新加坡的医疗保障体系

新加坡医疗保障体系以其投入低、效率高为世人所称道。文章介绍了新加坡医疗保障体系的筹资和医疗服务供给系统,并对其进行公平和效率评估,认为新加坡医疗体制的成功实际上并不能归功于医疗个人账户制度,而是源于其内设的对低收入者就医的补贴制度和个人自付费用对医疗服务消费的控制。     

HARMONIOUS COEXISTENCE

正In upgrading its protection of wild elephants, China can look to Kenya Over the past few months, with the northward migration of Asian elephants in southwest China's Yunnan Province, the wild species has caught the eye of the international community, and the preparation for the establishment of an Asian elephant national park in China has been pushed forward.     

Inferring the Number of Contributors to Complex DNA Mixtures Using Three Methods: Exploring the Limits of Low‐Template DNA Interpretation

In forensic DNA casework, the interpretation of an evidentiary profile may be dependent upon the assumption on the number of individuals from whom the evidence arose. Three methods of inferring the number of contributors—NOCIt, maximum likelihood estimator, and maximum allele count, were evaluated using 100 test samples consisting of one to five contributors and 0.5–0.016 ng template DNA amplified with Identifiler^® Plus and PowerPlex^® 16 HS. Results indicate that NOCIt was the most accurate method of the three, requiring 0.07 ng template DNA from any one contributor to consistently estimate the true number of contributors. Additionally, NOCIt returned repeatable results for 91% of samples analyzed in quintuplicate, while 50 single‐source standards proved sufficient to calibrate the software. The data indicate that computational methods that employ a quantitative, probabilistic approach provide improved accuracy and additional pertinent information such as the uncertainty associated with the inferred number of contributors.     

A Randomized Trial of Probation Case Management for Drug-Involved Women Offenders

This paper reports findings from a clinical trial of a probation case management (PCM) intervention for drug-involved women offenders. Participants were randomly assigned to either PCM (n=92) or standard probation (n=91), and followed for 12 months using measures of substance abuse, psychiatric symptoms, social support and service utilization. Arrest data were collected from administrative datasets. The sample (N=183) included mostly African American (57%) and White (20%) women, with a mean age of 34.7 (SD = 9.2) and mean education of 11.6 years (SD = 2.1). Cocaine and heroin were the most frequently reported drugs of abuse, 86% reported prior history of incarceration, and 74% had children. Women assigned to both PCM and standard probation showed change over time in the direction of clinical improvement on 7 of 10 outcomes measured. However, changes observed for the PCM group were no different than those observed for the standard probation group. Higher levels of case management, drug abuse treatment, and probationary supervision may be required to achieve improved outcomes in this population.     

浅析“红色文化进场所”对劳教人员教育矫治的引领价值

近日,司法部召集全国部分省市司法行政机关负责人,学习交流重庆市在＂红色文化进监所＂工作中的经验和做法。中共中央政治局委员、中共重庆市委书记薄熙来就此作出批示：＂此项探索很有益,可继续深入,用积极、健康的思想来改造犯人（劳教人员）＂。司法部党组副书记、副部长陈训秋指出,重庆司法行政机关充分把红色文化教育作为提高服刑劳教人员改造质量的重要手段,值得各地学习借鉴。     

Hostility in Homicide–Suicide Events: A Typological Analysis with Data from a Chinese Society, Hong Kong, 1989–2003

As many as one-quarter of uroxicides [Johnson and Hotton (2003) Homicide Studies 7:58–84] and filicides [Wilczynski (1997) Child Homicide, London: Greenwich Medical Media] end in the suicide of the offender. As in homicide- or suicide-only events, homicide–suicide (HS) can arise from a variety of circumstances, ranging from relationship breakdown, to financial and health problems. However, to date our understanding of this disheartening phenomenon remains limited. As an HS event comprises both a homicidal and a suicidal component, the question of whether HS is primarily an extended suicide dominated by weariness or an alternate form of homicide overwhelmed by anger is a contentious topic. This article argues that there are at least two types of HS, with one type being dominated by hostility against the victim, whilst in the other hostility is not apparent. Based on HS events that occurred between 1989 and 2003 in Hong Kong, significant differences are found between these two types of HS in terms of offender and victim characteristics, antecedent, offender–victim relationships, situational factors and modes of killing. This is the first HS typological classification built on the hostility debate that has been validated with empirical data.

Ventilatory and metabolic demands during aggressive physical restraint in healthy adults

We investigated ventilatory and metabolic demands in healthy adults when placed in the prone maximal restraint position (PMRP), i.e., hogtie restraint. Maximal voluntary ventilation (MVV) was measured in seated subjects (n=30), in the PMRP, and when prone with up to 90.1 or 102.3 kg of weight on the back. MVV with the heaviest weight was 70% of the seated MVV (122+/-28 and 156+/-38 L/min, respectively; p<0.001). Also, subjects (n=27) were placed in the PMRP and struggled vigorously for 60 sec. During the restrained struggle, ventilatory function (V(E)/ MVV) was 44% of MVV in the resting PMRP. While prone with up to 90.1 or 102.3 kg on the back, the decrease in MVV was of no clinical importance in these subjects. Also, while maximally struggling in the PMRP, V(E) was still adequate to supply the ventilatory needs.