In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is...In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is put on analyses of the status of medical tangle autopsy in forensic pathology, involved medical departments , distribution of victim's age and sex , differences between clinical diagnosis and autoptical conclusion, the composition and causes of medical tangle. The associated problems in forensic pathological autopsy are also discussed.展开更多
Background: The status of inquisition by the nursing students shall be determined as it will be utilized as a tool to measure their clinical performance expertise as future nursing practitioners. The element of scient...Background: The status of inquisition by the nursing students shall be determined as it will be utilized as a tool to measure their clinical performance expertise as future nursing practitioners. The element of scientific inquiry is essential in providing standard fillers to give meaning to the various practical nursing gaps in the actual field, the hospital ward to be specific. Objective: This research study aims to establish the level of scientific inquiry and clinical performance of undergraduate Arab nursing students. Methods: The researcher utilized descriptive-correlational study as the research design. This is a descriptive study because it describes the level of scientific inquiry and level of clinical performance of the undergraduate Arab nursing students. Results: The finding of the study is that “the majority of the Arab student nurses demonstrate a guided inquiry in their scientific inquiry level”. Most of the Arab student nurses demonstrate a guided inquiry (?= 2.74, SD ± 0.99) in terms of their level of scientific inquiry. Largely, the Arab student nurses have proficient level in their level of clinical performance (?= 87.32, SD ± 12.36). Regression analysis revealed a no significant relationship (r2 = 0.57;adjusted r2 = 0.57;p > 0.005) between the level of scientific inquiry and clinical performance among Arab student nurses. Conclusions: The study concluded that the majority of the Arab student nurses demonstrated a guided inquiry in their scientific inquiry level and a moderately proficient level of clinical performance. Furthermore, the study concluded that the level of scientific inquiry was not significantly related to clinical performance.展开更多
In this study, the authors describe the profile of people seen in criminal psychiatric expertise in northern Benin and their results. It covered the 138 psychiatric assessments carried out as part of criminal proceedi...In this study, the authors describe the profile of people seen in criminal psychiatric expertise in northern Benin and their results. It covered the 138 psychiatric assessments carried out as part of criminal proceedings in the years 2017 and 2018. Expertises were on men in 94.9% of the cases. They were over 30 years old in 66.2% of cases. They were prosecuted for blood crimes in 89.5% of cases. The defendants were in detention at the time of the expert in 87.5% of cases. Psychiatric experts diagnosed a psychiatric disorder in 22.8% of cases. There was a relationship between the identified psychiatric disorder and the offense that motivated the charge in 25.8% of the mental disorder cases. It was exclusively cases of psychotic disorders. There was an abolition of discernment in 3.8% of the accused.展开更多
The development of the medicinal trade and markets in late imperial China increased anxiety among scholarly physicians about the authenticity of medicines.Even though the market was typically depicted by scholarly phy...The development of the medicinal trade and markets in late imperial China increased anxiety among scholarly physicians about the authenticity of medicines.Even though the market was typically depicted by scholarly physicians as a place full of tricks and deceptions,it was a repertoire where practical knowledge about authentication was created and circulated.The specialized knowledge was mainly transmitted through oral tradition.But in some instances,it was also written down by scholarly physicians or merchants,allowing us to reconstruct the techniques and their underlying rationales.Authentication of medicines mobilized multiple sensory perceptions of the human body,consisting of observing,tasting,smelling,touching,and performing small tests.All these techniques played different roles in the practice of authentication.Even though these sensory techniques seemed like a collection of trivial and practical records without any coherent rationales,an underlying episteme could be detected through a close investigation.Merchants and practitioners in the market did not understand the nature and materiality of medicines by any established theories.Instead,they actively engaged with the tangible form of medicines through the senses and bodily techniques.This sensory form of knowing indicates a type of practical expertise that is distant from the scholarly tradition of materia medica in late imperial China.展开更多
BACKGROUND Needle-knife fistulotomy(NKF)is used as a rescue technique for difficult cannulation.However,the data are limited regarding the use of NKF for primary biliary cannulation,especially when performed by beginn...BACKGROUND Needle-knife fistulotomy(NKF)is used as a rescue technique for difficult cannulation.However,the data are limited regarding the use of NKF for primary biliary cannulation,especially when performed by beginners.AIM To assess the effectiveness and safety of primary NKF for biliary cannulation,and the role of the endoscopist’s expertise level(beginner vs expert).METHODS We retrospectively evaluated the records of 542 patients with naïve prominent bulging papilla and no history of pancreatitis,who underwent bile duct cannulation at a tertiary referral center.The patients were categorized according to the endoscopist’s expertise level and the technique used for bile duct cannulation.We assessed the rates of successful cannulation and adverse events.RESULTS The baseline characteristics did not differ between the experienced and lessexperienced endoscopists.The incidence rate of post-endoscopic retrograde cholangiopancreatography(ERCP)pancreatitis(PEP)was significantly affected by the endoscopist’s expertise level in patients who received conventional cannulation with sphincterotomy(8.9%vs 3.4%for beginner vs expert,P=0.039),but not in those who received NKF.In the multivariable analysis,a lower expertise level of the biliary endoscopist(P=0.037)and longer total procedure time(P=0.026)were significant risk factor of PEP in patients who received conventional cannulation with sphincterotomy but only total procedure time(P=0.004)was significant risk factor of PEP in those who received NKF.CONCLUSION Primary NKF was effective and safe in patients with prominent and bulging ampulla,even when performed by less-experienced endoscopist.We need to confirm which level of endoscopist’s experience is needed for primary NKF through prospective randomized study.展开更多
The analytic method, part of the epistemonic method, provides us with a way to cope with perplexed cases, without even referring to the world out there. We are able to predict all possible variations of consent, and g...The analytic method, part of the epistemonic method, provides us with a way to cope with perplexed cases, without even referring to the world out there. We are able to predict all possible variations of consent, and go on forming minimum logical quadripoles, 8-poles, 16-poles, etc., before even trying to make any connection to the world. This way, there are two major outcomes: All possible scenarios are predicted, and, because of that, our "logical generator" produces scenarios we couldn't even think of. Consent is, therefore, neither binary (existence or absence), nor just a continuum from existence to absence, but a cladistic tree stemming from the basic quadripole "existence of consent/not existence of consent/absence of consent/not absence of consent." The complexity increases rapidly when other terms are included; try: "existence of informed consent" or "existence of unintentional consent." More levels develop as we examine relevant terms, such as "exposure," "protection," or "consumption." In our case-study, we shall examine how different aspects of consent are expressed regarding the issue of performance enhancement and consider some implications for the notion of expertise within an SEA (Science of Exceptional Achievement) context. Many different terms may describe the most common situations, namely, "uniformed consent," "unintentional consent," "non-intentional consent," "not absence of consent," and also, "unintentional exposure," "intentional non-protection," and so on. In Greek language, the possible variations are even more (there are two kinds of negation in Greek). All the aforementioned terms have different ethical consequences. We shall also examine whether doping is an inherent part of expertise attainment.展开更多
Prior studies commonly use an auditor's market share in an industry as a proxy for auditor industry expertise and find that audit quality is positively related to an audit partner's within-industry market share in a...Prior studies commonly use an auditor's market share in an industry as a proxy for auditor industry expertise and find that audit quality is positively related to an audit partner's within-industry market share in a voluntary audit partner rotation regime where the length of the client-partner relationship is not limited. Mandatory audit partner rotation, however, limits the length of the client-partner relationship and can artificially increase or decrease the market shares of incoming and departing partners, thus making the audit partner's within-industry market share an unreliable proxy for auditor industry expertise. Using a sample of banks in Taiwan, we find that audit quality is positively related to an audit partner's within-industry market share in the voluntary audit partner rotation regime. However, such a positive relation disappears in the mandatory audit partner rotation regime. Thus, we conclude that mandatory audit partner rotation decouples the link between an audit partner's within-industry market share and auditor industry expertise and caution researchers against using an audit partner's within-industry market share as a proxy for auditor industry expertise in a mandatory audit partner rotation regime.展开更多
The Article 23 in the Universal Declaration of Human Rights mentions that all work must have a fair and favorable remuneration. However, in Brazil, the State uses the free legal aid as a way of minimizing the social a...The Article 23 in the Universal Declaration of Human Rights mentions that all work must have a fair and favorable remuneration. However, in Brazil, the State uses the free legal aid as a way of minimizing the social and economic inequality, making it possible for the needy to have access to justice. Through the free legal aid, the litigant is exempted from payment of fees and legal expenses and court, thus, transferring the burden of work to professionals who assist in the judicial process. So, the magistrate can appoint an expert accountant to assist him in the trial of the legal question when the proof requires accounting knowledge. In this way, this article discusses the accounting expertise that is free of charge from the perception of expert accountants. The authors had applied questionnaires in August and September in 2008, and obtained 131 responses and 2,859 data. From this research, the authors observed that the majority of respondents when solicited to work with the possibility of non-payment attended the demand, and believed that this would contribute to society and assist the magistrate.展开更多
This article firstly outlines both nature of expertise and characteristics of expert performances. Then, it provides some relevant implications for teaching. Finally, a specific focus is given to the means of developi...This article firstly outlines both nature of expertise and characteristics of expert performances. Then, it provides some relevant implications for teaching. Finally, a specific focus is given to the means of developing expertise in EFL teaching.展开更多
Crisscrossing rivers,coastal scenery,cashew nuts and warmhearted people-all these metaphors can be used to describe Mozambique.In June 1975,China established diplomatic relations with Mozambique,which have developed i...Crisscrossing rivers,coastal scenery,cashew nuts and warmhearted people-all these metaphors can be used to describe Mozambique.In June 1975,China established diplomatic relations with Mozambique,which have developed in an all-round way over the past decades.The Maputo Bridge.展开更多
An Expertise Management ontology (EMont) is presented with which human expertise is captured. EMont aims at describing and collectively finding improvements for complex situations in which people interact with often c...An Expertise Management ontology (EMont) is presented with which human expertise is captured. EMont aims at describing and collectively finding improvements for complex situations in which people interact with often conflicting worldviews in order to achieve goals, shared or not. EMont is rooted in systems thinking, in particular Soft Systems Methodology, to be able to accommodate stakeholders’ worldviews and activities in complex situations. Its purpose is to model human activity systems, which is illustrated with the help of a complex situation. EMont forms the heart of the Expertise Management Methodology (EMM). This methodology can be regarded as a framework to build bodies of knowledge for particular domains systematically. EMM favors a research process of abduction. By studying one or more situations, generalized models are developed that explain the observed phenomenon best. The models are then taken as a starting point to conduct additional studies. This cyclic process is repeated thereby strengthening the models. EMont has been applied in several, diverse domains such as flood protection, health care and community resilience, over a period of more than four years. In our experience, EMont is a stable ontology, well-suited to capture human activities and identify widely supported solutions for complex situations, and has proven its value in practice. EMont has been implemented in Semantic Media Wiki to publish bodies of knowledge on the web.展开更多
文摘In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is put on analyses of the status of medical tangle autopsy in forensic pathology, involved medical departments , distribution of victim's age and sex , differences between clinical diagnosis and autoptical conclusion, the composition and causes of medical tangle. The associated problems in forensic pathological autopsy are also discussed.
文摘Background: The status of inquisition by the nursing students shall be determined as it will be utilized as a tool to measure their clinical performance expertise as future nursing practitioners. The element of scientific inquiry is essential in providing standard fillers to give meaning to the various practical nursing gaps in the actual field, the hospital ward to be specific. Objective: This research study aims to establish the level of scientific inquiry and clinical performance of undergraduate Arab nursing students. Methods: The researcher utilized descriptive-correlational study as the research design. This is a descriptive study because it describes the level of scientific inquiry and level of clinical performance of the undergraduate Arab nursing students. Results: The finding of the study is that “the majority of the Arab student nurses demonstrate a guided inquiry in their scientific inquiry level”. Most of the Arab student nurses demonstrate a guided inquiry (?= 2.74, SD ± 0.99) in terms of their level of scientific inquiry. Largely, the Arab student nurses have proficient level in their level of clinical performance (?= 87.32, SD ± 12.36). Regression analysis revealed a no significant relationship (r2 = 0.57;adjusted r2 = 0.57;p > 0.005) between the level of scientific inquiry and clinical performance among Arab student nurses. Conclusions: The study concluded that the majority of the Arab student nurses demonstrated a guided inquiry in their scientific inquiry level and a moderately proficient level of clinical performance. Furthermore, the study concluded that the level of scientific inquiry was not significantly related to clinical performance.
文摘In this study, the authors describe the profile of people seen in criminal psychiatric expertise in northern Benin and their results. It covered the 138 psychiatric assessments carried out as part of criminal proceedings in the years 2017 and 2018. Expertises were on men in 94.9% of the cases. They were over 30 years old in 66.2% of cases. They were prosecuted for blood crimes in 89.5% of cases. The defendants were in detention at the time of the expert in 87.5% of cases. Psychiatric experts diagnosed a psychiatric disorder in 22.8% of cases. There was a relationship between the identified psychiatric disorder and the offense that motivated the charge in 25.8% of the mental disorder cases. It was exclusively cases of psychotic disorders. There was an abolition of discernment in 3.8% of the accused.
基金funded by the project“宋元以来中医知识的演变与现代中医的形成”(The Evolution of TCM Knowledge Since the Song and Yuan Dynasties and the Formation of Modern Chinese Medicine)supported by the National Social Science Fund of China)(No.18ZDA75)。
文摘The development of the medicinal trade and markets in late imperial China increased anxiety among scholarly physicians about the authenticity of medicines.Even though the market was typically depicted by scholarly physicians as a place full of tricks and deceptions,it was a repertoire where practical knowledge about authentication was created and circulated.The specialized knowledge was mainly transmitted through oral tradition.But in some instances,it was also written down by scholarly physicians or merchants,allowing us to reconstruct the techniques and their underlying rationales.Authentication of medicines mobilized multiple sensory perceptions of the human body,consisting of observing,tasting,smelling,touching,and performing small tests.All these techniques played different roles in the practice of authentication.Even though these sensory techniques seemed like a collection of trivial and practical records without any coherent rationales,an underlying episteme could be detected through a close investigation.Merchants and practitioners in the market did not understand the nature and materiality of medicines by any established theories.Instead,they actively engaged with the tangible form of medicines through the senses and bodily techniques.This sensory form of knowing indicates a type of practical expertise that is distant from the scholarly tradition of materia medica in late imperial China.
基金Korea Medical Device Development Fund Grant Funded by the Korea Government the Ministry of Trade,Industry and Energy(Project Number:9991007196),No.KMDF_PR_20200901_0066.
文摘BACKGROUND Needle-knife fistulotomy(NKF)is used as a rescue technique for difficult cannulation.However,the data are limited regarding the use of NKF for primary biliary cannulation,especially when performed by beginners.AIM To assess the effectiveness and safety of primary NKF for biliary cannulation,and the role of the endoscopist’s expertise level(beginner vs expert).METHODS We retrospectively evaluated the records of 542 patients with naïve prominent bulging papilla and no history of pancreatitis,who underwent bile duct cannulation at a tertiary referral center.The patients were categorized according to the endoscopist’s expertise level and the technique used for bile duct cannulation.We assessed the rates of successful cannulation and adverse events.RESULTS The baseline characteristics did not differ between the experienced and lessexperienced endoscopists.The incidence rate of post-endoscopic retrograde cholangiopancreatography(ERCP)pancreatitis(PEP)was significantly affected by the endoscopist’s expertise level in patients who received conventional cannulation with sphincterotomy(8.9%vs 3.4%for beginner vs expert,P=0.039),but not in those who received NKF.In the multivariable analysis,a lower expertise level of the biliary endoscopist(P=0.037)and longer total procedure time(P=0.026)were significant risk factor of PEP in patients who received conventional cannulation with sphincterotomy but only total procedure time(P=0.004)was significant risk factor of PEP in those who received NKF.CONCLUSION Primary NKF was effective and safe in patients with prominent and bulging ampulla,even when performed by less-experienced endoscopist.We need to confirm which level of endoscopist’s experience is needed for primary NKF through prospective randomized study.
文摘The analytic method, part of the epistemonic method, provides us with a way to cope with perplexed cases, without even referring to the world out there. We are able to predict all possible variations of consent, and go on forming minimum logical quadripoles, 8-poles, 16-poles, etc., before even trying to make any connection to the world. This way, there are two major outcomes: All possible scenarios are predicted, and, because of that, our "logical generator" produces scenarios we couldn't even think of. Consent is, therefore, neither binary (existence or absence), nor just a continuum from existence to absence, but a cladistic tree stemming from the basic quadripole "existence of consent/not existence of consent/absence of consent/not absence of consent." The complexity increases rapidly when other terms are included; try: "existence of informed consent" or "existence of unintentional consent." More levels develop as we examine relevant terms, such as "exposure," "protection," or "consumption." In our case-study, we shall examine how different aspects of consent are expressed regarding the issue of performance enhancement and consider some implications for the notion of expertise within an SEA (Science of Exceptional Achievement) context. Many different terms may describe the most common situations, namely, "uniformed consent," "unintentional consent," "non-intentional consent," "not absence of consent," and also, "unintentional exposure," "intentional non-protection," and so on. In Greek language, the possible variations are even more (there are two kinds of negation in Greek). All the aforementioned terms have different ethical consequences. We shall also examine whether doping is an inherent part of expertise attainment.
文摘Prior studies commonly use an auditor's market share in an industry as a proxy for auditor industry expertise and find that audit quality is positively related to an audit partner's within-industry market share in a voluntary audit partner rotation regime where the length of the client-partner relationship is not limited. Mandatory audit partner rotation, however, limits the length of the client-partner relationship and can artificially increase or decrease the market shares of incoming and departing partners, thus making the audit partner's within-industry market share an unreliable proxy for auditor industry expertise. Using a sample of banks in Taiwan, we find that audit quality is positively related to an audit partner's within-industry market share in the voluntary audit partner rotation regime. However, such a positive relation disappears in the mandatory audit partner rotation regime. Thus, we conclude that mandatory audit partner rotation decouples the link between an audit partner's within-industry market share and auditor industry expertise and caution researchers against using an audit partner's within-industry market share as a proxy for auditor industry expertise in a mandatory audit partner rotation regime.
文摘The Article 23 in the Universal Declaration of Human Rights mentions that all work must have a fair and favorable remuneration. However, in Brazil, the State uses the free legal aid as a way of minimizing the social and economic inequality, making it possible for the needy to have access to justice. Through the free legal aid, the litigant is exempted from payment of fees and legal expenses and court, thus, transferring the burden of work to professionals who assist in the judicial process. So, the magistrate can appoint an expert accountant to assist him in the trial of the legal question when the proof requires accounting knowledge. In this way, this article discusses the accounting expertise that is free of charge from the perception of expert accountants. The authors had applied questionnaires in August and September in 2008, and obtained 131 responses and 2,859 data. From this research, the authors observed that the majority of respondents when solicited to work with the possibility of non-payment attended the demand, and believed that this would contribute to society and assist the magistrate.
文摘This article firstly outlines both nature of expertise and characteristics of expert performances. Then, it provides some relevant implications for teaching. Finally, a specific focus is given to the means of developing expertise in EFL teaching.
文摘Crisscrossing rivers,coastal scenery,cashew nuts and warmhearted people-all these metaphors can be used to describe Mozambique.In June 1975,China established diplomatic relations with Mozambique,which have developed in an all-round way over the past decades.The Maputo Bridge.
文摘An Expertise Management ontology (EMont) is presented with which human expertise is captured. EMont aims at describing and collectively finding improvements for complex situations in which people interact with often conflicting worldviews in order to achieve goals, shared or not. EMont is rooted in systems thinking, in particular Soft Systems Methodology, to be able to accommodate stakeholders’ worldviews and activities in complex situations. Its purpose is to model human activity systems, which is illustrated with the help of a complex situation. EMont forms the heart of the Expertise Management Methodology (EMM). This methodology can be regarded as a framework to build bodies of knowledge for particular domains systematically. EMM favors a research process of abduction. By studying one or more situations, generalized models are developed that explain the observed phenomenon best. The models are then taken as a starting point to conduct additional studies. This cyclic process is repeated thereby strengthening the models. EMont has been applied in several, diverse domains such as flood protection, health care and community resilience, over a period of more than four years. In our experience, EMont is a stable ontology, well-suited to capture human activities and identify widely supported solutions for complex situations, and has proven its value in practice. EMont has been implemented in Semantic Media Wiki to publish bodies of knowledge on the web.