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181.
ABSTRACT

The issue of poor performance of the Russian federal bureaucracy is addressed by linking performance to type of official, through analysis of biographical data on deputy ministers and division (departament) heads in five federal ministries since 2012, supplemented by internet searches on behavior, particularly of a corrupt nature. Education, previous career experience, and recruitment, including its timing relative to superiors and subordinates, are analyzed, in order to determine whether officials behave primarily as members of patrimonial teams, as members of problem-solving organizations, as self-serving individuals, as the instruments of capture by commercial organizations, or as servants of bureaucratic agency interests. The data do not strongly support any one conclusion, but problem-solving officials have the strongest presence.  相似文献   
182.
ABSTRACT

In this article I consider Donald Trump as an “antisemantic” president, and link antisemanticism to broader forms of populism. Drawing on Stuart Hall’s analysis of Thatcherism, I explore the political and discursive domains as intrinsically linked in the Trumpian moment. Second, I turn to a theory of the antisemantic, showing its difference from the Orwellian universe. Where the Orwellian model depends on the inversion of meanings, the Trumpian paradigm (“Truth isn’t truth”) attacks the foundations of meaning itself. In the Trumpian age the internet also acts as a dark multiplier, thinning out meaning through its distortions and profusion. As counterpart to these patterns, I show how the antisemantic rests on certain symbolic fixities, especially around boundaries and the “uber” symbol of the wall. I end with some notes on how to reconstruct a sense of accountability in meaning, and to think of boundaries that are transitive and generative rather than singular and walled.  相似文献   
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Specimens from fatal aviation accident victims are submitted to the FAA Civil Aerospace Medical Institute for toxicological analysis. During toxicological evaluations, ethanol analysis is performed on all cases. Care must be taken when interpreting a positive ethanol result due to the potential for postmortem ethanol formation. Several indicators of postmortem ethanol formation exist; however, none are completely reliable. The consumption of ethanol has been shown to alter the concentration of two major serotonin metabolites, 5-hydroxytryptophol (5-HTOL) and 5-hydroxyindole-3-acetic acid (5-HIAA). While the 5-HTOL/5-HIAA ratio is normally very low, previous studies using living subjects have demonstrated that the urinary 5-HTOL/5-HIAA ratio is significantly elevated for 11-19 h after acute ethanol ingestion. Recently, our laboratory developed and validated an analytical method for the simultaneous determination of both 5-HTOL and 5-HIAA in forensic urine samples using a simple liquid/liquid extraction and LC/MS/MS and LC/MS/MS/MS. In this previous work a 15 pmol/nmol serotonin metabolite ratio cutoff was established in postmortem urine, below which it could be conclusively determined that no recent antemortem ethanol consumption had occurred. In the current study this newly validated analytical method was applied to five ethanol-positive aviation fatalities where the origin of the ethanol present could not previously be conclusively determined. In four of the five cases examined the detected ethanol was demonstrated to be present due to postmortem microbial formation, and not consumption, even though some indication of ethanol consumption may have been present.  相似文献   
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Forensic hospital records of 39 severely mentally ill mothers adjudicated Not Guilty by Reason of Insanity for filicide (child murder by parents) were analyzed to describe characteristics preceding this tragedy and to suggest prevention strategies. Almost three-quarters of the mothers (72%) had previous mental health treatment. Over two thirds (69%) of the mothers were experiencing auditory hallucinations, most frequently command hallucinations, and half (49%) were depressed at the time of the offense. Over one third (38%) of the filicides occurred during pregnancy or the postpartum period, and many had a history of postpartum psychosis. Almost three-quarters (72%) of the mothers had experienced considerable developmental stressors, such as death of their own mother or incest. Maternal motives for filicide were predominantly "altruistic" (meaning murder out of love) or "acutely psychotic" (occurring in the throes of psychosis, without rational motive). Psychiatrists should perform careful risk assessments for filicide in mothers with mental illnesses.  相似文献   
187.
This paper describes the first reported fatality from right atrial perforation complicating the insertion of a screw-in right atrial pacemaker electrode. The patient was an 84-year-old woman with the sick sinus syndrome who also had hepatic cirrhosis.  相似文献   
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Propylene glycol (PG), a widely used solvent and lubricant, is thought to have low toxicity when ingested. Three cases were identified where PG, either alone or in combination with other chemical agents, contributed to death. The decedent in whom PG was the sole agent was a 32-year-old schizophrenic man with cardiomegaly and renal impairment. The blood PG concentration was 4410 mg/L at least 9.5 h following ingestion.  相似文献   
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