Incidence of Low Body Mass Index in the Elderly in Forensic Cases—A Possible Marker for Frailty Syndrome?

Diagnosing frailty syndrome at autopsy may be difficult if no adequate clinical history is provided. As low body mass index (BMI) may be associated with frailty in the elderly, the following study was undertaken to determine the percentage of medicolegal cases with BMIs < 18.5 in decedents aged over 75 years. Review was undertaken over three time periods: January to December 1986, January to December 2006, and January to December 2012. In 1986, 16% (15 of 93) of individuals aged ≥75 years had BMIs < 18.5, in 2006, 15% (50 of 336), and in 2012, 13% (35 of 274). In no case was frailty syndrome mentioned. This study demonstrates that frailty syndrome appears to be an underappreciated diagnosis in forensic practice despite a significant percentage of elderly decedents (13–16% over a 27‐year period) having low BMIs. Prospective assessment of this group is required to determine the incidence and contribution to mortality of frailty syndrome in a forensic context.     

Associations between Exposure to Alienating Behaviors,Anxiety, and Depression in an Italian Sample of Adults

The aim of this study was to examine associations between exposure to alienating behaviors (ABs) and anxiety and depression as mediated through psychological maltreatment and parental bonding in a sample of Italian adults in the community. Five hundred and nine adults were given a measure of exposure to ABs, the Baker Strategy Questionnaire; the Psychological Maltreatment Measure; the Parental Bonding Instrument; the State‐Trait Anxiety Inventory‐Y; and the Beck Depression Inventory‐II. Exposure to ABs was associated with psychological maltreatment, which was associated with parental bonding, which was associated with each of the three mental health outcomes: depression, state anxiety, and trait anxiety. The authors conclude that exposure to ABs in childhood represents a risk factor for subsequent poor mental health.     

Molecular Autopsy of Desmosomal Protein Plakophilin‐2 in Sudden Unexplained Nocturnal Death Syndrome

Plakophilin‐2 (PKP2) variants could produce a phenotype of Brugada syndrome (BrS), which seems to be most likely the same allelic disorder as some sudden unexplained nocturnal death syndrome (SUNDS). All coding regions of PKP2 gene in 119 SUNDS victims were genetically screened using PCR and direct Sanger sequencing methods. Three novel mutations (p.Ala159Thr, p.Val200Val, and p.Gly265Glu), one novel rare polymorphism (p.Thr723Thr), and eight reported polymorphisms were identified. A compound mutation (p.Ala159Thr and p.Gly265Glu) and a rare polymorphism (p.Thr723Thr) were found in one SUNDS case with absence of the cardiomyopathic features. The detected compound mutation identified in this first investigation of PKP2 genetic phenotype in SUNDS is regarded as the plausible genetic cause of this SUNDS case. The rare incidence of PKP2 mutation in SUNDS (1%) supports the previous viewpoint that SUNDS is most likely an allelic disorder as BrS.     

Best Interest of the Child and Parental Alienation: A Survey of State Statutes

State statutes regarding the best interests of the child (BIC) in deciding disputed custody were reviewed and independently coded with respect to three issues (i) the child's preference and any limits (ii) parental alienation and (iii) psychological maltreatment. Results revealed that many states allowed for the child's preferences to be considered and none qualified that preference when undue influence has occurred; parental alienation as a term was not found in any state statutes but 70% of the states included at least one BIC factor relevant to its core construct of the parent supporting the child's relationship to the other parent; and many states included a history of domestic violence or child abuse but only three states explicitly mentioned psychological maltreatment. These findings highlight yet another way in which the BICS factors lack specificity in ways that could negatively impact children caught in their parents’ conflict.     

Persistent Retinal Iron in Abusive Head Trauma

Retinal hemosiderin deposition is a histologic indicator of sustained hemorrhage but cannot be used to precisely estimate the elapsed time since an episode of trauma. A 5‐month‐old male infant was admitted to hospital after acute deterioration. Examination revealed encephalopathy, subdural hematomas, and retinal hemorrhages consistent with abusive head trauma (AHT). At the age of 3, he was readmitted to hospital with spontaneous osteopenic fracture of the right femur. The patient deteriorated and died after unsuccessful resuscitation. Ophthalmopathological investigation showed atrophy of the retina and optic nerve and hemosiderin deposition in both eyes. Retinal hemosiderin deposition is currently generally assumed to disappear within 6–8 weeks after the occurrence of hemorrhage in AHT. This case report describes an infant with bilateral retinal hemosiderin depositions due to hemorrhages sustained from AHT occurring 32 months prior to death. Implications of this finding for the interpretation of retinal hemosiderin depositions in AHT are discussed.     

对20世纪80年代初期异化问题争论的反思

20世纪80年代初期关于异化问题的争论,今天仍有必要对其进行学术上的反思。异化只是一个哲学术语,用它来解释由于主体自身变化而产生对立面并转而同主体对抗的矛盾是成立的,没有必要赋予异化概念过多的政治含义。用异化说明某些社会矛盾现象不等于用异化这一抽象哲学概念去说明人类历史的发展变化。     

领导应“用人要疑，疑人要用”

本文主要提出了当今形势决定了领导需“用人要疑，疑人要用”，同时给出了有力的论证并给领导建议了几点用人方法。     

Childhood bads,parenting goods,and the right to procreate

Abstract

Harry Brighouse and Adam Swift, together with many other philosophers, think that adults’ interests in raising a child can give them a moral right to parent when they will be adequate parents. We consider whether the same interest could give such adults a moral right to procreate, as a means of acquiring a child to raise. We argue that the interest in parenting cannot support a right to procreate, because the features of childhood that make parenting uniquely valuable for adults are bad for children. Adults may have a right to procreate, but they do not have that right due to their interest in a parent–child relationship.     

子代孝道类别对亲代福祉的影响探究——基于CFPS2014的实证检验

弘扬孝亲敬老传统美德在支持家庭养老保障机制的有效运转和提升老年福祉水平方面具有积极作用,亦是践行党的二十大报告中“弘扬中华传统美德,加强家庭家教家风建设”的有益探索。研究发现子代持有的孝道观念在具备相互性和权威性双元面向的基础上,可进一步被划分为“高认同型”“分化型”“矛盾型”“低认同型”四个潜在类别;“孝道—福祉增进效应”具有稳定性,子代对相互性孝道认同程度越高,其亲代产生高福祉水平的可能性更大;该效应在亲代群体间具有异质性,拥有养老资源较为匮乏的亲代,能够从孝道对福祉的正向效应中获得更多回报。下一步政策取向是强化新时代家庭观的制度保障,进一步发挥家风建设和家庭美德发展对实现代际之间紧密的情感联结和高度的责任认同的有效力量。     

马克思现代性批判的三重维度

马克思现代性批判不是单向度的线性推进,而是在三个相互连接层面上的有序布展。具体表现为：以异化劳动为尺度的现代性伦理批判;以分工为基础的现代性实证批判;以资本为核心的现代性本质批判。