Late-form hemorrhagic disease of the newborn: a fatal case report with illustration of investigations that may assist in avoiding the mistaken diagnosis of child abuse

Hemorrhagic disease of the newborn (HDN) is usually a self-limiting hemorrhagic disorder of childhood that occurs as a result of vitamin K deficiency. It may be defined as early or late form depending on the time of onset related to birth. HDN is recognized as one of several bleeding disorders that can mimic the findings of nonaccidental head injury and may lead to a mistaken diagnosis of child abuse. We present a single fatal case of late-onset HDN with illustration of hematologic assays that can be performed to assist the pathologist in making the correct diagnosis of HDN.     

Multifactorial analysis of firearm wounds to the head with attention to anatomic location.

Firearm wounds to the head are often fatal and are routinely encountered in the practice of forensic pathology in the United States. Often, the anatomic site of the entrance wound is used to support or refute the manner of death indicated by the scene investigation and/or circumstances of the case. The present retrospective study of 120 fatalities resulting from 140 firearm wounds to the head correlates the anatomic region of the entrance wound and range of fire with the manner of death. Other demographic data analyzed include age, race, and gender of the decedents, as well as evidence of drug and/or ethanol use. It is hoped that this study will provide concrete data to support the largely anecdotal associations between the specific site of entry of firearm injuries to the head and the manner of death.     

Schizophrenia and sudden death: a medical examiner case study.

This study reviews the causes of sudden death of 66 schizophrenic patients who presented to the Office of the Chief Medical Examiner (OCME) for the State of Maryland over a 3-year period from 1994 through 1996. We identified an increased incidence of suicide compared with the general population of OCME cases. This observation is consistent with reports by other investigators. The majority of the deaths were the result of natural diseases, mostly atherosclerotic cardiovascular disease. Accidents, suicides, and 1 homicide were also present in this group.     

Personality characteristics of black youth: A cross-cultural investigation

The view that black youth frequently manifest disordered personalities and negative self-concepts is examined through a comparison of the responses of black and white female adolescents from differing cultural and social class backgrounds to an Adjective Check List. While dissimilar from white female adolescents in many important respects, black subjects scored high on indices of personal adjustment and did not describe themselves in negatively valued terms. In fact, black girls from lower socioeconomic backgrounds, who are generally portrayed as particularly prone to pathology and negative self-evaluations, describe themselves in more favorable terms than black and white subjects from middle class backgrounds. Moreover, U.S. and Jamaican black subjects describe themselves in surprisingly similar fashion, and differ in similar respects from their white American counterparts, thereby providing some evidence for the impact of a common cultural heritage on black personality cross-nationally.This study was supported by NIMH Grant RO1 MH26104.Received his Ph.D. from the University of California, Berkeley. Current interests are cross-cultural research and psychotherapy research, especially the impact of race on psychotherapy process and outcome.     

B. reviews and notes of recent bibliographies

i. Oman and Southeastern Arabia: A Bibliographic Survey. By Michael Owen Shannon. Boston, Mass., G.K.Hall & Co., 1978. pp.xvi, 165. $18.00.

ii. Türk Dili ve Edebiyati Ansiklopedisi: Devirler/Isimler/ Eserler/Terimler. Istanbul, Dergah Yayinlari, 1977. TL600 (for 2 vols.).

iii. Arab‐Israeli conflict: a historical, political, social and military bibliography. By Ronald M.De Vore. Oxford, Clio Press, 1976, pp.273. £10.45.

Conflict in the Middle East from October 1973 to July 1976: a selected bibliography. By Michael Rubner. Los Angeles, Center for the Study of Armament and Disarmament, California State University, 1977. pp.83. $3.00.

The Palestine Question: a select bibliography. Compiled from the holdings of the Dag Hammarskj?ld Library, United Nations. New York, United Nations, 1976. pp.63. £3.25 (Distributed in the U.K. by H.M.S.O.).

iv. Middle East Contemporary Survey: Volume I 1976–77.

Edited by Colin Legum. Tel Aviv, Shiloah Center for Middle Eastern and African Studies, University of Tel Aviv, and New York and London, Holmes and Meier, 1978. pp.xxiv, 684. £32.50.

v. The Modern Middle East: A Guide to Research Tools in the Social Sciences. By Reeva S.Simon. Boulder, Colorado, Westview Press, 1978. pp.xv, 283. £6.10.

vi. Gustav Meisels, Reference Literature to Arabic Studies, a bibliographical guide. Tel Aviv, University Publishing Projects Ltd., 1978. pp.xiv + 251.

vii. Saudi Arabia (World Bibliographical Series Vol.5).

Compiled by Frank A.Clements. Oxford and Santa Barbara, Clio Press, 1979. pp.xiv, 195. £16.75.

viii. The Records of the British Residency and Agencies in the Persian Gulf. IOR R/15. (India Office Records: Guides to Archive Groups). By Penelope Tuson. London, India Office Library and Records, 1979. pp.xix, 188. Pl.6. Index. £21.95.

ix. Modern Syria: An Introduction to the Literature. Compiled by C.H.Bleaney. Durham University, Centre for Middle Eastern and Islamic Studies (Occasional Papers Series, no.6). 1979. £4.00.

x. The Encyclopaedia of Islam. New Edition: Encyclopédie de 1'Islam. Nouvelle édition. Index to Volumes/aux [sic: read ‘des‘] Tomes I‐III. Compiled by/Établi par H.& J.D. Pearson. Edited by/Publié par E.van Donzel. Leiden, Brill/Paris, G.P.Maisonneuve & Larose S.A., 1979. pp.viii, 195. 60 guilders.