Cardiac conducting tissue. A simplified technique for examination of the SA and AV nodes

We describe a modified method for examination of the atrioventricular and sinoatrial nodes that displays the major elements of the cardiac conducting system, yet is not time-consuming for the technician. We examined 31 cases in three categories: cases with previous cardiac history, sudden deaths from no known cause, and cases where death was sudden and accidental. All cases showed histologic abnormalities in the cardiac tissue. We contend that our method would permit such examination to be routinely used in the pathology laboratory.     

Justice Excused: The Deployment of Law in Everyday Political Encounters

This paper examines the use of legal claims by government officials and citizens in everyday political encounters involving civil rights. Data come from 580 letters sent to the federal government between 1939 and 1941, and from the replies sent by the newly formed Civil Rights Section of the Justice Department. In almost every case, the department refused to intervene and explained its refusal by making legal claims about federal jurisdiction. These legal claims masked the department's discretionary choices and thus helped depoliticize the encounters. Surprisingly, however, a substantial number of letter writers challenged the government's legal claims by deploying their own legal and moral arguments. The willingness of these citizens to challenge official legal pronouncements cautions against making broad generalizations about the capacity of ordinary people to respond effectively when government officials deploy legal rhetoric.     

Institutionalized Knowledge Challenges in Pesticide Governance: The End of Knowledge and Beginning of Values in Governing Globalized Environmental Issues

This paper looks at the particular challenges that cross-level interdependence has for the use of knowledge in decision-making for environmental governance. Analytical questions surrounding knowledge generation, use, and flow and the role of institutions in shaping these arise in a multi-level context. By using results from a study on pesticide use in developing countries, some of the particular challenges in relying on scientific knowledge for governance of globalized environmental issues are illustrated. The case involves a situation with significant mismatches between access to and need for knowledge by decision-makers at the different governance levels. The exploration of various strategies to address such mismatches allow discussions not only on the role of knowledge and institutional design but also their limitations and how more inclusive values would serve a system of multilayered governance.     

Influence of Perpetrators' Account on Nurses' Recognition and Reporting of Child Abuse

Suspected perpetrators may attempt to influence the professional's recognition and reporting of child abuse by providing an account that explains or justifies their behavior or the child's injury. A factorial survey design was employed in which a random sample of nurses (N = 1038) judged vignettes that included systematic variations of types of accounts and selected case characteristics. In comparison to the other characteristics of the case, perpetrator accounts had little impact on nurses recognition and reporting of child abuse. Only two types of accounts influenced the nurses' responses, and from the perspective of the suspected perpetrator they backfired, resulting in greater recognition and reporting of abuse. Interaction terms constructed of accounts and situational variables had little impact on nurses' judgments when sexual abuse was involved, but resulted in both higher and lower recognition and reporting scores when physical and emotional acts were judged.     

The Lawyer's Amoral Ethical Role: A Defense, A Problem, and Some Possibilities

This essay presents a moral justification for the current generally accepted amoral ethical role of the lawyer. The justification is premised primarily upon the values of individual autonomy, equality, and diversity. Based upon these values, the author argues that the amoral role is the correct moral stance for the lawyer as a professional, is a "good" role. The essay then responds to two of the most frequent criticisms of that moral stance: the first based upon economic inequality and the fact that lawyers'services must be purchased; the second based upon the absence of the "adversary system" context for most lawyer work. The author then elaborates a serious problem created by the conjunction of the amoral role and the dominant legal philosophy of American lawyers, "legal realism." If the limit on a lawyer's conduct under the traditional amoral role is the law, then the realist emphasis on the indeterminacy and manipulability of "law" leave the lawyer in a difficult moral position. Finally, a series of possibilities are presented to deal with this problem, the most promising of which is the "moral dialogue" between lawyer and client as an adjunct to the amoral role.