Effects of long-term incarceration: a statistical comparison of two expert assessments of two experts at the beginning and the end of incarceration

Several studies have been conducted on the effects of long-term imprisonment on mental health but only few with a longitudinal study design. Those with longitudinal design often have a very short observation period. In this study the data of 87 long-term prisoners have been compared over an average period of 14.6 years. A statistical comparison of two expert assessments of two experts at the beginning and the end of incarceration was made. Changes of mental disorders, of personality and intelligence tests and of physical diseases amongst others have been included in the analysis. The overall rate of psychological disorders decreased. Adjustment disorder had been initially identified in 25.2%. Personality test results described a stabilization of traits like depressive attitude, emotional instability and a decrease of hostility. Neither significant changes on the outcomes of the intelligence test nor significant changes of physical health were found. Though a decrease of psychological morbidity is described, the overall numbers of psychological disorders remain high compared to the non incarcerated population. A damaging effect of long-term imprisonment could not be proven by this study.     

Conceptuality and Non-conceptuality in Yogācāra Sources

This paper investigates the Yogācāra notions of “conceptuality”, represented by terms such as vikalpa, on the one hand, and of “non-conceptuality” on the other. The examination of the process of thinking as well as its absence has played a central role in the history of Yogācāra thought. The explanations of this process provided by Yogācāra thinkers in works such as the Yogācārabhūmi, the Mahāyānasūtrāla?kāra and the Mahāyānasa?graha appear to be mainly concerned with the contents and the components of thoughts, categorizing them into different classes. These lists are far more than arbitrary collections. Instead they are meant to represent exhaustive summaries of a person’s conceptual experience. The first part of the paper focusses on conceptuality, exploring (mostly Abhidharmic) definitions of the relevant terms and ideas. The second part is mainly an investigation of the question which parts of the Buddhist path to liberation were considered to involve conceptual activity and which were described as non-conceptual.     

Can Civil Society Organizations Solve the Crisis of Partisan Representation in Latin America?

This article takes up the question of whether civil society organizations (CSOs) can and do act as mechanisms of representation in times of party crisis. It looks at recent representation practices in Argentina, Bolivia, and Brazil, three countries where political parties have experienced sharp crises after several decades of mixed reviews for their party systems. At such moments, any replacement of parties by CSOs should be especially apparent. This study concludes that the degree of crisis determines the extent that CSOs' representative functions replace partisan representation, at least in the short term. Where systems show signs of re‐equilibration, CSOs offer alternative mechanisms through which citizens can influence political outcomes without seeking to replace parties. Where crisis is profound, CSOs claim some of the basic party functions but do not necessarily solve the problems of partisan representation.     

Y-chromosomal STR haplotypes in a Belgian population sample and identification of a micro-variant with a flanking site mutation at DYS19

Allele frequencies and haplotypes for 12 Y-chromosomal STR loci included in the Powerplex System (Promega, Madison, USA) were determined in a sample of 113 unrelated males of Belgian origin. Ninety-nine different haplotypes were observed with an overall haplotype diversity of 0.997.     

Discovery of decomposed and mummified corpses in the domestic setting--a marker of social isolation?

Mass media reports attribute the occurrence of decomposed or mummified corpses in a domestic setting mainly to an increasing social isolation of elderly people. Not much is known about the demographic and medical conditions under which individuals are found months or even years after death in their homes. For this study, autopsy reports of individuals found dead and mummified or decomposed between 1993 and 1997 with those from 1963 to 1967 were retrospectively analyzed. Between 1993 and 1997, a total number of 320 individuals were found decomposed at home compared to 412 such cases between 1963 and 1967. The proportion of individuals older than 64 years was significantly higher during the 1990s study period. Furthermore, the proportion of deaths attributable to natural causes was significantly lower during the 1990s, whereas the rate of suicides was nearly three times higher.     

Anticoagulant-related iliopsoas muscle bleeding leading to fatal exsanguination: report of two autopsy cases

Two cases of massive iliopsoas muscle bleeding leading to fatal exsanguination are presented. Both patients (two women, 61 and 74 years old, respectively) received oral anticoagulation with phenprocoumon. The intramuscular bleeding occurred spontaneously in women of relatively good physical condition. Intriguingly, phenprocoumon concentrations were within the therapeutic range (1.55 microg/ml and 1.26 microg/ml, respectively) as detected by toxicologic analysis. These cases demonstrate that severe bleeding in the iliopsoas muscle has to be considered in all patients receiving anticoagulant medication, even in those who have coagulation parameters within the therapeutic range. Especially in older patients with a high degree of comorbidity or in patients receiving analgesic drugs, the potential of fatal outcome of iliopsoas muscle bleeding seems to be of clinicopathologic relevance.     

The role of information technology in reducing medical errors

This Article summarizes the discussion at a breakout session held at the American Health Lawyers Association's (Health Lawyers') 2003 Public Interest Colloquium,' Minimizing Medical Errors: Legal Issues in the Debate on Improving Patient Safety, held February 28-March 1, 2003, in Washington, DC. The authors developed a series of core questions identifying relevant legal and policy issues relating to the use of information technology in reducing medical errors, and facilitated the breakout discussion.