Living victims of strangulation: a 10-year review of cases in a metropolitan community

The prevalence of reported domestic violence or intimate partner violence has greatly increased, with approximately 1.5 million women violently assaulted annually in the United States by an intimate partner. Strangulation is often seen in violence against women, including domestic violence cases. Strangulation is defined as "a form of asphyxia characterized by closure of the blood vessels or air passages of the neck as a result of external pressure on the neck." This is a 10-year case review of 102 living victims of strangulation who underwent medicolegal evaluation at the Clinical Forensic Medicine Program at a State Medical Examiner's Office serving Southern Indiana and all of Kentucky. The majority of victims (79%) were strangled by an intimate partner, and manual strangulation was the most common method (83%). A total of 38 victims (38%) described a history of domestic violence, and the same number lost consciousness while being strangled. Nine (9%) women were pregnant at the time of the attack, while 13 (13%) had a history of being sexually abused in addition to being strangled. A paucity of cases involved only strangulation, as most of the victims were subjected to myriad forms of blunt force trauma which included not only the head and neck but also other bodily regions. This is a unique presentation of strangulation of living persons as most evidence of strangulation in the forensic literature has been derived from postmortem examinations of the victims. This comprehensive study discussing the examination of a living strangulation victim offers valuable insight into the mechanism and the physical findings involved in the strangulation process.     

Information provision as agenda setting: A study of bureaucracy's role in higher education policy

Many drivers of agenda setting have been considered in political science, yet the bureaucracy has been largely absent from these discussions. This article challenges that tendency by arguing that bureaucracies provide information and analysis to legislatures early in the policy process, which then affects the bills that are introduced and eventually adopted. I further posit that institutional forms condition the information a bureaucracy can provide, leading to the central hypothesis that highly centralized agencies have more concentrated agendas than decentralized institutions and therefore less congruence with and influence on legislative agendas. Based on a large original dataset of bureaucratic information and proposed legislation concerning higher education policy from two states with archetypal institutional forms, I analyze what kinds of information shift the attention of lawmakers to higher education topics of interest within different institutional arrangements. The findings further our understanding of the impact of institutional factors on information processing by legislatures and the role of the bureaucracy in agenda setting.     

Testing the validity of metacarpal use in sex assessment of human skeletal remains

To assess the potential of employing metacarpals in assessing sex of human skeletal remains, previous investigators have generated regression equations (Scheuer & Elkington, 1995) and linear discriminant functions (Falsetti, 1995; Stojanowski, 1999) based upon measurements from metacarpals. Results have varied in overall accuracy and which metacarpal produces the greatest accuracy. Using a contemporary sample, this study seeks to evaluate the validity of using metacarpals to assign sex by testing methodologies of previous studies. Measurements defined by previous authors were repeated on metacarpals from 23 adult cadavers and data were subjected to regression equations and linear discriminant analysis according to previous methodologies. Accuracy in sex determination from methods of Scheuer & Elkington (1993) and Falsetti (1995) were lower than originally reported while accuracy from methods of Stojanowski (1999) were higher than previously reported. These results suggest that the use of metacarpals in sex determination may be limited and should be applied cautiously.     

Children in motor vehicle collisions: analysis of injury by restraint use and seat location

This study was a retrospective chart review of hospital records and autopsy reports of 499 children nine years old or younger involved in motor vehicle collisions from 1994 to 1998. The objective was to evaluate the frequency and severity of injuries as a function of age, restraint use, and seat position. We found that 33% of the children were unrestrained and 20% were improperly restrained. Unrestrained children had the highest mean Maximum Abbreviated Injury Scores (MAIS) and Injury Severity Scores (ISS), accounted for 70% of the fatalities, and had the highest incidence of head injuries. Although most of the head injuries were superficial, 80% of the fatalities were the result of a head injury. Improperly restrained children had the highest frequency of abdominal injuries. Regardless of restraint use, the back seat was associated with fewer head injuries and lower mean MAIS and ISS scores compared to the front seat. Also, properly restrained children in the front seat had lower mean MAIS and ISS scores than unrestrained children in the back seat, suggesting that restraint use is more beneficial than seat position.     

The WTO, Science, and the Environment: Moving Towards Consistency

Governments are increasingly using taxes to address a varietyof environmental concerns. World Trade Organization (WTO) rulesrecognize that, like regulatory instruments, governments mayuse taxes for protectionist purposes. The rules are designedto prevent protectionist behaviour while allowing use of suchinstruments for genuine purposes such as environmental protection.Interestingly, however, there are some notable anomalies inthe rules arising from differential evidentiary requirementsin different situations. First, the rules are different dependingupon whether a country's measure aims to protect on one handhuman, animal, or plant health; or on the other, the environment.Second, the rules are stricter where a country's measure takesthe form of a regulation than where it takes the form of a tax.The article argues that there is no principled rationale forthe differential evidentiary requirements by instrument (regulationversus taxes) or area (health versus environment) but findsthat there may be both a historical and political economy explanation.It also discusses the desirability for consistency in WTO lawacross instruments and risk-related policy areas.     

Working in High School and Adaptation in the Transition to Young Adulthood among African American Youth

Researchers have found mixed support for documenting whether work is protective or harmful during adolescence. This study examined the association between work and problem behaviors among African American youth (N = 592; 53% female; M = 14.8 years, SD = .60) followed from mid-adolescence to young adulthood over eight Waves (90% response rate over the first four Waves and a 68% response rate across all eight Waves). We explored three competing operationalizations of work: work history (never worked, worked), work intensity (no work, 20 h or less, and 21 h or over), and work trajectories (never worked, episodic work, stopped working, late starter, and consistent worker). Non-working youth reported higher marijuana use during young adulthood than their working counterparts. Nonworkers reported lower self-acceptance during young adulthood than those working greater number of hours per week. Differences in work trajectories for cigarette use, depression, and anxiety during adolescence imply that when and for how long youth work are also important factors to explore. Our findings lend tentative support to the work benefits perspective and suggest that the association between work and problem behaviors may depend on the work measure used. We discuss the implications of employing different work measures in adolescent research.

The politics of preventing violent extremism: the case of Uganda*

Multilateral development actors have recently embraced the ‘PVE’ (preventing violent extremism) agenda. This includes consideration of PVE measures in countries like Uganda, where interpretations of non-state violence are contested and where the government has a history of strategic rent-seeking behaviour regarding counter-terrorism assistance. This article assesses the threat of terrorism and violent extremism in Uganda. We argue against a strategic reorientation towards PVE among development actors. Current and emerging threats do not justify a departure from existing development priorities. Importantly, consideration of the political context pertaining to PVE in Uganda commends a cautious approach.