Death by greyhound.

We present the case of a man who was last seen leaving to feed his greyhound dogs. He was found dead lying in a yard just outside the gate to one of the dog pens. Holes were present in the fence on both sides of the gate. The holes were of sufficient size to allow the passage of the head and neck of a greyhound to the shoulders. To open the gate one had to bend down to unfasten a latch 45 cm above ground level. Leaning down to unfasten the latch brought one into close proximity to the holes on either side of the gate. The scene and clothing appeared undisturbed. Autopsy (K.A.L.) revealed the cause of death to be blunt throat trauma. The throat trauma was of marked degree and consistent with at least a single heavy crushing injury directed from the front and somewhat below. In addition there were a series of almost vertical light abrasions on one side of the neck. There were minimal injuries to the rest of the body. There were no injuries specific for assault. In an attempt to explain the almost vertical abrasions on the side of the neck, the scene was re-examined by the pathologist. This revealed loose wire strands on the gate post. It is consistent that a fall against this area could account for the almost vertical abrasions on one side of the neck.(ABSTRACT TRUNCATED AT 250 WORDS)     

Econometric analysis of factors influencing crime on the campus

A statistical model is presented and described to test the hypothesis that crime on university campuses bears a systematic and statistically identifiable relationship to a number of independent variables. Of the independent variables tested, the proportion of students living in dormitories and proximity to urban areas with high unemployment seem to influence the amount of crime on campus.     

Variation in Methods of Cardiac Dissection—A Potential Confounder in Measuring Cardiac Weight at Autopsy

To evaluate whether the weight of the heart measured at autopsy may be affected by the type of dissection, a prospective study was undertaken of the weights of sequential cases of nonpediatric hearts. Four hundred fifty‐eight hearts were examined (age range 17–96 years; mean 55.9 years; M:F = 3:1). The hearts were each weighed fresh, once the apex had been sliced, the auricles of the atria opened and blood drained, and again once the cardiac chambers had been opened completely. The difference in the partially and fully opened heart weights (range 146–1028 g; mean 434.8 g; range 134–1011 g; mean 420.8 g, respectively) (p < 0.05) ranged from 0 to 100 g (mean 14 g). In the most extreme example, the weight of the partially opened heart was 30.3% higher than that of the fully opened specimen. Failure to fully open the heart prior to weighing may result in significant error.     

The framework convention on tobacco control: The politics of global health governance

This paper analyses the particular challenges that tobacco control poses for health governance in an era of accelerating globalisation. Traditionally, health systems have been structured at the national level, and health regulation has focused on the needs of populations within individual countries. However, the increasingly global nature of the tobacco industry, and the risks it poses to public health, require a transnational approach to regulation. This has been the rationale behind negotiations for a Framework Convention on Tobacco Control (FCTC) by the Tobacco Free Initiative of the World Health Organisation (TFI/WHO). In recognition of the need to go beyond national governments, and to create a governance mechanism that can effectively address the transnational nature of the tobacco epidemic, WHO has sought to involve a broad range of interests in negotiations. The contributions of civil society groups in particular in the negotiation process have been unusual. This paper explores the nature and effectiveness of these contributions. It concludes with an assessment of whether the FCTC constitutes a significant shift towards a new form of global health governance, exploring the institutional tensions inherent in attempting to extend participation within a state-centric organisation.     

The Globalization and Re-localization of Material Flows: Four Phases of Food Regulation

Over three phases of regulation, the paper traces a narrow range of regulatory interest in food, focusing largely on food safety and the handling of periodic food crises. We suggest that these crises were early indications of the problems in sustaining increasingly unsustainable modes of food production through global supply chains and that United Kingdom/EU regulation acted in part as a palliative, cloaking the wider systemic disorders. We go on to suggest that, as resource pressures become increasingly apparent in world food systems, a further fourth phase of food regulation will need to pay much greater attention to the resilience, sustainability, and security of food supply.     

The Forgotten Hysteria Over Malpractice

This article explores the origins of the medical “malpractice crisis,” and describes the basic social, economic, and political transformations that led to its emergence and the reasons for its rise. An understanding of these dynamics explains the gap in awareness about what the doctor/patient relationship is and what it should be, and its correlation to the upsurge in medical malpractice lawsuits and patient safety programs. The author recommends managing for and conserving the doctor/patient relationship as the key priority to be tackled in order to put an end to the “crisis” and prevent circumstances that further encourage it.