B. Reviews

THE CAMBRIDGE HISTORY OF ARABIC LITERATURE. Volume 1: Arabic Literature to the End of the Unayyad Period. Edited by A.F.L. Beeston, T.M.Johnstone, R.B.Serjeant and G.R.Smith, pp.xvi, 547. Cambridge University Press, 1983. £37.95.

AL‐MAQRIZI'S “BOOK OF CONTENTION AND STRIFE CONCERNING THE RELATIONS BETWEEN THE BANU UMAYYA AND THE BANU HASHIM”. Translated into English, with an introduction and commentary by C.E.Bosworth. (Journal of Semitic Studies, Monograph No.3), Manchester, Department of Near Eastern Studies, University of Manchester, 1980. pp.157.

ARABIC CULTURE THROUGH ITS LANGUAGE AND LITERATURE. By M.H. Bakalla. London, Kegan Paul International, 1984. pp.371, 51, plates, maps.

ARABIC LINGUISTICS: AN INTRODUCTION AND BIBLIOGRAPHY. By M.H. Bakalla. London, Mansell, 1983. pp.742.

LA RELATION DE THOMAS PELLOW: UNE LECTURE DU MAROC AU 18^e SIÈCLE. By Magali Morsy. (Synthèse No.12), Paris, Editions Recherche sur les Civilisations, 1983. pp.254, 17pl. FF.129.

ESPANA Y EL NORTE DE AFRICA: EL PROTECTORADO DE MARRUECOS (1912–56). By Victor Morales Lezcano. Madrid, Universidad Nacional de Educacion a Distancia, 1984. pp.249. Photos., maps, diagrams. 600.00 ptas.

EGYPT AND THE PALESTINE QUESTION 1936–1945. By Thomas Mayer. Berlin, Klaus Schwarz Verlag, 1983. pp.391 (paperback).

SUDAN. By M.W.Daly. (World Bibliographical Series, Vol.40.) Oxford (UK) & Santa Barbara (USA), Clio Press, 1983. pp.xvi, 176, 1 map. £19.50.

THE OTHER FACE OF OPEC: FINANCIAL ASSISTANCE TO THE THIRD WORLD. ENERGY RESOURCES AND POLICIES OF THE MIDDLE EAST AND NORTH AFRICA. By Ibrahim F.I. Shihata. London, Longman, 1982. pp.281 (paperback).

DEVELOPING EDUCATION SYSTEMS IN THE OIL STATES OF ARABIA: CONFLICTS OF PURPOSE AND FOCUS. By J.S.Birks and J.A.Rimmer. (Occasional Papers Series, No.21: Manpower and Migration Series, no.3). University of Durham, Centre for Middle Eastern and Islamic Studies, 1984. pp.33. E2.50.

BIBLIOGRAPHICAL GUIDE TO IRAN: THE MIDDLE EAST LIBRARY COMMITTEE GUIDE. Edited by L.P.Elwell‐Sutton. Sussex, The Harvester Press/New Jersey, Barnes & Noble Books, 1984. pp.462.

ARABISCHE UND PERSISCHE PRIVATURKUNDEN DES 12. UND 13. JAHRHUNDERTS AUS ARDABIL (ASERBEIDSCHAN). By Monika Gronke. (Islamkundliche Untersuchungen, Bd 72), Berlin, Klaus Schwarz Verlag, 182. pp.555.

MYSTICISM AND DISSENT: SOCIORELIGIOUS THOUGHT IN QAJAR IRAN. By Mangol Bayat. Syracuse, N.Y., Syracuse U.P., 1982. pp.xvii, 228. $25.00.

SOCIAL DISINTEGRATION AND POPULAR RESISTANCE IN THE OTTOMAN EMPIRE 1881–1908: REACTIONS TO EUROPEAN ECONOMIC PENETRATION. By Donald Quataert. New York, Columbia U.P., 1983. pp.xxii, 205. $45.50.     

Is organ procurement causing the death of patients?

This article offers a philosophical foundation for the Uniform Determination of Death Act as it first examines death per se, and then examines brain death and the non-heart beating donor criteria for determining death. The author suggests that many of the debates over death can be bypassed by changing the terms of the debate: what matters is not whether death is a process or an event, but death as a state. Understanding death as a state allows us to determine death in a functional manner that is compatible with the needs of law and medicine. The second part examines objections that arise from ignoring or rejecting the distinction between killing and letting die and the principle of double effect. By clarifying the lines between life and death, on the one hand, and between intentionally killing and unintentionally hastening death, on the other, the author hopes to restore a sense that the proposals to drop the dead donor rule are radical recommendations to cross lines we have never crossed before.     

Raising the "civilized minimum" of pain amelioration for prisoners to avoid cruel and unusual punishment

This Article addresses the problems with our nation's cultural and legal prohibitions against certain pain management treatments. The practice of pain management has not kept pace with the many medical advances that have made it possible for physicians to ameliorate most pain. The Author notes that some patients are denied access to certain forms of treatments due to the mistaken belief that addiction may ensue. Additionally, some individuals are under-treated for their pain to a greater degree than are others. This is especially the case for our nation's prisoners. The Author contends that prisoners are frequently denied effective pain amelioration. He notes, however, that there has been improvement in medical treatment in general for prisoners due to court challenges based on the Eighth Amendment's prohibition against cruel and unusual punishment. Yet, due to the protection of qualified immunity given to jailers and prison health care providers, prisoners cannot bring a claim for negligence or medical malpractice, they must allege a violation of their constitutional rights, a significantly higher legal standard. Prisoners must meet a subjective test showing that there was a deliberate indifference to their medical needs that violates the protection of the Eighth Amendment. The Author concludes that because medical advances have made it possible to alleviate most pain suffering, withholding pain treatment or providing a less effective treatment is tantamount to inflicting pain and should be viewed as a violation of the Eighth Amendment.     

Diagnostic problems associated with cadaveric trauma from animal activity

Analysis of a series of deaths between 1986 and 2001 resulting from natural disease, accidents, suicides, and homicide, where postmortem animal activity had traumatized bodies, was undertaken at the Forensic Science Center in Adelaide to demonstrate the range of lesions that may occur and problems in interpretation that result. Tissue damage had been caused by a variety of animals, including fly larvae, ants, birds, dogs, rodents, sea lice, and sharks. Postmortem animal activity had disguised injuries, modified wounds, and created the appearances of inflicted injury. Problems with identification occurred after postmortem facial trauma, and loss of organ parenchyma had interfered with, or precluded, the precise determination of the manner of death in some cases. Specific kinds of tissue and organ damage may occur after death, necessitating careful assessment of lesions in a search for characteristic features of animal activity. The pattern of lesions may enable identification of the particular species of animal involved.     

Estimation of body exposure to explosion

An ordnance-disposal expert was killed while disposing of a cache of explosives. The likely position of the body was reconstructed by modeling the explosion as an omnidirectional emission of particles from a model of the explosion site and noting the distribution of particles on a model of a human. The applications and limitations of this method in reconstructing the events and correlation with the injuries noted at autopsy are discussed.     

Environmental gas displacement: three accidental deaths in the workplace

The authors describe three accidental deaths resulting from occupational hazards involving environmental gas alterations. One involved the displacement of oxygen caused by leakage of liquid nitrogen during the installation of a magnetic resonance imaging system. Two involved elevated environmental carbon dioxide concentrations: dry ice sublimation in a walk-in refrigerator in a research laboratory, and activation of a carbon dioxide fire alarm-extinguisher system by a woman locked in a bank vault. The autopsy findings, scene investigations, and certifications of these deaths, as related to the mechanisms of death, are discussed.     

Fatal child abuse-maltreatment syndrome. A retrospective study in Ontario,Canada, 1990-1995

Child death due to repeated episodes of physical assault or neglect has been termed the child abuse-maltreatment syndrome (CAMS). We characterized the injuries in a series of fatally abused or maltreated child to delineate objective diagnostic criteria for the CAMS for use by clinicians and pathologists. All deaths (age <17 years) investigated by the Office of the Chief Coroner for Ontario, Canada during the time period 1990-1995 were reviewed. Cases of CAMS were defined as death due to lethal recent injury or malnutrition in the presence of significant old (healing or healed) injuries indicative of repeated episode of inflicted trauma. The nature and frequency of the various injuries was determined. The frequency of the shaken baby syndrome, and the types and frequency of ano-genital injuries were also studied. Twenty-one cases of fatal CAMS were found in the study period. Most cases had significant recent head injury with intra-cranial hemorrhage (71%). Other significant recent injuries commonly observed included blunt injuries of the skin and soft tissues (67%), blunt abdominal trauma with visceral injuries (14%), and fractures (18%). Eight cases (38%) fulfilled accepted criteria for the shaken baby syndrome. Many children with fatal head injuries had evidence of older head trauma (38% of all cases). A significant minority of cases had evidence of malnutrition due to neglect (10%) or ongoing ano-genital injuries (10%). Most cases of child homicides due to repeated episodes of abuse or maltreatment involve head trauma including shaken baby syndrome. Fractures of long bone and ribs, the classical markers of child abuse, were relatively infrequent compared with head injury. A proportion of cases had ano-genital injuries due to repeated sexual abuse or punitive maltreatment. All clinicians and pathologists must recognize the wide spectrum of injuries in child abuse to ultimate protect the victim or other children in an at-risk situation.