Medicare program; physician fee schedule update for calendar year 1997 and physician volume performance standard rates of increase for Federal fiscal year 1997--HCFA. Final notice

This final notice announces the calendar year 1997 updates to the Medicare physician fee schedule and the Federal fiscal year 1997 volume performance standard rates of increase for expenditures for physicians' services under the Medicare Supplementary Medical Insurance (Part B) program as required by sections 1848 (d) and, (f), respectively, of the Social Security Act. The fee schedule updates for calendar year 1997 are 1.9 percent for surgical services, 2.5 percent for primary care services, and -0.8 percent for other nonsurgical services. While it does not affect payment for any particular service, there was a 0.6 percent increase in the update for all physicians' services for 1997. The physician volume performance standard rates of increase for Federal fiscal year 1997 are -3.7 percent for surgical services, 4.5 percent for primary care services, -0.5 percent for other nonsurgical services, and a weighted average of -0.3 percent for all physicians' services.     

论中国民法典婚姻家庭编的立法理念与制度新规

《民法典》婚姻家庭编的编纂,根据加强国家对婚姻家庭的保护、倡导重视家庭文明建设、尊重婚姻家庭当事人的意思自治、注重夫妻婚姻家庭地位的平等、注重儿童最大利益原则的贯彻、注意保护婚姻家庭弱者的权益等立法理念,新增或修改补充了24项制度或规则,主要包括:在"一般规定"章中,新增婚姻家庭受国家保护原则,增设婚姻家庭文明建设的倡导性规定,确立最有利于被收养人原则,界定亲属的种类、近亲属和家庭成员的范围;在"结婚"章中,减少禁止结婚和无效婚姻的法定事由,修改补充可撤销婚姻制度,新增重大疾病的如实告知义务、婚姻无效或被撤销无过错方的损害赔偿请求权;在"家庭关系"章中,新增夫妻家事代理权及其限制规则、夫妻共同债务认定规则、婚内析产规则、亲子关系的确认与否认之诉规则;在"离婚"章中,新增离婚冷静期、婚姻关系解除的时间,补充诉讼离婚准予离婚的法定事由、离婚时处理子女抚养问题规则、离婚夫妻共同财产分割原则,修改离婚经济补偿、离婚经济帮助的适用条件,增加离婚损害赔偿法定事由的兜底条款;在"收养"章中,放宽被收养人的年龄和收养子女的人数限制,修改收养人的条件,增加收养评估规则等。     

World population data for the HLA-DQA1, PM and D1S80 loci with least and most common profile frequencies for combinations of loci estimated following NRC II guidelines

All published and unpublished gene frequency data for the PCR-based loci HLA-DQA1, LDLR, GYPA, HBGG, D7S8, GC, and D1S80 that could be located are presented in summary tables. These gene frequencies provide the data necessary for estimating probabilities of chance match according to NRC II guidelines for any DNA profile that includes any combination of these loci for any of the populations. To illustrate the range of polymorphism for combined locus profiles, least and most common profile frequencies were estimated following NRC II guidelines for: the PM loci for all populations for which PM data were available; and for combinations of HLA-DQA1/PM, HLA-DQA1/D1S80, PM/D1S80, and HLA-DQA1/ PM/D1S80 for populations for which data were available for the relevant combinations. The profile frequencies were calculated at theta values of zero and 0.01. Minimum allele frequencies (MAF) were calculated, and are shown, for each data set for which the MAF was greater than the lowest observed allele frequency. Least common profile frequencies were calculated using MAF in those cases to illustrate a conservative estimate. The effect of using MAF versus lowest observed allele frequency in estimating least common profile frequencies is briefly illustrated as well. We finally show that aggregate U.S. gene frequency data for the classical MN and GC polymorphisms for both Caucasian and African-American populations is fully in accord with the DNA-based gene frequency data obtained from PM reverse dot-blot strips for GYPA and GC, respectively.     

香港民事诉讼中的诉讼费担保制度

诉讼费担保制度是普通法系国家的一项民事诉讼规则和制度,它能够解决一些因诉讼费而产生的不公平问题。在诉讼费担保制度的适用情形、担保金命令的申请程序、担保金命令的发出程序、担保金命令的法律效力、担保金的取回程序方面,香港都有比较完善的规定,但也存在一些需要解决的问题。香港诉讼费担保制度的成功之处对于阻止内地民事诉讼中的当事人滥诉行为,会有一定的借鉴意义。     

Sex differences in the likelihood of arrest

Using data from the new National Incident-Based Reporting System (NIBRS), this study analyzed the impact of a criminal offender's sex on the likelihood of arrest for 555,752 incidents of kidnapping, forcible rape, forcible fondling, robbery, aggravated assault, simple assault, and intimidation in nineteen states and the District of Columbia during 2000. The data used in this study advanced the literature by enabling the authors to determine the likelihood of arrest for males and females based on sex-specific offending as reported by crime victims. Controlling for offense seriousness and a variety of other factors, logistic regression results showed that the probability of arrest for females was 28 percent lower for kidnapping, 48 percent lower for forcible fondling, 9 percent lower for simple assault, and 27 percent lower for intimidation than for males. A supplemental analysis also revealed that Black females had a higher probability of arrest than did White females for aggravated and simple assault. No discernable impact of an offender's sex on the prospect of arrest was noted for the crimes of forcible rape and robbery. Overall, these findings suggest that the lower arrest rate for females is partly the result of leniency shown women by law enforcement personnel.     

Elections and the Soviets

Elections for the local Soviets now functioning were held in March 1961. The number of Soviets elected in the USSR as a whole was 49,858, of which 7 were for territories, 107 for regions, 9 for autonomous regions, 10 for national areas, 3,401 for districts, 1,678 for towns, 343 for districts in cities, 3,061 for settlements, and 41,242 for villages.     

部分权利能力制度的构建

局限于19世纪的哲学认识,权利能力仅被赋予自然人和法人,其他人和组织形态的权利能力被忽略。因而,当迫切需要法律对这些人和组织予以调整时,传统权利能力的规定成为不可逾越的体系障碍,必须通过法律续造的方法构建部分权利能力制度。事实上,民法关于权利能力制度的构造以及立法上的一些规定已经为部分权利能力的构建提供了坚实的理论基础和立法例支撑。部分权利能力是在部分而非全部的民事法律关系中作为民事权利享有者和义务承担者的能力,它通过考察自然人和法人以外的人和组织的人格状态和特定法律关系的价值和目的来认定。部分权利能力是一个开放的概念,它不但包括胎儿、死者与合伙的部分权利能力,还包括其他一些人和组织的部分权利能力。     

Validated method for the simultaneous determination of Delta9-THC and Delta9-THC-COOH in oral fluid, urine and whole blood using solid-phase extraction and liquid chromatography-mass spectrometry with electrospray ionization

A fully validated, sensitive and specific method for the extraction and quantification of Delta(9)-tetrahydrocannabinol (THC) and 11-nor-9-carboxy-Delta(9)-THC (THC-COOH) and for the detection of 11-hydroxy-Delta(9)-THC (11-OH THC) in oral fluid, urine and whole blood is presented. Solid-phase extraction and liquid chromatography-mass spectrometry (LC-MS) technique were used, with electrospray ionization. Three ions were monitored for THC and THC-COOH and two for 11-OH THC. The compounds were quantified by selected ion recording of m/z 315.31, 329.18 and 343.16 for THC, 11-OH THC and THC-COOH, respectively, and m/z 318.27 and 346.26 for the deuterated internal standards, THC-d(3) and THC-COOH-d(3), respectively. The method proved to be precise for THC and THC-COOH both in terms of intra-day and inter-day analysis, with intra-day coefficients of variation (CV) less than 6.3, 6.6 and 6.5% for THC in saliva, urine and blood, respectively, and 6.8 and 7.7% for THC-COOH in urine and blood, respectively. Day-to-day CVs were less than 3.5, 4.9 and 11.3% for THC in saliva, urine and blood, respectively, and 6.2 and 6.4% for THC-COOH in urine and blood, respectively. Limits of detection (LOD) were 2 ng/mL for THC in oral fluid and 0.5 ng/mL for THC and THC-COOH and 20 ng/mL for 11-OH THC, in urine and blood. Calibration curves showed a linear relationship for THC and THC-COOH in all samples (r(2)>0.999) within the range investigated. The procedure presented here has high specificity, selectivity and sensitivity. It can be regarded as an alternative method to GC-MS for the confirmation of positive immunoassay test results, and can be used as a suitable analytical tool for the quantification of THC and THC-COOH in oral fluid, urine and/or blood samples.     

Medicare program; physician fee schedule update for calendar year 1996 and physician volume performance standard rates of increase for federal fiscal year 1996--HCFA. Final notice

This final notice announces the calendar year 1996 updates to the Medicare physician fee schedule and the Federal fiscal year 1996 volume performance standard rates of increase for expenditures for physicians' services under the Medicare Supplementary Medical Insurance (Part B) program as required by sections 1848 (d) and (f), respectively, of the Social Security Act. The fee schedule update for calendar year 1996 is 3.8 percent for surgical services, -2.3 percent for primary care services, and 0.4 percent for other nonsurgical services. While it does not affect payment for any particular service, there was a 0.8 percent increase in the update for all physicians' services for 1996. The physician volume performance standard rates of increase for Federal fiscal year 1996 are -0.5 percent for surgical services, 9.3 percent for primary care services, 0.6 percent for other nonsurgical services, and a weighted average of 1.8 percent for all physicians' services. In our July 26, 1995 proposed rule concerning revisions to payment policies under the Medicare physician fee schedule for calendar year 1996, we proposed using category-specific volume and intensity growth allowances in calculating the default Medicare Volume Performance Standard (MVPS). We received 20 comments on this proposal. Since this proposal is related to the MVPS and this notice deals with MVPS issues, we are responding to those comments in this notice instead of in the final rule for the fee schedule entitled "Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1996" published elsewhere in this Federal Register issue.     

侵权还是违约--由一则案例引起的思考

侵权责任与违约责任是两类基本的民事责任。我国《民法通则》专设“民事责任”一章 ,不仅就两类责任的共性问题作出了阐述 ,而且对两类责任分别作出了规定。然而由于民事责任的复杂性 ,民事违法行为性质的多重性 ,使这两类责任常常发生竞合。本文试图通过对一个典型案例的分析 ,揭示违约责任与侵权责任的概念及其构成要件 ,确定侵权责任与违约责任竞合的标准 ,以期对民事立法和司法实践有所贡献。     

Physician performance standard rates of increase for federal fiscal year 1994 and physician fee schedule update for calendar year 1994--HCFA. Final notice with comment period

This notice announces the calendar year (CY) 1994 updates to the Medicare physician fee schedule and the Federal fiscal year (FY) 1994 performance standard rates of increase for expenditures and volume of physicians' services under the Medicare Supplementary Medical Insurance (Part B) program as required by sections 1848 (d) and (f), respectively, of the Social Security Act. The physician performance standard rates of increase for Federal FY 1994 are 8.6 percent for surgical services, 10.5 percent for primary care services, 9.2 percent for other nonsurgical services, and 9.3 percent for all physicians' services. The fee schedule update for CY 1994 is 10.0 percent for surgical services, 7.9 percent for primary care services, and 5.3 percent for other nonsurgical services. This notice also references the surgical and nonsurgical designations for new and revised procedure codes in the Physicians' Current Procedural Terminology, to be used in applying the CY 1994 updates and for establishing and measuring expenditures under the MVPS for FY 1994. These designations appear in Addendum C of the final rule with comment period entitled "Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units under the Physician Fee Schedule for Calendar Year 1994 (BPD-770-FC)," published elsewhere in this Federal Register issue. The new and revised surgical and nonsurgical designations are subject to public comment. In addition, this notice addresses public comments on the "initial" procedure-specific list of surgical services published in our November 25, 1992, notice.     

轻罪重判国家赔偿责任的证立及其类型化

刑事审判实践中,对于轻罪重判是否赔偿,处理结果不一,原因在于对《国家赔偿法》第17条第(三)项以及最高人民法院、最高人民检察院《关于办理刑事赔偿案件适用法律若干问题的解释》第6条的不同理解。轻罪重判是对权利的侵害,在加强人权司法保障、强化权力运行制约监督的时代背景下,应该对《国家赔偿法》立法原意予以检讨,对轻罪重判的被告人予以赔偿。制度操作上,可以将轻罪重判的赔偿分为管制的赔偿、有期徒刑改判较短期限的赔偿、重判死刑且已执行的赔偿以及轻罪重判附加刑的赔偿,在此类型化区分的基础上对赔偿的项目、赔偿的方式以及计算标准进行设计。     

登记的担保权顺位规则研究——以《民法典》第414条分析为中心

登记的担保权顺位规则旨在解决以登记作为公示方式的担保权竞存时的顺位问题,《民法典》第414条构建了以登记为中心的抵押权竞存下的顺位规则,该条具有强大的体系效应和广泛的适用价值,它构建了统一的动产重复抵押的顺位规则,解决了权利重复抵押的顺位规则、抵押权与可以登记的权利质权冲突规则,明确了典型担保与非典型担保之间的顺位关系,并可参照适用于权利质权竞存情形下权利顺位的确定,为多重的担保性债权转让的顺位规则提供了基础。《民法典》第414条确立了顺位升进主义。但《民法典》第414条在适用中应当排除正常经营买受人优先保护规则、价金超级优先权规则等规则的适用。     

刑事错判证明标准的名案解析

错判的发生具有普遍性和蛰伏性,错判的认知具有模糊性和对抗性,因此我们需要明确认定错判的证明标准。通过对美国、英国、德国的错判证明标准的实例解析,我们可以看到,他们在认定错判的时候都不适用刑事诉讼中认定被告人有罪的证明标准,而且认定错判的证明标准都低于认定有罪的证明标准。我们应该重新阐释中国刑事诉讼中错判的证明标准,而且应区分启动再审的证明标准、认定错判的证明标准和决定国家赔偿的证明标准。     

Retrospective analysis of medicolegal cases and evaluation for erectile function.

Erectile function (EF) is an important question in lawsuits for divorce, rape, and damages. In this study, a method to evaluate medicolegal cases is defined, and the characteristics of the 265 cases screened for EF between 1989 and 1997 were analyzed. Interview, physical examination, psychometric evaluation, nocturnal penile tumescence, serum hormone levels and blood chemistry, intracavernosal drug injection, penile Doppler ultrasonography, and pharmacocavernosometry and pharmacocavernosography tests were used for diagnosis. The tests performed were selected according to the age of the subject. Of the 265 cases 128 (48.3%) were for divorce, 116 (43.7%) were for rape, and 21 (8%) were for indemnity relating to lawsuits for damages. In only 7 cases (2.7%) was the defendant <15 years of age. Organic pathology for erectile dysfunction (ED) was present in 22% of lawsuits for divorce, 40.5% of lawsuits for rape, and 33.4% of lawsuits for damages. Three men in cases of divorce and 2 men after genital trauma due to traffic accident suffered psychological ED. This study indicates that lawyers may abuse the assertion of ED in lawsuits for divorce and rape. In 128 divorce cases the defendant was accused of being impotent, but evaluation proved that 75.8% had normal EF. In lawsuits for rape, 59.5% of defendants had normal EF although the lawyers of the rapist claimed their clients were impotent. The investigation, interpretation, and characteristics of medicolegal cases may differ in countries with different cultures.     

Metric determination of sex from the humerus in a Guatemalan forensic sample

The absence of population-specific standards for sex, age and stature estimation for rural Guatemala is problematic for the forensic analysis of skeletal remains recovered from clandestine graves attributed to the recent armed conflict in that country. In order to increase the reliability of the forensic analyses being undertaken in Guatemala, standards for metric determination of sex were developed. Data was collected on several bones; the results for the humerus are presented here. A sample of 118 complete humeri (68 male and 50 female) was studied; maximum length, maximum diameter of the head, circumference at midshaft, maximum diameter at midshaft, minimum diameter at midshaft and epicondylar breadth were measured and subjected to discriminant function analysis. The classification accuracies for the univariate functions range from 76.8% for the maximum diameter at midshaft to 95.5% for the maximum diameter of the head. The classification accuracy for the stepwise procedure was 98.2%.     

环境损害赔偿立法框架和内容的思考

环境损害赔偿立法的必要性由现实社会关系调整的必要性和现行相关立法的不适应性所决定。我国环境损害赔偿立法宜采取实体和程序一体、行政处理与司法处理一体的立法模式,并着重规定环境纠纷处理和环境损害赔偿方面所涉及的一些特殊问题。立法框架和内容主要包括环境损害赔偿的适用条件、环境损害赔偿的范围、环境损害赔偿责任的认定、环境损害赔偿纠纷的行政处理、环境损害赔偿的司法处理等部分。环境损害赔偿立法的难点在于环境行政主管机关处理决定的法律效力问题以及因果关系推定的准确表述问题。     

广义城市生态安全初探

随着城市化的进程不断加快,学术界对城市生态安全的重视程度也日益增强。基础型和传统型城市生态安全理论完全围绕自然生态安全,鲜有从城市经济生态安全、城市社会生态安全角度进行探讨,文章以城市自然生态安全为基本立足点,拓展了城市生态安全的定义和范畴,提出广义城市生态安全的概念,并对城市经济和社会生态安全进行了探讨。     

构建民事再审立案审查程序的思考

民事再审立案审查程序包括申诉复查案件的立案受理 (即立卷 )、审查、通知驳回或裁定再审三个主要环节 ,它与再审程序共同构成了我国完整意义上的民事审判监督程序。近年来 ,随着民事审判监督制度和审判方式改革的深入以及再审案件立审分立制度的推行 ,民事再审立案审查程序三个主要环节上存在的问题逐渐暴露出来。为此 ,应当反思和完善民事再审立案审查程序的基本原则 ,并从申诉复查案件立案受理条件、审查组织形式、审查方式、审查期限、再审立案标准、再审立案审批程序、诉讼文书样式等方面来考虑民事再审立案审查程序的构建。     

Elevated Risk of Arrest for Veteran's Administration Behavioral Health Service Recipients in Four Florida Counties

This paper examines the relative contribution of mental and substance abuse disorders to criminal justice involvement by examining the relative risk of arrest for three groups of adult male recipients of VA behavioral health care services. These groups include men served for both substance abuse and mental health, for only substance abuse, and for only mental health. The relative risk of multiple offences is compared to relative risk of a single offense for each group. Results indicated that relative risk of multiple arrests for the dual diagnosis group is substantially greater than for either of the single diagnosis groups, and greater than the relative risk for recipients of nonbehavioral health services. Relative risk of arrest for recipients of only mental health services is no different than the relative risk for other veterans living in the region under examination.