The Evolution of the Theoretical Foundations of Punctuated Equilibrium Theory in Public Policy

Punctuated equilibrium theory in public policy replicated from biological punctuated equilibrium theory has concluded that public policies alternate between stasis and punctuation. However, recent research on Pacific Northwest forest policy, U.S. state tobacco policy, and U.S federal auto efficiency policy have found no punctuations despite an attempt to do so. What is the efficacy of using biological punctuated equilibrium theory to also explain punctuated equilibrium in public policy? Significant differences exist between biological and public policy punctuated equilibrium theory including time frames for change, what constitutes outside disturbances of equilibrium, venues of punctuated equilibrium, levels of analysis for change, and patterns of change. Most policy research on punctuation has focused on the “tone” of media coverage related to change. Some recent studies concluding no punctuation occurred have focused on government action or inaction. Proving strong inference in scientific research requires a clear and viable syllogism linked to appropriate methodology. Both of these crucial elements are now in question in punctuated equilibrium research in public policy.     

法医牙科学研究进展CSCD

法医牙科学是法医学与口腔医学的交叉学科,通过科学地收集、检测、评价牙科证据而为司法实践提供有法律效力的证明资料。本文从年龄推断,性别推断,种族、职业及生活习惯推断,个体识别,家庭暴力或虐待行为判定等方面对法医牙科学的应用现状进行综述,并对其未来应用进行展望,希望对法医牙科学体系进行不断的补充和完善,使其在法医学甚至司法实践中更好地发挥作用。     

Professionalizing Arts Management in Healthcare Facilities

An urgent need exists for trained specialists to manage organizational policies and practices involving arts programs and activities in healthcare facilities. This article introduces the field of arts in health and argues for what is currently needed within the academic and professional field of arts management to advance this emerging arena of arts management theory and practice. The authors integrate key references from existing scholarship alongside additional survey data to offer recommendations for developing professional management of the arts in healthcare facilities like hospitals, hospices, and long-term care centers. The article provides an overview of the responsibilities of arts managers in healthcare institutions, as well as insight into the knowledge, competencies, and skills that arts managers require to effectively work in these settings. The article concludes with articulating a conceptual framework for a long-term research trajectory to inform further advancement of this distinct sub-field of arts management.     

An Assessment of How Facial Mimicry Can Change Facial Morphology: Implications for Identification

The assessment of facial mimicry is important in forensic anthropology; in addition, the application of modern 3D image acquisition systems may help for the analysis of facial surfaces. This study aimed at exposing a novel method for comparing 3D profiles in different facial expressions. Ten male adults, aged between 30 and 40 years, underwent acquisitions by stereophotogrammetry (VECTRA‐3D ^® ) with different expressions (neutral, happy, sad, angry, surprised). The acquisition of each individual was then superimposed on the neutral one according to nine landmarks, and the root mean square (RMS) value between the two expressions was calculated. The highest difference in comparison with the neutral standard was shown by the happy expression (RMS 4.11 mm), followed by the surprised (RMS 2.74 mm), sad (RMS 1.3 mm), and angry ones (RMS 1.21 mm). This pilot study shows that the 3D–3D superimposition may provide reliable results concerning facial alteration due to mimicry.     

Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences

Cognitive effort is an essential part of both forensic and clinical decision‐making. Errors occur in both fields because the cognitive process is complex and prone to bias. We performed a selective review of full‐text English language literature on cognitive bias leading to diagnostic and forensic errors. Earlier work (1970–2000) concentrated on classifying and raising bias awareness. Recently (2000–2016), the emphasis has shifted toward strategies for “debiasing.” While the forensic sciences have focused on the control of misleading contextual cues, clinical debiasing efforts have relied on checklists and hypothetical scenarios. No single generally applicable and effective bias reduction strategy has emerged so far. Generalized attempts at bias elimination have not been particularly successful. It is time to shift focus to the study of errors within specific domains, and how to best communicate uncertainty in order to improve decision making on the part of both the expert and the trier‐of‐fact.     

视盘RNFL厚度改变与视野缺损的关系

目的探讨视网膜神经纤维层厚度与视野的关系及其在司法鉴定中的应用。方法采用GDx VCC和Octopus自动视野计对外伤视神经病变52例进行检查。按照视野有效值分组(组1-重伤组,组2-轻伤组,组3-轻微伤及以下组),统计其平均RNFL厚度,对各组的RNFL厚度进行方差分析;同时对平均RNFL厚度与视野指数(MD、MS、sLV)、视野有效值进行相关性及回归分析。结果组1的RNFL平均值36.300±8.456 95μm,组2的RNFL平均值53.647 4±15.453 06μm,组3的RNFL平均值60.903 6±9.535 14μm。通过方差分析,组1~3各组间差异显著,各组两两相比较差异显著。平均RNFL厚度与视野有效值、MS呈正相关(r=0.543、0.400,P0.05),平均RNFL厚度与MD、sLV呈负相关(r=-0.450、-0.440,P0.05)。平均RNFL厚度与视野有效值、MD、MS、sLV的直线回归方程分别为Y=0.967X+19.508、Y=0.095X-10.858、Y=0.175X+9.187、Y=-0.205X+20.215;二次项方程分别为Y=-0.037X~2+5.208X-93.795、Y=0.010X~2-1.325X+50.111、Y=-0.008X~2+1.103X-15.606、Y=0.004X~2-0.520X+22.232。结论 RNFL厚度检测具有客观评定视野的法医学价值,有望成为评估视野的一种客观、形态学新方法。     

《损伤程度》与《致残分级》关于脊柱四肢评定条款的比较

本文对《人体损伤程度鉴定标准》和《人体损伤致残程度分级》有关脊柱四肢评定方面的条款进行比较研究。从结构破坏、功能障碍、结构破坏合并功能障碍等方面分析两者的异同,为损伤程度和致残程度评定提供借鉴。     

4种影像学检查方法应用于肩关节损伤法医学鉴定的比较

目的 评价X线、CT、MRI及CT气-碘双对比造影4种方法在肩关节损伤法医学鉴定中的应用价值.方法通过对肩关节损伤患者行X线摄片、CT扫描、MRI成像与CT气-碘双对比造影检查,观察、分析4种方法所得的影像学资料.结果 X线摄片对骨折的诊断率为52.8%,对软组织损伤的诊断率为0%;CT对骨折的诊断率为72.0%.对软...     

胎儿畸形医疗纠纷法医学鉴定12例分析

目的 探讨因胎儿畸形产生医疗纠纷的主要原因,分析法医学鉴定的切入点以及鉴定思路.方法 参照相关法律、法规与临床诊疗规范,分析本组因胎儿畸形所致12例医疗纠纷法医学鉴定案例中的医疗过错及其参与度划分.结果 本组案例中,存在医疗过错的为5例,其中未履行告知义务的2例,对异常结果未进行综合分析的2例,医疗技术水平有限并报告表...