早产和胎盘早剥的损伤程度鉴定（附1例分析）

本文从1例孕妇的损伤程度鉴定着手,对《人体重伤鉴定标准》的第78奈、第45条、第92务等条款的应用进行研究,结合案情对现行标准应用误区进行分析,提出症结所在,为了保证鉴定结论的质量,对《人体重伤鉴定标准》进行完善和修改势在必行。     

中西医结合非手术治疗老年外伤性稳定型硬膜下积液16例

目的 观察中西医结合非手术治疗老年外伤性稳定型硬膜下积液的临床疗效。〖JP2〗方法 将28例老年外伤性稳定型硬膜下积液患者分为治疗组16例和对照组12例,对照组采用常规治疗,治疗组在对照组疗法基础上采用补阳还五汤加减配合治疗。治疗相同疗程后观察两组临床疗效及脑积液消失时间。结果 两组临床疗效比较,差异无统计学意义（P>0.05）;治疗组脑积液消失时间显著少于对照组（P<0.05）。结论 中西医结合非手术疗法对老年稳定型外伤性硬膜下积液具有较好的疗效,可加快脑积液的消失时间。     

创伤性骨关节炎法医学鉴定41例分析

目的探讨创伤性骨关节炎的法医学鉴定要点。方法总结苏州同济司法鉴定所2006~2010年受理的41例创伤性骨关节炎法医临床学鉴定案例,对被鉴定人的性别、年龄、致伤方式、损伤部位、损伤形态、影像学表现、治疗方式、创伤性骨关节炎确诊的时间间隔等资料进行回顾性统计、分析。结果法医学检验检见生理结构破坏合并功能障碍7例,功能障碍30例,生理结构与功能检查均未见明显异常9例,另2例临床于外伤后短时间内即诊断为创伤性骨关节炎的,法医学鉴定时未予认定。创伤性骨关节炎影像学表现的严重程度与疼痛、功能障碍等临床表现并没有显著的相关性。结论创伤性骨关节炎作为骨折后常见的并发症之一,好发于负重关节,发生的间隔时间不一,其临床表现严重程度较影像学表现对法医学鉴定意见的意义更大。     

创伤性脑损伤大鼠P300检测与海马microRNA表达变化

目的探讨创伤性脑损伤后大鼠海马microRNA的表达变化与认知功能障碍的相关性。方法 25只SD大鼠随机分为假手术组和伤后1h、1d、3d、5d组,采用Feeney自由落体法建立创伤性脑损伤动物模型。各组大鼠于设定的损伤时间点检测事件相关电位P300,应用基因芯片技术检测海马microRNA的表达情况,筛选特异性表达的microRNA。结果各组大鼠伤后P300的潜伏期延长,波幅下降,以伤后1d为甚。与假手术组相比,伤后各实验组microRNA表达谱具有显著差异。其中miR-21、miR-16、let-7b的表达与P300潜伏期变化存在显著相关,伤后1d为差异性表达的关键时间点。结论 microRNA可能在创伤性脑损伤后发生的认知功能障碍中发挥调控作用,有望为脑损伤后认知功能的法医学鉴定提供新的思路。     

台湾外省第二代李国修戏剧中的创伤记忆与超越

作为台湾具有代表性的外省第二代作家,李国修接收到了父辈遗留下来的移民身份和创伤记忆,从而形成了自己的创伤体验,并将之作为其戏剧表达的主要课题.他以戏剧形式记录并修补了父辈的创伤与遗憾.同时,面对父辈传递下来的创伤体验,他也以戏剧艺术纾解、治疗自己对灾难重演的恐惧和身份认同被破坏的焦虑,表达了对生命安定的渴求.从创伤心理学的理论视野对李国修的戏剧创作进行观照,既能真切感受到台湾外省第一代的移民创痛,更可深入理解台湾外省第二代所特有的现实和精神处境,从而对台湾社会有更为深刻的理解.     

Traumatic brain injury,temperament, and violence in incarcerated youth: a mediation analysis based on Delisi and Vaughn’s theory of temperament and antisocial behavior

Traumatic brain injury (TBI) is associated with violent behavior. A possible key mechanism to explain the relationship between TBI and violence is DeLisi and Vaughn’s temperament-based theory of antisocial behavior. Accordingly, the current study investigates whether temperament – the combination of effortful control and negative emotionality – mediates the relationship between TBI and violent behavior within incarcerated youth. A non-probability sample of youth (N?=?227) incarcerated in two long-term residential facilities completed a comprehensive assessment tool that collected data on TBI, temperament, childhood trauma, substance use, mental illness, and a variety of demographic characteristics. Preliminary results showed TBI significantly increased violent behavior, adjusting for confounds. Then, mediation analysis found that temperament accounted for 54% of the total effect between TBI and violence. The study findings show the potency of DeLisi and Vaughn’s temperamental construct in explaining the relationship between TBI and violent behavior within a sample of incarcerated youth. The dynamic interplay between effortful control and negative emotionality appears to be an important mechanism related to violent behavior. Both temperament constructs should be the focus of future assessment and intervention among incarcerated youth with TBI.     

国际工程法务问题研究

我国的国际工程法律服务是伴随着国际工程业务的开展而发展变化的。国际工程业务从最初的劳务分包、施工分包到后来的工程总承包,一直到现阶段的EPC+F、BOT、PPP投资,法律服务内容与主体都发生了显著变化。合同或法律服务人员囿于单一专业已经不适应时代发展的需求,培养更高层次的跨学科复合型人才已迫在眉睫。应改革现有的专业学位制度,设置符合国际工程业务发展的专业法律博士学位,以高校为依托,充分发挥全国律师协会的作用,培养以实践型为主、以学术型为辅的复合型国际工程法务领军人才。     

Alcohol intoxication may exacerbate the effects of blunt cranial trauma through changes in brain free magnesium levels

Moderate to high levels of alcohol decrease brain intracellular free magnesium concentration, a factor known to be critical in brain injury. Phosphorus magnetic resonance spectroscopy was used to examine changes to brain free magnesium concentration after blunt cranial trauma in alcohol-intoxicated rats. Rats exposed acutely or chronically to alcohol sufficient to increase blood alcohol levels to between 150 and 350 mg/dL demonstrated a brain free magnesium level that was 20-50% less than in nonintoxicated animals (p < 0.01). After injury, brain free magnesium levels declined more rapidly and to a greater extent in alcohol-affected animals than in nonintoxicated control animals (p < 0.001). As both preinjury depletion of magnesium and degree of magnesium decline after brain injury have been associated with poor recovery, these findings suggest that moderate to severe alcohol intoxication may predispose the brain to a worse outcome by reducing brain free magnesium levels, both before and after injury.     

On exceptional stress assignment in Latvian: the case of prefixes

ABSTRACT

In this article, we examine some previously understudied exceptions to the generalization that Latvian assigns stress to the left-most syllable in a prosodic word, specifically those that involve prefixation. We will show that these apparent exceptions in stress assignment follow from the internal structural properties of the word and are a result of attaching the prefix outside the domain where stress is assigned, which is up to the first functional head inside the hierarchy. Our treatment combines the syntactic structure of a neoconstructionist approach to word formation with an optimality theory formalization at the phonological level.     

Traumatic asphyxia in weightlifters

The cases presented here are an unrecognized source of accidental asphyxia--compression of the neck by barbells. Two cases of traumatic asphyxia due to this preventable hazard occurred in a 5-year period in central New York. There have been at least 11 similar deaths reported to the United States Consumer Product Safety Commission (CPSC) and cataloged in the National Electronic Injury Surveillance System between 1999 and 2002. A petition filed in 2003 with the CPSC-proposed mandatory labeling of bench presses to make consumers aware of this hazard, but was denied. This report looks at the deaths that have occurred due to this unrecognized safety threat and provides pertinent advice to make bench-pressing a safer activity.