Unsuspected central nervous system gummas in a case of "cerebral infarct" associated with cocaine use

A 54-year-old African-American male was hospitalized with a left "cerebrovascular accident," altered mental status, agitation, rhabdomyolysis, and hypernatremia. Laboratory tests found cocaine in his system and a positive RPR (rapid plasmin reagin test). A CAT (computed axial tomography) scan without contrast taken 8 days prior to his death showed a left middle cerebral artery infarct, with edema and mass effect, and a 1-cm midline shift to the right. He underwent symptomatic treatment, eventually suffered cardiopulmonary arrest and multiorgan failure, and expired 8 days after admission. The left cerebral lesion diagnosed clinically as a cerebral infarct was actually determined to be a syphilitic gumma on postmortem neuropathologic examination. Neurosyphilis, although rare, should be considered in the differential diagnosis of space-occupying lesions in the brain because cases of syphilis continue to occur both sporadically and as an opportunistic infection associated with acquired immunodeficiency syndrome (AIDS) and because neurosyphilis is treatable.     

Diversity of 26-locus Y-STR haplotypes in a Nepalese population sample: isolation and drift in the Himalayas

Twenty-six Y-chromosomal short tandem repeat (STR) loci were amplified in a sample of 769 unrelated males from Nepal, using two multiplex polymerase chain reaction (PCR) assays. The 26 loci gave a discriminating power of 0.997, with 59% unique haplotypes, and the highest frequency haplotype occurring 12 times. We identified novel alleles at four loci, microvariants at a further two, and nine examples of amelogenin-Y deletions (1.2%). Comparison with a similarly sized Bhutanese sample typed with the same markers suggested histories of isolation and drift, with drift having a greater effect in Bhutan. Extended (11-locus) haplotypes for the Nepalese samples have been submitted to the Y-STR Haplotype Reference Database (YHRD).     

Is Domestic Violence Learned? The Contribution of Five Forms of Child Maltreatment to Men's Violence and Adjustment

On the basis of a learning-theory approach to the intergenerational transmission of violence, researchers have focused almost exclusively on violent men's childhood experiences of physical abuse and witnessing family violence. Little consideration has been given to the coexistence of other forms of child maltreatment or the role of family dysfunction in contributing to violence. This study shows the relationships between the level of child maltreatment (physical abuse, psychological maltreatment, sexual abuse, neglect, and witnessing family violence), childhood family characteristics, current alcohol abuse, trauma symptomatology, and the level of physical and psychological spouse abuse perpetrated by 36 men with a history of perpetrating domestic violence who had attended counseling. As hypothesized, a high degree of overlap between risk factors was found. Child maltreatment, low family cohesion and adaptability, and alcohol abuse was significantly associated with frequency of physical spouse abuse and trauma symptomatology scores, but not psychological spouse abuse. Rather than physical abuse or witnessing family violence, childhood neglect uniquely predicted the level of physical spouse abuse. Witnessing family violence (but not physical abuse) was found to have a unique association with psychological spouse abuse and trauma symptomatology. These results present a challenge to the understanding of domestic violence obtained from learning theory.     

A Common Appeal: Anglo‐British Nationalism and Opposition to Europe, 1970–1975

Debates over European integration allow the articulation of an English nationalism based upon an Anglo‐British identity committed to Parliamentary sovereignty and British exceptionalism. This was seen during debates over entry to the European Economic Community between 1970 and 1975, which ended with a referendum. Tony Benn and Enoch Powell emerged as leaders of the campaign. With Benn a leading figure of the Labour Left and Powell a prominent yet contradictory figure on the right, they presented unlikely allies. However, since European integration conflicted with their Anglo‐British identity, partisan politics were secondary to nationalist sentiments. By examining Benn and Powell's anti‐Market rhetoric, this article considers 1970–1975 as the period in which the paradox of Anglo‐British nationalism was affirmed: that its populist expression can be used to reinforce parliamentary sovereignty.     

Gendering transnational radio: women listeners and the BBC Empire and Overseas Services, 1932–1967

ABSTRACT

The BBC World Service, today a respected broadcaster on the global stage, had its origins in the BBC Empire Service of the 1930s. Shortwave radio broadcasts from London explicitly targeted isolated white men in the geographically dispersed British colonies and dominions, with the intention of strengthening them in their imperial endeavours. BBC staff positioned women at the margins of programming and scheduling decisions. Yet for some women listeners radio was a crucial constitutive element of their multi-sensory empire (and post-empire) experience. This paper draws on the BBC Written Archives collection to explore the neglected topic of gender in relation to international broadcasting, focusing on how white women ‘exiles’ and settlers used and understood radio in their daily lives from the 1930s to the 1960s. BBC Overseas broadcasting, as the Empire and later General Overseas Services, provides a fruitful channel into further exploration of the gendered nature of the transnational domain, illustrating women's agency in the complex webs of empire.     

Entangling carbon lock-in: India’s coal constituency

This article investigates how energy security in the Anthropocene is entangled in diffuse ways with materiality. In particular we examine the social-material entanglement of humans and coal in India and how coal manifests itself differently across social life in the country. Focusing on a single material allows us to study how the Anthropocene creates, and is created by, particular appropriations of the material world. It offers a corrective to some Anthropocene literature that avoids discussing the complex, “everyday,” social impacts that fossil fuels have, particularly in the developing world. These intertwined impacts add to the complexity and difficulty in the process of decarbonizing societies, or in transitioning to a sustainable energy future.     

Why They Leave: An Analysis of Terrorist Disengagement Events from Eighty-seven Autobiographical Accounts

A deeper understanding of terrorist disengagement offers important insights for policymakers and practitioners seeking to persuade individuals to leave these groups. Current research highlights the importance of certain “push” and “pull” factors in explaining disengagement. However, such studies tell us very little about the relative frequencies at which these hypothesized factors are associated with leaving in the terrorist population. Using data collected from eighty-seven autobiographical accounts, we find that push, rather than pull, factors are more commonly cited as playing a large role in individuals' disengagement decisions and that the experience of certain push factors increases the probability an individual will choose to leave. Importantly, disillusionment with the group's strategy or actions, disagreements with group leaders or members, dissatisfaction with one's day-to-day tasks, and burnout are more often reported as driving disengagement decisions than de-radicalization. Finally, our results suggest that ideological commitment may moderate one's susceptibility to pull factors.