Pellagra: a rare disease observed in a victim of mental and physical abuse

Lesions of the brain stem and cerebellum due to nutritional deficiencies are mostly seen in chronic alcohol abuse and more rarely in severe malnutrition. We report the case of a 27-year-old woman, found dead in the family flat. She presented cachexia (167 cm, 25 kg) and multiple hematomas of the limbs. Postmortem examination revealed lesions due to peritonitis. Neuropathological examination showed severe atrophy of the corpus callosum and central neuronal chromatolysis, which are observed in pellagra. Inflammatory colitis or celiac disease was not found. Toxicological analysis was negative, in particular no alcohol absorption. Pellagra, which is due to nicotinamide deficiency, is a disease rarely seen in this country. In this case, nutritional deficiency was the consequence of failure to eat in a context of abuse. The woman was born of an incestuous relationship and presented intellectual retardation due to poor affective relations with her mother.     

From the Morality of Living to the Morality of Dying: Hunger Strikes in Turkish Prisons

Political hunger strikes have been part of the debates on human rights in many countries around the world. This paper explores the preconditions for and motives behind hunger strikes in Turkey by conceiving the hunger strikers as a part of citizenship politics through which strikers not only express their views against certain common issues, but also declare total opposition to an unjust condition within their political community. The paper focuses on the question of why some such “citizens” choose to participate in hunger strikes, which appears as an individual commitment to achieve a certain common objective. In doing so, the meaning of the experiences of hunger strikers and their universal right to live are elaborated in relation to their political and moral views. Hunger strikes are suggested to be seen as voluntary fasting, undertaken as a means of civil disobedience against an injustice within the context of citizenship. As examples of non-violent political acts, hunger strikes are not only part of citizenship politics but also expressions of commitment to achieving one's goals through non-aggressive means for the common good of all citizens. Moreover, they can also be considered examples of martyrdom/heroism because hunger strikers altruistically risk their life for a public cause. As a particular altruistic act, hunger strikes can also be viewed as an effective form of communication directed toward fellow citizens. Moreover, they are expressions of self-determination for having control over and for one's own life conditions. Finally, hunger strikes can be conceptualized as a struggle for transforming the configuration of structures and practices of citizenship about which one is passionately concerned. In this context, hunger strikes seem to be struggles for recognition in a relationship between two subjects, in which one subordinates the other.     

Fatalities due to methyl alcohol intoxication in Turkey: an 8-year study

The aim of this study is to examine methyl alcohol poisoning cases from the medico-legal point of view. The records of the Morgue Department of Council of the Forensic Medicine were reviewed retrospectively for all methyl alcohol poisonings for the period of 27.10.1992 and 30.05.2001. The victim's age, sex, death year, death place, methyl alcohol blood levels, the source of methyl alcohol, accompanying laboratory results and histopathologic tissue changes were recorded. The number of deaths due to the methyl alcohol poisoning was 271 during that period of time. Two hundred and forty-two of the (89.3%) total 271 methyl alcohol fatalities were men and 29 (10.7%) of were women. The largest age group was 36-40 years old, followed by 41-45. The methyl alcohol blood concentrations ranged widely from 50 to 755 mg for per 100 ml. There were 222 cases (81.9%) with the methyl alcohol blood concentrations over 100 mg/dl. Twenty-nine (10.7%) victims were poisoned through the consumption of cologne and three of them with alcoholic beverage named "Raki". Consumed products were not known in all other cases because of insufficient patient history and data. As a conclusion, regarding the distribution according to years, mortality due to methyl alcohol intoxication in our country have been proceeding on a certain level. In order to decrease the mortality due to methyl alcohol intoxication, some precautions should be developed that could prevent the production and consumption of alcoholic beverages illegally produced.     

Politics and Unemployment in Industrialized Democracies

This paper provides an empirical appraisal of the influence ofpolitics on the evolution of unemployment rates in 13industrialized democracies (12 European Union countries andthe U.S.) from 1960 to 1999. We conduct new tests ofopportunistic and partisan business cycle models, using richerdata and more general specifications than previous studies. Incontrast to most previous studies, we pay particular attentionto the importance of labor market structure in conditioningthe influence of politics on unemployment. We also investigatethe relationship between political stability and economicstability. The results suggest the existence of partisan effects, withhigher unemployment rates prevailing under ``right'' partiesthan ``left'' parties. There is more support for ``rational''partisan models that embody transient partisan impacts thanfor models with permanent effects. We find evidence that unionpower is associated with higher average unemployment rates,but that centralized bargaining institutions tend to lowerunemployment rates. The evidence also suggests that morefragmented coalition governments are associated with higherunemployment rates than single party governments.     

The Associations Among Perceived Pubertal Timing, Parental Relations and Self-Perception in Turkish Adolescents

This study is primarily aimed at investigating how pubertal timing is perceived in urban Turkish adolescents in terms of their feelings about maturation, their relationships with their parents, and their self-perception. A total of 697 high-school students (360 girls, 337 boys) between the ages of 14 and 18 (M=16.15, SD=1.08) were included in this study. The findings indicated that most of the adolescents perceived themselves as on-time developers in comparison with their peers. Consistent with widely available research data in the literature regarding the impact of early versus late maturation, girls who mature early and boys who mature late reported more negative feelings about pubertal maturation. In addition, those who matured early reported greater conflict and disagreement with their parents and more negative communication with their fathers than the adolescents who matured on- time. Adolescents who were less satisfied with their physical appearance were more likely to have negative feelings about pubertal maturation. Sex was found to act as a moderator of relationships between global self-worth and feelings about pubertal maturation. In conclusion, this study, conducted with Turkish urban adolescents, suggests that the impact of early versus late maturation differs between girls and boys, which is consistent with widely available data in the literature.     

Public transportation policy making in France as an implementation problem

Public transportation policy is analyzed as the output of a complex social system of interdependencies and power relationships linking the central state bodies to various economic and political organizations. The interest groups structure the system by controlling the implementation process. The system works because of cheating—violating the public regulations, but the interest groups need state regulation to protect their privileges.The study of governmental projects is a particularly stimulating form of political analysis. Because it emphasizes both the process and the contents of the activities of public authorities, which is to say the goods and services produced by the State, such a study deals with problems having specific impact on and distinct meaning for individuals. It also allows one to avoid overly abstract speculation on the nature of the State by placing the discussion on a more scientifically fruitful level, that of the effective interactions and exchanges among institutions and groups.Our objective will be to demonstrate the importance of the implementation sequence of public policy, particularly in terms of its effects on the understanding of the definition of alternative solutions. We will concentrate on the way in which an ensemble of systems effects, induced by governmental action conditions both the perception of the problem to which this action is supposedly responding, and the elaboration of decisions to solve the problem. The method employed will be that of suggesting a form of analysis which will discern those fields of force and interaction processes with which decision makers, in this case public authorities, are confronted. The method employed should thus be useful in understanding the process of decision making.     

The Soviet and the Post-Soviet: Street Names and National Discourse in Almaty

Abstract

While discussing Kazakhstan's post-Soviet identity, scholars treat ‘Kazakhisation’ as a given, and the substance of the process of developing such an identity is usually ignored. This article gives an insight into this process by analysing the politics of street names in Almaty and its relation to collective memory in post-Soviet Kazakhstan. It is argued that the so-called ‘Kazakhisation’ of the country has been shaped primarily by the Soviet legacy, and it is in no sense pursuing the elimination of the Soviet past, or moving essentially anti-Russian lines. In fact, the post-Soviet discourse of the Kazakh nation is not a rupture but a continuation of Soviet discourses.     

Intensity and Breadth of Participation in Organized Activities During the Adolescent Years: Multiple Associations with Youth Outcomes

The goal of this study was to examine initial levels and rates of change in the intensity and breadth of participation in organized activities during the adolescent years, and how these participation practices were related to youth outcomes in later adolescence. The main objectives were (a) to examine growth curves of intensity and breadth of participation from Grades 7 through 11 and their interrelations, and (b) to test the associations between these dimensions of participation and academic orientation, risky behaviors, internalizing problems, and civic development in Grade 11. A homogenous sample of 299 youth (mean age = 13.37, SD = .41; 62% girls) were surveyed annually using questionnaires and phone interviews. The main results revealed that (a) even though both intensity and breadth of participation decreased over time, intensity of participation showed steeper declines by later grades, and (b) initial levels of participation were better predictors of later outcomes than rates of change over time. Regardless of the levels of change taking place over time, results revealed that youth with high initial levels of participation (both intensity and breadth) were more committed to school and developed more positive values towards society by Grade 11 than those who participated less. This might suggest that a high level of participation during early-to-mid-adolescence is particularly important when it comes to later outcomes.