Commode Cardia—Death by Valsalva Maneuver: A Case Series

The Valsalva maneuver is used in clinical medicine for the diagnosis and/or treatment of various cardiovascular conditions. It can also be used in activities of daily living, such as defecation. Due to the cardiovascular effects produced during the Valsalva maneuver, it may be contraindicated in certain medical conditions and could be a trigger of sudden cardiac death. The incidence and prevalence of death following Valsalva maneuver in the presence of underlying cardiovascular disease, or “commode cardia,” has not been examined. In 2012, the Wayne County Medical Examiner's Office (Detroit, MI) investigated 21 deaths that occurred on the toilet, fourteen of which were due to cardiovascular disease. In another 31 deaths in the bathroom due to cardiovascular disease, the possibility that the decedent defecated immediately prior to death could not be excluded. Hence, the incidence of commode cardia in this population ranges from 2.3 to 7.4% of all cardiovascular‐related deaths.     

Policing built environment crime risks: the role of police in CPTED in New South Wales,Australia*

Crime prevention through environmental design (CPTED) is now routinely adopted in many parts of the world. The role assumed by police in CPTED practices has however received limited academic attention. Through an analysis of available documentation and interviews with local government planners from 10 Sydney councils, this article provides a (partial) understanding of the historical and contemporary roles police have played in the development and implementation of CPTED guidelines in New South Wales (NSW), Australia. It is argued that the NSW Police Force was a pivotal driver of the introduction of planning guidelines to ensure crime risks are considered when new developments are being planned. However, the ongoing contribution of police appears to have waned, largely due to administrative, practical and operational realities. These findings have relevance for ongoing CPTED practice and the work of specialist policing roles more generally.     

Postmortem Distribution of 3‐Beta‐Hydroxybutyrate

The concentrations of 3‐beta‐hydroxybutyrate (3HB) in femoral blood, urine, vitreous humor as well as pericardial and cerebrospinal fluids were retrospectively examined in a series of medico‐legal autopsies, which included cases of diabetic ketoacidosis, hypothermia fatalities without ethanol in blood, bodies presenting mild decompositional changes, and sudden deaths in chronic alcoholics. Similar increases in 3HB concentrations were observed in blood, vitreous, and pericardial fluid, irrespective of the cause of death, suggesting that pericardial fluid and vitreous can both be used as alternatives to blood for postmortem 3HB determination. Urine 3HB levels were higher than blood values in most cases. Cerebrospinal fluid 3HB levels were generally lower than concentrations in blood and proved to be diagnostic of underlying metabolic disturbances only when significant increases occurred.     

Querying the resilient local authority: the question of ‘resilience for whom?’

ABSTRACT

Analysis of how English local authorities (LAs) have fared post large cuts to their funding by the Coalition and now Conservative governments indicates a considerably resilient organisation. Engaging with recent critical strands in the resilience literature this paper, however, queries that resilient LA account. Better consideration of resilience’s repercussions across the landscape of local services provision is needed. The question of ‘resilience for whom?’, drawn from the conceptual literature, is introduced and frames an exploration of the experiences of LA resilience strategies among small charities in deprived areas of London. Deleterious dimensions of resilience are seen in its distancing and de-coupling effects and associated voluntary provider fading. There are losers and a dark underside to explore. Such perspectives add to the local government and austerity scholarship insight as to the noted ‘austerity puzzle’ and a questioning of its tendency towards a ‘great survivor’ account.     

Star Power: An Experiential Learning Exercise to Foster Ecological Perspectives on Power,Privilege, and Oppression

The purpose of this article is to describe the utility of Star Power as an experiential learning exercise applied in a community psychology undergraduate course. This exercise simulates systems of power, privilege, and oppression while fostering an ecological perspective that raises students’ awareness and knowledge about power differentials within society. The simulation of trading and lawmaking works best with 18 to 35 students and takes approximately 80 minutes to conduct. This article highlights three representative student perspectives concerning their participation and experience with Star Power. Strategies for facilitating class discussion are also reported.     

Who Needs Leaders the Most? The Interactive Effect of Leadership and Core Self-Evaluations on Commitment to Change in the Public Sector

ABSTRACT

The purpose of this article is to shed light on an understudied topic in public administration, namely, commitment to organizational change. Specifically, this study examines the extent to which the quality of the relationship between employees and their managers positively influences employees’ commitment to change. Further, it investigates whether this relationship varies as a function of a person's core self-evaluations, that is, the valence of a person's self-regard. Evidence from a multivariate regression analysis in a public sector organization at the local level in the UK revealed that individuals who have high-quality relationships with their managers are more likely to be accepting of change; this is especially true for individuals with lower levels of core self-evaluations. Implications for theory and practice are discussed.     

Literary reviews

Thinly‐veiled autobiography

The Enigma of Arrival. V S Naipaul, London: Viking. 1987. 318pp. £10.95hb

Unmasking Mexico

The Good Conscience. Carlos Fuentes, London: André Deutsch. 1986. 148pp. £8.95hb/£3.95pb

A Change of Skin. Carlos Fuentes, London: André Deutsch. 1986. 462pp. £6.95pb

The Old Gringo. Carlos Fuentes, London: André Deutsch. 1986. 199pp. £8.95

Alternative realities: novels from Brazil

Dona Flor and Her Two Husbands. Jorge Amado, London: Serpent's Tail. 1986. 553pp

High Art. Rubem Fonseca, London: William Collins Sons. 1987. 345pp. £9.95

Maíra. Darcy Ribeiro, London: Picador, Pan Books, 1985. 353pp. £3.50

Perceptions of Nicaragua

To Bury Our Fathers. Sergio Ramirez, London: Readers International. 1984. 253pp. £5.95pb

Stories. Sergio Ramirez, London: Readers International. 1986. 118pp. £3.95pb

The Jaguar Smile: A Nicaraguan Journey. Salman Rushdie, London: Picador. 1987. 171pp. £2.95pb

The double yoke: women's writing from the Third World

Other Fires: Stories from the Women of Latin America. Edited by Alberto Manguel, London: Picador. 1986. 222pp. £3.50pb

Unheard Words: Women and Literature in Africa, The Arab World, Asia, the Caribbean and Latin America. Edited by Mineke Schipper, London and New York: Allison and Busby. 1985. 288pp. £4.95pb

A Double Colonization: Colonial and Post‐Colonial Women's Writing. Edited by Kirsten Hoist Petersen & Anna Rutherford London: Dangaroo Press. 1986. 188pp. £15.95hb/£8.95pb

Future landscapes

A Sport of Nature. Nadine Gordimer, London: Jonathan Cape. 1987. 396pp. £10.95hb

A Land Apart: A South African Reader. Edited by André Brink and J M Coetzee, London: Faber and Faber. 1986. 256pp. £9.50hb

Satires of class and power

Out of India. Ruth Prawer Jhabvala, London: John Murray. 1987. 288pp. £10.95hb

Rich Like Us. Nayantara Sahgal, London: Hodder and Stoughton. 1987. 268pp. £3.95pb

The oil of acceptance

Talkative Man. R K Narayan, London: William Heinemann. 1986. 123pp. £7.95hb

Occupied Palestine: the writer as eyewitness

The Secret Life of Saeed: The Pessoptimist. Emile Habiby, London: Zed. 1985. 169pp. £9.95hb/£3.95pb

Wild Thorns. Sahar Khalifeh, London: Al Saqi. 1985. 207pp. £3.95pb

Poetry and politics

Modern Poetry of the Arab World. Translated and edited by Abdullah al‐Udhari, London: Penguin. 1986. 154pp. £3.95pb

Spanning Muslim Literature

The Worlds of Muslim Imagination. Edited by Alamgir Hashmi, Islamabad: Gulmohar. 1986. 270pp. $12.95hb

Pakistani Literature. Edited by Alamgir Hashmi, Islamabad: Gulmohar. 1987. 107pp. $10.00hb     

A book review on

Walklate, S. (2001). Gender, Crime and Criminal Justice. Portland, OR: Willan Publishing. 201 pages.

Informers: Policing, Policy, Practice. Roger Billingsley, Teresa Nemitz, and Philip Bean (Ed.) William Publishing, Cullompton: Devon, UK, (2001) 179 pp. $59.95. ISBN 1–903240–07–7.