Never say never. Negligible carboxyhemoglobin in the victim of a smoldering mattress fire

For many years, a high blood carboxyhemoglobin concentration has been used as a criterion for determining that a victim of conflagration was alive in the fire. We report a case in which a man died from the combined effects of burns and hypertensive cardiovascular disease. He had a negligible blood carboxyhemoglobin concentration, but the environmental evidence and autopsy findings are indicative of life in the fire, which arose in a smoldering mattress. We conclude that uncritical, rigid adherence to the requirement that fire victims have high carboxyhemoglobin concentrations can be misleading.     

Women negotiating heterosex: Implications for AIDS prevention

The AIDS epidemic has made it imperative that sexual behaviour be changed. This paper examines heterosexual negotiation, which will form the focus for behaviour change. The processes involved in such negotiation are little understood.Research was carried out using the method memory work, which generated and theorised data relating to women's past experiences in sexual encounters. The method, originated by Haug, provides a way to examine how sexuality is produced and reproduced through reflection and reconstruction of past experiences. Memories are analysed by examining gaps and absences, cliches and metaphors, in the search for the common understandings and taken-for-granted assumptions which set the boundaries within which encounters take place.The memories obtained can be partly understood in terms of three discourses documented by Hollway. These are the male sex drive discourse, the have/hold discourse, and the permissive discourse. The data may also be understood in relation to three permissible figures for women identified in Irigaray's analysis, namely virgin, wife-mother, and whore. The paper acknowledges that these theoretical perspectives are quite distinct, even contradictory, but nevertheless finds that each in its own way illuminates the data. It is shown that some common understandings underlying sexual encounters render negotiation not only impossible but largely unintelligible. The permissive discourse may possibly provide space for some negotiation, but the paper concludes that it is essential to develop a truly woman-centered discourse of sexuality out of which male sexuality can be problematised.