A multilevel comparison of child abusers with nonabusers

An integrative, ecological model developed by Belsky (1980) implies that to understand child abuse researchers must examine factors at four levels: the individual, the family, the environment, and the culture. This study compared abusive and nonabusive parents at three of these four levels. At the individual level, abusers were found to have lower self-esteem than controls. Also, male abusers were likely to be relatively impulsive and hostile. At the level of the family, abusers described their children as more troublesome than control parents, but they did not perceive them as developmentally delayed. At the level of the environment, abusers identified more intense life stressors than nonabusers. Results of this investigation supported Belsky's argument that child abuse involved multiple factors and levels.     

Morphologic identification of mummified tissue traces

Post mortem tissue samples from various human organs (skin, muscle, liver, kidney, brain) were stored at room temperature for a period of one year. During this time the samples were regularly histologically tested. Without any pretreatment of the samples a histological preparation and identification was no longer possible after only a few hours. By the use of a rehydration solution consisting of absolute ethanol (30 ml), aqua dest. (50 ml) and 0.2 M phosphate buffer pH 7.0 (20 ml) a reconstitution and identification was again possible. Further immunhistochemical examinations were also unaffected by the solution. The use of microwave stimulation allowed a reduction of the rehydration process from 24 hours to only 4 hours.     

Reconstruction of root morphology in skeletonized remains with postmortem dental loss.

A reversible technique is presented in which the root morphology of missing teeth in skeletonized human remains can be reconstructed for the purpose of radiographic comparison and postmortem identification. In this technique, which is based upon pilot studies with skeletonized mandibles of archival remains, the alveolar socket walls are sealed with a coat of cyanoacrylate cement and injected with a mixture of vinyl polysiloxane and barium sulfate. Radiographs are produced with the radiopaque mixture in place, which highlights the antemortem morphology of the roots. Subsequently, the impression material is removed, resulting in no gross alteration of the evidence. The radiographs made with this technique, as well as the impressions, can be stored for later use at a trial or pending the discovery of antemortem dental evidence.     

Case report of pathologic and criminal self injury]

A case of morbid self-violence (Münchhausen Syndrome) leading to death and a case of criminal self-violence (cutaneous emphysema) are reported. The issue of such cases is discussed with regard to the consequences concerning judicial procedure of punishment and insurance.     

Drinking and driving in Singapore, 1987 to 1989.

Between 1987 and 1989 there were approximately 5,000 cases of fatal and injury-sustained road traffic accidents, of which 2.3-3.0% were alcohol related (blood alcohol levels greater than the legal limit of 80 mg% ethanol). The offenders of alcohol-related accidents are mostly Chinese (> 79%), male (> 98%), and more often 30-40 years old. The majority of the alcohol-related accidents (> 74%) took place between 8 P.M. and 4 A.M. in fine weather and light traffic. Rear-end, head-on, and side-on collisions comprised > 60% of all the alcohol-related accidents, and losing control of vehicles approximately 30%. Drunken driving cases for the same period that were not accidents showed a number of characteristics similar to those for accidents. In Singapore, motorcycle riders and pedestrians are more prone to road fatality than other road-user groups. International comparisons of road fatalities per 100,000 population gave Singapore one of the lowest accident rates (8.1-8.4) as compared with countries such as Australia, the United Kingdom, the United States, New Zealand, Canada, and Japan.     

Homicides in Auckland, New Zealand. A 14-year study.

In the 14-year period from 1976 to 1989, there have been 174 homicide victims in the Auckland colonial area. Data accessed from autopsy and police reports show that victims of marital conflict, family dispute, and arguments developing between nonmarried couples made up the largest proportion of homicide cases. Stabbing and assault with a blunt weapon were the most common causes of death. The data also show that homicide is relatively uncommon in Auckland in comparison with other cities of similar size.     

An end to a consensus on health care in the Federal Republic of Germany?

Over the past fifteen years the national government in the Federal Republic of Germany has animated the political debate about rising health care expenditures. However, it has only provided health policy leadership by shifting the burden of financing health and medical care to others. This paper presents three cases that illustrate the political and institutional constraints inherent in the German policy process that limit the proposal and implementation of appropriate policy solutions to rising health care costs. Cost controls have been inhibited because of the near-universal entitlement of national health insurance, the access all social groups have to advanced medical care, and policies targeted at providers rather than users of health services. The paper also underscores the past and future importance of regional policy coalitions in shaping national health policy.