Nonfracture-associated fatal fat embolism in a case of child abuse

Fatal fat embolism is usually thought of as a sequel to long-bone fracture, although cases secondary to soft tissue injury and atraumatic conditions have been infrequently reported. In this case of a two-year-old child-abuse victim who sustained multiple blunt traumatic injuries without skeletal fractures, pulmonary and systemic (brain and kidney) fat emboli were identified. At autopsy, all thoracic and abdominal viscera were intact; cranial contents exhibited only diffuse symmetrical petechial hemorrhages of the white matter. Because of the severe and widespread nature of soft tissue hemorrhage, and the absence of a grossly discernible cause of death, fat embolism was suspected. Using a combination of frozen section with oil red O staining and formalin-fixed osmium stained tissues, the immediate cause of death was determined to be diffuse fat embolism. Review of the literature reveals a pathophysiologic basis for fat embolism in the absence of fracture, both as a consequence of an acute increase in local pressure at the site of trauma and an alteration of the emulsification of blood lipids during shock. In light of these findings, we present this case to remind the forensic science community to consider fat embolism as the cause of death in cases of blunt-force injury without fracture.     

RESEARCH NOTE: "THE STUBBORN SILENCE OF PETRONIUS ARBITER"1

We trained hard — but it seemed that every time we were beginning to form up into teams, we would be reorganised. I was to learn later in life that we tend to meet any new situation by reorganising, and a wonderful method it can be for creating the illusion of progress while producing confusion, inefficiency, and demoralization.
From Petronii Arbitri Satyricon , AD 66, attributed to Gaius Petronius.     

Physician staffing and patient violence

We found an inverse relation between physical aggression by patients and physician staffing--when more physicians were available, physical aggression decreased. Episodes of nonphysical aggression increased with higher levels of psychiatrist staffing, but were not related to general physician staffing.     

Civil Liberties vs. Security: Public Opinion in the Context of the Terrorist Attacks on America

In the tradition of research on political tolerance and democratic rights in context, this study uses a national survey of Americans conducted shortly after the September 11, 2001 attack on America to investigate people's willingness to trade off civil liberties for greater personal safety and security. We find that the greater people's sense of threat, the lower their support for civil liberties. This effect interacts, however, with trust in government. The lower people's trust in government, the less willing they are to trade off civil liberties for security, regardless of their level of threat. African Americans are much less willing to trade civil liberties for security than whites or Latinos, even with other factors taken into account. This may reflect their long-standing commitment to the struggle for rights. Liberals are less willing to trade off civil liberties than moderates or conservatives, but liberals converge toward the position taken by conservatives when their sense of the threat of terrorism is high. While not a forecast of the future, the results indicate that Americans' commitment to democratic values is highly contingent on other concerns and that the context of a large-scale threat to national or personal security can induce a substantial willingness to give up rights.     

Freedom and Other Variables in the Choice of Public Pension Systems

There are three types of public pension systems popularthroughout the world: Pay-As-You-Go (defined benefit), Funded(defined contribution), and Mixed. The latter two systems werelargely adopted in the 1990s after Chile successfully builtits Funded system. In this paper we analyze the choice ofthese types of pension system, identifying factors that affectcountries' choice. Several measures of freedom – economic andpolitical – are associated with these choices. The estimatedeffects of the two freedoms on pension choice and percentelderly are quite interesting and intuitive.     

State Constitutions, Freedom of Expression, and Search and Seizure: Prospects for State Court Reincarnation

This article examines the decisions of ten state high courtsin the areas of access to private property for expressive purposesand exclusion of the fruits of illegal searches and seizures.The analysis centers on two questions. First, are some statesrelying on their own constitutions to resolve individual rightsissues while other continue to follow the United States SupremeCourts interpretation of the federal Constitution? Second, havethe states that do rely on their own constitutions to resolveindividual rights issues developed an independently based stateconstitutional jurisprudence, or have they simply attemptedto circumvent decisions of the Burger Court? The authors findlittle evidence that the state high courts examined here havebegun, as yet, to develop an independent approach to state constitutionalanalysis.     

South Africa’s peacebuilding in the DRC: Convergence and dissonance with the liberal model

The task of transforming countries affected by conflict towards sustainable peace has been a persistent problem. In response to growing intra-state conflict in the post-Cold War era, it has become the norm to prescribe a cocktail of liberal democracy and free-market economics as a universal formula for building peaceful societies. South Africa, since its post-democratic emergence into global affairs, has also been active in promoting peace in Africa along similar lines. This article embarks on an exploratory qualitative analysis of South Africa’s peacebuilding engagements in the Democratic Republic of the Congo (DRC). It aims to contribute a better understanding of South Africa’s peacebuilding engagements by utilising the DRC case study to point out areas of convergence and dissonance with the dominant liberal model of peacebuilding. The article finds that, although peppered with successes and failures, South Africa does approach peacebuilding in a unique manner. It also calls for a revision of South Africa’s approach, given the varying levels of success in the DRC.     

Put Down Your Knitting: Unpicking Social Welfare Professionalisation in 1970s Australia

This article compares evidence given to the 1970s Commonwealth Commission of Enquiry into Poverty by a social worker from Armidale with that of a group of foster carers in Adelaide. It does so to illuminate the power struggle underway between volunteers, professionals and experts at a key moment in Australia’s social welfare history. The testimonies provide two very different perspectives on the challenges of social welfare professionalisation. Analysing them allows a deeper exploration of those challenges, which, to date, have been under-explored, while bringing a greater understanding of the factors that shaped the creation of enquiry submissions.