Delayed left anterior and middle cerebral artery hemorrhagic infarctions after attempted strangulation: a case report

The 2 common carotid arteries bifurcate in the neck into the internal and external carotid arteries. The internal carotid artery enters the skull and further divides into the anterior and middle cerebral artery. During its short course in the neck, the carotid artery travels encased in the carotid sheath along with the vagus nerve and the internal jugular vein. During its course in the neck, the carotid artery is quite superficial, making it vulnerable to both penetrating and blunt traumatic injuries. We report here a case of a 40-year-old man who presented to the emergency department after sudden collapse and loss of consciousness a day after an attempted strangulation. Imaging revealed large hemorrhagic infarcts in the left anterior cerebral artery and middle cerebral artery territories as well as a smaller infarcts in the right anterior cerebral artery territory necessitating emergency decompressive hemicraniectomy. Our case report adds to the existing literature on nervous system injury due to strangulation. Physicians should be aware of the possibility of delayed presentation of neurological deficit after attempted strangulation.     

Fathers as carers in UK law and policy: dominant ideologies and lived experience

This article explores how working fathers are conceptualised within the UK’s work-family law and policy framework and whether a dominant ideology of fatherhood can be discerned. The socio-legal literature on men and masculinities is considered alongside established feminist theory on families, paid work and unpaid care to provide a backdrop to the analysis of current policy provision in this area. Three ‘ideal’ type ideologies of fatherhood are identified (‘absent’, ‘involved’ and ‘active’) which are used to critically examine the current legal framework. Despite claims to the contrary, the current framework supports and reaffirms the gendering of care so that the intransigence on the part of men and women to rebalance related responsibilities is unsurprising. The authors argue for a more care-centric approach to work-family policy in place of gender-specific normative modelling. A legal framework which enabled and encouraged all care providers to participate regardless of gender and biological relationship would not only improve the workplace experiences of women, but also enable men to develop and fulfil their care-giving aspirations and potential.     

Is the Democratic Party’s superdelegate system unfair to voters?

Among the reasons for the historic nature of the 2008 Democratic primary race was the attention paid to the “superdelegates”. The competitiveness of the primary and the important role the superdelegates played has led to calls for reform. This paper develops a formal model that explains why superdelegates selected one candidate over the other and why some superdelegates committed early in the primary season while others waited. Hypotheses are tested using an original dataset collected during the 2008 Democratic primary. The results suggest that although some superdelegates made their decision based on personal, idiosyncratic factors, for many superdelegates, Democratic voters played the most important role in their commitment process.     

Utility of dorsal pits and pubic tubercle height in parity assessment

Parity indicators in human skeletal material are highly desirable yet elusive. In this study, the relationships of dorsal pits and pubic tubercle elongation to parity are investigated in a sample of 148 modern female sets of pubic bones with associated birth information. The elongation of the pubic tubercle shows no significant correlation with number of births, but instead is associated with the distance this feature is from the pubic symphysis (p < 0.01) and the size of the arcuate angle (p < 0.05). Dorsal pits show a strong association with increasing numbers of births (p < 0.01), especially in younger women. However, in women over 50 years old, dorsal pitting is correlated with BMI (p < 0.05) and is not significantly correlated with number of births. While this study lends support to the correlation of dorsal pitting and parity, it currently does not reach the level of accuracy needed for forensic applications at the level of the individual.