The effects of the (fentanyl-fueled) drug overdose epidemic on medicolegal death investigation in the United States

The evolving opioid epidemic in the United States, fueled by illicit fentanyl, has greatly increased deaths from illicit drug use. These nonnatural deaths require formal death investigation. The National Association of Medical Examiners states in its Forensic Autopsy Performance Standards that autopsy remains a necessary component for proper investigation of suspected acute overdose deaths. If a death investigation office lacks adequate resources to investigate all deaths under its jurisdiction while meeting expected standards, then that office may be forced to consider altering its protocols for investigation by changing the types of deaths investigated or the extent of its investigations. Drug death investigations take longer to complete because novel illicit drugs and mixtures of drugs complicate toxicological analyses, prolonging a family's wait for completion of a death certificate and autopsy report. Public health agencies must also wait for results, but some agencies have developed mechanisms for rapid notification of preliminary results to allow timely deployment of public health resources. The increased deaths have strained the resources of medicolegal death investigation systems throughout the United States. Given the significant workforce shortage of forensic pathologists, newly trained forensic pathologists are too few to meet the demand. Nevertheless, forensic pathologists (and all pathologists) must make time to present their work and themselves to medical students and pathology trainees to encourage an understanding of the importance of quality medicolegal death investigation and autopsy pathology and to provide a model that can encourage interest in a career in forensic pathology.     

‘I Think it Just Made Everything Very Much More Intense’: A Qualitative Secondary Analysis Exploring The Role Of Friends and Family Providing Support to Survivors of Domestic Abuse During The COVID-19 Pandemic

Journal of Family Violence - The COVID-19 pandemic, and associated social restrictions, have amplified women’s experiences of domestic abuse (DA). In usual times, female DA survivors reach...     

The Effect of Previous Traumatic Injury on Homicide Risk

Research has reported that a strong risk factor for traumatic injury is having a previous injury (i.e., recidivism). To date, the only study examining the relationship between recidivism and homicide reported strong associations, but was limited by possible selection bias. The current matched case–control study utilized coroner's data from 2004 to 2008. Subjects were linked to trauma registry data to determine whether the person had a previous traumatic injury. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association between homicide and recidivism. Homicide risk was increased for those having a previous traumatic injury (OR 1.81, 95% CI 1.09–2.99) or a previous intentional injury (OR 2.53, 95% CI 1.24–5.17). These results suggest an association between homicide and injury recidivism, and that trauma centers may be an effective setting for screening individuals for secondary prevention efforts of homicide through violence prevention programs.     

Do Citizens really care about federalism? public preferences for the administration of governmental programs

In this paper we present a secondary analysis of a survey of Alabama residents. The focus of that survey was individual attitudes toward a variety of policy areas, five of which could reasonably be administered at either the state or national level. Rather than simply asking what level of government should have responsibility, we asked respondents to construct national and state budgets which might, or might not, include appropriations for these and other policy areas. In general, individuals allocated funds to each policy area at both the state and national level. This means either that most citizens favor cooperative federalism, or more likely, people are primarily interested in seeing that certain programs are funded and do not much care what level of government administers a policy area. This latter interpretation is supported by the fact that no theory taken from the current fed-eralism literature is able to explain individual attitudes toward federalism as measured by these budget allocations. Most people simply do not have very strong feelings about which level of government should be responsible for any given program.     

Educating local government managers: a national survey of MPA programs

This article reports the findings of a national survey of masters degree programs in public administration. The goal of this study was to assess the effectiveness of efforts to educate local government managers. The findings suggest that programs with an overall focus on local government management or a specialized concentration are distinctly different from generalist programs. Furthermore, they indicate that internship programs may suffer from some serious shortcomings and that they may not offer an effective content supplement for generalist programs.     

Labor's ace in the hole: casino organizing in Las Vegas

This article critically evaluates the argument that individuals and nations have a right to forget their past. Since our histories shape our identities, forgetting is unnecessary, impossible, and politically problematic. Cosmopolitanism allows individuals to combine memory and de-essentialized group identities with more universal identities. Further, governments have no right to forget the past, since they could use this right to avoid grappling with the legacies of historical injustices in the present. Against the view that time heals all wounds, I argue that promoting justice in the present requires us to recognize the legacies of historical injustices such as slavery and to promote some form of restitution.     

Comment on Martin D. Abravanel's “Public knowledge of fair housing law: Does it protect against housing discrimination?"—Organize! the limits of public awareness in ensuring fair housing

Abstract

Public awareness may contribute to enforcement of fair housing law. But available resources would be more productively used if they were invested directly in more aggressive and innovative law enforcement activities. Emerging debates over land use practices, particularly those pertaining to sprawl and affordable housing, may create new avenues for fair housing activity. The overriding challenge for the fair housing community, however, is to organize an effective constituency that can demand greater attention to education, enforcement, or other actions to achieve fair housing goals.     

Joint production and consumption in traditional households: Fuelwood and crop residues in two districts in Nepal

Forest conversion by agricultural households is the leading cause of deforestation. Yet we know little about agricultural household use of forest and tree products. This article measures household production of and demand for fuelwood and fuel substitutes in two districts in Nepal. Women play a larger role in collection in the district dependant on production from common forestlands. Men and agricultural capital are more important inputs in the district dependant on production from private lands. The article also measures demand elasticities for fuelwood, combustible agricultural residues, and improved stoves (a technological substitute), each by household income group. All price and income demand elasticities are less than one. The substitution elasticities between residues and fuelwood are less than one. Residues are more important substitutes for low income households and improved stoves are more important substitutes for high income households.