forces is required. Copyright © 2001 John Wiley & Sons, Ltd.  相似文献   
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WA Lewins  KC Pakenham 《Omega》1985,13(2):125-130
This paper describes how the effectiveness of the supply of vital repairable items for an aircraft or weapon system can be measured in terms of the expected number of aircraft grounded because of supply shortages. The properties of this measure are compared with the three alternative methods of assessing supply performance, none of which are directly aircraft or weapon system related. The present applicability of this measure to various situations at RAF Squadron and station level are discussed, together with possible future areas of application.  相似文献   
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盐酸多奈哌齐治疗血管性痴呆的临床疗效观察   总被引:1,自引:0,他引:1  
目的观察盐酸多奈哌齐治疗血管性痴呆的疗效。方法102例血管性痴呆患者随机分为2组,治疗组51例,在常规治疗的基础上给予盐酸多奈哌齐5mg,每日1次;对照组54例,给予常规治疗,两组患者疗程均为12周,观察治疗前后认知功能(MMSE、HDS)及日常生活自理能力(ADL)的改善程度。结果治疗12周时,治疗组MMSE、HDS及ADL评分明显改善,较对照组有显著性差异(P〈0.05),自身对照结果显示,盐酸多奈哌齐治疗12周,治疗后MMSE、HDS及ADL评分较治疗前改善(P〈0.01),在治疗4周时,MMSE、HDS及ADL评分已有提高。结论盐酸多奈哌齐治疗血管性痴呆疗效确切,对患者认知功能及日常生活能力均为改善,无明显副作用,值得临床推广。  相似文献   
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Measures of central bank independence combine many attributes that may or may not affect inflation. Central bank attributes are chosen as a result of political calculations over the distribution of resources between competing interest groups. Simultaneity bias results from regressions of central bank independence or of economic and political freedom on inflation or growth. Our estimates demonstrate the connections between economic and political freedom and central bank attributes that lead to inflation. Countries showing high degrees of economic freedom adopt structures that lead to lower inflation; those that show high degrees of political freedom do not adopt inflation-reducing institutional structures.  相似文献   
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The effect of participation in extracurricular activities in high school on membership in adult voluntary associations is examined using longitudinal data from a national sample of adolescents who were followed up in 1970 at about age 30. Independent of social origins, ability, and academic performance, participation in extracurricular school activities has a relatively strong direct effect on participation in adult secondary associations, plus positive indirect effects mediated through educational attainment, occupation and income. Membership in adult voluntary associations, in turn, increases voting behavior and decreases political alienation, thus demonstrating the very broad and long term effects of adolescent socialization in ultimately linking the individual to the political order. The results were similar for men and women.  相似文献   
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Many studies of fertility implicitly equate temporal management, biomedical contraception, and “modernity” on the one hand, and “tradition,” the lack of intentional timing, and uncontrolled fertility on the other. This article questions that equation, focusing on the widespread use of periodic abstinence in southern Cameroon. Drawing on field data and the Cameroon Demographic and Health Survey, the article investigates how local concepts of timing shape both contraceptive choice and the evaluation of methods as “modern” or “traditional.” Cameroonian women prefer periodic abstinence because they perceive it as “modern,” a modernity tied both to the social context in which it is taught and to its unique temporal form. By contrast, Depo‐Provera, pills, and the IUD are seen as less‐than‐modern, because they are less exigent of temporal control. The reliance on a behavioral, rather than technological, contraceptive method parallels the experience of the European fertility transition. Cameroonian women draw on a complex social repertoire in making contraceptive choices; methods are preferred or rejected not only on the basis of their efficacy in averting pregnancy, but also because of their correspondence to models of legitimate social action. Reproductive practices may have social motivations that are unrelated to fertility per se.  相似文献   
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