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.     

Analysis of off-farm work decisions among smallholder farm households in Burkina Faso

This article investigates off-farm work decisions by smallholder farm households. Using data on 1,101 households from Burkina Faso, it demonstrates that in addition to the usual household socio-demographic characteristics, remittances, access to information and beneficiary of specific training affect off-farm work decisions, as well as rainfall factors and idiosyncratic health shocks. Community characteristics such as accessibility and number of inhabitants are also key factors. While suggesting that off-farm work is less likely to be undertaken for accumulation purposes, these results have important policy implications. In particular, policy measures should consider each segment as a separate entity.     

Postmortem Computed Tomography in Firearm Homicides: A Retrospective Case Series,

Postmortem computed tomography (PMCT) is integrated into the evaluation of decedents in several American medical examiner offices and medicolegal death investigative centers in many other countries. We retrospectively investigated the value of PMCT in a series of firearm homicide cases from a statewide centralized medical examiner’s office that occurred during 2016. Autopsies were performed or supervised by board-certified forensic pathologists who reviewed the PMCT scans prior to autopsy. PMCT scans were re-evaluated by a forensic radiologist blinded to the autopsy findings and scored by body region (head–neck, thoracoabdominal, and extremities). Injury discrepancies were scored using a modified Goldman classification and analyzed with McNemar’s test. We included 60 males and 20 females (median age 31 years, range 3–73). Based on PMCT, 56 (79.1%) cases had injuries relevant to the cause of death in a single body region (24 head–neck region, 32 thoracoabdominal region). Out of these 56 cases, 9 had a missed major diagnosis by PMCT outside that region, including 6 extremity injuries visible during standard external examination. Yet all had evident lethal firearm injury. We showed that PMCT identifies major firearm injuries in homicide victims and excludes injuries related to the cause of death in other regions when a single body region is injured. Although PMCT has a known limited sensitivity for soft tissue and vascular pathology, it can be combined with external examination to potentially reduce or focus dissections in some of these cases depending on the circumstances and medicolegal needs.     

Socio-political tensions in Bus Rapid Transit (BRT) development in low-income Asian cities

International development agencies, with the help of the central government, support building state of art Bus Rapid Transit (BRT) in low-income Asian cities. However, BRT investment over indigenous modes of mobility is creating socio-political tensions at the local level. This article uses multi-level governance as a theoretical lens to examine the relationships among actors in BRT investment decisions in Bandung and Surabaya, Indonesia. The research finds that local stakeholders can distort national and supranational policy initiatives totally or in a way that while projects are delivered, they are of limited use to the local communities they intended to help.     

Facilitating industrial symbiosis programmes in developing countries: reflections from Gauteng,South Africa

This viewpoint reflects on how to improve the process of introducing facilitated industrial symbiosis programmes (FISPs) to small and medium enterprises (SMEs) in developing countries. Although FISPs are a long-established industrial practice, their formal introduction to SMEs in developing countries has only recently begun, mostly through support from international development agencies. Based partly on anecdotal evidence from Gauteng, South Africa, we identify six key questions which need to be addressed to improve the process of facilitating FISPs.     

The 2019 General Election in Northern Ireland: the Rise of the Centre Ground?

The experience of the 2019 general election in Northern Ireland took a very different course to that of the rest of the UK and, indeed, to the pattern of electoral politics typical of the region. Coming after almost three years with no functioning devolved government, combined with intense disagreement and uncertainty about Brexit, voters were ready to give a message to the two largest parties. Both Sinn Féin and the DUP suffered losses in the election, with the headline outcome being that unionism no longer holds the majority of seats for Northern Ireland in Westminster. More generally, there was a swing from both sides towards centre ground voting, which brought significant gains for the Alliance Party and the SDLP. This article summarises the reasons for this broad trend, focussing on the conditions and electoral pacts which brought it about. It also considers what it might mean for the prospects for Irish unification, noting that a referendum on unification will only be passed by attracting votes from those who tend to see themselves as neither unionist or nationalist.     

“债随物走”规则的理论基础是什么——以企业转投资案例为焦点的实证研究

最高人民法院于2003年通过司法解释创造了"债随物走"规则。这一规则在实践中常适用于企业将其重大资产对外投资的交易。现有的相关研究大多认为这一规则是对法人财产独立制度的违反,主要以继受人责任和公司分立作为对该规则进行限缩解释的理论基础。针对这一规则,截至2018年9月的全样本实证研究表明,我国法院在企业对外投资情形下适用"债随物走"规则有其现实的考虑,其决定性因素包括债权人的类型与新设公司外部投资者的数量。现有相关研究并未意识到这些因素的重要性。与现有理论相比,资产分割理论可以很好地帮助人们分析"债随物走"规则的制度成本与收益,也更契合目前我国的司法经验,可以为这一规则未来的适用提供指导。根据法院的判决经验与理论分析,法院应仅在转移资产的企业之债权人明显缺乏自我保护能力,且资产受让公司外部投资者数量较少的情况下适用"债随物走"规则。     

国际投资仲裁机构对涉及人权问题的投资纠纷的审理

国际投资仲裁的当事人在仲裁中提出人权方面诉求的情况在最近十几年里缓慢地增加了,仲裁庭只有在仲裁管辖条款能够覆盖人权问题,并且当事人所选择的适用法能够为人权问题的解决提供指引的情况下,才能就与投资有关的人权纠纷做出裁决。现有的国际投资仲裁机构自身存在很多缺陷,不适宜作为审理与投资有关的人权问题的理想场所。我国应该支持与投资有关的人权问题主要通过东道国的司法途径进行救济。     

论贿赂犯罪罪名体系

现行刑法贿赂犯罪的罪名体系是以犯罪主体和对象为标准建立的,存在较大的缺陷,为完善这一罪名体系,本文认为必须以犯罪客体作为划分标准,对相关规定进行重新整合,分别纳入公务贿赂罪、商业贿赂罪和行业贿赂罪中。     

论公司经营范围的准确定位

公司作为一种营利性组织,必须以其组织章程规定的经营范围为基础进行经营活动。传统公司法中,对超范围经营活动,法律赋予其绝对无效的法律后果。随着经济的发展,体制的转变,经营范围的绝对性受到了质疑。本文分析了经营范围的功能及社会经济基础的变化,认为我们可以借鉴发达国家的做法,采用相对无效原则。不将其全盘否定,放宽限制,给公司充分的经营自由,同时兼顾政府的公共事务管理职能。