论医患纠纷损害赔偿范围的确定--对《医疗事故处理条例》第49条的质疑

<医疗事故处理条例>与民事法律原则以及审判实践的冲突,造成当前患者获得司法救济的困难,同时法官在审判中遭遇诸多难题.本文通过解释医疗损害方面的概念,引用最新的案例,对国内相关法律的比较分析,以及论述鉴定对裁判的不当影响,从几个角度对"不属于医疗事故不赔偿"观点进行否定.并针对医学会鉴定的缺陷,提出法官审理案件中3种可行的方法限制鉴定机构的权限;事故鉴定结论仅为证据;司法鉴定、医学会鉴定、法官共同判断侵权事实.     

中国东部蒙古族人群15个STR基因座多态性研究

目的调查15个STR基因座在中国东部蒙古族人群中的基因频率分布。方法应用四色荧光标记引物复合扩增技术,对105名东部蒙古族无关个的血样15个STR基因座进行多态性研究。结果在东部蒙古族人群中15个STR基因座偶合率在0.0084～0.2169之间,个体识别概率(DP)在0.7831～0.9916之间,杂合度在0.5619～0.9231之间,三联非父排除率(PE)在0.4490～0.8444之间,多态性信息总量(PIC)在0.5438～0.9178之间,15个STR基因座总TDP值为0.9999999999998,所有基因座经χ2检验符合Hard-Weinberg平衡。结论上述15个STR基因座在东部蒙古族人群中等位基因分布较好,个体识别率高,适合法医个体识别和亲子鉴定。     

华东地区汉族人群D2S1399和D5S2500基因座的遗传多态性研究

目的研究D2S1399和D5S2500基因座在中国华东地区汉族群体遗传多态性。方法应用PCR、聚丙烯酰胺垂直电泳及银染技术检测D2S1399和D5S2500基因座的遗传多态性。结果D2S1399和D5S2500基因座在中国华东汉族群体分别检出11个和9个等位基因,其观察杂合度(Ho)分别为0.745和0.807,多态信息含量(PIC)分别为0.850和0.750,个体识别能力(DP)分别为0.958和0.917,非父排除率(PE)分别为0.554和0.643。结论D2S1399和D5S2500两个基因座是高度多态性STR基因座,在法医学中有重要应用价值。     

<Emphasis Type="Italic">Commentary</Emphasis>: A Critical Review of Published Competency-to-Confess Measures

The development of standardized assessments for competency-to-confess evaluations has remained largely neglected for the last several decades. Groundbreaking research was conducted on Miranda waivers during the late 1970s, but researchers have failed to sustain programmatic research. This critical review focuses on four published Miranda measures (Comprehension of Miranda Rights, Comprehension of Miranda Rights-Recognition, Comprehension of Miranda Vocabulary, and Function of Rights in Interrogation). When evaluated by contemporary standards, the validation of these measures is very limited. Major improvements are needed for interrater reliability, test–retest reliability, content validity, construct validity, and criterion-related validity.     

畸变产物耳声发射在伪聋鉴定中的应用

目的寻找识别伪聋的客观方法。方法运用畸变产物耳声发射技术(DPOAE)对伪聋组、正常对照组及感音神经性聋组进行畸变产物耳声发射测试。结果(1)正常对照组的平均检出率为94.00％,感音神经性聋组的检出率为22.00％,两组比较有显著性差异(P<0.01),提示感音神经性聋组患者,通过DPOAE检查,可以发现其听功能障碍。(2)伪聋组的平均检出率为93.00％,与正常对照组比较无显著性差异(P>0.01),提示通过DPOAE检查,可以识别伪聋。而且,当听力下降>50dB时,检出率为零,这更表明DPOAE技术对伪聋有识别作用。结论DPOAE作为识别伪聋的客观检查方法可应用于法医临床学活体损伤鉴定。     

骨骼种属鉴定的组织学研究

目的 探求骨骼残渣的种属鉴定的组织学方法。方法 对人体不同部位骨骼,及常见动物骨骼的 77张骨组织学切片,在光镜下进行了骨组织学形态学研究。结果 不同动物骨组织学的形态学特征存在明显差异,其主要差别有：内、外环骨板的形态和相对厚度;哈氏系统之间的骨板的形态和哈氏系统的大小;哈氏环层骨板的数量及骨陷窝的数量等。结论 骨组织学的特征,不仅可以区分人与动物骨骼的残渣,也可以对不同动物的骨骼残渣进行区分。     

甲基苯丙胺稀土荧光试纸条的研制

目的建立一种检测尿液中甲基苯丙胺物质的高灵敏度检测方法。方法以稀土荧光纳米颗粒为标记物,采用反应杯+试纸条的反应模式,建立了免疫层析法,用于尿液中甲基苯丙胺的定性检测。结果用所制备的试纸条检测尿液中的甲基苯丙胺,肉眼和仪器判读的敏性均为100ppb,与吗啡、亚甲二氧基苯丙胺、氯胺酮、苯丙酮、可卡因等无交叉反应;将制备的反应杯和试纸条置于37℃7d,试纸条的性能没有明显降低。结论本研究建立的甲基苯丙胺免疫层析法用于定性检测尿液中的甲基苯丙胺,具有较高的灵敏性和较高的应用价值。     

Toxicology and Circumstances of Completed Suicide by Means Other than Overdose*

Abstract: To determine the prevalence and circumstances of psychoactive substances amongst nonoverdose completed suicide, 1436 consecutive cases autopsied at the NSW Department of Forensic Medicine over the period 1/1/1997–12/31/2006 were analyzed. Substances were detected in 67.2% of cases, and illicit drugs in 20.1%. Alcohol was present in 40.6% of cases. Males were more likely to be positive for alcohol, cannabis, and psychostimulants, and females for pharmaceuticals. Illicits were associated with younger age. Alcohol was most prominent amongst toxicity cases, as were opioids, psychostimulants amongst gunshot cases, and pharmaceuticals amongst drownings. Cases in which drug and alcohol histories were noted were more likely to have a substance detected. Alcohol was more common where a suicide note was left and where relationship problems were involved. Pharmaceuticals were more common where a previous attempt was noted. Licit and illicit substances are strongly associated with suicide, even when the method does not involve drug overdose.     

高效液相色谱-质谱法测定人尿液中乙基葡萄糖醛酸苷

目的建立高效液相色谱-质谱法测定人尿液中乙基葡萄糖醛酸苷。方法取空白人尿液加入EtG-D5内标工作液和冷甲醇（4℃）,经涡旋、离心,取上清液于水浴氮气吹干,以沉淀杂质,采用Agilent Zorbax Bonus-RP色谱柱分离,以乙腈∶0.1%甲酸水溶液（5∶95）为流动相,采用负离子模式质谱检测,在选择离子监测模式下进行定性和定量测定。结果尿液中EtG在50～5 000ng/mL范围内线性关系良好,检出限为18ng/mL,方法回收率为90.2%～101.7%,相对标准偏差小于10%。结论所建方法简便,具有较高的回收率和精密度,适用于尿液中EtG的检测。     

一种针对MongoDB数据库的证据获取方法

根据MongoDB文件型数据库的特点,提出了一种针对MongoDB文件型数据库的证据获取方法。在研究GridFS文件系统原理的基础上,详细阐述了MongoDB和GirdFS文件系统结构,对MongoDB存放数据的文件进行了分析,进而获取被删除的文件数据。实验结果表明该方法能有效地从MongoDB数据库中获取电子证据。