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951.
952.

Electron microscopy has been used to study the microstructures of equilibrated and quenched NiO-TiO2 mixtures containing 5, 10, 15, 20 and 25wt% TiO2. All the specimens contained rocksalt- and spinel-structured phases on a nanometre scale. The microstructure suggests that a nonstoichiometric spinel decomposed during quenching. The 25wt% TiO2 specimen exhibited a lamellar microstructure composed of NiTiO3 and spinelNiO. These phases had the usual orientation relationships, i.e., (111)cubic||(0001)hex and (110)cubic|| (1100>hex. Faceted NiO solid-solution regions with coherent cube-on-cube interfaces with the spinel were found in the four specimens of lower TiO2 contents. When large (15 and 20wt% TiO2), these regions were faceted cuboidal particles. With lower TiO2 contents, these regions were no longer equiaxed and could be interconnected. The specimens were chemically homogeneous on a length scale of about 1mum. Morphological evidence is presented to explain which part of the microstructure most probably already existed in this form during equilibration. In particular, the large-scale NiTiO3 and the spinel lamella in the 25wt% TiO2 material form during long-term equilibration.  相似文献   
953.
954.
This article reviews and evaluates publications during 2001–2010 with relevance for assessments of competence to stand trial, referred to in this article as adjudicative competence. The review focuses specifically on articles that provide new concepts or data supported by research or case analyses. The studies are reviewed under the following headings: (i) systemic issues, (ii) conceptual guidelines for AC evaluations, (iii) AC assessment methods, (iv) empirical correlates of AC judgments and psycholegal abilities, (v) quality of AC evaluations and reports, (vi) interpretive issues, (vii) special populations (defendants who are elderly, defendants with intellectual disabilities), (viii) AC evaluations of juveniles, and (ix) treatment of incompetent defendants. Suggestions are offered for further research to advance the quality of clinical evaluations of adjudicative competence. Copyright © 2013 John Wiley & Sons, Ltd.  相似文献   
955.
956.
The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation–liaison (C–L) service. A retrospective study was conducted using inpatient C–L service data on 1,246 consecutive referrals. For this patient population, the strongest predictor of level of non-reimbursable clinical activity was illness chronicity and the number of contacts with C–L service clinicians during their hospital stay. Patients with acute life-threatening illnesses required the highest mean amount of non-reimbursable service activity. On average, 28 % of total clinician time in completing a hospital consultation was spent in non-reimbursable activity. Effective C–L services require a proportion of time spent in non-reimbursable clinical activity, such as liaison and coordinating care with other providers. Identifying referral and systemic factors contributing to non-reimbursable activity can provide insight into budgeting/negotiating for institutional support for essential clinical and non-clinical functions in providing competent quality patient care.  相似文献   
957.

The predominant ethical framework for addressing reproductive decisions in the maternal–fetal relationship is respect for the woman's autonomy. However, when a pregnant schizophrenic woman lacks such autonomy, healthcare providers try to both protect her and respect her preferences. By delineating etic (objective) and emic (subjective) perspectives on vulnerability, I argue that options which balance both perspectives are preferable and that acting on etic perspectives to the exclusion of emic considerations is rarely justified. In negotiating perspectives, we balance the etic commitment to protect the vulnerable patient and her fetus from harm with the emic concern to empower a decisionally incapacitated woman. Equilibrium is best achieved by nurturing interdependent relationships that empower and protect the vulnerable woman. The analysis points to the need for better social support for mentally ill patients.  相似文献   
958.
Hypertension affects many older adults and is associated with impaired neural and cognitive functioning. We investigated whether a history of hypertension was associated with impairments to prospective memory, which refers to the ability to remember to perform delayed intentions, such as remembering to take medication. Thirty-two cognitively normal older adult participants with or without a history of hypertension (self-reported) performed two laboratory prospective memory tasks, one that relied more strongly on executive control (nonfocal prospective memory) and one that relied more strongly on spontaneous memory retrieval processes (focal prospective memory). We observed hypertension-related impairments for nonfocal, but not focal, prospective memory. To complement our behavioral approach, we conducted a retrospective analysis of available structural magnetic resonance imaging data. Lower white matter volume estimates in the anterior prefrontal cortex were associated with lower nonfocal prospective memory and with a history of hypertension. A history of hypertension may be associated with worsened executive control and lower prefrontal white matter volume. The translational implication is that individuals who must remember to take antihypertensive medications and to monitor their blood pressure at home may be impaired in the executive control process that helps to support these prospective memory behaviors.  相似文献   
959.
Although numerous studies have examined the role of religious tradition and religiosity on attitudes toward lesbian, gay, and bisexual people, the role of endorsement of denominational teachings has largely been overlooked, even though such teachings are often cited to explain study findings. To better understand the complex relationship between religion and sexual prejudice, this study explores the unique contributions of religious tradition, religiosity, and individual endorsement of denominational doctrine about same-sex sexuality in shaping these attitudes. Findings indicate that endorsement of denominational doctrine concerning same-sex sexuality is more influential than religiosity, and that endorsement of denominational doctrine is not simply a proxy for believing that same-sex sexuality is a sin. Implications for future research are discussed.  相似文献   
960.
Jessica Carter 《Synthese》2013,190(17):3983-3999
This article takes as a starting point the current popular anti realist position, Fictionalism, with the intent to compare it with actual mathematical practice. Fictionalism claims that mathematical statements do purport to be about mathematical objects, and that mathematical statements are not true. Considering these claims in the light of mathematical practice leads to questions about how mathematical objects are handled, and how we prove that certain statements hold. Based on a case study on Riemann’s work on complex functions, I propose that mathematicians deal with systems of representations and that truth—or what we can prove—depends on available representations in some context where the problem can be solved.  相似文献   
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