Spontaneous Rupture of the Gall Bladder: An Unusual Forensic Diagnosis

Peritonitis secondary to spontaneous rupture/perforation of the gall bladder is a rare condition overall and is even less common in the forensic population. We report the case of a middle‐aged man who died from generalized peritonitis from gall bladder perforation due to acute acalculous cholecystitis. This condition usually occurs in critical patients with systemic illness, and although the exact pathogenesis remains unclear, the development of acalculous cholecystitis appears to be multifactorial. Antemortem diagnosis is reliant upon clinical presentation, laboratory data, and radiologic studies. Surgery and appropriate antibiotics are mainstays of treatment; however, there is an emerging role for minimally invasive procedures. Histopathologic features show significant overlap with the calculous type. Although increasing numbers of acalculous cholecystitis have been diagnosed in the critically ill, the fatal presentation of a perforated gall bladder following an undiagnosed case of acute acalculous cholecystitis is unusual in a nonhospitalized and ambulatory man.     

Cops and community: street-level leadership in community based policing

This article describes a model of street-level leadership t the authors developed in over 800 hours of observational research with two police departments. The model is applied to the concept of community-based policing in order to illustrate its usefulness in shaping and judging community-based police reforms. The street-level leadership model is shown to provide both explanatory and evaluative criteria through which both police departments and the communities they serve can understand and create effective community-based police programs.     

Transforming Land‐Taking Disputes in Socialist Asia: Engaging an Authoritarian State

Few studies have responded to the calls by sociolegal scholars to explore how disputes evolve. This article takes up the challenge by examining how intermediaries in socialist Asia resolve land‐taking disputes that are intractable for administrative appeals and courts. Exploring alternatives to state‐based dispute resolution is a pressing issue for conflicts that pit citizens against authoritarian regimes. Using in‐depth interviews, this article investigates how intermediaries such as retired state officials navigate in and around authoritarian regimes, flattening power asymmetries between citizens and land officials. This analysis draws from, links, and advances three literatures that examine dispute resolution in different ways: the sociolegal “naming, blaming, and claiming” literature examines the trajectory of disputes, regulatory studies use legitimacy expectations to analyze how disputants evaluate and prioritize competing regulatory frameworks, and the collective identity literature analyzes how communities respond to disputes. This article contributes to the literature by developing a theoretical framework that explains how intermediaries circumvent conceptual differences and transform disputes. The findings compel researchers to consider the use of intermediaries as an alternative to state‐sponsored dispute resolution in authoritarian settings.     

Do perceptions of neighborhood disorganization predict crime or victimization? An examination of gang member versus non-gang member jail inmates

This study examines the effects of perceptions of social disorganization on crime perpetration and victimization among a sample of incarcerated adult gang and non-gang members. Using survey data from 2,414 jail inmates, results suggest that gang members are significantly more likely than non-gang members to be both perpetrators and victims of property and personal crimes. Results also indicate substantive similarities and differences between gang members and non-gang members with regard to crime, victimization, and perceptions of social disorganization. Inmates’ perceptions of the level of social disorganization in their neighborhoods are more strongly related to their reported offending behavior than to their reported victimization.     

The association between specific competence-related abilities and competence restoration treatment

Inpatient competence restoration treatment comes with enormous costs in terms of civil liberties, but also significant financial costs to the state/institution responsible for providing the treatment. The present investigation was designed to evaluate the utility of a commonly used competence assessment instrument, the MacArthur Competence Assessment Tool – Criminal Adjudication (MacCAT-CA), in identifying individuals who may require more tailored, lengthier, and/or more intensive treatment. The sample included 93 men and women who were administered the MacCAT-CA during an inpatient hospitalization for competence restoration treatment in the United States. All of the patients were restored to competence within the study period, ranging from 3 to 32 months of inpatient hospitalization. Results suggest that performance on the MacCAT-CA was associated with hospitalization length, with total scores as the greatest predictor of response to treatment. Sensitivity and specificity estimates are discussed in terms of their utility in identifying patients most at-risk for extended hospitalization, with the authors arguing that instruments like the MacCAT-CA can be used in a practical manner of identifying patients who might require greater or more intensive treatment.     

A systematic review of effective therapeutic interventions and management strategies for challenging behaviour in women in forensic mental health settings

Women in secure forensic mental health care require therapy and care that is responsive to their specific needs. Despite the policy recognition that women require a distinct service, evidence based practice is not available for this population. This review was undertaken in response to a clinical need within a medium secure unit in Glasgow that was experiencing high levels of challenging behaviour, in a female ward. The review aimed to identify effective strategies or interventions for the management of challenging behaviour in women in secure services and, therefore, improve practice and patient care. A synthesis of the findings from the 11 identified studies revealed variability in the approaches used to support women in forensic services, including: behavioural programmes; organisational change with a focus on staff training and support; medication; ECT and mechanical restraint. The challenging behaviours assessed included self-harm; physical and verbal aggression; suicide attempts and arson/fire setting. The majority of articles suggested some improvement in aspects of challenging behaviour, however this was limited by the lack of control groups and small sample sizes. Further investigation is required to find out whether interventions identified in this review can sustain a reduction in challenging behaviours in the long-term.     

THE RATIONALE FOR GOVERNMENT INTERVENTION IN SELLER-CONSUMER RELATIONSHIPS

Government intervention in the form of consumer protection is appropriate where consumers have less than the required amount of information to protect themselves, where transaction costs act to reduce consumer self-protection below acceptable levels, where consumer welfare is not sufficiently considered in oligopolistic markets, where private costs and social costs diverge due to externalities, where a certain level of quality assurance is necessary if markets are to function and where riskier products removal from the market lowers firms' insurance premiums as well as serves the interest of public health and safety. Consumer protection is a public good which will not be available in optimal quantities without government intervention.     

Low-income preschoolers' behavior with anatomically detailed dolls

The present study examined nonabused children's responses to anatomically detailed (AD) dolls among diverse populations. Thirty six low-income, predominantly African-American preschoolers from a Head Start center participated in an AD interview. Interviews were videotaped and coded for the presence of eight behaviors and eight parallel verbalizations. Results indicated that the children spent the majority of the interview without engaging in any behaviors which are often associated with sexual abuse. Sexual interaction between the dolls was seldom demonstrated, particularly when compared to exploration of the dolls' genitalia. Some differences were noted in the way low-income, predominantly African-American preschoolers responded to the dolls, when contrasted with the results of studies using predominantly middle-income, White preschoolers. The need for the consideration of environmental factors in interpreting children's responses to AD dolls is discussed.