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Coarctation of the aorta (CA) is diagnosed mainly in pediatric patients, and therapy is conservative if asymptomatic, but surgical treatment is required if advanced arterial hypertension is present. Moderate to severe forms contraindicate any type of physical activity requiring cardiac effort. Here, we describe the first documented death of an apparently healthy 35-year-old woman because of cardiac tamponade by rupture of an aortic aneurysm, possibly related to congenital CA, prolonged use of oxymetazoline hydrochloride, and physical and/or emotional stress during sexual activity. Our patient was asymptomatic for classical CA symptoms. The patient's breathing difficulties likely in hindsight were due not so much to nasal congestion, but rather to an ineffective oxygenation of the blood from the abnormal heart. In an attempt to treat the "nasal disease," the patient ingested chronic and excessive doses of decongestants, aggravating her fatal disease. The danger of inhaling large doses of nasal decongestants without an appropriate medical indication is highlighted here.  相似文献   
23.
In the case of unidentified bodies the estimation of the period since death or of the season of death plays an important role to focus the attention on a reduced number of people among the ones reported missing. Forensic entomology can be one of the most important methods for these estimations, as occurred in this case. Flies are typically the first insects to colonize a dead body. The case reported here concerns the colonisation by insects of a male body in advanced decay found during the winter in Central Italy. This case is of particular interest as few data are available on the entomological evidence in the cold season. In particular, in this case we recovered Calliphora loewi (Calliphoridae), a species never collected before on dead bodies in Southern Europe. Larvae of the black soldier fly Hermetia illucens (Stratiomyidae), pupae and larvae belonging to genus Hydrothea (Muscidae), and Necrobia rufipes (Cleridae) specimens were also collected. The estimated PMI enabled identification of the cadaver, confirmed by DNA analysis.  相似文献   
24.
We discuss measurement issues in crime rates in a cross-country comparative perspective. We show that while homicide and general crime rates follow quite similar patterns in the US this is not always the case in Europe. We provide an explanation of the observed patterns based on the use of fire harms.  相似文献   
25.
It is common knowledge that in the past decades the focus on the shadow economy (SE) has increased and the range in the estimated size of this phenomenon is very divergent. The comprehensive coverage of economic production is important in order to ensure good quality of national accounts and exhaustive estimates of the gross domestic product. The purpose of this paper is to approach the SE by means of the latent variable method and the structural equation model–partial least squares and to explore similar behaviors in terms of the obtained results, by analyzing the subsamples of the countries under observation. Political measures need to be implemented carefully to counter the effects of the SE and policy-makers should have to adopt economic policy practices to drive the SE into the formal economy, particularly in less-developed countries.  相似文献   
26.
In recent years Russia has, thanks to the action of President Putin, witnessed a significant strengthening politically and economically. After years of crisis, this has finally ensured a condition of stability functional to the compromise that has arisen between the regime and society. The election of a new president, Medvedev, in March 2008, marks the beginning of a development phase that will be no less fraught with unknowns than the previous period and destined to create new challenges for the authorities, especially as concerns the social question, long kept on the margins of official policy. The operational plan for the social dimension envisaging a series of interventions aimed at solving the relative problems represents a commitment that could turn out to be crucial for the country's future.  相似文献   
27.
During the 1990s, and as part of a broader drive towards the “Afghanisation” of humanitarian assistance in Pakistan, Afghan NGOs became key implementing agencies supporting refugee-related and reconstruction activities in Afghanistan. This paper provides a detailed account of their emergence and consolidation, with a twofold objective. First, it complements and contributes to recent studies on Afghan NGOs and Afghan civil society, by providing historical insights on their trajectory. Second, it assesses such trajectory as a way of engaging with broader discussions on the role of NGOs within humanitarian operations.

Le succès des ONG afghanes

Durant les années 1990, et dans le cadre d'une initiative plus générale vers l’« afghanisation » de l'assistance humanitaire au Pakistan, les ONG afghanes sont devenues des agences clés de mise en ?uvre soutenant des activités de reconstruction et d'aide aux réfugiés en Afghanistan. Cet article propose un compte rendu détaillé de leur apparition et de leur consolidation, dans un double objectif. En premier lieu il complète et contribue à des études récentes sur les ONG afghanes et la société civile afghane, en donnant un aperçu historique de leur trajectoire. En second lieu, il évalue cette trajectoire dans le but de prendre part à des discussions plus larges sur le rôle des ONG dans les opérations humanitaires.

El éxito de las ong afganas

Como parte de un esfuerzo dirigido a “afganizar” la asistencia humanitaria en Pakistán durante los años noventa, las ong afganas se volvieron agencias operativas clave para el apoyo de actividades vinculadas a los refugiados y a la reconstrucción en Afganistán. El presente artículo proporciona una historia detallada de su aparición y de su consolidación y tiene dos objetivos. En primer lugar, complementar y contribuir a los estudios recientes respecto a las ong afganas y a la sociedad civil afgana, esclareciendo su trayectoria histórica. En segundo lugar, realizar una valoración de dicha trayectoria como una manera de participar en el debate más amplio en torno al rol jugado por las ong en el ámbito de las operaciones humanitarias.

O sucesso de ONGs afegãs

Durante a década de 1990, como parte de uma orientação mais geral para a “Afeganização” da assistência humanitária no Paquistão, ONGs afegãs tornaram-se agências implementadoras cruciais que apoiam atividades relacionadas a refugiados e à reconstrução no Afeganistão. Este artigo oferece um relato detalhado sobre o seu surgimento e consolidação, com um duplo objetivo. Primeiramente, ele complementa e contribui para estudos recentes sobre ONGs afegãs e a sociedade civil afegã, fornecendo informações históricas sobre sua trajetória. Em segundo lugar, ele avalia tal trajetória como forma de engajamento com discussões mais gerais sobre o papel de ONGs dentro de operações humanitárias.  相似文献   
28.
The Greek election of May 2012 failed to produce a government, resulting in repeat elections six weeks later. This shock outcome was a symptom of a broader delegitimation of the national political system. Over the past decade Eurobarometer data show a much more extensive loss of confidence in political institutions in Greece than in the European Union as a whole. In a first phase, rising political discontent was managed within the traditional political framework through alternation in power between the two major parties. In contrast, the second phase, following the outbreak of the Greek sovereign debt crisis, led to the dramatic fragmentation of the party system and changed the mode of government formation. This process is not reversible and entails serious democratic dangers.  相似文献   
29.
Privacy by Design is now enjoying widespread acceptance. The EU has recently expressly included it as one of the key principles in the revised data protection legal framework. But how does Privacy by design and data anonymisation work in practise? In this article the authors address this question from a practical point of view by analysing a case study on EU Financial Intelligence Units (“FIUs”) using the Ma3tch technology as additional feature to the existing exchange of information via FIU.NET decentralised computer network. They present, analyse, and evaluate Ma3tch technology from the perspective of personal data protection. The authors conclude that Ma3tch technology can be seen as a valuable example of Privacy by Design. It achieves data anonymisation and enhances data minimisation and data security, which are the fundamental elements of Privacy by Design. Therefore, it may not only improve the exchange of information among FIUs and allow for the data processing to be in line with applicable data protection requirements, but it may also substantially contribute to the protection of privacy of related data subjects. At the same time, the case study clearly shows that Privacy by Design needs to be supported and complemented by appropriate organisational and technical procedures to assure that the technology solutions devised to protect privacy would in fact do so.  相似文献   
30.
Psychological pain has been reported to be major contributing factor for completed suicide, and classical suicidology based its wisdom on this construct. In this paper we report the case of a patient whose family experienced a high number of suicides apparently due to an escalation of psychological pain in the family members after the successive suicides. We also briefly discuss the problem of helping survivors after the suicide of loved one.  相似文献   
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