Prolonged activity after an ultimately fatal gunshot wound to the heart: case report

In this article, we describe an unusual case of suicide involving a gunshot wound to the left ventricle. The victim engaged in premortem activity that was both prolonged and methodical. This report stresses the importance of a complete investigation to distinguish such case from an homicide.     

The SEM observation of brain tissues and vascular corrosion cast of closed diffuse brain injuries

The morphologic changes of the closed injured brain of rats were observed by SEM. The rats either died immediately after conclusive injuries or were killed after 5 minutes to 5 days after injuries. The main changes were as follows: the diffuse disorder, twist, wave-like distortion and break of neuron fibers; axonal swelling; formation of axonal retraction balls; stripping and denotation of myelin sheath The ball-like swelling of neuron, break of neuron membrane and vascular wall, and microthrombus formations were also observed. These damages worsened with prolongation of surviving time of the rats. The axonal retraction ball appeared 8 hours after the injury and was approximately 3-5 cm in diameter, and developed to 7-8 cm after 3-5 days. It is observed that frontal lobe, cerebellum and brain stem were severely damaged.     

Fatality caused by a combined trimipramine-citalopram intoxication

A 53-year-old woman who was diagnosed as suffering from depression was found dead in her bed. The autopsy revealed no morphological changes sufficient to explain death. Toxicological analysis was performed and the drugs trimipramine (2.33 mg/l), citalopram (4.81 mg/l) and zolpidem (0.07 mg/l) were identified in the femoral blood. A combined drug intoxication resulting in synergistic effects to cardiovascular disorders was proposed as the cause of death. An acute overdose and suicide was suggested by calculation of the parent drug to main metabolite ratios in femoral blood and liver tissue. The trimipramine to desmethyltrimipramine ratios were calculated to be 2.06 and 3.18, the citalopram to desmethylcitalopram ratios were 1.96 and 2.02.     

在艾滋病病毒感染者中开展异烟肼预防性治疗:公共卫生面临的挑战及与实施相关的问题

异烟肼预防性治疗(isoniazid preventive therapy,IPT)是结核病防治规划(NTP)和艾滋病防治规划(NAP)联合行动的一项重要内容,目的是降低艾滋病病毒(HIV)感染者的结核病负担。然而,真正实施IPT的国家却很少。由于这一措施实施的失败,近期提出了称作“3个I“的口号(即实施感染控制(Infection control),预防结核病在卫生服务机构内传播;在艾滋病病毒感染者和艾滋病病人中加强结核病患者的发现IntensifiedTB case finding,和IPT。在本文中,我们首先回顾IPT的背景,然后讨论在HIV感染者中开展IPT面临的主要挑战,包括:实施IPT的责任和义务,发现结核分枝杆菌潜伏感染者,排除活动性结核病患者,预防异烟肼耐药,以及治疗时间和有效保护期。同时,我们也对几个目前尚未解决的、还在研究中的问题给予高度重视。最后,我们对现场如何推广IPT提出了可操作性的建议,包括:将IPT整合在艾滋病的一系列治疗关怀服务包中,遵照哲学上“边做边学“的原理开展实施性研究,制定入选IPT的流程图,制定和实施抗病毒治疗前的关怀服务,以及有关采购、供应、监控与评价等问题。我们支...     

谈诸子百家

春秋战国时期，群雄并起，诸侯称霸，战乱频仍，社会动荡。但，言论最为自由，政治最为开放。就政治空气、学术氛围而言，其时当是我国历史上最好的时期，几可称之为无与伦比。于是就出现了“诸子百家”。     

中国的宪法至上:怎样才能实现:中国宪法学研究会副会长周叶中教授访谈录

见到年轻的周叶中教授，你会惊讶于他的实际年龄与他丰厚学术成果之反差。的确，在武汉大学，在珞珈山下，在宪法学会，他的确是一个亮点，一个令人注目的亮点，一个受人尊敬的教授，一个让人钦佩的学者。深秋时节，我专程前往武大，与刚刚由武大法学院副院长转任武大教务处长的周叶中教授，就中国的宪法研究和实践，展开了一番炉边对话。我们穿行在美丽的武大校园，徜徉于广阔的学术空间，不知不觉，我们感到了一种神圣，一种信心。     

有些荒唐近乎高贵

在任何时代、任何社会，诗人都是少数，喜欢诗的人也是少数，诗人气质却为众人所向往。     

西部大开发必须营造良好的投资环境──访四川省司法厅厅长曾宪章

可以说，一个善于发现机会，必然也是一个善于把握机会的人。 借赴川参加“企业家与律师西部大开发法律事务座谈会”之机，笔者专程就西部大开发有关问题采访了四川省司法厅厅长曾宪章。 机会需要你去了解，机遇需要你去抓住。在机会和机遇的认识和研究上，应该说，曾宪章同志是一位善于思考，也善于总结的领导同志，１９９２年，从省监察厅副厅长（正厅级）调任省司法厅厅长的曾宪章，半年之内，先后奔赴２０多个地、市、州、县司法局和部分监狱、劳教单位调研。尔后，对四川省的司法行政工作，提出了必须解放思想，深化改革，彻底破除计划…     

社会工作视野中的网络成瘾矫治探析

随着网络的兴起和日益普及,网络给人们带来了过去难以企及的丰富资讯和便捷。但是,随之而来的网络成瘾、网络依赖等心理问题也日益凸显出来。通过对"网络成瘾"的病状、危害、病因的各种理论解释分析,运用社会工作这一新兴学科的价值观、主要理论和方法,探索"网络成瘾"的矫治问题。为"网络成瘾"这一心理障碍和网络社会问题的矫正和治疗提供相应的帮助。     

宁江双拥春潮涌——兴宁市创建广东省双拥模范城纪实

兴宁市地处粤东山区，是华南军事战略要地，面积2104平方公里，总人口114万，现有各类优抚对象7．8万人，有驻军单位11个。自1996年第一次成功创建省级“双拥模范城”以来，已实现连续五次成功创建目标。2010年，全市再掀第六次创建广东省双拥模范城的高潮，为梅州创建“全国双拥模范城”提档加速、添砖加瓦。