Lethal small bowel obstruction due to pica

Up to 25% of institutionalized patients with cognitive deficiencies display pica-like behavior, with an estimated annual incidence of small bowel obstruction of 2%. We present a case based on the forensic autopsy of a 41-year-old woman who died as a result of a missed diagnosis of small bowel obstruction after ingesting a foreign body. The case underlines the importance of precaution when treating patients with cognitive deficiency and/or language deficits and gastrointestinal symptoms. In such cases, it is important to employ a liberal threshold for radiological investigations and, if possible, obtain a medical history from a person close to the patient.     

Plural strategies of accessing land among peri-urban squatters

ABSTRACT

This paper discusses strategies utilized by migrants/squatters in accessing land for settlement and livelihoods in places where the state and the indigenes are not sympathetic to their needs. Although of significant policy and theoretical significance, this area has not received attention from scholarship, its dominant focus being on understanding the diverse origins, destinations, drivers and processes of migration. In addressing this issue, the study uses the case of Malawian migrants located in Zimbabwe’s peri-urban area of Norton. The finding of the paper is that there are as many strategies for acquiring land as they are migrants. The identified strategies (inheritance, seizures, and purchase) are contingent based – varying according to the access of the parties involved in the transactions.     

Katastrophenschutzrecht – Grundlagen und Perspektiven

Ohne Zusammenfassung     

Citizen participation and the democratization of policy expertise: From theoretical inquiry to practical cases

This article examines the case for a participatory policy analysis. An idea advanced mainly by democratic and postpositivist theorists is increasingly becoming a practical concern. Criticizing conventional conceptions of science and expertise, theorists advocating participatory democracy argue that the conventional model of professionalism based on a practitioner-client hierarchy must give way to a more collaborative method of inquiry. While such arguments have largely remained in the domain of utopian speculation, recent experiences with a number of wicked policy problems have begun to suggest the viability, if not the necessity, of participatory research methods. Through two case illustrations of a wicked problem, the so-called Nimby Syndrome, the essay seek to demonstrate that collaborative citizen-expert inquiry may well hold the key to solving a specific category of contemporary policy problems. The article concludes with some observations on the possibilities of bringing participatory research more fully into mainstream policy science.     

From newspapers to social media? Changing dynamics in Swiss direct democratic campaigns

Switzerland is a laggard in terms of digital campaigning. Direct democratic votes, more particularly, are centered around issues and little personalized. Combined with the specificities of voters’ information behaviour in direct democratic campaigns, these features are likely to disincentivize political actors from extensively campaigning online. Instead, we expect political actors to continue relying on traditional media. These propositions are tested on a large data base of social media posts and newspaper advertisements published before direct democratic votes held in Switzerland from 1981 to 2020 and 2010 to 2020, respectively. Counterintuitively, this research note finds a strong discontinuity in campaign communication practices. Over the past decades, and between 2010 and 2020 in particular, newspaper ads have become less central to direct democratic campaign communication. At the same time, political actors are increasingly shifting their communication to the digital sphere.     

Zwischen Kultur und Kalkül? Vertrauen und Sozialkapital im Kontext der neoinstitutionalistischen Wende

Trust and social capital work in social networks as informal institutions, favouring cooperation between the participants of such social interaction. However, the increasing use of both terms has been accompanied by vanishing conceptual and theoretical precision. In order to counterbalance this development this article tries to clarify some of the major puzzles connected with both terms. First, we embed trust and social capital within the institutionalist turn in political science. Second however, we demonstrate that trust and social capital have been modelled from at least two perspectives: sociological institutionalism and economic institutionalism. Furthermore, attempts of combining those approaches have lead to decreasing theoretical consistency. Finally, we propose that economic institutionalism is theoretically and empirically more fruitful to explain the creation and destruction of social capital.     

Euroscepticism and Right-Wing Extremist Attitudes in Germany: A Result of the ‘Dialectic Nature of Progress’?

Euroscepticism is associated with a new cleavage between the ‘losers’ and the ‘winners’ of globalisation. Current research also indicates that right-wing extremist, racist, and anti-democratic attitudes are more prevalent in lower status groups, particularly those struggling with societal change. These findings are combined with a unique data set covering both topics and thus add to the growing literature on Euroscepticism while also exploring the divide between the ‘losers’ and ‘winners’ of modernisation processes. The article introduces categories of occupational status groups, namely the ‘engaged’, the ‘skilled workers’, and the ‘legworkers’, which represent different levels of involvement in modernisation processes. It explores the differences in attitudes between these groups and how those differences correlate with citizens' professional status. It is concluded that perceived subjective alienation, which manifests in racist and anti-democratic attitudes, best explains EU-scepticism.