In the intricate landscape of healthcare,vicarious liability looms large,shaping the responsibilities and actions of healthcare practitioners and administrators alike.Illustrated by a poignant scenario of a medication...In the intricate landscape of healthcare,vicarious liability looms large,shaping the responsibilities and actions of healthcare practitioners and administrators alike.Illustrated by a poignant scenario of a medication error,this article navigates the complexities of vicarious liability in healthcare.It explains the legal basis and ramifications of this theory,emphasizing its importance in fostering responsibility,protecting patient welfare,and easing access to justice.The paper explores the practical effects of vicarious responsibility on day-to-day operations,leadership practices,and decision-making processes via the eyes of senior consultants,junior doctors,and hospital administrators.Through comprehensive insights and real-world examples,it underscores the imperative of fostering a culture of accountability,communication,and quality care to navigate the intricate web of liabilities inherent in modern healthcare.展开更多
Nothofagus is regarded as a key group for interpreting Southern Pacific biogeographical history.Based on a molecular phylogenetic tree,a quantitative dispersal-vicariance analysis(DIVA) of the genus is presented.The r...Nothofagus is regarded as a key group for interpreting Southern Pacific biogeographical history.Based on a molecular phylogenetic tree,a quantitative dispersal-vicariance analysis(DIVA) of the genus is presented.The results indicate that the ancestral area of Nothofagus is a broad realm almost including the total extant distribution pattern of the genus rather than a so-named center of origin.Integrated with the paleogeography,the time of origin and subsequent diversification is inferred to have started in the Late Cretaceous.Most vicariance and dispersal events should be contained in that period.Vicariance events versus dispersal events play a dominant rule in speciation.The dispersal events are hypothesized to happen from the Late Cretaceous to Eocene in terms of the geological history.Rich fossils are collected in the Eocene.South America,comprising three subgenera of Nothofagus,should be considered as a diversification region,in which the distribution of the species of subgenus Fuscospora and subgenus Nothofagus are explained by dispersal events during the Late Cretaceous-Late Eocene.展开更多
The historical relationships of nine areas of endemism of the tropical montane cloud forests(TMCFs)were analysed based on a temporal cladistic biogeographical approach.Three cladistic biogeographical analyses were con...The historical relationships of nine areas of endemism of the tropical montane cloud forests(TMCFs)were analysed based on a temporal cladistic biogeographical approach.Three cladistic biogeographical analyses were conducted based on 29cladograms of terrestrial taxa by partitioning them into three time-slices,namely,Miocene,Pliocene,and Pleistocene.The results showed different area relationships over time.For the Miocene and Pliocene time slices,the Isthmus of Tehuantepec acted as a geographic barrier that fragmented the TMCFs into two portions:west of the Isthmus and east of the Isthmus.In the case of the Pleistocene,the TMCFs were broken into two portions,one related to the Neotropical region and the other to the Nearctic region.Furthermore,the analyses allowed us to detect the influences of different geological and paleoclimatological events on the distribution of the TMCFs over time.Therefore,the TMCFs current distribution might have been driven by geological events during the Miocene-Pliocene,whereas climatic fluctuations have the highest impact during the Pleistocene.展开更多
文摘In the intricate landscape of healthcare,vicarious liability looms large,shaping the responsibilities and actions of healthcare practitioners and administrators alike.Illustrated by a poignant scenario of a medication error,this article navigates the complexities of vicarious liability in healthcare.It explains the legal basis and ramifications of this theory,emphasizing its importance in fostering responsibility,protecting patient welfare,and easing access to justice.The paper explores the practical effects of vicarious responsibility on day-to-day operations,leadership practices,and decision-making processes via the eyes of senior consultants,junior doctors,and hospital administrators.Through comprehensive insights and real-world examples,it underscores the imperative of fostering a culture of accountability,communication,and quality care to navigate the intricate web of liabilities inherent in modern healthcare.
基金supported by Important Direction for Knowledge Innovation Project,CAS (KZCX2-EW-305)Xinjiang Institute of Ecology and Geography,CAS
文摘Nothofagus is regarded as a key group for interpreting Southern Pacific biogeographical history.Based on a molecular phylogenetic tree,a quantitative dispersal-vicariance analysis(DIVA) of the genus is presented.The results indicate that the ancestral area of Nothofagus is a broad realm almost including the total extant distribution pattern of the genus rather than a so-named center of origin.Integrated with the paleogeography,the time of origin and subsequent diversification is inferred to have started in the Late Cretaceous.Most vicariance and dispersal events should be contained in that period.Vicariance events versus dispersal events play a dominant rule in speciation.The dispersal events are hypothesized to happen from the Late Cretaceous to Eocene in terms of the geological history.Rich fossils are collected in the Eocene.South America,comprising three subgenera of Nothofagus,should be considered as a diversification region,in which the distribution of the species of subgenus Fuscospora and subgenus Nothofagus are explained by dispersal events during the Late Cretaceous-Late Eocene.
基金the CONACyT 478077partially financed by DGAPA-PAPIIT 220621。
文摘The historical relationships of nine areas of endemism of the tropical montane cloud forests(TMCFs)were analysed based on a temporal cladistic biogeographical approach.Three cladistic biogeographical analyses were conducted based on 29cladograms of terrestrial taxa by partitioning them into three time-slices,namely,Miocene,Pliocene,and Pleistocene.The results showed different area relationships over time.For the Miocene and Pliocene time slices,the Isthmus of Tehuantepec acted as a geographic barrier that fragmented the TMCFs into two portions:west of the Isthmus and east of the Isthmus.In the case of the Pleistocene,the TMCFs were broken into two portions,one related to the Neotropical region and the other to the Nearctic region.Furthermore,the analyses allowed us to detect the influences of different geological and paleoclimatological events on the distribution of the TMCFs over time.Therefore,the TMCFs current distribution might have been driven by geological events during the Miocene-Pliocene,whereas climatic fluctuations have the highest impact during the Pleistocene.
