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891.
892.
Kwon B Kim S Kim S Lee DK Park YJ Kim MD Lee JS Kim S 《Forensic science international》2011,209(1-3):120-125
Organic solvent abuse typically involves sniffing organic solvents to experience the mind-altering conditions they induce. In Republic of Korea, organic solvent abuse is a serious social problem, especially among teenagers. Several studies have addressed the effects of organic solvent abuse on mind and body, but there are no simple methods by which such abuse can be positively identified. In this report, we describe a method for analyzing toluene metabolites (toluene is the main ingredient of glue) in glue-sniffers' urine using (1)H NMR spectroscopy. Toluene is a commonly used solvent in the rubber, paint, plastics, leather, printing, and chemical industries. Inhaled toluene is metabolized to hippuric acid in the liver and excreted in the urine. Hippuric acid is known as a good biomarker for biological monitoring of toluene exposure. We have scanned hippuric acid and other toluene metabolites by NMR spectroscopy and performed statistical multivariate analysis of the data. Based on this analysis, we sought to determine parameters by which glue-sniffing (toluene inhalation) behavior may be verified. We also demonstrate the use of a pattern recognition method for accurate and efficient analysis of NMR data. In comparison to conventional methods, such as mass spectroscopy coupled with liquid chromatography or gas chromatography, nuclear magnetic resonance spectroscopy has several advantages, including simple sample preparation, non-destructive sampling, accuracy, short acquisition time, and reproducibility in the determination of urinary hippuric acid. 相似文献
893.
Progress towards the Millennium Development Goals (MDGs) has been mixed, and many observers have noted the tendency for development actors to address individual MDGs largely in isolation from one another. This in turn has resulted in missed opportunities to catalyse greater interdisciplinary collaboration and innovation towards MDG achievement. The term 'AIDS and MDGs' is gaining currency as an approach that aims to explore, strengthen and leverage the links between AIDS and other health and development issues. Drawing from academic literature and from MDG country reports, this article sets out three important pillars to an AIDS and MDGs approach: 1) understanding how AIDS and the other MDGs affect one another; 2) documenting and exchanging lessons learned across MDGs; and 3) creating cross- MDG synergy. We propose broader policy level implications for this approach and how UNDP and other partners can take this agenda forward. Because the MDGs explicitly locate HIV within a broader international commitment to human development targets, they provide a critical platform for development partners to galvanise resources, political will and momentum behind a broader, systematic and structural approach to HIV, health and development. 相似文献
894.
Forrester K 《Journal of law and medicine》2011,18(4):701-705
The resolution of disputes that arise out of the provision of health care services has historically taken place at an institutional level, with the hospital administrative unit conducting the process, or through the legal system with the parties traversing the relevant courts and tribunals. Increasingly, the wide range of decisions which must be made in relation to the delivery of patient and client care and the broad scope of variations in expectations as to what a health service is capable of delivering, are providing fertile ground for conflict. This column considers the potential role of mediation as an early intervention strategy to resolve health care disputes. 相似文献
895.
Although the acculturation gap generally has been associated with poor mental health outcomes among Asian American children,
some studies have failed to find a significant relationship between the gap and distress. Using two different methods of operationalizing
the gap between mothers and their children, the current study addressed this tension in the literature by testing the following
hypotheses in a sample of Korean American families. It was hypothesized that mother–adolescent discrepancies in acculturation
and enculturation levels would be associated with youth internalizing and externalizing symptoms and that parent–adolescent
communication would moderate the gap–distress relationship. Multi-informant questionnaires were administered to 77 Korean
American mother–adolescent dyads from the Midwest. Surprisingly, results indicated that consonance in low levels of mother–adolescent enculturation was associated with the highest levels of externalizing symptoms (interaction term method). Adolescents’ perception of communication with their fathers significantly
moderated the relationship between the enculturation gap and internalizing symptoms, such that in dyads with a greater enculturation
gap, less perceived open communication with fathers was associated with more internalizing symptoms (difference score method).
Clinically, the findings indicate a potential target (i.e., parent–adolescent communication) for treatment programs that aim
to improve family relations and youth adjustment in immigrant families. 相似文献
896.
Kim Berry 《Feminist Review(on-Line)》2011,98(1):136-152
In April 2008 over 2,600 single women marched for three days to Shimla, the state capital of the northwestern Indian state of Himachal Pradesh, to demand rights to land, health care and ration cards for single women. The march was organized by a new social movement called Ekal Nari Shakti Sangathan, comprising divorced, abandoned, never-married women, widows and wives fleeing domestic violence who are demanding rights from the state in their own names (rather than as wives, daughters or mothers); in so doing they are directly challenging the construct of the ‘dependent woman’ naturalized in pre-colonial, colonial and post-colonial discourses. The most radical of the demands of this new social movement is the struggle for land rights and the creation of new women-centred family formations. Through an analysis of their collective demands, I argue that the normative, dependent woman is mutually constituted not only at the intersections of gender, kinship and heterosexuality, but also spatially, through denial of rights to land. As single women disown their dependence upon husbands/fathers/brothers and demand land rights, they simultaneously re-imagine gendered selves by envisioning new marital families and re-working the division of labour. 相似文献
897.
Wyman JF Dean DE Yinger R Simmons A Brobst D Bissell M Silveira F Kelly N Shott R Ohr J Howard R Lewis B 《Journal of forensic sciences》2011,56(3):694-699
Drug levels in decomposed individuals are difficult to interpret. Concentrations of 16 drugs were monitored in tissues (blood, brain, liver, kidney, muscle, and soil) from decomposing pigs for 1 week. Pigs were divided into groups (n = 5) with each group receiving four drugs. Drug cocktails were prepared from pharmaceutical formulations. Intracardiac pentobarbital sacrifice was 4 h after dosing, with tissue collection at 4, 24, 48, 96, and 168 h postdosing. Samples were frozen until assay. Detection and quantitation of drugs were through solid phase extraction followed by gas chromatograph/mass spectrometer analysis. Brain and kidneys were not available after 48 h; liver and muscle persisted for 1 week. Concentration of drugs increased during decomposition. During 1 week of decomposition, muscle showed average levels increasing but concentrations in liver were increased many fold, compared to muscle. Attempting to interpret drug levels in decomposed bodies may lead to incorrect conclusions about cause and manner of death. 相似文献
898.
韩国的医师说明义务与患者知情同意权 总被引:2,自引:0,他引:2
医师的说明义务与患者的知情同意权是医疗关系的核心内容,并成为医疗责任认定的主要依据。韩国对于这一对权利义务关系的认识经历了从传统医疗模式向人道模式的转变,使得患者从医疗关系的客体转变为主体。这一转变不仅改变了患者的地位,更体现出法律的进步。然而,单纯强调患者的知情同意权将会导致医师实施保守治疗,因此,平衡医师的说明义务与患者知情同意权之间的关系显得尤为重要。 相似文献
899.
韩国在中美安全竞争间的选择 总被引:1,自引:0,他引:1
J.詹姆斯·金著石延芳译 《国际安全研究》2017,(4):19-32
由于中国的崛起,东亚的地区秩序发生了巨大变化,目前正处于过渡阶段。在过渡期的地区秩序下,像韩国这样的中等国家面临严重问题,即随着中美大国竞争导致地区旧秩序削弱,韩国该如何应对这种局面。观察家们为中等国家指出了一系列策略选择:从制衡到追随,从防范到接触。有些观察家认为,中等国家将通过不同方式扮演稳定局面的角色,保持双重等级体系,因为中等国家有可能从大国僵持中获益。作者则认为,中等国家可以采用的策略选择很大程度上受制于大国竞争的背景。在大国竞争的背景下,中等国家在战略结盟时很难做出自己的选择,更多是被迫接受某种选择。作者使用基本议价理论作为工具,阐述该观点背后的逻辑支撑是:在影响过渡期地区秩序的相对稳定性方面,中等国家的作用很小;在调和各种选择的影响方面,中等国家也不如大国有决定作用。 相似文献