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521.
Mikolaenko I Robinson CA Davis GG 《The American journal of forensic medicine and pathology》2002,23(3):299-304
Interpretation of the concentration of a drug is more difficult when a combination of drugs is present in a decedent's blood. An increase in deaths resulting from co-intoxication with methadone and a benzodiazepine led the authors to perform a retrospective study of cases examined at the Jefferson County Coroner/Medical Examiner Office. They found 101 deaths wherein methadone was detected in the blood. Based on the drugs detected in the blood, these 101 cases were grouped into four categories: (1) pure methadone intoxication, (2) intoxication with methadone and benzodiazepine, (3) intoxication with methadone and other drugs excluding benzodiazepine, and (4) intoxication with methadone, benzodiazepines, and other drugs. Methadone was the sole intoxicant in 15 cases, with a mean concentration of 0.27 mg/L. Benzodiazepines were the most frequently detected co-intoxicant (60 of 101 cases). Benzodiazepine was the only co-intoxicant in 30 cases, and the mean methadone concentration in those 30 cases was 0.599 mg/L. Higher levels of methadone may occur in acute intoxication with methadone and benzodiazepine because benzodiazepines compete with methadone for methadone receptors. Higher levels of methadone may occur with chronic abuse of methadone and benzodiazepines because over time, benzodiazepines inhibit the hepatic enzymes that metabolize methadone. 相似文献
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This article examines changes in the revenue and expenditurepatterns of twelve major cities (six fiscally healthy; six fiscallydistressed) from fiscal years 1964 to 1979. The purpose of theexaminatin is to determine whether resource scarcity resultsin significantly different expenditure patterns, especiallyfor essential services (police, fire sanitation, and sewerage),social services (welfare, health, hospitals, and public housing),capital spending, and personal sevices (salaries). The resultsshow that changes inrevenue patterns are not significantly relatedto changes in expenditrue patterns, with the exception of capitalspending. The results support the theory that cutback budgetarystrategies are not significanely different from expansionarybudgetary strategies. Incrementalism (decrementalism) prevails. 相似文献
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Two studies using vignettes explore some conditions under which equity, equality, and need as allocation rules are taken into
account by an outside allocator. Independent variables include information about success or failure of a work group, level
of morale of the group, relative contributions of work group members, responsibility for outcome, and influence of one individual
on others. Results suggest that differentiation based on both equity and need results from a focus on individual deserving
while equality among status equals results from focus on group level factors. An interaction between outcome and contribution
appears when group level factors are included; these effects also appear when there are two rather than only one target person
differing from the rest of a group; an overreward effect depends on attributions of responsibility for outcome; and an influential
member is seen as deserving even if a low contributor. No gender differences were found. 相似文献
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Six socio-demographic and graphic and diagnostic and evaluation center (D&E) variables which influence juvenile post-adjudication
disposition into one of two treatment modalities, group home or institution, are examined. Data employed in this study were
gathered from completed case history records for 133 randomly sampled male juveniles processed over a six-month period by
a department of youth services (DYS) facility in a southern state.
Discriminant function analysis was used to determine statistical distinction between the two disposition groups. The discriminant
analysis yielded five variables of statistical significance (p<-.001, canonical r =−40) which included a D&E behavior measure,
age, number of past offenses, full scale IQ score, and seriousness of admitting offense.
Eighty-one percent of all cases were correctly classified using the selected socio-demographic and D&E variables. Race was
not found to be significant in the decision-making process at this level. 相似文献
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