Iatrogenic deaths following treatment for hypertrophic obstructive cardiomyopathy: case reports and an approach to the autopsy and death certification

Hypertrophic cardiomyopathy (HCM) is a disease process which results in a large, heavy heart, with hypertrophy of the interventricular septum (IVS) and left ventricle. HCM accounts for a significant number of cases of sudden cardiac death each year, most infamously in young athletes. The prevalence of the disease has increased over the past several years due to advances in clinical diagnosis and molecular genetic studies. Over this same period, new forms of treatment also have emerged. One such treatment is alcohol septal ablation (ASA). ASA is a procedure performed by a cardiologist, via cardiac catheterization, by injecting pure ethanol into selected arteries which supply the IVS, resulting in a targeted myocardial infarction. This infarct then retracts and forms a scar, decreasing the outflow obstruction and improving the patient's clinical symptoms.The authors report 2 cases of death following ASA treatment of HCM. The first, a 56-year-old male, had his ASA procedure 10 days prior to death. The second decedent, a 76-year-old female, had her procedure only 30 hours before death. These case reports are followed by a discussion about HCM, including pathology, treatments, and treatment-related pathology, before closing with a discussion about death certification in the cases presented and therapy-related deaths in general.     

Mediation in Italy: Exploring the Contradictions

This article sets Italy in the context of three primary approaches to promoting mediation use in Europe: cultural, pragmatic, and legalistic. Despite the fact that Italy could be considered a "front-runner" in the latter category, the actual number of cases going to mediation to date has remained low. Drawing on both data from a recent CPR European Committee survey and aspects of the broader Italian legal and social context, this article explores reasons for this apparent contradiction and concludes by suggesting general principles that can be extrapolated from the Italian experience.     

Breastfeeding Duration and Reported Child Maltreatment in a Population-based Alaskan Birth Cohort

Journal of Family Violence - Research suggests that breastfeeding may reduce child maltreatment risk. Alaska has high rates of both breastfeeding initiation and maltreatment reports to Child...     

Divergent Perspectives: Exploring a Multiple Informant Approach to Cyberbullying Victimization and Perpetration

The present research adopts a multiple informant approach to identify victims and perpetrators of cyberbullying. Similar approaches have been successfully applied in the field of traditional bullying, and they are highly relevant for studying cyberbullying as well. Three informants can provide key perspectives on cyberbullying incidents: victims, perpetrators, and bystanders. To collect data on these actors, all eighth-grade students in 11 secondary schools were invited to participate in a survey. In total 1458 respondents completed peer-nomination questions on cyberbullying involvement. The results indicated that the prevalence of cyberbullying varied depending on the type of informants that was consulted. In addition, limited overlap was observed between the reports of different informants, resulting in different profiles of victims and perpetrators, depending on the informants that identified them. In sum, different informants tended to have divergent views on cyberbullying, which has important implications. It warrants accurate reporting and critical reflection on the sources of data in cyberbullying research. Moreover, it demonstrates the need to study a more diverse set of informants to advance the understanding of cyberbullying and to enhance prevention efforts.     

Fear of terrorism: media exposure and subjective fear of attack

In many Western countries, citizen knowledge of terrorist events is intrinsically shaped by the style of broadcasted messages published by the media. Media discourses regarding terrorist acts raise questions about how such rhetoric elicits fear in people who typically experience such events through news reports. However, we do not fully understand the impact of the media on perceptions of terrorism as clearly as we understand the relationship between the media and fear of crime. This study examines how media sources accessed actively (e.g. through newspapers; Internet) or passively (e.g. through television; radio) influence knowledge and fear of terrorism. We find receiving information about terrorism from multiple media sources increases fear of terrorism, but media sources accessed passively are not as influential as media sources accessed more actively. These results highlight how media consumption from various sources may affect one’s fear of terrorism, and further illustrates how the role of perceived knowledge may exacerbate or mitigate fear. Implications for policy and practice are discussed.     

LEGISLATION AND REPORTS: Copyright and Parody: Taking Backward the Gowers Review?

In 2006 the Gowers Review of Intellectual Property made a series of recommendations for reforming the intellectual property regime to better serve the interests of both consumers and industry. Among the proposed recommendations was that an exception for parody be introduced within the Copyright Designs and Patents Act 1988. In January 2008 the Intellectual Property Office (the IPO) launched the first part of a two‐stage consultation process on exceptions to copyright. As part of that consultation process, the IPO proposed a ‘fair dealing style exception’ for parody, and sought views on whether a new exception should be introduced as well as what form it might take. In December 2009 the IPO launched the second stage of this consultation process. The second consultation document rejected the case for a new parody exception. This article considers the place of parody within the copyright regime and the objections levelled against the introduction of an exception set out within the IPO's second consultation document. It invites the IPO to reconsider its decision not to recommend the introduction of a specific exception for parody within the UK.     

Perceiving others as different: a discussion on the stigmatization of the mentally ill

This commentary on the stigmatization of people with mental illness explores social perceptions of them as dangerous and uncivilized. The authors discuss how the legal system suggests that these are people who should be ousted from the community while mental health professionals attempt to reiterate the fact that these individuals are simply human. The authors describe ways people with mental illness have been subjected to discrimination, ridicule, and humiliation. This commentary discusses multiple perspectives of mental illness, from past to present, and how those perspectives influenced social, legal, and psychological frameworks.     

Editorial

The massive influx of Russian-speaking eastern Slav groups (Russians, Belorussians, Ukranians) from the rest of the Soviet Union laid a fundamental basis for the nationality conflict and political power struggle in post-Soviet Estonia. After Estonia re-established its statehood, this conflict evolved more into one between indigenous people and immigrants, citizens and non-citizens. What deserves additional attention is the previous economically defined centre-periphery conflict in the Soviet period (the north-east of Estonia versus Leningrad) which is now transforming into a new kind of ethnic and political cleavage separating the Russian-speaking north-eastern towns from the rest of Estonian-speaking Estonia. Moreover, here ethnicity and class mesh, while ethno-cultural differences also contribute to unemployment in the north-eastern towns. The centre-periphery dichotomy in Estonia provides the preconditions for peripheral political mobilisation aiming at a more equal social participation in economic, cultural and political affairs. However, ethnic mobilisation and autonomist attempts have not yet taken the lead.     

Prerogative legislation as the paradigm of bad law-making: the Chagos Islands

Legislation made by way of the Royal Prerogative is a paradigm of bad law-making. This is examined via the case study of the British Indian Ocean Territory (Constitution) Order 2004. The Order was made without reference to a legislature and without proper scrutiny or legislative drafting. It is unclear, ambiguous and imprecise. It does not use plain language or gender-neutral language. It is deliberately inaccessible, making it extremely hard for the citizen to know its contents. In form and substance, it offends against the rule of law.