Thymus of abused/neglected children.

Forty-six cases of child abuse/neglect autopsied during the period of 1967 to 1990 were investigated. The weight and histological findings of the thymus were compared with those of control children. In most abused and/or neglected children, the weight of the thymus decreased conspicuously. Involution correlated well to the degree and period of maltreatment. In cases without weight loss of the thymus, i.e. spasmodic abuse by a mentally deranged parent or foster parent, a short history of maltreatment was noted. On the other hand, marked involution was observed in cases of prolonged physical abuse and/or neglect. Microscopically, a decrease in the number and pyknosis of lymphocytes were observed in the involuted thymus. Atrophy of the thymus was more conspicuous in the cortex than in medulla. Immunohistochemically, CD-1a positive cells (immature thymocytes) decreased in cases with thymic involution. This involution appears to be an important index of the degree and duration of child abuse/neglect. Furthermore, thymic involution in the early stage of childhood may also be related to insufficiency of the immune system.     

Medical examination of sexually abused children: medico-legal value

The Department of Forensic Medicine (forensic pathology and clinical forensic medicine), Aarhus, Jutland, Denmark, performs examinations of children suspected to have been sexually abused when reported to and requested by the police in Jutland, Denmark. Jutland covers an area of 210,000 km2 with about 300,000 inhabitants in Aarhus. A colposcope initially equipped with an Olympus camera, but now with a video camera attached has been used since 1994. Since 1994 the department has performed more than 100 examinations of children suspected of having been sexually abused. A preliminary study was taken to evaluate all cases from 1995 including the legal outcome. RESULTS: The material included 34 cases with three boys, mean age 11 years, and 31 girls, mean age 8 years, at the time of the examination. The sexual abuse events were fondling including penetration of the vagina, vaginal (14), anal (7), and oral (5) intercourse as well as cunnilingus and nontouching abuses. The medical examination was most often performed more than a week after the abuse. The examination revealed normal findings in 23 cases, nonspecific findings including erytherma in 13 cases, and in only one child was a traumatic lesion with rupture of the hymen seen. The perpetrators were above 25 years of ane and were family members or someone known to the child. Nine perpetrators were convicted at court, of whom three admitted having abused the child. CONCLUSION: A medical examination in cases of sexual child abuse seldom provides a legal proof of sexual abuse. The most important is the story told by the child. Therefore, the examination is a supplement which may support or remain neutral to the story told by the child.     

受虐儿童及青少年法医学鉴定92例分析

本文对92例不满18周岁家庭暴力受虐儿童和青少年法医学鉴定案例进行回顾性研究。结果表明：虐待行为多发生于下午5时前后，受虐者以女性居多（63．04％），损伤部位以头面部最多见（36．98％）。损伤类型以软组织挫伤最常见（51．13％），损伤具有多部位、广泛性、新旧不一等特点；发生场所以家中及家居周围附近为多，受虐者家庭情感生活环境差等.同时，作者还对虐待行为产生的社会根源、受虐儿童及青少年法医学鉴定及法律保护等问题进行了探讨。     

Autopsy findings in the eyes of fourteen fatally abused children

The eyes of fourteen fatally abused children and sixteen control cases were examined histopathologically. Ten of the abused children showed intraocular change. The most common ocular changes were subdural hemorrhage of the optic nerve and retinal hemorrhage which involved all the layers of the retina, but most commonly the nerve fiber layer, ganglion cell layer and inner nuclear layer. The presence of blood cavities within the retina partially supported the hypothesis of traumatic retinoschisis. The control cases of non-abused children rarely showed intraocular hemorrhage.     

Homicides with Mutilation of the Victim's Body

Abstract:  Information on homicide offenders guilty of mutilation is sparse. The current study estimates the rate of mutilation of the victim's body in Finnish homicides and compares sociodemographic characteristics, crime history, life course development, psychopathy, and psychopathology of these and other homicide offenders. Crime reports and forensic examination reports of all offenders subjected to forensic examination and convicted for a homicide in 1995–2004 ( n  = 676) were retrospectively analyzed for offense and offender variables and scored with the Psychopathy Check List Revised. Thirteen homicides (2.2%) involved mutilation. Educational and mental health problems in childhood, inpatient mental health contacts, self-destructiveness, and schizophrenia were significantly more frequent in offenders guilty of mutilation. Mutilation bore no significant association with psychopathy or substance abuse. The higher than usual prevalence of developmental difficulties and mental disorder of this subsample of offenders needs to be recognized.     

Homicides with postmortal emasculation of the victim

Among criminal offences with mutilation of the genitals the number of cases with isolated removal of the testicles is small. This paper describes two homicides with postmortal emasculation of the victim from the autopsy material of the Berlin Institute of Legal Medicine (Humboldt University). In both of them no further mutilation had been committed. Yet the perpetrator's motivation was different in the two cases. In one case the cut-off testicles had been concealed in the victim's mouth, an act never described anywhere before. Obviously the offender wanted to mislead the police in their investigations. In the second case the motivation was of a homosexual nature and was thus comparable to previously described cases.     

Perceived social support and competence in abused children: A longitudinal perspective

The stress-social support-psychological well-being model and the social network theory of child development were used to examine the impact of child abuse and maternal perceptions of social support and competence on child perceptions of social support and competence at two points in time. The influence of child social support on child competence was also assessed. The sample consisted of 165 abused children and their mothers and a matched comparison group of 169 nonabused children and their mothers. As a source of stress, abuse had no significant independent effects on children's perceptions of social support and competence at either time period. The strongest predictors of children's views of their competence were perceived support from mothers, peers, and teachers. The findings underscore the importance of social support for the psychological well-being of children.     

Group therapy for women sexually abused as children: mental health before and after group therapy

Forty-five female outpatients sexually abused in childhood were offered a 2-year phase-divided group therapy. Before and after treatment and at 12 months follow-up, they answered questionnaires designed to elicit responses concerning psychological symptoms (Symptom Checklist; SCL-90) and sense of coherence (SOC). Symptoms for posttraumatic stress disorder (PTSD) were assessed before and after treatment. Inpatient days and sick listing days were assessed during 2 years before and 2 years after treatment. The psychological and PTSD symptoms were significantly reduced after treatment, and the SOC was increased as well. Inpatient days were decreased, and sick listing days increased but not significantly. Compared to a similar short-term focused therapy group and a waiting-list group there were no significant differences between the groups. Trauma-focused group therapy for women who were sexually abused in childhood seems to have promising effects on mental health, both concerning long-term and short-term approaches.     

Cold Case Homicides: DNA Testing of Retained Autopsy Sexual Assault Smears

Archival medical examiner specimens may contain perpetrator DNA evidence useful in unsolved (“cold case”) homicides. The Office of the Chief Medical Examiner (OCME) histology slide archives were searched for sexual assault smears for all 376 female homicides from 1990 to 1999. Of these, the OCME had sexual assault smears on 84 of which 13 slides had sperm. Of these 13, six were still unsolved. DNA profiles were obtained on all six (5 from smears and one from swabs). Combined DNA Index System ( submission resulted in two matches (“hits”) for new suspects. In addition, three suspects were eliminated in two cases. Our review of archival sexual assault smears resulted in DNA profiles that were able to assist in the investigation of four cold case homicide investigations. It may be worthwhile for medical examiner offices to search their archival histology slides for sexual assault smears on previously unsolved cases particularly those prior to the mid‐1990s when DNA testing was less widely available.     

A Comparison of Ideologically-Motivated Homicides from the New Extremist Crime Database and Homicides from the Supplementary Homicide Reports Using Multiple Imputation by Chained Equations to Handle Missing Values

This study took advantage of the new open-source Extremist Crime Database (ECDB) to overcome obstacles to studying domestic far-right terrorism from a criminological perspective. In the past, exclusive definitions and inclusion criteria have limited available data on violent crimes committed by domestic far-right terrorists, and official data on violent crimes fail to capture offenders’ links to domestic far-right terrorism and ideological motivation (e.g., anti-government, anti-abortion, anti-religion). Therefore, little is known about the nature of far-right terrorist violence and how such violence is similar to and different from routine or more common forms of violence. Focusing on homicides, this study addressed why and how open-source terrorism data and official crime data can be comparatively analyzed. In doing so, we also demonstrate the utility of synthesizing terrorism and official crime data sources. Data on 108 far-right terrorist homicides were taken from the ECDB. Data on 540 common homicides (five comparison homicides for each far-right terrorist homicide) were randomly sampled from the 2000 Supplementary Homicide Reports. Using multiple imputation by chained equations and logistic regression, we imputed missing values and estimated models to compare the two homicide types on 12 different victim, offender, and event characteristics. Relative to common homicides, we found that far-right terrorist homicides were significantly more likely to have white offenders, multiple victims, multiple offenders, and to occur between strangers, and they were significantly less likely to have white victims, to be carried out with a firearm, and to occur in cities with more than 100,000 residents.     

Child Medical Evaluation Program: a statewide system for the medical and mental health evaluation of abused and neglected children

The Child Medical Evaluation Program examines 1500 children per year suspected by county social service departments of having subtle physical evidence of abuse or neglect. The program utilizes private practitioners, primarily pediatricians, in a systematic manner and provides consultation, direction, and quality control. The system is a unique, cooperative effort between private practitioners and county departments of social service. It is administered from a state university department of pediatrics. The cost is low, government involvement minimal, and the service extensive. The system is recommended to other states.     

The Death of Freddie Gray and Its Impact on Homicides in Baltimore and Maryland

This study evaluated the impact that Freddie Gray’s death on April, 19, 2015, had on homicides within Baltimore, Prince George’s County, and the rest of Maryland. The numbers of these deaths were compared in the 2 years prior and after his death. The average number of homicide per month in Baltimore and Prince George’s County, but not the rest of Maryland, showed a statistically significant increase in the 2 years after his death, with a sudden spike in homicides in Baltimore immediately following his death. Spatial density (“heat”) maps of homicides showed an increase in clustering of deaths after Freddie Gray’s demise in portions of Baltimore, particularly near his arrest site. Hot spot maps showed a massive expansion of statistically significant clusters of homicides in areas of West and East Baltimore after his death. An emerging hot spot analysis revealed consecutive hot spots in large areas of West Baltimore with new hot spots prominent along the southern edge of this area. A review of the history of Baltimore, as well as discussions with Baltimore homicide detectives, revealed that prior socioeconomic and political trends likely primed Baltimore for the protests and violence that occurred after Freddie Gray’s death. It is probable that a perceived “overcharging” of officers involved in his death by the State’s Attorney resulted in a “pullback” from policing that directly led to increased homicides in Baltimore.     

The Role of Immigration: Race/Ethnicity and San Diego Homicides Since 1970

Objectives

The temporal variation in homicide is examined by studying trends in race/ethnic specific killings (e.g. Blacks, Latinos and Whites). Two substantively important issues are also addressed—a closer examination of the role community heterogeneity plays in homicide levels and the treatment of immigration as an endogenous social process.

Methods

Data are reported homicides in the city of San Diego, California over the period 1960–2010. The address of each killing is geocoded into 341 census tracts.

Results

We find that neighborhoods experiencing increases in the foreign-born population tend to be less violent. White and Latino homicide victimization was reduced significantly as a product of increases in the neighborhood concentration of foreign-born individuals. Supplementary analyses did not find empirical evidence that the influx of foreign-born individuals could (or should) be considered a disruptive social process. Over the past five decennial census periods, the exponential increase in immigration in this border city is not associated with an increase in homicide victimization.

Conclusions

When examined through a wider temporal lens than is typically employed, and accounting for the endogeneity of immigrant residential settlement, we find no support for the claims that immigration is a crime generating social process.