Introduction of a national electronic patient record in The Netherlands: some legal issues

The electronic patient record (EPR) is a major technological development within the healthcare sector. Many hospitals across Europe already use institution-based electronic patient records, which allow not only for electronic exchange of patient data within the hospital, but potentially also for sharing medical data with external healthcare providers, involved in the patient's care, such as general practitioners or pharmacists. In this article, we discuss the attempt made by the Dutch government to introduce a nationwide electronic patient record (n-EPR). Describing and analyzing the new legislation that is currently being developed to establish the infrastructure for the n-EPR and the related legal issues, we conclude that the introduction of a n-EPR give rise to some substantial concerns. These vary from technical and quality issues such as the reliability of patient data and sufficient standardization and interoperability of the systems used, to issues in the field of data security and confidentiality. For a successful introduction of the n-EPR within the healthcare sector, a condicio sine qua non is that the related legislation provides sufficient safeguards and clarity with respect to the responsibilities and liabilities of its main users: the healthcare professionals.     

根据CT片推断医院伪造病历1例分析

案例 某男，70岁。无确切诱因出现口齿不清2小时门诊行CT扫描后收入院。入院查体：神清，构音障碍．双瞳孔等大正圆，对光反射存在，面瘫不显，伸舌不出，左侧上下肢肌力Ⅲ一Ⅳ级，巴氏征(±)。入院诊断：急性出血性脑血管病，高血压病?CT报告：双侧基底见点状低密度影．左额顶部密度减低，左侧脑室较右侧饱满．右侧颞顶叶见近圆形高密度影．     

根据CT片推断医院伪造病历1例分析

案例某男,70岁。无确切诱因出现口齿不清2小时门诊行CT扫描后收入院。入院查体:神清,构音障碍,双瞳孔等大正圆,对光反射存在,面瘫不显,伸舌不出,左侧上下肢肌力Ⅲ-Ⅳ级,巴氏征(±)。入院诊断:急性出血性脑血管病,高血压病?CT报告:双侧基底见点状低密度影,左额顶部密度减低,左侧脑室较右侧饱满,右侧颞顶叶见近圆形高密度影,较大范围位于S#9层,持续约3个层面,周边见低密度条,相邻脑沟内见点状高密度。印象:(1)皮层下动脉硬化性脑病;(2)双侧基底节腔隙梗塞;(3)右颞顶叶血肿,不除外少量破入蛛网膜下腔;(4)左额叶低密度不除外陈旧性病灶。入院1…     

The role of broken homes in the development of self-control: A propensity score matching approach

Criminologists have frequently identified broken homes as a risk factor for involvement in crime and delinquency. The association between broken homes and antisocial behavior has been replicated in numerous studies, and despite being entrenched within the study of delinquency, there is a lack of research examining its impact on the development of self-control. This is somewhat surprising given that low self-control has been shown to be a robust and consistent predictor of antisocial behavior. We address this void in the literature by examining the role of broken homes in the development of self-control in early childhood using propensity score matching. Analysis of the Fragile Families and Child Wellbeing Study revealed a statistically significant association between broken homes and the development of self-control prior to matching. After matching on six key maternal and paternal covariates, the association between broken homes and levels of self-control was no longer statistically significant. We discuss what these findings mean for criminological theories.     

Gunshot location through recorded sound: a preliminary report

Using a video tape and three still photographs, we analyze recorded sound to attribute authorship in a fatal shooting incident. We measure the acoustic signature of the scene with four test detonations, and we discuss two methods of processing putative echoes in the audio band of the video. They allow us to locate 11 out of 17 shots, with a precision of 0.4 x 1.0 m2. Combining the location of the shots with the known positions of the participants, we arrive at the clear attribution of eight shots; three other shots (among which is the fatal one) probably issue from the same shooter, who remains unidentified within a small group of men. Our results lead to the exculpation of the main suspect. We analyze the statistical significance of the results, use Monte Carlo simulations to set an upper bound to the probability of false positives, and discuss areas of improvement of the method.     

The size of the underground economy in Germany: a correction of the record and new evidence from the modified-cash-deposit-ratio approach

Based on the Ahumada et al. (Rev Income Wealth 53(2):363–371, 2007) critique we revise existing estimates of the size of the German underground economy. Among other things, it turns out that most of these estimates are untenable and that the tax pressure induced size of the German underground economy may be much lower than previously thought. To this extent, German policy and law makers have been misguided during the last three decades. Therefore, we introduce the Modified-Cash-Deposit-Ratio approach, which is not subject to the recent critique and apply it to Germany for the period 1960–2008.     

The relationship between disorder,perceived risk,and collective efficacy: a look into the indirect pathways of the broken windows thesis

The broken windows thesis suggests that disorder is a key part of a cycle of community decline that leaves neighborhoods vulnerable to crime. Some recent research has challenged this thesis by finding limited support for a direct relationship between disorder and crime. However, others argued that such studies ignore the indirect pathways posited in the thesis. The current study sheds light on this debate by examining the relationships between disorder, fear of crime, and collective efficacy and finds support for the relationships suggested by the broken windows model. However, the findings also suggest that the model is overly simplistic and needs to consider other mediating factors in addition to fear. Additionally, the findings show that perceptions of disorder may have different impacts for residents of an area vs. people who work at a business in the area. Implications for theory and policy are discussed.     

破解声音密码

To Siri：乔布斯还活着吗？
　　Siri：苹果并没有告诉我全部,你懂的……
　　或许你也这样调戏过苹果设备的语音控制程序Siri,却不知道你的声纹已经被苹果公司记录了。
　　当今正处于海量信息的时代,上网、微信、移动支付随时暴露着人们的各类信息数据,而数据中的蛛丝马迹也越来越成为案件侦查、司法实务中可以捕捉的线索。声纹正是其中之一。     

The dimensions of a transnational crime problem: the case of iuu fishing

Illegal, Unreported and Unregulated (IUU) fishing is a significant transnational crime problem that costs developing nations from $2 to $15 billion in economic losses annually. Perpetrators include established organized crime groups and commercial fishers, while the incidence of IUU fishing is often shaped by public corruption. Various economic drivers, such as the exceptionally high value of some species, and the Flag of Convenience (FOC) system of vessel registration contribute to the significance of the problem. Negative environmental impacts involve the depletion of fish stocks, damage to coral reefs, and stress on marine mammals and birds. Social and economic impacts are severe as well, and are most especially prevalent in developing nations. Theoretically, IUU fishing may be viewed as arising and proliferating due to “criminogenic asymmetries,” especially evident in the uneven patchwork of international laws governing the world’s oceans. A broad range of public and private responses have thus far generated limited success in thwarting IUU fishing.