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121.
Fatal Fentanyl Patch Misuse in a Hospitalized Patient with a Postmortem Increase in Fentanyl Blood Concentration 下载免费PDF全文
Philip W. Moore D.O. Robert B. Palmer Ph.D. Joseph Ward Donovan M.D. 《Journal of forensic sciences》2015,60(1):243-246
Opioid‐related mortality happens, even in healthcare settings. We describe serial postmortem fentanyl blood concentrations in a hospital inpatient who fatally abused transdermal fentanyl. This is a single‐patient case report. A 42‐year‐old man with lymphoma was started on transdermal fentanyl therapy while hospitalized for chronic abdominal pain. The patient was last seen awake 1.3 h prior to being found apneic and cyanotic. During the resuscitation attempt, a small square‐shaped film was removed from the patient's oropharynx. Femoral blood was collected 0.5 and 2 h postmortem, and the measured fentanyl concentration increased from 1.6 to 14 ng/mL. Study limitations include potential laboratory or collection errors and missing data. (i) Providers must be vigilant for signs of fentanyl patch abuse. (ii) Postmortem blood concentrations are not static postmortem, likely secondary to decreasing pH, increased aqueous solubility, and tissue redistribution, and are therefore unlikely to accurately represent antemortem blood concentrations. 相似文献
122.
Comparing Electronic News Media Reports of Potential Bioterrorism-Related Incidents Involving Unknown White Powder to Reports Received by the United States Centers for Disease Control and Prevention and the Federal Bureau of Investigation: U.S.A., 2009–2011 下载免费PDF全文
Geroncio C. Fajardo M.D. M.B.A. M.S. M.S. Joseph Posid M.P.H. Stephen Papagiotas M.P.H. Luis Lowe M.S. M.P.H. 《Journal of forensic sciences》2015,60(Z1):S76-S82
There have been periodic electronic news media reports of potential bioterrorism-related incidents involving unknown substances (often referred to as “white powder”) since the 2001 intentional dissemination of Bacillus anthracis through the U.S. Postal System. This study reviewed the number of unknown “white powder” incidents reported online by the electronic news media and compared them with unknown “white powder” incidents reported to the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Federal Bureau of Investigation (FBI) during a 2-year period from June 1, 2009 and May 31, 2011. Results identified 297 electronic news media reports, 538 CDC reports, and 384 FBI reports of unknown “white powder.” This study showed different unknown “white powder” incidents captured by each of the three sources. However, the authors could not determine the public health implications of this discordance. 相似文献
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Engagement in school is crucial for academic success and school completion. Surprisingly little research has focused on the
relationship between student engagement and delinquency. This study examines whether engagement predicts subsequent school
and general misconduct among 4,890 inner-city Chicago elementary school students (mean age: 11 years and 4 months; 43.3% boys;
66.5% black; 28.8% Latino). To improve upon prior research in this area, we distinguish three types of engagement (emotional,
behavioral, and cognitive), examine whether the relationship between engagement and misconduct is bidirectional (misconduct
also impairs engagement), and control for possible common causes of low engagement and misconduct, including peer and family
relationships and relatively stable indicators of risk-proneness. Emotional and behavioral engagement predict decreases in
school and general delinquency. However, cognitive engagement is associated with increases in these outcomes. School and general
delinquency predict decreased engagement only in the cognitive domain. Suggestions for future research and implications for
policy are discussed. 相似文献
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Joseph Halvorson 《北京周报(英文版)》2013,(1):48
It is well known that China is home to nearly 1.4 billion people;but there’s another population within its borders that,for the past 40 years,has been rising steadily right along with it: the pet populace. The number of dogs is nearly 60 million and counting.Although a ban on their ownership 相似文献