DOWN TO BUSINESS: THE COMMODIFICATION OF NONPROFIT SOCIAL SERVICES

Private nonprofit organizations play a major role in delivering a range of publicly funded social services. Aggregate data from a recent Urban Institute study reveal that recent federal cutbacks have affected the services, programs and clients of NPOs. An examination of specific agencies in Maricopa County (Phoenix) reveals that many service providers have adopted a business approach to their services and clients, treating them as commodities. In general, agencies serving clients with Resource Mobilization Potential-youth and elderly-have fared better than those dealing primarily with poor adults.     

Neck extension as a cause of SIDS

The intradural sagittal diameter at the second cervical vertebra (SD/C2) of 62 SIDS cases was measured myelographically. This SD/C2 proved to be dependent on body size, body weight, and age. A clear, age-dependent difference is to be found in the primarily narrow spinal canal. This parameter (SD/C2), which is more precisely defined in adults on the basis of clinical, radiological, and autopsical findings is assumed to have the value of 0.5 cm in the first 2 months, 0.6 cm in the third month, and 0.65 cm in the fourth month. The resulting potential danger to infants is dependent upon their position. The SD/C2, was significantly decreased in extension as compared to a neutral posture. With consideration of the primarily narrow spinal canal in the infant, there is, according to our measurements, a potential hazard for the infant in any further, significant shortening of the SD/C2. This is independent of the width of the spinal canal under maximal extension. We found individual cases in which the SD/C2 was decreased by almost 50% from the normal value in neutral position. No correlation was found between the primary width of the spinal canal and the degree of luminal reduction upon extension.     

TERRORISM,POLITICS, AND PUNISHMENT: A TEST OF STRUCTURAL-CONTEXTUAL THEORY AND THE “LIBERATION HYPOTHESIS”*

The sentencing literature generally has been characterized by an inability to explain Significant amounts of the variance in sentencing outcomes. Two major theoretical explanations have addressed this issue: structural-contextual theory and the “liberation hypothesis.” Structural-contextual theory suggests that the components of the justice system traditionally work somewhat independently of one another. This theory suggests that variance explained in sentence outcomes will increase appreciably when components function with greater interdependence—a so-called “tightening” or “coupling” effect. Such tightening supposedly takes place when particular cases are given high priority for investigation and prosecution. An example of this situation might be domestic terrorism. The liberation hypothesis suggests that the greater the severity of an offense, the less likely judges or juries will feel free to follow their own sentiments regarding guilt and punishment. As a consequence, the ability of legal variables to predict variation in sentence length will be greater as crime severity increases. This study compares a sample of officially designated terrorists matched with nonterrorists convicted of the same federal offenses. OLS regression and structural equation modeling procedures are used to compare the levels of explained variance for the two groups. The results indicate strong support for the basic premises of both theories. Explained variance for the terrorist sample is more than four times greater than the explained variance for the nonterrorist sample. Further analysis shows that explained variance is highest for terrorists who have committed a high-severity offense and lowest for nonterrorists who have committed a low-severity offense. The subsequent addition of other predictor variables available only for the terrorist sample further increases the explained variance and provides additional support for the liberation hypothesis.     

Herniation of the heart. A death following intrapericardial pneumonectomy

A case is presented involving a patient who underwent an intrapericardial pneumonectomy for lung cancer and died of cerebral hypoxia due to herniation of the heart. The etiology and pathophysiology of cardiac herniation are reviewed.     

Accidental poisonings involving carbon monoxide, heating systems, and confined spaces

Eleven incidents of carbon monoxide (CO) intoxication resulting in sixteen fatalities are reported. All of the cases involved heating systems as either the source or the means of distributing the CO. Blood samples were analyzed for ethanol and CO. Elevated blood CO saturations were found in 14 of the 16 victims while none of the victims had a blood ethanol concentration greater than 0.10% (w/v).     

Dermal surface in electric and thermal injuries. Observations by scanning electron microscopy

The dermal surface (after enzymatic digestion of the dermo-epidermal junction) in electric and heat lesions is described. There do not appear to be elements that help in forming a precise differential diagnosis. It is possible, however, to differentiate these lesions from all traumatic cutaneous injuries and some limited nontraumatic lesions (e.g., verrucae). Remarkably good preservation of the dermal surface even in an advanced state of decomposition does suggest the possibility of certain diagnosis of electric and heat lesions even when postmortem phenomena have greatly damaged or even totally removed the epithelial part of the skin.     

Suicide by self-inflicted stab wound of the chest

A case is presented in which a 44-year-old man stabbed himself in the heart with a kitchen knife, then changed his bloody clothes, and ate lunch with his aunt, who did not notice the event. After 2 h he died of cardiac tamponade.