Fatal intoxication due to tramadol alone: case report and review of the literature

Poisoning may also lead to both coma and multiple organ failure, also in youngsters without a known major medical history. As not all toxic agents are routinely screened when a poisoning is suspected, it is useful to consider less frequently encountered poisons in certain cases. We describe the occurrence of asystole and multiple organ failure which occurred in a young man after a suspected tramadol overdose. The tramadol concentration on admission in the ICU was indeed 8 microg/ml (mg/l), far above the therapeutic range. Subsequently, the patient developed severe acute liver failure, finally leading to death. Post-mortem toxicology did not reveal any other poison responsible for this unfavourable course as only very high serum and tissue tramadol and desmethyltramadol concentrations were found. Only a few fatal poisonings attributable to tramadol alone, as observed in our case, have been reported. An overview of these cases is presented.     

An evaluation of a private alternative probation and counseling program: Predicting program outcomes from client characteristics

The purpose of this evaluation was to determine if client characteristics affected selected program outcomes. The sample consisted of 475 clients admitted into a for-profit, private alternative probation and counseling program between November 1, 1998 and February 28, 1999. Multiple regression analyses identified race, previous alcohol and drug treatment, and employment status as significant predictor variables of client compliance. Being able to target client characteristics that are associated with successful program outcomes can help programs fulfill their goals of diversion and costeffectiveness, thus making the most effective use of scarce resources.     

新生产力观与可持续发展

可持续发展观是针对传统发展模式的弊端而提出的新发展战略。它要求经济发展与人口、资源和环境相协调,实现人与自然相和谐。新生产力观是可持续发展战略的必然要求,它强调以人为本,人是生产力发展的最终目的,在生产力发展过程中实现人与自然的统一。同时新生产力观也为可持续发展提供智力支持和观念保证。     

Capturing Crime at the Micro-place: A Spatial Approach to Inform Buffer Size

Journal of Quantitative Criminology - The current study develops a methodology to identify spatially relevant buffer sizes for micro-place evaluation research. It applies this methodology in an...