Fatal virus-associated hemophagocytic syndrome in a young adult producing nontraumatic splenic rupture.

A 24-year-old man with no previous medical history was admitted to a local hospital with pancytopenia after a recent "viral illness." During his hospitalization, he developed sudden abdominal distension and hypotension. Surgical exploration of his abdomen revealed a ruptured spleen. The spleen was removed, but the patient did not survive the operation. We investigated this unexpected and unexplained hospital death for any traumatic or iatrogenic injury. The cause of death after review of the clinical history, autopsy, and microscopic sections was virus-associated hemophagocytic syndrome (VAHS). VAHS consists of a generalized histiocytic proliferation and marked hemophagocytosis associated with a systemic viral infection. Clinically it presents as pancytopenia and organomegaly. This recently described entity is often confused with malignant histiocytosis. This is the first case report of VAHS producing nontraumatic splenic rupture, thus adding to the differential diagnosis of spontaneous splenic rupture and sudden natural death.     

Positional asphyxiation in adults. A series of 30 cases from the Dade and Broward County Florida Medical Examiner Offices from 1982 to 1990.

Over a 9-year period, 30 cases of positional (or postural) asphyxia were identified in the Dade and Broward County (Florida) Medical Examiner Offices. The victims had an average age of 50.6 years with no significant sex or racial differences as compared with the general medical examiner population. Chronic alcoholism or acute alcohol intoxication was a significant risk factor in 75% of cases and these had an average postmortem ethanol concentration of 0.24 g%. Signs of mechanical asphyxiation (petechiae and/or combined lung weights greater than 900 g) were present in 93% of cases. Victims were commonly (43%) found in a restrictive position producing hyperflexion of the head and neck. Two deaths involved restraint vests ("poseys") in elderly, demented, wheel-chair-confined victims. Scene photographs of the undisturbed decedent are extremely helpful in confirming a suspicion of postional asphyxia.     

C. Reviews and notes bibliographies and works of reference

THE DEVELOPMENT OF ISLAMIC LIBRARY COLLECTIONS IN WESTERN EUROPE AND NORTH AMERICA. By STEPHAN ROMAN (Libraries and Librarianship in the Muslim World.) London, Mansell, 1990. xii, 259 pp. £40.

OPIS NA DOKUMENTITE NA ARABSKI EZIK, ZAPAZENI V ORIENTALSKIYA OTDEL NA NARODNATA BIBLIOTEKA ‘KIRIL I METODII’ V SOFIYA, XIII‐XX V. = INVENTORY OF THE DOCUMENTS IN ARABIC LANGUAGE KEPT IN THE ORIENTAL DEPARTMENT OF THE ‘CYRIL AND METHODIUS’ NATIONAL LIBRARY IN SOFIA, XIII‐XX C. Compiled by STOYANKA KENDEROVA. Sofia, Narodna Biblioteka ‘Kiril i Metodii’, 1984. 387 + 14pp.

KASHSHAF AL‐DAWRIYYAT AL‐'ARABIYYA, 1876–1984: DALIL BIBLIYUGHRAFI LI‐L‐MAQALAT WA‐AL‐DIRASAT AL‐BAHITHA FI TARIKH AL‐'ARAB WA‐TURATHIHIM AL‐FIKRI WA‐AL‐HADARI AL‐MANSHURA FI AHAMM AL‐DAWRIYYAT AL‐'ARABIYYA = INDEX ARABICUS, 1876–1984: A CLASSIFIED INDEX OF ARTICLES RELATIVE TO ARABIC AND ISLAMIC STUDIES PUBLISHED IN ARABIC SCHOLARLY PERIODICALS. Compiled by ‘ABD AL‐JABBAR ‘ABD AL‐RAHMAN (ABDUL JABBAR ABDULRAHMAN). Baghdad, Markaz al‐Tawthiq al‐I'lami li‐Duwal ai‐ Khalij al‐'Arabi, 1989. 4 vols. US$200.‐

BRITAIN IN THE MIDDLE EAST 1921–1956: AN ANNOTATED BIBLIOGRAPHY. By VINCENT PONKO. (Themes in European Expansion, 9; Garland Reference Library of Social Science, 357.) New York, Garland, 1990. 513pp. US$57.00

TURKISH LINGUISTICS TODAY. Edited by HENDRIK BOESCHOTEN and LUDO VERHOEVEN. Leiden, Brill, 1991. vii, 193pp. Hfl.95.‐

HANDBUCH DER TÜRKISCHEN SPRACHWISSENSCHAFT. TEIL I. Herausgegeben von GYORGY HAZAI. Wiesbaden, Harrassowitz, 1990. 493pp. DM188.‐     

In Pursuit of Civic Participation: The Early Experiences of the Northern Ireland Civic Forum, 2000–2002

Northern Ireland's Civic Forum is a key civic participation mechanism agreed as part of the Belfast Agreement and established under the Northern Ireland Act 1998. It brings together representatives from various sectors to act as a 'consultative forum' on 'social, economic, and cultural issues'. This article argues that 'civic society' has to be understood as a 'transactional reality' in the Foucauldian sense, such that the task of the Civic Forum – to allow the participation of 'civic society'– entails the continual construction of its own boundaries and remit. These are contested, not only outside the forum where political considerations have made it somewhat controversial, but also within. It is argued here that this is necessarily so, given the need for the forum to carve out a position between its constitutive outsides. Of particular concern has been the meaning of 'consultative', as competing understandings of this key term position the forum differently with respect both to the legislative Northern Ireland Assembly and to Northern Irish society as a whole. Additionally, the ethical imperative to give voice to wider society is examined, as it influences the way members of the forum articulate their role. Finally, I discuss the forum's sense of its unique identity – as given by its opportunity to enact an inclusive and diverse political space. The argument draws throughout on a qualitative sociological study that employed observation of the forum's plenary sessions over an eighteen-month period (2000–2002) and semi-structured interviews with selected members.     

The shaping of collective values through deliberative democracy: An empirical study from New York's North Country

Participatory planning and policy analysis has gained increasing attention in recent years because of its potential to improve the knowledge base for policy design (substantive benefits), increase the likelihood of stakeholder compliance and support (instrumental benefits), and strengthen the democratic legitimacy of public policies (normative benefits). Deliberation among stakeholders is considered essential for participatory policy analysis, representing a democratic process for clarifying the particular as well as the collective goals and values as well as the potential impacts of alternative policies. This study examines the effects of democratic deliberation on participants' viewpoints of the policy domain (the local food system), based on two-and-a-half day participatory planning events in each of six rural counties in northern New York. Participant viewpoints were assessed several weeks before and after these events, using Q methodology. The results reveal three major viewpoints, representing concerns for social justice, the viability of conventional agriculture, and the potential environmental and social externalities associated with conventional agriculture. The substance of these viewpoints remain unchanged before and after the deliberative events, but the salience of the conventional agriculture viewpoint increased and the salience of the social justice and alternative agriculture viewpoints decreased significantly, even among those participants who most clearly defined the latter two viewpoints. These findings, together with an analysis of the action agendas emerging from these planning events, suggest that local deliberative processes may produce outcomes that are neither fair nor efficient and that reflect the values and interests of certain stakeholders more than others, even in the absence of overt conflict. Moreover, it appears that such processes may cause some participants to alter their viewpoints in ways that appear contrary to their values and interests as expressed prior to the deliberative event. The implications for participatory policy analysis are explored.     

The pious or the doctrinaire? who supports suicide terrorism in Indonesia?

ABSTRACT

Indonesia is generally viewed as a moderate Muslim nation that episodically struggles with terrorism. Between 1981 and the end of 2016, Indonesia experienced 156 attacks from some 15 Islamist militant groups. However, the lineaments of popular support for Islamist militancy in Indonesia remain understudied. In this paper, we expand upon the existing literature on popular support for Islamist violence in Indonesia by replicating and extending the empirical framework for modeling the relationship between support for various conceptualizations of Shari’a and support for Islamist violence offered by Fair, Littman and Nugent (2018) for Pakistan and extended to Bangladesh by Fair, Hamza and Heller (2017). To do so, we conduct ordered logistical regression analysis of Pew survey data which includes information about respondents’ religious beliefs and practice as well as support for Islamist violence. We find considerable evidence that their framework is useful for understanding support for violence in Indonesia.     

Building civic infrastructure: implementing community partnership grant programmes in South Africa

This article examines recent efforts to establish Community Partnership Grant Programmes (CPG) in six South African communities. CPG programmes provide the financial and organizational infrastructure to support citizen‐initiated neighbourhood projects. We review our efforts to disseminate the CPG programme model in three different environments in South Africa—a large metropolitan area, three smaller municipalities and two tribal villages—and analyse why preliminary implementation results were positive in some communities but not others. Our findings form the basis of a model of CPG programme implementation based on the mode of implementation and the breadth of stakeholder involvement. We use this model to make recommendations to increase the likelihood of implementation success for similar programmes. The article concludes with observations about the applicability of the CPG programme idea as a way to develop civic infrastructure, and on the political lessons learned from our implementation experience in South Africa. Copyright © 2002 John Wiley & Sons, Ltd.