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51.
Shane Darke Ph.D. Johan Duflou M.Med.Path F.R.C.P.A. Sharlene Kaye Ph.D. 《Journal of forensic sciences》2018,63(5):1466-1471
Characteristics of death attributed solely to methamphetamine toxicity (MT, n = 93) by forensic pathologists were examined and compared to cases of multiple drug toxicity (MDT, n = 634). The mean age of MT cases was 36.7 years, and 86.0% were male. Strenuous activity was reported in 12.9%. The most common witness observations were: collapse (60.3%), difficulty in breathing (36.2%), and hyperthermia (27.6%). MT cases had higher blood methamphetamine (0.54 vs. 0.11 mg/L) and amphetamine (0.04 vs. 0.02 mg/L) concentrations and lower likelihoods for opioids (12.5% vs. 80.9%), hypnosedatives (27.3 vs. 60.7%), antidepressants (14.8 vs. 29.8%), and antipsychotics (9.1 vs. 19.7%). MT cases had significantly heavier hearts than MDT cases (423.4 vs. 385.8 g) and were more likely to have cardiomegaly (37.1 vs. 20.4%) and replacement fibrosis (25.7 vs. 14.5%). The clinical picture was of a sudden cardiac event in a middle‐aged man with a high methamphetamine concentration. Cardiovascular signs of heavy methamphetamine use are frequently seen. 相似文献
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Johan Duflou M.Med.Path. F.R.C.P.A. ; Shane Darke Ph.D. ; Jennifer Easson B.Sc. 《Journal of forensic sciences》2009,54(5):1181-1184
Abstract: Death caused by heroin overdose is almost always the result of intravenous injection of the drug in Australia. We briefly describe a case where a heroin overdose was initially thought to be the result of oral ingestion of the drug, primarily as a result of higher concentrations of morphine in stomach contents than in blood. During the subsequent criminal trial and investigation, however, the issue of the entero-hepatic circulation of morphine was raised as a possible reason for the presence of morphine in the stomach contents. In this study, we report on the distribution of opioids in blood, stomach contents, urine, liver, and bile in 29 deaths caused by intravenous heroin overdose. The mean total and free blood morphine concentrations were 0.60 and 0.32 mg/L , respectively, and the mean stomach contents total morphine concentration was 1.16 mg/kg. All cases had detectable morphine in the stomach contents, and 24 of 29 cases (83%) had higher concentrations of total morphine in stomach contents than in blood. The mean total morphine concentration in bile was c. 100 times that in blood, and the liver total morphine concentration averaged twice that of blood levels. We conclude that the entero-hepatic circulation of morphine and subsequent reflux of duodenal contents back into the stomach can result in the deposition of morphine in gastric contents. Consequently, the relative levels of opioids in blood and stomach contents cannot be used to determine the site of administration of the drug. 相似文献
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Shane O'Neill 《英国政治学与国际关系杂志》2002,4(1):98-114
My critical assessment of competing views on the marching controversy at Drumcree is found wanting by Glen Newey for at least three reasons. The Habermasian approach I adopt is alleged to be motivationally deficient, politically ineffectual and blind to its own decisionistic partiality. Here I indicate that the force of Newey's critique is neutralised once one attends to the important differences between Habermas' moral theory and his discourse theory of law and democracy. I argue, furthermore, that Newey's critique is insufficiently attuned to the institutional context of my argument, and that his line of reasoning has troubling political implications. 相似文献
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Using concepts drawn from situational crime prevention theory, this study compares successful and unsuccessful pirate attacks (n = 4,638) against ships worldwide and the situational factors that help prevent such attacks. The results show that when a ship’s crew takes proactive self-protective measures that increase the perceived effort (increasing speed, employing evasive maneuvers) and increase the perceived risk (embarking private security, having watchman present, raising alarm, increasing lighting, anti-piracy) of perpetrating an attack, unsuccessful attacks are significantly more likely after controlling for environmental influences. Despite a few common data limitations, the study contributes to the crime prevention literature by analyzing piracy from a micro level instead of a macro level. Future research should examine how the piracy “ecosystem” contributes to the problem and the costs and benefits counter-piracy activities. 相似文献
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Shane Smyth is a popular and well-known personality in internationaltrade mark circles, where his friendly face and amicable demeanourprovide the frontage for a mordant 相似文献
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Shane Joshua Barter 《Asian Security》2013,9(2):75-92
Abstract Militias are responsible for some of the most egregious human rights abuses in civil wars. This said, they vary tremendously, and some may serve as a source of security against abusive rebel groups. What distinguishes predatory anti-rebel militias from those which are more or less popular? While previous studies focus on the relationship between militias and states, this study demands equal attention to the militia/rebel relationship. While militias in East Timor were largely predatory, formed at the behest of state forces to attack rebel supporters, militias in Aceh were more diverse, and some formed among ethnic minorities against rebel attacks. This article proposes that militias created where the state dominates are likely to be predatory, while those resisting powerful rebels are more likely to be defensive, popular organizations. 相似文献
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