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101.
Sharma BR 《The American journal of forensic medicine and pathology》2004,25(2):150-155
The developments in medicine in general and the technology of life support in particular have provided the means of maintaining organ function for prolonged periods of time. However, there are many situations where life-sustaining treatment in an intensive care unit (ICU) may lead to a death with lingering and suffering of the patient, as well as burdening their family. Although often equated, withholding and/or withdrawing life-prolonging treatments that allow the patient to die needs to be differentiated from the physician-assisted suicides and euthanasia that involve the active ending of life. There is a difference between an unintended but accepted consequence of forgoing therapy and an intended result of death from suicide or euthanasia. The present-day physicians view most patient deaths as an inevitable process secondary to disorders unresponsive to treatment and/or multiple organ dysfunction syndromes. The large majority of patients dying in ICUs today succumb not after cardiopulmonary resuscitation, but rather, after the forgoing of life-sustaining treatment. Such approach has frequently caused families, institutions, and conservators of patients to resort to judicial fiat for resolution. 相似文献
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High performance liquid chromatographic method for the analysis of organophosphorus and carbamate pesticides 总被引:2,自引:0,他引:2
A method has been developed for the rapid quantitative analysis of organophosphorous and carbamate pesticides using HPLC. Good separation was obtained among the four major groups of organophosphorus pesticides [i.e. aryl phosphorothionate (methyl parathion), alkyl phosphorothionate (malathion), enolphosphate (phosphomidon, monocrotophos, dichlorvos), heterocyclic phosphorothionates (quinalphos)] and carbamates [viz. Carbaryl (Sevin) and Baygon (Dalf)] with a detection limit of 100 ng for all the pesticides. Separation was measured in terms of capacity factor (k') resolution (R) and selectivity factor (alpha ii). The method described can be used for the analysis of biological samples for the presence of organophosphorus and carbamate pesticides in the cases of poisoning. Recovery studies were made in the blood, lung and liver and found to be 85-97% with reproducibility at greater than 95%. 相似文献
104.
Sharma BR 《The American journal of forensic medicine and pathology》2003,24(3):277-282
Disorders of sexual preference or paraphilias are bizarre patterns of sexual behavior that have diverse manifestations and are of complicated sexual orientations. Some of these are harmless, while others are not, robbing sufferers and possibly their partners of loving sexual relationship. At least 40 paraphilias have been named, but the full extent of the field, perhaps, is still undiscovered. Recent studies have reported many paraphilias as long-term effects of sexual abuse in childhood, and the more frequent and persistent the abuse is, the worse the long-term psychologic, behavioral, and relationship problems. Psychopathology within this group of disorders may lead to criminal behavior, ranging from infringement of decency to some of the most heinous crimes known. 相似文献
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‘Come, Make in India’, India’s Prime Minister has invited global firms to invest and manufacture in India and also to promote exports. As with this campaign, India has given a scope of promising growth to the companies which is also been seen to solve India’s multiple economic problems. Many countries have shown their interest to invest in India and one of them is South Korea. Now the question arises whether companies from South Korea in this competitive environment can mark their presence in India—a nation of cultural diversity, which can affect the initial start-ups, if ignored. Apart from the historical cultural ties, there are cross-cultural differences between South Korea and India. So, this paper aims to build up a study that brings together the parity and cross-cultural differences between South Korea and India. The paper opens with the discussion about the various historical, cultural and poetic relations to describe the scenario between the two countries, whereas for the analysis, a macro-meso-micro framework has been used to answer the research question. The three-level analysis helps this paper to see the overlooked influence of culture from a broader perspective. The results of the study reveal a list of cultural adaptations suited for South Korean start-ups to run businesses in India by avoiding the cultural threats and contribute to the existing literature. The study findings could be used by companies, marketers and practitioners to devise and re-vamp their strategies in India, and it will also serve as a cultural guide for them. 相似文献
109.
Chittaranjan Behera M.D. Ravi Rautji M.D. Rajesh Kumar M.D. Shashank Pooniya M.D. Piyush Sharma M.D. Sudhir Kumar Gupta M.D. 《Journal of forensic sciences》2017,62(1):265-266
A married casual labor couple was found hanging in their makeshift bedroom with each end of a single chunni (a cloth worn around the neck by Indian women) spread across an iron bar below the roof. They left their two children, daughter, and son of 4 and 3 yrs age, respectively, with their grandmother living separately nearby, and went to attend cremation of one of their relatives. They returned late in the evening and found hanging in their bedroom next morning by neighbors. 相似文献
110.
Sangeeta Sharma Poonam Shekhawat 《美中公共管理》2010,(3):1-10
The concept of digital governance has renovated the basic premise of administration. Digitalization has not only made it more responsive but also enhanced its accountability to deliver the better services to people by initiating direct participation of common person in the process of governance. The dynamic nature of administration makes it change orientation thus responding to the demands in particular time frame. Though the core issue of rendering services acquires the center-stage, recently there has been intermixing of principles of public management giving effective resource management, the special leverage to flame policies. In countries which are less prone to the adaptations of advanced technologies are also taking e-initiative to activate the process of implementation. The present article explores the status of e-governance in Rajasthan, the biggest state of Indian Union. After the enactment of Information Technology Act 2000 by the union government, different states have also taken corresponding initiatives pertaining to the e-governance. This study which was carried out in Rajasthan in 2009 focuses on various dimensions of its application in state secretariat, which epitomizes the epithet of administrative activities undertaken by the Government of Rajasthan. The study results are evaluated on the basis of the data collected at different levels by instituting the questionnaire and survey. It establishes the fact that Rajasthan has responded very well in some areas of administration, but there are certain areas where it has to implement the e-initiative at par with the other states. Therefore this particular study examines the present status of the e-governance followed by the suggestive trajectory on what other efforts are needed to involve this state. The interpretations are subject to the data collected. The secretariat is the domain of governmental functioning to fulfill the expectations of common person in the state. This research works has focused on the various e-programs, and data collected thereafter have been analyzed to understand the intricacies of e-governance in the state. It is a less explored arena where the study is conducted to find out the status of various programs and the impact of e-governance on the implementation of programs. 相似文献