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Mainstreaming Equality in the European Union: Education, Training And Labour Market Policies

by Teresa Rees

Mainstreaming Equality in the European Union provides a critical overview and evaluation of the potential role of the EU in perpetuating or breaking down gender segregation in the EU labour force. Teresa Rees draws upon feminist theoretical frameworks in assessing Equal Opportunitues policies and the role of training in the labour market. The same economic imperatives which put women's training on the agenda have heightened interest in designing training which attracts women into mainstream provision. Mainstreaming Equality in the European Union addresses the urgent need for academics, education and training providers, as well as policy makers to be aware of current thinking at EU level on training policy.

Mainstreaming Midwives: The Politics of Change

by Robbie Davis-Floyd Christine Barbara Johnson

Providing insights into midwifery, a team of reputable contributors describe the development of nurse- and direct-entry midwifery in the United States, including the creation of two new direct-entry certifications, the Certified Midwife and the Certified Professional Midwife, and examine the history, purposes, complexities, and the political strife that has characterized the evolution of midwifery in America.Including detailed case studies, the book looks at the efforts of direct-entry midwives to achieve legalization and licensure in seven states: New York, Florida, Michigan, Iowa, Virginia, Colorado, and Massachusetts with varying degrees of success.

Maintaining Military Medical Skills During Peacetime

by Christine Eibner

Military medical personnel are tasked with fulfilling both the benefits mission and the readiness mission of the U.S. Department of Defense (DoD). However, the medical skills required during deployment are likely to differ significantly from those required during peacetime. This study explored an arrangement in which some personnel are stationed in nonmilitary settings where the case mix might more closely resemble that expected under deployment.

Maintaining a Healthy Lifestyle: Psychological Interventions for the Prevention of Chronic Diseases and the Role of the Health Ecosystem

by Dorothea Schaffner Adrienne Schäfer Karina von dem Berge Nora Studer Nico van der Heiden Anja Zimmermann

With a sustainable lifestyle change based on sufficient exercise and a balanced diet, many chronic diseases (obesity, high blood pressure, diabetes, metabolic syndrome) can be alleviated, cured or their onset prevented. Those affected from chronic diseases find it difficult to change their lifestyle permanently. Intervention programs are often not geared towards sustainable behavioral change and take too little account of the individual's motivational factors. As a result, those affected revert to old patterns after a while. The applied research project "Sustainable Lifestyle Change", which is the subject of this book, deals with the question of how "sticking to" a healthy lifestyle can be supported from the perspective of motivational psychology and service orientation. This specialist book is aimed at people in the healthcare sector (health psychologists, doctors, nutritionists, etc.) as well as applied researchers and explains how affected people can be supportedin "sticking to" a healthy lifestyle. There are gaps in research and practice regarding this so-called maintenance phase of a healthy lifestyle, which this book closes: What measures successfully support those affected from chronic diseases in making sustainable lifestyle changes? What is the role of motivation and motivational orientation in maintaining a healthy lifestyle? What does the maintenance phase look like and what is the customer journey of those affected? What is the role of those affected and other stakeholders in the healthcare ecosystem in long-term lifestyle change? The findings are synthesized in a toolbox with recommendations for practitioners.

Major Complications of Female Pelvic Surgery: A Multidisciplinary Approach

by Tracy L. Hull Mitchel Hoffman Bernard H. Bochner

This book gives a multidisciplinary perspective on complications of female pelvic surgery. The confined space of the pelvis precludes a clear separation of the pelvic surgical disciplines, and pelvic surgery is therefore multidisciplinary by nature. This work addresses this overlap by featuring three editors, one from each of the major pelvic surgery disciplines: gynecology, urology, and colorectal surgery. The chapters are broken down into medical, surgical, and procedure-related complications, and address each complication’s background, prevention, recognition, and management. Written by experts in the field, this book is an easy-to-use resource for all surgeons who perform pelvic operations.

Major Depressive Disorder: Rethinking and Understanding Recent Discoveries (Advances in Experimental Medicine and Biology #1305)

by Yong-Ku Kim

This book reviews all aspects of major depressive disorder (MDD), casting light on its neurobiological underpinnings and describing the most recent advances in management. The book is divided into four sections, the first of which discusses MDD from a network science perspective, highlighting the alterations in functional and structural connectivity and presenting insights achieved through resting state functional MRI and the development of neuroimaging-based biomarkers. The second section examines important diagnostic and neurobiological issues, while the third considers the currently available specific treatments for MDD, including biofeedback, neurofeedback, cognitive behavioral therapy, acceptance and commitment therapy, neuromodulation therapy, psychodynamic therapy, and complementary and alternative medicine. A concluding section is devoted to promising emerging treatments, from novel psychopharmacological therapies through to virtual reality treatment, immunotherapy, biomarker-guided tailored therapy, and more. Written by leading experts from across the world, the book will be an excellent source of information for both researchers and practitioners.

Major Incident Management System (MIMS), 1st Edition

by Timothy J. Hodgetts Crispin Porter

This highly practical aid to management of major incidents is the refined and improved new edition of Prehospital Emergency Management Master. Concentrating on the essential elements in treatment and transport of the wounded in a major incident this new system provides easily assimilable information on:symbols and terminology; first actions; METHANE report; command; safety; communications; triage; treament; transportthe system is produced on waterproof pages, and includes 12 separate action cards for use by auxiliary helpers, and a log for recording the facts.The complete package comes in a handy sized ring binder, allowing users to add their own local notes. The use of colour and easily recognisable icons makes this a valuable aid even in the most difficult conditions.

Major Incident Medical Management and Support, THIRD EDITION

by Kevin Mackway-Jones

Major Incident Medical Management and Support (MIMMS) is the coursebook for the Advanced Life Support Group's internationally taught training for health care professionals responding to major incidents. The practical approach employed in MIMMS has proved an invaluable aid to both civilian and military doctors, nurses and paramedics working in disaster management worldwide. The third edition has been fully revised to make MIMMS appropriate for the 21st century, with greater emphasis on human factors, a more structured approach to medical management, and new chapters on: Hazardous materials Incidents involving large numbers of children Management of a major incident with multiple burn casualties Mass gatherings Natural disasters There are also revised appendices covering responsibility for the dead, radio use, and voice procedures, and what to do beyond the immediate situation. Covering all eventualities in medical management during major incidents, MIMMS provides a comprehensive and practical guide for all who are involved in this aspect of emergency medicine.

Major Incident Medical Management and Support: The Practical Approach at the Scene (Advanced Life Support Group)

by Advanced Life Support Group

The Major Incident Medical Management and Support (MIMMS) course, developed by the Advanced Life Support Group (ALSG), is taught to healthcare professionals worldwide. Integrated into both civilian and military medical practice, MIMMS is the only international standard in major incident medical management – focused on delivering the medical support needed to many casualties through triage, treatment and transport. The Fourth Edition of Major Incident Medical Management and Support: The Practical Approach at the Scene is the most current coursebook for the MIMMS curriculum. This new edition has been fully revised to ensure doctors, nurses and paramedics are able to prepare for, and implement, a structured response to major incidents such as those involving hazardous materials, natural disasters, mass gatherings, multiple burn casualties and large numbers of children. The wide range of topics covered include communications, personal and medical equipment, command and control, planning, assessment and the psychological aspects of major incidents. This new edition also includes: Practical information and clear guidelines for medical professionals delivering care to multiple casualties at the scene both during and after an incident The organisations, structures and different roles involved in the medical management of major incidents Contributions from an international team of experts in fields including emergency medicine and nursing, fire and rescue services, disaster preparedness and response and emergency transport Appendices covering responsibility for the dead, radio use and voice procedures, the media, the hospital response and the steps to take beyond the immediate situation Major Incident Medical Management and Support is required reading for all those undertaking the MIMMS education programme. <p><p> The Advanced Life Support Group (ALSG) improves outcomes for people in life-threatening situations, anywhere along the healthcare pathway, anywhere in the world. ALSG is a leading medical education charity and have delivered advanced life support training to over 225 000 clinicians in 44 countries, across 5 continents, for over 25 years. For more information on the complete range of Wiley medical student and junior doctor publishing, please visit: www.wiley.com For more information on the Advanced Life Support Group, please visit: www.alsg.org To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email This new edition is also available as an e-book. For more details, please see www.wiley.com/buy/9781119348382 TITLES OF RELATED INTEREST Major Incident Medical Management and Support: The Practical Approach in the Hospital,2nd Edition Advanced Life Support Group 9781119501015 December 2018 Pre-Obstetric Emergency Training: A Practical Approach 2nd Edition Advanced Life Support Group 9781119348382 August 2018 Pre-Hospital Paediatric Life Support: A Practical Approach to Emergencies 3rd Edition Advanced Life Support Group 9781118339763 October 2017

Major Incident Medical Management and Support: The Practical Approach in the Hospital (Advanced Life Support Group Ser.)

by Advanced Life Support Group

This is the course book for a new ALSG course on preparation for and medical management of major incidents within the hospital. It will be a companion volume to MIMMS, which deals with the prehospital situation, and will meet an ever increasing need as natural and other disasters affect hospital staff and administrators. The course aims to provide a systematic approach for all personnel who would be involved in managing a major incident in the hospital. This title is now available for the PDA, powered by Skyscape - to buy your copy Click here

Major Incident Medical Management and Support: The Practical Approach in the Hospital (Advanced Life Support Group)

by Advanced Life Support Group (ALSG)

The new edition of Major Incident Medical Management and Support is a vital component in the blended learning course from Advanced Life Support Group (ALSG), which aims to provide hospital staff at all levels with essential information on the preparation, management and support elements of dealing with casualties in a major incident. Split into five sections, each focuses on the elements requisite in preparing for, and responding, to a major incident. The first section discusses the epidemiology and incidences of major incidents and the structured approach to the hospital response. The second section contains the preparation required in planning for major incidents, including equipment and training. The third section covers the management of a major incident, concentrating on the clinical, nursing and management hierarchies. The fourth includes the various stages of support in a major incident, including declaring an incident and activating the plan, the reception, triage, definitive care and recovery phases of an incident. The final section focuses on special incidents which require additional consideration, including those involving hazardous chemicals, burns and children. Written in collaboration with the National Emergency Planning, Major Incident Medical Management and Support is an invaluable reference in the emergency department and beyond for staff needing to prepare for the rare, but inevitable, hospital major incidence response.

Major Problems in the History of American Medicine and Public Health: Documents and Essays (Major Problems in American History Series)

by John Harley Warner Janet A. Tighe

This text presents a carefully selected group of readings on medical history and development that allow students to evaluate primary sources, test the interpretations of distinguished historians, and draw their own conclusions.

Make A Decision: Surgery

by Paul Redmond Arnold Hill Mark Corrigan

You're the general surgeon on call. It is you who has to decide every course of action over your shift. Make the right decisions or face the consequences... Taking a role-playing approach, Make A Decision: Surgery allows you to be the book's main character - Dr A. Simpson - a junior general surgeon on call in a busy teaching hospital. Your decisions and actions determine the clinical outcomes of real patients within a number of scenarios. Each scenario branches out and unfolds as you make more decisions, but choose incorrectly and you may be sent home by your boss! Every decision you make is scored and evidence-based feedback is presented at the end of each scenario together with the correct clinical response and an explanation of what actually happened to the patient. Blood work and radiological investigations presented in typical clinical formats allow you to practise your data interpretation skills, whilst your skills in clinical communication are tested to the full as you interact with patients and their families as well as co-members of staff. Based on first-hand experience, the authors have selected real cases that have impacted on their practice and reflect important points of learning, making the book perfect for medical students, junior doctors, and surgery trainees who are looking for a scenario-based, interactive way to learn. For further information and online interactive medical teaching visit www.pilgrimshospital.com

Make America Healthy Again: How Bad Behavior and Big Government Caused a Trillion-Dollar Crisis

by Nicole Saphier

NATIONAL BESTSELLER!If Americans want to know why their health care is so costly and getting costlier, they need only look in the mirror.Americans are notoriously unhealthy—we eat too much, drink too much, and sit too much. When roughly 80 percent of cardiovascular disease and 40 percent of all cancer cases could be prevented by simple lifestyle changes, it is time to take a deeper look at the problem and ask who is truly responsible. Consider that: · After seventy years of innovation, heart disease and cancer remain the top two causes of death in the United States.· In 1960, health care spending was 5 percent of America's GDP; today, it is 17.5 percent.· The government spends over $1 trillion annually on health care.· Nearly one in five American deaths is associated with poor diets.· Simply reducing sodium intake by 1,200 mg per day could save up to $20 billion a year in medical costs. In Make America Healthy Again, Nicole Saphier, a Memorial Sloan Kettering physician, nationally recognized patient advocate, and media personality, reveals how individual negligence and big government incompetence have destroyed America’s health care system. Combining historical events, economic trends, and essential lifestyle advice, with her unique perspective, she offers concrete solutions to address this epic problem.We don’t need socialized medicine—we need to take better care of ourselves. By getting healthier and adopting preventative measures, Saphier believes, we can reduce the astronomical costs of treatment and improve overall care. The only way to lower medical costs for everyone is to stop incentivizing bad health decisions. Policies such as the Affordable Care Act and single-payer plans ignore something crucial to lowering the overall financial burden: personal responsibility. We can no longer expect doctors and the government to fix illnesses we have the power to prevent. Regardless of which health policy is adopted, our nation will flounder unless we take action. It is up to the American people to make America healthy again.

Make Life Visible

by Masaya Nakamura Yoshiaki Toyama Atsushi Miyawaki Masahiro Jinzaki

This open access book describes marked advances in imaging technology that have enabled the visualization of phenomena in ways formerly believed to be completelyimpossible. These technologies have made major contributions to the elucidation of the pathology of diseases as well as to their diagnosis and therapy. The volume presents various studies from molecular imaging to clinical imaging. It also focuses on innovative, creative, advanced research that gives full play to imaging technology inthe broad sense, while exploring cross-disciplinary areas in which individual research fields interact and pursuing the development of new techniques where they fuse together. The book is separated into three parts, the first of which addresses the topic of visualizing and controlling molecules for life. Th e second part is devoted to imaging of disease mechanisms, while the final part comprises studies on the application of imaging technologies to diagnosis and therapy. Th e book contains the proceedings of the 12th Uehara International Symposium 2017, “Make Life Visible” sponsored by the Uehara Memorial Foundation and held from June 12 to 14, 2017. It is written by leading scientists in the field and is an open access publication under a CC BY 4.0 license.

Make Me Listen (Always #3)

by Cherie M Hudson

"...story is one that is unique but meaningful enough that it’ll definitely stick with me. I HIGHLY recommend this novel to those looking for an incomparable contemporary new adult romance! 5 Stars, Jess at From Me to YouIt was all background noise, until he made her stop and listen!Chase is tough, snarky, witty and fiercely loyal to her family. She is also hearing impaired, which makes the world around her sound like white noise a lot of the time. But that’s okay, she can deal. It’s not like she’s actually deaf, and she’s learned to lip read…when it suits her.What she can’t deal with is guys like Caden, who think their looks and charm will win her over. They won’t, because Chase has zero interest in pursuing a relationship with someone who's leaving the country soon. What would be the point?Well, there is the fun they have together. The way Caden shows he cares about things greater than himself, like abandoned dogs. There’s his smile, his eyes and his wicked sense of humour.In fact if Chase ever admitted it to herself, she might say Caden is just about perfect.Until he reminds her that the male of the species can’t always be trusted…A portion of the proceeds from sales of Make Me Listen will benefit Dogs for Better Lives!Previously Published: (2015) Momentum | Original Title: UndeniableThe Always series is perfect for fans of Still Alice by Lisa Benova, Magic Hour by Kristin Hannah and Close Enough to Touch by Colleen Oakley.Books in the Always series:1. Make Me Tremble2. Make Me Sweat3. Make Me Listen

Make Me Sweat (Always #2)

by Cherie M Hudson

“...this is a book I am not likely to forget ever; the masterful storytelling will stick with me, the characters have my heart…” Five Stars, Slick Reads ReviewsI’m Brendon: an optimist, a fitness geek, a man with a plan and the drive to achieve it. I’m sure I know everything there is to know about my life and where it’s headed—until I get one brief text.A text from her.Thinking of you.Just three little words, but they’re enough to make me drop everything and head half way around the world to see her. I guess I was kidding myself about being over Amanda.I don’t know what to expect when we reconnect, but nothing can prepare me for the truth.A truth she kept from me who has my eyes and claims my heart in an instant.And a devastating diagnosis with the power to destroy all I never knew I held dear.International bestselling author Cherie M Hudson delivers a stunning tale that will touch your heart. Book 2 in her bestselling Always series, Make Me Sweat takes you on a journey of disappointment, second chances, and undying love!The Always series is perfect for fans of Still Alice by Lisa Benova, Magic Hour by Kristin Hannah and Close Enough to Touch by Colleen Oakley.A portion of the proceeds from sales of Make Me Sweat will benefit The Leukemia Research FoundationPreviously Published: (2015) Momentum | Original Title: UnforgettableBooks in the Always series:1. Make Me Tremble2. Make Me Sweat3. Make Me Listen

Make Me Tremble (Always #1)

by Cherie M Hudson

“One of the BEST New Adult Coming of Age romance books I’ve read…funny, heartwarming and sexy…” Slick ReadsLife’s great – it’s the terminal degenerative disease that sucks.Maci is young, smart and about to embark on the adventure of a lifetime. It looks like she has the world at her feet, but appearances can be deceiving. Because Maci is not like other college girls. She already knows her future is written and there’s no happy ending in sight.For Raphael, life is all upside. He’s on the fast track to success and nothing can stop him—except his unexpected love for a girl who’s convinced she’ll hold him back.When Maci and Raphael are drawn irresistibly together, they’ll both have to redefine everything they thought they knew about life, love and happy ever after.International bestselling author Cherie M Hudson pens a poignant tale that will keep you turning the pages from start to finish. Book 1 in her bestselling Always series, Make Me Tremble takes you on a journey that will touch your heart.A portion of the proceeds from sales of Make Me Tremble will benefit The Michael J. Fox Foundation for Parkinson's Research.The Always series is perfect for fans of Still Alice by Lisa Benova, Magic Hour by Kristin Hannah and Close Enough to Touch by Colleen Oakley.Previously Published: (2016) Momentum | Original title: UnconditionalBooks in the Always series:1. Make Me Tremble2. Make Me Sweat3. Make Me Listen

Make No Bones: Curses!, Icy Clutches, And Make No Bones (The Gideon Oliver Mysteries #7)

by Aaron Elkins

The forensic anthropologist wonders who would steal the bones of a deceased colleague—and why: &“A likable, down-to-earth, cerebral sleuth.&” —Chicago Tribune There is not much left of the irascible Albert Evan Jasper, &“dean of American forensic anthropologists,&” after his demise in a fiery car crash. But in accord with his wishes, his remains—a few charred bits of bone—are installed in an Oregon museum to create a fascinating if macabre exhibit. All agree that it is a fitting end for a great forensic scientist—until what is left of him disappears in the midst of the biannual meeting (a.k.a., the &“bone bash and weenie roast&”) of the august WAFA—the Western Association of Forensic Anthropologists—in nearby Bend, Oregon. Like his fellow attendees, Gideon Oliver—the Skeleton Detective—is baffled. Only the WAFA attendees could possibly have made off with the remains, but who in the world would steal something like that? And why? All had an opportunity, but who had a motive? Soon enough, the discovery of another body in a nearby shallow grave will bring to the fore a deeper, more urgent mystery, and when one of the current attendees is found dead in his cabin, all hell breaks loose. Gideon Oliver is now faced with the most difficult challenge of his career—unmasking a dangerous, brilliant killer who knows every bit as much about forensic science as he does. Or almost. Make No Bones is the 7th book in the Gideon Oliver Mysteries, but you may enjoy reading the series in any order.

Make Room for Baby: Perinatal Child-Parent Psychotherapy to Repair Trauma and Promote Attachment

by Alicia F. Lieberman Manuela A. Diaz Gloria Castro Griselda Oliver Bucio

This state-of-the-art clinician's guide describes Perinatal Child–Parent Psychotherapy (P-CPP), a treatment for pregnant women and their partners whose readiness to nurture a baby is compromised by traumatic stress and adverse life experiences. An application to pregnancy of the widely disseminated, evidence-based Child–Parent Psychotherapy, P-CPP spans the prenatal period through the first 6 months of life. Extended cases illustrate ways to help mothers and fathers understand how trauma has affected them, navigate the physical and emotional challenges of becoming parents, build essential caregiving competencies, and ensure the safety of their babies and themselves. Cultural considerations in working with diverse families are addressed through specific intervention examples.

Make Room for Daddy: The Journey from Waiting Room to Birthing Room

by Judith Walzer Leavitt

Using fathers' first-hand accounts from letters, journals, and personal interviews along with hospital records and medical literature, Judith Walzer Leavitt offers a new perspective on the changing role of expectant fathers from the 1940s to the 1980s. She shows how, as men moved first from the hospital waiting room to the labor room in the 1960s, and then on to the delivery and birthing rooms in the 1970s and 1980s, they became progressively more involved in the birth experience and their influence over events expanded. With careful attention to power and privilege, Leavitt charts not only the increasing involvement of fathers, but also medical inequalities, the impact of race and class, and the evolution of hospital policies. Illustrated with more than seventy images from TV, films, and magazines, this book provides important new insights into childbirth in modern America, even as it reminds readers of their own experiences.

Make Your Brain Smarter: Increase Your Brain's Creativity, Energy, and Focus

by Shelly Kirkland Sandra Chapman

The most powerful, most staggeringly complex machine ever created is all in your head. Our brain is the most adaptable, modifiable organ in our body, and yet it is the organ we most likely give the least attention. Many individuals who are concerned with having a physically fit body stop their "workout" at the neck. In the past five years brain scientists have discovered much more about how the brain works, including that it can be trained to perform better than ever before. You are never too young or too old to adopt healthy brain habits that strengthen the brain's capacity to think smarter. In Make Your Brain Smarter, renowned cognitive neuroscientist Dr. Sandra Bond Chapman introduces you to the very latest research in brain science and shows you how to tailor a program to fit your own needs. In this all-inclusive book, Dr. Chapman delivers a comprehensive "fitness" plan that you can use to "exercise" your way to a healthier brain. You will find scientifically proven strategies to train deep, insightful, and strategic thinking. You will discover why memory is not the most important measure of brain function, why IQ is an outdated, misleading index of brain potential, and how to become a higher brain performer. Make Your Brain Smarter is the ultimate guide for keeping your brain fit at every age. You will learn why age is not the culprit behind brain slippage, why your brain does not have to deteriorate, why your best brain years can be ahead of you, and how to maximize brainpower across the life span. Whether you are a Boomer-age "thinker" or a Millennial-era "finder," Make Your Brain Smarter will help you take charge of your frontal lobe command center, in order to create and challenge yourself to achieve the bright and vibrant brain that you crave, and to be a more creative, more articulate, and more energetic thinker. Brain performance is the last, most urgent, and most significant frontier of human performance. Now is the time to put your brain at the center of your health habits. Live young and live long with a brain whose assets can continue to grow more valuable when you take the health challenge to keep your brain fit every day.

Make Yourself Better: A Practical Guide to Restoring Your Body's Wellbeing through Ancient Medicine

by Philip Weeks

Applying his deep understanding of holistic medical traditions from both East and West, Philip Weeks guides the reader through the process of restoring the body's wellbeing using a simple combination of natural techniques, diet and herbal medicines. He explores five key interconnected areas through which wellbeing can be attained - nourishment; detoxification; lifestyle; activation; and mind, emotions and spirit - based on his analogy of the wheel of health. The author explores in depth the importance of good nutrition and detoxification, with clear explanations of specific methods and techniques and of the general principles to adhere to. He includes simple recipes and clinically-tested detoxification plans. The health benefits of activity and physical exercise are explored, as are the effects of potentially harmful substances such as mercury, additives and plastics, and the simple steps that can be taken to avoid these. He also looks in a holistic way at specific emotional difficulties the reader may be faced with, such as anger, stress and grief, and at how to deal with these in order to achieve wellbeing on a mental, emotional and spiritual level. Compassionate and realistic, Make Yourself Better will empower the reader to make more informed choices in their day-to-day life to achieve a greater level of health and vitality.

Making Amends: Mediation and Reparation in Criminal Justice

by Gwynn Davis

Reparation, or making amends, is an ancient theme in criminal justice. It was revived in both Europe and North America in the 1980s as a practical alternative both to retributivism, and to the various utilitarian projects traditionally associated with retributive justice.Making Amends examines the practice of these schemes in the UK, USA, and Germany, and shows how criminal justice institutions were unresponsive to these attempts to cast justice in a new form. Yet the experiments reflected an abiding dissatisfaction with criminal courts and with the manner in which justice is conceived and expressed within the criminal framework. The authors' conclusions therefore have implications for the workings of the criminal justice system as a whole.

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