Acute Aortic Dissection Diagnosed after Embalming: Macroscopic and Microscopic Findings

A 58‐year‐old man died suddenly in Madagascar and poisoning was suspected. The body was embalmed after death and the general state of preservation was good. We found a major aortic dissection with a large false lumen from the aortic root to the common iliac arteries and a hemopericardium with formalinized blood clot. The intimal tear was on the ascending aorta, and an intramural hemorrhage was noted at the right coronary artery, attesting to a retrograde dissection. Microscopic studies confirmed aortic dissection with extensive intramural hemorrhage and also confirmed the retrograde dissection to the right coronary artery with a reduction of 90% of the true lumen. Classically, aortic dissection occurs in individuals with hypertension and individuals with genetic disorders of collagen formation. The diagnosis is often first established at the postmortem examination. Aortic dissection is therefore dealt with largely in necropsy studies. The usual cause of death is rupture into the pericardial sac. One case of bloodless dissection has been reported but the sudden death was explained by acute myocardial ischemia secondary to dissection of the left coronary artery. In our case, we found major hemopericardium and also intramural hemorrhage at the right coronary artery. We were able to make the diagnosis of aortic dissection and exclude the suspicion of homicide 15 days after death and after embalming.     

Long Bone (Humerus,Femur, Tibia) Measuring Procedure in Cadavers

In this work, we present a measuring methodology for long bones of the limbs (humerus, femur, and tibia) of human corpses. Measurements of cadaveric height and long bone lengths were conducted on 72 corpses (20 females and 52 males) from the School of Medicine at the National Autonomous University of Mexico. Additionally, these measurements were compared with those taken from dry bones of a subsample of individuals. Our results show marginal differences (TEM% = 0.59) between cadaveric and dry bone measurements, resulting from different osteometric technical procedures. This note outlines the measuring methodology, which will be subsequently used to create regression formulas for stature estimation.     

Measuring the efficiency of Spanish municipal refuse collection services

The aim of this article is to analyse the technical efficiency of the refuse collection services in 75 municipalities located in Catalonia, Spain. The analysis has been carried out using a great variety of techniques, both parametric and non‐parametric. Although the results naturally differ according to the technique used, they nevertheless are consistent in ranking the units analysed. Finally, we have looked into the relation existing between efficiency and the public or private management of the service. The results seem to support the idea that the framework for competition in which the service is provided could be more relevant than the private‐public management dichotomy.     

The water and the fish: Public opinion and the provisional IRA in Northern Ireland

Abstract

The methods and goals of the Provisional IRA make it difficult to categorize it simply as a “terrorist” group. Its longevity and its affinity to Irish political culture suggest that it will not be defeated by force but by being rendered irrelevant. This is likely to come about as a result of the state demonstrating its own legitimacy among those sections of the Catholic community which have been understandably reluctant to give the state their full allegiance in the past. Survey evidence supports the contention that the Provisional IRA's goals and grievances are shared by many who would spurn their tactics.     

Terrorism and the marxist left: Peru's struggle against Sendero Luminoso

Abstract

The political balance in Peru since the return of democratic government in 1980 has shifted to the left, and the United Left (Izquierda Unida or IU) is considered a serious contender in the 1990 elections. This paper investigates IU's prospects for success in presenting a clear alternative within the country's Marxist coalition and in undermining support for the armed revolutionary group Sendero Luminoso. The origins of IU are traced from the 1978 constituent assembly elections, and its organization, structure, and tactics are evaluated in terms of its effectiveness. If it achieves power, it will face its greatest challenge from Sendero Luminoso, the militant Maoist group that has been responsible for much of the terrorism that has gripped Peru in this decade. The authors describe Sendero's strategy and tactics and those of its chief rival, the MRTA. Finally the paper explores IU's alternatives for dealing with these radical leftist groups and the political violence they espouse.     

Regional institutions: State withering or consolidation. the case of the Arab summits

The European Commission has spelled out its policy ambition for EU energy cooperation with the southern neighbourhood with plans for the establishment of an ‘Energy Community’. Its communications make clear that an Energy Community should be based on regulatory convergence with the EU acquis communautaire, much in the same vein as the existing institution carrying the same name; the Energy Community with Southeast Europe. It is puzzling that the Commission insists on repackaging this enlargement concept in a region with very different types of relationships vis-à-vis the EU, especially when considering the lukewarm position of key stakeholders in the field. According to them, any attempt to introduce a political integration model in this highly sensitive issue area in the politically fragmented MENA region might run the risk of hurting the incremental technical integration process that has slowly emerged over the past few years.