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241.
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Comstock RD Mallonee S Kruger E Rayno K Vance A Jordan F 《The American journal of forensic medicine and pathology》2005,26(3):229-235
In Oklahoma, all nonnatural deaths must be reported to the Office of the Chief Medical Examiner (ME), whose trained investigators report cause of death using a centralized, statewide, standardized reporting system. The purpose of this study was to determine temporal trends of Oklahoma homicide-suicide events and characterize the epidemiology of these events. By reviewing all ME reports of homicides and suicides from 1994 through 2001, we identified 73 homicide-suicide events resulting in 73 suicides and 89 homicides. Suicidal perpetrators of homicide-suicide events were most often white men aged >or=30 years who killed a current or ex-spouse or intimate partner. Homicide victims tended to be younger women the same race as their killer. Firearms were the predominant method of death in both homicides and suicides, with handguns used most frequently. Divorce/estrangement was the main contributing factor to these events, and the most common relationship type was possessive. The existence of a statewide, centralized, and computerized ME system and the ability to access the detailed information in the ME narratives were critical to identifying homicide-suicide events and obtaining the type of detailed information necessary to fully investigate these events. 相似文献
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Christiansen LR Collins KA 《The American journal of forensic medicine and pathology》2004,25(4):327-333
Malignant hyperthermia (MH) is a rare, potentially lethal disorder of skeletal muscle calcium homeostasis characterized by muscle contracture and life-threatening hypermetabolic crisis following exposure to halogenated anesthetics and depolarizing muscle relaxants. Susceptibility to MH results from mutations in calcium channel proteins that mediate excitation-contraction coupling, with the ryanodine receptor calcium release channel (RyR1) representing the major locus. The mode of inheritance appears to be autosomal dominant with variable penetrance. The authors report the death of a 60-year-old white male with a history of low back pain. He had undergone 2 back surgeries previously, the first occurring 10 years prior to his current presentation. Both previous procedures were done under generalized anesthetic with no complications. Recently, he developed stenosis and presented for fusion of vertebrae L3 and L4. The procedure was performed under general anesthetic including sevoflurane, with no intraoperative complications. The anesthesiologist noted that, near the end of the 2-hour procedure, the decedent's CO2 levels were slightly elevated. After the procedure, the decedent was extubated, the temperature probe which had been recording normal values was removed, and he was rolled from ventral to dorsal position. He immediately became hypotensive and bradycardic. Lifesaving interventions were begun. Subsequently, he went into cardiac arrest, at which time the temperature probe was reinserted into the trachea, where it read a body temperature of 109 degrees F. Malignant hyperthermia protocol was initiated, and interventions continued for over 2 hours, at which time they failed. At autopsy, the abdomen contained 1800 mL of blood, and bilateral hematomas were present in the psoas muscles. The authors present this case of clinically apparent malignant hyperthermia, discuss how to approach such a case, the gross and microscopic findings, ancillary studies, and a review of the literature. 相似文献
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The diversity of dental patterns in the orthopantomography and its significance in human identification 总被引:2,自引:0,他引:2
The primary aim of this study was to evaluate the utility of orthopantomography for human identification. Three hundred orthopantomograms were randomly selected from those stored at Dental Hospital of Yonsei University in Seoul. Dental patterns observed in the orthopantomograms were converted into eight codes and their diversity was calculated. The diversity of dental patterns in the orthopantomogram data was 99.92% for full dentition and the diversity of mandible (99.28%) was slightly higher value than that of maxilla (98.22%). In the case of molars and premolars in both jaws, the diversity values ranged from 92.13% to 96.04%. It was founded that orthopantomography is a valuable means of personal identification not only based on full dentition but also when only the posterior teeth are available. The present study indicates that orthopantomography is excellent means of forensic identification. 相似文献
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This paper examines, through argument analysis & grid-group model, how cultural bias, as the frame of reference of an advocacy coalition (AC), brings about irresolvable conflicts and produces divided arguments between coalitions for development and conservation in Koreas Saemangeum project. Based on different cultural biases, two ACs – the advocacy coalition for development (ACD) and the advocacy coalition for conservation (ACC) – interpreted the same facts differently in line with their cultural orientations and ways of life. The dynamic argument patterns reflected each coalitions cultural bias, which restricted the frame of reference of actors in each AC. After reviewing argument analysis as an analytic tool, we introduce cultural theoryin which ways of life, consisting of cultural biases and social relations, amplify the irresolvable conflicts between two ACs. Second, to show the culturally constructed nature of the conflicts, we analyze the contrasting arguments between the ACD (dominated by a hierarchy bias) and ACC (led by egalitarianism) in the Saemangeum project. Third, we discuss the implications of Mary Douglas and Aaron Wildavskys cultural theoryto advocacy coalition framework (ACF) as follows: 1) constraining effects on inter-coalitional learning by cultural biases, 2) coexistence of different solidarities under a coalition, and 3) asymmetric relationships between parties in a coalition. 相似文献
249.
This study investigated how contextual factors affect the processing of child sexual abuse cases, from reporting to sentencing. We analyzed three types of data: (a) data compiled by the Pennsylvania Coalition Against Rape from monthly reports by all rape crisis centers in the state; (b) data from the Pennsylvania Office of Children, Youth, and Families; and (c) sentencing data from the Pennsylvania Commission on Sentencing. Results indicated that aggregate rates of reporting, substantiation, and sentencing were affected by county levels of expenditure. In addition, reporting and substantiation were affected by county-level factors, such that rural counties, counties with a higher percentage of individuals living below the poverty level, counties with higher expenditures, and counties with a higher percentage of stranger assaults had higher rates of child sexual abuse reporting. 相似文献
250.
This article examines the nature of political and institutional reform initiatives that have been carried out under former president Kim Young Sam. How effective have they been in consolidating democracy in Korea? Specifically, we examine why the Kim Young Sam government's political reform campaigns have been limited, and explore the impact of this limitation on his institutional reform initiatives and the process of consolidation of democracy in Korea. We argue that Kim Young Sam's initial political reform campaigns have contributed to creating a favorable environment for his institutional reform efforts. However, limitations of these initial political reform campaigns such as political funding and bribery scandals have hampered institutional reforms. We also argue that these difficulties were intensified by public dissatisfaction with Korea's poor economic performance and International Monetary Fund (IMF) financial assistance. As a result, Kim Young Sam's moral legitimacy as a civilian and reform-oriented leader toward the public has totally evaporated. Therefore, experiences under the Kim Young Sam administration are just trials and errors of democratization that show another failure in presidential leadership in Korea. These experiences will negatively affect the consolidation process of democracy in Korea by increasing the public's distrust of government as a whole. As a result, democratic consolidation in Korea is being delayed. 相似文献