Sudden and unexpected death from pituitary tumor apoplexy

Pituitary tumor apoplexy refers to a clinical syndrome precipitated by the expansion of a pituitary adenoma by hemorrhage or infarction. Individuals may present with myriad signs, including sudden onset of severe headache, visual changes, altered mental status, cranial nerve palsies, and hormonal dysfunction. This disorder constitutes a medical emergency and warrants an expedited evaluation, diagnosis, and treatment to prevent the potential sequelae of permanent visual loss, endocrine abnormalities, or death. We report a case of sudden death from undiagnosed pituitary tumor apoplexy. The decedent was evaluated by medical personnel on three occasions in the week prior to her death for severe headache, nausea, vomiting, and photophobia. Postmortem examination demonstrated a hemorrhagic infarction of a pituitary adenoma with necrosis and expansion out of the sella turcica. The recognition of and treatment for a patient with pituitary tumor apoplexy requires a rapid multidisciplinary effort. Failure of prompt diagnosis may be fatal and require a medico-legal death investigation for sudden and unexpected death.     

Adulthood animal abuse among women court-referred to batterer intervention programs

The substantial increase in the enrollment of women in batterer intervention programs (BIPs) over the past 30 years has greatly outpaced research on women who perpetrate intimate partner violence (IPV). As a result, it is unknown whether existing programs, which were originally designed to treat male perpetrators, are effective at preventing recidivism among women. Recent research shows that men who perpetrate IPV may also aggress against nonintimate partners, children, and animals, and that the reach of their aggressive tendencies has implications for treatment. Conducting similar investigations on women who perpetrate IPV may help to inform treatment delivery in BIPs. This study examined the prevalence of adulthood animal abuse perpetration and its association with psychological and physical IPV perpetration in a sample of women arrested for domestic violence (N = 87). Seventeen percent (n = 15) of the women committed at least one act of animal abuse since the age of 18, in contrast to the 0.28% prevalence rate reported in the general population. The overrepresentation of animal abuse in this sample was consistent with that of men arrested for domestic violence. Furthermore, women who reported committing animal abuse as an adult showed moderately higher rates of psychological aggression and physical assault perpetration against their partners, relative to women who did not report animal abuse. Implications for future research are discussed.     

Transnational Legal Process and State Change

This article applies a sociolegal approach to the study of transnational legal processes and their effects within countries. First, we clarify the concepts of transnational law, transnational legal process, and transnational legal order. Second, we provide a typology of five dimensions of state change that we can assess empirically. Third, we explain the factors that determine the variable effects of transnational legal processes and organize these factors into three clusters. Fourth, we introduce four empirical studies of transnational legal processes' differential effects in five regulatory areas in Asia, Africa, and South America that illustrate these points. Together, they provide a guide of how to study the interaction of transnational and national legal processes, and the extent and limits of transnational legal processes' effects.     

Code-switching as a Strategy for the Decolonisation of Learning: A Case of One University in Swaziland

Although the call for the decolonisation of learning and an African renaissance has been a common trend in research recently, less attention has been paid to code-switching as a strategy for decolonising learning at universities. This article explores code-switching as a strategy for decolonising learning at a private university in Swaziland. The article addresses two questions: 1) What are students’ experiences of code-switching during Englishmedium lectures? 2) What are the students’ perceptions of code-switching during Englishmedium lectures? Data were collected using a mixed methods, single case study among a purposive sample of 30 first-year Bachelor of Education in Mathematics students at a private university in Swaziland. The findings indicated that students code switch to solidify pedagogical content presented in English during lectures. The findings also indicated that students employ code-switching as a strategy for breaking linguistic barriers imposed by the English language. Finally, the findings indicated that students describe code-switching as an invaluable strategy for decolonising learning at university. The study contributed in a unique way to knowledge because it is the first of this kind to explore decolonisation at a Swazi university—hence it does not only add to the growing body of literature—but also pioneers scholarship on the decolonisation of learning at Swazi universities. The article concludes by suggesting a student-centred approach to learning that embraces code-switching as a strategy for decolonising learning at the university.     

Socialist Market Economy and Rational Macro Controls

正Much has been written about China's socialist market economy since October 1992, when the concept was formally endorsed. Many have debated its true nature. Is it really a socialist or a market economy? Is it an unwieldy synthesis of both, or has it through time matured into a manageable system for continued national development?     

B3W: America's 'Make The World Great Again' Fantasy

正The recent Group of Seven(G7) leaders' meeting in the UK announced support for a new U.S.-led effort called Build Back Better World(B3W), a global infrastructure plan to challenge China's Belt and Road Initiative. While details remain vague and support within the G7 tepid at best, this announcement has caused a big splash in global discussions, particularly its offer "to help narrow the $40+ trillion infrastructure need in the developing world."     

Washington's ‘Great Zero-Sum Game’

正It's easy to become distracted by the many moves made by the U.S. against China. To be sure, there's always a difference between rhetoric and reality, between ambition and actuality, and this has become ever clearer during the Donald Trump and now Joe Biden administrations.     

An Imperial Presidency?

Girging him with“incitement of insurction”and describing him as a“clear id present danger”to the nation,the U.S.House of Representatives impeached President Donald Trump for a historic second time.Ten Republican members broke ranks and joined Democrats.Coming in the waning days of Trump's administration,the date of a Senate trial is still uncertain,but there are indications that it might proceed months later after the business of helping a new administration take root has been completed,and long alter he has left office.     

A Patient Approach

Two speeches on foreign policy are being parsed for their implications for China-U.S.relations going forward.The first was delivered to the National Committee on United States-China Relations by Yang Jiechi.Known as China's top diplomat,Yang spoke directly about the past four years and what will be necessary for relations to improve as the Joe Biden administration finds its footing.The second speech was by U.S.President Biden,delivered at the State Department,where he emphasized in contrast with his predecessor that U.S."diplomacy is back,"and the U.S.will rekindle ties with allies but will also seek cooperation with adversaries and competitors.     

Perceptions of Law Enforcement Officers in Seeking Mental Health Treatment in a Right-to-Work State

The high stress environment of law enforcement places officers at risk for a variety of mental and physical health problems; however, officers are reluctant to seek out treatment. The purpose of this study was to identify which factors associated with law enforcement officers had predictive value in the level of stigma perceived in seeking mental health treatment by currently employed, certified peace officers in Arizona. The factors included sex, age, race/ethnicity, years employed as an officer, size of the department, current rank/position within the department, the type of government operating the agency, and payment of union dues. The study included 454 participants. Participation included the completion of demographic data, the Self-Stigma of Seeking Psychological Help (SSOSH), and the Perceptions of Stigmatization by Others for Seeking Help (PSOSH). Using standard multiple regression, the most significant finding was the relationship between the size of the department and levels of stigma (p = .014); such that, the size was inversely related to the levels of perceived stigma. As the agency size increased, the perceptions of stigma decreased. Such a finding has several implications for law enforcement agencies related to preparedness and training.