Postmortem computed tomography (PMCT) is integrated into the evaluation of decedents in several American medical examiner offices and medicolegal death investigative centers in many other countries. We retrospectively investigated the value of PMCT in a series of firearm homicide cases from a statewide centralized medical examiner’s office that occurred during 2016. Autopsies were performed or supervised by board-certified forensic pathologists who reviewed the PMCT scans prior to autopsy. PMCT scans were re-evaluated by a forensic radiologist blinded to the autopsy findings and scored by body region (head–neck, thoracoabdominal, and extremities). Injury discrepancies were scored using a modified Goldman classification and analyzed with McNemar’s test. We included 60 males and 20 females (median age 31 years, range 3–73). Based on PMCT, 56 (79.1%) cases had injuries relevant to the cause of death in a single body region (24 head–neck region, 32 thoracoabdominal region). Out of these 56 cases, 9 had a missed major diagnosis by PMCT outside that region, including 6 extremity injuries visible during standard external examination. Yet all had evident lethal firearm injury. We showed that PMCT identifies major firearm injuries in homicide victims and excludes injuries related to the cause of death in other regions when a single body region is injured. Although PMCT has a known limited sensitivity for soft tissue and vascular pathology, it can be combined with external examination to potentially reduce or focus dissections in some of these cases depending on the circumstances and medicolegal needs. 相似文献
Young adulthood represents a developmental period with disproportionately heightened risk of losing a job. Young adult unemployment has been linked to increased mental health problems, at least in the short term. However, their possible long-term impacts, often referred as “scarring effects,” have been understudied, possibly underestimating the magnitude of mental health burden that young adult unemployment generates. This longitudinal study examined whether duration of unemployment during young adulthood is associated with later mental health disorders, after accounting for mental and behavioral health problems in childhood. Furthermore, the current study investigated whether childhood neighborhood characteristics affect this association and if so, in what specific functional ways. Data were drawn from a longitudinal study of developmental outcomes in a community sample in Seattle. Data collection began in 1985 when study participants were elementary students and involved yearly assessments in childhood and adolescence (ages 10–16) and then biennial or triennial assessments (ages 18–39; N?=?677 at age 39; 47% European American, 26% African American, 22% Asian American, and 5% Native American; 49% female). The current study findings suggest that duration of unemployment across young adulthood increased mental health problems at age 39, regardless of gender. Childhood neighborhood characteristics, particularly their positive aspect, exerted independent impacts on adult mental health problems beyond unemployment experiences across young adulthood. The current findings indicate a needed shift in service profiles for unemployed young adults—a comprehensive approach that not only facilitates reemployment but also addresses mental health needs to help them to cope with job loss. Further, the present study findings suggest that childhood neighborhoods, particularly positive features such as positive neighborhood involvement, may represent concrete and malleable prevention targets that can curb mental health problems early in life.
After the Agreement on the Trade-Related Aspects of Intellectual Property Rights (TRIPS) came into operation in 1995 developing countries have found themselves in a process of continual negotiation over intellectual property rights and access to medicines. These negotiations have taken place in the World Trade Organization and in the context of free trade agreements. The paper suggests that the only real win for developing countries has been the Doha Declaration on the TRIPS Agreement and Public Health in 2001. What have been the lessons for developing countries in a decade of negotiations over access to medicines? Drawing on themes of rule complexity and regulatory ritualism the paper discusses four key lessons for developing countries. It concludes by arguing that developing countries will do better if they adopt a networked governance approach to negotiation rather than continuing to rely on traditional coalition formation. 相似文献
This paper explores the multi-layered representations of violence and crime in the recent Hollywood film Gangs of New York [Scorcese (2003) Miramax]. We use our exploration of this film to suggest that popular culture, even through its most mainstream products, can be seen as a critical criminological space where alternative views of law, crime and the state are made available. Rather than understanding Hollywood movies simply as vehicles for disseminating conventional mores, we suggest that they can furnish critical (and complex) points of view on law and crime and that the project of a critical criminology can be strengthened by engaging more forthrightly with these ubiquitous cultural forms. 相似文献
East Asia, including Northeast Asia and Southeast Asia, has developed tightly-linked production/distribution networks through
globalizing corporate activities. The vertical chain of production in East Asia has been even more sophisticated than economic
integration in East Europe or Latin America. However, the political environment of East Asia for trade and investment has
been far from borderless. The integration effort at the policy level has been very much limited so far, due to the historical
background as well as geopolitics surrounding East Asia.
The Asian currency/financial crisis provided these countries a historical turning point. After the burst of the crisis, East
Asians realized that they have to take care of themselves in their difficulties, not depending on outside forces. A natural
choice for them was to step into the realm of regionalism. In 1998, Japan and Korea officially announced that they would discard
the long-lasting GATT/WTO-only approach and adapt the multi-layered approach, including both regionalism and multilateralism.
The ultimate goal of regionalism would be a region-wide integration including ASEAN+3. As a steppingstone, Japan signed the
Japan-Singapore Economic Partnership Agreement (JSEPA) in January 2002. In a parallel move, the ASEAN and China Leaders announced
in November 2001 the establishment of an ASEAN-China Free Trade Area (ACFTA) within 10 years.
This article will follow up the most recent advancement of regional institutional building in East Asia with the emphasis
on peculiar characteristics of economic integration in the region and discuss its implications for Asia-Europe relations.
This paper is heavily drawn from Kimura (2002, 2003). 相似文献
This paper links the policy context regarding S&T parks to the objectives and characteristics of the established parks and
incubators in a relatively small, converging European country. S&T parks and incubators in Greece during the past decade and
a half have gradually shifted in terms of ownership and management from university/research institute to the private sector
and in terms of financing from public to private funds, also involving the provision of seed capital and access to venture
capital. This gradual shift toward more private engagement has created a variety of models out of which, it is hoped, successful
innovative companies will emerge in larger numbers than in the past.
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Criminologists have long debated the issue of how to define crime, and hence, the scope of criminological inquiry. For years,
some critical criminologists have argued for expanded definitions of crime that include harmful behaviors of the state that
may not be officially defined as criminal. Other critical criminologists have argued that existing legal frameworks may be
used to study varieties of state crime, and that defining the harmful actions of the state as criminal is important to help
mobilize public support for their control. In this paper, we first trace the historical development of these two perspectives,
and then offer a tentative solution to the seeming tension between these two perspectives. 相似文献
This paper reviews the existing literature on consumer credit reporting, the most extensively used instrument to overcome
information asymmetry and adverse selection problems in credit markets. Despite the copious literature in economics and some
research in regulatory policy, the legal community has paid almost no attention to the legal framework of consumer credit
information systems, specially within the context of the European Union. Studies on the topic, however, seem particularly
relevant in view of the establishment of a single market for consumer credit. This article ultimately calls for further legal
research to address consumer protection concerns and inform future legislation.
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