801 resultados para Need for punsihment
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Like any new business venture, starting a distillery requires careful planning and a major investment of resources. Marylanders interested in opening a distillery should consider taking classes and talking to existing distillers before starting out on their own. This guide is intended to provide an overview of the legal process of getting the required licenses and permits needed to open a distillery.
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Introduction - Learning about ageing and the appropriate management of older patients is important for all doctors. This survey set out to evaluate what medical undergraduates in the UK are taught about ageing and geriatric medicine and how this teaching is delivered. Methods – An electronic questionnaire was developed and sent to the 28/31 UK medical schools which agreed to participate. Results – Full responses were received from 17 schools. 8/21 learning objectives were recorded as taught, and none were examined, across every school surveyed. Elder abuse and terminology and classification of health were taught in only 8/17 and 2/17 schools respectively. Pressure ulcers were taught about in 14/17 schools but taught formally in only 7 of these and examined in only 9. With regard to bio- and socio- gerontology, only 9/17 schools reported teaching in social ageing, 7/17 in cellular ageing and 9/17 in the physiology of ageing. Discussion – Even allowing for the suboptimal response rate, this study presents significant cause for concern with UK undergraduate education related to ageing. The failure to teach comprehensively on elder abuse and pressure sores, in particular, may be significantly to the detriment of older patients.
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Part 1: Introduction
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Developing a robust method to study characteristics of vascular flow using ultrasound may be useful to assess endothelial function and vasodilatation. There are four stages in this proposal. 1.The first stage is to standardise and validate the methodology to enable computational risk flow data and other flow characteristics to be used clinically. (Current Study). Further development of fluid modelling methods will enable particulate haemodynamics to be investigated, and incorporate detailed endothelial structure together with cellular pathways. 2. This should be followed up by studies in different patient groups investigating the association between the derived values and estimated risk (using other methods such as Framingham risk score). 3. Then, associated with underlying cardiovascular risk, prospective studies would be made to establish whether computational flow dynamic data can predict outcome. If successful it could prove to be a very useful marker of benefit following treatment in a clinical setting.
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No decurso de 2013 Estados-membros, analistas e decisores consideraram que o Conselho Europeu de dezembro passado deveria apelar à reflexão conjunta sobre a avaliação do ambiente global e o impacto dos desafios futuros reclamando a formulação de uma nova estratégia global. A redistribuição do poder global com o desvio dos EUA para a Ásia, o falhanço das intervenções no grande Médio Oriente e a crise financeira levaram a uma retração da Europa. Do mesmo modo, a vizinhança próxima da UE empobrecida e instável perdeu capacidade para lidar com a reemergência do mundo Vestefaliano. O recurso ao soft power e à ajuda financeira afiguram-se como pouco eficazes perante parceiros internacionais não socializados com práticas de responsabilidade cosmopolita. No entanto, a propensão da UE para o consenso, compromisso e capacidade para definir a agenda internacional poderá adequar-se bem à transição do mundo hegemónico a uma nova distribuição de poderes, valores e interesses. Isto implicará uma nova forma de pensar estrategicamente o mundo, uma nova forma de projetar valores e repensar o papel das forças armadas.
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Antecedentes: El chocolate tiene propiedades especiales que ayudan a proteger el cuerpo humano de enfermedades cardiovasculares, incrementa el colesterol HDL y reduce la presión sanguínea. El consumo de chocolate también ayuda a reducir el estrés, eleva el ´animo y reduce el cansancio. El propósito de esta revisión es identificar, seleccionar, organizar y resumir estudios que investiguen el chocolate en relación con la salud, las características sensoriales y las actitudes de las personas. Este artículo es parte de la tesis de maestría: Is there a need for “healthy” chocolate? Systematic literature review and consumer research in Belgium and in Denmark (Es necesario el chocolate “saludable”? Revisión sistemática de la literatura y estudio al consumidor en Bélgica y Dinamarca), presentada por la autora en Junio del 2015 a la Universidad de Aalborg en Copenhague. Métodos: Este estudio presenta tres áreas relacionadas con el chocolate: Chocolate y su relación con la salud; características sensoriales y aceptación del chocolate; y actitudes hacia el chocolate. Una revisión sistemática de la literatura fue realizada para identificar, seleccionar, organizar y resumir estudios que investiguen al chocolate en relación con estas tres áreas. Cuatro bases de datos fueron escogidas: PubMed, Science Direct, Scopus y Web of Science por sus extensiones y porque superponen investigaciones interdisciplinarias.Resultados: Se obtuvieron un total de 2062 hits en las cuatro bases de datos. Un total de sesenta artículos cumplieron los criterios y fueron identificados como relevantes. Los artículos fueron clasificados de acuerdo a las tres áreas incluidas en el estudio. En relación a la salud, se ha indicado en muchos estudios que los polifenoles en el chocolate pueden mejorar la salud, especialmente en enfermedades cardiovasculares. De acuerdo a las características sensoriales y aceptación del chocolate, se ha dicho que la forma del chocolate tiene una influencia en la percepción del mismo. Los polifenoles causan astringencia y amargor al chocolate, haciéndolo no muy apetecido para los consumidores; sin embargo, por razones de salud, los polifenoles deben ser conservados. Acerca de las actitudes hacia el chocolate, hay muchos factores que llevan al deseo incontrolable de consumir chocolate. El chocolate es el alimento más apetecido en Norte América, éste influencia el estado anímico y crea una sensación de saciedad. Conclusión: Con base en esta revisión se puede concluir que un chocolate “saludable” puede ser parte de una dieta saludable, a la gente le gusta disfrutar del chocolate, mujeres más que hombres. La literatura respalda las propiedades saludables que tiene el consumo del chocolate, por esto es necesario trabajar en el desarrollo de productos de chocolate.
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Rather often we have to confront with the pessimistic views on the future of the family business. Contrary to these prognosis, the FB is not only present but also improving its position in the global economy and playing a key role in the European economy too. They represent 60 % of employment and more than 60 million jobs in the private sector. Among many internal challenges of FB in the five years’ time, the importance of the ‘company succession’ is increasing together with the renewing technology and ‘attracting the right sills/ talents’ (Global Family Survey, 2015). This article is focusing on the transfer of socio-economic wealth (SEW) as a key intangible asset within the intergenerational changes in the FB. The paper outlines the various concepts (narrow vs. broad) of the SEW and special attention is paid to the risk prone [taken] and risk adverse entrepreneurial attitudes. In this relation, the authors made distinction between the ‘opportunity’ and ‘necessity entrepreneurs’. Using empirical experiences based on multi-site company case studies in the three INSIST project countries, the various sub-sections are focusing on the transfer of the following key components of the SEW to the next generation: trust-based social-system, generic human values (i.e. openness, mutual respect, correctness, reliability, responsibility etc.) and ‘practice based – embedded collective knowledge’. Key lesson of this analysis is the following: transferring physical assets in the succession process seems to us less important than the transfer of the intangible one embedded in the company’s culture community. Further systematic national and international investigations – combining quantitative and qualitative research tools – are necessary to acquire more accurate picture on the impacts of transferring both intangible and tangible assets in the succession process in the FB.
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Purpose: Most individuals do not perceive a need for substance use treatment despite meeting diagnostic criteria for substance use disorders and they are least likely to pursue treatment voluntarily. There are also those who perceive a need for treatment and yet do not pursue it. This study aimed to understand which factors increase the likelihood of perceiving a need for treatment for individuals who meet diagnostic criteria for substance use disorders in the hopes to better assist with more targeted efforts for gender-specific treatment recruitment and retention. Using Andersen and Newman’s (1973/2005) model of individual determinants of healthcare utilization, the central hypothesis of the study was that gender moderates the relationship between substance use problem severity and perceived treatment need, so that women with increasing problems due to their use of substances are more likely than men to perceive a need for treatment. Additional predisposing and enabling factors from Andersen and Newman’s (1973/2005) model were included in the study to understand their impact on perceived need. Method: The study was a secondary data analysis of the 2010 National Survey on Drug Use and Health (NSDUH) using logistic regression. The weighted sample consisted of a total 20,077,235 American household residents (The unweighted sample was 5,484 participants). Results of the logistic regression were verified using Relogit software for rare events logistic regression due to the rare event of perceived treatment need (King & Zeng, 2001a; 2001b). Results: The moderating effect of female gender was not found. Conversely, men were significantly more likely than women to perceive a need for treatment as substance use problem severity increased. The study also found that a number of factors such as race, ethnicity, socioeconomic status, age, marital status, education, co-occurring mental health disorders, and prior treatment history differently impacted the likelihood of perceiving a need for treatment among men and women. Conclusion: Perceived treatment need among individuals who meet criteria for substance use disorders is rare, but identifying factors associated with an increased likelihood of perceiving need for treatment can help the development of gender-appropriate outreach and recruitment for social work treatment, and public health messages.
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This brochure discusses these topics concerning radon: What Is Radon?, Health Effects Of Radon, Radon Action Level, How Much Radon In A Home Is Safe?, What Do I Do If I Have A Radon Problem?, Major Radon Entry Routes, How Do I Know If I Have A Radon Problem?, Where Should I Test?, Retesting For Radon and Radon in Water.
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Describes three tensions in the theoretical literature of indexing: chief sources of evidence indexing, process of indexing (rubrics and methods), and philosophical position of indexing scholarship. Following this exposition, we argue for a change in perspective in Knowledge Organization research. Using the difference between prescriptive and descriptive linguis- tics as a metaphor, we advocate for a shift to a more descriptive, rather than the customary prescriptive, approach to the theo- retical and empirical study of indexing, and by extension Knowledge Organization.
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Aim Positive regional correlations between biodiversity and human population have been detected for several taxonomic groups and geographical regions. Such correlations could have important conservation implications and have been mainly attributed to ecological factors, with little testing for an artefactual explanation: more populated regions may show higher biodiversity because they are more thoroughly surveyed. We tested the hypothesis that the correlation between people and herptile diversity in Europe is influenced by survey effort
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Montados are presently facing the threat of either abandonment or intensification, and livestock overgrazing has been suspected of contributing to reduced natural regeneration and biodiversity. However, reliable data are to our knowledge, lacking. To avoid potential risks of overgrazing, an adaptive and efficient management is essential. In the present paper we review the main sources of complexity for grazing management linked with interactions among pasture, livestock and human decisions. We describe the overgrazing risk in montados and favour grazing pressure over stocking rate, as a key indicator for monitoring changes and support management decisions. We suggest the use of presently available imaging and communication technologies for assessing pasture dynamics and livestock spatial location. This simple and effective tools used for monitoring the grazing pressure, could provide an efficient day-to-day aid for farm managers’ operational use and also for rangeland research through data collection and analysis.