Congenital atrioventricular block: histological aspects

It is known that maternal immunological factors such as systemic disease are involved in the genesis of cardiac conduction problems in the fetus but the histologic changes in the conduction system are less documented. We report the case of a 33-year-old woman with no significant medical history. Her first pregnancy was induced by Clomifene. At 17 weeks of gestation, the fetus presented sonographic abnormalities characteristic of a complete atrioventricular block. Biological investigations found anti-SSA and -SSB antibodies. Clinical history search for systemic disease was positive for photosensitivity, lasting 10 years, suggesting the diagnosis of systemic lupus erythematosus. The patient was treated with prednisone 20 mg per day but fetal death occurred at 29 weeks of gestation. Histological examination of the fetal heart showed an altered atrioventricular node and bundle of His with fibrosis, calcifications, endocardial fibroelastosis and mononucleated inflammatory cells. The search for these specific lesions can be determinant in establishing the disease pathogenesis; also, it is important to eliminate this diagnosis in an unexplained fetal death.     

In-between liberal authoritarianism and electoral authoritarianism: Hong Kong’s democratization under Chinese sovereignty, 1997–2016

On the eve of the twentieth anniversary of the handover, Hong Kong’s transition towards a full democracy remains unsettled. Drawing upon the contemporary theories of hybrid regimes, this article argues that manipulations adopted by electoral authoritarian governments have become increasingly common in Hong Kong today. As Hong Kong’s elections, opposition activities, and media have been increasingly put under electoral authoritarian-style manipulations, the city-state is now situated in the “political grey zone” in-between liberal authoritarianism and electoral authoritarianism and its transition into a full democracy remains nowhere in sight. The case study of Hong Kong will help enrich the existing comparative literature on hybrid regimes by developing a new “in-between category” and offering an interesting case of democratization of sub-national polity.     

More than a primitive imperialism: The colonial government and the social relief of Hong Kong in the early twentieth century

The implication of the social relief of Hong Kong in the early twentieth century has not been stressed sufficiently by researchers on social administration. The post‐colonial historiography, which would likely be dominated by Chinese communist historians, most probably will reinforce the reductionist view ‘British imperialist was indifferent to the social relief for Hong Kong grassroots’ to fit in the political correctness of the upcoming hegemony. This documentary analysis shows a different picture to the above common sense. Based on the new picture, we try to unveil the danger lurking in the anti‐imperialist nationalism, and suggest a possible new understanding of the history of Hong Kong's social welfare development.     

Proactive Evaluation of PRP Status at Hazardous Waste Disposal Sites

Two keys to avoiding potentially responsible party (PRP) status at future Superfund sites are to manage all waste with appropriate care and to perform appropriate inquiries into the history of new properties prior to acquisition. However, corporations can become PRPs because of their ownership and/or operation of historically contaminated property, their historical waste management practices, or their historical disposal of hazardous substances at nonowned disposal sites, such as landfills. This article describes a method by which insurance companies, waste producers, and property owners can proactively evaluate their potential liability associated with environmental response action costs at contaminated sites.     

Follower at the Frontier: International Competition and Japanese Industrial Policy

A dominant orthodoxy in political-economic analyses of international competition is to highlight how national industrial performance and the competitive balance between nations are determined by domestic features of national political economies. In contrast, this article reverses these causal arrows by highlighting how the international competitive environment itself can shape and reshape domestic and state structures. Japan's high-profile, large-scale national research and development programs in computer and semiconductor technologies serve as instructive testing grounds for this argument. Illustrating how shifts in international competitiveness can induce changes in domestic structures, Japan's R&D projects display a secular decline in the government's interventionist capabilities as the country's computer and semiconductor industry dramatically moves from industry follower to technological pioneer.     

Elemental analysis by energy dispersive x-ray: a significant factor in the forensic analysis of glass.

Eighty-one glass samples were analyzed by EDX; two were indistinguishable. However, when the physical properties of the glass samples were considered, all glass samples were distinguishable from each other. The need to examine glass with respect not only to physical properties but also to elemental composition has been demonstrated. The authors believe that if glass is examined only by density and refractive indexes it is quite possible to conclude incorrectly that glass samples with the same physical qualities could have originated from the same source. To confirm that the glass specimens may have in fact originated from the same source their elemental compositions in addition to density and refractive indexes must be determined. The analysis by EDX of glass samples can selectively eliminate most specimens on the basis of elemental differences. If this step is performed prior to refractive index or density measurements considerable time savings can be realized in casework situations.     

How Authoritarianism Intensifies Punctuated Equilibrium: The Dynamics of Policy Attention in Hong Kong

The punctuated equilibrium theory contends that government attention allocation is universally leptokurtic in that long periods of stability are punctuated by bursts of rapid and radical change; the empirical evidence in support of this claim is however exclusively drawn from democratic systems. The absence of electoral politics and institutional decentralization in authoritarian regimes could presumably affect institutional friction; whether and how this might pose as a qualification to the thesis is of major interest. By analyzing four streams of government actions in Hong Kong from 1946 to 2007 straddling the colonial and postcolonial regimes, we have found that government processes are generally leptokurtic even under authoritarian regime institutions, with the degree of the dispersion of decision‐making power across the streams of actions affecting the magnitude of punctuation. We have also found that punctuation was greater when the political system was more centralized but declined as the political system democratized.     

Accumulation of large foreign reserves in China: a behavioural perspective

The massive accumulation of foreign reserves by China has challenged the conventional thinking about prudent reserve management. This paper develops a behavioural model of optimal decision making under uncertainty to explain the observed Chinese reserve policy. Departing from the conventional approach to utility maximisation based on the agent’s rationality, this paper explicitly models the behaviour of Chinese central banker who is influenced by loss aversion and narrow framing. Embedding the cognitive biases into the precautionary savings approach to holding reserves, the paper shows the behavioural optimality of Chinese reserve build-up and provides a plausible explanation of the dynamics of reserve accumulation in China, hence help make sense of the puzzling Chinese reserve policy.