Traumatic transection. An unusual fatal pedestrian injury.

Speed, alcohol, and pedestrian injuries constitute disturbing components of the spectrum of trauma in the developing world. The complete fatal transection of a pedestrian, at the level of the lower abdomen, by an oncoming automobile traveling at high speed is described. The upper torso was found inside the vehicle, whereas the lower torso was projected some distance ahead, onto the highway. An accident analysis, in order to ascertain the speed of the automobile, is demonstrated and the biodynamic mechanisms of this injury are discussed. The nature of this injury is compared with that of traumatic hemipelvectomy following which survival has been reported.     

Toxicological findings in military aircraft fatalities from 1986-1990.

Toxicological findings in all military aircraft fatalities investigated by the Division of Forensic Toxicology at the Armed Forces Institute of Pathology from 1986-1990 are presented. Carbon monoxide saturation levels greater than 10% were found in 4% of the 535 cases where appropriate specimens were collected. Positive ethanol findings were more indicative of postmortem formation than antemortem consumption. In only 1 case were abused drugs (cannabinoids in a passenger) detected. Other drugs identified included nicotine, chloroquine and over-the-counter analgesic agents, antihistamines and sympathomimetic drugs.     

GOVERNMENT PRODUCTIVITY, EFFECTIVENESS, AND PUBLIC POLICY

Marc Holzer and Stuart S. Nagel (editors) . 1984. Productivity and Public Policy .
George W. Downs and Patrick D. Larkey . 1986. The Search for Government Efficiency: From Hubris to Helplessness
Elaine Morley . 1986. A Practitioner's Guide to Public Sector Productivity Improvement .
Richard H. Silkman and Dennis R. Young with the assistance of Robert Lipp . 1985. Subsidizing Inefficiency: A Study of State Aid and Local Government Productivity .