Lethal small bowel obstruction due to pica

Up to 25% of institutionalized patients with cognitive deficiencies display pica-like behavior, with an estimated annual incidence of small bowel obstruction of 2%. We present a case based on the forensic autopsy of a 41-year-old woman who died as a result of a missed diagnosis of small bowel obstruction after ingesting a foreign body. The case underlines the importance of precaution when treating patients with cognitive deficiency and/or language deficits and gastrointestinal symptoms. In such cases, it is important to employ a liberal threshold for radiological investigations and, if possible, obtain a medical history from a person close to the patient.     

The Responsible Migrant,Reading the Global Compact on Migration

Law and Critique - In 2016, the international community, in reaction to the growing number of ‘tragedies’ occurring as people attempted to move across borders, met to discuss large...     

Packing Heat in the Classroom: Public Support for “Armed Teacher” Policy

ABSTRACT

Recently, states have enacted teacher-carry laws. While controversial, little scholarship has tapped public attitudes toward such reforms. Because public opinion shapes policy, the public is an important stakeholder in this debate. Thus, we investigated three questions. First, how supportive is the public of arming teachers? Second, what demographic and social divides exist, if any, for reform approval? Finally, do crime-related perceptions, concerning views about public safety, and criminogenic influences shape policy preferences? We test these questions using a 2018 poll of Virginia residents (N = 521). Overall, approval for teacher-carry is split. Crime-related perceptions mediate some of the initial social and demographic divides in opinion but other correlates, such as parental status, remain salient predictors of views. Implications are discussed.     

Germany’s Renewable Energy Shift: Addressing Climate Change

This essay considers how the state can be used successfully to initiate and support an energy shift from nuclear energy to renewable energy, as demonstrated by Germany’s Renewable Energy Act from 2000 and its previous Electricity Feed-in-Law (1991). As a result of these nationwide policies, Germany has reduced levels of greenhouse gas emissions, has a higher level of both energy security and employment in the renewable energy industry than the US. Germany is a global leader in this industry and provides a model for other nations in this regard.     

Reflexivity,participatory art,and the failures of monist representation

ABSTRACT

This essay engages in a dual-disciplinary theorizing of reflexivity as response to crises of democratic representation. We trace this crises through the parallel lenses of democratic theory and art history. As political theorists explore alternative representations of ‘the people,’ contemporary artists have developed their own responses to the crisis of monist representation. In both state institutions and in participatory art – and in the theorizing of both – we find the rejection of monist representations of ‘the people’ and the embracement of pluralist, partial, and proximate representations. These public reflexive spaces give voice to new, partial publics, and call attention to past and present exclusions.     

The Future of Leadership in Public Universities: Is Shared Leadership the Answer?

Leadership of public universities has come under fire—from scandals, from funding, from students, from every direction. Top‐down leadership of institutions of higher education has been described as a “disease.” Shared governance—a mechanism of faculty representation in the leadership and decision‐making processes—a seeming alternative, has been described as “a recipe for paralysis.” In this article, the authors proffer shared leadership as a potential elixir for leading public institutions of higher learning, unleashing creative potential, focusing on pressing strategic imperatives, and enabling sustainable systems that leverage true talent to maximum effect. It is time to move beyond the moribund myth of top‐down heroic leadership and beyond the bureaucratic, political quagmire of the current state of affairs in shared governance. Is shared leadership the answer?      

‘The time of storms’: managing bourgeois girls’ puberty in France, 1800–1870

This article examines the medical literature published in France in the period 1800–1870 on the subject of puberty and menstruation to argue that, in conjunction with the extension of school life for bourgeois girls, the period saw the emergence of a distinctive conception of feminine adolescence that pre-dates the better-known concepts articulated in the late nineteenth century. It goes on to look beyond the scientific discourse to ask what impact this new medical understanding had on the management of girls’ puberty, examining first the way it affected school practice, before using a detailed case-study of the life of Solange Dudevant to highlight the ways in which medicalised understandings of puberty and menstruation co-existed with other forms of knowledge.