Evaluation of a novel tagging and tissue preservation system for potential use in forensic sample collection

The authors describe a new, easy-to-use barcode-based tissue collection, preservation and body tracking system, which might prove instrumental in the containment of mass fatalities such as aircraft accidents, war related accidents, environmental disasters (e.g. earthquakes, hurricanes, and floods) terrorist bombings or mass murders.     

Cognitive-affective predictors of women's readiness to end domestic violence relationships

A model of women's readiness to terminate an abusive relationship was examined, using cognitive and emotional factors to predict readiness to change as conceptualized in the transtheoretical model. Factors previously identified in the domestic violence literature were selected to represent cognitive predictors (attribution and attachment style) and affective predictors (depression, hopelessness, anxiety, and anger) of readiness to end a domestic violence relationship. Responses by 85 female victims of intimate partner violence indicated that their overall readiness to terminate a relationship was predicted by a preoccupied attachment style and high emotional arousal. However, women's low level of anger predicted their precontemplation of change, the earliest stage of readiness, whereas internalizing emotional difficulties and preoccupation with their batterer predicted maintenance, the final stage of readiness to persist in their decision to leave their abuser. Implications of these findings for working with women considering leaving their partner are discussed.     

Dancing with the Wolf: Securitizing China–Taiwan Trade in the ECFA Debate and Beyond

ABSTRACT

Since Ma Ying-Jeou assumed presidency in 2008, he promoted an Economic Cooperation Framework Agreement (ECFA) and Taiwan’s political rapprochement with China. However, the opposition party soon proposed a counter argument, claiming this agreement might produce severe negative consequences for Taiwan’s economy and sovereignty.

This study presents a securitization framework to highlight both the KMT and DPP strategy in contesting the nature of ECFA despite the potential inflation of benefit. It investigates both the KMT and DPP securitization strategies under Taiwan’s political and economic contexts. A de-securitizing discourse, though might have been a convincing counterargument against ECFA, was underdeveloped by the DPP members. It also shows how the debate shapes the discourse in the Sunflower Student Movements in 2014, and led to the DPP’s subsequent change of securitization strategy.     

The NHS Information Revolution: ‘Choice of Control’ to ‘Choice’ and ‘Control’

This paper provides a novel and critical analysis of the necessary and important balance between ‘individual privacy’ and ‘collective transparency’. We suggest that the onset of the Information Revolution has created a dilemma for the National Health Service (NHS) in terms of how it addresses its obligation to use information to improve best practice in healthcare for society (‘collective transparency’) whilst also keeping sensitive personal information confidential (‘individual privacy’). There is clearly a need to consider both whether the NHS is balancing this critically important informational relationship and whether its approach is fit for purpose. We argue that the NHS's ‘proxy-individual’ information guardian role could inadvertently mask individuals' intended roles, effectively circumventing autonomy-based laws by limiting the power of individuals to be autonomous. In this article we have identified three issues – first the prevailing ‘Mindset’ (the ‘M’) of ‘privacy’, which is viewed as individualistic, resulting in an overpowering concept of confidentiality; second, the quality and control of Information (the first ‘I’); and third, the concept of innovation (the second ‘i’), which is being used as a ‘solution’ rather than a vehicle for transparency. Indeed, transparency is our target of ‘best practice,’ and we suggest that individual privacy and collective transparency are best embedded within a complementary privacy framework that offers a better fit than the current split of control between the roles of the NHS and the roles of the individual. It is suggested that when facilitated by transparency, ‘control’ and ‘privacy’ form a continuum, aligning through the desire for choice. Therefore, the choice of control could facilitate control and choice. Together, they could replace the concept of privacy by empowering ‘informed patients’ to support the NHS's ‘No decision about me, without me’ pledge.     

Deaths associated with choking in San Diego county

Death from choking is the fourth most common cause of unintentional-injury mortality, but little data are published on causes or locations of these episodes. These deaths typically are peaked at the extremes of age, with young children and the elderly having the greatest rate of fatal choking. Our objective was to characterize the causes of fatal airway obstruction in adults. The San Diego County Medical Examiner's database was searched for deaths attributed to choking in decedents 18 years and older during the 10-year period from 1994 to 2004. Data were abstracted regarding the underlying medical conditions, items choked on, location of the choking, and treatments involved in the individual cases. We found 133 victims who died from choking, with 14% having using alcohol or other sedatives and 55% having a documented neurological deficit or anatomic difficulty with swallowing. The most common specified food objects that victims choked on were meat products, and 45% occurred at home, followed by 26% at supervised facilities, and 14% at restaurants. Of the 19 choking episodes occurring in restaurants, only one employee was documented to attempt a resuscitative effort. Most victims who choked to death had an underlying neurological deficit, and occurred at home or supervised facilities appear to have an appropriate initial-response intervention.     

Fatal positional asphyxia associated with rollover crashes

Motor vehicle rollover crashes result in complex occupant kinematics with the potential for severe injury. Five cases of fatal asphyxia in occupants suspended from their safety belt upside down after a rollover crash are presented. These fatalities accounted for 13.5% of all motor vehicle related asphyxia deaths in San Diego County over a 10-year period. This study supports previous research noting that incapacitation due to other injuries, alcohol, or obesity may be associated with fatal positional asphyxia due to inversion during rollovers. Safety belts are proven to prevent serious injury in motor vehicle crashes and should always be worn. However, redesign of the buckle could be considered to permit easier release by an occupant. We also suggest that pre-existing heart disease may contribute to the possibility of a fatal asphyxia outcome. Although this is a rare cause of motor vehicle related death, our results suggest that these are potentially preventable deaths.