Retropharyngeal Hematoma Secondary to Cervical Spine Surgery: Report of One Fatal Case

A 53‐year‐old woman suffering from radicular pain due to cervical herniation underwent a spinal surgery consisting of anterior cervical discectomy and fusion with an implantable titanium cage. Five hours after the procedure, the patient developed cervical swelling and dyspnea. An emergency surgery permitted evacuation of a deep cervical hematoma and intubation of the patient, who died some minutes later. The family of the deceased lodged a complaint with the public prosecutor because of unclear circumstances of death. After analysis of the medical records by two forensic pathologists, a medicolegal autopsy was ordered. Massive retropharyngeal and mediastinal hematomas were diagnosed. Pathological study confirmed acute cervical hemorrhage, but failed to detect the source of bleeding. The forensic pathologists concluded that death was due to mechanical asphyxia secondary to pharyngeal compression by the cervical hematoma. To the best of our knowledge, death secondary to retropharyngeal hematoma in this neurosurgical context is rarely encountered.     

医疗机构大型化和医疗服务市场化对公立医院改革的启示

医疗机构的大型化和医疗服务的市场化对公立医院来说,除了带来严峻的考验也提供了改革的借鉴。医疗机构整合的发展模式为公立医院提供了一个新的改革模式参考,公立医院如何发挥"团结力量大"的优势,利用不同医院间的专业和特长采取联盟的优势,发挥规模经济效益,将改革效益回馈到医院的医疗服务和管理机制,形成公立医院治理的良好循环,值得期待。     

Information Transmission Among World Major Gold Futures Markets： Evidence From High Frequency Synchronous Trading Data

This study examines the international information transmission among three major gold futures markets namely New York Mercantile Exchange in division of Commodity Exchange （COMEX）, Multi Commodity Exchange （MCX）, and Tokyo Commodity Exchange （TOCOM）. The main concept of this research is no matter where gold futures traded, they share the same underlying asset. Two well-documented approaches, which are vector error correction model and information share, are utilized to measure the process of price discovery under this trivariate system. The uniqueness of this study is that it employs synchronous intraday time series which can mitigate the stale price problem from daily observations. The evidences indicate that the three gold futures prices are cointegrated and driven by the same fundamental factors. New arrival information disseminates efficiently among the three markets and the pricing information transmission among exchanges is very rapid. However, the lead-lag relationship among markets still exists with the dominance of COMEX gold futures as the centre of price discovery The US gold futures market is the most efficient in processing information. Its role on price discovery and information can be attributed to COMEX＇s massive trading volume.     

大数据时代第三方医药平台的涉法革新

充分应用云计算技术的第三方医药平台逐步成为在线交易的主要场所与信息集散地,医药生产企业、经销商、各类医疗机构和其他用户通过站点交易工具完成询价、洽谈、签约、支付、配送与售后服务等。亟待通过立法完善电子身份认证与审查制度、构筑电子居间监管系统、明确医药电子错误及建立医药电子合同管控机制等,进一步促进平台内医药信息共享与交易公平。     

试析就医权的滥用及其规范

本文在明确医患关系中就医权与行医权的法律涵义基础上,剖析了我国当前医患关系中存在的患方滥用就医权的常见情形,分析了限制就医权相关权能的法理依据,提出了引导患方依法行使就医权的三种途径。     

中草药致死非法行医案件的勘验分析

根据非法行医罪自身的特点以及实践勘验多起非法行医案件遇到问题进行剖析,拟确定技术有效的勘验和准确的鉴定思路。     

Addressing the National Academy of Sciences' challenge: a method for statistical pattern comparison of striated tool marks

In February 2009, the National Academy of Sciences published a report entitled "Strengthening Forensic Science in the United States: A Path Forward." The report notes research studies must be performed to "…understand the reliability and repeatability…" of comparison methods commonly used in forensic science. Numerical classification methods have the ability to assign objective quantitative measures to these words. In this study, reproducible sets of ideal striation patterns were made with nine slotted screwdrivers, encoded into high-dimensional feature vectors, and subjected to multiple statistical pattern recognition methods. The specific methods employed were chosen because of their long peer-reviewed track records, widespread successful use for both industry and academic applications, rely on few assumptions on the data's underlying distribution, can be accompanied by standard confidence levels, and are falsifiable. For PLS-DA, correct classification rates of 97% or higher were achieved by retaining only eight dimensions (8D) of data. PCA-SVM required even fewer dimensions, 4D, for the same level of performance. Finally, for the first time in forensic science, it is shown how to use conformal prediction theory to compute identifications of striation patterns at a given level of confidence.     

我国建立农民医疗保障法律制度的思考

我国的农民医疗保障制度曾有过辉煌,也遭遇过挫折。建立农民医疗保障法律制度是人权事业发展、和谐社会构建、实现农业现代化、解决农民因病返贫、缩小城乡居民健康差距的需要。近几年,农民医疗保障制度—新型农村合作医疗的试点推行,为我们制定《农民医疗保障法》提供了立法经验。建立农民医疗保障法律制度,应坚持科学原则,从法律制度建设入手,依法推进,保持农民医疗保障制度规范、有序、有效。同时,要加强与农民医疗保障法律制度相适应的配套制度改革建设工作,以保证农民医疗保障法律制度落到实处。     

新型农村合作医疗可持续发展研究——以临沂市新型农村合作医疗为例

改进和完善新农合制度,既是临沂市经济和社会发展的客观需要,又是广大农民群众的迫切要求。文章以临沂市新农合实施现状为例,采取访谈、文献等多种调查方式,对农民以及政府工作人员等进行深入细致的调查,在充分了解我市新农合发展状况的基础上,努力探寻影响该制度可持续发展的因素及可行的解决对策．以期为我市新农舍的健康运行建言献策。     

医疗系统职务犯罪特点及防控对策——基于南京市2011年医疗系统职务犯罪实证研究

当前,医疗系统对员工的思想教育缺乏足够的重视,存在着重业务学习,轻政治理论和法制知识学习的倾向。一些医疗机构由于内部管理不善,医疗体制不顺,监督力度不够等原因,导致医疗系统职务犯罪呈现出犯罪主体低龄化,医疗系统受贿犯罪发案率居高不下,案件后果严重、影响恶劣等特点。为遏制医疗系统职务犯罪,必须强化对医务工作者的思想教育,提高他们的职业素养;政府要继续增加投入,取消以药养医体制,完善药品采购制度;构建强有力的监督机制,把医疗系统的各项规章制度落实到实处,从根本上预防和惩治医疗系统的职务犯罪。