Maternal mortality in Slovenia: Case report and the method of identifying pregnancy-associated deaths

We report on the case of fatal intracerebral haemorrhage that followed the development of severe preeclampsia/eclampsia with haemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome in a 22-year-old primipara. Peculiarities of the reported case are abrupt onset of preeclampsia/eclampsia during the delivery, fulminant course of the disease, minimal changes in kidneys and signs of pre-existing accelerated arteriosclerosis. Since very few forensic pathologists have sufficient experience with such cases and the differential diagnosis may be difficult, we consider it necessary that in all maternal deaths the post-mortem examination is performed by a team of two forensic pathologists and the case further analysed in collaboration with expert obstetrician.Maternal deaths are rare in developed countries but extremely important, because they represent the “tip of the iceberg” of severe maternal and neonatal morbidity and because they reflect accessibility and quality of prenatal and obstetric care as well as the health status of reproductive-aged women. Unfortunately, they are often misclassified in death certificates which may lead to insufficient engagement in solving underlying problems. In Slovenia, the method of active search for pregnancy-associated deaths is used in order to enable accurate monitoring of maternal mortality and minimise underreporting. The method is based on the manual revision of death certificates and the computer-based linkage of Mortality Database with birth register and foetal deaths register and has proved to be highly efficient.     

浅谈县域经济发展与农村基层组织建设的关系

县城经济发展与农村基层组织建设的关系极为密切。一方面,县域经济快速、健康、全面发展需要农村基层组织的有力支持和社会保证;另一方面,农村基层组织要建设好、完善好必须依靠县域经济的大发展,为其提供物质力量和发展思路,在县域经济发展和农村基层组织建设问题上,必须重视研究各自的个性,特点及其发展规律,探索两者有序、健康、协调发展的正确方式、方法和道路.     

气虚血瘀证局灶性脑缺血再灌注大鼠血浆及脑组织cAMP、cGMP含量动态研究

目的:复制气虚血瘀证局灶性脑缺血再灌注动物模型,探索病证结合动物模型环腺苷酸(cAMP)和环鸟苷酸(cGMP)含量的动态变化特点. 方法:选用Wistar大鼠,采用饥饿、疲劳、寒湿、惊恐、高脂饮食等多因素复合方法复制气虚血瘀证动物模型,采用线栓法阻塞大鼠大脑中动脉复制局部脑缺血再灌注动物模型,缺血2 h分别再灌注1,3,7 d,观察缺血侧额顶叶皮质、海马脑组织及血浆cAMP、cGMP含量变化.结果:模型鼠缺血再灌注后,血浆和脑组织cAMP含量均显著升高,cGMP含量均明显下降,血浆cAMP以3 d最高, 脑组织、血浆cGMP和脑组织cAMP以1 d最低. 结论:气虚血瘀证局灶性脑缺血再灌注病证结合动物模型,基本符合气虚血瘀证特点和现代医学脑缺血再灌注后环核苷酸变化规律.     

Morphometrical investigations into alterations of the wall thickness of small pulmonary arteries after birth and in cases of sudden infant death syndrome (SIDS)

In 1973 Naeye was the first to demonstrate that, in cases of SIDS, the small pulmonary arteries have more smooth muscle than in controls and suggested that this is a consequence of chronic alveolar hypoxia. Seventy-five cases have been investigated morphometrically in order to obtain quantitative data on the alterations of wall thickness of the small pulmonary arteries after birth and in cases of SIDS. The investigations comprise seven cases of stillbirth, 19 cases of newborn, 33 cases of SIDS and 16 controls. In each case the thickness of the media, the external diameter of the artery and the media area have been measured planimetrically for 90 arteries ranging between 50 μm and 500 μm. A media index was calculated as the ratio of the thickness of the media to the diameter of the artery. Using this index a thickening of the media of the small pulmonary arteries, corresponding to the situation in fetal and neonatal life, has been confirmed for cases of SIDS. The normal postnatal changes in the small pulmonary arteries, media thinning and enlargement of the lumen, could not be observed in SIDS cases in the first year of life.     

云南省中小学毒品预防教育现状及对策研究

目前 ,云南省中小学毒品预防教育虽取得了一些成绩 ,并积累了一定经验。但存在着在校学生吸毒人数少 ,离校学生吸毒人数多等问题。原因 :1、对学校毒品预防教育的重要性认识不足 ;2、缺乏专门人员和专项经费 ;3、受毒品和社会客观环境因素的制约。建议 :1、进一步提高认识 ,切实加强领导工作 ;2、提供专任教师和专项经费 ;3、保证学校毒品预防教育的课堂教学时间……     

再探我国刑法中的转化犯

转化犯是刑法学界研究的热点之一 ,并存在很多争议。文章认为 ,转化犯是指在行为人实施的已构成某一故意犯罪 (本罪 )的基本行为的同时或者非法状态持续过程中 ,由于特定行为或结果的出现 ,使基本行为与特定行为或结果的结合该当另一较重的故意犯罪 (转化罪 )的构成要件 ,依法律规定以转化罪定罪处罚的犯罪形态。     

如何消除宗族势力对我国农村基层党建的影响

当前复兴的宗族势力对我国农村的基层党建已造成严重影响,主要表现在宗族意识对党员干部的影响、宗族组织向党组织的渗透、宗族利益同党的方针政策的对抗、宗族权力对党的领导的威胁四个方面,而且,这种影响有进一步恶化的趋势。文章认为对宗族势力应采取“有保有压”的方法,从而最大限度地减少它对农村基层党建的影响,为党的农村基层建设提供有利的环境。     

首要标准下监狱企业转型升级的思考

发展是永恒的话题。在服务“首要标准”的方针指引下，对监狱企业实行转型升级，实现监狱生产的可持续健康发展，是一个重要的理论课题。当前，我国监狱企业面临诸多困境，深度解读“首要标准”和“转型升级”，有助于科学认识监狱生产的发展规律，推动监狱和监狱生产工作实现良性循环发展。     

外显与内隐：台湾中小学人文教育的实践解读——以“九年一贯课程纲要”及教科书为中心

2000年以来台湾中小学实施的“国民教育阶段九年一贯课程总纲纲要”及教科书改革使得人文教育的主流理念与价值观念发生了很大变化。内涵的包容性和外延的宽泛性成为新时期人文教育的基本特点。同时，人文教育在教化情结上还呈现出“台湾主体意识”与“大中国意识”不断拉锯角力、价值取向上单一本位和多元本位交错叠加、课程设计上综合统整与实践体验相互融合等特质。如何解决和摒弃台湾中小学人文教育中的问题和非理性元素，真正建立起主体独立、价值超功利的人文教育体系，是台湾当局亟需解决的问题。     

创建生态式环境——幼小衔接新探

由于幼儿园与小学之间存在诸多差异,儿童在从幼儿园向小学过渡时会出现一定程度的不适应性,这种不适应性和幼小衔接工作中出现的问题都是由于环境中存在着某种缺失,笔者主张创建一种生态式环境,让儿童周围的教育资源充分发挥作用,以整体的力量弥补部分的缺失,以达到促进幼小衔接。