646 research outputs found
Let the Judge Speak: Reconsidering the Role of Rehabilitation in Federal Sentencing
(Excerpt)
This Note contends that the importance of rehabilitation as a valid and necessary principle of punishment is overlooked in Β§ 3582(a) of the SRA and further argues that a judge should be permitted to consider rehabilitation when deciding to sentence a defendant to a term of imprisonment, so long as rehabilitation is not a dominant factor in coming to that decision. Part I outlines the principles of punishment and the rise and decline of the rehabilitative system of punishment in the United States. It also discusses the importance of rehabilitation and how society could benefit from a system that does not leave rehabilitation by the wayside. Part II discusses the Supreme Courtβs ruling in Tapia v. United States and the resulting circuit split concerning the degree to which rehabilitation can be considered when sentencing a criminal defendant to a term of imprisonment in accordance with Β§ 3553(a)(2)(D) and Β§ 3582(a) of the SRA. Finally, Part III recommends that the Supreme Court resolve the circuit split by adopting the Fifth Circuitβs additional justification and dominant factor tests, or alternatively, that Congress amend Β§ 3582(a) so as to permit judges to consider and talk about potential rehabilitation, without fear of being overruled for such discussions, when sentencing a defendant to prison
Let the Judge Speak: Reconsidering the Role of Rehabilitation in Federal Sentencing
(Excerpt)
This Note contends that the importance of rehabilitation as a valid and necessary principle of punishment is overlooked in Β§ 3582(a) of the SRA and further argues that a judge should be permitted to consider rehabilitation when deciding to sentence a defendant to a term of imprisonment, so long as rehabilitation is not a dominant factor in coming to that decision. Part I outlines the principles of punishment and the rise and decline of the rehabilitative system of punishment in the United States. It also discusses the importance of rehabilitation and how society could benefit from a system that does not leave rehabilitation by the wayside. Part II discusses the Supreme Courtβs ruling in Tapia v. United States and the resulting circuit split concerning the degree to which rehabilitation can be considered when sentencing a criminal defendant to a term of imprisonment in accordance with Β§ 3553(a)(2)(D) and Β§ 3582(a) of the SRA. Finally, Part III recommends that the Supreme Court resolve the circuit split by adopting the Fifth Circuitβs additional justification and dominant factor tests, or alternatively, that Congress amend Β§ 3582(a) so as to permit judges to consider and talk about potential rehabilitation, without fear of being overruled for such discussions, when sentencing a defendant to prison
ΠΠΎΡΡ Π²ΡΠ²Π΅ΡΡΠΈΠ²Π°Π½ΠΈΡ Π΄ΠΎΡΡΡΠΊΠΈΡ ΠΎΡΠ»ΠΎΠΆΠ΅Π½ΠΈΠΉ ΠΠ°ΠΏΠ°Π΄Π½ΠΎ-Π‘ΠΈΠ±ΠΈΡΡΠΊΠΎΠΉ Π³Π΅ΠΎΡΠΈΠ½Π΅ΠΊΠ»ΠΈΠ·Ρ
ΠΠΎΡΡΡΠΊΠΈΠ΅ (Π²Π΅Π½Π΄ΡΠΊΠΈΠ΅, ΠΏΠ°Π»Π΅ΠΎΠ·ΠΎΠΉΡΠΊΠΈΠ΅) ΠΎΡΠ»ΠΎΠΆΠ΅Π½ΠΈΡ ΡΠ³ΠΎ-Π²ΠΎΡΡΠΎΡΠ½ΠΎΠΉ ΡΠ°ΡΡΠΈ ΠΠ°ΠΏΠ°Π΄Π½ΠΎ-Π‘ΠΈΠ±ΠΈΡΡΠΊΠΎΠΉ Π³Π΅ΠΎΡΠΈΠ½Π΅ΠΊΠ»ΠΈΠ·Ρ ΠΏΡΠΎΡΠ»ΠΈ ΠΏΡΠ΅ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΠ½ΠΎ: Π΄ΠΈΠ°Π³Π΅Π½Π΅Π· ΠΈ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΡΠΉ ΠΊΠ°ΡΠ°Π³Π΅Π½Π΅Π· Π²ΠΎ Π²ΡΠ΅ΠΌΡ ΠΈ ΡΡΠ°Π·Ρ ΠΏΠΎΡΠ»Π΅ ΠΎΠΊΠ°ΠΌΠ΅Π½Π΅Π½ΠΈΡ; ΠΎΡΠΎΠ³Π΅Π½Π½ΡΠΉ ΡΡΠ°ΠΏ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΊΠΎΡ Π²ΡΠ²Π΅ΡΡΠΈΠ²Π°Π½ΠΈΡ Π² ΠΏΠ΅ΡΠΌΠΈ-ΡΡΠΈΠ°ΡΠ΅; Π²ΡΠΎΡΠΈΡΠ½ΠΎ-ΠΊΠ°ΡΠ°Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠ΅ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ, Π½Π°ΡΠΈΠ½Π°Ρ Ρ ΡΡΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π°. ΠΠΎΡΡ Π²ΡΠ²Π΅ΡΡΠΈΠ²Π°Π½ΠΈΡ ΡΠ°Π·Π²ΠΈΡΡ ΠΏΠΎ Π²ΡΠ΅ΠΉ ΠΏΠ»ΠΎΡΠ°Π΄ΠΈ Π²ΡΡ
ΠΎΠ΄Π° Π½Π° Π΄ΠΎΡΡΡΠΊΡΡ ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΡ ΠΏΠ°Π»Π΅ΠΎΠ·ΠΎΠΉΡΠΊΠΈΡ
ΠΏΠΎΡΠΎΠ΄ Π² Π²ΠΈΠ΄Π΅ ΠΌΠ°Π»ΠΎΠΌΠΎΡΠ½ΠΎΠΉ ΠΏΡΠΈΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ ΡΠ»ΡΡΡΠ΅Π½Π½ΡΡ
ΠΊΠΎΠ»Π»Π΅ΠΊΡΠΎΡΡΠΊΠΈΡ
ΡΠ²ΠΎΠΉΡΡΠ², Π² Π²ΠΈΠ΄Π΅ ΠΊΡΠ΅ΠΌΠ½ΠΈΡΡΠΎ-Π³Π»ΠΈΠ½ΠΈΡΡΡΡ
ΡΠ΅Π±Π½ΠΈΡΡΡΡ
ΠΌΠ°ΡΡ ΠΏΠΎ ΠΎΡΠ»ΠΎΠΆΠ΅Π½ΠΈΡΠΌ Π°Π½Π°Π»ΠΎΠ³ΠΈΡΠ½ΠΎΠ³ΠΎ ΡΠΎΡΡΠ°Π²Π°, Π° ΠΏΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΡΠΌ ΡΡΡΡΠ·ΠΈΠ²Π°ΠΌ ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠ³ΠΎ ΡΠΎΡΡΠ°Π²Π° ΠΈ ΡΡΡΠ°ΠΌ ΡΠ°Π·Π²ΠΈΡΡ Π±ΠΎΠΊΡΠΈΡΡ, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ ΠΏΠ΅ΡΠ΅ΠΎΡΠ»ΠΎΠΆΠ΅Π½Π½ΡΠ΅. Π ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡΡ
ΠΊΠΎΡΡ Π²ΡΠ²Π΅ΡΡΠΈΠ²Π°Π½ΠΈΡ ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½Ρ ΠΊΠΎΠ»Π»Π΅ΠΊΡΠΎΡΡ, ΡΠΎΠ²ΠΎΠΊΡΠΏΠ½ΠΎΡΡΡ ΠΊΠΎΡΠΎΡΡΡ
ΠΈΠΌΠ΅Π½ΡΠ΅ΡΡΡ Π½Π΅ΡΡΠ΅Π³Π°Π·ΠΎΠ½ΠΎΡΠ½ΡΠΉ Π³ΠΎΡΠΈΠ·ΠΎΠ½Ρ Π·ΠΎΠ½Ρ ΠΊΠΎΠ½ΡΠ°ΠΊΡΠ°. ΠΠ΅ΠΎΠΌΠ΅ΡΡΠΈΡ ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π»ΠΎΠ²ΡΡΠ΅ΠΊ Π½Π΅ΡΡΠΈ ΠΈ Π³Π°Π·Π° ΠΈΠΌΠ΅Π΅Ρ Π»ΠΈΠ½Π΅ΠΉΠ½ΠΎ-Π²ΡΡΡΠ½ΡΡΡΡ ΠΏΠ»Π°ΡΠ΅ΠΎΠ±ΡΠ°Π·Π½ΡΡ ΡΠΎΡΠΌΡ
Overcoming barriers to a successful transition from pediatric to adult care
As life expectancy for people with cystic fibrosis (CF) has increased dramatically, so has the need for a guided, structured transition from pediatric to adult-focused care. A formalized transition program allows for seamless transfer of patients between providers, helping to ensure continuity of care, and avoid potential declines associated with inconsistent medical care. New CF Center guidelines issued by the CFF strongly recommend that each center establish a transition program for age-appropriate transition to an adult CF clinic. In this article, we explore the remaining barriers to establishing a transition program in a CF Center and offer examples of several successful models. We describe CFF-sponsored and other initiatives that exist to support centers in establishing a transition program and discuss the need for ongoing research in this area
Klinische, radiologische und ganganalytische Ergebnisse nach endoprothetischem Kniegelenksersatz Attune vs. LCS
Als ein wesentlicher Parameter hat sich die Ganganalyse als ein objektives Instrument zu Beurteilung des Bewegungsablaufes etabliert. Ziel dieser Studie ist die Beurteilung des Attune-Implantates als Weiterentwicklung des LCS- Implantates, welches seit Jahren seinen Stellenwert auf dem Markt belegt hat, hinsichtlich Patientenzufriedenheit, klinische, radiologische und ganganalytische Aspekte. Methodik: In einer retrospektiven Vergleich Studie wurden 2015 bis 2016 in einem universitΓ€ren EPZmax 63 Patienten, bei denen bei primΓ€rer Gonarthrose ein OberflΓ€chenersatz in Balance Gap Technik implantiert worden ist, eingeschlossen. Die Parameter der Ganganalyse mit dem Knie TEP versorgten Patienten wurden denen einer gesunden Vergleichsgruppe von 50 Probanden gegenΓΌber gestellt. Es wurden 30 Patienten mit einer Attune-KTEP und 33 Patienten mit einer LCS-KTEP versorgt. Die Nachbeobachtungszeit betrug mindestens 1 Jahr. Die Ganganalysen wurden mit dem 3D-Bewegungsanalysesystem Vicon (Vicon, Oxford, GB) mit 10 Infrarotkameras mit 3 Kraftmessplatten durchgefΓΌhrt. PrΓ€- und postoperativ wurden eine Ganzbeinaufnahme und Knie seitlich angefertigt. Zur klinischen Evaluation wurden die folgenden Scores erhoben: Knee Society Score (KSS), Forgotten Joint Score (FSJ 12), WOMAC und Patientenzufriedenheit-Test. Ergebnisse und Schlussfolgerung: Der Einsatz von Attune Kniesystems fΓΌhrt zu einem physiologischeren Gangbild und besserem Bewegungsumfang gegenΓΌber dem LCS Kniesystem. Der Bewegungsumfang war in der Attune Gruppe mit 129Β°+- 16Β° signifikant hΓΆher als in der LCS Gruppe 109Β°+- 15Β°, p<0,001. Bei den 29 FΓ€llen signifikanter Unterschiede lagen die Mittelwerte der Parameter fΓΌr Attune 27 mal nΓ€her an den Werten der Gesunden und nur 2 mal fΓΌr die Gruppe LCS. Diese Studie konnte keine besseren klinischen und/oder radiologischen Ergebnisse des neuen Prothesendesign des Attune Kniesystems aufzeigen. Auch eine bessere Patientenzufriedenheit als beim LCS Kniesystem fand sich nicht
ΠΠ°ΠΊΠΎΠ½ΠΎΠΌΠ΅ΡΠ½ΠΎΡΡΠΈ ΡΠΈΠ½ΡΠ΅Π·Π° Π½Π°Π½ΠΎΠ΄ΠΈΡΠΏΠ΅ΡΡΠ½ΡΡ ΠΎΠΊΡΠΈΠ΄ΠΎΠ² ΠΌΠ΅Π΄ΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠ»ΠΈΠ·ΠΎΠΌ Π½Π° ΠΏΠ΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΌ ΡΠΎΠΊΠ΅ Π² ΡΠ°ΡΡΠ²ΠΎΡΠ΅ ΡΠ΅Π»ΠΎΡΠΈ
ΠΠΎΠΊΠ°Π·Π°Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΡ ΠΎΠΊΡΠΈΠ΄ΠΎΠ² ΠΌΠ΅Π΄ΠΈ Ρ Π²ΡΡΠΎΠΊΠΎΠΉ ΠΏΠ»ΠΎΡΠ°Π΄ΡΡ ΡΠ΄Π΅Π»ΡΠ½ΠΎΠΉ ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠ»ΠΈΠ·ΠΎΠΌ ΠΌΠ΅ΡΠ°Π»Π»ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠ΅Π΄ΠΈ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΏΠ΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠ³ΠΎ ΡΠΎΠΊΠ° ΠΏΡΠΎΠΌΡΡΠ»Π΅Π½Π½ΠΎΠΉ ΡΠ°ΡΡΠΎΡΡ. ΠΠ·ΡΡΠ΅Π½Ρ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ, ΠΎΠΊΠ°Π·ΡΠ²Π°ΡΡΠΈΠ΅ Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π½Π° ΡΠΊΠΎΡΠΎΡΡΡ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ ΠΎΠΊΡΠΈΠ΄ΠΎΠ². ΠΠΏΡΠ΅Π΄Π΅Π»ΡΠ½ ΡΠ°Π·ΠΎΠ²ΡΠΉ ΡΠΎΡΡΠ°Π² ΠΈ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠΈ ΠΏΠΎΡΠΈΡΡΠΎΠΉ ΡΡΡΡΠΊΡΡΡΡ ΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠ² ΡΠ»Π΅ΠΊΡΡΠΎΡΠΈΠ½ΡΠ΅Π·Π° Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΡΠ΅ΠΆΠΈΠΌΠΎΠ² ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΏΡΠΎΡΠ΅ΡΡΠ°
Domestic violence: firearm seizures and lethality assessments: enhancing the police response
Recommends that police procedures in cases of domestic violence include seizing prohibited offender firearms
Experimental studies on shear connection between steel and lightweight concrete using studs
This contribution describes Standard Push-Out Tests carried out at University of Minho (UM) and the Single Push-Out Tests performed at the Institute of Structural Concrete at RWTH Aachen University using high strength lightweight concrete (HSLWC). The test configuration follows the EC4 recommendations and repeats some dispositions referred by other authors. The experimental studies carried out at RWTH and UM include tests on studs with diameters of 19, 22 and 25 mm and also tests on studs of 19 mm diameter, which are grouped in pairs. The purpose of the experiments conducted is to determine the load-bearing capacity as well as the deformation capacity of commonly used headed shear stud when using high strength lightweight concrete. The results from these tests are compared to those from the tests performed with high strength normal weight concrete (NWC)
Toll-like Receptor-4 Regulation of Hepatic Cyp3a11 Metabolism in a Mouse Model of LPS-induced CNS Inflammation
Central nervous system (CNS) infection and inflammation severely reduce the capacity of cytochrome P-450 metabolism in the liver. We developed a mouse model to examine the effects of CNS inflammation on hepatic cytochrome P-450 metabolism. FVB, C57BL/6, and C3H/HeouJ mice were given Escherichia coli LPS (2.5 ΞΌg) by intracerebroventricular (ICV) injection. The CNS inflammatory response was confirmed by the elevation of TNF-Ξ± and/or IL-1Ξ² proteins in the brain. In all mouse strains, LPS produced a 60β70% loss in hepatic Cyp3a11 expression and activity compared with saline-injected controls. Adrenalectomy did not prevent the loss in Cyp3a11 expression or activity, thereby precluding the involvement of the hypothalamic-adrenal-pituitary axis. Endotoxin was detectable (1β10 ng/ml) in serum between 15 and 120 min after ICV dosing of 2.5 ΞΌg LPS. Peripheral administration of 2.5 ΞΌg LPS by intraperitoneal injection produced similar serum endotoxin levels and a similar loss (60%) in Cyp3a11 expression and activity in the liver. The loss of Cyp3a11 in response to centrally or peripherally administered LPS could not be evoked in Toll-like receptor-4 (TLR4)-mutant (C3H/ HeJ) mice, indicating that TLR4 signaling pathways are directly involved in the enzyme loss. In summary, we conclude that LPS is transferred from the brain to the circulation in significant quantities in a model of CNS infection or inflammation. Subsequently, LPS that has reached the circulation stimulates a TLR4-dependent mechanism in the periphery, evoking a reduction in Cyp3a11 expression and metabolism in the liver
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