Death due to a rare complication of colonoscopy and the potential medicolegal implications

A 64‐year‐old woman was found dead at home after undergoing a screening colonoscopy. At autopsy, 1.9 L of blood was discovered within her abdominal cavity. The only major abnormality was nontraumatic avulsion of the splenic capsule. This was the only identifiable abnormality capable of causing the severe hemoperitoneum and demise of the patient. Although rare, splenic capsule avulsion is a recognized complication of colonoscopy. Many have theorized that it results from excessive traction on the splenocolic ligament resulting in a tear of the splenic capsule. Most patients present within the first 24 hours after the procedure with nonspecific symptoms, and many patients may not seek medical attention. The paucity of the literature in the area of splenic capsular avulsion after colonoscopy reinforces the importance of reporting known cases, and by doing so raise awareness of this rare but devastating complication of an otherwise beneficial screening procedure.     

Demonstrating the Melbourne University Respirator

The First World War was a theatre for the demonstration of Australia's contribution to the Empire, and the role of science and technology. This paper explores this relationship by tracing the history of the Melbourne University Respirator, a gas mask developed by scientists at the University of Melbourne during the Great War. In the immediate post-war period, the Respirator was used as a political technology to educate citizens about the actual and potential contribution of scientific research to national and imperial defence. Scientists in this manner promoted national scientific and technological development and a more equal partnership with Britain. The political use of the Respirator was staged in the vivid medium of an exhibition, in which sentiment was conceivably used to motivate political action.     

Nanotechnology . . . What Is It Good For? (Absolutely Everything): A Problem Definition Approach

Problem definition studies focus on the ways in which problems are characterized in the political domain, and how they can be used strategically to limit or expand policy participation. Nanotechnology entrepreneurs are vying for resources in the political domain while strategically linking their nano‐solution to multiple and ambiguous problems. This article considers the evolution of nanotechnology as a solution, and the linked problems from a problem definition perspective. We consider how nanotechnology has been defined over time, in the scientific community and in the media, through development of a database of problem and solution definitional change. We find that, over time, advocates have defined the solution from a more narrow perspective while maintaining the overall ambiguity of the problem set. We suggest that the problem definition perspective is a viable framework for understanding the fluid and complex dynamics of science and technology issues and offer several suggestions for further research.     

Elite mobilities: the semiotic landscapes of luxury and privilege

Tourism is immensely powerful in (re)organising large-scale inequalities and privileges. In the rapid expansion of ‘luxury tourism’ we find a wing of this truly global culture industry openly committed to the symbolic production of elite status, distinction and privilege. Our visual essay here offers a series of multimodal, multi-voiced statements arising from a research project that explores and critiques the lavish semiotic economies and strict interactional orders of these ‘new’ elite mobilities. Mimicking the fleeting encounters of super-elite travellers themselves, we undertook a series of ethnographically grounded but patently frugal sorties into five different spaces (or modes) of luxury travel. Drawing on our own fieldwork material and quoting the visual rhetoric of advertisers, we trace the normative production of an ostensibly enclavic landscape that imagines (or re-imagines) limitless aspirations and unbounded pleasures for all consumer-citizens regardless of their power or wealth.     

The Requirement of an 'Express Agreement' for Joint Criminal Enterprise Liability: A Critique of Brdanin

The mode of liability known as joint criminal enterprise (JCE)has emerged in the case law of the International Criminal Tribunalfor the former Yugoslavia (ICTY) as a means of assigning criminalliability to individuals for activities carried out by a collective.As a result, the doctrine must be carefully defined so as notto allow it to extend a defendant's liability beyond the appropriatelimits of individual criminal responsibility. In this regard,a recent ICTY Trial Chamber decision in Branin held that, wherea defendant is not alleged to have participated in the physicalperpetration of the crimes charged but to have contributed insome other way to the commission of the crimes by a group, theprosecution must demonstrate that the defendant entered intoan express agreement with the physical perpetrators to committhe crimes charged. The author argues that this ‘expressagreement requirement’ is both conceptually unsound andpractically unhelpful. Conceptually, it would be inconsistentwith core principles of JCE liability to require an expressagreement between a defendant and the physical perpetratorsof crimes, at least in circumstances in which it is allegedthat there existed a structure of two or more overlapping JCEs.Moreover, because this structure allows the accused and thephysical perpetrators to be operating in two separate JCEs,they need not even share a common criminal purpose. On a practicallevel, arguably in a ‘system-criminality’ contextsuch as the one that developed in the former Yugoslavia duringthe time period in question, the organizers of criminal activityare unlikely to enter into express criminal agreements withthose who physically carry out crimes, because existing organizedhierarchies provide much more efficient mechanisms by whichleaders are able to ensure the realization of their criminalplans.     

Safety,Satisfaction, and Settlement in Domestic Relations Mediations: New Findings

Researchers and mediators have long been concerned about coercion, intimidation, and safety threats that could occur in mediation for cases where previous violence between the parties has occurred. Most of the research focuses on screening tools to identify parties at risk. When parties screen positive for intimate partner violence (IPV), some proceed to mediation and some do not, depending on the policies of individual mediation programs. But this misses a step: Some cases may benefit from mediation while others won't, but how can we predict whether mediation will be useful and safe in specific instances? This study uses survey data obtained from parties in domestic relations mediations to examine issues of safety, satisfaction, and settlement in the presence of various IPV behaviors.     

Global Pressures,National Policies,and Labor Rights in Latin America

This paper examines the impact of countervailing external pressures on labor rights in 17 Latin American countries. On the one hand, these countries have been urged to reform their labor laws and practices to comply with international labor standards, including protections for the collective rights of workers. On the other hand, they have been pressured to adopt more flexible labor markets, which often undermine collective labor organization. After dividing the countries by the type of political regime that prevailed when the pattern of relations between labor and the state was being established, the paper presents and explains the results of indices created to measure two outcomes: labor standards and labor market flexibility. It then analyzes the impact of four types of external actors (the ILO, national governments pursuing trade agreements, multinational corporations, and international financial institutions) on these outcomes, both de jure and de facto. The paper's main finding is that these actors have had an impact on labor outcomes in the region, but that their influence is heavily mediated by domestic factors, particularly historical legacies of state-labor relations.