Spontaneous dissecting aneurysms of a coronary artery as a rare cause of postpartum death of the child's mother

A case is reported of a fatal spontaneous dissecting aneurysm of the left coronary artery in a 37-year-old woman, 5 weeks after delivery of her fourth child. The frequency of such cases during the postpartum stage is discussed together with reference to the literature and special attention to the undetermined etiology of the clinical picture.     

Criminal process record Winckelmann (Triest, 1768). Comments on the criminal process dealing with the murder of Johann Joachim Winckelmann from the forensic historical and legal medicine viewpoint

Johann Joachim Winckelmann, German historian of ancient art and archaeologist, was born on 9 December 1717 in Stendal, a town in Saxony-Anhalt. At the age of 50 he was murdered on 8 June 1768 in a Trieste hotel. The voluminous original record of the criminal proceedings against his murderer, Francesco Arcangeli, was presumed lost for about 150 years. A new edition in the wording of the original text appeared in 1964. This long sought historical document gives cause for forensic-historical reflections under consideration of the autopsy protocol about Winckelmann, which is likewise a historical document. A considerable change of paradigm in comparison to current autopsy protocols is observed with regard to the evaluation of injuries and the circumstances of death.     

Satellite dish as source of electric current. Case report of a fatal and nearly fatal accident at the work site

The authors report on an initially unrecognized fatal accident caused by electric current at the place of work. The source of the current was a satellite dish which had been improperly connected to an old music box with subsequent connection to the household electrocution system (220 V, 50 Hz). Only when a second nearly fatal accident occurred, proper diagnosis and detection of the uncommon source of the electric current was made.     

Comparing Self-Reports and Official Records of Arrests

We compared measures of self-reported arrests and official arrests for 676young adults with a history of child abuse and/or neglect and 520 nonabusedand nonneglected controls matched on age, sex, race, and approximate familysocial class. Findings reveal considerable concurrent validity between thetwo sources overall. But there is also evidence of differences by gender,race/ethnicity, age at time of arrest, conviction status, and type ofoffense. Abused and neglected subjects did not appear to differ from thecontrol group in the extent of underreporting of known offenses, however,the groups did differ in the degree of positive bias—offensesnot found in arrest records. Abused/neglected subjects self-reportedproportionately more offenses not known to police compared to controls. Thisresult suggests that findings from previous studies on the relationshipbetween childhood victimization and later criminality, as measured byarrests, may have underestimated the magnitude of this relationship.     

Self-impalement after thoracic stab wound. An unusual method of suicide in psychotic symptomatology

A 35 year-old male was found dead within a vast collection of garbage in his parent's house with 13 stab wounds of the thorax. 6 years before death he had suffered from a severe cerebral trauma with intracranial hemorrhage, after which an organic psychosis had ensued. At autopsy besides the stab wounds measuring 1-3.5 cm in length and partly exhibiting a so-called "fish-tail" formation a piece of wood was detected, having penetrated the fourth intercostal space along the sternal border and lacerated the pericardium, right pulmonary hilum and the pleura parietalis at the paravertebral line between the eight and ninth rib. There the leading part of the tool had apparently broken and bent to the left in a nearly 90 degrees angle, thus penetrating the left pleural cavity with a slight laceration of the lower lobe of the lung. From the forensic pathologist's point of view this case of multiple stabbing and additional impalement was at least remarkable and at first sight might have raised a suspicion of homicide due to the extent of the rib penetrations and especially the intrusion of the wooden device, which had been pushed by substantial force into an already existing wound. The police presupposed a suicide based on the personal history and situation at the site, where no traces suggesting an activity of somebody else could be ascertained. Reconstruction of the case and resulting differential diagnostic considerations are to be discussed.     

Allocation of aid for adaptation to climate change: Do vulnerable countries receive more support?

Wealthy countries spend increasing amounts of aid to support adaptation to climate change in developing countries and have committed under the UN Framework Convention on Climate Change to prioritize adaptation aid to those “particularly vulnerable” to climate change. While research has started to track this aid, it has not yet examined its allocation across all donor and recipient countries. We thus do not know to what extent vulnerable countries indeed receive more support for adaptation. We address this research gap and ask: how does this commitment to prioritizing particularly vulnerable countries translate into actual adaptation aid allocation? To what extent do vulnerable countries receive more adaptation aid? We address these questions though a quantitative analysis of data from the Organization for Economic Cooperation and Development on bilateral adaptation aid from 2011 through 2014. In contrast to other studies, we find that vulnerability—or more precisely, vulnerability indicators—matter for adaptation aid allocation. Countries that are more exposed to climate change risks, such as extreme weather events or sea level rise, receive more adaptation aid, both on a per capita basis and as a percentage of all adaptation aid. These results indicate that collectively (even if not at the level of each individual donor) donors align their bilateral adaptation aid allocation with global promises.     

More equal than others: Assessing economic and citizen groups' access across policymaking venues

This study assesses whether economic interest groups (business associations and trade unions) enjoy better access to the policymaking process than citizen groups. It compares the interest group population in Switzerland with those sets of groups present in the administrative and legislative venues. The study devises an aggregate measure of access to policymaking as a whole, which weights access according to different venues' importance. It theorizes the granting of access as a sequential process. Policymakers first decide whether to grant any access at all (selection stage) and then decide on the amount of access (allocation stage). Empirical evidence shows that policymakers do not discriminate between economic and citizen groups at the selection stage, but that they subsequently grant more access to economic groups. These findings qualify existing research, which interprets economic groups' superior access as the resilience of neo‐corporatism, while also questioning the pluralizing effect of multiple policymaking venues.