Death related to aortic coarctation in a young female during sexual intercourse

Coarctation of the aorta (CA) is diagnosed mainly in pediatric patients, and therapy is conservative if asymptomatic, but surgical treatment is required if advanced arterial hypertension is present. Moderate to severe forms contraindicate any type of physical activity requiring cardiac effort. Here, we describe the first documented death of an apparently healthy 35-year-old woman because of cardiac tamponade by rupture of an aortic aneurysm, possibly related to congenital CA, prolonged use of oxymetazoline hydrochloride, and physical and/or emotional stress during sexual activity. Our patient was asymptomatic for classical CA symptoms. The patient's breathing difficulties likely in hindsight were due not so much to nasal congestion, but rather to an ineffective oxygenation of the blood from the abnormal heart. In an attempt to treat the "nasal disease," the patient ingested chronic and excessive doses of decongestants, aggravating her fatal disease. The danger of inhaling large doses of nasal decongestants without an appropriate medical indication is highlighted here.     

大学生宗教信仰的社会心理学分析

随着大学教育、教学活动与社会联系的日益深入,宗教文化在大学校园中也有一定程度的渗入和传播,信教的大学生人数呈上升趋势。导致大学生宗教信仰的原因既有西方宗教文化的影响等外部因素,也有大学生好奇心强、追求自我实现等内部心理因素。高校一方面应尊重大学生的宗教信仰,另一方面应采取加强对大学生的无神论教育等措施引导大学生树立科学的世界观和人生观,为社会主义建设事业培养更多的合格人才。     

Making Things More Public: On the Political Responsibility of the Media Intellectual

Rosen, Jay. (1994). Making Things More Public: On the Political Responsibility of the Media Intellectual. Critical Studies in Mass Communication, 11(4), 363–388.     

Incentives to Rebel,Bargaining, and Civil War

To fully understand the effects of factors that encourage rebellion, we must differentiate between the way such factors influence mass decisions to join an ongoing rebellion and the way they influence the level of concessions offered by the government. We analyze a three-player bargaining model that allows us to do so. Our results indicate that governments tolerate a greater risk of conflict with their chosen concessions when any conflict that does occur is likely to take the form of a limited, rather than popular, rebellion. We demonstrate that rebellions are more likely to be popular when the general populace is relatively dissatisfied with the status quo and when the government is relatively incapable of putting down rebellions. Widespread poverty and low state capacity might therefore be associated with a lower likelihood of conflict, but a greater probability that the general populace will participate in any conflict that does occur.     

Subarachnoid hemorrhage during sexual activity after sildenafil intake: an accidental association?

We report and describe an autopsy case of a man dead for rupture of cerebral artery aneurysm with subsequent subarachnoid hemorrhage after sexual intercourse. Toxicologic analysis demonstrated that he had consumed sildenafil (Viagra). Although subarachnoid hemorrhage has been reported to be associated with sexual intercourse, it is not among the known adverse effects of sildenafil. However, sildenafil has been found to interact with vascular physiology via multiple mechanisms and in most of the vascular districts of the human body. This case provides an example of a very rare association between this drug and a fatal pathologic event and deserves to be added to the existing clinical knowledge about sildenafil and the pathophysiology of the events involved. This knowledge may be helpful in orienting further investigation into the mechanisms of action of sildenafil and their clinical implications.     

An Exceptional Case of Acute Respiratory Failure Caused by Intra‐Thoracic Gastric Perforation Secondary to Overeating

An 18‐year‐old female patient arrived at the emergency department complaining of abdominal pain and fullness after a heavy meal. Physical examination revealed she was filthy and cover in feces, and she experienced severe abdominal distension. She died in ED and a diagnostic autopsy examination was requested. At external examination, the pathologist observed a significant dilation of the anal sphincter and suspected sexual assault, thus alerting the Judicial Authority who assigned the case to our department for a forensic autopsy. During the autopsy, we observed anal orifice expansion without signs of violence; food was found in the pleural cavity. The stomach was hyper‐distended and perforated at three different points as well as the diaphragm. The patient was suffering from anorexia nervosa with episodes of overeating followed by manual voiding of her feces from the anal cavity (thus explaining the anal dilatation). The forensic pathologists closed the case as an accidental death.     

Relations with North Africa: a new priority in Portuguese bilateral foreign policy?

Portugal has remained quite distant from coastal North African states for many centuries. Having recently emerged as a prominent player across North Africa, Portugal’s current relationship with the Maghreb countries is unprecedented in its history. Lisbon has invested in building the Maghreb axis as a ‘new priority’ in the architecture of Portugal’s bilateral foreign policy. This policy already took off, and is now beyond the rhetorical plan, where it stood for many years. Portugal and its partner countries across the Mediterranean have reiterated their willingness to keep up with the positive momentum, especially from the past 10 years, deepening bilateral political dialogue and bolstering trade relations. This article puts Portuguese relations with North Africa into context and offers an up-to-date analysis on recent (and ongoing) developments in Luso?Maghreb relations.