Sickle cell trait-associated deaths: a case series with a review of the literature

This study presents a series of 16 carriers of hemoglobin S (HbS) who died during various circumstances. Many of the cases were associated with mild to moderate exertion. The onset and/or duration of symptoms varied from a few minutes to several hours with many displaying a prolonged lucid interval with stable vital signs. Despite seeking medical treatment, sickle cell trait-related micro-occlusive crisis was never considered in the differential diagnosis. Several cases were associated with sudden death. In those deaths which were delayed, high anion gap and uncompensated metabolic acidosis were typical and were not heat related. Also characteristic were large increases in creatine kinase, alanine aminotransferase, and aspartate aminotransferase along with myoglobinemia. Although the antemortem diagnosis of rhabdomyolysis was made, the underlying cause was never deduced by the clinicians. The sickling found at autopsy is not always a postmortem artifact, and in the right circumstances can be diagnostic.     

河南汉族群体D6S1043和D12S391遗传多态性

本文调查了D12S391和D6S1043基因座等位基因频率在231名河南汉族群体中的分布,以期为这两个基因座在相关汉族群体内的应用提供基础数据。     

I don't Agree with Nick: Retrodicting the Conservative–Liberal Democrat Coalition

Insider and journalistic accounts of the formation in May 2010 of the Conservative‐Liberal Democrat coalition actually, although not explicitly, rely on types of explanation familiar to those who study politics. They tell us that structure (or at least the economy) was important. So too, they suggest, were institutions (timing and the rules of the game). They also stress the importance of contingency (‘events, dear boy, events’) and agency (who did and said what to whom). While none of these things were unimportant, they only served to make certain an outcome that anyone with a passing acquaintance with the theory and the practice of coalition formation would have predicted—namely a ‘minimum winning coalition’. The only thing that could have made that outcome uncertain was a fundamental ideological difference between the two parties involved; however, it quickly became apparent—to the surprise of those of us who failed to appreciate how much the Liberal Democrats had changed—that no such difference existed. Indeed, it is possible to argue that the coalition formed was not merely minimum winning but ‘minimum connected winning’. As such, its formation was not so much breathtakingly bold and exciting as pretty much inevitable. In the end, the maths and the physics mattered more than the chemistry. Fortunately for the Conservatives, the Liberal Democrats seriously underplayed their hand in the negotiations, with possibly disastrous consequences for them in the long term.     

我国"剩女"问题的社会学思考

在我国,"剩女"问题作为一个现实的新型社会问题已越来越引起大家的关注.要解决"剩女"问题,第一,应摒弃传统婚恋观,树立正确的婚恋观;第二,社会各界要积极行动,通力合作,提供更多的公益性婚恋平台;第三,"剩女"们应不断解放思想,放宽择偶眼界,降低择偶的物质和利益标准.     

The Future of Consumer Web Data: A European/US Perspective

The article considers the subject of clickstream data from aEuropean/US perspective, taking into account the Data ProtectionFramework (Data Protection Directive 95/46/EC; Directive onPrivacy and Electronic Communications 2002/58/EC) and the USlegal framework and in particular, the Wiretap Act U.S.C. 2701(2004) and related statutes. It examines the extent to whichclickstream data is considered "personal data" within the DataProtection Directive and the implications to consumers and businesses.     

Beschwerdelegitimation vor den Verwaltungsgerichten

Ohne Zusammenfassung     

A Statistical Validation of the Individuality and Repeatability of Striated Tool Marks: Screwdrivers and Tongue and Groove Pliers*

Abstract: Tool mark identification relies on the premise that microscopic imperfections on a tool’s working surface are sufficiently unique and faithfully transferred to enable a one‐to‐one association between a tool and the tool marks it creates. This paper presents a study undertaken to assess the validity of this premise. As part of this study sets of striated tool marks were created under different conditions and on different media. The topography of these tool marks was acquired and the degree of similarity between them was quantified using well‐defined metrics. An analysis of the resulting matching and nonmatching similarity distributions shows nearly error‐free identification under most conditions. These results provide substantial support for the validity of the premise of tool mark identification. Because the approach taken in this study relies on a quantifiable similarity metric, the results have greater repeatability and objectivity than those obtained using less precise measures of similarity.     

Machinery‐Related Deaths: Relevance of Workplace Investigation and Antemortem Radiological Data in Reconstructing the Fatality

Abstract: Machinery‐related fatalities are one of the leading causes of traumatic occupational deaths. In our report, we present the case of a 40‐year‐old male who suffered a severe head trauma while working in a cut‐foam industry and died despite an early craniectomy. The radiological reconstruction of the skull based on preoperative computed tomography scans disclosed a large depressed conical fracture of the left parietal bone. The 3D‐reconstruction of the work area, combined with a fit‐matching analysis between the machinery and the depressed skull fracture allowed us to conclude that the head was crushed between the sliding bar of the cutting device and the metallic protuberance on the opposite side. The case underlines the importance of a detailed workplace investigation and of a thorough evaluation of all circumstantial, clinical, radiological, and autopsy data in the reconstruction of machinery‐related fatalities to identify any possible legal responsibilities of the worker and/or the employer.     

Postmortem Blood Concentrations of R‐ and S‐Enantiomers of Methadone and EDDP in Drug Users: Influence of Co‐Medication and P‐glycoprotein Genotype

Abstract: We investigated toxicological and pharmacogenetic factors that could influence methadone toxicity using postmortem samples. R‐ and S‐methadone were measured in femoral blood from 90 postmortem cases, mainly drug users. The R‐enantiomer concentrations significantly exceeded that of the S‐enantiomers (Wilcoxon’s test, p < 0.001). The samples were divided into four groups according to other drugs detected (methadone only, methadone and strong analgesics, methadone and benzodiazepines, or methadone and other drugs). There was no significant difference in any of the R‐methadone/total methadone ratios among the four groups. The median R/S ratio was 1.38, which tends to be higher than that reported for the plasma of living subjects. In addition, we investigated whether small nucleotide polymorphisms in the MDR1 gene that encode the drug transporter P‐glycoprotein were associated with the concentrations of R‐ and S‐methadone and its metabolite 2‐ethylidene‐1,5‐dimethyl‐3,3‐diphenylpyrrolidine. No significant association was detected.     

评析冷战后美国关于霸权问题的论争

冷战后,美国国内对其霸权的认知主要存在两种不同的观点,即＂霸权维持论＂与＂霸权衰落论＂。两种观点从不同的角度解读了美国霸权的未来。虽然两者之间存在差异,但并非根本对立。超越这些分歧,两者之间存在本质上的共识。两种观点的论争包含有美国大战略因素,为美国政府提供了冷战后时代国家战略的可能选项。