法医学尸体检验职业防护指南(建议稿)

法医工作者的职业暴露风险极大,案件现场及尸体上的有毒有害物质、高致病性微生物以及利器、骨折等因素均可能给法医带来身心伤害甚至生命危险。随着经济社会发展,法医的工作环境已经较过去显著改善,但是针对个人防护的重视程度仍需提高。近年来公共卫生事件频发,给法医职业防护带来新的挑战,迫切需要借鉴生物安全领域的先进技术和防护理念,以满足新形势下法医工作的需要。本指南立足当前法医职业防护的实际需求,从暴露风险、防护分级、应急处置等角度阐述,希望能为制定法医职业防护相关标准提供参考,以指导法医工作者开展个人防护工作,为提升法医职业化水平和身心健康提供帮助。     

公安院校警体运动损伤现状调查

运动损伤是指在体育运动过程中发生的损伤,它与体育运动项目、运动技术动作、锻炼者的身体状况、场地设备等情况有着密切的关系。通过两所高校警体运动损伤现状调查分析,发现警体运动中重度伤主要是因学生参与运动比赛和课外锻炼而产生,中度伤则主要是擒敌课和运动比赛产生的;各类警体运动损伤发生的部位与运动项目的特点有着密切的联系;警体运动损伤类型以挫伤、擦伤、扭伤和拉伤为主。     

职工工伤与职业病致残程度鉴定计算机分析系统的研发

目的组织法医学教授、计算机专家研发职工工伤与职业病致残程度鉴定计算机分析系统。方法基于windows平台;依据《劳动能力鉴定职工工伤与职业病致残等级分级》(GB/T 16180-2006)标准;应用Visual Basic 6.0编程。结果研发完成的职工工伤与职业病致残程度鉴定计算机分析系统对运行电脑系统的配置要求较低,安装过程简单,使用方便,界面美观,运行速度快,结论可靠,具有许多方便用户使用的特点。结论该分析系统使职工工伤与职业病致残程度鉴定结论的公正性、科学性、准确性和时效性得以充分保障,最大限度地减少鉴定结论的人为误差,适合在鉴定机构推广应用,并将对维护司法公正和提高司法鉴定效率起到积极作用。     

142例二轮摩托车驾乘人员损伤特征分析

目的分析二轮摩托车交通事故的现场特点和驾乘人员的损伤特征,为甄别摩托车驾乘人员提供信息。方法收集本区2005年至2014年142例二轮摩托车交通事故人员伤亡资料,包括事故经过、事故类型、现场特点、车辆特点、驾乘人员情况、损伤情况及死亡原因等相关资料,进行分析总结。结果二轮摩托车驾乘人员在各类型事故中的损伤部位和特征、出现率及严重程度有明显的区别,事故现场有规律性。结论通过现场与人体损伤特征的分析,可以甄别摩托车驾乘人员。     

椎弓崩裂与外伤伤病关系法医学鉴定26例分析

目的阐述椎弓崩裂与外伤之间伤病关系的法医学鉴定要点。方法收集26例椎弓崩裂案例,从年龄、伴随症状、治疗方式、致伤方式等方面讨论此类病例的特点。结果认定外伤与损伤后果之间存在一定因果关系的2例被鉴定人年龄均在50岁以下,致伤方式均为高能量损伤,且均伴有合并伤,2例患者均接受了手术治疗。结论应关注50岁以下中青年外伤后椎弓崩裂与外伤之间的伤病关系分析。对于选择手术治疗者,更需分析两者之间的伤病关系。     

职务型传染病防治犯罪的立法问题研究

我国当前关于职务型传染病防治犯罪的刑法立法严重滞后,难以满足有效治理职务型传染病防治犯罪的需要,存在主体范围狭窄、行为类型单一、处罚不协调、罪刑阶梯简单等问题,急需改进.在改进职务型传染病防治犯罪的刑法立法时,应当坚持刑法的明确性原则、法益保护优先原则、预防为主原则和协调性原则.在这些原则指导下,职务型传染病防治犯罪刑...     

因工患传染病职工工伤认定研究 ——基于对《工伤保险条例》中“事故伤害”的法释义学分析

对于所患传染病种类非属于《职业病分类和目录》的职工,由于法律未有明文规定,实务中就是否认定工伤问题存在争议,导致相关职工难以获得工伤保险的救济。《工伤保险条例》保障因工作遭受事故伤害或者患职业病的职工。而职业病由《职业病分类和目录》法定列举,法律解释空间极小;事故伤害为不确定的法律概念,存在相当的法律解释空间。法院对患传染病职工工伤认定纠纷案件的裁判,呈现出将职工患传染病纳入遭受事故伤害的思考路径。研究通过贯彻宪法规范和价值,结合工伤保险的目的与工伤认定的本质,并为了法律概念的统一使用和行政法律规范之间的冲突解决,运用法释义学的方法,强化论证了传染病可被纳入事故伤害的解释范畴,从而化解因工患传染病职工认定工伤无法可依的困境。     

Sharp Force Homicide in Denmark 1992–2016

Sharp force trauma is a common homicide method. The weapon is typically a knife, which is easily accessible and does not require special skills. We have analyzed all 471 sharp force homicides in Denmark during 1992–2016 with special focus on aspects that are relevant to forensic pathologists, including the distribution of wounds and organ injuries. Most homicides were committed inside with a kitchen knife. The front left thorax was the most common area to be affected by sharp force trauma. In 18.9% of the victims, there was only one sharp injury, the majority on the thorax. The most common trajectory for stab wounds was directly posterior with no deviation to the sides or up/down followed by directly anterior. The heart (including pericardium) and lungs (including hemo- and pneumothorax) had injuries in more than 75% of the victims. 67% of victims were males. Female victims had more sharp force injuries and defense wounds than male victims. Most females were killed in domestic homicides (73.7%), most commonly in partner killings (56.4%). In contrast, many male victims were killed in a setting of nightlife/intoxication (34.0%) most by a friend/acquaintance delivering a few stab wounds. The results clearly show strong sex differences in both victims and offenders. This could be useful for shaping policies and public opinion, and as a route for understanding the developments in interpersonal violence. In the narrow setting of death investigation, our results will provide an evidence-based approach to understanding the injury patterns in sharp force homicide.     

The role of universities in the promotion of worker protection: UCLA labor occupational health and safety program as a model for countries with developing economies

ABSTRACT

Protection of the workers’ health in countries with developing economies is increasingly important because of the adverse effects of globalization, along with changing industrial relations, the rise of precarious work and outsourcing, and the decline in unionization. In this study, I examine whether the institutes created by universities might serve as an interface between workers, academia, and state agencies, and provide assistance for both improving workplace conditions and enforcing occupational health and safety rules. I describe the history of one such effort: The Labor Occupational Safety and Health Program (LOSH) at the University of California, Los Angeles (UCLA). Using a review of written sources along with participatory observation and interviews as methods, I found that the challenges faced by LOSH historically have important parallels in countries with developing economies today. Ultimately, university-based occupational health programs like LOSH need to be followed in other parts of the world and be supported by governments if the mission to reduce workplace injuries and diseases is going to be realized in the United States and in other countries.