Sudden Death Caused by Rupture of Spontaneous Ductus Arteriosus Aneurysm in an Adult

A 55-year-old man complained of sudden onset of severe neck pain. This was followed by prompt loss of consciousness and death. Autopsy revealed rupture of a saccular aneurysm, which was considered to have resulted from enlargement of the remaining ductal tissue, and was located on the medial aspect of the uppermost portion of the descending aorta. Dense blood extravasation was noted in the posterior mediastinum and extending to the strap muscles of the neck and larynx. Histological examination of the rupture site revealed disappearance of the medial elastic fibers and thickened intima covered with dense fibrous tissue. Spontaneous ductus arteriosus aneurysm in adults is a rare finding, but widespread use of imaging technologies has revealed that it develops more frequently than previously recognized. Fatal complications may occur even when the aneurysm is relatively small. Therefore, pathologists should be aware of this aneurysm as a potential cause of sudden death.     

A Census of Medicolegal Death Investigation in the United States: A Need to Determine the State of our Nation’s Toxicology Laboratories and Their Preparedness for the Current Drug Overdose Epidemic

In 2007, the Bureau of Justice Statistics reported on 2004 data collected from the Census of Medical Examiner and Coroner Offices (CMEC). The CMEC was one of the first comprehensive reports on the state of the medicolegal death investigation system in the United States and included information on administration, expenditure, workload, specialized death investigations, records and evidence retention, and resources. However, the report did not include responses on questions that were related to toxicology such as specimen retention and type of testing. The purpose of this publication is to provide the community with toxicology laboratory-specific responses from nearly 2000 medical examiner and coroner (MEC) offices. Data obtained from a BJS CMEC public use dataset for any remaining information that was not reported in the 2007 BJS report were evaluated specific to the operation of toxicology laboratories within a MEC office or specific to toxicology testing. The CMEC includes information on average operating budget for MEC offices with internal or external toxicology services, budget for toxicology/microbiology services, respondents’ routine uses of toxicology analysis, toxicology specimen retention time, average turnaround times, use of computerized information management systems, and participation in federal data collections. These historical data begin to address the present state of our nation’s toxicology laboratories within the medicolegal death investigation system and their preparedness for the current drug overdose epidemic.     

Fatal Methemoglobinemia Due to Acute Inhalation of Methyl Nitrite in an Industrial Accident

Methyl nitrite is suggested to cause methemoglobinemia by generating methemoglobin, which may be lethal when the methemoglobin concentration exceeds 70%. However, intoxication with methyl nitrite is seldom reported compared with that with other nitrites. Here, we present an industrial accident involving methyl nitrite inhalation during its synthesis process that resulted in three fatalities and one survivor. The autopsy revealed conspicuous blue-gray discoloration in various parts of the body, including the skin, airway mucosa, vessels, brain, heart, and among other areas. The toxicological tests on the deceased showed methemoglobin concentrations in the blood over the lethal level and increased nitrite ion levels in the blood, gastric contents, liver, and lung tissue compared with those in control samples. The cause of death was determined to be methemoglobinemia-induced hypoxia due to methyl nitrite inhalation. This report provides evidence that in methyl nitrite intoxication, exposure duration has a significant influence on the postmortem changes and likelihood of a fatal outcome may be related to the age of the victim. More attention is required regarding the industrial hazards of this substance.     

货币演进的历史观与货币创造的政治经济学

一种流行的对现代货币理论的批评认为,现代货币理论忽视了金融市场在货币创造中的主体地位;现代货币理论的错误认识会导致政府对市场的过度干预。这种反对意见不仅误解了现代货币理论,而且建立在错误的历史观上,忽视了政府在市场经济中的重要作用。首先,现代货币理论形成了包括商业银行和政府在内的对货币等级结构的完整认识。其次,在历史上,财政作为货币创造主体的作用并没有让位于商业银行体系,相反,随着布雷顿森林体系的解体,国家财政的作用获得了极大的解放。再次,政府的货币创造具有生产性的一面,它在推动创新和生产力发展上扮演着重要角色;政府创造和回收货币并不是剥削,而是国家的公共目的所使然。最后,货币创造主体的制度设计及其争论的问题本质上是更深层次的政治经济学问题。     

新时代国有企业坚持职工主体地位的研究与思考

习近平总书记关于以人民为中心的思想集中反映了习近平总书记的群众观,是对马克思"人的全面发展"理论的继承和发展。深入了解和研究以人民为中心思想的形成、理论来源、重要意义和深刻内涵,对于准确把握习近平新时代中国特色社会主义思想,坚持国有企业职工主体地位,统筹做好工会各项工作都具有重要意义。本文论述了以习近平新时代中国特色社会主义思想为指导,在国有企业中深入理解和切实践行以人民为中心的发展思想,贯彻落实好全心全意依靠工人阶级的根本方针,充分发挥国有企业"六个力量"作用,推动国有企业做强做优做大,促进我国经济社会持续健康发展的具体路径和目标任务。     

无言大地的生命悲歌——浅谈莫言作品的主题蕴含

莫言的作品在历史背景下述说着中华民族的过往,它能深入到我们选择性遗忘的历史图景让我们在其作品的死亡意识和生殖崇拜下去解读莫言及其作品的生命意识,他以鲜明的色彩,大胆的叙述去体悟大地民间的生命强力,莫言代大地立言,去为失去话语权的人们唱响生命的悲歌。     

Call me Caitlyn: making and making over the ‘authentic’ transgender body in Anglo-American popular culture

A conception of transgender identity as an ‘authentic’ gendered core ‘trapped’ within a mismatched corporeality, and made tangible through corporeal transformations, has attained unprecedented legibility in contemporary Anglo-American media. Whilst pop-cultural articulations of this discourse have received some scholarly attention, the question of why this ‘wrong body’ paradigm has solidified as the normative explanation for gender transition within the popular media remains underexplored. This paper argues that this discourse has attained cultural pre-eminence through its convergence with a broader media and commercial zeitgeist, in which corporeal alteration and maintenance are perceived as means of accessing one’s ‘authentic’ self. I analyse the media representations of two transgender celebrities: Caitlyn Jenner and Nadia Almada, alongside the reality TV show TRANSform Me, exploring how these women’s gender transitions have been discursively aligned with a cultural imperative for all women, cisgender or trans, to display their authentic femininity through bodily work. This demonstrates how established tropes of authenticity-via-bodily transformation, have enabled transgender to become culturally legible through the wrong body trope. Problematically, I argue, this process has worked to demarcate ideals of ‘acceptable’ transgender subjectivity: self-sufficient, normatively feminine, and eager to embrace the possibilities for happiness and social integration provided by the commercial domain.     

Bulging biceps and tender kisses: the sexualisation of fatherhood

This article explores recent developments in masculinity, focusing on the sexualisation of fatherhood in Anglophone media. As it becomes socially acceptable for men to engage with “hands-on” fatherhood roles that had previously been primarily associated with motherhood, the appeal lies not just in this shift in gendered performance, but the representation of this as an opportunity for men to reveal a desirably body image. Where previously the hands-on fatherhood role had been glossed as “nappy changing duties,” this more recent development focuses on men’s bodies and in particular the act of carrying a young child which affords the chance for biceps to be flexed in juxtaposition with the gentle act of holding a child. Colloquially, this has led to the emergence of the “DILF,” particularly on social media where sites are devoted to photos of such men.