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.     

A view from the policy community: a new strategic narrative for Europe?

ABSTRACT

Reflecting on the results presented in articles in this special issue, European leaders should take greater account of external perceptions in crafting the European Union's strategic narrative and guiding its actions. Failure to do so has impaired external policies like the Euro-Mediterranean Partnership, the European Neighbourhood Policy and Eastern Partnership. Leaders emerging from the Arab uprisings perceived the EU as complicit with their countries’ former anciens régimes and Russian leaders see EU support for democracy and the market economy in former Soviet states as duplicitous and instrusive. Awareness of such perceptions should be filtered into EU decision-making, without validating views that European officials and diplomats consider misleading.     

Beyond royal politics: state transformation and foreign policy in Saudi Arabia

Abstract

Saudi politics is commonly portrayed as reflecting a system of centralised personal rule in which decision-making power trickles down from the tightly knit power circles within the House of Saud. In contrast, this paper draws attention to the empowerment of quasi-autonomous state organisations in Saudi Arabia as a result of state transformation and regional integration. At its most extreme, state transformation in Saudi Arabia has created institutional and regulatory enclaves with vested interests and areas of competence that cross Saudi borders. This paper illustrates the foreign policy ramifications of transformed statehood in Saudi attempts to further Gulf regional integration in the context of the Gulf Monetary Union project.     

“河长制”优化研究

"河长制"全面实施以来,我国河流管理与保护成效显著。"河长制"确认各级河长在河流管理保护中的职责,通过对河长每年工作履职情况进行严格考核并实施严格追责等措施,促进了我国水环境和水生态质量的改善并向长久保持。在实践中,我国"河长制"面临着本质偏离、考核异化、多元共治欠缺的困境,使得河流治理容易出现短期、反弹等现象,影响了"河长制"的实效。为此必须通过明晰各级河长的责任,确保以责任驱动"河长制"工作;建立多层面的科学完善的考核指标体系;坚持多元共治,弱化对行政权力的依赖来优化"河长制"制度,保障"河长制"的长效化、法治化。     

灾害事故应急处置中对新闻媒体的管理

在灾害事故应急处置过程中,处置人员往往没有做好对新闻媒体的管理工作,一是对新闻媒体疏于管理,二是对新闻媒体管得过死。从实践中存在的具体问题看,加强对新闻媒体的管理,应当转变观念。第一要转变对新闻媒体的看法,认识到新闻媒体的作用及其特征。第二要转变在灾害事故处置过程中对新闻媒体管理的重要性认识。     

高职高专英语教学改革亟待解决的问题

随着经济全球化进程的加快，我国高职高专英语教学改革已迫在眉睫。然而，高职高专英语教学改革又是一项系统工程，涉及教学工作的方方面面，需要从上到下共同不懈的努力。教学目标定位不合适，教学手段不现代化，教学管理不到位，师资队伍问题不解决，高职高专英语教学改革这壶温水一时还难烧开。     

中国利用外资新特点及其思考

随着改革开放的更进一步纵深展开,中国利用外资在近几年也呈现出了一些新特点。本文旨在介绍我国在利 用外资上的新模式和新领域,并针对这些新特点,对外资的宏观管理提出一些建议。     

试论山区县市公安基层基础工作

洪江市公安局在强化公安基层工作中,结合山区特点,坚持以“苏州”、“杭州”会议精神为指导,围绕派出所“防范、管理、打击、服务”这一基本职能,狠抓思想认识提高。狠抓社区警务规范建设,狠抓治安联防队伍等群防群治建设,狠抓村级警务站建设,确保了警务前移、警务下沉,着力开创派出所新型警务运行机制的局面,努力实现警民共刨安全文明社区。     

中国外资银行监管与中国入世承诺的履行

WTO规则促进了国际金融一体化的进程 ,加入WTO对我国金融业既是机遇又意味着挑战 ,本文针对WTO规则中有关银行业的规定与我国相关承诺中涉及的外资银行监管问题进行了客观分析 ,并就我国完善对外资银行的监管提出了自己的看法。     

建立教学管理监控体系,促进学校新发展

教学工作在学校整个工作中的中心地位已毫无疑问,而高质量的教学管理则是确保教学效果、提高教学质量的重要前提。为了切实提高教学管理的水平与质量,建立起一个涉及师资队伍、课程建设、教材资料建设、教学过程、毕业生质量追踪等方面内容的完整的教学管理监控体系势在必行。教学管理监控体系的建立和运作,不仅能够有效提高工作效率,而且能保证学校人才培养目标的实现,并且为学校的重要决策提供信息依据。