Pulmonary embolization by chorionic villi causing maternal death after a car crash

Throughout the last century, there has been a marked decline in obstetric maternal deaths, resulting in an increase in the proportion of nonobstetric deaths among pregnant women. Trauma, in particular, has become a leading cause of maternal death. We report the case of a 20-year-old primigravid woman who was involved in a motor vehicle crash at 36 weeks gestation. The woman developed abruptio placentae, followed by disseminated intravascular coagulation, adult respiratory distress syndrome, and shock, and died the day after the crash. Widespread pulmonary embolization by chorionic villi was identified at autopsy. This report discusses traumatic maternal deaths, with emphasis on the differences in injury pattern observed in pregnant trauma victims in comparison with other adults. It is important that the pathologist be aware of these problems so that an accurate cause of death can be identified in cases of maternal death after trauma. Also discussed is the relationship between trauma and placental abruption and the mechanism of death in the patient. To the authors' knowledge, this is the first reported case of extensive embolism of chorionic villi to the lungs after trauma.     

Reflections on Moral Accountability

As patron of the Centre for the Study of Violence and Reconciliation(CSVR), I am both proud and excited that this organization hastaken the lead in initiating an international publication ontransitional justice in partnership with the Human Rights Centerat the University of California, Berkeley. By creating a spacefor dialogue and the sharing of knowledge and research, theInternational Journal of Transitional Justice will no doubtcontribute to the growth of the field of transitional justiceand to its ultimate     

The etiology of adolescents' perceptions of their weight

The present study examined adolescents' actual and perceived weights in relation to why adolescents think they weigh what they do, where adolescents obtain weight control information, and adolescents' weight locus of control. The study was conducted in a Midwestern high school, based on information obtaind from 194 freshmen. Thirty percent of the adolescents perceived their weight category inaccurately when compared to their actual weight and height. One-third of those who were thin, one-half of those who were normal weight, and two-thirds of those who were heavy had been exercising during the past six months to control or lose weight. Six percent of the thin, 41% of the normal weight, and 56% of the heavy students had dieted within the past six months to control or lose weight. The leading sources of weight control information were television, family, friends, and magazines. Teachers were identified as sources of information by less than 10% of the students. Mother, family, and friends were identified as those most helpful in adolescents' attempts to lose weight. Significant chi-square differences were found between weight locus of control orientations and actual and perceived weight categories. Finally, a multivariate analysis of variance was used to analyze adolescents' perceptions of weighing what they do. Eat too much vs too little and exercise too much vs too little were the two reasons identified that were statistically significant. The information obtained from this study may be useful in designing and implementing weight control and nutritional programs for adolescents. For many of the adolescents, their perceptions were different from reality.Received M.S. from University of Toledo. Research interests include behavioral medicine.Profsssor of health education. Received Ph.D. from Western Michigan university. Research interests include behavioral medicine.Received M.A. from Oregon State University. Research interests include environmental health.Received Ph.D. from University of Toledo. Research interests include behavioral medicine.     

Disability,Reasonable Accommodation and the Employer's Obligations: Nano Nagle School v Daly

The duty on employers to provide reasonable accommodation is a well-established component of disability discrimination legislation, yet it continues to generate litigation in many jurisdictions. This article examines a recent decision of the Irish Supreme Court concerning the extent of the employer's obligations where, after having acquired an impairment, a worker is no longer able to perform all of the functions of her original job. The case also addressed the question of what procedures should be followed by an employer when considering the provision of reasonable accommodation, as well as the need for courts to justify awards of compensation. The issues in Irish law were intertwined with obligations arising from EU and international law instruments. Therefore, the decision is pertinent for other jurisdictions confronting similar challenges.     

Pluralistic programming and radio diversity: a review and a proposal

While radio is America's most abundant medium, its content is characterized more by sameness than by diversity. Stations find it more profitable to duplicate mass appeal programming formats than to program to minority tastes. Such rational business decisions come at the expense of the listening audience which is given few formats from which to choose. The regulatory system, which speaks to the value of program diversity, has been unsuccessful in creating effective incentives to foster radio diversity. The article suggests a novel approach to radio regulation that combines economic incentives with new methods for identifying audience preferences such that a profit-maximizing radio industry would serve more tastes than are presently served.An earlier version of this paper was presented to the Mass Communication and Society Division of the Association for Education in Journalism, Boston, August 1980.