原因不明性不孕症中医证候分析

目的 探讨原因不明性不孕症的中医证候特点,为中药治疗原因不明性不孕症提供辨证依据.方法 根据不孕症诊断标准,将219例不孕症患者分为研究组(原因不明性不孕症)108例和对照组(配偶不育症导致的不孕症)111例,分析并比较两组中医证候分布特征,采用二项分类Logistic回归分析原因不明性不孕症的危险证候,以及中医证候与...     

Child Abuse-Related Homicides in New Mexico: A 6-year Retrospective Review

Abstract:  We retrospectively reviewed autopsy records at a statewide medical examiner's office in order to identify and characterize deaths due to child abuse. In a 6-year period in New Mexico, the medical examiner investigated 45 deaths determined to be child abuse-related. Decedents were predominantly male (68.9%), Hispanic White (53.3%), and all were 5 years of age or younger, with a median age of 1 year. Head injuries were the most common cause of death (44.4%), followed by battered baby syndrome (15.6%). Relatives were involved as alleged perpetrators in 80% of the cases, with the father most often implicated (36.1% of cases), and 88.9% of child abuse injuries resulting in death occurred in the family's residence. Toxicology was positive in 26.7% of cases, but only two cases had substances of abuse present. Information on risk factors such as prematurity, parental age, and history of abuse was also collected.     

猪繁殖与呼吸综合征病毒重组质粒pEGFP-NSP9的构建与表达

为验证siRNAs对猪繁殖与呼吸综合征病毒复制的抑制效果,构建了猪繁殖与呼吸综合征病毒NSP9基因与增强型绿色荧光蛋白基因GFP的融合表达质粒,并在Marc145细胞中进行了表达。通过RT-PCR方法扩增猪繁殖与呼吸综合征病毒NSP9基因,将其克隆入表达载体pEGFP-N1,并进行双酶切、PCR及测序鉴定。将阳性重组质粒转染Marc145细胞,检测绿色荧光蛋白的表达和NSP9基因转录水平。结果显示,经双酶切及PCR鉴定,目的基因的大小与预期相符。荧光显微镜和流式细胞仪均检测到细胞内绿色荧光蛋白的表达,荧光定量PCR检测到细胞内有NSP9基因的转录。本研究成功构建的猪繁殖与呼吸综合征病毒NSP9基因GFP融合表达质粒,为在细胞水平快速筛选有效的siRNAs提供了工具。     

The legal geographies of transnational cyber-prosecutions: extradition,human rights and forum shifting

This article describes legal and human rights issues in three cases of transnational online offending involving extradition requests by the United States (US). These cases were selected as all suspects claimed the negative impacts of autism spectrum disorders (ASDs) were sufficient to deny extradition on human rights grounds. We demonstrate how recent developments in UK and Irish extradition law raise human rights and prosecutorial challenges specific to online offending that are not met by established protections under domestic and internationally sanctioned approaches to extradition or human rights law. In these cases, although the allegedly unlawful conduct occurred exclusively online and concurrent jurisdiction enables prosecution at both the source and location of harm, we demonstrate why national courts hearing extradition challenges are extremely reluctant to shift the trial forum. We conclude by discussing the implications of the new geographies of online offending for future criminological research and transnational criminal justice.     

肺气虚证与肺阳虚证大鼠血气分析及血液流变学比较

目的 探讨血气分析及血液流变学在肺气虚证和肺阳虚证大鼠中的变化及其作用.方法 将雌雄Wistar大鼠30只随机分为对照组、肺气虚组、肺阳虚组,其中肺气虚证组模型单纯烟熏(香烟、锯末,0.5 h/d),肺阳虚证组采用烟熏和寒冷刺激(0～2 ℃,每次2 h,每日2次),以上各组连续处理7周后取大鼠腹主动脉血,进行血气分析和...     

Teaching Arts Management: Where Did We Lose the Core Ideas?

In light of the need to start clearing the methodological confusion in the field of arts management, this article provides a critical overview of the teaching curricula in the field. Distinction is made between programs that copy directly from business management; programs that focus on the technological process of producing an artwork (usually run by practitioners); those that interlink cultural management and cultural policy (highlighting the role of public governance as a higher principle); and programs that focus on an entrepreneurial approach to arts management, connecting it to issues of creativity and innovation. The author calls for clear goals to educate administrators and arts or cultural managers. The suggestion is made to follow what I call the Janus syndrome: looking toward managerial and economic realities but primarily focusing on the arts—the aesthetic and the social aspects of the field. A question is raised about the position of art in arts management curricula, as well as the organization of undergraduate and postgraduate studies in the field.     

Are Peripapillary Intrascleral Hemorrhages Pathognomonic for Abusive Head Trauma?*

Abstract: The American Academy of Pediatrics’ Committee on Child Abuse and Neglect, Section on Ophthalmology, acknowledges that searching for retinal hemorrhages (RHs) in infants only in cases of suspected of abuse creates selection bias. However, they also recommend that postmortem eye removal might not be indicated “in children who have clearly died from witnessed severe accidental head trauma or otherwise readily diagnosed systemic medical conditions.” Although infrequently described in the child abuse literature, peripapillary intrascleral hemorrhages (bleeding in the sclera at the optic nerve insertion)—putatively from severe repetitive acceleration/deceleration forces with or without blunt head trauma—have been considered essentially pathognomonic for abusive head trauma (shaken baby syndrome). We present two neonates who sustained accidental, severe in utero head injuries and had associated extensive RHs and optic nerve sheath hemorrhages with peripapillary intrascleral hemorrhages detected at autopsy. Neither neonate had a documented clinical fundal examination in the intensive care unit.     

Foreign and Defence Policy on Australia's Political Agenda, 1962–2012

This paper explores the content of the Australian foreign and defence policy agenda over the past 50 years, finding evidence of both continuity and change. Australian political leaders have generally committed to cooperation with international institutions, wealth creation through engagement with Asian economies in particular, and security through the American alliance. In this period, changes in foreign policy approach either concerned marginal issues or were driven significantly by exogenous factors: by changes in the international environment or by global events that propelled a reconsideration of Australian foreign and defence policy interests. However, periods of policy change and significant public attention in – particular around the Vietnam and Iraq wars – illustrate the continued relevance of political choices and agency. Both conflicts and debates around them ushered in changing foreign and defence policy considerations, and both raised fundamental questions about Australian security and independence in the context of the American alliance.     

Walk and Die: An Unusual Presentation of Head Injury

Abstract:  We report three deaths in young adult males following closed blunt trauma to the head and face where the affected individuals were able to walk away from the incident, before subsequently collapsing and dying a short distance from the site of the assault. In each case, due to the rapidity of the posttrauma collapse, the pathologist was faced with a diagnostic difficulty at autopsy; the external examination revealed multiple injuries to the head and face, but internal examinations showed limited findings with no structural explanation for the death. We discuss possible mechanisms that could account for this scenario, the implications of alcohol consumption with a concussive head injury, and parallels that can be drawn with the so-called "talk and die,""talk and deteriorate," and "second impact syndrome." Finally, the possible role of so-called "postexercise peril" is discussed in relation to these deaths.     

脂肪栓塞综合征的法医学研究进展

脂肪栓塞综合征（fat embolism syndrome,FES）是一种较多见而又威胁生命的临床症候。多年来,FES一直是医学界,尤其是法医学及骨科学领域研究的难点。在法医学中,FES的鉴定因缺乏典型的症状、体征,极易发生误鉴或漏鉴。本文就FES的病因、发病机理、病理学、致死机制以及FES的最新法医学诊断研究进行了回顾。