Pregnancy,Cesarean, and Pheochromocytoma: A Case Report and Literature Review

A 43‐year‐old full‐term pregnant woman (gravida 2, para 1, medical history of gestational diabetes mellitus) developed a sudden and malignant hypertension with hemoptysis, sweat, and tachycardia during a scheduled C‐section. A dead newborn was delivered and was successfully resuscitated. The mother died after resistant cardiac arrest. Autopsy and pathological analyses revealed an acute pulmonary edema and a necrotic and hemorrhagic voluminous tumor of the left adrenal gland, which was a pheochromocytoma. Pheochromocytoma is a rare tumor of the adrenal glands which secretes catecholamines. In pregnant women, its symptoms can mimic gestational hypertension, preeclampsia or eclampsia, and gestational diabetes mellitus. The gestational diabetes mellitus was presumed to be a symptom of the pheochromocytoma, and cardiopulmonary failure the result from the necrosis of the tumor provoked by gravid uterus compression. From a medico‐legal point of view, the tumor could not have been suspected during the pregnancy.     

Odontological Approach to Sexual Dimorphism in Southeastern France

Abstract: The aim of this study was to establish a prediction formula to allow for the determination of sex among the southeastern French population using dental measurements. The sample consisted of 105 individuals (57 males and 48 females, aged between 18 and 25 years). Dental measurements were calculated using Euclidean distances, in three‐dimensional space, from point coordinates obtained by a Microscribe. A multiple logistic regression analysis was performed to establish the prediction formula. Among 12 selected dental distances, a stepwise logistic regression analysis highlighted the two most significant discriminate predictors of sex: one located at the mandible and the other at the maxilla. A cutpoint was proposed to prediction of true sex. The prediction formula was then tested on a validation sample (20 males and 34 females, aged between 18 and 62 years and with a history of orthodontics or restorative care) to evaluate the accuracy of the method.     

How to use Lire le Capital

Abstract

This article contributes to a pragmatist analysis of pricing and valuation through an account of the production of closing prices at the Paris Bourse. The Paris Bourse is an electronic stock exchange and the actors in charge of its technological configuration often need to face concerns about the quality of the prices that the configuration produces. Closing prices are particularly important because they constitute references that circulate widely. The author analyses how a problem of representativeness of closing prices was raised in the late 1990s and how several techniques aimed at solving it. In order to deal with this problem of representativeness, the author proposes the consideration of prices as signs in a pragmatist manner. Adapting Charles S. Peirce's theory of the sign to the study of prices, the author concentrates attention on the material display of prices, on their capacity to stand as traces of some event, and on the way they may suit a set of calculative conventions.     

Power,Paradise and Fantasy

Change: Threat or Opportunity for Human Progress? / Üner Kirdar. ‐ New York : United Nations, 1992.‐5 v.

Contents: vol. 1. Political change; vol. 2. Economic change; vol. 3. Globalization of markets; vol. 4. Changes in the human dimension of development, ethics and values; vol. 5. Ecological change: environment, development and poverty linkages. ISBN 92–1–126029–9. ‐ ISBN 92–1–126024–8 (vol.1). ‐ ISBN 92–1–126025–6 (vol.2). ‐ ISBN 92–1–126026–4 (vol.3). ‐ ISBN 92–1–126027–2 (vol.4). ‐ ISBN 92–1–126028–0 (vol.5)

Le commerce des armes / par Romain Yakemtchouk. ‐ Bruxelles : Institut Royal des Relations Internationales. Centre interuniversitaire de recherche independant, 1992. ‐ 320 p. ‐(Studia diplomatica; 1–3)

Droga, problema europeo : una “terza via” fra proibizionismo e legalizzazione? / Andrea Chiti‐Batelli. ‐ Milano: F. Angeli, copyr. 1992. ‐ 239 p. ‐ ISBN 88–204–7440–9

L'economia italiana net mondo che cambia : 1990–911 / a cura di Franco Bruni e Fabrizio Onida. ‐ Bologna: il Mulino, copyr.1992. ‐ 291 p. ‐ ISBN 88–15–03655–5

L'elmo di Scipio : studisutmodello di difesa italiana a cura di Carlo M. Santoro. ‐ Bologna: iI Mulino, copyr. 1992. ‐ 297 p. ‐ ISBN 88–15‐ 03656–3

L'Europe et le Monde arabe : cousins, voisins / Bichara Khader. ‐ Paris : Publisud; Ottignies : Quorum, 1992. ‐ 254 p. ‐ (Horizons euro‐arabes). ‐ ISBN 2–86600–644–5 (France). ‐ ISBN 2–930014–06–7 (Belgium)

Le Grand Maghreb et l'Europe: enjeux et perspectives I Bichara Khader. ‐ Paris : Publisud; Ottignies : Quorum, 1992. ‐ 263 p. ‐ (Horizons euro‐ arabes). ‐ ISBN 2–86600–643–7 (France). ‐ ISBN 2–930014–02–4 (Belgium)

Le interrelazioni fra iniziativa esagonale e Alpe‐Adria in un’ Europa che cambia : prima riunione degli Istituti di relazioni internazionali dell'iniziativa del Centro‐Europa = Die Wechselbeziehungen zwischen “Esagonale” un “Alpen‐Adria” in einem sich wandelnden Europa : erstes Treffen der Institute für internationale Beziehungen der mitteleuropäischen Initiative = Inter‐relations between the “Esagonale” and the “Alps‐Adria” initiatives in a changing Europe : first workshop of the institutes of international affairs of the Central‐European initiative : Trento ‐24.1.19921 a cura del Servizio studi della Regione autonoma Trentino‐Alto Adige. ‐ Trento : Regione Autonoma Trentino‐Alto Adige, 1992. ‐197 p.

The Pentagonal/Hexagonal experiment: new forms of cooperation in a changing Europe / Hanspeter Neuhold (ed.). ‐Wien : W.Braumüller, copyr.1991. ‐145 p. ‐ (The Laxenburg papers; 10). ‐ ISBN 3–7003–0945–7

Red Microchip : Technology Transfer, Export Control and Economic Restructuring in the Soviet Union / Daniel L. Bughart. ‐ Aldershot : Dartmouth, copyr. 1992. ‐ x, 250 p. ‐ ISBN 1–85521–308–7

Vers une nouvelle Europe? l publié sous la direction de Mario Telò. ‐ Bruxelles : Editions de l'Université de Bruxelles, 1992. ‐ XIV, 561 p. ‐ (Etudes européennes). ‐ ISBN 2–8004–1055–8

Les voix du soulèvement palestinien 1987–1988 : édition critique des communiqués du Commandement National Unifié du Soulèvement et du Mouvement de la Résistance Islamique / Jean‐François Legrain; traduction française en collaboration avec Pierre Chenard. ‐ Le Caire : CEDEJ, 1991. ‐ 270, 351 p. ‐ (Dossiers du CEDEJ). ‐ ISBN 2–905838–23‐X

Western Europe and the Gulf : a Study of West European Reactions to the Gulf War / carried out under the auspices of the Institute for Security studies of Western European Union; edited by Nicole Gnesotto and John Roper. ‐ Paris : WEU. The Institute for Security Studies, 1992. ‐ viii, 219 p. ‐ ISBN 2–909567–00–1     

To enforce or not to enforce? Judicialization,venue shopping,and global regulatory harmonization

The regulation of intellectual property rights takes place in a range of international venues. This proliferation of international venues greatly enhances the potential for venue shopping. We argue that different levels of domestic regulation and differing degrees of judicialization account for actors' preferences over institutional venues. We take into consideration two scenarios. Conceiving of judicialization as the delegation of adjudication to an independent third party and the enforcement through multilaterally authorized sanctions, we show that: (i) upward regulatory harmonization leads actors preferring weak regulatory intellectual property rights standards to strive for venues with low degrees of judicialization, whereas those favoring stringent intellectual property rights protection prefer highly judicialized venues; and (ii) downward harmonization leads to the opposite constellation of institutional preferences. We show how these expectations hold by way of in‐depth case studies of two instances of global intellectual property rights regulation: the regulation of plant genetic resources and intellectual property rights for medicines.     

Unusual suicide with a chainsaw

Described here is a case of suicide with the use of a chainsaw. A female suffering from schizophrenia committed suicide by an ingenious use of a chainsaw that resulted in the transection of her cervical spine and spinal cord. The findings of the resulting investigation are described and the mechanism of suicides with the use of a chainsaw is reviewed. A dry bone study was realized to determine the bone sections, the correlation between anatomic lesions and characteristics of chainsaw. The damage of organs and soft tissues is compared according to the kinds of chainsaw used.     

Identification of acepromazine in hair: an illustration of the difficulties encountered in investigating drug-facilitated crimes

After a drug-facilitated sexual assault (DFSA), a woman was found in a drowsy state at home. She remembered having drunk an unknown beverage by the accused. Blood samples (collected 8 hours after the DFSA), two glasses, and a teaspoon seized by the police were analyzed. Acepromazine, a phenothiazine tranquilizer used in human and veterinary medicine, was detected in the residue of one of the glasses. In spite of acepromazine absence in the victim's blood, the possible use of acepromazine in the DFSA was reported to the police. Two weeks later, a suspect admitted having orally administered acepromazine to the victim. Using a liquid chromatography-tandem mass spectrometry method, this compound was subsequently detected (31 pg/mg) in a sample of the victim's hair collected a month and a half after the DFSA. A potential short elimination half-life in humans and/or the well-known in vitro degradation of acepromazine could explain the negative blood result. DFSA toxicological investigations are challenging and can be complicated when a rather unusual substance is concerned. In particular, special care should be taken when interpreting the results, taking into account elimination and/or instability data, when available.     

The legitimization and institutionalization of ‘parental alienation’ in the Province of Quebec

ABSTRACT

This article examines the legitimization and institutionalization of ‘parental alienation’ discourse in the Province of Quebec, Canada. It draws upon an analysis of 31 documents (legislation, research reports and articles, training documents, professional documents and media articles) and interviews with 13 key informants, who were selected based on their knowledge of ‘parental alienation’ in research, policies or practices. The research findings reveal that the legitimization and institutionalization of ‘parental alienation’ discourse is a more recent process than in other provinces and countries, but that it has now permeated child custody as well as child protection proceedings. Academic researchers and media have been instrumental in this legitimization and institutionalization process, while the role played by changes to child protection policies is more ambiguous. The findings reveal researchers’ and experts’ tendency to distance themselves from Gardner’s controversial work on ‘parental alienation syndrome’ and to address the critiques by proposing new approaches and new concepts. However, the terms ‘parental alienation syndrome’, ‘parental alienation’ and ‘alienating behaviours’ are often used interchangeably, and assessment practices tend to rely on similar indicators.