Hypothermia-related Deaths: A 10-year Retrospective Study of Two Major Metropolitan Cities in the United States*

Hypothermia-related deaths affect vulnerable populations and are preventable. They account for the vast majority of weather-related deaths in the United States. The postmortem diagnosis of hypothermia can be challenging, as there are no pathognomonic signs. The electronic databases of the New York City Office of Chief Medical Examiner and Harris County Institute of Forensic Sciences were searched for all fatalities where the primary cause of death included hypothermia, between January 2009 and July 2019. There were 139 hypothermia deaths in New York City (NYC) with an average annualized rate of 1.7 per million. During this same time, there were 50 hypothermia deaths in Houston with an average annualized rate of 2.4 per million. Males were more likely to die of hypothermia compared to females in both cities. The rate ratio (RR) in NYC was 3.55 (95% CI 2.40, 5.25), while the RR in Houston was 2.83 (95% CI 1.50, 5.32). Age- and sex-specific standardized hypothermia mortality rates were 18.2 (95% CI 15.1, 21.2) per million in NYC and 30.1 (95% CI 21.7, 38.6) per million in Houston. The comparative hypothermia death ratio was 1.66 (95% CI 1.19, 2.30), indicating hypothermia mortality in Houston was 66% higher than in NYC. There was no correlation between zip code poverty rates and hypothermia-related deaths. The most consistent autopsy finding was Wischnewski spots (56.6%), and ethanol was the most common toxicological finding (36.5%). Local agencies can use this data to target these higher-risk populations and offer appropriate interventions to try to prevent these deaths.     

专业化:社会工作获得“承认”的必由之路

按照黑格尔承认理论,社会工作的承认要经历人们情感上的认同(爱)——法律的"形式承认"(法律)——国家社会共同体"实质承认"(团结)三个阶段。我国社会工作的"主体性"没有得到充分发挥,政府、社会和社会工作的"主体间性"无法在社会建设与管理的时代背景下达成协调统一,导致社会工作面临承认困境。要坚守社会主义社会价值理念,实现专业化与本土化的专业互动,推介社会认知与承认。通过专业的"自我承认"走向国家的"实质承认"与社会的"普遍承认"。     

Institutional processes and regulatory risk: A case study of the Thai energy sector

Infrastructure provision the world over has undergone a series of profound changes in the manner of its financing and governance over the last 30 years or so. While the role of the state has diminished as a direct provider, builder and operator of infrastructure, its role as regulator and overseer has undergone substantial growth, increasing the regulatory burden on the state. While this transition has occurred relatively smoothly in developed country contexts, in developing countries the diffusion of the regulatory state has produced manifestly different forms of governance, stressing the regulatory capacity of existing and newly formed regulatory bodies. This paper explores the impact and manifestations of regulatory diffusion in the context of the Thai energy sector and the governance mechanisms responsible for electricity generation, transmission and distribution.     

Brazilian street children

Photographs by Estefan Radovicz     

Disconnection and resistance: anti-terrorism and citizenship in the UK

The corroding impacts of anti-terrorism measures on citizenship have been much discussed in recent years. Drawing on qualitative research from the UK, this article argues that citizens do indeed frequently feel that aspects of citizenship – such as rights, duties, identity claims and the ability to participate in the public sphere – have been significantly dampened by developments in this policy area. At the same time, however, participants in our research also articulated a number of strategies through which they or others have sought to resist the logics, exercise and impacts of anti-terrorism powers. These included voicing explicit opposition to particular measures, resisting ‘outsider’ or ‘victim’ subject positions, and a refusal to withdraw from established forms of political engagement. Whilst such resistance should not be overstated, we argue that these strategies emphasise the co-constitutive rather than linear relationship between public policy and citizenship. Anti-terrorism powers do indeed impact upon citizenship claims, for instance in the curtailment of formal rights. Equally, the everyday, lived, experiences and practices of citizenship contribute to, and help shape, the perceptions and understandings of anti-terrorism policy from within the citizenry     

Rape myth acceptance and rape proclivity: expected dominance versus expected arousal as mediators in acquaintance-rape situations

Individuals who are high in rape myth acceptance (RMA) have been found to report a high proclivity to rape. In a series of three studies, the authors examined whether the relationship between RMA and self-reported rape proclivity was mediated by anticipated sexual arousal or anticipated enjoyment of sexually dominating the rape victim. Results of all three studies suggest that the anticipated enjoyment of sexual dominance mediates the relationship between RMA and rape proclivity, whereas anticipated sexual arousal does not. These findings are consistent with the feminist argument that rape and sexual violence may be motivated by men's desire to exert power over women. Theoretical and practical implications of our findings are discussed.