Sudden death from saccular laryngeal cyst

Laryngeal cysts are benign, uncommon lesions of the larynx that have been reported on rare occasions to cause sudden death in infants and adults by acute airways obstruction. In this report, we document the sudden death of a 36-year-old woman from a previously undiagnosed, asymptomatic laryngeal saccular cyst that presented with acute, and consequent fatal, airway obstruction. Difficulty during intubation, both in theater and in emergency settings, is a frequent presenting problem. This can have significant medicolegal implications in determining possible negligence. The diagnosis, classification, and management of such cysts, and their importance to both the forensic pathologist and clinicians are discussed.     

Policy-Motivated Candidates,Noisy Platforms,and Non-Robustness

This paper develops a model of a two-candidate election inwhich the candidates are mainly office-motivated but also tosome (arbitrarily small) extent policy-motivated, and theirchosen platforms are to some (arbitrarily small) extent noisy.The platforms' being noisy means that if a candidate haschosen a particular platform, the voter's perception is thatshe has, with positive probability, actually chosen some otherplatform. It is shown that (i) an equilibrium in which thecandidates play pure exists whether or not there is aCondorcet winner among the policy alternatives, and (ii) inthis equilibrium the candidates choose their own favoriteplatforms, which means that the platforms do not converge.     

Political systems and distortions: An empirical study

This paper studies empirically why price distortions are more prevalent in some countries than in others. We find no significant difference between democracies and dictatorships, but frequent regime changes reduce distortions. Political systems (factional-subordinate) that encourage redistributive activities (RDA) tend to have more distortions. Allowing for different effects of RDA in democracies and dictatorships, there is a positive and significant effect of RDA on distortions in dictatorships. In democracies, “distortions-destroying” lobbying seems more important since no significant relation between RDA and distortions can be found.     

Future generations as rightholders

Many people believe that we have obligations with respect to future generations concerning the state of the environment that we pass on to them. Apart from the practical problem of people not really acting on such beliefs, there are also conceptual or philosophical issues that make these obligations problematic. The so-called non-identity problem is especially difficult: depending on which courses of action we adopt, different people will be born in the future, which means that even future people who due to our behavior will live under fairly poor circumstances might not have any ground for complaint. Had we not behaved as we did, they would not even have existed. It is argued here that, at least within a rights-theoretical approach, the non-identity problem can be solved by moving from considering individual rights to generational rights, rights which future generations hold qua generations.     

Dynamics of regime personalization and patron–client networks in Russia, 1999–2014

Many comparative scholars classify personalist regimes as a distinct category of nondemocratic rule. To measure the process of regime personalization, and to distinguish such a process from overall authoritarian reversal, is difficult in comparative context. Using the Russian political regime in 1999–2014 as a case study, we examine the dynamics of regime personalization over time. Relying on original data on patron–client networks and expert surveys assessing the policy influence of the key members of the ruling coalition, we argue that having more clients, or clients who are more powerful, increases the power of patrons – and that where the patron is the ruler, the resulting measure is an indication of the level of personalization of the regime. We trace regime personalization from the changes in political influence of the president's associates in his patron–client network versus that of other elite patron–client networks. We find that as early as 2004, the Russian regime can be regarded as personalist, and is strongly so from 2006 onward.     

The Institution of a Standardized Investigation Protocol for Sudden Infant Death in the Eastern Metropole,Cape Town,South Africa,,

The rate for the sudden infant death syndrome (SIDS) in Cape Town, South Africa, is estimated to be among the highest in the world (3.41/1000 live births). In several of these areas, including those of extreme poverty, only sporadic, nonstandardized infant autopsy, and death scene investigation (DSI) occurred. In this report, we detail a feasibility project comprising 18 autopsied infants with sudden and unexpected death whose causes of death were adjudicated according to the 1991 NICHD definitions (SIDS, n = 7; known cause of death, n = 7; and unclassified, n = 4). We instituted a standardized autopsy and infant DSI through a collaborative effort of local forensic pathology officers and clinical providers. The high standard of forensic investigation met international standards, identified preventable disease, and allowed for incorporation of research. We conclude that an effective infant autopsy and DSI protocol can be established in areas with both high sudden unexpected infant death, and elsewhere. (SUID)/SIDS risk and infrastructure challenges.     

Site, type, and local mechanism of tibial shaft fracture in drivers in frontal automobile crashes

The location, type, and local mechanism of tibial shaft fracture were determined for 66 drivers injured in frontal automobile crashes. The results from the analyses showed that the distal third is the most common fracture location (p<0.05) and that bending is responsible for the majority of these fractures regardless of the fracture site. These findings indicate that the current injury criterion for predicting the occurrence of tibial shaft fracture in crash tests with anthropometric test devices is appropriate in terms of accounting for the primary mechanism of fracture but that increased protective effectiveness could be achieved by redefining the criterion for the distal third shaft section instead of the currently specified mid-shaft section of the tibia.     

Advocating social marketing as ultimate weapon to fighting HIV/AIDS propagation,and related discrimination and stigmatisation

The spreading of HIV/AIDS in the African continent and related discrimination and stigmatisation towards people living with the virus have become a major issue to be addressed by communities, health organisations and governments in Africa. An effective way to successfully overcome these plagues necessitates the application of social marketing techniques and campaigns. However, when it comes to funding and supporting social marketing activities, African leaders deny the important role that the government could play in achieving the ‘HIV/AIDS free generation goal’ as well as making African societies a non‐discriminative and stigmatisation places for infected people. The present study intend to demonstrate through analysis of empirical data that social marketing is crucial in changing people's sexual behaviour and battling misconceptions that lead to discrimination and stigmatisation of infected people. In this light, African political authorities such as Congolese leaders need to understand the relevancy of this discipline in their HIV/AIDS policy.     

Economic knowledge and the scientization of policy advice

The growing role of economic expertise in contemporary policy-making has received increasing scholarly attention. Yet, so far, this discussion has only been tenuously linked to relevant debates in public policy and administration, such as the work on policy advisory systems. The article attempts to bridge this gap by examining the changing reliance on academic economic knowledge within policy advisory bodies. It does so by analysing appointments and citation patterns in Norwegian advisory commissions in economic policy over the last 45 years. The analysis shows a marked increase in the number of academic economists appointed to commissions and in citations to economic literature. Moreover, it reveals an orientation towards the most prestigious outlets of the international economics discipline. This development can be interpreted as a scientization of policy advice in the economic field, that is, a growing reliance on academic expertise for analysis and arguments about public policy.