血友病人单纯外伤性蛛网膜下腔出血的法医学鉴定1例

外伤性蛛网膜下腔出血(Traumatic Subarachnoid Haemorrhage,简称TSAH)在法医病理实践和临床法医鉴定中并不少见,但有关血友病人在头面部轻微外伤后出现单纯性TSAH的相关报道较少,在临床法医鉴定中有一起损伤和疾病同时存在的特殊案例,在该案例鉴定中有一些体会值得借鉴。     

论胁从犯中“胁迫”之认定

“胁迫”对于胁从犯的成立具有关键意义。在实践中,认定胁从犯中“胁迫”应遵循主客观相统一的标准,从外部威胁行为出发,由外及内,判断行为人是否受到精神强制。为判断精神强制的成立,可以考量威胁程度与可能性、威胁者和受迫者的个人状况、威胁行为作出的客观背景、被迫者实施犯罪的社会危害性等因素。     

群体的心理构成与人员的优化组合

群体的心理构成是群体成员的不同个性心理特征及其相互作用形成的人员组合类型。这种类型不仅繁多 ,而且还决定了群体的功能和组织状态。为此 ,人员的优化组合应注意 :根据群体的任务和目标 ,确定人员优化组合的基本原则和标准 ;提倡和谐互补的人员组合 ;协调那些不和谐 ,但可以互补的人员组合 ;全面考虑人员调配或重新组合的效果     

Expanded School Mental Health: Challenges and Opportunities in an Emerging Field

Reviews the need for and development of expanded school mental health (ESMH) programs, which provide a continuum of mental health promotion and intervention through school–community partnerships. Since ESMH is a relatively new, but increasingly prominent field, countless issues are being addressed in practice and research and in efforts to bridge practice and research. We review particular content and context dimensions of ESMH in need of development including quality assessment and improvement, empirically supported practice, improving assessment and outcome evaluation, involving educators in the work, understanding school environments, and tailoring programs through qualitative research. Summaries of articles that amplify these themes are provided.     

Family Representative Payeeship and Violence Risk in Severe Mental Illness

Although representative payeeship is prevalent among people with mental illness and shows promise to positively influence clinically relevant outcomes, research also suggests this legal mechanism could be implemented in ways that are problematic. The current study examined whether family representative payeeship was associated with elevated risk of family violence perpetrated by persons with severe mental illness (SMI). Data were collected every 4 months for 1 year in structured interviews with N = 245 persons with SMI who received disability benefits. Multivariate analyses showed that substance abuse, history of violence, frequency of family contact, and family representative payeeship were associated with elevated odds of family violence. Analyses also showed family contact and family representative payeeship had a cumulative effect on increasing the predicted probability of family violence (controlling for covariates such as violence history and substance abuse). The data shed light on the potential for family representative payeeship to be associated with increased risk of interpersonal conflict and violence in SMI.     

新城疫病毒融合蛋白抗体间接ELISA检测方法的建立

用新城疫病毒(NDV)F48E8株作为包被抗原,建立了检测由鸡痘病毒载体介导表达的NDV融合蛋白(F)抗体的间接ELISA方法.通过对20份阳性血清的P/N值与ELISA抗体效价(ET)的自然对数值(lnET)的线性回归分析,获得了回归方程lnET =0.201×P/N+4.632.应用该ELISA方法对表达NDV F基因的重组鸡痘病毒免疫鸡群进行了血清抗体检测,结果表明,血清的ELISA抗体效价与相应血清中和试验的抗体效价高度相关.攻毒保护试验的结果显示,ELISA抗体效价与机体的保护力表现一定程度的相关性.     

Mental Disorder, Violence, and Gender

Recent studies have reported comparable rates of violence among men and women with mental disorder, raising important issues for clinical risk assessment. This study examines the relationship between gender and violence using data from the MacArthur Violence Risk Assessment Study. Patients in acute psychiatric wards were interviewed 5 times over the year following their discharge to the community. Results showed some differences between men and women in the violence committed immediately following discharge, with rates for men being higher. But the prevalence of violence over the 1 year was similar for female and male discharged patients. However, there were substantial gender differences in the situational context of the violence committed. Men were more likely to have been drinking or using street drugs, and less likely to have been adhering to prescribed psychotropic medication, prior to committing violence. The violence committed by men was more likely to result in serious injury than the violence committed by women, and men were more likely than women to be arrested after committing a violent act. Women were more likely to target family members and to be violent in the home.     

精神分裂症病人肇事因素分析

就鉴定案例中肇事精神分裂症病人与一般精神分裂症群体、其他肇事精神病人群体的资料进行比较,结果显示：精神分裂症群体的肇事率、凶杀率远高于其他精神病群体;肇事精神分裂症病人的诊治情况明显差于一般精神分裂症群体,且再婚率低,家庭支持系统不力等。提示：加强对精神分裂症病人的社会监管和治疗,是防止肇事行为发生,维护社会治安的积极措施。     

补阳还五汤对大鼠实验性心肌缺血的影响

采用垂体后叶素诱发Ｗｉｓｔａｒ大鼠心肌缺血模型,观察补阳还五汤对其保护作用。结果表明补阳还五汤可显著抑制大鼠Ｔ波变化,提高大鼠血浆ＳＯＤ活性、降低ＭＤＡ含量,对血素ＬＤＨ、ＣＰＫ的释放也有显著的抑制作用。提示本方对心肌缺血损伤的保护作用可能与其减轻氧自由基对心肌膜脂质过氧化损伤反应有关。     

“社会浮躁病”的症状、特点、成因及其矫治

"社会浮躁病"是消极社会性格和失衡社会心理的一种病态,它具有多种具体的发病类型和表现形式,具有危害性、普遍性、传染性、私利性和衍生性等特征。当前,"社会浮躁病"已侵染到社会生活的各个领域,具有蔓延之势。它的产生、泛滥和蔓延有着深层次的原因和根源,必须多管齐下、对症下药才能药到病除。