产前超声检查医疗纠纷4例分析

通过选取4例经人民法院判决的因产前超声检查引发的医疗纠纷案例,探讨此类案件医疗过错、损害后果及其两者之间因果关系的判定原则。在判定医疗过错时应关注产前检查的规范性,正确看待医疗机构的差异性,并适当考虑时间性因素。此类医疗损害的后果一般均为使有发育缺陷的婴儿出生,医疗过错与损害后果因果关系的分析则不同于一般医疗纠纷案件,存在特殊性,需特别慎重。     

胎教与小说之关系探源

在古代,胎教与小说有着密切的关系.探究胎教与小说关系之源将有利于妇女优生优育的研究,有利于小说观念历史演变的研究,尤其是有利于弘扬中国优秀的传统文化.     

母血浆中胎儿游离核酸与无创性产前亲子鉴定

近年来,涉及胎儿亲权鉴定的案例逐渐增多。传统胎儿产前亲权鉴定常需有创性取样,故存在一定的风险。母血浆中胎儿游离核酸的发现,给无创性产前亲权鉴定带来了新的契机。本文主要就母血浆中胎儿游离核酸及其在无创性产前亲权鉴定中的应用价值和前景进行简要介绍。     

Complex Congenital Heart Malformation Including Transposition of the Great Vessels,Presenting as Sudden Unexplained Infant Death

Transposition of the great vessels (TGV) is a common congenital heart defect that is difficult to diagnose before birth. Antenatal diagnosis is associated with increased survival. Unusual features such as anomalous pulmonary artery origin may delay cyanosis, decreasing clinical suspicion. A three‐week old female infant who had never been cyanotic presented for forensic autopsy due to onset of unresponsiveness at home. History included risk factors for TGV and signs of heart enlargement that were not recognized during life. Cardiac pathology consultation identified D‐type TGV with additional rare anomalies. TGV may present as sudden unexplained infant death (SUID) for forensic autopsy if variant features prevent development of cyanosis. Cardiac pathology consultation is helpful in clarifying these features.     

THE REPRODUCTIVE AND PARENTAL RIGHTS OF INCARCERATED MOTHERS

Acknowledging the explosive growth in the number of incarcerated women in the United States, this Note critically examines the current treatment of mothers and expectant mothers in the U.S. prison system. This Note highlights the severe inadequacy of current prison policies and accompanying maltreatment of incarcerated women and their children, especially with regard to the frequent separation of mothers from their children and the poor health care available to expectant mothers. The damage inflicted by current prison policies must be comprehensively redressed through the creation of prison nursery programs, halfway houses, the provision of optimal prenatal care, and the elimination of the draconian practice of shackling pregnant women. Such reforms will not only benefit incarcerated women and their children, but will also deter recidivism and promote the welfare of the community at large.     

Developmental Markers in Adolescence: Implications for Studies of Pubertal Processes

There is inconsistency in the outcome measures of biological and psychosocial studies using measures of puberty as a predictor. For example, some studies show that maturational timing may have differential influences (positive, negative, or no effect) depending on the specific disorder, dimension of measure, and gender. Other studies have suggested that some effects may be more directly linked to pubertal stage or hormone concentrations rather than timing per se. This study outlines several conceptual and methodological issues that may be relevant to addressing these inconsistencies, in the context of examining data from a study of maturational hormones obtained from a unique longitudinal cohort of 24 girls (age 10.0 ± 1.6 years) and 36 boys (age 10.4 ± 1.6 years) in the early part of puberty, where the developmental trajectory of these hormones were tracked annually in 65% of the sample. We explored the contributions of measures of pubertal growth and sociodemographic factors on hormone concentrations. In brief, it appears that no single measure best captures the maturational processes during puberty and suggests that multiple processes are occurring in parallel. Several conceptual and methodological implications are discussed that may guide investigators in interpreting existing studies of pubertal timing and behavior as well as in conducting future studies.     

The testosterone/cortisol ratio moderates the proneness to anger expression in antisocial and borderline intimate partner violence perpetrators

Several studies have provided evidence that antisocial, borderline and narcissistic personality traits of intimate partner violence (IPV) perpetrators significantly increase proneness to violence. In addition, an imbalance between testosterone (T) and cortisol (C) levels has been observed in this population, making individuals prone to violence. We aimed to establish whether IPV perpetrators differ in personality traits, T/C ratio and anger expression from controls, and also to examine the moderating role of the T/C ratio in the relationship between personality traits and anger expression. The sample consisted of 16 IPV perpetrators and 20 controls. T/C ratio was obtained as the quotient between salivary T and C levels. Anger expression and personality traits were measured with STAXI-2 and MCMI-III, respectively. Our results indicate that IPV perpetrators have higher antisocial, borderline and narcissistic personality traits and anger expression than controls. Nonetheless, they did not differ in basal T/C ratio. Finally, only in IPV perpetrators there was a positive relationship between these variables, the T/C ratio playing a moderating role in the relationship of antisocial and borderline traits with anger expression. In IPV perpetrators the T/C ratio may explain why certain personality traits are associated with high risk of becoming violent.     

FETAL TESTOSTERONE AND CRIMINALITY: TEST OF EVOLUTIONARY NEUROANDROGENIC THEORY

Evolutionary neuroandrogenic (ENA) theory asserts that criminality is a crude form of competitive behavior over resources, status, and mating opportunities. Theoretically, males have been selected for resource acquisitiveness as a result of female preferences for mates who are successful at resource provisioning. ENA theory also asserts that brain exposure to both prenatal and postpubertal androgens (particularly testosterone) promotes all forms of competitiveness, including those that victimize others. The present study was undertaken to test ENA theory by correlating 14 self‐reported measures of offending with a biomarker for fetal testosterone exposure based on the ratio of the 2nd and 4th digits of the right hand (r2D:4D), in a nonrepresentative sample of 445. Both Spearman correlations and negative binomial regressions produced results that largely supported the hypothesized connection between offending and high prenatal androgen exposure, even when findings were analyzed separately by sex. Also, offending was significantly associated with r2D:4D for both males and females. Overall, this study supports the view that exposing the brain to high levels of testosterone and other androgens prenatally elevates the probability of offending later in life.     

“三孩政策”与中华优秀生育文化建构

中共中央、国务院提出“实施三孩生育政策及配套支持措施”，是我国进一步优生优育的重大 举措。本研究通过考察“三孩政策”的历史背景与现实依据，认为进一步优生优育的重大举措符合我国现阶段 人口和经济社会发展形势，是对中华传统生育文化的创造性转化和创新性发展。落实进一步优生优育的重大举措， 当务之急是完善“三孩政策”的保障机制，在全社会形成与社会主义核心价值观相一致的良好生育文化。     

REVISITING THE CRIMINOLOGICAL CONSEQUENCES OF EXPOSURE TO FETAL TESTOSTERONE: A META‐ANALYSIS OF THE 2D:4D DIGIT RATIO*

As criminology has become more interdisciplinary in recent years, biosocial criminology has earned a place at the table. Although this perspective comes in many forms, one important proposition has gained increasing attention: that the 2D:4D finger digit ratio—a purported physical biomarker for exposure to fetal testosterone—is related to criminal, aggressive, and risky/impulsive behavior. Strong claims in the literature have been made for this link even though the findings seem to be inconsistent. To establish the empirical status of this relationship, we subjected this body of work to a meta‐analysis. Our multilevel analyses of 660 effect size estimates drawn from 47 studies (14,244 individual cases) indicate a small overall effect size (mean r = .047). Moderator analyses indicate that this effect is rather “general” across methodological specifications—findings that are at odds with theoretical propositions that specify the importance of exposure to fetal testosterone in predicting criminal and analogous behavior later in life. We conclude with a call for exercising caution over embracing the findings from one or two studies and instead highlight the importance of systematically organizing the full body of literature on a topic before making decisions about what does, and what does not, predict criminal and analogous behavior.