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Analyses of Medical Malpractice in Judicial Appraisal: 505 Cases

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Journal of Forensic Science and Medicine 2015年第1期1卷 21-25页

作者： Meng You Xu Wang di Lu Haidong Zhang shengli di Fengqin Zhang Zhaoming Guo Li Yuan Lin Chang Jian Xiang Lili Yu Yingkai Yang Tiantong Yang Center of Cooperative Innovation for Judicial Civilization Key Laboratory of Evidence Science China University of Political Science and LawMinistry of EducationBeijingChina

The purpose of this paper is to investigate and analyze the current situation of medical malpractice and make suggestions for preventative measures from a judicial appraisal *** 2002 to 2011,we conducted and analyzed 505 medicolegal malpractice experiments at the Fada Institute of Forensic Medicine and Science(FIFMS)in Beijing,People’s Republic of China(PRC).We found that the occurrence of medical disputes in surgical and obstetrical/gynecological cases seemed more *** main causes of medical disputes included issues regarding medical ethics,poor quality of the medical staff,equipment malfunctions,and dereliction of duty by the medical *** reasons for dissatisfaction varied among the different levels of medical *** medical services garnered the most *** we can work to improve the moral and professional standards of the medical staff members,intensify their ethics,and foster good relationships between patients and medical professionals,the quality of medical care would improve and the number of disputes regarding medical services would be reduced.

关键词： Judicial appraisal medical dispute medical malpractice

Evaluation of Medical Malpractice Litigations in China, 2002–2011

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Journal of Forensic Science and Medicine 2016年第4期2卷 185-189页

作者： Tiantong Yang Guozhong Zhang Xu Wang shengli di Haidong Zhang Daming Sun Siyang Xiang Dong Zhao Lin Chang Ling Li Collaborative Innovation Center of Judicial Civilization Department of Forensic Clinical Medicine Key Laboratory of Evidence ScienceChina University of Political Science and LawMinistry of EducationBeijing Department of Forensic Medicine Hebei Medical UniversityShijiazhuang Forensic Science Center East China University of Political Science and LawShanghaiChina

In the past 10 years,medical malpractice litigations have become a serious public health and social issues in *** study aims to evaluate the medical malpractice litigations in Beijing.A retrospective study was conducted using the database from the Key Laboratory of Evidence Science(KLES)at China University of Political Science and Law(CUPL)to demonstrate the extent and characteristics of the alleged medical malpractice cases and the conclusions of forensic evaluation from 2002 to 2011 in Beijing.A total of 1515 alleged medical malpractice cases were investigated by forensic medical experts at KLES‑CUPL during the study *** the 1515 cases,45.2%were male patients and 54.8%were female *** age of the patients ranged from newborn to 90 years,with average age of 44 *** alleged medical malpractice cases involved 11.3%of *** 2002 to 2006,the average number of medical malpractice litigations was 123 cases per year,while from 2007 to 2011,the average number of medical malpractice litigations was 180 per year,a 46%*** the 1515 cases,588(38.8%)litigations were due to the patients’*** departments involved in claims most often were obstetrics(18.9%),followed by orthopedics(15.1%)and general surgery(11.5%).Medical error was found in 945(62.4%)*** the 945 confirmed medical malpractice cases,the top medical misadventures were diagnostic errors(36.5%),improper performance of procedures(36.4%),and medication error(12.6%).Although tertiary hospitals were more likely to be sued than the secondary and primary hospitals(63.6%vs.36.4%),there was no significant difference between tertiary and secondary hospitals in the percentage of confirmed malpractice cases(62.3%vs.59.4%).The primary hospitals had the highest confirmed malpractice cases(73.2%).

关键词： Forensic investigation forensic medicine judicial appraisal medical litigation medical malpractice

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医疗损害赔偿案件新生儿生死判断34例分析

中国法医学杂志 2023年第2期38卷 121-124,128页

作者：陈伟张梦狄胜利北京积水潭医院北京100035 证据科学教育部重点实验室(中国政法大学) 北京100088

本文通过对34例新生儿死亡浮扬试验案例进行回顾性分析,发现在目前的司法实践中,“浮扬”试验的结果是法医鉴定认定活产或死胎的重要依据,进而是法院在医疗损害责任案件中认定医院是否承担死亡赔偿金的重要依据。经数据分析证明单纯依... 详细信息

本文通过对34例新生儿死亡浮扬试验案例进行回顾性分析,发现在目前的司法实践中,“浮扬”试验的结果是法医鉴定认定活产或死胎的重要依据,进而是法院在医疗损害责任案件中认定医院是否承担死亡赔偿金的重要依据。经数据分析证明单纯依赖试验结果进行法医鉴定的科学性依据不足,亦应当规避该现状对医疗救治工作造成的消极影响,本文对此类案例提出进一步完善建议。

关键词：浮扬试验死胎活产医疗损害责任认定

Natural gas leakage of Mizhi gas reservoir in Ordos Basin, recorded by natural gas fluid inclusion

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Science China Earth Sciences 2007年第z2期50卷 124-132页

作者： LI RongXi di LingJun XI shengli Key Laboratory of West Mineral Resource and Geology Engineering Ministry of Education Chang'an University Xi'an 710054 China School of Earth Science and Resource Chang'an University Xi'an 710054 China Changqing Petroleum Company CNPC Xi'an 710021 China Changqing Petroleum Company CNPC Xi'an 710021 China

Abundant natural gas inclusions were found in calcite veins filled in fractures of Central Fault Belt across the centre of Ordos Basin. Time of the calcite veins and characteristics of natural gas fluid inclusion were investigated by means of dating of thermolum luminescence (TL) and analyzing stable isotope of fluid inclusion. Results show that natural gas inclusion formed at 130―140℃ with salinity of 5.5 wt%―6.0 wt% NaCl. It indicates that natural gas inclusion is a kind of thermal hydrocarbon fluid formed within the basin. Method of opening inclusion by heating was used to analyze composition of fluid inclusion online, of which the maximal hydrocarbon gas content of fluid inclusion contained in veins is 2.4219 m3/t rock and the maximal C1/Σci ratio is 91%. Laser Raman spectroscopy (LRS) was used to analyze chemistry of individual fluid inclusion in which the maximal hydrocarbon gas content is 91.6% compared with little inorganic composition. Isotope analysis results of calcite veins show that they were deposited in fresh water, in which the δ13CPDB of calcite veins is from -5.75‰ to 15.23‰ andδ18OSMOW of calcite veins is from 21.33‰ to 21.67‰. Isotope results show thatδ13C1 PDB of natural gas fluid inclusion is from -21.36‰ to -29.06‰ and δDSMOW of that is from -70.89‰ to -111.03‰. It indicates that the gas of fluid inclusion formed from coal source rocks and it is the same as that of natural gas of Mizhi gas reservoir. Results of TL dating show that time of calcite vein is (32.4±3.42)×104 a, which is thought to be formation time of gas inclusion. It indicated that natural gas inclusion contained in calcite veins recorded natural gas leakage from Mizhi gas reservoir through the Central Fault Belt due to Himalayan tectonic movement.

关键词： natural gas inclusion, leakage of natural gas, natural gas reservoir formation, Ordos Basin

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《永久性残损评定指南》下肢残损评定原则

中国法医学杂志 2017年第6期32卷 666-668页

作者：杨天潼于丽丽项剑向思阳狄胜利郭兆明王旭中国政法大学吉林大学武汉大学司法文明协同创新中心北京100088 中国政法大学教育部证据科学重点实验室北京100088

本文对《永久性残损评定指南》有关下肢致残残损评定原则进行研究。介绍了GEPI下肢评定中区域残损、循诊残损和校正因子等新概念,并对最大医疗改善的评定时机和人体整体功能转化等进行了说明。为完善我国的伤残评定体系提供借鉴。

关键词：法医临床学 GEPI 残损评定下肢

《人体损伤致残程度分级》与GEPI对足踝伤残评定的比较

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中国法医学杂志 2018年第6期33卷 594-597页

作者：代滨滨于丽丽向思阳项剑狄胜利王旭杨天潼中国政法大学吉林大学武汉大学司法文明协同创新中心北京100088 中国政法大学教育部证据科学重点实验室北京100088

目的本文通过对《人体损伤致残程度分级》和GEPI有关下肢足踝评定的内容进行比较研究,为《人体损伤致残程度分级》的修订提供建议。方法从条款分布、两个标准适用时的具体评定方法等方面对二者进行比较,并以GEPI足踝评定的残损值为参照... 详细信息

目的本文通过对《人体损伤致残程度分级》和GEPI有关下肢足踝评定的内容进行比较研究,为《人体损伤致残程度分级》的修订提供建议。方法从条款分布、两个标准适用时的具体评定方法等方面对二者进行比较,并以GEPI足踝评定的残损值为参照,计算、分析《人体损伤致残程度分级》下肢条款致残率合理性。结果在跟骨骨折和踝关节创伤性关节炎评定方面,两个标准存在良好的对应性;在踝关节功能评定方面,除关节强直固定于非功能位的致残率略高于GEPI外,《人体损伤致残程度分级》其他条款与GEPI均具有良好的对应性。而在足弓结构破坏和足趾功能评定方面,两个标准对应性差,《人体损伤致残程度分级》评定的致残率明显高于GEPI。结论通过两个标准下肢足踝评定的比较,可以发现目前《人体损伤致残程度分级》的不足之处,提示在足弓结构破坏和足趾功能评定方面可能存在问题,需要进一步完善。

关键词：法医临床学《人体损伤致残程度分级》 GEPI 残损足踝

《永久性残损评定指南》下肢关节活动度评定原则

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中国法医学杂志 2018年第1期33卷 112-114页

本文对《永久性残损评定指南》有关下肢致残残损评定原则进行研究。介绍了GEPI下肢评定中活动度评定的理念,并对活动度检查和评定过程进行了说明。为完善我国的伤残评定体系提供借鉴。

关键词：法医临床学 GEPI 活动度评定下肢

Changes in China's lakes: climate and human impacts

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National Science Review 2020年第1期7卷 132-140页

作者： shengli Tao Jingyun Fang Suhui Ma Qiong Cai Xinyu Xiong di Tian Xia Zhao Leqi Fang Heng Zhang Jiangling Zhu Shuqing Zhao Institute of Ecology College of Urban and Environmental Sciences and Key Laboratory for Earth Surface Processes of the Ministry of Education Peking University State Key Laboratory of Vegetation and Environmental Change Institute of Botany Chinese Academy of Sciences School of Electronics Engineering and Computer Science Peking University

Lakes have played a critical role in providing water and ecosystem services for people and other organisms in China for millennia. However, accelerating climate change and economic boom have resulted in unprecedented changes in these valuable lakes. Using Landsat images covering the entity of the country, we explored the changes in China’s lakes and the associated driving forces over the last 30 years(i.e. mid-1980 s to 2015). We discovered that China’s lakes have changed with divergent regional trends: in the sparsely populated Tibetan Plateau, lakes are abundant and the lake area has increased dramatically from 38 596 to46 831 km~2(i.e. increased by 8235 km~2, or 21.3%), whereas, in the densely populated northern and eastern regions, lakes are relatively scarce and the lake area has decreased from 36 659 to 33 657 km~2(i.e. decreased by 3002 km~2, or 8.2%). In particular, severe lake decreases occurred in the Mongolia-Xinjiang Plateau and the Eastern Plain(-2151 km~2). Statistical analyses indicated that climate was the most important factor controlling lake changes in the Tibetan Plateau, the Yun-Gui Plateau and the Northeast Plain. However, the strength of climatic control on lake changes was low in the Eastern Plain and the Mongolia-Xinjiang Plateau, where human activities, e.g. impoldering, irrigation and mining, have caused serious impacts on lakes. Further lake changes will exacerbate regional imbalances between lake resources and population distribution, and thus may increase the risk of water-resource crises in China.

关键词： inland water sustainability population Landsat

《人体损伤致残程度分级》和GEPI关于髋关节评定比较研究

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中国法医学杂志 2018年第4期33卷 361-365页

作者：向思阳于丽丽项剑狄胜利郭兆明王旭刘鸿霞杨天潼中国政法大学司法文明协同创新中心北京100088 中国政法大学教育部证据科学重点实验室北京100088 中国政法大学图书馆北京100088

本文对《人体损伤致残程度分级》和《永久性残损评定指南》有关下肢髋关节评定进行比较研究。从条款分布、评定方法等方面对二者进行比较,并以《永久性残损评定指南》髋关节评定的残损值为参照,计算并分析《人体损伤致残程度分级》下肢... 详细信息

本文对《人体损伤致残程度分级》和《永久性残损评定指南》有关下肢髋关节评定进行比较研究。从条款分布、评定方法等方面对二者进行比较,并以《永久性残损评定指南》髋关节评定的残损值为参照,计算并分析《人体损伤致残程度分级》下肢髋条款致残率合理性,为《人体损伤致残程度分级》的修订提供建议。

关键词：法医临床学致残程度 GEPI 残损髋