Physician crimes and criminals. The historical and forensic aspects

The physician, like any other human being, is subject to emotional problems, greed, jealousy, and instability of an individual under stress as well as mental disease which may all bring out improper behavior or criminal activity. Over the last two centuries, there have been instances where physicians have committed deliberate acts of murder on wives, relatives, patients, and others. Their motivation has ranged from ridding themselves of a nagging wife or for insurance and inheritance gains to insane acts. The methods used have usually been associated with poisons and drugs, of which the physician may have great familiarity. The frequency of physician-involved murders seems to have increased in the past two decades with several sensational cases being the topics of media coverage and further review in books and visual media, including television and the movies. The investigation of these cases may be very difficult, especially when a drug may be given to a victim which could cause severe problems after small amounts are given. The detection of death as being a murder may be the first problem faced, the demonstration of the fatal agent in the body in the next problem, and probably the most difficult is finding a suspect with the medication in his or her possession or paraphenalia for injecting such as a syringe and needle. The stealth and cunning of the murderer may further complicate the picture for the investigator as well as the reputation of the physician in the community, which is often above reproach so that the public has to be convinced of the actual involvement of the suspect.     

Method of payment and the cesarean birth rate in a hospital in northeast Brazil

This paper examines factors associated with the cesarean birth rate, including medical condition and method of payment, in the largest maternity hospital of Fortaleza, Brazil. Data were collected on 5996 women who delivered at the Maternidade Escola Assis Chateaubriand from October 1980 to July 1981. All women were classified according to how they paid for their care: private (financed at least part of their care with own funds), insured (federal or state), or indigent. Private patients were found to be far more likely than patients in the other two groups to have cesarean deliveries, due primarily to the high percentage of private patients recorded as having prolonged or obstructed labor, combined with a high rate of prior cesarean sections. From this data, it appears likely that financial incentives did play a role in physician decisions on whether to perform cesarean deliveries.     

Stab wounds and personal identity determined from skeletal remains: a case from Kansas

Evidence for cause of death in skeletonized remains is uncommonly found and cases that involve stabbings are particularly rare. In the following report, evidence is presented for a fatal stabbing, determined from analysis of a recent homicide. Because multiple stab wounds were present and several different bones were involved, estimates of the dimensions of the murder weapon were also possible. We also review some distinct vertebral anomalies used for personal identification.     

THE INDEX OF SOUTHERNNESS REVISITED

Abstract A study by Gastil concludes that the Southern area of the United States constitutes a regional subculture of violence. Loftin and Hill (1974) empirically challenge Gastil's findings at the ecological level of analysis. This study adds a further dimension to that line of research by examining violence-related items from a national survey at the individual level of analysis. Results fail to confirm the existence of a divergent value system among Southerners today. It is suggested that if a "regional culture of violence" once existed, it has vanished over the years.     

Discontinuous polyacrylamide gel electrophoresis for typing haptoglobin in bloodstains

A routine method is described for obtaining reproducible haptoglobin patterns from bloodstains by discontinuous polyacrylamide gel electrophoresis. By employing a stacking gel, proteins from bloodstain extracts are concentrated into narrow zones, before entering the resolving gel. This effect yields highly resolved haptoglobin patterns. Therefore, laboratories without the specialized equipment and expertise for polyacrylamide gradient gel preparation can still obtain highly resolved haptoglobin patterns from bloodstains.     

Measurement problems in official and survey crime rates

This paper analyzes sources of error in the two major methods we use to measure crime in America—official police statistics and victimization surveys. The two produce quite different pictures of the volume and distribution of crime, but it is not clear that this is because victim-based statistics are “accurate.” Each measurement procedure has its characteristic errors, some of which it shares with the other. Comparisons of official and survey data on crime are helpful in revealing the dimensions of these error terms, and they point out the analyses which must be conducted if we are to specify their exact proportions.