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Special Circumstances (special + circumstance)
Selected AbstractsHomicide, psychopathology, prosecutorial and jury discretion and the death penaltyCRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 4 2000Chief, Division of Forensic Psychiatry, Richard M. Yarvis MD MPH Professor of Clinical Psychiatry Introduction The American preoccupation with the death penalty persists and, in fact, shows no sign of abatement. This is demonstrated not only by attitudinal measures but also by the quickening pace of executions. In California, homicide convictions can result in either 25-year-to-life, life-with-no-possibility-of-parole, or death sentences. The ultimate outcome in any given case is determined by a complex interaction of prosecutorial and jury decisions. Three vignettes illustrate how heinous crimes have been handled quite variably. Method A data set comprising 115 homicide cases was examined. To determine how murderers who qualify for the death penalty differed, if at all, from those who did not so qualify, 52 defendants who met the criteria for a death sentence were compared with 63 who did not. Criteria utilized and ignored by prosecutors in seeking the death penalty were analysed by comparing 39 cases in which death sentences could have been and were sought with 13 cases in which prosecutors chose to seek a lesser penalty instead. Finally, criteria utilized and ignored by juries to reach sentencing decisions were analysed by comparing 25 cases in which juries chose not to hand down death sentences with 14 cases in which they did render death verdicts. Results Special circumstance murderers did not differ significantly on personal variables from ordinary murderers. (1) Special circumstances were invariably charged when more than one criterion for this was present. Robbery and sexual assault usually provoked a special circumstances charge. Mitigating factors did not deter prosecutors from charging a special circumstance. (2) There was no excess of aggravating factors in individuals sentenced to death by juries, indeed there was a trend for the opposite to be the case, but there was a trend for mitigating factors to be commoner in those excused the death penalty. Conclusion It is not clear that the death penalty process in California carries out the legislature's intent but the US Supreme Court's 1976 mandate that mitigating and aggravating factors should provide discretion may be having a modest impact. Copyright © 2000 Whurr Publishers Ltd. [source] Surgical Management of Pyoderma Gangrenosum: Case Report and ReviewDERMATOLOGIC SURGERY, Issue 11 2000Murad Alam MD Background. Commonly used treatments for pyoderma gangrenosum are medical, with immunosuppressive agents employed most often. Objective. To report a case and discuss the indications for radical surgical treatment of pyoderma gangrenosum. Methods. Analysis of a case of Crohn's disease-associated pyoderma gangrenosum treated with immunosuppression followed by amputation, and a review of the literature on surgical management of pyoderma gangrenosum. Results. In unstable patients with intractable multiple medical problems, surgical treatment of pyoderma gangrenosum may be indicated by the existence of these life-threatening comorbidities. The recent literature suggests that surgical management of pyoderma gangrenosum may also be appropriate in other special circumstances. Conclusions. Surgical management, including amputation, may have a role in the management of pyoderma gangrenosum. Further research is needed to delineate precisely the circumstances and patient factors that are appropriate indications for such surgery. [source] The use of systemic antibiotics in the treatment of chronic woundsDERMATOLOGIC THERAPY, Issue 6 2006Robert Hernandez ABSTRACT:, The role of microorganisms in the etiology and persistence of chronic wounds remains poorly understood. The chronic wound bed houses a complex microenvironment that typically includes more than one bacterial species. Difficulty lies in determining when the presence of bacteria impedes wound healing, thereby warranting intervention. Indications for antibiotic therapy and optimal treatment regimens are ill defined. The goal of this article is to describe the appropriate role of systemic antibiotics in the management of chronic wounds. A common sense approach will be offered based on six clinically pertinent questions: ,,Is infection present? ,,Are systemic antibiotics necessary? ,,Should treatment be enteral or parenteral? ,,What antibiotic or combination of antibiotics should be used? ,,What should be the duration of therapy? ,,What special circumstances are present (i.e., concomitant illnesses, potential drug,drug interactions) that can impact therapy? [source] Acute effects of the antibiotic oxytetracycline on the bacterial community of the grass shrimp, Palaemonetes pugio,ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 12 2009Miguel Uyaguari Abstract The toxicity of oxytetracycline (OTC) was evaluated in adult grass shrimp, Palaemonetes pugio. Initially, static acute (96 h) toxicity tests were conducted with shrimp exposed from 0 to 1,000 mg/L OTC. A calculated lethal concentration 50% value of 683.30 mg/L OTC (95% confidence interval 610.85,764.40 mg/L) was determined from these tests, along with a lowest-observable-effect concentration of 750 mg/L and no-observable-effect concentration of 500 mg/L. Moreover, chronic sublethal effects of OTC exposure on grass shrimp intestinal bacterial population were assessed using doses from 0 to 32 mg/L OTC. The total viable counts in digestive tract content had levels between 5.2 and 1 × 104 colony-forming units per gram of tissue at times 0 and 96 h, respectively. Aeromonas hydrophila were the most resistant isolates (27.78%) to OTC exposure. Vibrio alginolyticus showed significant positive growth following exposure to OTC, whereas other bacterial species abundance declined over time. A total of 268 bacterial isolates were screened using antibiotic resistance analysis from a library containing 459 isolates. Among the tested isolates from the OTC treatments, 15.4% were resistant to OTC and 84.6% were OTC sensitive. Oxytetracycline was generally not consistently quantifiable with liquid chromatography-mass spectroscopy technique in shrimp homogenates. The only peak detected was at the 32 mg/L dose of OTC at 96 h. Nevertheless, OTC had a significant biological effect on the bacterial population. Antibiotic resistance to five other antibiotics (penicillin G, sulfathiazole, trimethoprim, trimethoprim and sulfamethoxazole, and tetracycline) was strongly associated with OTC exposures. The present study indicates that OTC toxicity effects in P. pugio and changes in the shrimp microbial community would only be expected under special circumstances. [source] ,Sympathetic Song': the Silent and the Overt Vocal Repertoire, Exemplified with a Dueting Pair of the African Slate-Coloured Boubou, Laniarius funebrisETHOLOGY, Issue 9 2000Uta Seibt In many bird species the total song repertoire consists of an overt repertoire normally uttered, and a silent repertoire produced only under special circumstances. A silent repertoire can be inferred from specific vocal responses of an individual to hearing parts of its own silent repertoire uttered by another bird (,sympathetic song'). The silent repertoire plays a prominent role in dueting birds, in particular those with sex-specific overt song repertoires, where the overt repertoire of one partner is the silent repertoire of the other. This is here exemplified with a pair of the slate-coloured boubou L. funebris. Silent repertoires should be taken into consideration when relating the complexity of birds' vocal behaviour to the size or structure of their forebrain vocal control areas. [source] Soil frost effects on soil water and runoff dynamics along a boreal transect: 2.HYDROLOGICAL PROCESSES, Issue 6 2001Simulations Abstract A physically based SVAT-model was tested with soil and snow physical measurements, as well as runoff data from an 8600 m2 catchment in northern Sweden in order to quantify the influence of soil frost on spring snowmelt runoff in a moderately sloped, boreal forest. The model was run as an array of connected profiles cascading to the brook. For three winter seasons (1995,98) it was able to predict the onset and total accumulation of the runoff with satisfactory accuracy. Surface runoff was identified as only a minor fraction of the total runoff occurring during short periods in connection with ice blocking of the water-conducting pores. Little surface runoff, though, does not mean that soil frost is unimportant for spring runoff. Simulations without frost routines systematically underestimated the total accumulated runoff. The possibility of major frost effects appearing in response to specific combinations of weather conditions were also tested. Different scenarios of critical initial conditions for the winter, e.g. high water saturation and delayed snow accumulation leading to an increased frost penetration, were tested. These showed that under special circumstances there is potential for increased spring runoff due to soil frost. Copyright © 2001 John Wiley & Sons, Ltd. [source] "Hidradenitis suppurativa" is acne inversa!INTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 7 2005An appeal to (finally) abandon a misnomer The term "hidradenitis suppurativa" is firmly entrenched in the dermatological literature although it refers to a false pathogenetic concept. The term was historically coined based merely on the characteristic distribution of the apocrine glands and the anatomical coincidence with the disease process. At center stage is not a suppurative inflammation of the apocrine sweat glands but an occlusion of the hair follicles, comparable to acne vulgaris. Reviewing the literature on this subject, we were astonished to find that even articles that concluded that the entity represents a form of follicular occlusion still referred to it as hidradenitis suppurativa. The disorder shares histopathological and clinical aspects with acne vulgaris modified under the special circumstances of anatomical regions rich in apocrine glands. It is acne inversa because, in contrast to acne vulgaris, the disease involves intertriginous localizations and not the regions classically affected by acne. We suggest that the term "hidradenitis suppurativa" for this disease should (finally) be abandoned in favour of "acne inversa". [source] Capturing the superorganism: a formal theory of group adaptationJOURNAL OF EVOLUTIONARY BIOLOGY, Issue 4 2009A. GARDNER Abstract Adaptation is conventionally regarded as occurring at the level of the individual organism. However, in recent years there has been a revival of interest in the possibility for group adaptations and superorganisms. Here, we provide the first formal theory of group adaptation. In particular: (1) we clarify the distinction between group selection and group adaptation, framing the former in terms of gene frequency change and the latter in terms of optimization; (2) we capture the superorganism in the form of a ,group as maximizing agent' analogy that links an optimization program to a model of a group-structured population; (3) we demonstrate that between-group selection can lead to group adaptation, but only in rather special circumstances; (4) we provide formal support for the view that between-group selection is the best definition for ,group selection'; and (5) we reveal that mechanisms of conflict resolution such as policing cannot be regarded as group adaptations. [source] Character merchandising: aspects of legal protectionLEGAL STUDIES, Issue 2 2001Andrew McGee The article considers the present state of the law of character merchandising. It questions whether the law relating to character merchandising should be further developed and extended so as to give an individual a comprehensive right to prevent the unauthorised use of aspects of his personality by third parties in connection with the promotion or sale of goods or services. In this context the article rejects the creation of new comprehensive remedies such as a tort of appropriation of personality as being undesirable and impractical. The article maintains that unauthorised acts of personality appropriation or use are already subject to adequate legal control through the law of trade marks and passing 08In this regard the article further suggests that tortious remedies such as defamation, malicious falsehood, and, in restricted circumstances copyright, provide effective sanctions against the unauthorised use of an individual's persona in commercial enterprises in particular and special circumstances. These remedies supplement and complement the principal remedies provided by trade mark protection and passing off. [source] Extending the Resource-based View to the Mega-event: Entrepreneurial Rents and InnovationMANAGEMENT AND ORGANIZATION REVIEW, Issue 2 2010Marc J. Dollinger abstract The resource-based view of the firm has previously been expanded by including relational rents and rent from network and alliance participation. This paper extends the Dyer-Singh-Lavie synthesis by considering the special circumstances arising from the relationships, alliances, and networks of a mega-event, using the Beijing Olympics as a case for our analyses. The mega-event that is organized as a cartel increases the pricing power of the participants, produces relational rent, and is an ideal venue to introduce innovations. We discuss six factors that can influence the rent creation and capture from a mega-event and offer related propositions: periodicity (Proposition 1), event location (Proposition 2), governance structure (Proposition 3), media coverage (Proposition 4), network connectivity (Proposition 5), and membership rules (Proposition 6). We identify four innovation types associated with such mega-events and contend that the same factors can affect the entrepreneurial rent creation and capture within these innovation types (Proposition 7). [source] Versatility of vertical rectus abdominis musculocutaneous flapsMICROSURGERY, Issue 5 2006Markus V. Küntscher M.D., Ph.D. The purpose of the study was to demonstrate a variety of indications for the vertical rectus abdominis musculocutaneous (VRAM) flap with respect to donor-site morbidity and alternative procedures. Fifteen VRAM flaps were performed in 15 patients during a 4-year period. The average age of patients was 58 years (range, 34,76 years). Inferiorly based VRAM flaps were used for defect coverage after tumor resection and for penile reconstruction in 7 cases. Superiorly based VRAM flaps were performed in 7 cases for reconstruction of osteocutaneous defects following sternal osteomyelitis and tumor resection. Arterial and venous "supercharging" was necessary in one case. One free VRAM flap was performed in a patient suffering from an osteocutaneous defect after resection of a malignant melanoma metastasis with infiltration of the brain and skull. The reconstructive goals were achieved in all cases using VRAM flap procedures. No total flap loss occurred. Minor complications as well as abdominal wall bulging and hernias were observed in four cases. The pedicled VRAM flap provides a reliable tool for coverage of large soft-tissue defects of the chest wall, groin, hip, and perineum even in a high-risk population, in which a safe and fast forward flap procedure is the primary reconstructive goal. Arterial and/or venous supercharging may be necessary, particularly in superiorly based VRAM flaps. An inferiorly based VRAM flap is a reliable tool for phalloplasty under special circumstances. The indication for free VRAM flaps is given in rare clinical situations. Stabilization of the donor site using artificial mesh is highly recommended. © 2006 Wiley-Liss, Inc. Microsurgery, 2006. [source] Dangerous and severe personality disorder: an ethical concept?NURSING PHILOSOPHY, Issue 2 2005Sally Glen phd ma rn Abstract Most clinicians and mental health practitioners are reluctant to work with people with dangerous and severe personality disorders because they believe there is nothing that mental health services can offer. Dangerous and severe personality disorder also signals a diagnosis which is problematic morally. Moral philosophy has not found an adequate way of dealing with personality disorders. This paper explores the question: What makes a person morally responsible for his actions and what is a legitimate mitigating factor? How do psychiatric nurses working with this client group understand the awful things some clients do? What concepts do they need, if they are to know how to explain and how to react? It is suggested that dangerous and severe personality disorder is best regarded as a moral category, framed in terms of goodness, badness, obligation and other ethical concepts. It seems plausible that in important ways the dangerous and severe personality disordered client does not understand morality or understands it differently. The peculiar position of the dangerous and severe personality disordered individual in our system of moral responsibility stems from his apparent inability to see the importance of the interests of others. It might be more helpful to regard personality disordered clients as we do children: partially but not fully reasonable for their actions. We might regard the dangerous and severe personality disordered client responsible for those actions which he most clearly understands, such as causing others physical pain, but not for those with which he is only superficially engaged, such as causing emotional pain. The paper concludes by suggesting that the dangerous and severe personality disordered individual does not fit easily into any conventional moral category, be it criminal, patient, animal or child, and thus an assessment of his moral accountability must take into consideration his special circumstances. [source] Diabetes in special circumstancesPRACTICAL DIABETES INTERNATIONAL (INCORPORATING CARDIABETES), Issue 1 2005Ken Shaw Editor-in-Chief, Practical Diabetes International No abstract is available for this article. [source] Incrementalism before the Storm: Network Performance for the Evacuation of New OrleansPUBLIC ADMINISTRATION REVIEW, Issue 2006John J. Kiefer Hurricane Katrina revealed a lack of preparedness in disaster management networks covering the New Orleans area. This paper focuses on the operation of networks in preparing to evacuate residents in advance of a major disaster. There are two cases: the relatively successful evacuation of residents who left by private conveyance and the widely publicized failure to provide for those who could not or would not leave on their own. We trace the actions and inactions of various players to reach conclusions about the strengths and weaknesses of networks in the special circumstances of disaster preparation. [source] Retrospective Voting and Political RepresentationAMERICAN JOURNAL OF POLITICAL SCIENCE, Issue 2 2009Seok-ju Cho This article develops a theoretical model of political representation under the single-member district system. I establish the existence of equilibria in which legislative voting of each legislator depends only on her preference and her electorate's preference and voters sanction badly behaved incumbents and retain well-behaved ones based solely on their own representatives' roll-call records. In equilibrium, voters achieve a partial representation with respect to representatives' behavior in each district. However, with respect to representation of the social majority, my findings are indeterminate. On the one hand, there exists an equilibrium in which the majority-preferred alternative is the outcome guaranteed, except in very special circumstances. On the other hand, this equilibrium is not generally the unique equilibrium, and, for some parameter values, there is an equilibrium in which the majority-preferred alternative is less likely than the alternative preferred only by the minority to be the outcome. [source] Joint British Association of Dermatologists and U.K. Cutaneous Lymphoma Group guidelines for the management of primary cutaneous T-cell lymphomasBRITISH JOURNAL OF DERMATOLOGY, Issue 6 2003S.J. Whittaker These guidelines were commissioned by the British Association of Dermatologists guidelines and therapeutics subcommittee. Members of the committee are N.H.Cox (Chairman), A.S.Highet, D.Mehta, R.H.Meyrick Thomas, A.D.Ormerod, J.K.Schofield, C.H.Smith and J.C.Sterling. Members of the U.K. Cutaneous Lymphoma Group who have contributed include C.Benton, R.Cowan, C.Deardon, B.Hancock, H.Lucraft and D.Slater. Disclaimer These guidelines have been prepared for dermatologists on behalf of the British Association of Dermatologists and the U.K. Cutaneous Lymphoma Group (UKCLG) and reflect the best data available at the time the report was prepared. Caution should be exercised in interpreting the data; the results of future studies may require alteration of the conclusions or recommendations in this report. It may be necessary or even desirable to depart from the guidelines in special circumstances. Just as adherence to guidelines may not constitute defence against a claim of negligence, so deviation from them should not be necessarily deemed negligent. Summary These guidelines for the management of cutaneous T-cell lymphoma have been prepared for dermatologists on behalf of the British Association of Dermatologists and the U.K. Cutaneous Lymphoma Group. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of epidemiological aspects, diagnosis and investigation. [source] Kinin B1 receptors: key G-protein-coupled receptors and their role in inflammatory and painful processesBRITISH JOURNAL OF PHARMACOLOGY, Issue 7 2004João B Calixto Kinins are a family of peptides implicated in several pathophysiological events. Most of their effects are likely mediated by the activation of two G-protein-coupled receptors: B1 and B2. Whereas B2 receptors are constitutive entities, B1 receptors behave as key inducible molecules that may be upregulated under some special circumstances. In this context, several recent reports have investigated the importance of B1 receptor activation in certain disease models. Furthermore, research on B1 receptors in the last years has been mainly focused in determining the mechanisms and pathways involved in the process of induction. This was essentially favoured by the advances obtained in molecular biology studies, as well as in the design of selective and stable peptide and nonpeptide kinin B1 receptor antagonists. Likewise, development of kinin B1 receptor knockout mice greatly helped to extend the evidence about the relevance of B1 receptors during pathological states. In the present review, we attempted to remark the main advances achieved in the last 5 years about the participation of kinin B1 receptors in painful and inflammatory disorders. We have also aimed to point out some groups of chronic diseases, such as diabetes, arthritis, cancer or neuropathic pain, in which the strategic development of nonpeptidic oral-available and selective B1 receptor antagonists could have a potential relevant therapeutic interest. British Journal of Pharmacology (2004) 143, 803,818. doi:10.1038/sj.bjp.0706012 [source] | ||||||||||||||||