Clinical forensic examination findings and legal outcome in cases of suspected physical child abuse

Clinical forensic examinations performed at the Institute of Legal Medicine of the Hanover Medical School between 1999 and 2008 in cases of suspected physical abuse of children were analyzed retrospectively with special emphasis on the legal consequences. Altogether, 192 children (85 girls, 107 boys) with a median age of 4.4 years were examined. In 47 cases (24.5 %), the clinical forensic examination findings were interpreted as accidental injuries, birth traumas or unspecific findings. 29 victims (20.0 %) had suffered a shaken baby syndrome. Only part of the presented cases ended with conviction, which was more likely if the victims were aged between 7 and 11 years. Prison terms of 2 years and more were imposed only if the child suffered potentially or acute life-threatening injuries or if additional anogenital lesions were diagnosed indicating sexual child abuse.     

Increased adrenaline to noradrenaline ratio is a superior indicator of antemortem hypothermia compared with separate catecholamine concentrations

The significance of urinary catecholamines and small gastric mucosal bleedings, Wischnewsky's spots, in postmortem diagnosis of hypothermia deaths was evaluated. Autopsy cases (n=358) were divided into hypothermia, suspected hypothermia, and control groups. The catecholamine levels did not correlate with the length of the postmortem period. The adrenaline to noradrenaline ratio was most effective in detecting hypothermia (68.9% sensitivity, 78.1% specificity). The median adrenaline concentrations were significantly higher in hypothermia than in control groups. The control group containing mostly sudden cardiac deaths with no cold exposure had a noradrenaline level comparable to the hypothermia groups. The sensitivity and specificity of determining Wischnewsky's spots in hypothermia deaths were 63.9% and 88.3%, respectively. The adrenaline to noradrenaline ratio is more suitable in proving antemortem cold stress than either of these independently, and its diagnostic value is comparable to that of Wischnewsky's spots.     

Personality and Turnout: Results from the Finnish Longitudinal Studies

Scholars in the field of electoral participation have for long been aware that turnout is strongly connected to sociopsychological variables such as religiosity, party identification, political interest and sense of political efficacy. The impact of personality characteristics has remained largely unexplored until recently. Based on the Jyväskylä Longitudinal Study of Personality and Social Development (JYLS, original N = 369), this article analyses the links between individuals' personality traits and their propensity to vote at ages 36, 42 and 50. The personality traits are measured by using the five‐factor model of personality consisting of extraversion, agreeableness, conscientiousness, neuroticism and openness to experience. The results show both extraversion and agreeableness to be positively associated with electoral participation, but the findings are not consistent at all ages. Finally, the analysis suggests that the effect of extraversion varies depending on the level of education. Whereas well‐educated people are more prone to be habitual voters regardless of their level of extraversion, among less‐educated respondents it has a more sizeable effect.     

Cardiac Changes Due to Electronic Control Devices? A Computer‐Based Analysis of Electrical Effects at the Human Heart Caused by an ECD Pulse Applied to the Body's Exterior

Electronic control devices (ECDs) deliver high‐voltage, low‐current energy pulses temporarily paralyzing a person. For the ECD–human interaction, we have developed a computer model using the SEMCAD program within which to simulate the electrical effects throughout the body resulting from the imposition of an ECD pulse at a particular point on the body surface. Our human body models were based on cross‐sectional MRIs and CT scans, with the dielectric properties of the various tissues assigned based on previously published values. We simulated the application of a single ECD pulse and calculated the resulting electric field strength and current and charge densities at different body locations. The results were compared with corresponding values obtained by other researchers in similar simulations. Furthermore, we simulated an application of a pulse of 20‐millisecond duration equal to the European household current of 50 Hz and to the ventricular fibrillation threshold. The resulting current level indicated at the heart muscle was 1/5 the level considered the threshold for triggering ventricular fibrillation.     

The Strategic Nature of Compliance: An Empirical Evaluation of Law Implementation in the Central Monitoring System of the European Union

This compliance study models correct and timely implementation of policies in a multilevel system as a strategic game between a central monitoring agency and multiple implementers and evaluates statistically the empirical implications of this model. We test whether compliance is determined by the anticipated enforcement decision of the monitoring agency and whether this agency is responsive to the probability of enforcement success and the potential sanctioning costs produced by noncomplying implementers. Compared to other monitoring systems, the centralized monitoring system of the European Union (EU) is praised for exemplary effectiveness, but our findings reveal that the monitoring agency refrains from enforcing compliance when the probability of success is low, and the sanctioning costs are high. This results in a compliance deficit, even though the selective enforcement activities of the monitoring agency are almost always successful before court.     

Effectiveness of cognitive remediation for female inmates: a pilot study

There is considerable evidence that neurocognitive deficits are frequent among incarcerated offenders. However, current correctional programming does not directly seek to remediate deficits in offenders’ neurocognitive deficits. In this pilot project, we sought to treat neurocognitive deficits in incarcerated Portuguese adult women offenders (n?=?28) using cognitive remediation to target cognitive flexibility, memory, and planning. Statistically significant positive changes, with medium to large effect sizes, were discovered across several neurocognitive domains, including attention, speed of processing, verbal learning and memory, cognitive flexibility, and planning. We also found a decrease in the negative emotional states of depression, anxiety, tension/stress, and on disturbed behavior in prison. Cognitive remediation has the potential to enhance the neurocognitive functioning of incarcerated women. Controlled research is needed to establish cognitive remediation fully as an intervention for the treatment of neurocognitive deficits of incarcerated women.     

Education,experience and earnings: the career coordinates of female vis-à-vis male police officers in Finland

This study compares the careers of female and male police officers using the common criteria of career success: education, experience, rank, and earnings. The data come from the Police Personnel Barometer 2010-survey, which targeted the entire Finnish police force (N/population?=?7350/11,028). The accumulation of work experience (by age) appears to be slower among female than among male police officers. Female police officers acquire their higher police degrees slightly later during their career than male police officers. Towards the end of the career, male police officers are ahead of females in both rank and earnings. Using comprehensive data from one of the most equal societies in the world, and robust statistical methods, the current paper thus demonstrates that it is very difficult the get rid of the career bias between female and male police officers.     

Assessing reliability, validity, and clinical utility of the BEST-Index in measuring living skills among forensic inpatients

The assessment of behavioral change as a result of inpatient treatment in forensic psychiatry is an important precondition for violence risk prediction in forensic psychiatry. In relation to a multitude of diagnostically based risk assessment instruments, there is a shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments that are behaviorally based and therefore appropriate for use within varied psychiatric contexts. There is also a need for instruments which will offer assessors the opportunity to examine possible relationships between criteria of social risk and criteria of more general aspects of social functioning. Tapping the issues pointed out above, the authors present an overview of a normatively based social profiling instrument (the BEST-Index), and discuss evidence for its validity, reliability, and aspects of clinical utility.     

Sexual dimorphism in human browridge volume measured from 3D models of dry crania: A new digital morphometrics approach

Sex estimation from the human skull is often a necessary step when constructing a biological profile from unidentified human remains. Traditional methods for determining the sex of a skull require observers to rank the expression of sexually dimorphic skeletal traits by subjectively assessing their qualitative differences. One of these traits is the prominence of the glabellar region above the browridge. In this paper, the volume of the browridge region was measured from digital 3D models of 128 dry crania (65 female, 63 male). The 3D models were created with a desktop laser scanner, and the browridge region of each 3D model was isolated using geometric planes defined by cranial landmarks. Statistical analysis of browridge-to-cranium volume ratios revealed significant differences between male and female crania. Differences were also observed between geographically distinct populations, and between temporally distinct populations from the same locale. The results suggest that in the future, sex determination of human crania may be assisted by quantitative computer-based volume calculations from 3D models, which can provide increased objectivity and repeatability when compared to traditional forensic techniques. The method presented in this paper can easily be extended to other volumetric regions of the human cranium.     

Massive systemic fat embolism detected by postmortem imaging and biopsy*

Postmortem computed tomography (pmCT) and pmCT angiography (pmCTA) provide a minimally invasive method to determine the cause of death. Postmortem image-guided biopsy allows for precise sampling of histological specimens. This case study describes the findings of lethal systemic fat embolism (FE) on whole-body unenhanced pmCT, pmCTA, and image-guided biopsy, with autopsy and histopathologic correlation. Unenhanced pmCT revealed a distinct fat level on top of sedimented layers of corpuscular blood particles and serum in the arterial system and pulmonary trunk. Subsequent pmCTA showed reproducible results, and image-guided biopsy confirmed fatal FE. pm CT/pmCTA combined with image-guided biopsy established the cause of death as right heart failure as a result of systemic fatal FE prior to autopsy. All imaging findings were consistent with traditional autopsy and histological specimens. This unique case demonstrates new imaging findings in massive, fatal FE and highlights that postmortem imaging, supplemented by image-guided biopsy, may detect the cause of death prior to traditional autopsy.