Medical examiner/coroner records: uses and limitations in occupational injury epidemiologic research

Epidemiologic research often relies on existing data, collected for nonepidemiologic reasons, to support studies. Data are obtained from hospital records, police reports, labor reports, death certificates, or other sources. Medical examiner/coroner records are, however, not often used in epidemiologic studies. The National Institute for Occupational Safety and Health's Division of Safety Research has begun using these records in its research program on work-related trauma. Because medical examiners and coroners have the legal authority and responsibility to investigate all externally caused deaths, these records can be used in surveillance of these deaths. Another use of these records is to validate cases identified by other case ascertainment methods, such as death certificates. Using medical examiner/coroner records also allows rapid identification of work-related deaths without waiting several years for mortality data from state offices of vital statistics. Finally, the records are an invaluable data source since they contain detailed information on the nature of the injury, external cause of death, and results of toxicologic testing, which is often not available from other sources. This paper illustrates some of the ways that medical examiner/coroner records are a valuable source of information for epidemiologic studies and makes recommendations to improve their usefulness.     

Proposed: a comprehensive health care system for the poor.

More than half the poor are not covered by Medicaid, the program designed to serve them. Louise Russell outlines a program that would make health care available to all of the poor.     

Wife assault theory,research, and treatment: A literature review

Treatments for wife assaulters and their victims have been based on a variety of psychological and sociological theories. Tests of theory based on investigation of assailant and victim characteristics as well as evaluation of treatment effects based on empirical outcome studies have yielded diverse results. In reviewing the literature it appears that development of assailant typologies based on extent of psychopathology, severity of violence, and context of violence has potential utility in guiding future treatment decisions for assaulters. Further development of similar typologies for classifying responses of assaulted women could yield similar results. Population screening and matching programs to individual characteristics could be expected to improve clinical outcomes.     

Most in Need But Least Served: Legal and Practical Barriers to Special Immigrant Juvenile Status for Federally Detained Minors

Abused, neglected, and abandoned immigrant youth face numerous obstacles to physical safety, including potential repatriation (deportation) to abusive caretakers from whom they fled. In recognition of the special needs of abused children, Congress enacted Special Immigrant Juvenile Status (SIJS) to provide a previously unavailable child welfare defense to deportation. The remedy is contingent upon a State court declaration that the youth is, in fact, in need of protection. However, unlike their counterparts in foster care or guardianships, youth detained by the federal government face numerous practical and legal roadblocks to accessing the necessary State court declarations. This article identifies several gaps in State laws which impede detained youths' access to State court declarations, and proposes several remedies which would enable the States to carry out Congress' intent that detained youth have access to SIJS, regardless of detention status.     

The Alexander memorandum

ABSTRACT

British officials knew a good deal about the upsurge in malignity following the terrible euphoria of the Anschluss in March 1938. Word even reached a British consul working under Sir Frederick Leith-Ross in China. Alexander made his way from the Far East to Germany, the place where he had spent contented days as a student, in order to negotiate the release of a Jewish friend from Dachau. Negotiations were progressing nicely until they were interrupted by the outburst of destructive fury against Germany’s Jews in November 1938. As talks faltered in a febrile atmosphere of Jew-hatred, Alexander used his connections to gain access to a member of the Nazi aristocracy. The British diplomat got more than he bargained for. The senior Nazi made a shocking proposal. He outlined an incredible scheme that, he claimed, would lead to permanent peace between Germany and Britain. His plan uncannily presaged details of the Final Solution three years before its implementation. This information quickly made its way back to London and indeed to the British Foreign Secretary himself, Lord Halifax. So, how would the Foreign Office react? Wallis’s article tells the story of a forgotten memorandum, one that challenges whether theories concerning the limits of the British imagination are sufficient to explain British inaction in the face of massive anti-Jewish persecution and violence.