Fournier Gangrene and Unexpected Death

Abstract: Fournier gangrene represents a rare but progressive perineal infection that may result in rapid death. A 70‐year‐old man with poorly controlled diabetes mellitus and alcohol abuse is reported who was found unexpectedly dead. He had last been contacted the night before his death. At autopsy, the most striking finding was deep necrotic ulceration of the scrotum with exposure of underlying deep muscles and testicles, with blood cultures positive for Escherichia coli. Death was, therefore, attributed to necrotic ulceration/gangrene of the perineum (Fournier gangrene) that was due to E. coli sepsis with underlying contributing factors of diabetes mellitus and alcoholism. In addition there was morbid obesity (body mass index 46.9), cirrhosis of the liver, and marked focal coronary artery atherosclerosis with significant cardiomegaly. Fournier gangrene may be an extremely aggressive condition that can result in rapid death, as was demonstrated by the rapid progression in the reported case.     

Development of an immunoassay for the differentiation of menstrual blood from peripheral blood

This study examined all unintentional firearm fatalities while hunting that occurred in Sweden between 1983 through 2008. The circumstances as well as the impact of the hunter's exam on fatality frequency were analysed. During these 26 years, there were 48 such fatalities, representing 53% of all (n=90) unintentional firearm deaths during the same period. The average annual number of fatalities decreased over the last few decades. Very restrictive firearm legislation in Sweden combined with the introduction of a mandatory hunter's exam since 1985 accounted, at least partly, for this finding. Moose hunting accounted for 46% of the fatalities and small game hunting for the remaining cases. The mean age of the victims was 50 years and 96% of them were males; all shooters were males. During moose hunting, most of the victims were mistaken for game, whereas in small game hunting most of the fatalities were related to falls and improper handling of the weapon. Human error was thus the main cause of these fatalities.     

Adverse Neighborhood Conditions and Sanction Risk Perceptions: Using SEM to Examine Direct and Indirect Effects

Objectives

The present study examines how individuals’ sanction risk perceptions are shaped by neighborhood context.

Methods

Using structural equation modeling on data from waves 6 and 7 of the National Youth Survey, we assess the direct and indirect relationships between adverse neighborhood conditions and two dimensions of sanction risk perceptions: the certainty of punishment and perceived shame. In addition, the role of shame as a mediator between neighborhood context and certainty of punishment is also investigated.

Results

The results indicate that adverse neighborhood conditions indirectly affect both forms of sanction risk perceptions, and additional results show that perceived shame fully mediates the effect of neighborhood conditions on perceptions of the certainty of punishment.

Conclusions

The perceptual deterrence/rational choice perspective will need to be revised to accommodate more explicitly the role of neighborhood context in shaping sanction risk perceptions.     

Fluorescence Imaging of Posterior Spiracles from Second and Third Instars of Forensically Important Chrysomya rufifacies (Diptera: Calliphoridae),

Entomological protocols for aging blowfly (Diptera: Calliphoridae) larvae to estimate the time of colonization (TOC) are commonly used to assist in death investigations. While the methodologies for analyzing fly larvae differ, most rely on light microscopy, genetic analysis, or, more rarely, electron microscopy. This pilot study sought to improve resolution of larval stage in the forensically important blowfly Chrysomya rufifacies using high‐content fluorescence microscopy and biochemical measures of developmental marker proteins. We established fixation and mounting protocols, defined a set of measurable morphometric criteria and captured developmental transitions of 2nd instar to 3rd instar using both fluorescence microscopy and anti‐ecdysone receptor Western blot analysis. The data show that these instars can be distinguished on the basis of robust, nonbleaching, autofluorescence of larval posterior spiracles. High‐content imaging techniques using confocal microscopy, combined with morphometric and biochemical techniques, may therefore aid forensic entomologists in estimating TOC.     

Desistance and Legitimacy: The Impact of Offender Notification Meetings on Recidivism among High Risk Offenders

Legitimacy-based approaches to crime prevention assume that individuals will comply with the law when they believe that the law and its agents are legitimate and act in ways that are “fair” and “just.” Currently, legitimacy-based programs are shown to lower aggregate levels of crime; yet, no study has investigated whether such programs influence individual offending. Using quasi-experimental design and survival analyses, this study evaluates the effectiveness of one such program—Chicago’s Project Safe Neighborhoods’ (PSN) Offender Notification Forums—at reducing individual recidivism among a population of returning prisoners. Results suggest that involvement in PSN significantly reduces the risk of subsequent incarceration and is associated with significantly longer intervals that offenders remain on the street and out of prison. As the first study to provide individual-level evidence promoting legitimacy-based interventions on patterns of individual offending, out study suggests these interventions can and do reduce rates of recidivism.     

Changing the Domestic Violence Narrative: Aligning Definitions and Standards

Many states use a broad legal definition of domestic violence that includes intimate partner violence along with family violence, and it is from this broader conceptualization that the criminal justice system intervenes and often treats all types of offenders in the same way. This judicial response can include a mandate to attend a Batterer Intervention Program-type group, which does little to address violence that occurs outside of the “traditional” partner violence paradigm. In order to advance interventions for physical partner violence that adequately address both male and female perpetration, as well as the broader conceptualization of domestic violence, we must align definitions and standards among researchers, service providers, advocates, policymakers, and the public health and criminal justice systems. Examples of how this misalignment has stalled progress in offender treatment are discussed and a plan for enabling continued innovation in the field is presented.     

The gendered construction of expert discourse: An analysis of psychiatric evaluations in criminal court

According to critical literature, psychiatrization is a central feature of gendered social control. It operates in a twofold process: by orienting women to medical institutions rather than the penal system, and, for those women who do enter the criminal justice system, by favoring an interpretation of their behavior in terms of mental health problems. However, the production of gendered social control cannot be reduced to institutional decision-making; it also leaves its traces in various discursive forms. One such form is forensic psychiatrists' discourse on the offenders they evaluate. Our study analyzes these forensic reports as units of a computerized database. Our goal is to gain insight into the text by means of systematic quantitative and qualitative procedures. Even though the expert discourse is shaped by specifications requested by the court, the discourse examined here constructs two very distinct identities that do not correspond to stereotyped conceptions about femininity and masculinity.     

The role of respect in interactions with police among substance-using African refugee young people in Melbourne,Australia

Racialized policing and substance use are major issues faced by African young people in Australia. In-depth interviews with 18 refugee young people who use alcohol and/or drugs examined interactions with police. Status respect and human respect played important roles in interactions with police. Participants felt unfairly targeted by police and reported that they were disrespected by police through the use of discriminatory language, failing to differentiate between individuals leading to a sense of loss of self-identity, and stereotyping. Development and implementation of programs focusing on building mutual understanding and respect is needed to improve relations between refugee-background youth and police.