Coastal Oil Pollution: Spills,Crisis, and Policy Change1

The federal government's adoption of the Oil Pollution Act of 1990 represented a radical statutory departure from past policy. Coastal oil spill control provisions that had languished for decades within the industry-friendly confines of a few select congressional subcommittees suddenly became law. Much popular belief credits the 1989 Exxon Valdez spill crisis for bringing about this radical policy change. Closer examination reveals that postcrisis policy change is much more complex. Crisis events intermingle with other short- and long-term factors that either inhibit or support dramatic change. This study analyzes change within the coastal spill arena over several decades. Particular attention is given to crisis episodes, periods identified with a major catastrophe or a successive series of attention-getting spills over a brief time. Analysis finds that crises can play an instrumental role in eliciting change.     

The confined space. A review of a recently discerned medical entity

This paper presents an extensive review of the literature relating to the industrial confined space. It defines the various types of confined spaces, classifies their associated noxious atmospheres, and identifies the potential hazards of each. A newly recognized confined space, the environment of the surgical amphitheater in which the surgical patient undergoes general anesthesia, has been added. Pathological alterations bearing upon these hazards and the forensic principles of confined space injuries are examined in depth. In addition, recent methods are described for prevention and control of the perils of the confined space.     

Immunofluorescence demonstration of digoxin in human myocardial tissue and isolated rat cardiac myocytes with monoclonal antibodies

The aim of the present investigation was to identify the morphological correlates of digoxin binding sites in human heart muscle tissue and isolated viable rat heart myocytes. Cardiac glycoside linked to myocardial cells was demonstrated by monoclonal digoxin specific antibody and by FITC-conjugated anti-mouse immunoglobin serum. This versatile immunofluorescence method can be used in diagnostic and experimental studies of cardiac glycoside binding.     

Some Reflections on the Practice of Mediation

Negotiation Journal -     

Fatal in utero salicylism

An aspirin overdose by an eight-month primigravida proved to be the mechanism of death for the fetus. Clinical progress of the mother and postmortem concentrations of salicylate in the fetus are listed exhibiting the fetal survival time of about 18 to 20 h post ingestion by the mother.     

An evaluation of procedures for assessing competency to stand trial

In a field experiment involving 120 defendants at Bridgewater State Hospital in Massachusetts, the authors evaluated three instruments for assessing competency to stand trial: the Competency Screening Test (CST), Competency Assessment Instrument (CAI), and Interdisciplinary Fitness Interview (IFI). The CST (a paper-and-pencil test) was administered by a research assistant and scored by trained graduate students. Lawyers, psychologists, and social workers were recruited and trained in the use of the other instruments, then assigned as individuals (CAI) or teams (IFI) to conduct interviews and assess subjects. The performance of the project interviewers was compared against two yardsticks: (1) actual decisions reached by the regular Bridgewater staff, and (2) a consensus of two nationally respected experts who reviewed the cases and formed independent competency judgments. Both the CAI and IFI performed well under these conditions, indicating that one-time interviews by well-trained persons can lead to accurate competency decisions in the majority of cases. The authors conclude that hospitalization for competency assessment is rarely necessary.