Endotracheal tube ignition by electrocautery during tracheostomy: case report with autopsy findings

This case of upper airway tract fire resulting from the use of electrocautery during elective tracheostomy has significance for surgeons, anesthetists, and forensic pathologists alike. The major autopsy findings are described and illustrated. Suggestions that may help to prevent or minimize the risk of fire in this context are reviewed.     

The lay component in Scottish juvenile justice

A recently completed study of the Scottish juvenile justice system, employing a variety of methodological approaches, is used as a source of information on the behavior and attitudes of the lay volunteers who make up children's panels and are responsible for decisions concerning young people who are alleged to have committed an offense or are believed to be in need of care and protection. The reported data relate to the beliefs of panel members as to the causes of delinquency and the objectives of intervention and alternative disposals; the topics they raise for discussion in children's hearings and the factors which influence the decisions they make; and the manner in which they are perceived by the children and parents who have appeared before them.     

The Effect of Question Order on Disclosure of Intimate Partner Violence: An Experimental Test Using the Conflict Tactics Scales

Two plausible but contradictory approaches to question order in research on sensitive or criminal behavior are (1) that presenting the questions in a sequence corresponding to a culturally recognized behavior pattern will facilitate disclosure, and (2) that presenting questions in random order will result in more disclosure because random order disrupts response sets. The question order of the original Conflict Tactics Scales (CTS1) used the culturally recognized sequence approach, and the revised CTS (CTS2) used a modified random order. This experiment was designed to determine which of these two question orders results in more disclosure of physical and sexual assault of a dating partner. The standard version of the CTS2, which has the questions from each of the 5 scales interspersed in a slightly modified random order, was administered to every second student in a sample of 417 university students. The other half of the sample were given the same instrument but with the questions in the culturally recognized sequential order used in the CTS1. The cultural sequence order begins with the socially approved behaviors in the Negotiation scale and ends with scales measuring antisocial and the criminal behavior such as the Physical Assault scale. The results indicate that the CTS2 random order produced significantly higher disclosure rates for the scales that measure criminal behavior (Physical Assault, Injury, and Sexual Coercion) and made no difference for the other CTS2 scales (Negotiation and Psychological Aggression). Although these results suggest that the CTS2 random order is the preferred approach, reasons to treat that conclusion with caution are presented.