"Natural death" of a patient with a deactivated implantable-cardioverter-defibrillator (ICD)?

A 66-year-old patient with terminal heart insufficiency (NYHA IV) received maximum medical therapy, but was also in need of an implantable-cardioverter-defibrillator (ICD). The ICD functioned flawlessly for the whole duration of implantation. It reverted several ventricular tachycardias with anti-tachycardial pacing alone, whereas some needed cardioversion as well. The patient died on the fourth day of hospitalization for a routine check of his ICD. The post-mortem examination revealed, that the ICD was deactivated and that the data had been erased after the patient's death. By reading off the raw data still stored within the ICD, the erased information could be restored. The stored EGMs showed traces of old ICD interventions as well as a permanent deactivation provoked by exposition to a magnetic field just hours before the patient's death. The problem of archiving and documenting the volatile electronic data inside the ICD is discussed. The need of a full autopsy after telemetric reading of the ICD data, including the explantation of the ICD aggregate and electrodes, as a means of quality assurance and under forensic aspects is emphasized.     

A Case of Contested Cremains Analyzed Through Metric and Chemical Comparison

Since the 1980s, cremation has become the fastest growing area of the U.S. funeral industry. At the same time, the number of litigations against funeral homes and cremation facilities has increased. Forensic anthropologists are often asked to determine whether the contents of an urn are actually cremated bone, and to address questions regarding the identity of the remains. This study uses both metric and chemical analyses for resolving a case of contested cremains. A cremains weight of 2021.8 g was predicted based on the decedent's reported stature and weight. However, the urn contents weighed 4173.5 g. The urn contents also contained material inconsistent with cremains (e.g., moist sediment, stones, ferrous metal). Analysis using XRD and SEM demonstrated that the urn contained thermally altered bone as well as inorganic material consistent with glass fiber cement. Although forensically challenging, cremains cases such as this one can be resolved using a multidisciplinary approach.     

What Generates,Constitutes and Causes Opportunity-driven Violence? The Case of West Kalimantan

Abstract

This article uses the example of West Kalimantan to show some new ways of studying opportunities for violence, contributing especially to the so-called ‘sons of the soil’ conflict debate. By showing that the opportunity structure in West Kalimantan was not primarily material, but social, related to ways to circumvent fear of and norms against violence, this article attempts to update the theoretical premises of the traditional security studies approach to obstacles to conflict and opportunities for violence. The intention is to show how socially constructed realities are relevant in offering and denying opportunities for violence, and how the study of the meanings of actions reveals ways in which opportunities for violent demonstrative argumentation are born in local conflict discourses. The case study shows how powerful narratives enable the justification of violent action and how identities and violent policies mutually constitute each other. This way the empirical evidence calls for understanding the generative and constitutive sources of violence, which are not simply mechanistic causes of conflict.     

Exploring the ‘Something for Nothing’ Syndrome: Confused Citizens or Free Riders? Evidence from Sweden

This article examines the occurrence of political non‐attitudes in Sweden and identifies the population segment possessing a ‘something for nothing’ (SFN) mentality regarding social spending. Sweden – often regarded as epitomizing the advanced welfare state – constitutes an analytically interesting case, providing a useful counterpoint to the predominantly American‐based evidence on the subject. It is argued here that national political institutions fundamentally affect the prevalence – and social base – of the SFN segment. To identify SFN sentiments, two question batteries measuring social spending preferences are used. One battery contains ‘priced’ items emphasizing the cost of public spending, while the other set of ‘unpriced’ items does not explicitly connect increased public spending with increased taxes. The patterning of attitudes across these items is explored in order to determine whether SFN sentiments are common in the Swedish electorate. The observed attitude patterns are then linked to broader sets of attitudes to the welfare state, testing whether the degree of ideological coherence differs fundamentally between the SFN segment and other groups. The analysis then explores the individual‐level determinants associated with different attitude patterns. The overall results show that: SFN sentiments are not dominant among the Swedish citizenry; the quality of the SFN segment's belief system, in terms of ideological coherence, does not represent a deviant case; and the background characteristics associated with SFN sentiments suggest that members of this segment should rather be viewed as free riders in economically vulnerable positions than ignorant and politically confused citizens.     

Reinventing ‘new’ Europe: Baltic perspectives on transatlantic security reconfigurations

This article examines the self-positioning of the three Baltic states in international politics in relation to the major structural pressures challenging the status quo of the transatlantic security configuration. The constitutive role of the Russia-Georgia war of 2008, the global economic recession, the debt crisis in the eurozone, and the shifting policy preferences and force projection of the United States towards Asia are explored as the key sources of the emerging Baltic security predicament. The empirical conclusions of the poststructuralist discourse analysis conducted for this study demonstrate how the Baltic states, in particular Estonia, have recently come to redefine the contents of ‘new’ Europe, thereby shifting the extant fault lines within the European Union.     

Sexual Dimorphism of the Fetal Ilium: A 3D Geometric Morphometric Approach with Multislice Computed Tomography

Adult sexual dimorphism is well established. However, data regarding fetuses are sparse with contradictory results. Our study aimed to look for fetal sexual dimorphism. Multislice computed tomography (MSCT) examinations and three‐dimensional (3D) reconstructions were recorded on 93 fetal iliac bones aged between 21 and 40 weeks of amenorrhea (WA). The collection was divided into two age groups, with a cutoff at 30 WA. The 3D geometric morphometric analysis was based on outline analysis. We used elliptic Fourier analysis (EFA) because of the difficulty of landmark positioning. Step‐by‐step reconstructions allowed a better comprehension of the fine shape details. Principal component analysis (PCA) and linear discriminant analysis (LDA) were performed on the two age groups. Results did not show any difference between male and female shapes, in both age groups. We demonstrate the feasibility of outline analysis for immature shapes, but sexual dimorphism has not been established in our collection.     

From devil’s advocate to crime fighter: confirmation bias and debiasing techniques in prosecutorial decision-making

ABSTRACT

This research examines the role of confirmation bias in prosecutorial decisions before, during and after the prosecution. It also evaluates whether confirmation bias is reduced by changing the decision maker between arrest and prosecution. In Experiment 1, Swedish prosecutors (N?=?40) assessed 8 scenarios where they either decided themselves or were informed about a colleague’s decision to arrest or not arrest a suspect. Participants then rated how trustworthy the suspect’s statement was as well as the strength of new ambiguous evidence and the total evidence. They also decided whether to prosecute and what additional investigative measures to undertake. In Experiment 2 the same method was used with Law and Psychology students (N?=?60). Overall, prosecutors’ assessments before the prosecution indicated that they were able to act as their own devil’s advocate. Also, their assessments while deciding about whether to prosecute were reasonably balanced. However, after pressing charges, they displayed a more guilt-confirming mindset, suggesting they then took on the role as crime fighters. This differed from the student sample in which higher levels of guilt confirmation was displayed in relation to arrested suspects consistently before, during and after a prosecution decision. The role of prosecutors’ working experience is discussed.