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501.
Suicide rates among inmate populations in prisons are considerably higher than in the general population. Suicide prevention is a common need among penal institutions around the world. Traditional approaches involving only correctional staff in suicide prevention efforts have proven to have their limitations. The involvement of inmates in peer prevention efforts seems to be a reasonable alternative approach. This study examines such a program, called SAMS in the Pen, operated jointly between the prison and the Samaritans of Southern Alberta. This service, the first of its kind in Canada, involved inmate volunteers, known as SAMS, who were trained in listening skills, suicide prevention, and risk assessment. Data was collected for the research from volunteers, correctional staff, general inmate population, and professional staff. However, given the low absolute number in the one institution where the study was carried out, statistical analyses were not practical. As with any new service, the SAMS in the Pen experienced some developmental problems but was perceived to be a worthwhile service to both inmates and staff of the prison. 相似文献
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Perry PJ Argo TR Barnett MJ Liesveld JL Liskow B Hernan JM Trnka MG Brabson MA 《Journal of forensic sciences》2006,51(4):896-899
The primary aim of this study was to investigate the association between measured blood alcohol concentration (BAC) and the presence and degree of amnesia (no amnesia, grayout, or blackout) in actively drinking subjects. A secondary aim was to determine potential factors other than BAC that contribute to the alcohol-induced memory loss. An interview questionnaire was administered to subjects regarding a recent alcohol associated arrest with a documented BAC greater than 0.08 g/dL for either public intoxication, driving under the influence, or under age drinking was administered. Demographic variables collected included drinking history, family history of alcoholism, presence of previous alcohol-related memory loss during a drinking episode, and drinking behavior during the episode. Memory of the drinking episode was evaluated to determine if either an alcohol-induced grayout (partial anterograde amnesia) or blackout (complete anterograde amnesia) occurred. Differences in (1) mean total number of drinks ingested before arrest, (2) gulping of drinks, and (3) BAC at arrest were found for those having blackouts compared with no amnesia; while differences in drinking more than planned were found between the no amnesia and grayout groups. A strong linear relationship between BAC and predicted probability of memory loss, particularly for blackouts was obvious. This finding clinically concludes that subjects with BAC of 310 g/dL or greater have a 0.50 or greater probability of having an alcoholic blackout. 相似文献
507.
This report describes the death of a four-month-old Hispanic male which may be related to benzocaine toxicity. A toxicological evaluation revealed benzocaine at a concentration of 3.48 mg/L, and postmortem methemoglobin of 36% (normal 0.4-1.5). Methemoglobinemia is a complication of benzocaine toxicity. In light of the toxicology findings, the coroner investigated the source of the benzocaine and discovered that the child was treated with Zenith Goldline Allergen Ear Drops containing 0.25% w/v benzocaine and 5.4% w/v antipyrine. There was an admission by a caregiver that on the day prior to the child's death, he had been treated with three times the prescribed dose. Blood benzocaine concentrations in nine other unrelated cases were determined and concentrations ranged from <0.05-5.3 mg/L (mean 1.48 mg/L). Seven of the nine cases were positive for drugs of abuse, and one additional case was described as a known drug user. Methemoglobin in these benzocaine positive cases ranged from 6-69%; however, methemoglobin concentrations in postmortem cases are frequently elevated and should be interpreted with caution. The unknown significance of the benzocaine, and the circumstances of the case raise questions about the ultimate attribution of this death to SIDS. 相似文献
508.
Bostrom BA 《Issues in law & medicine》2005,21(2):139-144
When a baby is born in a hospital birthing center, the newborn has come to the "emergency department" for purposes of the Emergency Medical Treatment and Active Labor Act (EMTALA). Thus, the hospital must provide "an appropriate medical screening examination" to any infant born at the hospital birthing center in order to determine whether the infant has an emergency medical condition. 相似文献
509.
Bostrom BA 《Issues in law & medicine》2005,20(3):271-273
HOLDING: Tube feeding may be withheld or withdrawn from a person in a persistent semi-conscious state even though her living will did not explicitly decline tube feeding, and there is no clear and convincing evidence of her intention to decline tube feeding. 相似文献
510.
Jacques Lacan's Seminar on The PurloinedLetter gives centrality to the operation ofthe signifier in the construction of thesubject, rather than to any `content' thatmight pertain to the signifier. In Lacan'saccount, the trajectory of the signifier isorganised around three intersubjectivepositions: seeing, not seeing and seeingoneself not being seen. This article, in anexamination of the operation of `the nation' asan origin for legal authority in the 1998Belfast Agreement, will explore the relevanceof Lacan's insight to the questions ofsovereignty and authority thrown up by legaltransition in Northern Ireland. In particular,this article will explore the way in whichnation is `suspended' as a foundation of legalauthority from the administrative discourse ofthe Belfast Agreement, but remains a potentpoint of legal and political identification.This will be done by treating `the nation' notin terms of its capacity to represent thefoundation of legal authority, but as asignifier whose displacement from `grand'aspirational constitutional discourse to themore `banal' administrative discourse of theBelfast Agreement operates to reconfigure legaland political identification. 相似文献