A consultant's survey of the patients in a maximum security hospital

The patients at a state maximum security forensic facility were interviewed by a psychiatrist and their files reviewed. Only 43 of the 203 patients were judged to be suitable for the facility. Nearly 60% of the pretrial defendants were judged to be capable of proceeding to trial. Of the patients, 18% were judged to be malingering or avoiding trial or prison. The implications of these findings are discussed.     

Mortality in maximum security psychiatric hospital patients

Numerous studies have mentioned to the high percentage of violent deaths in prison psychiatric hospitals, with suicide being the principal cause. The aim of this study was to analyze the circumstances related with the deaths recorded in a high security institution. Postmortem reports on all the deaths at the Alicante Psychiatric Prison between 1984 and 1997 were studied (36 cases of unnatural death and 28 of natural death). Of the violent deaths recorded 34 (94.4%) were suicides. Demographic, clinical and interpersonal variables factors were registered. In the cases of suicides, the method used, the place of death, season, month and time of suicide were analyzed. In our study, 64.7% of suicides were schizophrenic and 32.4% had inflicted self-harm previously. We found a statistically significant association between the cause of death (natural, suicide or homicide) and age, 47.1% of suicides being between the ages of 18 and 30 and 29.4% between the ages of 30 and 45. Natural causes predominated in older subjects. The prison population studied showed grave negative traits, mental illness and criminal behavior having forced them to the very edge of society. Our results were compared with the death and suicide rates of the general Spanish population.     

论医疗机构对患者的安全保障义务

患者在医院走失(丢失)、财产被盗、受到第三人侵害的事情时有发生，因此而发生的损害赔偿纠纷成为医息诉讼新的焦点。本文对与此相关的理论进行探析，旨在探讨法院在评判双方过错时所应适用的标准。笔者认为，附随义务是医疗机构对患者及其财产进行安全保障的依据，法院在认定医疗机构是否有过错应当以具体情事和诚信原则作为标准。     

论医疗机构对患者的安全保障义务

患者在医院走失 (丢失 )、财产被盗、受到第三人侵害的事情时有发生 ,因此而发生的损害赔偿纠纷成为医患诉讼新的焦点。本文对与此相关的理论进行探析 ,旨在探讨法院在评判双方过错时所应适用的标准。笔者认为 ,附随义务是医疗机构对患者及其财产进行安全保障的依据 ,法院在认定医疗机构是否有过错应当以具体情事和诚信原则作为标准。     

An evaluation of the Enhanced Thinking Skills (ETS) programme with mentally disordered offenders in a high security hospital

Purpose. Further to evidence of the successful application of cognitive skills programmes with offenders in HM prison service, the Enhanced Thinking Skills (ETS) training course is now delivered in various secure forensic hospitals, and its usefulness with an offender patient population merits examination. Our aim was to evaluate the impact of ETS using measures designed to capture change in key areas targeted by the course, and a more global measure of mental well‐being. Methods. Offender patients (N = 83) referred for ETS between 2001 and 2006 via a wider groupwork service within a high security hospital were administered questionnaires before and after the training course, which was minimally adjusted to meet the needs of the patient population. Attendance rates, including ‘drop‐out’ (completion of 10 or less sessions) were recorded. Demographics by subgroup (completers vs. non‐completers), and the clinical significance of any changes endorsed by participants post‐group were examined. Results. ETS completers were significantly more likely than non‐completers to endorse changes in thinking style (e.g. a reduction in post‐course scores). Significant differences were observed at both the group and individual level in the direction of less externalization of blame, a slight increase in tolerance of frustration, an increase in social conformity, and improvement in critical reasoning skills. Furthermore there was a reduction in the endorsement of aggressive solutions to social problems. Conclusions. These findings demonstrate a significant short‐term impact of the course for mentally disordered offenders with regards change in aspects of their thinking style and enhancement of their social problem solving skills. This profile lends some support to the provision of ETS within secure hospital settings.     

时某医疗损害赔偿案归责原则探讨

案情简介 时某,女,29岁,农村妇女.1999年4月12日下午,因病到当地卫生院就诊,卫生院予以对症治疗处理.次日晨,时某仍感头晕,伴有恶心、发热,并出现面色紫绀,不能言语,时某又到该卫生院就诊,卫生院诊断为:头晕待查,上感?利君沙反应,即予: 5% GS 250 ml+ 丁胺卡那霉素0.2×3支及10% GS 500 ml+10% 氯化纳10 ml,维生素B6 4支,辅酶A 1支,10 %氯化钾10 ml,维生素C 6支,ATP 2支,静滴(该组未用),配合吗叮啉口服液治疗.上午 7∶30时,当5% GS 250 ml+丁胺卡那毒素0.2×3支静滴快结束时,患者突然面色发绀,呼吸不规则,卫生院立即采取胸外按摩,吸氧,注射肾上腺素、洛贝林等抢救措施,但时某已停止呼吸,至7∶50时抢救无效死亡.     

时某医疗损害赔偿案归责原则探讨

案情简介时某 ,女 ,2 9岁 ,农村妇女。 1999年 4月 12日下午 ,因病到当地卫生院就诊 ,卫生院予以对症治疗处理。次日晨 ,时某仍感头晕 ,伴有恶心、发热 ,并出现面色紫绀 ,不能言语 ,时某又到该卫生院就诊 ,卫生院诊断为 :头晕待查 ,上感 ?利君沙反应 ,即予 :5 %GS 2 5 0ml+丁胺卡那霉素 0 .2× 3支及 10 %GS 5 0 0ml+10 %氯化纳 10ml,维生素B6 4支 ,辅酶A 1支 ,10 %氯化钾 10ml,维生素C 6支 ,ATP 2支 ,静滴 (该组未用 ) ,配合吗叮啉口服液治疗。上午 7∶30时 ,当 5 %GS 2 5 0ml+丁胺卡那毒素 0 .2× 3支静滴快结束时 ,患者突然面色发绀…     

我国环境法律中的国家安全刍议

鉴于国家安全在我国经济和社会可持续发展中居于举足轻重的地位,本文从国家安全的内涵及其发展入手,论述运用环境法律制度保障国家安全的现实急迫性和法理基础,最后提出完善相关环境法律维护国家安全的建议措施。     

The efficacy of home security measures

Crime prevention through environmental design(CPTED) assumes criminal acts are influenced by their inherent costs and benefits. Policy implications drawn from CPTED suggest home security measures increase these costs and reduce the likelihood of burglary. This paper tests the efficacy of home security measures. A telephone survey of 566 residents in Mobile County, Alabama, inquired about security measures burglary victims and nonvictims employed. A logistic regression solution found some, but not all, of these security measures to be quite effective. The author would like to thank Bill Doerner and the anonymous reviewers for their helpful comments and patience. Thanks also go to Sheriff Jack Tillman, Captain Ronnie Phillips, and Thomas Barclay of the Mobile County (AL) Sheriffs Office for their support in this project.     

论现代安防技术中的空间信息与多媒体通讯技术及其应用

本文首先叙述了国内外安防的要求与近十年来安防技术的发展，侧重介绍了空间信息与多媒体网络通信技术的发展及在安防中的应用可能性。     

The collision of healthcare and corporate law in a hospital closure case

This Article analyzes potential conflicts that arise from both the judicial and administrative approval processes that govern the closure of charitable hospitals through a sale of all or substantially all of their assets. Examining the recent closure attempt by the Manhattan Eye, Ear & Throat Hospital as an example, the Article highlights the various public health and corporate law issues that are raised when a not-for-profit hospital seeks closure. The Article thoroughly discusses both the statutorily and judicially required approval schemes applicable to the closure of charitable hospitals. The Article also suggests ways in which these conflicts might be avoided or remedied, as well as gives advice regarding hospital board decisionmaking.     

动产抵押物交易中的权利冲突--浅析抵押权的公示

由于<担保法>对何物不可提供抵押未予明确,势必产生物权转移与抵押权设定公示之间的矛盾,造成动产抵押物交易中的权利冲突.为了防范这种冲突,应对动产抵押标的物法定化,并在抵押权的公示上遵循便于为公众所知晓、遵循交易习惯、公示手段法定等原则.     

校园安全事件的影响因素与归因分析

以2007年4月16日美国弗吉尼亚理工大学发生的校园枪击事件为例,客观分析了美国4·16重大校园枪击案经过及原因.基于中国校园安全的现状,剖析了中国校园安全的影响因素及产生的根本原因,为加强校园安全管理提供了理论基础.     

失地农民社会保障问题研究

目前,在我国农村,由于缺乏基本的社会保障,加之农民的再就业能力较差,导致大量的失地农民成为无地可种、无工可打、无保可依、生活水平较低的弱势群体。本文分析了制约失地农民社会保障的因素,认为应通过尽快完善征地制度,加快筹集社会保障基金,推进农村社会保障制度建设,完善就业保障机制。     

Government health policy and hospital labor costs: the effects of wage and price controls on hospital wage rates and employment

This study examines the rapid growth of hospital wage rates and employment levels over the past decade, with particular attention to the period 1971-73, when wage and price controls were in effect throughout the economy. The analysis shows that the hospital regulations under the Economic Stabilization Program reduced real hospital wages below what they would have been in the absence of controls; a similar but smaller effect of the controls on hospital employment levels is also shown. This suggests that if the current HEW proposal for hospital cost containment is enacted, its impact would be a significant decrease in the rate of growth of hospital wages and employment.