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A case of homicide by lethal injection with lidocaine 总被引:3,自引:0,他引:3
This report describes a homicide by overdosage with lidocaine. The decedent, a 32-year-old male hospitalized for a lengthy period with acute intermittent porphyria and chronic pancreatitis, suffered apparent asystole and seizure. Failed resuscitation preceded death. A forensic autopsy was conducted based upon suspicions of alleged patient mistreatment by one of the attending nurses. Toxicological analyses revealed the presence of lidocaine in blood, liver, kidney, brain, and heart at 22.2 mg/L and 43.6, 28.3, 23.1, and 13.1 mg/kg, respectively. Also present were diazepam, phenytoin, and promethazine. Both diazepam and phenytoin had been administered during resuscitation, but lidocaine had not. The cause of death was determined to be ventricular arrhythmia precipitated by lidocaine overdosage. The administered dose was calculated to have been approximately 1500 mg. The manner of death was determined to be homicide. The nurse was arrested and subsequently tried for murder by administering a lethal quantity of lidocaine. 相似文献
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Jack Snyder 《安全研究》2015,24(1):171-197
Perhaps the most consequential effort to expound a grand strategic narrative was Woodrow Wilson's campaign to persuade the American people, the US Senate, and world public opinion to embrace his concept for making the world safe for democracy. Wilson and his interlocutors in grand strategy illustrate the role of rhetoric and narrative in managing two kinds of complexity in discussions of grand strategy: the conceptual integration of facts and values (of “is” and “ought”) in strategic persuasion and the political integration of diverse perspectives among partners in a strategic coalition. In particular, I explore the hypothesis that rhetorical and narrative persuasive devices permit grand strategists to obfuscate internal contradictions in their vision, facilitating persuasion in the short run but producing characteristic patterns of eventual policy failure and thereby serving as an engine of change in grand strategy. 相似文献
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Jack Patrick Hayes 《当代中国》2007,16(52):499-516
Over the past 150 years few Western and Chinese scholars have examined the nature of the environment in Hutiao xia (Tiger Leaping Gorge) and its various inhabitants. However, as a unique geographical and geological feature, one of Asia's deepest gorges, part of the headwaters of the Yangtze River, and a common destination for tourists, the gorge has taken on greater and greater significance. Americans, Chinese literati, Party Cadres, and others have commented on Tiger Leaping Gorge. This essay will examine both the local environment and local environmental practices related to the gorge. Considering historical and contemporary land use practices, the gorge and its changing status can act as a microcosm of western China's various kinds of land development strategies, their implications for local and larger concerns, and land use ideologies of various sorts. Through discussing soil composition, water management, natural vegetation patterns, population growth, and recent developments in tourism, this essay will discuss the human impact on the natural environment of Tiger Leaping Gorge between the 1870s and 2002. It will not only demonstrate patterns in environmental degradation based on both natural and human processes, it will also show that depending on the form of institutional authority and local management practices, the environment in the gorge has been most effected by the political and ideological changes of the last half-century in comparison to earlier times. However, despite increasing challenges in the face of various human factors, some recent environmental practices have succeeded in helping to minimize elements of local soil and vegetation degradation. 相似文献
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The current US rules on the obligation to report on the formationof a foreign trust and the consequences of failing to do soare complex. This article outlines the main precautions thatshould be taken by those advising US clients. 相似文献
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Dr. W. Jack Duncan Jon G. Rodgers Jr. William E. Farrar 《The Journal of Technology Transfer》1984,8(2):1-10
This paper addresses the question of the distribution of federal research funds. It is noted that the top five institutions in terms of federal funding occupy very stable and extremely high rankings in terms of the quality of their academic programs in a variety of fields. It is suggested that this is part of their overall strategy for achieving organizational effectiveness. The implications for technology generation and transfer are discussed. In view of the various theories of organizational effectiveness, it is noted that research oriented universities that consistently win in the quest for federal research funds have developed both the structure and atmosphere necessary for responding to external groups. 相似文献