Sudden death in an infant caused by rupture of a basilar artery aneurysm

Ruptured aneurysms of the cerebrovasculature in infancy and early childhood, except for "giant" aneurysms and arteriovenous malformations, are rare. Seizures, loss of consciousness, and apnea are the usual presenting signs in infancy; symptoms such as headache or visual disturbances and signs such as cranial nerve compression or meningeal irritation commonly found in older children or adults are absent in infants. However, the morphologic findings (i.e., subarachnoid and retinal hemorrhage, and occasionally subdural hemorrhage) may be mistaken for inflicted trauma, especially if the aneurysm is not identified. Sudden death caused by rupture of a cerebral aneurysm has not been previously described in an infant. This report outlines the investigation and autopsy findings in a 7-month-old infant who died unexpectedly as a result of rupture of a complex basilar artery aneurysm.     

Sudden death in an infant caused by rupture of a basilar artery aneurysm.

Ruptured aneurysms of the cerebrovasculature in infancy and early childhood, except for "giant" aneurysms and arteriovenous malformations, are rare. Seizures, loss of consciousness, and apnea are the usual presenting signs in infancy; symptoms such as headache or visual disturbances and signs such as cranial nerve compression or meningeal irritation commonly found in older children or adults are absent in infants. However, the morphologic findings (i.e., subarachnoid and retinal hemorrhage, and occasionally subdural hemorrhage) may be mistaken for inflicted trauma, especially if the aneurysm is not identified. Sudden death caused by rupture of a cerebral aneurysm has not been previously described in an infant. This report outlines the investigation and autopsy findings in a 7-month-old infant who died unexpectedly as a result of rupture of a complex basilar artery aneurysm.     

Coronary artery aneurysm and myocardial infarction resulting in sudden death of a 6 year-old child: a case report

This is a report of a 6-year-old child who died suddenly while at play and without any prior known illness. Autopsy revealed an extensive, fibrotic myocardial infarct involving the apex, diaphragmatic wall of the left ventricle and interventricular septum. The left anterior descending and the right coronary arteries presented with large, bulging calcified aneurysms. The aneurysms showed marked fibrous intimal thickening, atrophy of the media and extensive fragmentation of elastic elements. No evidence of active inflammation was present.     

Sudden death due to dissecting pulmonary artery aneurysm: a case report and review of the literature

Pulmonary artery aneurysm and pulmonary artery dissection are rare antemortem diagnoses, most often associated with sudden death. These pathologic entities are strongly associated with chronic pulmonary hypertension due to structural cardiac defects, either congenital or acquired. We report the case of a 49-year-old woman who died suddenly due to dissection and rupture of a large pulmonary trunk aneurysm, with subsequent cardiac tamponade. Key historical and physical findings are described. Additionally, we present a discussion of the incidence, clinical presentation, pathogenesis, and pathologic diagnostic features of pulmonary artery dissection.     

Motivational interviewing training in juvenile corrections: A comparison of outside experts and internal trainers

Purpose. This study was designed to compare expert consultant trainers and less experienced, in‐house trainers in providing basic training in motivational interviewing (MI) for juvenile corrections employees. Methods. Trainees (n= 1,552) attended a 3‐day workshop administered by either a member of the Motivational Interviewing Network of Trainers (MINT) or a corrections staff member who had been trained by a MINT trainer. Results. Pre‐ to post‐test MI knowledge and skill gains did not vary between MINT expert and internal trainers, and increased for both groups. MINT trainees were more motivated to learn MI and expected it to be more effective in their work compared with those trained by corrections staff. MINT trainers were perceived as more knowledgeable about the topic, whereas corrections staff trainers were rated as better at utilizing handouts and visual aids. The groups did not differ on other measures of trainee satisfaction. Conclusions. These data suggest that a train‐the‐trainers model, in which expert consultants provide initial trainings to develop a pool of staff to provide subsequent trainings, may be as effective as a model that relies exclusively on expert trainers.     

Cranial suture eccentricities: a case in which precocious closure complicated determination of sex and commingling

The union of the cranial sutures can follow a somewhat erratic course. While it is recognized that this can cause inaccuracies in estimating age at death, deviant closure patterns can influence assessments other than age. Premature or eccentrically fusing sutures can alter cranial growth and, therefore, shape. Such modified growth vectors can significantly influence metric analysis. A case is described in which precocious synostosis of the sagittal suture complicated determination of sex in a set of skeletalized remains. Features of the cranium and post-cranial skeleton indicated the individual was male, while the mandible, both metrically and morphologically, appeared to have come from a female. This led to the question of commingling. Techniques are described which were used to resolve these issues.     

A friend in need: the role of friendship quality as a protective factor in peer victimization and bullying

This study examined friendship quality as a possible moderator of risk factors in predicting peer victimization and bullying. Children (50 boys and 49 girls, ages 10 to 13 years) reported on the quality of their best friendship, as well as their bullying and victimization tendencies. Parents reported on their child's internalizing and externalizing behaviors, in addition to bullying and victimization tendencies. Results indicated that externalizing problems were related to bullying behavior; however, friendship quality moderated this relation such that among children with externalizing behaviors, a high-quality friendship significantly attenuated bullying behavior. Internalizing problems and low friendship quality were significantly related to victimization; however, friendship quality did not moderate the relation between internalizing problems and victimization. Implications for interventions based on these findings are discussed.     

Upon a failure to equal entry and exit wounds: a possible case of tandem bullets in view of the literature

Forensic medicine specialists take account of the projectiles remaining in the body when determining whether there are an equal number of entry and exit wounds. The absence of projectiles should suggest blank cartridges, a single exit wound despite several firings and bullet embolization, whereas the presence of more projectiles than expected may indicate tandem projectiles and multiple projectiles entering through the same hole. Radiological examination of the whole body, follow-up of the bullet trajectories, examination of the clothes, and examination of the gun and projectiles play a key role in solving difficult cases. We review such situations based on a case of tandem bullets. Two 7.65-mm bullets created lethal wounds entering through a 32-year-old victim's neck followed the same trajectory to a certain point and diverted. We discussed the possibilities in cases that show inequalities between entry and exit wounds, in light of relevant literature.     

The role of hydrogen cyanide and carbon monoxide in fire casualties: a prospective study

Determinations of blood cyanide and carboxyhemoglobin concentrations were performed in 18 victims found dead in buildings after fires during a 2-year period. The results indicated that 50% of the victims had been exposed to toxic levels of hydrogen cyanide and 90% to toxic levels of carbon monoxide. Lethal concentrations of carbon monoxide were found in 83% of the victims. In one case a lethal blood cyanide but a non-toxic blood carboxyhemoglobin value was found. It is concluded that carbon monoxide appears to be more important than hydrogen cyanide as a toxic agent in the fire atmosphere, but cyanide poisoning without carbon monoxide poisoning may, under certain circumstances, be the cause of death in fire victims.     

Social capital and innovation in a life science cluster: the role of proximity and family involvement

The Journal of Technology Transfer - This paper investigates the effect of different typologies of a firm’s relationships on innovation performance. Existing literature tends to emphasise the...     

Claims against a university: the role of administrative review in Australia and the United Kingdom

The recent decision of the High Court of Australia in Griffith University v. Tang denied judicial review to a student aggrieved by the decision of a university to exclude her. This article analyses the role of judicial review of university decision-making in the United Kingdom and Australia, analysing the justification for administrative remedies in universities. It considers the legislative reform of administrative review in Australia, and the impact of that reform in some states. It places administrative review in the context of the visitorial jurisdiction, where that jurisdiction still exists. Finally, it addresses some of the policy aspects of denying judicial review in the case of the university.     

Selected Clauses of a Copyright Contract in Polish and English in Translation by Google Translate: A Tentative Assessment of Quality

International Journal for the Semiotics of Law - Revue internationale de Sémiotique juridique - The aim of this paper is to carry out a comparative analysis of clauses in Polish and English...     

The law and its interpretation do play a role in the elimination of xenophobia： A South African case study

The examination of certain legal aspects of xenophobia has shown that the law and its judicial interpretation do on the one hand server to safeguard against xenophobia and to eliminate it where it still prevails, on the other hand they can however serve to entrench it~. It is believed that in future, South African courts will continue to be proactive in the elimination of xenophobic tendencies wherever they may be encountered in the legal context and that law reform will eradicate laws which generate the impression that they are xenophobically motivated.     

The role of substance use in male-to-female physical and sexual violence: a brief review and recommendations for future research

Literature addressing the relationship between substance use and physical and sexual violence against women is reviewed briefly. There is substantial evidence of a relationship between men's substance use and perpetration of physical violence, some evidence of a relationship between women's substance use and experiences of sexual aggression, but weak evidence that men's substance use contributes to sexual aggression or that women's substance use contributes to their physical victimization. Understanding the mechanisms underlying the relationship between substance use and violence relationship will be facilitated by narrowing the scope of research questions to identify for whom there is a relationship and under what circumstances.     

The role of firm and national level factors in fostering R&D cooperation: a cross country comparison

This paper explores the factors that affect firms’ propensity to engage in R&D cooperation using a CIS-3 sample of innovative firms located in seven European countries. It performs the analysis separately for the manufacturing and the service sectors in order to examine whether there are specific features that shape the service firms’ R&D cooperative behaviour in particular ways. Differences between the manufacturing and the service sectors in the cooperative behaviour of firms become much more evident once an appropriate structure of endogeneity is determined. We compare different countries because, so far, the empirical evidence produced comes from single countries or countries that are all quite homogeneous in terms of industrial structure. Instead, we consider also countries, such as transition economies, that have not been analyzed so far. We find that public subsidies positively affect firms’ propensity to engage in R&D cooperation in all countries, but they seem particularly important to enhance firms’ cooperativeness in the service sector. Implications for innovation policy are examined.     

Coordinating a conscious geography: the role of research centers in multi-scalar innovation policy and economic development in the US and Canada

This article contributes to the debate about the role of the region in the placement and coordination of research centers linking technology-led economic development and science, technology, and innovation policy. Through a comparison of how a “conscious geography” has informed the organization of innovation + development (I + D) research centers in the US and Canada, this analysis focuses on the variation in the models of multi-scalar policy coordination deployed through the I + D research center frameworks in the US and Canada. This article begins with a discussion of the theoretical arguments behind territorial innovation systems. It continues by describing the different models of I + D research centers in the US and Canada and the role of the region in each set of policy frameworks. The third section discusses ways policy outcomes are influenced by the initial consideration of the spatial distribution of production and innovation. The article concludes with the case for a policy model which prioritizes a role for the region as a site of economic and geographic analysis and a partner in the design of a multi-scalar innovation policy.