AIMTo evaluate the clinical findings of toxic keratopathy associated with abuse of topical anesthetics and the treatment efficacy of amniotic membrane transplantation (AMT).METHODSFifteen eyes of 10 patients with abus...AIMTo evaluate the clinical findings of toxic keratopathy associated with abuse of topical anesthetics and the treatment efficacy of amniotic membrane transplantation (AMT).METHODSFifteen eyes of 10 patients with abuse of topical anesthetics were included in this study. The data collected included patients' demographic information, initial best corrected visual acuity (BCVA), clinical findings, time to AMT, duration of epithelization, additional treatments, posttreatment BCVA, and the results of psychiatric examination.RESULTSAll patients were male, with the mean age of 37.9±5.4y. The patients had received 0.5% proparacaine hydrochloride due to pain resulting from foreign bodies, such as welding flash burns and car battery explosions, for a mean of 18.2±12.4d. The mean initial BCVA of the patients was 0.069±0.100. All patients had persistent epithelial defects, stromal infiltration, ring ulcer, and corneal edema. Initially, medical treatment was attempted in all cases. Because of severe pain, persistent epithelial defects and progressing stromal thinning did not improve with medical treatment, thus, the patients underwent AMT. The mean posttreatment BCVA of the patients was 0.33±0.27. All of them, except for two patients, showed improved visual acuity. One patient underwent evisceration for corneal melting and endophthalmitis in another center, and one patient underwent evisceration for severe pain of unknown origin. All 5 patients who consented to a psychiatric examination had depression, had personality disorder, and used tobacco.CONCLUSIONAMT appears to be an effective method for pain relief, rapid epithelial and stromal healing; however, visual prognosis is still poor despite medical and surgical interventions.展开更多
The Whaling in the Antarctic Case (Australia v. Japan: New Zealand intervening) decided by the International Court of Justice (hereinafter "ICJ" or "the Court") on 31 March 2014 dealt with the inte...The Whaling in the Antarctic Case (Australia v. Japan: New Zealand intervening) decided by the International Court of Justice (hereinafter "ICJ" or "the Court") on 31 March 2014 dealt with the interpretation of specific provisions of the 1946 International Convention for the Regulation of Whaling (ICRW), in particular Article VIII.1, and its complementary instruments, i.e., the Schedule and the Annexes of the International Whaling Commission Scientific Committee. The decision of the Court was a remarkable good one. However, its rigorous reasoning focused almost exclusively on the required purpose of "scientific research" of the JARPA II Programme1 permits as set out in the ICRW, approaching the convention as an autonomous self-contained regime which leaves aside other additional grounds. Nonetheless, it would be beneficial for further jurisdictional developments to strengthen the scope of the ICWR system with the applicable provisions of the United Nations Convention on the Law of the Sea (UNCLOS) and other treaties and institutions impinging on whales and whaling, e.g., CITES, Bonn Convention, Antarctic Treaty System, among others. The query remains concerning the unexplored sources of international law ruling Antarctic spaces and species which are absent in the judgment of the Court but may allow an evolutive interpretation of the ICRW.展开更多
The credibility of children’s statements of sexual abuse is a controversial issue in forensic psychiatry and psychology.Neurobiological and clinical laboratory studies show that real memories contain more information...The credibility of children’s statements of sexual abuse is a controversial issue in forensic psychiatry and psychology.Neurobiological and clinical laboratory studies show that real memories contain more information regarding sensory details than false memories.The goal of the present field study was to evaluate whether sensory information was present in child-ren’s statements of sexual abuse,and whether this information was more often present in credible statements compared with non-credible statements.Sensory details were extracted from a sample of 96 statements of sexual abuse from children;62 statements were consi-dered credible and 34 statements were considered non-credible.This study showed that sensory information was present in 79% of children’s reports of child sexual abuse.Sensory information was significantly more often present in statements considered credible com-pared with non-credible statements(85.5%,P<0.001),but there were large variations in the sense involved.Logistic regression analysis showed that the presence of at least one sensory detail may be a good predictor of credibility(odds ratio,OR=23.484,P<0.05).It seems appropriate to include sensory details when assessing the credibility of children’s statements of child sexual abuse,but it has not yet been demonstrated that use of such details signifi-cantly improves the validity of credibility assessments.展开更多
Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency ...Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency decormpressive craniotormy in a patient with EA. Anesthesiologists should pay special attention to the complications and anesthetic management during the non-cardiac surgeries performed in EA patients.hile papers regarding Ebstein＇s anomaly （EA）patients receiving open-heart tricuspid valve replacement are numerous, the reports of non-cardiac emergency surgeries have not been to the same degree.We report a case of emergency decompressive craniotomy in a patient with EA. This case report describes the symptoms and anesthetic management during the surgery.展开更多
911事件给美国留下了什么?给美国民众的心理投下了怎样的阴影?本文作了有说服力的披露:more Americans to seek treatment for drug andalcohol abuse!此言暗示读者,美国吸毒酗酒者在911之后人数有增无减,具体的数字是:10％to 12％!但是...911事件给美国留下了什么?给美国民众的心理投下了怎样的阴影?本文作了有说服力的披露:more Americans to seek treatment for drug andalcohol abuse!此言暗示读者,美国吸毒酗酒者在911之后人数有增无减,具体的数字是:10％to 12％!但是,这个数字仍将上升,因为:1995年美国俄克拉荷马城发生了一恶性爆炸事件: Timothy McVeigh was executed for setting off a powerful truck bomb in front of the Alfred P. Murrah federal office building in Oklahoma City, killing 168 people. 结果是该城experienced a dramatic increase in the need for treatment services!】展开更多
The spectrum user’s librarys containing 1533 familiar toxicants have been built; A method with high separability and sensitivity has been found,The RT and the detection limit of 210 familiar abuse drugs has been conf...The spectrum user’s librarys containing 1533 familiar toxicants have been built; A method with high separability and sensitivity has been found,The RT and the detection limit of 210 familiar abuse drugs has been confirmed; the processing methods to analyse spectrum data automatically have been found; It is simple,quick,sensitive and reliable,and can take place of manual operation,It is very useful to screen the familiar toxicants in unkown sample.展开更多
文摘AIMTo evaluate the clinical findings of toxic keratopathy associated with abuse of topical anesthetics and the treatment efficacy of amniotic membrane transplantation (AMT).METHODSFifteen eyes of 10 patients with abuse of topical anesthetics were included in this study. The data collected included patients' demographic information, initial best corrected visual acuity (BCVA), clinical findings, time to AMT, duration of epithelization, additional treatments, posttreatment BCVA, and the results of psychiatric examination.RESULTSAll patients were male, with the mean age of 37.9±5.4y. The patients had received 0.5% proparacaine hydrochloride due to pain resulting from foreign bodies, such as welding flash burns and car battery explosions, for a mean of 18.2±12.4d. The mean initial BCVA of the patients was 0.069±0.100. All patients had persistent epithelial defects, stromal infiltration, ring ulcer, and corneal edema. Initially, medical treatment was attempted in all cases. Because of severe pain, persistent epithelial defects and progressing stromal thinning did not improve with medical treatment, thus, the patients underwent AMT. The mean posttreatment BCVA of the patients was 0.33±0.27. All of them, except for two patients, showed improved visual acuity. One patient underwent evisceration for corneal melting and endophthalmitis in another center, and one patient underwent evisceration for severe pain of unknown origin. All 5 patients who consented to a psychiatric examination had depression, had personality disorder, and used tobacco.CONCLUSIONAMT appears to be an effective method for pain relief, rapid epithelial and stromal healing; however, visual prognosis is still poor despite medical and surgical interventions.
文摘The Whaling in the Antarctic Case (Australia v. Japan: New Zealand intervening) decided by the International Court of Justice (hereinafter "ICJ" or "the Court") on 31 March 2014 dealt with the interpretation of specific provisions of the 1946 International Convention for the Regulation of Whaling (ICRW), in particular Article VIII.1, and its complementary instruments, i.e., the Schedule and the Annexes of the International Whaling Commission Scientific Committee. The decision of the Court was a remarkable good one. However, its rigorous reasoning focused almost exclusively on the required purpose of "scientific research" of the JARPA II Programme1 permits as set out in the ICRW, approaching the convention as an autonomous self-contained regime which leaves aside other additional grounds. Nonetheless, it would be beneficial for further jurisdictional developments to strengthen the scope of the ICWR system with the applicable provisions of the United Nations Convention on the Law of the Sea (UNCLOS) and other treaties and institutions impinging on whales and whaling, e.g., CITES, Bonn Convention, Antarctic Treaty System, among others. The query remains concerning the unexplored sources of international law ruling Antarctic spaces and species which are absent in the judgment of the Court but may allow an evolutive interpretation of the ICRW.
文摘The credibility of children’s statements of sexual abuse is a controversial issue in forensic psychiatry and psychology.Neurobiological and clinical laboratory studies show that real memories contain more information regarding sensory details than false memories.The goal of the present field study was to evaluate whether sensory information was present in child-ren’s statements of sexual abuse,and whether this information was more often present in credible statements compared with non-credible statements.Sensory details were extracted from a sample of 96 statements of sexual abuse from children;62 statements were consi-dered credible and 34 statements were considered non-credible.This study showed that sensory information was present in 79% of children’s reports of child sexual abuse.Sensory information was significantly more often present in statements considered credible com-pared with non-credible statements(85.5%,P<0.001),but there were large variations in the sense involved.Logistic regression analysis showed that the presence of at least one sensory detail may be a good predictor of credibility(odds ratio,OR=23.484,P<0.05).It seems appropriate to include sensory details when assessing the credibility of children’s statements of child sexual abuse,but it has not yet been demonstrated that use of such details signifi-cantly improves the validity of credibility assessments.
文摘Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency decormpressive craniotormy in a patient with EA. Anesthesiologists should pay special attention to the complications and anesthetic management during the non-cardiac surgeries performed in EA patients.hile papers regarding Ebstein＇s anomaly （EA）patients receiving open-heart tricuspid valve replacement are numerous, the reports of non-cardiac emergency surgeries have not been to the same degree.We report a case of emergency decompressive craniotomy in a patient with EA. This case report describes the symptoms and anesthetic management during the surgery.
文摘911事件给美国留下了什么?给美国民众的心理投下了怎样的阴影?本文作了有说服力的披露:more Americans to seek treatment for drug andalcohol abuse!此言暗示读者,美国吸毒酗酒者在911之后人数有增无减,具体的数字是:10％to 12％!但是,这个数字仍将上升,因为:1995年美国俄克拉荷马城发生了一恶性爆炸事件: Timothy McVeigh was executed for setting off a powerful truck bomb in front of the Alfred P. Murrah federal office building in Oklahoma City, killing 168 people. 结果是该城experienced a dramatic increase in the need for treatment services!】
文摘The spectrum user’s librarys containing 1533 familiar toxicants have been built; A method with high separability and sensitivity has been found,The RT and the detection limit of 210 familiar abuse drugs has been confirmed; the processing methods to analyse spectrum data automatically have been found; It is simple,quick,sensitive and reliable,and can take place of manual operation,It is very useful to screen the familiar toxicants in unkown sample.
