146例体表损伤类型与致伤物分析

目的 探讨致伤物推断的法医学鉴定及其鉴定意见的证据价值.方法 收集1998-2007年间皖南医学院司法鉴定中心受理的致伤物推断案件146例,通过人体体表损伤特征的分析,推断致伤物.并通过推断致伤物与实际致伤物的比较,分析致伤物推断的准确性. 结果根据锐器伤推断致伤物的准确性要比根据钝器伤推断致伤物的准确性高.结论 致伤物推断结果尚存在一定的不确定性,必须结合其他证据,才能作为定案的依据.     

散打对抗训练过程中头部损伤的原因及预防

散打作为一项警务技能,已经在公安院校中普遍开展,但在练习过程中身体的损伤时常出现。其中,作为对方主要击打目标的头部损伤尤其要注意。本文根据运动生理学,运动解剖学及训练学的原理,分析了头部受伤的一些原因,如疲劳生理结构等,并尝试找出损伤的预防对策,减少散打运动对头部造成的损伤,以期对教师和学生有所帮助,提高学生对散打运动的积极性。     

船舶螺旋桨损伤特点及成伤机制

目的总结船舶螺旋桨损伤的主要特点,探讨螺旋桨损伤的特点及形成机制,探索螺旋桨损伤与碎尸的鉴别方法。方法收集浙江省湖州地区1994─2005年尸检的100余例船舶螺旋桨损伤案例,对螺旋桨造成的损伤（擦划伤、表皮剥脱、创、骨折和全部离断创）的特点,以及衣着特征,进行回顾性分析。并与常见碎尸案中使用的工具造成的断面特征进行比较。结果船舶螺旋桨损伤是高速旋转螺旋桨的巨大劈力和机械切削所造成的损伤;碎尸是人为使用锐器切割或砍击尸体。两者由于形成机理、作用力及反作用力大小不同,导致损伤断面呈现不同的特征。结论船舶螺旋桨损伤具有独特的特征,可与碎尸损伤进行鉴别。     

Politics and Corporate‐Sector Environmentally Significant Actions: The Effects of Political Partisanship on U.S. Utilities Energy Efficiency Policies

This study assesses the direct, indirect, and total impacts of political partisanship on state‐level utilities' investment in energy efficiency. This subject is of utmost importance because energy efficiency improvement has become a linchpin in worldwide efforts to combat climate change and other environmental challenges. Analysis of data on 51 electric utilities nested within 31 U.S. states indicates that political partisanship influences utilities' energy efficiency policies. There is strong evidence that electric utilities in states dominated by the Republican Party are less likely to invest in energy efficiency than those in states governed by the Democratic Party. This finding suggests that political partisanship may be shaping the policy and regulatory frameworks put in place by state governments to incentivize or compel the participation of private‐sector entities' in environmental management and/or resource conservation.     

因工患传染病职工工伤认定研究 ——基于对《工伤保险条例》中“事故伤害”的法释义学分析

对于所患传染病种类非属于《职业病分类和目录》的职工,由于法律未有明文规定,实务中就是否认定工伤问题存在争议,导致相关职工难以获得工伤保险的救济。《工伤保险条例》保障因工作遭受事故伤害或者患职业病的职工。而职业病由《职业病分类和目录》法定列举,法律解释空间极小;事故伤害为不确定的法律概念,存在相当的法律解释空间。法院对患传染病职工工伤认定纠纷案件的裁判,呈现出将职工患传染病纳入遭受事故伤害的思考路径。研究通过贯彻宪法规范和价值,结合工伤保险的目的与工伤认定的本质,并为了法律概念的统一使用和行政法律规范之间的冲突解决,运用法释义学的方法,强化论证了传染病可被纳入事故伤害的解释范畴,从而化解因工患传染病职工认定工伤无法可依的困境。     

Sharp Force Homicide in Denmark 1992–2016

Sharp force trauma is a common homicide method. The weapon is typically a knife, which is easily accessible and does not require special skills. We have analyzed all 471 sharp force homicides in Denmark during 1992–2016 with special focus on aspects that are relevant to forensic pathologists, including the distribution of wounds and organ injuries. Most homicides were committed inside with a kitchen knife. The front left thorax was the most common area to be affected by sharp force trauma. In 18.9% of the victims, there was only one sharp injury, the majority on the thorax. The most common trajectory for stab wounds was directly posterior with no deviation to the sides or up/down followed by directly anterior. The heart (including pericardium) and lungs (including hemo- and pneumothorax) had injuries in more than 75% of the victims. 67% of victims were males. Female victims had more sharp force injuries and defense wounds than male victims. Most females were killed in domestic homicides (73.7%), most commonly in partner killings (56.4%). In contrast, many male victims were killed in a setting of nightlife/intoxication (34.0%) most by a friend/acquaintance delivering a few stab wounds. The results clearly show strong sex differences in both victims and offenders. This could be useful for shaping policies and public opinion, and as a route for understanding the developments in interpersonal violence. In the narrow setting of death investigation, our results will provide an evidence-based approach to understanding the injury patterns in sharp force homicide.     

三种方法计算气胸CT影像的肺萎陷程度比较

目的探讨临床经验法、手工边界勾画法和软件自动分析法在基于CT影像的气胸致肺萎陷程度计算上的优劣,从而推荐一种客观科学高效的肺萎陷程度计算方法。方法通过三种方法分别计算54例气胸患者的肺萎陷百分比,比较三种方法在计算效率、结果的相关性、准确性、稳定性等方面的差异。结果临床经验法、软件自动分析法与目前公认的手工边界勾画法的结果间存在线性相关(P<0.01),软件自动分析法的准确性更高;在5级及3级分类法中,三种方法之间存在显著一致性,软件自动分析法与手工边界勾画法在百分比判定上的一致性更好;单侧气胸的肺萎陷百分比的一致率高于双侧气胸;同时,软件自动分析法在计算结果的高效性、稳定性等方面具有优势。结论软件自动分析法可以解决现有CT影像的肺萎陷程度计算方法中效率低和稳定性欠佳的问题,且具有准确性高、可操作性强的特点,适合在法医临床实践中广泛应用。     

触电损害赔偿责任性质研究

依据《侵权责任法》颁布前的有关法律法规及司法解释,高压输电线路产权归属一直被各地法院作为确认高压触电损害赔偿责任主体的依据。其实质是将此类损害赔偿责任视为物件致害责任。《侵权责任法》第73条虽然作出了与以前的法律法规不一样的规定,将此类责任定性为高度危险作业致人损害责任,但是其颁布后,该法规定的意旨和精神却没有得到很好的贯彻和落实。其原因在于,不论是实务界还是理论界,均没有真正明确触电赔偿责任的性质,也没有弄清这两种责任定性的本质区别所在。基于此,实有必要对触电赔偿责任的性质进行细致研究并予以明确,对这两种责任定性孰优孰劣进行权衡比较,以真正落实《侵权责任法》第73条之立法意旨及精神。     

列车撞击伤及碾轧伤的损伤形态与成伤机制

目的总结列车撞击、碾轧伤的典型损伤形态，探讨其成伤机制。方法对103例列车撞击伤、84例列车碾轧伤案例进行回顾性分析。结果不同的致伤方式及受害者伤时状态不同，在损伤形态及成伤机制上有所差异。结论典型损伤形态可为推断致伤方式及受害者伤时状态提供依据。