Drug-facilitated sexual assault using tetrahydrozoline

Drug-facilitated sexual assault (DFSA) has been defined as the use of a chemical agent to facilitate a sexual assault. We report two cases of the use of tetrahydrozoline for DFSA. We believe this is the first report with urinary quantification of tetrahydrozoline levels postassault. Blood and urine were obtained c. 20 h postexposure in two cases of reported DFSA. Tetrahydrozoline was not detected in blood but was identified in urine in both victims. After initial identification in the urine using the 2010 update to the AAFS mass spectrometry database library, tetrahydrozoline was quantified at 114 and 150 ng/mL, respectively, using GC/MS. Two unique clinical features reported in these cases were intermittent periods of consciousness and postexposure vomiting. Use of GC/MS was successful in identifying tetrahydrozoline in the 100 ng/mL range up to 20 h postexposure. For victims with late presentation, urine may be a better sample for evaluation for tetrahydrozoline.     

Building group capacity for problem solving and police–community partnerships through survey feedback and training: a randomized control trial within Chicago’s community policing program

Objectives

To examine whether group capacity for problem solving and partnership building could be enhanced at police–community meetings by providing the results from community surveys and training for group facilitators.

Methods

A randomized control trial was conducted in 51 police beats in Chicago’s community policing program, CAPS. Unlike control beats, results from web-based community surveys were provided at beat meetings in the feedback and training beats, with facilitators in training beats also receiving training and exercises to guide problem solving about survey results. Analysis included OLS and logistic regression of data from questionnaires administered to police and resident participants, as well as observations at beat meetings, which measured resident capacity, attitudes about the police–community partnership, and problem-solving activities.

Results

Support for hypothesized effects was found with greater resident confidence in their ability to achieve outcomes and solve local problems, as well as officers viewing their relationships with residents at beat meetings more favorably. Effects, however, were inconsistent and limited to the feedback group. While additional training and support provided in training beats indicated fuller engagement in problem solving, possible negative effects on attitudes were observed.

Conclusions

Failure to find more effects is discussed in terms of implementation and resistance. Officer resistance to and a shift in organizational priorities away from community policing worked against achieving full program implementation. The beat meeting context provided a traditional framework for police–resident interactions that precluded more comprehensive use of community data and possibly heightened dissatisfaction with the level of problem solving that occurred.     

Too big to fail,too powerful to jail? On the absence of criminal prosecutions after the 2008 financial meltdown

Various explanations have been offered regarding the causes of the current global economic crisis that was spawned by the collapse of mortgage-based securities in the U.S. that were sold world-wide and that contained "toxic assets" comprised of subprime loans. There is ample evidence that such loans were originated through fraud. Firms recorded huge profits, and executives were awarded large bonuses even though some had led their companies into bankruptcy and plunged both the U.S. and global economies into the greatest recession since the Great Depression. This paper assesses the reasons why there have been no major prosecutions to date, and compares the U.S. government's response to that in the savings and loan crisis. It analyzes the influence of large financial institutions on lawmaking, regulation, and the allocation of enforcement resources, the continued general lack of understanding of financial fraud including control fraud, and problems related to the higher status and power of potential defendants.     

What's mine is mine and what's yours is mine too: Converging U.S. intellectual property exhaustion doctrines

With the increasing dispersion of intellectual property comes the intellectual property rights owner's continued desire to retain that part of the equation for which the bargain was struck. In terms of patents, the patentee strikes a deal to disclose the invention to the public in exchange for a monopoly over its use for a limited term. Copyright holders contribute their works to the intellectual pool receiving value by sale, lease or license. In 2012–13, the U.S. Supreme Court was tasked with delineating the realms of two intellectual property exhaustion doctrines and answering the question of where to draw the line with regard to an IP owner's ability to control the protected invention or work via patent or copyright, respectively. In one case, the Court permitted the intellectual property owner to restrict a subsequent purchaser's use of the product subject to protection, while in the other case the Court rejected the intellectual property owner's attempt to control the downstream use or resale of the product. This article discusses the relevant intellectual property exhaustion doctrines, analyzes and reconciles the Court's decisions in these cases, and provides guidance for navigating restrictions on use of U.S. protected products and works around the globe.     

Collective Resistance under Authoritarianism: Elite–Mass Strategies in an Experimental Game

We create a collective resistance game in which elites control the distribution of resources if the masses are compliant. However, if the masses unanimously protest elite allocations, they can capture a greater share of resources for themselves. We study how Chinese villagers, randomly assigned to the role of elites and masses, play this game in repeated interactions under varying information conditions. We find significant variation in the extent to which participants gave weight in their decisions to (1) the amount of the elite allocation and (2) their beliefs about the likely choices of fellow group members. Many individuals made their decisions based primarily on the size of the elite allocation, choosing to protest if the elite offer fell below some threshold level. Only a small proportion of the respondents were attuned consistently to the behavioral intentions of fellow group members in deciding whether to protest the elite allocation. This heterogeneity of preferences among participants has significant implications for their prospects of achieving and sustaining collective action. Knowledge of the amount of resources controlled by elites at the start of the game affected mass calculations of the fairness of distributions and increased the frequency of mass protests. However, the elites exploited the decision rule of many mass members by buying off those individuals with the lowest thresholds, thus preempting or dissolving collective action. This research sheds light on elite–mass interactions under authoritarianism, and in particular on contentious politics in contemporary China.     

Systemic Dissemination of Injected Foreign Material

A 32‐year‐old woman collapsed following an intravenous injection of material that included crushed pharmaceutical tablets. Resuscitation was attempted but was unsuccessful. She had an extensive past medical history of complications resulting from intravenous drug use. Death was due to mixed drug toxicity. The major findings at autopsy included a 10 mm deep skin sinus over the right femoral vein that was used as an injection site. Polarizable foreign material was present at the injection site and also within the lungs with a granulomatous reaction. Of note, a probe‐patent foramen ovale had permitted paradoxical embolization of this material into the systemic circulation with lodgement within the liver, portal lymph nodes, myocardium, spleen, kidneys, and pancreas. This case highlights the importance of checking for any intracardiac shunts, which may be quite small, and systemic dissemination of foreign material to multiple organs in intravenous drug users who present for medicolegal assessment.     

A Ten‐year Study of Suicides from a Rural/Suburban County

This study will discuss trends in suicide data compiled over 10 years in Dutchess County, NY, from 2004 to 2013. These data were based on reporting and examination standards recommended by the National Association of Medical Examiners and Department of Justice death investigation standards. Almost 300 cases were analyzed in terms of the deceased's gender, age, race, method of suicide, and weapon used. Results from this study agree with other reports showing significant differences for method of death both in terms of age and gender, with men more likely to choose firearms and women more likely to choose overdose. Furthermore, older persons were more likely to commit suicide by firearms, and the younger persons were more likely to commit suicide by overdose. However, other areas, such as method of suicide, differ from national statistics.