Nurses, midwives and the requirement for "appropriate" professional indemnity insurance

The Health Practitioner Regulation National Law Act 2009 (the National Law) imposes the obligation on nurses and midwives to have appropriate professional indemnity insurance coverage as a condition of applying for, or renewing, their registration to practise in Australia. The National Law also empowers the Nursing and Midwifery Board of Australia to develop a registration standard and guidelines in relation to professional indemnity insurance and to enforce compliance through the registration process. Though not previously a requirement for their registration, nurses and midwives must now understand the nature and extent of the professional indemnity insurance under which they practise and declare that they will not practise their profession unless they have appropriate professional indemnity insurance arrangements which cover the full scope of their practice. This column provides an overview of the obligations and responsibilities imposed on nurses and midwives under the National Law and the Nursing and Midwifery Board of Australia's registration standard and guidelines. It is imperative that nurses and midwives understand the National Law provisions and the standard and guidelines developed by the Board before making decisions about their professional indemnity insurance and self-declaring that they have "appropriate" professional indemnity arrangements in place.     

A Retrospective Study of the Investigation of Homicidal Childhood Asphyxial Deaths

As one of the leading causes of traumatic deaths in newborns, infants, and young children, there is no anatomic or microscopic feature that is pathognomonic for asphyxial deaths. Instead, pathologists rely on investigation information, including confessions and/or witness statements, and potential evidence at the scene. Twenty cases of homicidal newborn, infant, and young children asphyxial deaths were reviewed, which included death and police investigation reports and autopsy reports, as well as histology slides of lung sections. This series of homicidal asphyxial deaths highlight that, in a vast majority of such cases, the final cause and manner of death rulings are dependent on confession by the perpetrator. Furthermore, this series highlights the possible role of histology to help forensic pathologists better certify asphyxial deaths. Finally, this series emphasizes important investigation points and considerations at autopsy during the investigation of asphyxial deaths in newborns, infants, and young children.     

Planning Ahead? An Exploratory Study of South Korean Investigators’ Beliefs About Their Planning for Investigative Interviews of Suspects

Preparation and planning has been argued to be vitally important as to how effectively investigators undertake their interviews with suspects. Yet, it has also been found in previous research that investigators admit that they plan only occasionally, often attributing insufficient time as a reason for not undertaking the task. Employing a novel research paradigm that utilised theoretical foundations concerning planning, the present study explored empirically 95 South Korean financial crime investigators’ views, using a self-administered questionnaire. With the use of second-generation statistical modelling, an understanding was developed of the relative relationships between various concepts (which had themselves emerged from an established theoretical framework of planning that had been further extended to accommodate the context of the present study). The study found that perceived time pressures actually showed a very low association with interview planning. Rather, investigators’ self-belief as to their own capability alongside workplace culture was each found to have stronger associations with investigators’ intentions to plan for their interviews. As such, we argue that there should be more focus on improving occupational culture relating to interview planning, while developing training programs that identify, evaluate, and enhance investigators’ planning skills. Implications for practice are therefore discussed.     

Examining the Relationship Between the Structural Characteristics of Place and Crime by Imputing Census Block Data in Street Segments: Is the Pain Worth the Gain?

Objective

The current study proposes unique methods for apportioning existing census data in blocks to street segments and examines the effects of structural characteristics of street segments on crime. Also, this study tests if the effects of structural characteristics of street segments are similar with or distinct from those of blocks.

Methods

This study compiled a unique dataset in which block-level structural characteristics are apportioned to street segments utilizing the 2010 U.S. Census data of the cities of Anaheim, Santa Ana, and Huntington Beach in Orange County, California. Negative binomial regression models predicting crime that include measures of social disorganization and criminal opportunities in street segments and blocks were estimated.

Results

The results show that whereas some of the coefficients tested at the street segment level are similar to those aggregated to blocks, a few were quite different (most notably, racial/ethnic heterogeneity). Additional analyses confirm that the imputation methods are generally valid compared to data actually collected at the street segment level.

Conclusions

The results from the street segment models suggest that the structural characteristics from social disorganization and criminal opportunities theories at street segments may operate as crucial settings for crime. Also the results indicate that structural characteristics have generally similar effects on crime in street segments and blocks, yet have some distinct effects at the street segment level that may not be observable when looking at the block level. Such differences underscore the necessity of serious consideration of the issues of level of aggregation and unit of analysis when examining the structural characteristics-crime nexus.

     

Testing Reliability of the Computational Age‐At‐Death Estimation Methods between Five Observers Using Three‐Dimensional Image Data of the Pubic Symphysis,

In an effort to standardize data collection and analysis in age estimation, a series of computational methods utilizing high‐dimensional image data of the age indicator have recently been proposed as an alternative to subjective visual, trait‐to‐phase matching techniques. To systematically quantify the reproducibility of such methods, we investigate the intrascan variability and within‐ and between‐observer reliability in initial scan data capturing and editing using 3D laser scans of the Suchey–Brooks pubic symphysis casts and five shape‐based computational methods. Our results show that (i) five observers with various training background and experience levels edited the scans consistently for all three trials and the derived shape measures and age estimates were in excellent agreement among observers, and (ii) the computational methods are robust to a measured degree of scan trimming error. This study supports the application of computational methods to 3D laser scanned images for reliable age‐at‐death estimation, with reduced subjectivity.     

Windows 7 Antiforensics: A Review and a Novel Approach

In this paper, we review literature on antiforensics published between 2010 and 2016 and reveal the surprising lack of up‐to‐date research on this topic. This research aims to contribute to this knowledge gap by investigating different antiforensic techniques for devices running Windows 7, one of the most popular operating systems. An approach which allows for removal or obfuscation of most forensic evidence is then presented. Using the Trojan software DarkComet RAT as a case study, we demonstrate the utility of our approach and that a Trojan Horse infection may be a legitimate possibility, even if there is no evidence of an infection on a seized computer's hard drive. Up‐to‐date information regarding how forensic artifacts can be compromised will allow relevant stakeholders to make informed decisions when deciding the outcome of legal cases involving digital evidence.     

Rethinking Colonialism and the Origins of the Developmental State in East Asia

Previous studies on economic development in East Asia focus exclusively on the recent period (since the 1960s) and posit that East Asian “miracles” were largely a result of the state's exceptional capacity to implement consistent industrial policy. Yet, they neglect the question of the origins of the developmental state. To confront this neglect, this article makes a macro-historical comparison between Northeast and Southeast Asia, highlighting colonialism, the role of income inequality, and subsequent socio-economic transformations. It is argued that a crucial historical phase for new economic trajectory was the decolonisation period when East Asian countries had an opportunity to break away from negative colonial legacies. This article sheds new light on the ways in which colonialism shapes long-term economic development in East Asia.     

Power and Cognitive Accuracy in Local Emergency Management Networks

Using network power bases and cognitive accuracy concepts, this study examines two local emergency management network changes. The authors review five power bases—structural-based, resource-based, actor-based, cognitive-based, and political-based power—to explore the perceived power of network actors. Three research propositions are proposed with respect to the relationship between the network power bases and the cognitive accuracy of network participants. The authors find that political-based power is strongly correlated with perceived power. The article concludes with future research questions and directions for advancing current scholarship on emergency management networks.     

A 25-year retrospective review of deaths due to pediatric neglect

Neglect, defined as the failure of a caregiver to adequately provide safety, food, clothing, shelter, education, protection, medical/dental care, and supervision for a child in his/her care, is a relatively uncommon but important cause of child mortality. A retrospective review of pediatric deaths (age 18 years or less) referred to the Medical University of South Carolina Forensic Pathology Office for autopsy over the past 25 years revealed 16 deaths due to some type of pediatric neglect. Cases were analyzed as to age, sex, race, cause and manner of death, autopsy findings, ancillary studies, past medical history, social/family history, and caregiver. Six cases of malnutrition/starvation and/or dehydration were identified, composing the most common cause of death in the neglect cases identified and the majority of the homicides due to neglect. Other deaths in which neglect contributed significantly included toxic ingestions (2 cases), hyper-/hypothermia (2 cases), unusual drowning/aspiration (4 cases), electrocution (1 case), and delayed/absent medical therapy (2 cases, including one of the previously mentioned ingestions). Of these additional cases, 7 were certified as accidental manner, 2 as natural, and 1 as a homicide. Cases which fell into a "gray zone" in which the appropriateness of invoking neglect was a matter of opinion or societal convention were excluded from the review; examples included conventional accidental drowning, choking on food or aspiration of foreign body, overlying/wedging during sleep, accidental hanging, and motor-vehicle traffic accidents (pedestrians, unrestrained passengers). The findings of this review reinforce the fact that malnutrition/starvation and dehydration compose the most common form of lethal pediatric neglect while highlighting less common forms of neglect and the difficulty of determining manner of death in cases in which neglect plays a more questionable role than in seemingly clear-cut malnutrition/starvation and dehydration cases. We demonstrate the typical victim and scenario that investigators will encounter in cases of fatal pediatric neglect, often a child under the age of 1 year who has been deprived of food and/or drink for some time, or an older, more independently mobile child who has not been adequately supervised. These children may or may not have a demonstrable prior history of maltreatment or (nonfatal) neglect, and review of medical records is an important part of the investigation. We additionally discuss key gross autopsy findings, appropriate specimen collection, helpful ancillary studies, microscopic findings of significance, potential mimickers of neglect, and other special considerations in cases of pediatric neglect.