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841.
Christiansen LR Collins KA 《The American journal of forensic medicine and pathology》2006,27(1):11-19
Pregnancy-related death is defined by the International Classification of Diseases, Tenth Revision (ICD-10) as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the cause of death. In the year 2000, a collaborative effort involving World Health Organization (WHO), UNICEF, and UNFPA estimated 660 maternal deaths in the United States. This averages 11 maternal deaths per 100,000 live births reported. Many pregnancy-associated deaths are not easily identified as such since the presence of a recent or current pregnancy may not be listed on the death certificate. Thus, the WHO estimates that in the United States, the maternal mortality is approximately 17/100,000 pregnancies. This is significantly higher than the goal set by the US Department of Health and Human Services in Healthy People 2010, which sets the target for maternal mortality at less than 3.3/100,000 live births. The most common causes of maternal death vary somewhat from region to region in the United States. They include pulmonary thromboembolism, amniotic fluid embolism, primary postpartum uterine hemorrhage, infection, and complications of hypertension including preeclampsia and eclampsia. Pulmonary disease, complications of anesthesia, and cardiomyopathy also are significant contributors to maternal mortality in some populations. The death of a pregnant or recently pregnant individual poses a wide scope of challenges to the forensic pathologist and investigator. The pathologist must have a broad knowledge of the physiologic and biochemical changes that occur during pregnancy, as well as the clinical and pathological manifestation of these changes. Conditions that may be "benign" in the nonpregnant individual may be lethal in the puerperal period. In addition, it should be kept in mind that deaths during pregnancy may be due to unnatural causes. Accident, homicide, and suicide must be ruled out in each case. The authors reviewed all forensic cases referred for autopsy to the Forensic Section of the Medical University of South Carolina from January 1989 through December 2003. All decedents listed as pregnant or postpartum were analyzed as to maternal age, race, past medical history, previous pregnancies and outcome, prenatal care, gestational age, fetal or neonatal outcome, location of delivery, placental findings, maternal autopsy findings, toxicology, cause of death, manner of death, and fetal or neonatal autopsy findings. The authors present this retrospective study to better determine the factors leading to maternal demise and discuss the autopsy/ancillary techniques useful in determining the cause of death in this challenging area. 相似文献
842.
Lee JS Han EY Lee SY Kim EM Park YH Lim MA Chung HS Park JH 《Forensic science international》2006,161(2-3):209-215
Organic impurities of methamphetamine may show different patterns by synthesis. In the present study, we tried to find the impurities reflecting the conditions of synthesis by comparing impurity patterns of the methamphetamine samples synthesized by different methods. Sixteen methamphetamine samples were synthesized from ephedrine and pseudoephedrine by the three different manufacturing methods of Emde, Nagai and Moscow. The synthesized samples were extracted with ethyl acetate containing four internal standards, and the patterns of the organic impurities were investigated by GC-MS and GC-FID . Through the investigation, we found 10 peaks appearing in the latter part of GC chromatograms are characteristic to synthesis. The areas of the selected peaks were converted to the variables suitable for the statistical calculation, and the synthesized samples could be classified into four groups through the resultant cluster analysis. 相似文献
843.
844.
Sequence polymorphism of the mitochondrial DNA (mtDNA) control region, hypervariable regions HVR I, II and III, from 55 unrelated Korean ethnic group individuals from northeast China (YanBian area) were determined by PCR amplification and cycle sequencing. 相似文献
845.
Kim SH 《Journal of nursing law》2005,10(3):161-166
This article discusses the similarities and differences between Beauchamp and Childress's principlism and Confucian bioethics in terms of autonomy, beneficence, nonmaleficence, and justice. The author presents sensitive approaches for culturally diverse groups in health care areas and cautions against dichotomy in cross-cultural studies, which ignores the dynamic nature and intravariations of cultures. As a way of health care providers to become engaged in cultural diversity in nursing practice and research, the author suggests that they do not only have a general knowledge about the theoretical differences among groups through "normative analysis" but also learn to appreciate each individual's particular beliefs and values through narratives of morality. Health care providers as well as legal professionals need to cultivate "cultural humility," which is the willingness to explore the similarities and differences between their own and each client's priorities and values and to develop courses of action with patients. 相似文献
846.
Kim Sang-Bae 《Asia-Pacific Review》2001,8(1):75-85
Despite the recent downturn in IT-related markets in some countries, there is no doubt that the "Third Revolution," as the innovation in IT has been dubbed, is here to stay. The growth of the Internet and e-commerce are elements of this IT revolution which are not only changing society in a fundamental way but may be providing an antidote for some ailing economies. In this article, Kim Sang-Bae, chief executive officer (CEO) of Cybertek Holdings, Inc, explains the reasons behind the surge of e-commerce in Korea and the impact it has had on Korean society. Kim argues that the Asian Financial Crisis of 1997 may have hurtled Korea into an economic crisis but this may have been the very impetus that prompted the startling rise of e-commerce in Korea from 1998, which in turn contributed to Korea's rapid economic recovery. He argues that in order for this growth in e-commerce to be sustained it is imperative that the Korean Government pursue economic reforms of its domestic market with more vigor. 相似文献
847.
848.
849.
Kim Lane Scheppele 《Law & social inquiry》1994,19(4):995-1022
What counts as evidence? What is accepted as true in court given the evidence admitted? How are subordinated peoples further oppressed in courts because they cannot demonstrate that their experience is fact? Drawing on the confirmation brings for Clarence Thomas as Associate Justice of the Supreme Court and the testimony of Anita Hill in those hearings, the author explores the ways in which representations of sexual violence against women can be seen as not “real.” 相似文献
850.
This paper addresses the need to learn more about the relative desirability of the current FASB and its alternatives. It responds to this need by demonstrating how a given standards-setting alternative might be preliminarily analyzed in terms of its feasibility and the degree to which its theoretical objectives are operationally attainable. The analysis emphasizes that it is not the existence of possible operational shortcomings that is important, but how its operational properties compare with those of other available alternatives. The analysis itself reveals that, in spite of operational shortcomings, standards-setting by means of a demand-revealing process may be an alternative worthy of further consideration both in its own right, and as a basis of comparison for assessing the relative strengths and limitations of the current FASB. 相似文献