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551.
Wolf BC Lavezzi WA Sullivan LM Middleberg RA Flannagan LM 《The American journal of forensic medicine and pathology》2005,26(1):24-27
Alprazolam is a commonly prescribed benzodiazepine. The abuse of benzodiazepines is most frequently seen in conjunction with the abuse of other drugs. Only rare fatalities have been attributed to alprazolam alone. We undertook a retrospective review of cases investigated by the Palm Beach County Medical Examiner's Office in which postmortem toxicologic studies indicated the presence of alprazolam, to further study the pattern of alprazolam abuse. Our review consisted of 178 cases, including 87 in which death was attributed to combined drug toxicity, 2 to alprazolam toxicity alone, 44 to trauma, 12 to natural causes, and 33 to another drug or drugs. Cocaine and methadone were the most common cointoxicants in the cases of combined drug toxicity, while heroin was less frequently detected. There was considerable overlap in the postmortem blood alprazolam concentrations among the groups. The overlapping ranges of concentrations of alprazolam detected indicate that it may be difficult to define a lethal alprazolam range, and that it may not be possible to determine the actual role of alprazolam as a causal factor in cases of combined drug toxicity. This study confirms that alprazolam alone is rarely a cause of death, and that alprazolam abuse usually occurs within a polydrug use pattern. The high incidence of cocaine as a cointoxicant has not been previously reported. 相似文献
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This article applies a broad theoretical framework identifying factors which provide an understanding of the relationship between electoral politics, organizational reform and institutional change. In focusing upon product i v i t y reforms undertaken in the 1970's and early 1980's. the authors find that political conflicts over measures of public performance may contribute to a life cycle in which organizational structures are reconstituted and subjects of regulation o r services redefined in ways that are potentially inconsistent with the demand for public accountability. The conjunction of such factors may contribute to a crisis of legitimacy resulting in the redefinition of the boundaries between public and private realms of responsibility, as expressed in the electoral process. Today liberal reformers are confronted by a dilemma of productivity and legitimacy involved in the cycle of reform and retrenchment in which the goal of public accountability is undermined by erosion of the rights of the subject. The attempt to break this bind requires, in part, an explicitness on the part of liberals about the presuppositions regarding the subject underpining the measures and strategies by which organizational reforms are undertaken. 相似文献
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The current study investigated the relationship between self-reports of depressed mood, self-esteem, and endorsement of sex-typed personality characteristics in a normal adolescent population. For positively valenced (socially desirable) sex-typed characteristics, masculinity was inversely related to depression while femininity was not significantly related. In contrast, for negatively valenced sex-typed characteristics the masculine and feminine scales showed similar effects: all were positively correlated with depression. Self-esteem was the best single predictor of depression and none of the sextyped characteristics contributed significantly beyond that accounted for by self-esteem. The results support previous findings with younger children and high school students by demonstrating that sex-typed characteristics in adolescents are significantly associated with depression, although this relationship is accounted for by the variance shared with self-esteem, a more general measure of mental health. However, the presence of negative feminine-typed characteristics was as highly correlated with depression as the absence of positive masculine characteristics and both relationships were stronger for females than males. Thus the linkages between sex-role socialization, sex-typed characteristics, self-esteem, depressed mood, and clinical depression bear further investigation, and may prove useful in understanding the development of depression in males and females.Received Ph.D. in clinical psychology from the Pennsylvania State University in 1976. Current research interests include the development of depression and eating disorders.Received Ph.D. in Counseling Psychology from the Pennsylvania State University in 1981. Current research interest is childhood depression. 相似文献
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Jan H. Blits teaches in the University Honors Program at the University of Delaware and was previously Secretary of the Navy
Distinguished Fellow at the U.S. Naval Academy. He has published two books and numerous articles on educational and political
philosophy. 相似文献
559.
We examined the relationship between Minuchin's structural family model, adolescent separation-individuation, and identity development. One hundred sixty-four female undergraduate students completed the Structural Family Interaction Scale Revised (SFIS-R), the Parental Relationship Inventory (PRI), and the Extended Objective Measure of Ego Identity Status (EOM-EIS) scale. Exploratory Factor Analysis of the SFIS-R and PRI scales indicated that two factors, Proximity-Differentiation and Generational Hierarchy-Differentiation, accounted for 90% of the variance. Canonical correlation analysis with the two factor scores and age included in the predictor variables, and the four measures of ego identity included in the dependent variables, yielded two significant roots. The results supported Minuchin's model.Received her Ph.D. in Counseling Psychology from the State University of New York at Buffalo. Major interests are family factors influencing adolescent development and family assessment.Received her Ph.D. from the State University of New York at Buffalo. Major interests are family factors and the separation/individuation process.Received Ph.D. from The Ohio State University. Major interests are statistical issues related to chi-square analyses. 相似文献
560.
Parties involved in interpersonal disputes often use the Criminal Justice System as a medium of retaliation. This study analyzed the effectiveness of a Citizens’ Dispute Settlement Program as an alternative to criminal prosecution. The program consists of trained volunteer hearing officers mediating between the complainant and the defendant in order to resolve the conflict without court involvement. All hearings scheduled over a six month period were studied (N-264). The hearings were categorized according to type of offense and were analyzed to determine the race and sex of the parties involved, and the effectiveness of conflict resolution efforts in each category. In general, there was no significant relationship between race and being a party in conflict. However, there was a highly significant relationship as to sex, with the majority of complainants being female, and the majority of the respondents being male. Of the scheduled hearings, 93.5% (N-247) were diverted from the court system, for an estimated savings of $80,522. The authors concluded that a Citizens’ Dispute Settlement Program, through the pretrial intervention of conflict resolution efforts, provides an effective means of alleviating the congestion in our courts. 相似文献