Voluntary and involuntary care: three-year study of demographic and diagnostic admission statistics at an inner-city adult psychiatry unit

Individuals with mental disorders can, under specific circumstances, be detained and treated against their wishes. In 2009, there were 1633 involuntary admissions in Ireland, accounting for 8.1% of all psychiatric admissions. We examined demographic and diagnostic factors associated with involuntary admission in a general adult psychiatry service in Dublin's north inner-city over a retrospective three-year period. The overall admission rate was 450.5 admissions per 100,000 population per year (deprivation-adjusted rate: 345.7), which is lower than the national rate (476.3). The involuntary admission rate was 67.7 (deprivation-adjusted rate: 51.9), which is higher than the national rate (38.5). Fifteen per cent of admissions were involuntary (for all or part of the admission), which is higher than the national proportion (8.1%) but the same as that reported in another inner-city psychiatry service (15.7%). The proportion of admissions that was involuntary was higher amongst individuals from outside Ireland (33.9%) compared to those from Ireland (12.0%) (p<0.001). Country of origin was, however, related to diagnosis: 53.2% of admissions of individuals from outside Ireland were with schizophrenia, compared to 18.5% of admissions of individuals from Ireland (p<0.001). Diagnosis was, in turn, related to admission status: 37.5% of admissions with schizophrenia were involuntary compared to 15% overall (p<0.001). On multi-variable testing, diagnosis was the only independent predictor of admission status (p=0.01) (R(2)=35.2%); country of origin was not an independent predictor of admission status. Deprivation accounts for part, but not all, of the high rate of involuntary admission in Dublin's inner-city. Diagnosis accounts for one third of the variance in admission status between individuals. Further study is required to determine what factors account for the remaining two thirds (e.g. symptoms, insight) and to clarify better the relationships between admission status, diagnosis and country of origin. There is a strong need for enhanced focus on the mental health needs of individuals from outside of Ireland, especially in Dublin's north inner-city.     

浅析高校二级学院科研秘书应具备的业务素质

高校二级学院科研秘书是科研管理团队中的基层成员,是科研体系中不可缺少的一环。其不仅是科研管理工作的具体执行人员,也是各项管理活动的组织人员。以高校二级学院为视角,阐述科研秘书更好地服务高校科研建设所应具备的业务素质。     

赫哲族的宗教信仰与爱米神研究

赫哲族是分布于我国三江流域的渔猎民族,他们的传统信仰是萨满教。萨满教是多神信仰,相信万物有灵,萨满是人与鬼神之间的中介,萨满通过跳神为人们除灾、祛病、祈福。一个萨满通常领有多个神灵,其中最重要的就是爱米神,爱米神不仅能够治病,还是萨满召集其他神灵的得力助手。     

中国"草莓族"现象分析

"草莓族"是对于中国上个世纪八十年代出生的一代人性格特征的形象比喻.他们有知识、有能力、创造力强,但是心理素质较差,对压力的抵抗性弱.本文在总结了"草莓族"的特征之后,用生命历程理论分析了"草莓族"现象产生的原因,最后对企业和高校如何应对"草莓族"现象提出一些建议.     

云南边疆民族地区毒品犯罪特点研究

80年代,毒品犯罪在云南死灰复燃,日益猖獗,纵观二十多年毒品犯罪状况。其规律和特点主要有:1.走私运输毒品居多;2.具有区域性、不平衡和流动性;3.犯罪主体多元化和多源化;4.涉毒数量、种类、作案手段和方式具有多、大、新的特点。     

冬季且被严重焚烧的尸体上也会有昆虫

一例凶杀案件发生于广东省最冷的1-2月,尸体经过了焚烧至大部分组织炭化,但在该被害者身上仍旧发现了蝇类昆虫,应用这些昆虫的发育进度准确的推断出了死亡时间。与其它季节未经过焚烧的尸体比较,该现场昆虫的种类、数量均明显减少,昆虫也主要分布于尸体下方避风处的腐败物质中。另外,在该尸体上片状分布着一层霉菌,这些霉菌的状态显然有时间相关性,提示我们通过对霉菌的研究也能找到死亡时间的线索。     

电针内关对心肌缺血大鼠电压门控钾离子通道蛋白的影响

目的研究电针内关穴对心肌缺血大鼠心肌细胞电压门控钾离子通道相关蛋白表达的影响,比较循经取穴与其他取穴方法的差异。方法健康雄性SD大鼠(SPF级)随机分成对照组、模型组、内关组、列缺组、非经非穴组,通过注射盐酸异丙肾上腺素制作动物模型,Western blot检测Kv1.4、Kv4.2、Kv4.3、KCh IP2、Kir2.1、Kir2.2六个指标,观察电针前后各组大鼠心肌细胞电压门控钾离子通道相关蛋白表达量的变化情况。结果与模型组比较,内关组和列缺组蛋白表达量均升高(P<0.05),非经非穴组与模型组之间差异无统计学意义(P>0.05),内关组的蛋白表达量高于列缺组,但低于对照组(P<0.05)。结论电针内关穴和列缺穴均可以提高心肌缺血大鼠心肌细胞电压门控钾离子通道相关蛋白的表达量,且心包经内关穴的针刺效应优于列缺穴。     

民事裁判文书上网公开的边界问题探究——基于司法知情权与个人隐私权的冲突与平衡的考量

裁判文书公开是司法公开的核心,裁判文书上网公开又是目前裁判文书公开的重要形式。虽然裁判文书上网公开的普遍性和便捷性能满足公众对于司法知情权的需求,但不可避免在一定程度上会对相关人员的隐私权造成侵害。互联网的广泛应用为裁判文书公开提供了良好的载体,但也使得知情权与隐私权的碰撞更为激烈。通过比例原则和可分割性原则,对于涉及个人隐私的不同情况进行区别对待,并赋予当事人充分的程序保障权,以此对裁判文书上网公开中的知情权与隐私权的冲突予以平衡。     

油漆物证检验中血液干扰的去除

对一起交通肇事逃逸案件中死者衣服上油漆碎片与嫌疑车漆片的成分进行比对检验。红外光谱检验结果显示,死者衣服上沾有血迹区域提取的油漆碎片与其他部位提取的油漆碎片谱图有差异。对凝固的血迹进行检验,发现差异可能来自于血液污染。通过红外光谱差谱技术将血迹区域提取的油漆碎片的红外谱图进行处理,所得谱图与衣服上其他区域提取油漆的红外谱图无明显差异,证实死者衣服上只有一种油漆,且与嫌疑车漆片成分相同,这为证实嫌疑车的肇事事实提供了科学依据。     

体制创新是振兴东北老工业城市的关键

新形势下,老工业基地的调整、改造和振兴,实质上是政府转换职能、企业转变体制和机制的过程。因此,要通过改革开放着重解决体制和机制问题,实现经济振兴。要加快所有制结构调整,形成多元化产权结构;推进市场化改革进程,营造良好的发展环境;进一步扩大对外开放的领域,广泛吸引国外资本。