浅析服“美沙酮”自杀迟发性中毒死亡案

美沙酮是一种人工合成的麻醉药品,具有吗啡样药理作用,属于阿片受体激动剂。服"美沙酮"到发生死亡的时间超过20个小时,似乎吴女的死亡与美沙酮无关,但如果不对尸体进行解剖排除疾病因素及其他药毒物因素,是不能认定系"美沙酮"中毒死亡。     

大鼠实验性脑梗死早期CT值和GFAP表达变化的研究

目的探讨大鼠24h内实验性脑梗死CT值及脑内胶质纤维酸性蛋白(GFAP)的表达变化,以间接推测脑梗死的发生时间。方法参照Longa线栓法建立大鼠大脑中动脉栓塞脑梗死模型,在不同时相点进行头颅CT扫描,测量右侧脑梗死和左侧未梗死区脑组织的CT值并求出两侧的差值。同时用免疫组化检测脑内GFAP的表达变化。结果6h组大鼠CT平扫均有明确的脑梗死灶,梗死与非梗死两侧脑组织CT值的差值与梗死时间呈直线正相关,GFAP表达与梗死时间也有一定的相关性。结论血管栓塞引起的脑梗死最早于梗死发生后6h可以诊断,并可通过脑梗死与非梗死两侧CT值的差值计算及GFAP表达变化来推测脑梗死发生的时间。     

6例心脏传导系统病变致交通事故的病理学观察

检查100例交通事故死亡者的心脏传导系统（CCS），发现大部分存在着程度不同的病变。其中6例的SAN、AVN、AVB及LBB、PBB起始部见明显的出血、炎症、脂肪浸润、纤维化、神经病变和结动脉狭窄等病变。结合案情与现场勘查，6例交通事故与CCS病变导致心律失常有关。     

完善公务员考核机制，推动公共服务型政府建设

公共服务型政府是人类公共行政发展的必然选择,建立健全科学、合理的公务员考核机制是公共服务型政府建设的关键因素之一。针对公共服务型政府建设对提升公务员队伍的要求,需要从以下方面推动公务员考核机制的完善:完善考核体系,注重定量与定性考核相结合;完善考核等次,对考核结果合理划分等级;完善考核程序,实现考核公正、公平;合理使用考核结果,发挥考核激励功能。     

论医疗纠纷的代替性解决机制

由于在纠纷解决方面所表现出来的简便、经济、快捷、专业性及保密性强等优点 ,代替性纠纷解决机制———ADR(Alternativedisputeresolution )逐渐成为许多国家和地区解决民事纠纷的一大趋势。我国现行医疗纠纷解决机制仍存在着一些问题 ,有待于进一步的改革与完善。根据我国所面临的实际情况 ,将SDR引入医疗纠纷领域是一条快速、有效地解决医疗纠纷的途径。医疗纠纷的代替性解决机制主要包括仲裁、调解以及和解。这三种纠纷解决方式各具特点 ,适用于不同情况下医疗纠纷的解决。     

人脑挫伤后细胞周期素D1表达的变化

目的研究CyclinD1在人不同部位脑挫伤组织中表达的变化及其与损伤时间的关系。方法88例脑挫伤标本按损伤后存活时间0.5,1,3,24h和3,7,14,30d分为8个实验组,另以6例非脑挫伤的脑作为对照组,应用CyclinD1免疫组织化学并结合图像分析技术观察CyclinD1的变化。结果脑挫伤后,挫伤灶中央CyclinD1阳性细胞几乎丧失,1h后挫伤灶周围CyclinD1阳性细胞开始增加,3h～30d之间各组挫伤灶周围免疫阳性反应的细胞增加显著,在3h～30d一直维持在较高水平;CyclinD1主要见于小胶质细胞和其它胶质细胞,少数神经元也呈阳性。结论人脑挫伤后,CyclinD1在多种脑细胞内表达,以胶质细胞表达明显,CyclinD1阳性细胞在伤后不久即显著增加,故可作为早期脑损伤的诊断指标。     

用VBA语言开发群体遗传学统计分析软件

目的开发适用于短串联重复序列(STR)基因座群体遗传学统计分析的软件,促进和加快STR基因座群体遗传学基础研究。方法选用简单易用的MicrosoftVBAforExcel语言,利用宏功能,开发STR基因座群体遗传学统计分析软件。结果开发建立了基于VBA语言的“群体遗传学分析易”软件,能进行STR基因座群体遗传学分析。结论开发的基于VBA语言的“群体遗传学分析易”软件,具有计算统计功能完善、输入格式兼容性好、使用方便、输出格式清晰易懂的特点,可在国内外STR基因座群体遗传学研究领域推广应用。     

Influence of substrate tissue type on larval growth in Calliphora augur and Lucilia cuprina (Diptera: Calliphoridae)

The size of fly larvae is an important variable in the use of these insects to estimate postmortem interval. Furthermore, the nutritional intake of larvae is likely to vary subject to the part of a corpse on which they are feeding. A study was therefore conducted to investigate the effect of type of food substrate on larval growth in two species of forensically important Australian blowflies. After collection on sheep's liver in the laboratory, different groups of larvae of Lucilia cuprina (Wiedemann) and Calliphora augur (Fabricius) were grown on sheep's liver, meat, and brains, and their body lengths compared. Results indicated that the development of larvae fed sheep's liver was adversely affected compared with larvae fed meat and brain; they moulted later, reached maximum length more slowly and sometimes produced significantly smaller pupae. These findings, similar to those of another recent study, have obvious implications for postmortem interval determinations. Estimates may be considerably skewed if the site of collection of larvae at a death scene contains tissue types different to those used in reference experiments. We therefore recommend caution in forensic analyses that interpret crime scene data using developmental studies performed with a single type of larval food substrate.     

Reduction of postmortem angiography-induced tissue edema by using polyethylene glycol as a contrast agent dissolver

Postmortem investigation is increasingly supported by computed tomography (CT) and magnetic resonance imaging, in which postmortem minimal invasive angiography has become important. The newly introduced approach using an aqueous contrast agent solution provided excellent vessel visualization but was suspected to possibly cause tissue edema artifacts in histological investigations. The aim of this study was to investigate on a porcine heart model whether it is possible to influence the contrast agent distribution within the soft tissue by changing its viscosity by dissolving the contrast agent in polyethylene glycol (PEG) as a matrix medium. High-resolution CT scans after injection showed that viscosities above c. 15 mPa s (65% PEG) prevented a contrast agent distribution within the capillary bed of the left ventricular myocardium. Thereby, the precondition of edema artifacts could be reduced. Its minimal invasive application on human corpses needs to be further adapted as the flow resistance is expected to differ between different tissues.