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Isabelle Plu M.D. Ph.D. Isabelle Sec M.D. Denis Barrès M.D. Ph.D. Dominique Lecomte M.D. Ph.D. 《Journal of forensic sciences》2013,58(4):1075-1079
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. 相似文献
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Denis Zuev 《欧亚研究》2013,65(1):102-126
In this study I analyse the Russian March—a political performance which emerged in 2005 and which has developed from a protest ritual into one of the most important public and visible events organised by the Russian ultranationalist movement. The focus of the current analysis is the symbolic structure of the march, which is examined at three levels—cognitive, emotive and archetypal. The case study of the development of the Russian March highlights the paradoxes of the politics of performativity in Russia as well as the interaction between ideological codes and discursive frames in the Russian nationalist movement. 相似文献
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Denis Harrisson Daniel Maltais Natalie Rinfret 《Canadian public administration. Administration publique du Canada》2013,56(1):70-90
This research focuses on the evolution and transformation of work organization and labour relations in the public service in Quebec and Canada. It seeks to determine the nature of innovations in the workplace and the level of employee participation in the innovation process. A survey of 2308 employees in six departments and agencies of the public service in Quebec and Canada reveals that the autonomy of employees, participation and shared responsibility for the development of innovations reflect an important transformation of the workplace. The effect of these innovations depends on the departments in which they occurred. However, the survey results do not permit an analysis of the scope of transformation of the organizational structure. Finally, this article shows that employees and managers are key players in the innovation process. 相似文献
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Denis Meuret 《Economy and Society》2013,42(2):225-250
If, at the end of the eighteenth century, political economy became the prevailing representation of economic phenomena, this was due to the fact that, better than other economic or political discourses, it constructed a political framework in which three forces could co-exist. These forces were those that all the authors of this century tried to articulate: the state, capitalism, and those who tried to protect themselves from their power. 相似文献
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In the classical period of ancient Greece, Logos had a variety ofmeanings, most or all of which connoted one aspect or another ofHeraclitus's conception of the term, ``the rational governing principleof the universe'. The triadic semiotics of Charles Sanders Peircesuggests that, through the linguistic sign, humans construct structuresof meaning, which form the cognitive Worlds in which humans exist, thesubstantive content of consciousness, and which, as such, provide theexplanation for the Cosmos. The three-term Peircean Sign becomestriadic, however, only in conjunction with Peirce's Ground, whichprovides particular substantive values that form the basis ofconstructing the meaningful World. Thus, it is possible, for example, totrace in the heterogeneity of judicial doctrine in United States law thealternative sets of values that are available; the function ofWorld creation proceeds when the Ground is suffused with a particularvalue set. If Logos is conceptualized in terms of these value sets, thenit can be understood in terms of ``the rational governing principle ofthe World.' In this understanding, the substantive content of theGround becomes equated with the Sacred. This conceptualization alsoprovides an alternative way of understanding the opening of the Gospelof John in the Christian Bible and the concept of the Trinity inChristian doctrine in terms of the creative powers of humans through theSign. The fact of this same creative power also provides a way ofunderstanding the strong limitations in ancient Israel on pronouncingthe Tetragrammaton. 相似文献