Potential lessons from public health and health promotion for the prevention of child abuse

Two successful public health efforts of the last third of the twentieth century-tobacco control and automobile injury control-are reviewed for relevance to the problem of child abuse. Potential lessons for child abuse prevention are identified and the following approaches are suggested: Investigate varied logic models or conceptual frameworks to identify new opportunities for effective intervention. Use a multidisciplinary, multi-sector approach. Normalize desired behaviors and denormalize undesirable behaviors. Balance efficacy, feasibility, and cultural appropriateness. Develop strategies for effective policy advocacy based upon who benefits and who shoulders most of the burden.     

Suicidal electrocution in a bathtub

A case of suicidal electrocution in a filled bathtub is presented with a discussion of the mechanism of electrocution in water. A modern safety device, the Ground Fault Interruptor Circuit, is also described.     

Changes in Intimate Partner Violence During Pregnancy

Women's experiences of partner violence, both before and during pregnancy, are described using a convenience sample of women recruited from prenatal clinics. Included were an index group of women who told their clinicians that they had been physically abused during pregnancy, and a comparison group of women who told their clinicians that they had not been physically abused during pregnancy (even though later more detailed assessment found that some of these comparison women had experienced such violence). The women averaged 27 years of age, with 83% being high school graduates, 26% being married, and 66% having had previous children. The Conflict Tactics Scales 2 assessed rates of partner violence victimization of the women and their male partners, including psychological aggression, physical assault, and sexual coercion. Injuries also were assessed. Results showed that comparison men were physically assaulted at significantly higher rates than were their female partners, both before and during pregnancy (even though these victimization rates were much lower than those seen among the index couples). Index women experienced higher rates of psychological aggression, physical assault, and sexual coercion than did their male partners, and these women were significantly more likely than their male partners to be injured. Pregnancy onset was associated with significant increases in the rates of psychological aggression among both the index and comparison couples. In addition, the index women experienced a significantly increased rate of sexual violence victimization during pregnancy. However, pregnancy was not associated with significant increases in the rates of physical assault or violence-related injuries among the index or comparison couples.     

Validation of Tool Mark Comparisons Obtained Using a Quantitative,Comparative, Statistical Algorithm

Abstract: A statistical analysis and computational algorithm for comparing pairs of tool marks via profilometry data is described. Empirical validation of the method is established through experiments based on tool marks made at selected fixed angles from 50 sequentially manufactured screwdriver tips. Results obtained from three different comparison scenarios are presented and are in agreement with experiential knowledge possessed by practicing examiners. Further comparisons between scores produced by the algorithm and visual assessments of the same tool mark pairs by professional tool mark examiners in a blind study in general show good agreement between the algorithm and human experts. In specific instances where the algorithm had difficulty in assessing a particular comparison pair, results obtained during the collaborative study with professional examiners suggest ways in which algorithm performance may be improved. It is concluded that the addition of contextual information when inputting data into the algorithm should result in better performance.     

Cynicism and job satisfaction in policing: Muddying the waters

Since Niederhoffer’s (1969) pioneering work, police cynicism has been a staple in research on police officers and police work, various typologies of police officers and definitions of the police subculture or police personality rely to a greater or lesser degree on conceptions of cynicism and suspicion. More recent research has questioned both the validity of measures of cynicism and typologies of police officers. The present study examines the link between cynicism and job satisfaction which is implicit in the literature. Findings indicate not only that these two factors are correlated, but also that relationships reported between cynicism and other factors in policing are mirrored by correlations between those factors and a measure of job satisfaction. The question which arises is, to what degree are correlations reported in the literature spurious, resulting not from cynicism, as was thought, but from a more generic measure of job satisfaction?     

The New International Health Regulations: An Historic Development for International Law and Public Health

The adoption of the new International Health Regulations (IHR) in May 2005 represents an historic development for international law and public health. This article describes the IHR revision process and analyzes why the new IHR constitute an advance in global health governance.     

Substance use by hispanic and white non-hispanic pregnant adolescents: A preliminary survey

White non-Hispanic and Hispanic adolescents aged 17 years and under n= 81) who delivered in San Jose, California area hospitals during a 6-week period were interviewed within 24 hours concerning their use of cigarettes, marijuana, and alcohol during pregnancy, and a number of background, social support, and psychosocial factors. Before 12–16 weeks of pregnancy, each of the substances studied was used by over 50% of this population, with 53% smoking cigarettes, 51% smoking marijuana, and 58% consuming beer or wine. Most substance use ceased after 12–16 weeks of pregnancy. There were no significant differences between ethnic groups in substance use. Multiple regression analyses showed that cigarette smoking decreased when social support was provided by the adolescent's partner and it was higher if parents smoked and/or used alcohol p<.001. Parental substance use, combined with lack of social support, was also associated significantly with marijuana use p<.001, explaining 30% of the variance. Use of birth control prior to pregnancy was related to beer and wine consumption p<.05, explaining 16% of the variance. Active inclusion of members of the adolescent's support network in pregnancy care, and initiative by educators and clinicians in discussing substance use, may accelerate its cessation. Ethnicityrelated behavior change strategies may be of little relevance to adolescent substance use during pregnancy.This study was funded by grant no. MCR-060466-01-0 from the Maternal and Child Health and Crippled Children's Services Research Program, Bureau of Health Care Delivery and Assistance, DHHS, to the Department of Gynecology and Obstetrics, Stanford University School of Medicine. The first author is supported by a fellowship from the Pew Memorial Trust.Received Ph.D. from Stanford University. Main interest is adolescent pregnancy and health of Latino populations.Received M.D. and Ph.D. from the University of Kansas. Main interest is perinatology.