新冠肺炎疫情期间公安法医应当加强尸体甄别和个体防护

因鉴定体制特点,公安法医除参与尸体有关的现场勘查工作外,还需进行尸体检验工作。在此过程中,可能面对很多风险,受伤和中毒等事件时有发生。然而,国内公安法医对新冠肺炎等传染病流行期间死亡的尸体如何甄别进行尸体检验鉴定,对现场勘查及尸体检验工作的防护只有少量规定,且内容不够详尽。本文对法医在现场勘查中遇到的尸体及尸体检验中实验室建设、职业现状、风险评估及防范措施等进行了论述。最后,建议出台相关的制度规定等具体约束规范措施,以保障公安法医现场勘查及尸体检验工作的顺利进行,以解除基层鉴定机构和鉴定人的后顾之忧。     

A Census of Medicolegal Death Investigation in the United States: A Need to Determine the State of our Nation’s Toxicology Laboratories and Their Preparedness for the Current Drug Overdose Epidemic

In 2007, the Bureau of Justice Statistics reported on 2004 data collected from the Census of Medical Examiner and Coroner Offices (CMEC). The CMEC was one of the first comprehensive reports on the state of the medicolegal death investigation system in the United States and included information on administration, expenditure, workload, specialized death investigations, records and evidence retention, and resources. However, the report did not include responses on questions that were related to toxicology such as specimen retention and type of testing. The purpose of this publication is to provide the community with toxicology laboratory-specific responses from nearly 2000 medical examiner and coroner (MEC) offices. Data obtained from a BJS CMEC public use dataset for any remaining information that was not reported in the 2007 BJS report were evaluated specific to the operation of toxicology laboratories within a MEC office or specific to toxicology testing. The CMEC includes information on average operating budget for MEC offices with internal or external toxicology services, budget for toxicology/microbiology services, respondents’ routine uses of toxicology analysis, toxicology specimen retention time, average turnaround times, use of computerized information management systems, and participation in federal data collections. These historical data begin to address the present state of our nation’s toxicology laboratories within the medicolegal death investigation system and their preparedness for the current drug overdose epidemic.     

打破政策“黑箱”的制度设计——基于广州政策兑现实践的研究

如何打破政策“黑箱”是学界和社会关注的重要议题。以广州市政策兑现改革实践为例,探讨如何从制度设计层面来打开公共政策过程中的政策“黑箱”。研究发现,虽然公共政策过程是一个动态且复杂的过程,但是通过统筹政策制定和政策落地两端、主观要素客观化、模糊标准明确化、重塑政府流程等,能够形成确定的决策环境,控制非理性因素,约束自由裁量权,并压缩权力寻租空间,从而可以从源头消除政策“黑箱”的形成土壤。广州市政府政策兑现改革过程中,通过“输入—转化—输出”的制度框架设计,形成了从政策制定到政策执行再到政策结果与评估的政策闭环,并对政策兑现的相关责任单位、流程和时限都进行了严格把控,进而实现对政策“黑箱”内部决策要素的控制。从政策“黑箱”本身入手,破解政策“黑箱”难题,实现政策的阳光承诺和给付,最终形成极具特色和借鉴意义的广州模式。     

化肝煎治疗难治性胃食管反流病临床观察

目的 观察化肝煎联合兰索拉唑治疗难治性胃食管反流病（gastroesophageal reflux disease,GERD）的临床疗效。方法 将66例难治性GERD患者随机分为治疗组和对照组,每组33例。对照组采用兰索拉唑口服,治疗组在对照组的基础上加化肝煎口服。观察两组治疗前、治疗4周后中医证候积分、胃食管反流病问卷（gastroesophageal reflux disease questionnaire,GERD-Q）积分的变化,并比较两组临床疗效。结果 与治疗前比较,两组患者治疗后中医证候积分、GERD-Q积分均显著减少（P＜0.05）;治疗组患者中医证候积分、GERD-Q积分减少程度均明显大于对照组（P＜0.05）。两组中医证候疗效比较,差异有统计学意义（P＜0.05）。结论 化肝煎联合兰索拉唑治疗难治性GERD疗效确切,不良反应少。     

性犯罪药物防治入刑的正当性及本土形塑

近年来,我国性犯罪出现的一些新情况令人堪忧,需要探索新的治理政策。有的国家采取性犯罪药物防治作为性犯罪的治理手段,值得借鉴。性犯罪药物防治是利用口服或者注射药物方式减少罪犯的雄激素、降低其性欲,达到控制性犯罪目的。有人认为这是残虐、不人道的,侵犯身体健康与性权利。而性犯罪药物防治相比起物理阉割更具人道主义精神,有利于保障基本人权,其尊重受者自由意志,具备一定的社会容忍度,执行方式高效经济。但此种手段需要加以本土化改造,需要规范法律术语,明确刑法性质与适用对象,细化执行程序。     

The innovation of E-commerce and enterprise＇s management mode

With the development of E-business and its special management mode, the traditional management mode of enterprises will be changed. This paper analyzes the deep influence of E-business to business administrative innovation concept from the modem enterprise perspective, and at the same time it puts forward the concrete thought train about the enterprise management.     

A health management research on the insured group who participate in medical insurance

Taking the insured group who participate in medical insurance as the main subject, Wendeng city carries out the health management and establishes health files for the insured. Through the free health checkup for the high-risk group, the targeted health interventions are conducted according to the physical examination results of those people, and relative health education has achieved satisfying effects. The health education in different western countries has been carried out for more than 20 years, which accumulates a wealth of experiences. However, health education in China has not yet gained sufficient attentions, and to develop the domestic health education becomes an imperative task at present.     

资源性国有资产之管理模式探讨

该文基于中国资源性国有资产管理的现状,提出在资源性国有资产管理模式选择上,应建立一个权威的统一的资源性国有资产管理机构,以克服政府的局限,解决代际公平的问题。同时,对资源性国有资产的管理应将直接手段与间接手段相结合,建立纵横交错、分工明确的资源性国有资产监督体制,健全资源管理方面的法律法规和评估市场,对资源性资产实行实物化管理,建立资源性国有资产开发、保护的基金制度等。     

Similarities and Differences in Victimization Risk Factors for Nonoffending and Offending Substance Users

In this cross-sectional study of substance users in Norway, the authors describe the patterns of victimization and investigate the factors associated with victimization, for nonoffenders and offenders separately. Recent victimization was reported by 59%, and the victimization rate was higher among offenders compared with nonoffenders (69% and 43%, p < .001). Women, regardless of offender status, experienced more victimization. Unstable housing was associated with victimization among nonoffenders, whereas markers for more severe substance use and indicators for poor mental health were associated with victimization in both groups. Addressing these factors may be important in reducing victimization and its negative outcomes among substance users.     

Trading in development: norms and institutions in the making/unmaking of European Union–African,Caribbean and Pacific trade and development cooperation

This paper offers a contribution to recent debates on European Union (EU) external trade and development policy, with a specific focus on the African, Caribbean and Pacific (ACP) group of countries. The question asked is why the EU encountered such difficulties in the attempt to translate its normative preferences for freer trade and closer economic integration into a series of binding agreements? Drawing on both economic constructivist and historical institutionalist insights, it is argued that the case for reform initially rested on a strong convergence between institutions and ideas, enabling the EU to discursively present desired policy reforms as necessary to satisfy World Trade Organisation trade rules. However, in due course, the institutional dynamics behind the latter began to diverge from the EU's policy preferences and blunt its norm-based argument – thus creating the space for transnational coalitions to, first, question and, ultimately, undermine aspects the EU's trade and development prospectus for the ACP.