Partial bowel obstruction in a 2-month-old child. A delayed diagnosis of anal abuse

We present the case of an anal sexual abuse involving a 2-month-old boy, who was admitted to the Pediatric Surgery Unit of the University of Padua for low bowel obstruction. The infant had been already hospitalized for 3 days in a peripheral hospital and treated with daily rectal wash-outs for a fecaloma. Only after a careful interpretation of the plain abdominal radiograph, along with the performance of a rectoscopy and a laparotomy, a vegetable foreign body (about 3 cm in diameter and 7 cm in length) was discovered in the sigma. The morphology and dimensions of the foreign body, as well as its location, left no doubt about the etiology of the partial bowel obstruction, proving that it was clearly related to an anal sexual abuse.     

Beppe Grillo's First Defeat? The May 2013 Municipal Elections in Italy

The article analyses the results of the Italian municipal elections held in May 2013. It focuses on their three most striking features: the clear victory of the centre-left coalition, the marked drop in voter turnout and the shrinkage of the Five Stars Movement (M5S). The article analyses the causes of the M5S' loss of votes and interprets this new party with reference to European (disaffection towards political institutions and the ‘counter-democracy’ phenomenon as explained by Rosanvallon) and Italian (the crumbling of the party system) variables.     

Assessment of exposure to opiates and cocaine during pregnancy in a Mediterranean city: preliminary results of the "Meconium Project"

For the first time in Europe, the "Meconium Project" aimed to estimate the prevalence of drug use by pregnant women and the effects of exposure to illicit drugs during pregnancy on the fetus and infant. Between October 2002 and February 2004, 1151 (79%) dyads among the 1439 mother-infant dyads from the Hospital del Mar, Barcelona, Spain, met eligibility criteria and agreed to participate in the study. We present preliminary results on the first 830 meconium samples and 549 mother-infant dyads, for which statistical analysis of socio-economic and demographic characteristics and newborn somatometry was completed. The meconium analysis showed an overall 7.9% positivity for drugs of abuse, with 6-monoacetylmorphine and cocaine being the analytes, most frequently found in samples positive for opiates and cocaine. Structured interview disclosed 1.3, 1.8 and 1.3% of mothers exposed to opiates, cocaine and both drugs, while only one mother declared ecstasy consumption. Meconium analysis showed that prevalence of opiates, cocaine and combined drugs exposure was 8.7, 4.4 and 2.2%, respectively, and confirmed the case of ecstasy use. Arecoline, the main areca nut alkaloid, was found in meconium specimens from four Asiatic newborns, whose mothers declared beetle nut consumption during pregnancy. Parental ethnicity was not associated with drug use, nor was the social class, although a higher tendency toward drug consumption was observed in professional and partly skilled mothers. Drug consuming mothers showed a higher number of previous pregnancies and abortions (p<0.05) when compared to non-consumer mothers (meconium negative test), probably due to a lack of family planning. Consumption of opiates and cocaine during pregnancy was associated with active tobacco smoking, a higher number of smoked cigarettes and cannabis use. Exposure status and smoking behavior correlated with significantly lower birth weight in newborns from mothers exposed only to cocaine and to opiates and cocaine simultaneously. Of the four newborns exposed to arecoline, one showed a low birth weight, low intrauterine growth, hyporeflexia and hypotonia.     

Determinants of Third Parties' Intervention and Alignment Choices in Ongoing Conflicts, 1946–2001

The decision to intervene in ongoing conflicts is one of the most difficult foreign policy choices states often face. Yet, studies of third parties' joining behavior have been rare and limited in several respects. First, they have explored only a subset of all interventions—military interventions. Second, they have concentrated on security-based determinants of intervention—power and alliance considerations—while underplaying other possible motivations behind the decision to intervene. Third, they have explored intervention and alignment choices as separate issues. This paper proposes a model of joining behavior that includes both security considerations and homophilous network ties as determinants of third parties' intervention and alignment choices. The model is tested on military and nonmilitary interventions data from Corbetta and Dixon (2005) for the 1946–2001 period. The results from a boolean logit estimation indicate that (1) the intervention decision is the result of both security-driven, pragmatic considerations and homophily between joiners and disputants; and (2) opposition to a party in a conflict is as important as a third party's social proximity to the side being supported.