Distribution of morphine in body fluids and tissues in fatal overdose

Two cases of fatal overdose with morphine are presented. Large amounts of the drug were involved in both cases, one by oral ingestion, the other by intravenous injection. Morphine concentrations in various body fluids and tissues are compared to those in the literature.     

“There is no end to relationship among the indians”: Ojibwa Families and Kinship in Historical Perspective

This article presents an overview of the Ojibwa family over the past three centuries, from early European contacts to the present. It emphasizes the extent to which Ojibwa familial relations have long been embedded in extensive networks of kin that played major roles in the family lives of individuals of all ages. The article traces the effects of historical change on the Ojibwa family and examines continuity within Ojibwa kinship relations. The changes of the last century have taken a heavy toll on these relationships, yet, where they persist or are being revived, they are sources of strength and renewal.     

Death caused by orphenadine poisoning

The number of deaths as a consequence of orphenadine poisoning seems to increase, mostly among severely psychotic males. The lethal dose corresponds to the weekly average dose used in the treatment of neuroleptic extrapyramidal side effects. Based on the literature, the serious, rapidly incipient, cardiac, and neurologic symptoms of poisoning are emphasized. The handing out of orphenadine to suicidal persons must be restricted, and even small overdoses (1-2 g) ought to result in the immediate initiation of observation at an intensive care unit.     

Factors affecting information utilization and change: The case of recreation research and river management in the public sector

The Journal of Technology Transfer - This research looked at the information transfer process between recreation researchers and managers. The objective was to identify personal and organizational...     

Prospective payment in perspective

Prospective payment promises improvement for a health care system plagued by inefficiency and rising costs, but is likely to disappoint. Serious efforts to control costs threaten the system's access and quality objectives and will be resisted. Moreover, serious cost containment, whether the result of all-payer regulation or competition, requires a stronger civil service than America seems capable of providing. A comparison with the experience in defense demonstrates the important limitations in applying incentive-based models in policy areas with conflicting goals. The search for panaceas will go on, but there are none.     

Evaluation and treatment of insanity acquittees in the community

This paper describes the monitored outpatient treatment program for Psychiatry Security Review Board (PSRB) clients in the largest single community treatment agency in the Oregon system. We describe 161 persons referred to this agency for evaluation and treatment. Ninety-one PSRB clients received treatment and of this group 51% had their conditional release revoked by the PSRB. The most frequent cause of revocation was noncompliance with treatment. There were only 11 crimes committed during the study period, four of which were in the felony range. The majority of PSRB clients are chronically mentally ill persons. We discuss both the treatment approach and our results in light of a recently published research agenda for insanity acquittees.     

Detection of bullet residue in bone using proton-induced X-ray emission (PIXE) analysis

External beam proton-induced X-ray emission (PIXE) analysis has been used to verify the presence of lead in the finger bone of a murder victim. The deceased, who had been buried several years, was known to have suffered a bullet wound to his right hand several years before death. X-ray radiographs of the right second proximal phalanx revealed the possible presence of metal fragments below the surface of the bone. To verify the presence of lead in a nondestructive manner, the bone was scanned with a 1.5-MeV proton beam. PIXE analysis showed that lead was present only in the vicinity of the fragments previously detected in the radiographs. A study of gunshot residue in bone shows that the distribution of lead around the bullet hole is independent of the firing distance for distances greater than 0.6 m.     

Reproduction of atypical bullet exit wounds

Contradictory findings from experiments designed for the reconstruction of the circumstances in crimes committed with firearms induced us to systematically investigate the conditions leading to the occurrence of non-typical bullet exit wounds. For this purpose, skin samples and pig heads were fired at with different types of small arms and, on the exit side, the skin was brought into contact with various materials. The bullet exits were investigated morphologically and by means of emission spectrum analysis. The results from these investigations are classified and discussed.     

石胆酸诱发豚鼠胆囊炎动物模型的病理学研究

以酶病理组织化学方法结合胆汁生化分析，研究了石胆酸（ＬＣＡ）诱发豚鼠胆囊炎和胆结石的形成过程中，肝胆系统内源性β葡萄糖苷酸酶（βＧＣＤ）、酸性粘多糖及多种胆汁成分的变化。结果表明，ＬＣＡ能造成肝损伤，引起豚鼠增生性胆囊炎病变；肝和胆囊中内源性βＧＣＤ活性明显升高；胆汁βＧＣＤ含量显著升高，且与ＵＣＢ／ＴＢ比值显著正相关。     

Detection of cocaine metabolite in perspiration stain, menstrual bloodstain, and hair

Low nanogram and picogram quantities of cocaine metabolite equivalents were detected in extracts from perspiration stains, menstrual bloodstains, and hair using radioimmunoassay. The theory of drug inclusion in hair and its significance are discussed.