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101.
Trygve Nissen M.D. Per Rørvik M.D. Laila Haugslett M.D. Rolf Wynn M.D. 《Journal of forensic sciences》2013,58(1):259-262
Physical restraint is used as a last resort emergency measure to calm and safeguard agitated and/or aggressive psychiatric patients. This can sometimes cause injuries, and rare fatalities have occurred. One mechanism of injury and death while in physical restraint is that of severe asphyxiation. We present the case of a hospitalized man in his mid‐30s, suffering from schizophrenia. The patient was obese. He became aggressive and had to be manually restrained with a “takedown.” After having been put in the prone position on the floor with a significant weight load on his body, he lost respiration and consciousness. Subsequently, he was given CPR. He regained consciousness and respiration, while the cyanosis receded in 1–2 min. Psychiatrists and pathologists should be aware that physically restraining a patient in the prone position with a significant weight load on the torso can, in rare cases, lead to asphyxiation. 相似文献
102.
This paper takes a discourse–design approach to communication, providing a framework as to how this should be done. Design here is how individuals and institutions realize their interests in the world. We show how it is fruitful to link design more closely to the way discourse has been used in critical studies which draws attention to the motivated use of design, for thinking about design in terms of socio-political context. Due to their affordances, semiotic modes such as photography, graphics, layout, colour, numbers and writing will be deployed and co-articulated. The aim, using a discourse–design approach, is to show how we can best identify the very different affordances of such modes and how they rely on the principled design of a discourse. We illustrate this using examples from management documents at a university which draw on these different affordances in different ways to communicate the same discourse. Through this analysis we see how a neoliberal discourse based on a general design principle of coordination enters everyday practices and become very difficult to challenge. 相似文献
103.
Four cases of fatal intoxications with caffeine are described. Caffeine is widely available in beverages and in different OTC-products, in many of them in combinations with other drugs like ephedrine. Caffeine is not as harmless as one might believe. An overdose of caffeine alone, intentional or not, might be deadly. It seems to be warranted to include caffeine in the drug-screening of forensic autopsy cases. It is not motivated from a medical point of view to sell pure caffeine over the counter. 相似文献
104.