心气虚,脾气虚患者血液动力学,流变学的研究

The article observed parameters of hemodynamics and hemorheology of 101 cases of patients with deficiency of heart Qi (DHQ) , 43 cases of patients with deficiency of the splenic Qi ( DSQ ) and 25 cases of normal people''s, discovered that heart function of DHQ was significantly lower (low VPE,CO)and hemorheologlical parameters of DHQ were significantly higher ( high solidify and viscosity ) than that of normal people''s, P<0.05 or 0.01; that heart function and hemorheological parameters of DSQ were lower than that of the normal people''s (low VPE, QO and viscosity), P<0.05 or 0.01. So authers considered that low heart function was common, feature of deficiency of Qi(DQ); the distinct changes of hemorheological parameters reflected the difference of mechanism between DHQ and DSQ.     

Correlation of paternity index with probability of exclusion and efficiency criteria of genetic markers for parternity testing

The statistical correlation between the chance of paternity exclusion and paternity index is explored to derive a new criterion of judging the efficiency of an array of genetic determinations for parentage diagnosis. The theoretical basis is illustrated with allele frequency data on genetic markers used in a paternity testing protocol to examine the possible effects of changing the genetic systems on the prospect of identifying fathers by genetic markers.     

Childhood Abusive and Supportive Experiences, Inter-Parental Violence, and Parental Alcohol Use: Prediction of Young Adult Depressive Symptoms and Aggression

Issues in both the children of alcoholics and child abuse literatures were addressed in an attempt to disentangle the effects on young adults of growing up in alcoholic homes versus abusive homes. Using multiple regression, retrospective reports of parental abuse (emotional, physical, and sexual) and parental support (love/support, independence, and fairness), witnessing violence between parents, and parental alcohol use were used as predictor variables for outcomes noted by both literatures. When the effects of all other predictors were statistically controlled, parental alcohol use was not significantly related to depressive symptoms or aggression. Different abusive and supportive behaviors, depending on sex of parent and sex of participant, were significant predictors of both depression and aggression. Results underscore the importance of including and controlling for inter-parental violence and for different types of child abuse (especially emotional abuse) and parental supportive behaviors in investigations of outcomes related to abusive and alcoholic families. Implications for treatment of individuals from these families are discussed.     

Predictors of Early Engagement in Home Visitation

Predictors of engagement in mothers receiving home visitation in the first year of service was examined. Early engagement was studied in three ways: (1) length of time active in the program during the first year of service (duration), (2) number of visits received (quantity), and (3) gaps in service between visits (consistency). Examined visits received in 515 first-time mothers in a Healthy Families America (HFA) program. Parameters of engagement were investigated, and predictors of engagement were identified using demographics and the Kempe Family Stress Inventory. Inclusive of the Assessment Visit, 31.8% of mothers disengaged prior to the first month of service. Remaining active in the program was associated with being Caucasian, and increased parenting risk (mental health/substance abuse history, low social support, increased stress). Most mothers had fewer home visits than prescribed. Gaps in prescribed service were common, with 89.4% of mothers experiencing gaps between visits of 1 month, and dropping to 16.4% having gaps of 2 months. In contrast to findings from clinic-based interventions, early engagement in home visitation is associated with lower levels of functioning and acute needs. These findings add to a growing body of literature suggesting that increased adversity promotes engagement in prevention programs in general, and home visitation programs in particular. To the extent that mothers who are actively engaged in home visitation are likely to have increased psychosocial needs, curricula may require modification and augmentation to address these needs and optimize program effectiveness.     

高血压大鼠挤压伤后心功能指标与伤病关系分析

目的观察高血压病大鼠肢体挤压后的早期心肌损伤情况,并分析其在伤病关系分析中的意义。方法原发性高血压大鼠按打击程度随机分为4组,用自由落体装置打击大鼠右侧大腿,然后观察血压、心率变化,测量血清生化指标(肌酸激酶、肌酸激酶同功酶、乳酸脱氢酶、肌酐、尿素氮、α-羟丁酸脱氢酶、天门冬氨酸转移酶),并观察大鼠心、脑、肾的形态学改变。结果打击后大鼠血压、心率均有不同程度的上升,并且随着打击力度的增加而增加,但打击组间没有显著性差异。各组血清生化物表现为随打击力度的增加而上升,轻中重打击作为整体损伤组与对照组比较有显著性差异,天门冬氨酸转移酶、肌酸激酶、肌酸激酶同功酶在打击组间比较具有显著性差异。结论挤压性打击损伤造成了SHR早期心肌损伤,并且此指标可以运用于高血压病与损伤共存下的伤病关系分析。     

Separating Compensatory and Punitive Damage Award Decisions by Trial Bifurcation

In a simulated products liability trial, we tested the effects of bifurcating decisions regarding compensatory and punitive damage awards. Fifty-nine groups of 5-7 jurors heard evidence in a unitary or bifurcated format, deliberated about the case to a unanimous decision, and awarded damages. Trial bifurcation decreased variability in compensatory damage awards across juries hearing the same case, and also decreased the tendency for juries to award extremely high compensatory damages. In addition, deliberation led to lower compensatory awards in the low injury severity condition and higher awards in the high injury severity condition. Jurors reported that they were using evidence more appropriately when the decisions were bifurcated. Implications of evidence bifurcation in civil trials are discussed.     

地方政府职能与公共财政

地方政府有效地履行政府职能可以纠正市场失灵，促进地方经济的发展。地方财政是地方政府履行政府职能的经济基础。当前，我国地方财政还存在一些与市场经济体制及国际惯例不尽适应的问题，制约了地方政府正常地履行其职能。这需要通过深化财税体制改革，建立公共财政体制来解决。     

心外科手术后死亡医疗纠纷尸检分析

目的从尸检角度讨论心外科手术后死亡的死因及诊疗缺陷。方法按临床诊断、手术类型、死亡时间、死亡特点、尸检特点、纠纷特点、诊疗缺陷等方面,比较所选案例的临床、尸检资料特点。结果心瓣膜置换手术4例,冠心病冠脉搭桥手术1例,先心病大动脉转位手术1例。心肌梗死2例,心肌广泛损伤1例。心内膜感染2例,多器官功能衰竭1例。家属怀疑诊疗不当6例。诊疗缺陷主要为手术适应证、手术时机,手术器材的选用,手术操作,术后病情观察、处理不及时,对病情严重程度、手术风险及预后的告知不充分。结论尸检不仅能查明死因,还可帮助评价手术质量、术后处理的诊疗质量,对解决纠纷具有重要的辅助作用。     

财产权限制措施与财产权关系之分析——财产权保障的新视角

财产权限制措施是针对财产权的占有、使用、收益、处分等权利所采取的侦查行为,其客体包括作为犯罪之物、作为证据之物和可为财产保全之物,具有证据保全、财产保全和社会保全的功能。从财产权限制措施的功能出发,厘清财产权限制措施与占有权、使用权、收益权和处分权之间的关系,是保障公民基本权利——财产权落到实处的必经之路。     

A case of sudden infant death due to a primary cardiac sarcoma

The case reported herein concerns the unexpected death of a 3-month-old female newborn who suddenly collapsed in her mother's arms and was dead on arrival at the hospital. The clinical histories of the baby and her parents were negative for symptoms or signs of illness, even those of cardiovascular origin. Furthermore, no clinical appearance of a pathologic status was noted by pediatricians after the birth until the last emergency recovery. The autopsy excluded external and internal signs of violence but revealed a large primary cardiac tumor arising from the free wall of the left ventricle, which had totally invaded the heart causing mitral valve deformation. Histological examination showed a low-grade sarcoma that completely infiltrated the myocardial tissue. The pathogenesis of this sudden infant death was postulated as being owing to a fatal ventricular fibrillation combined with a tumor-related restrictive cardiomyopathy obstructing left ventricular filling.