Left Diaphragm Laceration Due to Cardiopulmonary Resuscitation

External cardiac massage is the essential life‐saving gesture for the management of any cardiac arrest. Since the 1960s, many recommendations have been published to improve the effectiveness of chest compressions alongside the development of automated systems intended to maximize the chances of survival. The use of these manual and/or instrumental techniques can cause secondary injuries, of which rib fractures are the most commonly observed by forensic pathologists. However, a comprehensive review of the literature seldom highlights reports of injuries to the abdomen, even less so to the diaphragm. In this observation, an iatrogenic left diaphragmatic laceration for the first time is described, as a result of manual and instrumental cardiopulmonary resuscitation, in a victim from an intrathoracic wound caused by a bladed weapon.     

Immigration and Crime in the New Destinations, 2000–2007: A Test of the Disorganizing Effect of Migration

Objectives

Drawing from a social disorganization perspective, this research addresses the effect of immigration on crime within new destinations—places that have experienced significant recent growth in immigration over the last two decades.

Methods

Fixed effects regression analyses are run on a sample of n = 1252 places, including 194 new destinations, for the change in crime from 2000 to the 2005–2007 period. Data are drawn from the 2000 Decennial Census, 2005–2007 American Community Survey, and the Uniform Crime Reports. Places included in the sample had a minimum population of 20,000 as of the 2005-07 ACS. New destinations are defined as places where the foreign-born have increased by 150 % or more since 1990 and with a minimum foreign-born population of 1000 in 2007.

Results

Results indicate new destinations experienced greater declines in crime, relative to the rest of the sample. Moreover, new destinations with greater increases in foreign-born experienced greater declines in their rates of crime. Additional predictors of change in crime include change in socioeconomic disadvantage, the adult-child ratio, and population size.

Conclusions

Results fail to support a disorganization view of the effect of immigration on crime in new destinations and are more in line with the emerging community resource perspective. Limitations and suggestions for future directions are discussed.

     

At the frontiers of scientific advancement: the factors that influence scientists to become or choose to become publicly funded principal investigators

This paper aims to unearth the factors that influence scientists in becoming and choosing to become publicly funded principal investigators (PIs). PIs are the linchpins of knowledge transformation and bridging triple helix actors, particularly academia-industry. At a micro level, PIs are at the nexus of engaging and interacting with other triple helix actors. No study to date has specifically focused on the factors that influence scientists to become or choose to become publicly funded PIs. For scientists taking on the role of a PI represents an important landmark in their research career. Set in an Irish research system we found two main categories of influencing factors—push and pull. Pull factors are where the PI has more choice in choosing to become a PI, where as push factors is where the PI has less choice in choosing to become a PI. Pull factors we identified were control, career ambition and advancement, personal drive and ambition. Pull factors we identified were project dependencies and institutional pressures.     

Preserving Neighborhood Opportunity: Where Federal Housing Subsidies Expire

Abstract

Rent burdens are increasing in U.S. metropolitan areas while subsidies on privately owned, publicly subsidized rental units are expiring. As a result, some of the few remaining affordable units in opportunity neighborhoods are at risk of being converted to market rate. Policy makers face a decision about whether to devote their efforts and scarce resources toward developing new affordable housing, recapitalizing existing subsidized housing, and/or preserving properties with expiring subsidies. There are several reasons to preserve these subsidies, one being that properties may be located in neighborhoods with greater opportunity. In this article, we use several sources of data at the census tract level to learn how subsidy expirations affect neighborhood opportunity for low-income households. Our analysis presents several key findings. First, we find that units that left the project-based Section 8 program were – on average – in lower opportunity neighborhoods, but these neighborhoods were improving. In addition, properties due to expiry from the Section 8 program between 2011 and 2020 are in higher opportunity neighborhoods than any other subsidy program. On the contrary, new Low-Income Housing Tax Credit (LIHTC) units were developed in tracts similar to those where LIHTC units are currently active, which tend to be lower opportunity neighborhoods.     

Challenges in technology transfer: an actor perspective in a quadruple helix environment

This article presents and tests a knowledge and technology transfer framework in a quadruple helix environment, from an actor perspective. The Canadian forest products industry provides a unique opportunity for data collection through case studies as it is an industry built on a triple bottom line, which is managed for sustainable progress. By confronting the new framework to 31 professionals, we highlight the role and challenges faced by each helix. Several factors such as culture, time horizon management and the adaption of theory to practice appear to be determinant to improve technology transfer. We see in our work an important contribution to the generalization of knowledge and technology transfer processes in a quadruple helix environment.     

Assessment of Stress and Resiliency in Emergency Dispatchers

Although they are technically the first responders on most critical incidents, emergency dispatchers have received a modicum of attention from researchers and clinicians. The purpose of the present study was to evaluate job-related stress, psychological distress, posttraumatic stress disorder (PTSD), stress resiliency, and posttraumatic growth in this high-risk group. These areas were evaluated via an assessment battery administered to 90 emergency dispatchers working in a law enforcement agency. Results showed that dispatchers experienced an average amount of occupational stress, with 24% of the current sample reporting significant job stress. Between 13.34 and 15.56% reported symptoms consistent with a PTSD diagnosis, and 16.67% indicated sub-threshold PTSD symptomatology. The findings revealed that, overall, dispatchers experience occupational stress, psychological distress, and sub-threshold PTSD at similar or higher rates compared to police officers. Further, dispatchers reported posttraumatic growth at an average rate, also similar to that reported by police officers. Clinical implications of the results are discussed. Suggestions for directions that future research might take are offered.     

Social capital,individual disorders and property offences

This paper examines the relevance to delinquency of social capital that is directly embedded in the relationships that teenagers have with peers, parents, and those in positions of authority and those indirect social capital that teenagers may benefit due their parents' relations with their school or friends. The analysis employs data from the Canadian National Survey of Children. The study shows that personality traits are the most important predictors of property offences. Nevertheless, we also show the importance of social relationships embedded directly in individuals themselves and these are more important than those embedded indirectly through their family. Well connected youth with good friends and quality teachers commit significantly less property offences when controlling for personality traits and parents' social capital.     

Balancing regulatory controls and incentives: toward smarter and more transparent oversight in long-term care

Government oversight of long-term care involves inspections of patients' records, limited observations of patients and care practices, reviews of policies and procedures, and distribution of publicly available information. Although many providers bemoan the stifling consequences of excessive regulation, oversight in this area remains a highly legitimate endeavor for the public, though the public has limited trust in the existing regulatory regime. This distrust stems from many sources, not least of which includes considerable variation, both within and across states, in the way government oversight occurs. Reforming the current regulatory structure requires that we regulate "smarter" and more consistently. This means improving and maximizing use of the data already being collected, but it also means explicitly rationalizing the regulator's responsibility to review performance and apply sanctions when necessary. Oversight should more closely resemble consultancy, with regulators sharing information with providers about how to improve quality. Ideally, there needs to be an iterative process in which state inspectors identify performance problems and the nation's quality improvement organizations then help providers design quality improvement interventions to ameliorate the problems identified. The benefits of a revised regulatory approach are especially apparent in the aftermath of Hurricane Katrina, where more effective oversight would have identified nursing home residents at risk for low-quality care before the disaster occurred while better identifying those in need of evacuation or assistance afterward.     

Using technology to deliver social protection: exploring opportunities and risks

Providing cash transfers to vulnerable groups reduces vulnerability and chronic poverty; but delivering cash to remote, rural locations can be expensive and insecure. Alternative delivery systems using technology are thus being piloted. This article uses examples from southern Africa to highlight the opportunities and risks involved in using technology to deliver social protection, with particular focus on two schemes in Malawi. It concludes that there is great potential for the use of technology in delivering social protection, especially if employed at a national scale and taking advantage of the full spectrum of uses to ensure cost-efficiency.     

Dining with Sam Orr: Nation Review and the Restaurant Reviews of Richard Beckett

In Australia in the 1970s, restaurant dining became a popular middle-class pastime, and restaurant criticism began to play an important role in the shaping of Australian tastes. Richard Beckett was one of the most prolific Australian food writers of the 1970s and 1980s and one of the first to write a regular column devoted to restaurant reviews. Writing as Sam Orr, a satirical character invented to suit the ethos of the irreverent Nation Review, Beckett produced highly original reports of his dining experiences. He aimed to both educate and entertain his readers and to subvert the perception of restaurant dining as an elitist pastime. Beckett’s contribution as a tastemaker was disparaged at the time and has been largely neglected since. Through a consideration of the role of Nation Review, Beckett’s reviews, published responses to Sam Orr by both his critics and his fans and unpublished correspondence from readers, this article offers a reassessment of Richard Beckett’s role in the shaping of Australia’s tastes in restaurant dining through his endorsement of the distaste of taste.