Possible Fatal Acetaminophen Intoxication with Atypical Clinical Presentation

Acetaminophen or paracetamol, a commonly used over‐the‐counter analgesic, is known to elicit severe adverse reactions when taken in overdose, chronically at therapeutic dosage or, sporadically, following single assumptions of a therapeutic dose. Damage patterns including liver damage and, rarely, acute tubular necrosis or a fixed drug exanthema. We present a case of fatal acetaminophen toxicity with postmortem blood concentration 78 μg/mL and unusual clinical features, including a visually striking and massive epidermolysis and rhabdomyolysis, disseminated intravascular coagulation and myocardial ischemia. This case is compared with the most similar previous reports in terms of organ damage, clinical presentation, and cause of death. We conclude that a number of severe patterns of adverse effects to acetaminophen are emerging that were previously greatly underestimated, thus questioning the adequacy of the clinical spectrum traditionally associated with acetaminophen intoxication and leading to the need to review this spectrum and the associated diagnostic criteria.     

Experimental Effect of Shots Caused by Projectiles Fired from Air Guns with Kinetic Energy Below 17 J

Pursuant to the Polish Weapons and Ammunitions Law (Legal Gazette No 53/1999 item 549 with subsequent amendments), air guns with kinetic energy of the fired projectiles below 17 J are not regarded as weapons. The aim of the study was to assess the potential effect of shots caused by projectiles of various mass and structure fired from air guns with kinetic energy below 17 J on human soft tissues. As a model of soft tissue, we used 20% gelatin blocks. After shooting, we measured the depth of gelatin block penetration by pellets fired from various distances and compared these results with autopsy findings. The results demonstrated that examined pneumatic guns may cause serious injuries, including damage to the pleura, pericardium, liver, spleen, kidneys, femoral artery, and thoracic and abdominal aorta. Experiment shown that gelatin blocks do not reflect fully the properties of the human body.     

Repetitive TASER X26 Discharge Resulted in Adverse Physiologic Events with a Dose–Response Relationship Related to the Duration of Discharge in Anesthetized Swine Model

The objectives of our study were to investigate the dose–response relationship of the TASER X26 discharge duration in an anesthetized swine model. Fourteen swines were anesthetized and then exposed to TASER X26 discharge for 5 sec (n = 5) or for 10 sec (n = 6). The sham control group (n = 3) was anesthetized and studied using the same protocol except TASER X26 discharges during the experiments. Hemodynamic parameters were obtained. Blood pressure and total peripheral resistance decreased significantly after TASER discharge and returned to baseline value at 15 min after 5 sec of TASER discharge but did not return to baseline values during the 30‐min observation period after 10 sec of TASER discharge. Repetitive TASER X26 discharge resulted in adverse physiologic events with a dose–response relationship related to the duration of TASER X26 discharge in an anesthetized swine model.     

Identification Using Frontal Sinus by Three‐Dimensional Reconstruction from Computed Tomography*

Abstract: Radiographs and computed tomography (CT) images have been increasingly applied and accepted in forensic sciences. Along with radiographs and CT images, the frontal sinus is often used for the individual identification because of its unique and unchangeable characteristics. The purpose of this study is to define the usefulness of three‐dimensional (3‐D) images of the frontal sinus for identification. CT images from 119 Korean cadavers were built up for 3‐D reconstruction and surveyed with 15 measurements. The total volume of the sinus, some nonmetric characteristics, and the bilateral asymmetry index in men differed significantly from those in women (p < 0.05). The digit codes, six sections and 10‐digit number, were almost able to accurately identify individuals (98%). This study showed a statistical difference between the sexes and classified the fused and prominent middle sinuses for the first time. This proposed method for identification is more accurate than those used in other studies.     

Legislating Change? Responses to Criminalizing Female Genital Cutting in Senegal

Although the international community has recently promoted legislation as an important reform strategy for ending female genital cutting (FGC), there exist divergent views on its potential effects. Supporters argue that legal prohibition of FGC has a general deterrent effect, while others argue legislation can be perceived as coercive, and derail local efforts to end the practice. This study examines the range of responses observed in rural Senegal, where a 1999 anti‐FGC law was imposed on communities in which the practice was being actively contested and targeted for elimination. Drawing on data from a mixed‐methods study, we analyze responses in relation to two leading theories on social regulation, the law and economics and law and society paradigms, which make divergent predictions on the interplay between social norms and legal norms. Among supporters of FGC, legal norms ran counter to social norms, and did little to deter the practice, and in some instances incited reactance or drove the practice underground. Conversely, where FGC was being contested, legislation served to strengthen the stance of those contemplating or favoring abandonment. We conclude that legislation can complement other reform strategies by creating an “enabling environment” that supports those who have or wish to abandon FGC.     

Lost in translation? Teaching law to non‐lawyers: Reviewing the evidence from social work

Abstract

This paper considers pedagogical questions surrounding the teaching of law to non‐lawyers. It draws on research into the teaching, learning and assessment of law in social work education. The research comprised a systematic review of international literature, a practice survey, focus groups with students and practice teachers, and two stakeholder conferences. The evidence suggests that law teaching in social work education is of particular interest in highlighting key dimensions of education practice that affect students’ learning. The paper provides some signposts towards research‐informed organisation of teaching, learning and assessment, and highlights important areas for further study.     

Book notes

Political Participation and Democracy in Britain by Geraint Parry, George Moyser and Neil Day. Cambridge: Cambridge University Press, 1992. Pp.xviii + 510; index, bibliography, three appendices. £60 (hardback); £17.95 (paperback). ISBN 0 521 33298 2 and 33602 3

Work and Citizenship in the New Europe edited by Harry Coenen and Peter Leisink. Aldershot: Edward Elgar, 1993. Pp.254; index, bibliography. £38.50. ISBN 1 85278 739 2

Capitalist Development and Democracy by Dietrich Rueschemeyer, Evelyne Huber Stephens and John D. Stephens. Cambridge and Oxford: Polity Press, 1992. Pp.387; index, bibliography, appendices. £45 (hardback); £14.95 (paperback). ISBN 0 7456 0398 X

Minority Representation and the Quest for Voting Equality by Bernard Grofman, Lisa Handley and Richard G. Niemi. Cambridge, London and New York: Cambridge University Press, 1992. Pp.174; index, bibliography. £30. ISBN 0 521 39128 8

Peace, Politics and Violence in the New South Africa edited by Norman Etherington. London: Hans Zell Publishers, 1992. Pp.352; index. £45. ISBN 1 873836 75 6

The State in Africa: The Politics of the Belly by Jean‐François Bayart. London and New York: Longman, 1993. Pp.370; index. £14.99 (paperback). ISBN 0 582 06421 X

Russia in Flux: The Political and Social Consequences of Reform edited by David Lane. Aldershot: Gower, 1992. Pp.xvi + 248; index. £45 (hardback); £14.95 (paperback). ISBN 1 85278 680 9 and 713 9

Democracy and Development by Axel Hadenius. Cambridge: Cambridge University Press, 1992. Pp.xi + 218; index, bibliography, appendices. £30. ISBN 0 521 41685 X

Power and Empowerment: A Radical Theory of Participatory Democracy by Peter Bachrach and Aryeh Botwinick. Philadelphia, PA: Temple University Press, 1992. Pp.ix + 211; index, bibliography. ISBN 0 87722 930 9

Democratization in Africa: African Views, African Voices edited by Sahr John Kpundeh. Washington, DC: National Academy Press, 1992. Pp.85. £17.95 (paperback). ISBN 0 309 04797 8

Marxism and Democracy by Joseph V. Femia. Oxford: Clarendon Press, 1993. Pp.204; index, bibliography. £25 (hardback). ISBN 0 19 827494 7

Dirty Politics: Deception, Distraction and Democracy by Kathleen Hall Jamieson. New York and Oxford: Oxford University Press, 1992. Pp.335; index, bibliography, appendices. $25 (hardback). ISBN 0 19 597854 3

Viva ‐ Women and Popular Protest in Latin America edited by Sarah A. Radcliffe and Sallie Westwood (International Studies of Women and Place Series). London and New York: Routledge, 1993. Pp.270; index, bibliography. £40 (hardback); £12.99 (paperback). ISBN 0 415 07312 X

Dimensions of Radical Democracy edited by Chantal Mouffe. London: Verso, 1992. Pp.254; bibliography. £12.99 (paperback). ISBN 0 86091 556 5

Democracy and Discontent: India's Growing Crisis of Governability by Atul Kohli. Cambridge: Cambridge University Press, 1990. Pp.420; index, bibliography. £35 (hardback). ISBN 0 521 39161 X     

The Use of Scale‐Invariance Feature Transform Approach to Recognize and Retrieve Incomplete Shoeprints

Shoeprints left at the crime scene provide valuable information in criminal investigation due to the distinctive patterns in the sole. Those shoeprints are often incomplete and noisy. In this study, scale‐invariance feature transform is proposed and evaluated for recognition and retrieval of partial and noisy shoeprint images. The proposed method first constructs different scale spaces to detect local extrema in the underlying shoeprint images. Those local extrema are considered as useful key points in the image. Next, the features of those key points are extracted to represent their local patterns around key points. Then, the system computes the cross‐correlation between the query image and each shoeprint image in the database. Experimental results show that full‐size prints and prints from the toe area perform best among all shoeprints. Furthermore, this system also demonstrates its robustness against noise because there is a very slight difference in comparison between original shoeprints and noisy shoeprints.     

Topological Variability of Fingerprint Ridge Density in a Sub‐Saharan Population Sample for Application in Personal Identification

Variability in ridge density in a sub‐Saharan population sample was studied by counting ridges in three fingerprint areas (two distal regions, radial and ulnar, and one proximal region) on the epidermal surface of the distal phalanx. Study material was obtained from the fingerprint impressions of 100 male sub‐Saharan subjects aged between 18‐ and 48‐years old. The results were compared with those obtained from a Spanish population sample. Sub‐Saharan males presented lower ridge density than Spanish males in the distal regions (radial and ulnar) of all fingers, whereas differences in the proximal region were only observed on some fingers. Using the differences observed between these populations, the likelihood ratio for inferring membership of one of the populations from a fingerprint of unknown origin was calculated; therefore, a ridge density of 14 or less for both areas (ulnar and radial), support an origin sub‐Saharan versus Spanish population.