Systemic Dissemination of Injected Foreign Material

A 32‐year‐old woman collapsed following an intravenous injection of material that included crushed pharmaceutical tablets. Resuscitation was attempted but was unsuccessful. She had an extensive past medical history of complications resulting from intravenous drug use. Death was due to mixed drug toxicity. The major findings at autopsy included a 10 mm deep skin sinus over the right femoral vein that was used as an injection site. Polarizable foreign material was present at the injection site and also within the lungs with a granulomatous reaction. Of note, a probe‐patent foramen ovale had permitted paradoxical embolization of this material into the systemic circulation with lodgement within the liver, portal lymph nodes, myocardium, spleen, kidneys, and pancreas. This case highlights the importance of checking for any intracardiac shunts, which may be quite small, and systemic dissemination of foreign material to multiple organs in intravenous drug users who present for medicolegal assessment.     

新权利的生成:以“户外广告发布权”为例

随着户外广告市场的繁荣,各地纷纷通过地方立法确立了户外广告发布制度,概括起来主要有四种模式。梳理这四种模式的演变思路发现,政府的角色从行政许可主体逐步演化为户外广告发布权的产权主体。这里的户外广告发布权是地方立法创设的新权利,它的生成在一定程度上反映出物权权能的权利化趋势。然而,地方立法创设的新权利并不具有当然的合理性,一项新权利的诞生不仅取决于法律规定,更取决于实践的需要和理论上的内在合理性。从理论研究角度出发,法律必须慎重对待新权利的诞生,防止因权利泛滥给司法实践带来混乱。     

Paradoxical and double-bind communication in treatment for people who sexually offend

Abstract

At its most fundamental structural level, treatment for people who sexually offend has inherently paradoxical elements. These involve questions about efficacy, the balance of community safety and client autonomy and responsibility for meaningful change. These elements can create further forms of paradoxical and double-bind communication within the treatment experience itself. This paper explores this communication and its potentially harmful effects on clients, therapy and community safety, particularly in light of the schemas, implicit theories and cognitive deficits exhibited by people with histories of sexually offending behaviour. It is intended to suggest topics for consideration in solving clinical dilemmas and preventing harm to therapeutic relationships.     

澳大利亚基本公共卫生服务的法律保障（三）——立法动向和借鉴意义

通过不断加强公共卫生立法,澳大利亚联邦政府在卫生与老年部下设了国家预防保健局,日益关注公民权利的法律保护,推动示范法律的研究和运用,将风险管理引入立法程序,促进联邦与州/特区的立法协作。中澳两国存在特有的公共卫生关系,澳大利亚在公共卫生法律方面的实践和经验,为我国提供了借鉴意义,特别是法律示范和统一机制、立法过程的风险评估以及基本公共卫生服务的公平性等方面。     

反劫持"以暴制暴"传统处置模式否定论

反劫持“以暴制暴”传统处置模式是与法治社会、生命至上理念和现代文明相悖的。反劫持行动应以外交式、绅士式、慈善式、和缓式的模式来进行,以求得稳中有重、控中有效、放中有收、刚中有柔的终极效果。否定“以暴制暴”传统处置模式的实质是用人性化的谈判方式解除劫持危机,并通过法律程序追惩犯罪。     

Saddle Pulmonary Embolism with Paradoxical Coronary Artery Embolism through a Patent Foramen Ovale

A 35‐year‐old male patient was found in cardiac arrest in his vehicle, with no apparent injuries after a minor motor vehicle collision. The decedent was found to have a saddle pulmonary embolus with a thromboembolus impacted across a patent foramen ovale and a paradoxical embolism in the circumflex coronary artery, as well as significant clotting in the deep veins of both lower extremities. There were no risk factors in his history to explain the deep venous thrombosis; family history suggested the possibility of an unrecognized clotting disorder.     

稳健的货币政策与人民币汇率走向

1998年以来我国实施的与积极财政政策相适应的稳健货币政策,在保持人民币币值稳定,促进经济增长方面取得了明显成效但也遇到了新的问题。当前人民币汇率继1998年之后再次成为世人关注的焦点,就此本文认为人民币远期升值是一种必然趋势,人民币近期是否升值需视市场状况而定。     

“内圣外王”与先期儒学发展的张力

孔子"仁"与"礼"的思想体系体现了他的圣王理想的追求,他认为领袖群伦应兼具"圣"与"王"的双重资格.儒学与君主专制的互限互依,它既是儒学发展的张力,又是儒学获得永久活力的限制,使儒学在发展历程中始终无法摆脱君主专制的阴影.     

Paradoxical leadership in public sector organisations: Its role in fostering employee resilience

Government organisations, and their employees, need to be resilient to manage challenges such as resource constraints, rising demands, and the tensions and contradictions that underlie much public sector work, often stemming from the need to balance different stakeholder interests. Employee resilience, defined as the capacity to continuously adapt and flourish, even in the face of challenge, is an individual level construct that also benefits organisations. Despite its benefits, little is known about how to foster it. This paper explores whether paradoxical leadership (PL) can contribute to employee resilience. PL – the ability to balance competing structural and relational demands over time – may be one means of supporting employee resilience, as it corresponds to the tensions and paradoxes that exist in public sector work. This correspondence between PL and tensions in public administration work means that PL may also help employees behave resiliently. Findings from a quantitative survey (n = 233) in a large New Zealand public sector organisation indicate that PL antecedes resilience. The effect of PL facets on employee resilience is partially mediated by perceptions of organisational support.     

扩大消费需求的对策建议

由于体制或制度因素的影响 ,农村和城市居民存在着不同的消费层次 ,又由于消费倾向普遍偏低 ,造成需求不旺。因此 ,刺激消费需求 ,应针对农村、城市不同消费层次分类治理 ,区别对待 ,在进行工资等分配体制配套改革的同时 ,推进农村的城镇化进程 ,进一步缩小城乡差距。