AIM: To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan. METHODS: A retrospective review of cases tried in the civil court system during the 21-year period from 1985 t...AIM: To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan. METHODS: A retrospective review of cases tried in the civil court system during the 21-year period from 1985 to 2005, identified in a computerized legal database, was undertaken. RESULTS: Eighteen malpractice litigations and a total of 30 allegations were identified. Of the 18 (44%) malpractice litigations, 8 (44%) were related to eso- phagogastroduodenoscopy, 4 (22%) to colonoscopy, 4 (22%) to endoscopic sphincterotomy, and 2 (11%) to endoscopic retrograde cholangiopancreatography. Seventeen (94%) cases pertained to complications, and the remaining (6%) case pertained to misdiagnosis. In 10 cases, the patient died of the complications. Allegations were categorized as: (1) performance error during the endoscopic procedure (n = 12, 40%); (2) lack of informed consent (n = 9, 30%); (3) performance error during the treatment after the endoscopic procedure (n = 4, 13%); (4) premedication error (n = 3, 10%); (5) diagnostic error (n = 1, 3%); and (6) indication error for the endoscopic procedure (n = 1, 3%). CONCLUSION: These data may aid in the design of risk prevention strategies to be used by gastrointestinal endoscopists.展开更多
Proverbs which are short witty traditional oral expressions handed down from generation to generation as a common heritage is also believed to be true expressions of the Hausa people＇s philosophy. This philosophy is ...Proverbs which are short witty traditional oral expressions handed down from generation to generation as a common heritage is also believed to be true expressions of the Hausa people＇s philosophy. This philosophy is clad in different ways by the people as they are continuously at work to give meanings to their creative activities. Proverbs are one of the most relevant expressions of human wisdom and knowledge of nature, psychology, and reality for the Hausa people of Northern Nigeria; however, the images that are presented in the proverbs are culturally defined and they may differ from place to place, as well as from generation to generation. Proverbs are capable of a variety of meanings, according to how and when they are used. These findings have revealed that many popular and interesting Hausa proverbs tell a condensed story; these stories give vivid illustrations which help the hearer understand the proverbs. In this paper, the author attempts a deep intellectual analysis into the story-lines behind the emergence of some selected Hausa proverbs, with a view to comprehending and propagating embedded ideas and cultural principles or philosophies that may be relevant for contemporary social usage.展开更多
In a lab of the CAS Institute of Process Engineering（IPE）in Beijing,Winifred Uduak Anake,a visiting woman scientist from Covenant University.Nigeria was dashing to finish testing the 100 plus samples she collected f...In a lab of the CAS Institute of Process Engineering（IPE）in Beijing,Winifred Uduak Anake,a visiting woman scientist from Covenant University.Nigeria was dashing to finish testing the 100 plus samples she collected from her home country.＂1 am trying to find out the type and amount of hazardous trace metals bound to the tiny particles trapped on the filters,＂she explained：＂out of worries about their possible threat to human health.＂Before concluding her three-month stay she needed to complete examining the morphology of the particles,total trace metals,展开更多
This study analyzes data on households' risk perception and protective behavior following a natural disaster triggered technological accident(Natech accident)that occurred at an industrial park in Sendai during th...This study analyzes data on households' risk perception and protective behavior following a natural disaster triggered technological accident(Natech accident)that occurred at an industrial park in Sendai during the Great East Japan Earthquake and Tsunami, on 11 March2011. The results indicate that some households carried out multiple evacuations and that households' risk perceptions changed throughout the Natech accident evacuation process. Risk perception differed according to household location and demographic characteristics. We also found differences in the protective measures adopted for households in different locations. Specifically, those living closer to the Natech accident tended to evacuate immediately,whereas those living further away tended to shelter in place. Wind direction is discussed as a factor that influences households' risk perception and evacuation response to a Natech accident. The findings of this study advance knowledge of household behavior in response to a Natech accident and can assist emergency managers in developing strategies for better management of evacuation processes.展开更多
文摘AIM: To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan. METHODS: A retrospective review of cases tried in the civil court system during the 21-year period from 1985 to 2005, identified in a computerized legal database, was undertaken. RESULTS: Eighteen malpractice litigations and a total of 30 allegations were identified. Of the 18 (44%) malpractice litigations, 8 (44%) were related to eso- phagogastroduodenoscopy, 4 (22%) to colonoscopy, 4 (22%) to endoscopic sphincterotomy, and 2 (11%) to endoscopic retrograde cholangiopancreatography. Seventeen (94%) cases pertained to complications, and the remaining (6%) case pertained to misdiagnosis. In 10 cases, the patient died of the complications. Allegations were categorized as: (1) performance error during the endoscopic procedure (n = 12, 40%); (2) lack of informed consent (n = 9, 30%); (3) performance error during the treatment after the endoscopic procedure (n = 4, 13%); (4) premedication error (n = 3, 10%); (5) diagnostic error (n = 1, 3%); and (6) indication error for the endoscopic procedure (n = 1, 3%). CONCLUSION: These data may aid in the design of risk prevention strategies to be used by gastrointestinal endoscopists.
文摘Proverbs which are short witty traditional oral expressions handed down from generation to generation as a common heritage is also believed to be true expressions of the Hausa people＇s philosophy. This philosophy is clad in different ways by the people as they are continuously at work to give meanings to their creative activities. Proverbs are one of the most relevant expressions of human wisdom and knowledge of nature, psychology, and reality for the Hausa people of Northern Nigeria; however, the images that are presented in the proverbs are culturally defined and they may differ from place to place, as well as from generation to generation. Proverbs are capable of a variety of meanings, according to how and when they are used. These findings have revealed that many popular and interesting Hausa proverbs tell a condensed story; these stories give vivid illustrations which help the hearer understand the proverbs. In this paper, the author attempts a deep intellectual analysis into the story-lines behind the emergence of some selected Hausa proverbs, with a view to comprehending and propagating embedded ideas and cultural principles or philosophies that may be relevant for contemporary social usage.
文摘In a lab of the CAS Institute of Process Engineering（IPE）in Beijing,Winifred Uduak Anake,a visiting woman scientist from Covenant University.Nigeria was dashing to finish testing the 100 plus samples she collected from her home country.＂1 am trying to find out the type and amount of hazardous trace metals bound to the tiny particles trapped on the filters,＂she explained：＂out of worries about their possible threat to human health.＂Before concluding her three-month stay she needed to complete examining the morphology of the particles,total trace metals,
文摘This study analyzes data on households' risk perception and protective behavior following a natural disaster triggered technological accident(Natech accident)that occurred at an industrial park in Sendai during the Great East Japan Earthquake and Tsunami, on 11 March2011. The results indicate that some households carried out multiple evacuations and that households' risk perceptions changed throughout the Natech accident evacuation process. Risk perception differed according to household location and demographic characteristics. We also found differences in the protective measures adopted for households in different locations. Specifically, those living closer to the Natech accident tended to evacuate immediately,whereas those living further away tended to shelter in place. Wind direction is discussed as a factor that influences households' risk perception and evacuation response to a Natech accident. The findings of this study advance knowledge of household behavior in response to a Natech accident and can assist emergency managers in developing strategies for better management of evacuation processes.
