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51.
This article addresses two questions: (a)Why were so many new nonprofit organizations in New York City created to “fight AIDS?” and (b) What are some consequences of this phenomenon? Drawing on redundancy theory as a partial explanation, it also considers the role of racial and ethnic politics and the impact of government contracting on the formation and growth of community-based organizations. For clients, the effect has been paradoxical: financial support of a large number of organizations led to a complex and fragmented delivery system offering some clients a range of choices but decreasing access for those less able to navigate a complex system.  相似文献   
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Proximal radio‐ulnar synostosis (RUS) may occur congenitally, either as an isolated condition or as part of a syndrome, or it may occur as a secondary complication of forearm trauma. We provide a key for the differential diagnosis of congenital versus traumatic RUS, and for differentiation between types of congenital RUS. Congenital cases (CRUS) include absence of fracture, radial head abnormalities, radial shaft bowing, and absence of a sigmoid notch, whereas post‐traumatic RUS results from either radial neck fracture or evulsion of the biceps brachii, followed by ossification of the resulting haematoma or of the interosseous (IO) membrane. Congenital cases include those which result from incompetent differentiation of the single mesenchymal mass that gives rise to the radius and ulna (Type I) and those that result from radial head dislocation in utero, resulting usually from humeral or ulnar defects (Type II). Type II CRUS can be differentiated by the presence of radial overgrowth, among other factors. Following these guidelines, we describe and compare the morphology of three congenital cases from North America. Two present bony fusions and one a functional fusion with radial overgrowth. In each case, CRUS significantly limits both supination and pronation. Despite differences among the cases, several morphological accommodations are shared as a result of fixation in the neutral (semi‐pronated) position. These changes include the ventral migration of the IO crests of the ulnae and enlargement of the dorsal tubercles of the radius. Understanding the pattern of accommodations made in the face of compromised function ultimately increases our understanding of the patterns of growth in normal functional regimes. Copyright © 2000 John Wiley & Sons, Ltd.  相似文献   
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Understanding hydrothermal processes during production is critical to optimal geothermal reservoir management and sustainable utilization. This study addresses the hydrothermal (HT) processes in a geothermal research doublet consisting of the injection well E GrSk3/90 and production well Gt GrSk4/05 at the deep geothermal reservoir of Groß Schönebeck (north of Berlin, Germany) during geothermal power production. The reservoir is located between ?4050 to ?4250 m depth in the Lower Permian of the Northeast German Basin. Operational activities such as hydraulic stimulation, production (T = 150°C; Q = ?75 m3 h?1; C = 265 g l?1) and injection (T = 70°C; Q = 75 m3 h?1; C = 265 g l?1) change the HT conditions of the geothermal reservoir. The most significant changes affect temperature, mass concentration and pore pressure. These changes influence fluid density and viscosity as well as rock properties such as porosity, permeability, thermal conductivity and heat capacity. In addition, the geometry and hydraulic properties of hydraulically induced fractures vary during the lifetime of the reservoir. A three‐dimensional reservoir model was developed based on a structural geological model to simulate and understand the complex interaction of such processes. This model includes a full HT coupling of various petrophysical parameters. Specifically, temperature‐dependent thermal conductivity and heat capacity as well as the pressure‐, temperature‐ and mass concentration‐dependent fluid density and viscosity are considered. These parameters were determined by laboratory and field experiments. The effective pressure dependence of matrix permeability is less than 2.3% at our reservoir conditions and therefore can be neglected. The results of a three‐dimensional thermohaline finite‐element simulation of the life cycle performance of this geothermal well doublet indicate the beginning of thermal breakthrough after 3.6 years of utilization. This result is crucial for optimizing reservoir management. Geofluids (2010) 10 , 406–421  相似文献   
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James Madison argued in Federalist 10 that "rival political factions" work against the public good. In contrast to Madison's pessimistic account, I suggest that factional conflict can lead to more representative public policy, and thus further the will of the people. I theorize that elected officials often seek a safe political position—one that corresponds to the preferences of the public at large—during periods of high conflict. I assess this theory in one, salient policy area, medical malpractice. I measure conflict with contributions for state candidates given by (i) the health and insurance industries, which generally support malpractice laws, and (ii) lawyers, who frequently oppose the laws. I find that group conflict matters to policy outcomes. I also find evidence that, under conditions of elevated conflict, adopted policies are more likely to move toward the general ideological preferences of the public at large. These results suggest that group conflict affects both the quantity and character of policy in the American states.  相似文献   
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This paper describes two approaches to the facial approximation of three individuals from the Wairau Bar burial site (New Zealand). Two individuals were approximated working in direct reference to the remains and incorporated manual drafting. The third individual, ‘Aunty’ (the respectful title given by the iwi Rangitane elders) was approximated from CT scans and using computer graphics. The computer graphic approach enabled a greater level of precision in the application of the research and recommendations that inform a facial approximation, and facilitated collaboration with appropriate expertise. The computer-graphic approach, however, also resulted in a more photographic facial appearance, which can imply a greater level of knowledge about hard/soft tissue relationships than is currently available.  相似文献   
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Popular cultural convention holds that, for those with enough gumption, the American frontier was a land of unparalleled opportunity. However, careful research throws doubt on the universality of this convention. Thus, the authors explore factors that increase or decrease opportunities for upward mobility in frontier towns. The authors' longitudinal study of late nineteenth century silver prospectors in Gothic, Colorado, demonstrates that while enthusiastic prospecting in Gothic did not lead to upward social mobility, it did provide enhanced reproductive opportunities.  相似文献   
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