Research on medical records without informed consent

Observational research involving access to personally identifiable data in medical records has often been conducted without informed consent, owing to practical barriers to soliciting consent and concerns about selection bias. Nevertheless, medical records research without informed consent appears to conflict with basic ethical norms relating to clinical research and personal privacy. This article analyzes the scope of these norms and provides an ethical justification for research using personally identifiable medical information without consent.     

Distribution profile of 2,5-dimethoxy-4-bromoamphetamine (DOB) in rats after oral and subcutaneous doses

2,5-Dimethoxy-4-bromoamphetamine (DOB) is one of the potent hallucinogenic phenylalkylamines, whose ingestion has already caused several deaths reported all over the world. However, there is unsufficient information on DOB properties based on controlled pharmacokinetic studies available. The aim of this study was to clarify the distribution profile of DOB and its phenolic metabolite 2-methoxy-5-hydroxy-4-bromoamphetamine (2M5H4BA) in blood and biological tissues of experimental rats. The rats were administered a 20 mg/kg dose of DOB·HCl by oral ingestion or subcutaneous injection. Plasma and brain, liver and lung tissues were collected at 0.5, 1, 2, 4, 8, 16, and 32 h after dosing (three animals per time point). The samples were prepared by a liquid–liquid extraction procedure and the extracts were assayed by GC–MS. After per oral application, DOB peak plasma level of 320 ng/mL was reached after one-hour post dosing as well as 2M5H4BA peak concentration of 203 ng/mL. A rapid phase of DOB absorption, 2M5H4BA formation and their tissue distribution during the first two hours after application were followed by a slow decrease rate of the elimination process until 32 h. After subcutaneous application, high plasma levels of the unchanged parent drug and relatively reduced formation of its metabolite 2M5H4BA were observed. DOB maximum plasma concentration of 1143 ng/mL was reached after one-hour post application, whereas its metabolite peak level after 8 h was 213 ng/mL. The concentration profiles of both compounds in plasma after per oral and subcutaneous administration revealed the existence of significant first pass effect after per oral administration that significantly affected DOB bioavailability. DOB tissue concentrations exceeded plasma and the highest values were found in the lungs, where drug accumulation occurred with prolonged retention till 32 h after subcutaneous dose. Although the plasma/tissue transfer was more effective for the lipophilic parent drug than for its hydroxylated metabolite 2M5H4BA, the metabolite tissue levels were significant. The hallucinogenic potential of 2M5H4BA appearing in brain remains unclear as nothing is known about its pharmacological activity at present.     

Procedural bias in forensic science examinations of human hair

Several forms of expert forensic science evaluations exist that rely at least in part on the subjective opinion of the examiner. Human hair identification is one such examination. This paper considers possible sources of influence or bias that may be responsible for examiner errors. Data are reported of an experiment that compares the conventional examination procedure (known versus questioned samples) against an alternative procedure (a lineup of samples) designed to limit the influence of factors that contribute to error. The altenative procedure produced fewer incorrect conclusions (3.8%) than the conventional procedure (30.4%).     

论司法鉴定人出庭作证

鉴定人在诉讼中起着重要的作用，鉴定结论必须经过审查、质证后才能在庭审中加以运用，鉴定人出庭作证也是必要的，然而，由于种种因素的影响和制约，当前我国司法实践中鉴定人出庭甚少，相关制度应当加以完善，以提高鉴定人的出庭率。     

和谐文化的诗性新解

文章认为传统文化资源里富蕴中国特色的诗性.令人应当用创新的视角审读、发掘和谐文化的诗性.举凡人与自然,人与人之间和人与自我等诸方面,和谐文化都有许多应该加以传承和光大的当代价值.     

Multilevel policy implementation and the where of learning: the case of the information system for school buildings in Italy

Policy Sciences - The paper builds on the case of the design and implementation of the National Information System for School Buildings in Italy. The project is one of digitalisation of the public...     

Representation beyond people: Lobbying access of umbrella associations to legislatures and the media

Lobbying access to policy discussions determines how political interests are voiced and potentially exert influence. This article addresses whether access to the national legislature and the media favors umbrella organizations, which represent interests of their member groups. It theorizes that the role of umbrellas goes beyond signaling a large individual membership or constituency of people, but that umbrellas are distinct in transmitting interests from other organizations. This function is expected to be valuable in exchanges with legislators who seek efficiency, input legitimacy, and policy implementation, but less valuable in the media arena. Using a new data set on lobbying by 286 groups on 12 issues in the United Kingdom and Germany, the article serves support for this theory: Umbrellas enjoy higher legislative access, but lower media access than groups without member organizations, irrespective of their individual membership or claimed constituency. The findings have implications for how we understand and study political representation.     

Communicating in the post‐truth era: Analyses of crisis response strategies of Presidents Donald Trump and Rodrigo Duterte

The rhetoric of then U.S. President‐elect Donald Trump and Philippines' President Rodrigo Duterte had triggered a shift in global political discourse (Greene, 2016 ). This study examines their responses on three similar crises: disrespectful remarks towards women, associations with controversial political figures, and remarks threatening geopolitical relations. Data from prestige publications, Washington Post (U.S.) and the Philippine Daily Inquirer, were analyzed during the acute stage of each crisis. Findings showed that both men employed confusing strategy combinations in their crisis responses. Despite incoherent application and contradictory strategies, they survived threats to their image as evidenced by poll results. New strategies (diversion and logorrhea) and a strategy amplifier (machismo) were uncovered. These strategies tapped on ambiguity and were found to be successfully employed in a post‐truth landscape. This study builds on Benoit's ( 2006 ) argument that “any attempt by a president to repair a damaged image … clearly merits scholarly attention” (p. 138).