Periadventitial extracranial vertebral artery hemorrhage in a case of shaken baby syndrome

We report a case of a two-month-old boy who became unresponsive in the sole custody of his father. Resuscitation efforts on route to the hospital were able to restore the infant's heart beat. However, neurologic function never recovered. Autopsy revealed massive cerebral edema, recent subdural, and subarachnoid hemorrhages, bilateral retinal hemorrhages, and cervical spine ligament hemorrhages. Separation of individual cervical vertebrae showed extensive, bilateral, periadventitial vertebral artery hemorrhages between C1 and C4, with corresponding luminal compression of the vertebral arteries. The importance of this previously unreported phenomena of periadventitial vertebral artery hemorrhage in the setting of shaken baby syndrome is discussed.     

What About Syria?

The following is the edited text of the presentations at the September 30, 1999, meeting of the Sadat Forum at Brookings, cohosted by Richard Haass, vice-president and director of Foreign Policy Studies at the Brookings Institution, and Shibley Telhami, the Anwar Sadat Chairfor Peace and Development at the University of Maryland.     

Engaging the reluctant taxpayer

Abstract

A commitment to political neutrality means that citizens have a legitimate complaint when the coercive power of the state is used to advance some particular conception of how it is good to live. In this paper I investigate how to address this complaint in the case of public funding for the arts. There are two promising ways to justify public arts spending. First, as Thomas Nagel argues, the arts are a source of intrinsic values and so command our respect. I reject this argument because intrinsic values are not automatically political values. Second, Ronald Dworkin argues that access to the arts is required to fully participate in social life. This argument draws a connection between the arts and citizenship and so fares better in establishing a political justification for the arts. However, Dworkin relies on the special value of high art relative to popular art, which undermines the neutrality of his argument. I show that a justification can be given that does not depend on the high value of the arts. I develop an account that shows how the arts can support just relations between citizens. This account is in keeping with a liberal commitment to neutrality.     

The market for social norms

This article presents a semirigorous model in which a new normarises out of the workings of a market for norms. Change istriggered by a shift in either cost-benefit conditions or groupcomposition. Because individuals are heterogeneous in importantrespects, they respond differently to these triggering events.The first persons to supply new norms generally are individualswho have either superior technical knowledge of cost-benefitconditions, superior social knowledge of group dynamics, orspecial endowments that provide them with unusually high tangiblebenefits from norm reform. Members of the social audience observethe competing efforts of these norm suppliers and reward themost meritorious ones by conferring on them either esteem or,according to an alternative conception, new exchange opportunities.Under optimal conditions, members of the audience - key participantsin the demand side of the market for norms - do not free-ridebecause they incur no net costs when conferring their rewards.