Childhood panhypopituitarism presenting as child abuse: a case report and review of the literature

Childhood panhypopituitarism may be acquired or congenital. Children with panhypopituitarism can present clinically with diabetes, growth failure, decreased bone density, and morbid obesity. In the forensic setting without the proper history, it can be misdiagnosed as child abuse or neglect. We report a case of a 3-year-old black girl who was admitted to the emergency room with apnea and subsequently died. While at the emergency department, it was discovered that the child had a fractured left hip and was severely growth retarded for age. The coroner wanted to rule out child abuse and/or neglect and requested an autopsy based on the physical findings identified by hospital staff. Significant findings at autopsy included small for age (15th percentile for age), hypoplastic brain/pituitary gland/adrenal gland/thyroid gland, abnormally formed skull with an occipital protuberance, a fractured left hip with decreased bone density, and central adiposity. Subsequent to the autopsy, it was discovered that at 6 weeks of age the child suffered from group B streptococci meningitis that resulted in panhypopituitarism. The panhypopituitarism then resulted in seizure activity, diabetes insipidus, and growth retardation. The authors hope this case report and review of the literature will assist investigators, pathologists, and clinicians in making a distinction between neglect or inflicted injury of child abuse and panhypopituitarism that can present with similar signs and symptoms.     

我国上市公司委托书征集立法研究

我国现行有关委托书征集的立法主要是委托授权的内容 ,对于征集行为还没有明确、详细的规范。随着我国上市公司股权结构的日趋多元化 ,委托书征集(包括委托书争夺 )现象将会不断发生。证券监管部门应在考察我国资本市场现状和今后发展趋势的基础上 ,借鉴其他国家相关立法 ,尽快制定有关委托书征集规则。     

学习实践科学发展观要把握整体性思想方法

"把树立和落实科学发展观与掌握科学的思想方法紧密结合起来",是党中央的重要要求.其具体体现之一,就是要把握整体性思想方法,消除片面性思想方法.整体性方法是马克思主义世界观和方法论的重要内容,也是科学发展观的重要方法论内涵.而片面性方法,则是导致不科学发展的重要认识根源,必须消除.     

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2007年12月29日,贵阳市委通过了《中共贵阳市委关于建设生态文明城市的决定》,举全市之力在各个领域进行生态文明城市建设。当前,低碳经济不仅是国内外研究的热门话题,也是国内外经济社会领域实践的热点话题。为了应对日益严峻的温室效应,各国各地区选择了低碳经济的道路。低碳经济是建设生态文明城市的突破口,又可以将生态文明城市建设向纵深推进。     

中国法律技能教育的制度分析

从法律技能的需求的视角,本文在制度层面分析技能教育为何在中国法学教育中发展不足和缓慢;认为这是法学院学生和教育者面时现有学科体制和由诸多社会因素构成的社会需求时的理性选择的结果;法律技能教育发展的关键不在于重视或加大投入,而在于中国社会的进一步发展和转型。本文追求对法学教育的经验研究和理论研究的有机整合。     

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