Serum concentrations of cardiac troponin T in sudden death

Ischemic heart disease is the most common cause of sudden death of natural causes in most western countries. By autopsy, there may be no gross or histologic evidence of acute myocardial damage unless the patient survived for several hours following the event. Cardiac troponin in serum has become the recommended biochemical marker for myocardial injury in the clinical setting. We performed a prospective study on 102 autopsied subjects at the Central Hospital of Rogaland, Stavanger, Norway. Femoral blood was sampled for subsequent analysis of cardiac troponin T (cTnT). In the subjects with morphologic evidence of recent myocardial injury (n = 34), the mean serum cTnT level was 1.95 microg/L compared with 0.16 microg/L in the subjects with a noncardiac cause of death (n = 35) and 0.61 microg/L in the group with probable sudden cardiac death without morphologic signs of acute myocardial injury (n = 33). The observed differences in mean serum cTnT levels between the groups were statistically significant (P < 0.0001). These data suggest that elevated postmortem serum concentration of cTnT reflects ongoing myocardial damage and may support a diagnosis of cardiac-related death in cases associated with sparse or inconclusive morphologic findings postmortem.     

Perspectives on the Social Conditions of People Engaged in Same-Sex Relations

This article outlines four leading approaches in contemporary gay/lesbian and queer studies in order to throw light on some current developments regarding the social organization of sexual and gender relations in Europe and North America. I define these as post-modern, structural phenomenological, critical liberal, and, finally, queer approaches. Besides scrutinizing some of their basic propositions and core concepts, the article critically enquires into the pertinence of the four approaches in terms of their potential to grasp developments in the Danish social conditions of people engaged in same-sex relations. The article focuses on developments that are related to the sphere of intimacy/family and the legal reforms characterizing this sphere. I argue that three of the approaches, in particular, the post-modern, the critical liberal, and the queer approaches, are relevant in the light of the actual social conditions of people engaged in same-sex relations. In embracing different and indeed countervailing developments, I suggest that these perspectives need all to be deployed to complement each other.     

A humanitarian mission in line with human rights? Assessing Sophia,the EU’s naval response to the migration crisis

This article adds to our understanding of the role of norms in the European Union’s (EU) response to the migration crisis by conducting a critical assessment of the EU’s anti-smuggling naval mission “Sophia”. Is Sophia in line with the normative standards the EU has set for itself in its foreign policies? Conducting the analysis in two steps in line with the main criteria of a humanitarian foreign policy model – first exploring Sophia’s launch and then assessing Sophia’s in theatre behaviour – findings suggest that although concerns for migrants at sea mobilised the initial launch of the mission, the mission is not conducted in line with key human rights principles. As the operation mandate is amended and updated with new tasks, and as the EU-NATO in theatre cooperation increases, the EU is moving further away from what one would expect of a humanitarian foreign policy actor.     

Parent–Child Relations,Conduct Problems and Cigarette Use in Adolescence: Examining the Role of Genetic and Environmental Factors on Patterns of Behavior

This study investigated genetic and environmental influences on the associations between mother–child relationship quality (warmth and hostility) and adolescent conduct problems and cigarette use. Participants included 601 mothers and adolescent twin pairs (aged 12–17 years). Mothers and adolescents provided separate reports of mother-to-child warmth and hostility. A combined measure of mother and adolescent reported conduct problems was used while adolescents provided reports of their cigarette use. Analyses were conducted using bivariate genetic analyses of correlated factors models and regression analyses of monozygotic twin differences. Genetic influences were found for most ratings of the parent–child relationship, with evidence of gender and/or rater-specificity for some measures. The relationship between mother–child hostility with adolescent conduct problems and cigarette use was influenced by genetic and environmental effects. Evidence was found for shared environment effects on the relationship between mother–child warmth and conduct problems. Examining monozygotic twin differences provided further support for non-shared environmental influence on the relationship between mothers’ expressions of hostility and low warmth and adolescent adjustment. Findings are discussed in relation to the interplay between genetic and environmental effects underlying links between parent–child relations and adolescent behavior problems.

Class,Politics and the Progressive Dilemma

This article considers contemporary class inequalities and how they might shape a progressive politics in the UK. Drawing on findings from the BBC Class Survey, it outlines changes in the class structure, class mobility and class identities. It is argued that the class structure is increasingly polarised and fragmented, with a wealthy elite, a vulnerable precariat and fragmented middle and working classes in between. Declining upward social mobility is a source of anxiety for middle‐class and working‐class parents alike. Class identification, especially working‐class identification, has weakened over time, although class snobbery is far from dead. Class has changed and the class basis of politics is changing now too. A progressive politics is possible if the political parties of the centre‐left appeal to the majority of the electorate rather than one class, acknowledge common concerns and worries and appeal to shared hopes and dreams that straddle class boundaries.     

EU LEGISLATION AND NATIONAL REGULATION: UNCERTAIN STEPS TOWARDS A EUROPEAN PUBLIC POLICY

The EU with its supranational powers is a unique institution. Contrary to other international organizations, it can make laws that are binding to its member governments as well as to their citizens and enterprises. However, reviewing the literature, we find little consensus as to its true role as a lawmaker. This article and the articles that follow in this symposium remedy this empirical deficiency. The present article presents a comprehensive analysis of the scope of binding EU regulation. The EU is presented as an important lawmaker. It has, with considerable effectiveness, been able to overcome recurrent crises that have often called its very viability into question. But the same analysis also reveals that the EU, in spite of several treaty reforms expanding its responsibilities into new policy areas, remains a predominantly economic regulator. Finally, EU lawmaking is to an increasing extent delegated to the European Commission, dedicated to the de facto task of maintaining the internal market. Although this article and the articles that follow it cover the present, and refer to the European Union (EU), the EU, since its creation in the 1950s, has changed its official name several times.