Impact of Pain on Cognitive Function in Forensic Neuropsychology Context

Chronic pain is a biopsychosocial condition with a complex neuroscientific and neuropsychological literature. Common types of pain that are seen in the medicolegal context include headaches and musculoskeletal and neuropathic pain, all of which are known to affect neuropsychological test results. Differentiating between the cognitive impact of pain and the effects of traumatic brain injury and other factors, such as emotional distress or fatigue, is often challenging, especially in forensic determinations. Cutting through the polarization of forensic examiners’ opinions on the significance and nature of chronic pain impact on neuropsychological function with research evidence can make neuropsychological assessments more objective and defensible in court. This review focuses on surveying and integrating the available vast empirical evidence from neuroscience and neuropsychology regarding the cognitive impact of chronic pain. Our critical review will emphasize the implications of the new evidence for the forensic assessment determinations regarding causality, diagnosis, impact on function, and prognosis and treatment. To this end, electronic search engines, including PubMed, PsycINFO, and Google Scholar (up to January 2018), have been screened and reviewed both for the neuroscience and neuropsychological literature related to chronic pain, and subsequently updated for content and referencing.     

A Non-Essentialist Version of Legal Pluralism

The concept of legal pluralism has been touted by many socio-legal scholars as a key concept in the analysis of law. Yet, after almost twenty years of such claims, there has been little progress in the development of the concept. This article will argue that the underlying cause of this lack progress lies in the fact that promoters of the concept have relied upon function-based, essentialist concepts of law. It will describe the problems generated by such concepts and, following this general analysis, will review the versions of legal pluralism articulated by Boaventura de Sousa Santos and Gunther Teubner. The critique of their versions of legal pluralism will lead into the posing of a non-essentialist alternative which avoids the conceptual problems of prevailing versions of legal pluralism, and provides a better tool for purposes of research and analysis of the relationship between law and society.     

Assessment of the cause and mode of death of victims of a mass industrial accident in the Halemba coal mine

On 21 November 2006 in the Halemba coal mine, Ruda ?l?ska, a mass industrial accident occurred. The underground catastrophe was probably due to combustion of methane followed by explosion of pulverised coal and resulted in death of twenty-three miners. The occurrence has been acknowledged to be one of the most serious accidents in Polish mining industry. Post-mortem examinations of the deceased were carried out in Department of Forensic Medicine, Medical University of Silesia, and in some cases additional dissecting techniques were employed. Photographs were taken as well as numerous specimens for various laboratory tests were collected. Toxicological analyses of blood samples revealed high levels of carboxyhaemoglobin saturation in seventeen cases, and detected presence of methane in the lungs of seven individuals, whereas microscopic specimens mainly showed lesions characteristic of putrefaction. The post-mortem procedures eventually allowed to establish the cause of death of all victims. The authors attempt to determine a range of requisite medico-legal proceedings and examinations that should be carried out in case of a mass industrial accident, and emphasise the need for development of appropriate guidelines.     

Fertility control in historical China revisited: New methods for an old debate

We revisit the debate over the deliberate control of reproduction in historical China through a reanalysis of data from the Qing (1644–1911) Imperial Lineage that accounts for physiological or other differences between couples that affected their chances of having children. Even though studies of contemporary and historical European fertility suggest that failing to control for such differences may obscure evidence of parity-specific control, previous studies of historical Chinese fertility have not accounted for them. We show that in the Lineage, failure to account for such differences leads the association between the number of children already born and the chances of having another birth to appear to be positive, but that once they are accounted for properly, the relationship is inverted. Based on this, we conclude that lineage members adjusted their reproductive behavior based on the number of children. We also show that the sex composition and survival of previous births affected reproductive behavior. We conclude by suggesting that one way forward in the ongoing debate over fertility control in historical China is through application of such methods to other datasets and comparison of results. We also suggest that progress in the debate over fertility in historical China has been impeded by confusion over the definition of fertility control, so that some behaviors are recognized as fertility control by some parties in the debate but not others.     

The theory of cardiac lesions from blunt chest injury

The main theories of myocardial lesions associated with a blunt chest injury proposed starting from the XIXth century till the present time are considered based on the overview of the literature data. It is shown that the theory of selective mechanical activation of ATP-dependent K+ channels is most promising for further investigations into the mechanisms of myocardial dysfunction resulting from blunt chest injuries. The authors emphasize the absence of the universally accepted theory explaining the mechanism behind traumatic cardiac troubles and its fatal outcome despite numerous studies of cardiac lesions in patients with a blunt chest injury. It dictates the necessity of further research, both clinical and experimental, for a deeper insight into the problem.     

The folly of “aid for stabilisation”

Over the last two decades, billions in aid money has been spent in highly insecure regions of conflict affected states in the hope that aid would lead to less violence and more stability. A recent wave of academic work on the impact of aid on violence has now amassed convincing empirical evidence that this hope is futile. Aid injected in highly insecure regions, where violence is a reality and insurgents retain some capacities, will increase, not dampen violence. This essay first provides a summary of the findings of the recent empirical literature. It then demonstrates that two causal mechanisms – predation and sabotage – explain why aid in highly insecure settings will likely lead to less, not more, stability. The essay then exemplifies these two causal mechanisms, using original qualitative and quantitative data from Afghanistan. It ends with a discussion of the implications for donors engaged in countries affected by conflict.     

Seizures of Clandestinely Produced Tablets in Santa Catarina,Brazil: The Increase in NPS from 2011 to 2017

Ecstasy is the name given to a large group of substances known as “club drugs” traded in the form of tablets, powder and liquid that present a varied composition, including mainly 3,4-methylenedioxymethamphetamine (MDMA) and analogous substances, in addition to the growing presence of new psychoactive substances. Based on this, clandestinely produced tablets (“ecstasy tablets”) seized by police in Santa Catarina in the period from 2011 to 2017 were analyzed. During the study period, 3472 seizures occurred, which resulted in total 498,443 tablets seized. Seventy nine substances were identified. In the year 2011, about 90% of the tablets contained MDMA. This number decreased to 66.6% in 2017. On the other hand, there was an increase in the number of tablets that mainly contained synthetic cathinones, as well as tryptamine and piperazine derivatives. Police seizures in the metropolitan region of Florianópolis and on the coast prevailed over the rest of the state.     

Do Job Corps performance measures track program impacts?

Since the 1993 Government Performance and Results Act, performance measurement systems based on short‐term program outcomes have been increasingly used to assess the effectiveness of federal programs. This paper examines the association between program performance measures and long‐term program impacts, using nine‐year follow‐up data from a recent large‐scale, national experimental evaluation of Job Corps, the nation's largest federal job training program for disadvantaged youths. Job Corps is an important test case because it uses a comprehensive performance system that is widely emulated. We find that impacts on key outcomes are not associated with measured center performance levels. Participants in higherperforming centers had better outcomes; however, the same pattern holds for comparable controls. Thus, the performance measurement system is not achieving the goal of ranking and rewarding centers on the basis of their ability to improve participant outcomes relative to what these outcomes would have been otherwise. © 2008 by the Association for Public Policy Analysis and Management.