430例四肢损伤法医临床学分析

本文对４３０例四肢损伤的程度进行了统计分析。对致伤原因，致伤物与损伤类型，致伤物与损伤程度等进行了分析讨论。     

Laboratory investigation of deaths due to anaphylaxis.

To establish a useful laboratory protocol to investigate possible cases of fatal anaphylaxis, we measured mast-cell-derived tryptase levels and allergen-specific immunoglobulin E (IgE) antibody levels in sera obtained prior to or within 24 h after death from 19 anaphylaxis victims. Elevated serum tryptase levels (range = 12 ng/mL to 150 micrograms/mL) were found in nine of nine Hymenoptera sting fatalities, six of eight food-induced fatalities, and two of two reactions to diagnostic therapeutic agents. Tryptase levels were normal (less than 10 ng/mL) in 57 sequential sera obtained postmortem from six control patients. Tryptase could not be measured in pleural or pericardial fluids for technical reasons. Serum IgE antibodies were elevated in five of the nine Hymenoptera sting fatalities and in eight of the eight fatal food reactions; assays were unavailable for the two diagnostic/therapeutic agents. If elevated, the victim's serum IgE antibodies to food could be used to identify allergens in uneaten portions of foods consumed shortly before the anaphylactic event. IgE antibodies were moderately stable during storage in a variety of anticoagulants at room temperature for up to 11 weeks. Elevated mast-cell-derived tryptase levels in postmortem sera reflect antemortem mast cell activation and may be used as a marker for fatal anaphylaxis. If assays are available for IgE antibodies to relevant allergens, such assays provide evidence for antemortem sensitization; these assays may be modified to identify allergens in foods consumed by victims of food-induced anaphylaxis.     

Making Connections: Performance Regimes and Extreme Events

Local officials in the emergency management field have reached out and increased their connections with other agencies and organizations during the past several years. Collaborative networks have been created in an effort to address the complexities and uncertainties surrounding extreme events. But has this collaboration really taken root? In this article, the authors find that although a collaborative ethos has penetrated local emergency management, it is neither deep nor uniform. Data from a survey of emergency managers in North Carolina counties show that maintaining a functional network—a performance regime in which participants develop consistent management practices and rely on each other for the generation of new ideas—is a difficult task. The explanation for the variation found across the counties largely involves capacity and vulnerability.     

Toward an Interpretive Criminal Justice

This paper presents the academic field of criminal justice as an interpretive social science. The opening section discusses academic criminal justice from scientific and interpretive perspectives, arguing that the terminology of “justice” is essentially contested. The second section presents the key implication of a contested core terminology: that an interpretive approach is the best way to develop the academic field of criminal justice. Section three reviews central elements of the Gadamerian tradition, with an eye towards its application to the field of criminal justice. The fourth section considers two issues pertinent to an interpretive criminal justice—the problem of interpretation in a field where professional practice is destructive to other normative systems, and the contribution of an interpretive criminal justice to public policy.     

Observing Environmental Destruction Stimulates Neural Activation in Networks Associated with Empathic Responses

The negative impacts of environmental disruption disproportionately affect marginalized and underprivileged communities; thus, the degree to which society is complicit in allowing unchecked environmental destruction to occur has important social justice applications. Although decades of research have sought to understand factors which determine acceptance of environmental destruction, most of this research has been based on self-report surveys. In the present work, we used neuroimaging techniques to examine the neural correlates of environmental concern. To do this, we compared responses to observing suffering dogs with responses to observing suffering ecosystems. Our results extend previous findings which had shown largely overlapping neural response patterns to observing animal and human suffering. Critically, we found activation in regions previously identified as active in empathy processes in response to viewing harm to ecosystems (i.e., without any animals present in the images). We also found relative differences in response patterns between the two types of stimuli: witnessing harm to environments (vs. dog suffering) led to reduced activation in some regions, but similar activation in others. We discuss these findings in terms of their potential implications for behavioral interventions and possibilities for continued neuroimaging research examining neural responses to environmental ecosystems and other nonhuman entities.