助产失误娩下脑瘫儿引发医疗纠纷1例分析

本文是1例有关医院助产失误,致使孕妇分娩出的新生儿患有脑瘫,随后医患之间发生纠纷,并就此诉诸于法院的案例.该事件从新生儿出生到最终司法审理结案,持续了长达近十年的时间.本案在漫长的审理过程中对于法律适用、责任认定、赔偿方式、鉴定方式选择等方面都具有在今后医疗纠纷司法诉讼中予以借鉴的价值.     

Differentiating among racial/ethnic groups and its implications for understanding juvenile justice decision making

Both theory and research have been refined to gain a better understanding of when race and ethnicity matter in justice proceedings. In the present research, this line of inquiry was continued by differentiating among minority youth to assess the extent being African American, Native American, and Asian American influenced juvenile justice decision making and how these effects compared to one another and Whites. Utilizing an interpretation of the symbolic threat thesis that emphasizes stereotyping, the authors anticipated Native Americans to be responded to more severely than African Americans, followed by Asian Americans who were anticipated to be responded to more like Whites. The results indicated partial support for these expectations.     

刑法的不得已性——中国话语下的刑法谦抑

在中国刑法的语境下，用“不得已”代替“谦抑”的提法比较合适。刑法的不得已是指刑罚对犯罪人的适用只能是为了保护更大多数人的权利而被迫剥夺犯罪人个人的基本权利。通过对人性、应然状态下的法律和刑法目的三个方面的分析，不得已性应该是刑法的根本属性。从实践上看，只有坚持不得已原则为指导，立法注入更多、更丰富的民主因素，司法符合常理、体现正义才是现代刑法危机的真正出路。     

“见危不救”犯罪化的层次分析

社会对见危不救行为是否定的.对其价值判断的这种一致性,使得对其犯罪化不只是可能,而且是必要的.对见危不救行为动用刑罚加以调整,使人们自愿承担救人于危难间的义务,以促进社会的整体利益.我国刑法中应增加"见危不救罪",但要有严格的范围限制.     

The impact of health maintenance organizations and competition on hospitals in Minneapolis/St. Paul

The Healthcare Educational and Research Foundation (HERF) in Minneapolis undertook a two-year research project to study the effects of health maintenance organizations (HMOs) and competition on the hospital industry in Minneapolis/St. Paul. This article summarizes HERF's major findings surrounding three key questions: (1) do the HMOs in Minneapolis/St. Paul use fewer hospital resources relative to conventional payers?; (2) do recent overall community trends in inpatient use suggest evidence of hospital utilization-reducing effects attributable to HMOs?; and (3) given the highly visible competitive process among Minneapolis/St. Paul providers, do hospital cost and revenue data suggest any evidence of cost-containment? The findings (based on data through 1982) indicate that for comparable patients, Twin Cities HMOs appear to use fewer medical care resources per hospitalized patient. There was, however, no clear evidence of community-wide, utilization-reducing effects directly attributable to the "competitive effect" of HMO introduction and development in the market. In addition, there was no empirical evidence that HMOs (which had enrolled 25 percent of the consumer market by 1982), or other large buyers of inpatient services, have selected hospitals on the basis of price as hypothesized by competition advocates.     

Book reviews

Roland Axtmann, Liberal democracy into the twenty‐first century: Globalization, integration and the nation‐state (Manchester University Press, Manchester, 1996), 198 pp., ISBN 0–7190–4304–2 (hb), 0–7190–4305–0 (pb)

Paul Kapteyn, The Stateless Market: The European Dilemma of Civilization (Routledge, London and New York, 1996), 194 pp., ISBN 0–415–12232–5 (hb), 0–415–12233–3 (pb)

Richard Werbner and Terence Ranger (eds), Postcolonial Identities in Africa (Zed Books, London & New Jersey, 1996), 292 pp., ISBN 1–85649–415–2 (hb), 1–85649–416–0 (pb)

Mark Wheeler, Politics and the Mass Media (Blackwell, Oxford, 1997), 274 pp., ISBN 0–631–19783–4 (hb), 0–631–19784–2 (pb)

Nigel Harris, The New Untouchables: Immigration and the New World Worker (Penguin Books, London, 1995), 254 pp., ISBN 0–14–014689‐X (pb)

Gilles Kepel, Allah in the West (Polity Press, Cambridge, 1997), 273 pp., ISBN 0–7456–1557–0 (hb), 0–7456–1558–9 (pb)

Leonard Weinberg, The Transformation of Italian Communism (Transaction Publishers, New Brunswick, New Jersey, 1995), 147 pp., ISBN 1–56000–180–1 (hb)

Brian Jenkins and Spyros A. Sofos (eds), Nation and Identity in Contemporary Europe (Routledge, London, 1996), x + 294pp., ISBN 0–415–12312–7 (hb), 0–415–12313–5 (pb)

Stuart Parkes, Understanding Contemporary Germany (Routledge, London, 1997), 247 pp., ISBN 0–415–14123–0 (hb), 0–415–14124–9 (pb)     

Attempts at drug control in Colombia,Peru and Bolivia

The paper analyzes as part of a broader study the drug-control policy of the cocacocaine producing countries of Colombia, Perú and Bolivia, beginning with a short introduction of the political framework. The legal and political emphasis of this policy lies in the area of control and repression, which therefore is analysed in more detail. One can recognize a (substantial) tendency towards overcriminalisation linked to easier (procedural) possibilities of criminal prosecution and punishment (II). However, this questionable policy, when examined from a civil rights standpoint, proves to be of limited efficacy: given the continuing flow of cocaine to the US and the expanding trade to Europe, the policy can hardly pass a qualitative test considering the quantitative evidence (III). There are basically two alternatives from the viewpoint of the producing countries: the international commercialisation of coca and alternative development; from the viewpoint of the consumer countries the controlled legalisation (IV).This article is based on criminological research about the drug policies of Colombia, Peru and Bolivia, which was accepted at the end of 1992 as a doctoral thesis by the Law Faculty of the University of Munich. It attempts to summarize the substantial results of this research but is compelled, due to its limited scope, to frequently refer to previous publications (Ambos, 1993, 1994).This article was published in an earlier German version in Monatsschrift für Kriminologie und Strafrechtsreform, vol. 76, No. 4/1993, pp. 206–226, in a Spanish version in: Cuadernos de Política Criminal (Madrid) No. 53 (1994) pp. 629–667 and Revista dela Facultad de Ciencias Jurídicas y Politicas, No. 98 (1996), Universidad Central de Venezuela, Caracas, pp. 343–390. — I am indebted to Prof. Daniel Nesereko, University of Botswana for refining the English version and critial comments.