Medicolegal aspects of an unusual uterine perforation with multiload-Cu 375R

Perforation of the uterus is one of the most serious complications associated with insertion of intrauterine contraceptive devices (IUD). According to recent studies, this lesion occurs in 0.87 per 1000 cases, but statistics generally fluctuate between 0.05 and 13 per 1000 insertions. "Primary" perforations occur at the time of IUD insertion, and "secondary," or delayed, perforations are usually assumed to be caused by reactive uterine contractions. We report an unusual case of uterine perforation, which occurred 9 days after the insertion of a Multiload-Cu 375 IUD. The criteria for differential diagnosis between primary and secondary complications are discussed, particularly from the perspective of medical malpractice cases.     

The Place of Legal Positivism in Contemporary Constitutional States

The aim of the paper is that of discussing some recent antipositivist theses, with specific reference to the arguments that focus on the alleged incapability of legal positivism to understand and explain the complex normative structure of constitutional states. One of the central tenets of legal positivism (in its guise of methodological or conceptual positivism) is the theory of the separation between law and morality. On the assumption that in contemporary legal systems, constitutional law represents a point of intersection between law and basic moral values, antipositivists contrast legal positivism with two main arguments. First, on a more general level, the positivist theory of the separation between law and morality is questioned; then, and consequently, the neutrality thesis in the juristic study of law is rejected. The author discusses both these antipositivist arguments, and offers a brief defence of methodological positivism.     

Political Budget Cycles: The Case of the Western German Länder

This paper focuses on the issue of the electoral andideological cycles in state government budget for the elevenWestern German Länder. We verify this hypothesis over theperiod 1974–1994 for the following budgetary variables: totalexpenditures, surplus/deficit, administration, health care,education, roads and social security benefits. While overallour results seem to show that generally the party variabledoes not play a systematic role in spending decisions, theyprovide some support to the opportunistic cycle theory showingthat the only relevant phenomenon is the effect of theupcoming election on the government spending inclinations.     

An Examination of Mental Health and Psychiatric Care among Older Prisoners in the United States

Despite that prisons in the United States (and other high-income countries) have witnessed an increase in the proportion of older inmates, and that prison populations exhibit high rates of psychiatric illness, there is limited knowledge on the nature of older inmates’ psychological health and use/provision of psychiatric care. The present study addresses these gaps, analyzing a nationally representative sample of 1,907 male and female older inmates (age range = 50–84 years; M = 56) housed in U.S. state and federal prisons. The results highlight: (a) the prevalence of psychological issues among older prisoners; (b) factors associated with certain mental disorders and symptoms of mental health issues; (c) the prevalence of psychiatric treatment before and during imprisonment for those with (and without) reported psychological health issues; (d) similarities and differences between male and female older inmates in relation to psychological health, factors associated with psychological issues, and the use/provision of psychiatric care. Discussion points toward recommendations for managing inmate mental health, as well as direction for further research on older inmate mental health and psychiatric care.     

The left-wing armed struggle in Italy from a critical-historical perspective: the case of study of Prima Linea

This article intends to cast new light on the history of the Italian left-wing armed struggle using the research perspectives offered by Critical Terrorism Studies (CTS). The object of the analysis is Prima Linea (Front Line, PL), which in less than 5 years (1976–1981) became the second most important left-wing clandestine organisation of the Italian 1970s. On the one hand, the historical development of the organisation is divided into two distinct phases. On the other hand, three dimensions of the armed activity of PL will be considered, namely, its ideological approaches, its organisational repertoires and the choice of the targets, in order to investigate the origins, meanings and outcomes of certain framing processes related to the concept of political violence. Taking into consideration direct sources of the organisation and the debates within the social movements, this contribution contextualises these conceptualisation processes of political violence by relating them to the surrounding social context and focusing on the role played both by the structural dynamics from above, and by the theories and practices developed within the revolutionary Left. The aim is to de-exceptionalise and historicise the left-wing armed struggle in Italy and to propose a critical explanation of such phenomenon.     

Sudan and the Unbearable Lightness of Islamism: From Revolution to Rentier Authoritarianism

The regime ruling Sudan since 1989 represents a pioneering experiment in the field of Islamist politics, being the first case in which a movement affiliated with the Muslim Brotherhood managed to conquer power and hold on to it for a considerable time. During the late 1990s, internal and external pressures threatened the survival of the regime, leading the ruling class to abandon its ambition to represent a model of revolutionary Islamic governance. Oil exports provided a catalyst for this pragmatic shift, intensifying patronage-based relations at the expense of ideological affiliation. Seen from a political economy perspective, the Sudanese experience proves the flexibility of Islamism as an ideology, but also its failure as a political practice to constitute a real alternative to the authoritarian dynamics that are widespread in the MENA region.     

Philosophical Archaeology

In the perspective of the philosophical archaeology proposed, here, the arkhé towards which archaeology regresses must not be understood in any way as an element that can be situated in chronology (not even one with a large grid, of the sort used in prehistory); it is, rather, a force that operates in history—much in the same way in which Indoeuropean words express a system of connections among historically accessible languages, in which the child in psychoanalysis expresses an active force in the psychic life of the adult, in which the big bang, which is supposed to have originated the universe, continues to send towards us its fossil radiation. But the arkhé is not a datum or a substance. It is much rather a field of bipolar historical currents within the tension of anthropogenesis and history, between point of emergence and becoming, between arch-past and present. And as such—that is to say, to the extent to which it is something that it is necessarily supposed to have factually happened, and which yet cannot be hypostatized in any chronologically identifiable event—it is solely capable of guaranteeing the intelligibility of historical phenomena, of ‘saving’ them archaeologically within a future perfect, yet not grasping its (in any case unverifiable) origin, but rather its history, at once finite and untotalizable.     

Immediate anaphylactic death following antibiotics injection: splenic eosinophilia easily revealed by pagoda red stain

The comparison of 4 cases of immediate anaphylactic death following the intramuscular injection of antibiotics (different types of penicillin or cephalosporins) with 4 cases of immediate non-anaphylactic death (induced by different causes) recognized splenic eosinophilia, as the main feature for the differential diagnosis, in agreement with isolated previous studies. The use of a stain (pagoda red) little known and seldom employed in Pathology and in Forensic Medicine, showed the concomitant massive presence (immunohistochemically confirmed) of mast cells and degranulated mast cells, the latter mainly located in splenic sinuses. The whole of our findings led us to consider the spleen as the possible shock organ in man. Waiting for further judgment on our hypothesis, we seized the opportunity to remark the employment of the pagoda red stain when the contemporary demonstration of eosinophils, mast cells and degranulated mast cells is required.     

‘Provincializing’ critical theory: Islam,Sikhism and international relations theory

This article will attempt to ‘provincialize’ or ‘decentre’ critical theory by looking at the development of critical discourses from within the Islamic and Sikh religious traditions. Although important theological, philosophical and historical differences exist between the two communities, Islamic and Sikh narratives share a rejection of the subordination of the religious to the political and thus potentially challenge the Westphalian order. However, in the case of the Sikh Qaum, no clear distinction between ‘nation’ and ‘religion’ is possible given the strong attachment to a territorially defined ancestral homeland. This article suggests that both critical Islamic and Sikh discourses, particularly those emanating from the diaspora, are potentially compatible with the ‘discourse ethics’ of critical theory. This is, however, conditional on the recognition of the universality of their beliefs, a position incompatible with the ‘thin’ cosmopolitanism of critical theory.