Intentional and unintentional injuries across health regions in Alberta, Canada: an implication for policy

The growing practice of including intentional injuries (suicide and interpersonal violence) under the injury control umbrella has produced some controversy. The present study was designed to determine whether or not there might be an empirical basis for this initiative from an ecological point of view by examining the associations among unintentional and intentional injuries across 17 geographically defined health regions. The study was set in the Province of Alberta, Canada, where health services were delivered to a population of 2.96 million persons in 1999 through 17 regional health authorities. The results of a principal components analysis showed that nearly all causes of injury-hospitalization loaded on a single factor. It was not possible to produce separate factors for intentional and unintentional injuries. The strong intercorrelation among all measures suggests that there is an empirical basis for the view that intentional and unintentional injuries belong under the same conceptual umbrella, at least at the ecological level.     

Childhood panhypopituitarism presenting as child abuse: a case report and review of the literature

Childhood panhypopituitarism may be acquired or congenital. Children with panhypopituitarism can present clinically with diabetes, growth failure, decreased bone density, and morbid obesity. In the forensic setting without the proper history, it can be misdiagnosed as child abuse or neglect. We report a case of a 3-year-old black girl who was admitted to the emergency room with apnea and subsequently died. While at the emergency department, it was discovered that the child had a fractured left hip and was severely growth retarded for age. The coroner wanted to rule out child abuse and/or neglect and requested an autopsy based on the physical findings identified by hospital staff. Significant findings at autopsy included small for age (15th percentile for age), hypoplastic brain/pituitary gland/adrenal gland/thyroid gland, abnormally formed skull with an occipital protuberance, a fractured left hip with decreased bone density, and central adiposity. Subsequent to the autopsy, it was discovered that at 6 weeks of age the child suffered from group B streptococci meningitis that resulted in panhypopituitarism. The panhypopituitarism then resulted in seizure activity, diabetes insipidus, and growth retardation. The authors hope this case report and review of the literature will assist investigators, pathologists, and clinicians in making a distinction between neglect or inflicted injury of child abuse and panhypopituitarism that can present with similar signs and symptoms.     

牢记“两个务必“教导弘扬艰苦奋斗作风——学习胡锦涛在西柏坡学习考察时讲话的体会

党的十六大刚闭幕半个月,新任党中央总书记胡锦涛同志就率领书记处的同志们到平山县西柏坡村学习考察,并发表了<坚持发扬艰苦奋斗的作风,努力实现全面建设小康社会的宏伟目标>的重要讲话.号召全党同志重温毛泽东同志关于"两个务必"的论述,结合新的实际坚持做到"两个务必",这对我们深入贯彻"三个代表"重要思想,全面落实十六大确定的奋斗目标和各项任务,都具有重大而深远的意义.     

浅谈邓小平经济理论

邓小平理论是时代产物,是对改革开放和社会主义现代化建设新时期新经验的科学概括,是中国社会主义现代化建设事业的一份宝贵精神财富.共同富裕是邓小平经济理论的核心,生产力论是邓小平经济理论的基石,"初级阶段论"和"市场经济论"是邓小平经济理论的两个前提,改革和发展是邓小平经济理论的两个重心.     

当前农村青少年犯罪特点、原因及对策之管见

当前随着农村产业结构的不断调整,在农村青少年中,以暴力为特征的凶杀、抢劫、强奸等严暴案件日渐增多,且施暴程度越来越激烈.除犯罪性质暴力化外,农村青少年犯罪还具有犯罪成员群体化、犯罪类型多样化、犯罪区域异地化及低龄化、智能化等特点.农村城市化进程加快与农村剩余劳动力增加的矛盾,农村青少素质低下与需要适应社会发展形势的矛盾,农民渴望快速致富与现实贫富差距拉大的矛盾,农民强烈的自治愿望与农村基层组织管理不当的矛盾,诱发犯罪因素增多与精神文明建设相对滞后的矛盾等,是引发农村青少年犯罪的主要原因.减少和预防农村青少年犯罪,要遵循"打防结合、标本兼治"的原则,既要长期坚持"严打",又要注重社会治安综合治理,还要大力发展农村经济,加强农村精神文明建设,构筑起农村长治久安的新的"长城".     

关于义务教育财政体制的改革

《中共中央关于教育体制改革的决定》和《中华人民共和国义务教育法》规定,基础教育实行地方负责、分级管理的体制,调动了地方政府主要是县、乡两级政府的积极性,对推动义务教育发展产生了不可估量的作用。但是,随着经济体制、主要是财税体     

国外城市规划管理中“公众参与”的经验与启示

在计划经济体制向市场经济体制转轨过程中,城市规划行政管理职能也要作相应的转变,以适应市场经济条件下日趋复杂的城市管理的需要和挑战.分析国外城市规划管理中"公众参与"的成功经验,探讨我国公众参与的实现途径,以促进城市规划行政管理的现代化.