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371.
We describe a case of factitious disorder with physical and psychological symptoms comorbid with bipolar I disorder in a 37-year-old woman. Since the onset of bipolar disorder, which occurred at the age of 31, she increasingly complained of physical symptoms, compulsively seeking medical and surgical interventions. She has been hospitalised several times and her Munchausen-type factitious disorder recently appeared to be developing into Munchausen by proxy, involving her 11-year-old daughter. The patient adhered poorly to stabilising and antipsychotic drug treatment and did not improve through the years. We here analyse her mood phases, which were always associated with changes in the quality of factitious symptoms, according to whether the disorder was in its depressive phase (somatic complaints and suicidal ideation prevail), or in its manic or mixed phase (medical intervention-seeking and manipulation of clinicians to obtain surgical interventions). We also briefly discuss some important forensic issues to consider in similar cases, mainly stemming from the psychotic aspects of these two co-occurring disorders. Clinicians should be aware of some patients' ability to produce signs and symptoms of physical and/or psychological illness and consult psychiatrists before giving consent to invasive diagnostic procedures or surgery.  相似文献   
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Teeth are recently drawing attention for their potential as biological modeling investigation samples due to their ability to be collected and their slow substance metabolism. There is no active metabolism of elements after the completion of dentin. Dentin is surrounded by enamel and cementum, and is not affected by the oral environment. Therefore, the amount of trace elements in dentin may change with age, and this is considered to be a reliable biological load index. The objectives in this study are to demonstrate concentrations of elements in the dentin of healthy Japanese subjects by sex and age, and to reveal the relationship between element levels and age. 121 healthy teeth samples were extracted due to periodontal disease or orthodontic treatment. Each tooth was sliced from the crown to the root apex into 0.5-1mm thickness, then enamel, cementum, and the pulp were removed; the dentins were used as samples. The concentration of 10 trace elements (B, Mn, Co, Cu, Zn, Rb, Sr, Mo, Cd, and Pb) in the dentin was measured using inductively coupled plasma mass spectrometer (ICP-MS). The differences Co and Pb in the dentin between men and women were significant (p<0.01). Significant positive correlation was observed between B, Co, Cu, Zn, Sr and Pb concentrations in the dentin and age (p<0.001). The results of the present study suggest that human dentin is an appropriate substance for relativity with sex and age at further future research.  相似文献   
374.
Population: Amerindian populations: Huastecos (n=97), Otomies de la Sierra (n=41), Otomies del Valle (n=40), and Tepehuas (n=13).  相似文献   
375.
One hundred and fifty individuals have been sampled across Central-South Italy and genotyped for Y chromosome STRs by PowerPlex Y system. Comparison with previous Italian databases revealed that majority of Y chromosome variation still need to be sampled. Identification of locus duplications, distribution of genetic variation and firstly identified alleles point to the necessity of more focused sampling strategies for reference databases.  相似文献   
376.
This paper first introduces the process of the humanizationof international law and then analyses one specific aspect ofthis development: the humanization of consular law, with specialreference to the Advisory Opinion No. 16 (1999) of the Inter-AmericanCourt of Human Rights. The paper focuses on three specific points:(1) Consular Law beyond the purely inter-State outlook; (2)the right to information on consular assistance in the frameworkof the guarantees of the due process of law and (3) the humanizationof Consular Law in contemporary international practice.  相似文献   
377.
In the Cerrado, the expansion of soybean cultivation since the 1990s has coincided with the strengthening of environmental regulations. We analyze how the two main environmental policies – Protected Areas and the Forest Code – have played out at the ground level in western Bahia state. These policies in Cerrado have not been designed to curb the expansion of this agricultural frontier. These norms have, on the contrary, accommodated this expansion because the way environmental managers selectively choose environmental problems and publicize them through specific information systems depreciates traditional fire-dependent production systems. These ‘politics of selection’ are likely to increase competition for resources in the margins of soybean agriculture, which is where traditional populations have now become confined.  相似文献   
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379.
The Cadiz courts symbolize the foundational episode of the liberal revolutions that took place in Spain and Latin America, and from this starting point, this article undertakes a comparative analysis of the different roads in political experimentation implemented in Spain and post-independent Mexico, during the first decades of the nineteenth century, in applying and consolidating liberal state models. In this case, emphasis is given to the debate arising around the representation and idea of political inclusion and exclusion put forward by the different legal frameworks in both countries, as essential cornerstones for modulating the different typologies of parliamentarianism, of the electorate and of the parliamentarian ideal, where a direct link is underlined between elitism and parliamentarian representation.  相似文献   
380.
Inverse Productivity or Inverse Efficiency? Evidence from Mexico   总被引:2,自引:0,他引:2  
Using a unique panel data set from rural Mexico, we find strong evidence of a negative relationship between farm size and both productivity and technical efficiency: large farms not only have a lower value of output per hectare than small farms, they also produce further from the efficiency frontier. Our findings suggest that, in spite of the ongoing transformation of agricultural supply chains and economists’ recommendations for small farmers to exit crop production, there may be sustained advantages for smallholder farms. Our analysis offers new insights into inverse-farm size relationship, the productivity–efficiency relationship, and the use of stochastic frontier techniques.  相似文献   
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