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421.
Loewe C Diaz F Jackson A 《The American journal of forensic medicine and pathology》2005,26(3):297-301
We present a case of peritonitis and death due to the misplacement of a laparoscopic adjustable band inserted through, instead of around, the stomach. This represents the first case in the published literature where a LAP-BAND perforated the stomach, followed by peritonitis and death. The morbidly obese female patient with a history of hypertension and arthritis was 47 years old, 5 feet 6 inches tall, weighed 361 pounds, and had a body mass index of 58.3. She underwent a 2-hour, elective, LAP-band insertion operation to achieve weight loss; 27 hours after band insertion, following the conduction of all FDA-mandated Lap-Band postoperative protocol (including a radiologic Gastrogrografin swallow), the patient was discharged with "no evidence of esophageal stasis or obstruction." She remained out of hospital care and in her residence until she called for and was taken by an ambulance to an alternate, local hospital (57 hours after band insertion), when gastric perforation was confirmed via x-ray and CT scans. No open surgery was attempted to repair the damage, and cardiac arrest ensued 7 hours after admission to the second hospital. The patient was pronounced dead 64 hours after LAP-band insertion. This unique case is significant, given that there were no deaths of this kind reported in The LAP-BAND(R) Adjustable Gastric Banding System Summary of Safety and Effectiveness Data by the United States Center for Devices and Radiologic Health, of the Food and Drug Administration, or in searches of the published literature. 相似文献
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J. D. Jackson 《International Journal for the Semiotics of Law》1990,3(1):81-95
I am grateful to Neil Duxbury and Philip Leith for their comments on earlier drafts of this article. 相似文献
428.
Over the past thirty years, there has been a dramatic transformation in the way the American political process operates. There has been a growing public perception that traditional political institutions lack the capacity to meet existing challenges. This has led many observers to call for a rethinking of how government does its work. Numerous alternatives, including the use of faith‐based organizations, have been suggested. The current popular debate on the appropriate role of faith‐based organizations in public service delivery has shed little light on a number of important issues raised by engaging such actors in governance issues. The impact of using faith‐based institutions to design and implement public policy must be considered not only in terms of traditional evaluation standards, but also regarding potential long‐term impacts on the political process itself. This article outlines a theoretical framework for the evaluation of faith‐based organizations as “alternatives” to conventional governance structures. It identifies key practical and theoretical issues raised by such substitution, in both short and long range systemic terms. 相似文献
429.
The Forensic Science Service (FSS) has devoted appreciable effort to developing the application of the principles of evidence interpretation. Much of the work has been reported in previous papers in this journal, in particular those that develop a model for Case Assessment and Interpretation (CAI). The principles of interpretation are restated and the implications for structure and content of statements are described. 相似文献
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Anna Jackson 《亚洲事务》2013,44(3):425-432
A curtain-raiser for the current “Maharaja” Exhibition at the Victoria and Albert museum, which explains the evolution of Indian concepts of kingship from the early18th to the mid-twentieth centuries. The article describes how pageantry and symbolism formed part of the essentials of kingship, together with martial prowess and patronage of the arts. The British Raj thus took over a valid existing pattern of behaviour, which however became increasingly difficult to sustain and justify as independence loomed. 相似文献