Clinical forensic medicine

This article discusses the merits of participation by medical examiners in the area of clinical forensic medicine. The present connotation that we deal after the fact should be abandoned with enhanced involvement in assisting the living. The paper focuses on a broad range of categories where forensic scientists by virtue of their training and experience could be most helpful in the application of medical knowledge to the solution of questions of law.     

A Hazy Concept of Equality

K.B. is a woman working for the United Kingdom National Health Service (NHS) with a transsexual male partner. Her partner's male gender was not legally recognised in the United Kingdom and consequently they could not marry. Whilst the NHS pension scheme provides for the payment of a survivor's pension, this is only in respect of married partners. The European Court of Justice held that the combination of circumstances that prevented K.B.'s partner from receiving the survivor's pension amounted to sex discrimination in pay contrary to Article 141 of the Treaty establishing the European Community. At first sight, this decision appears to represent a strengthening of the concept of gender equality in European Union law. Yet, the reasoning provided by the Court lacks clarity and coherence. Moreover, the reach of equality is compromised by the Court's determination to exclude any confrontation with the privileged status of heterosexual marriage. This revised version was published online in July 2006 with corrections to the Cover Date.     

Idiopathic precocious puberty in girls: Psychosexual development

A promising model syndrome for the examination of the role of physical maturation in the development of female sexuality is idiopathic precocious puberty (IPP). In this first controlled study of psychosexual development in IPP females, 16 females between 13 and 20 years of age with a history of IPP were compared to 16 control subjects with a history of normal puberty pair-matched to the index subjects on the basis of sex, race, age, socioeconomic level, and menarcheal status. The psychosexual history and the current psychosexual status were assessed by a systematic half-structured interview. The IPP females on average passed the psychosexual milestones at an earlier age than their normal maturing peers, with a particularly early onset of masturbation. Those who were sociosexually active tended to report a higher total orgasmic outlet and a higher sex drive. There was no increase in homosexuality among IPP girls. The timing of puberty has a (modest) influence on psychosexual development in females.This work was supported by NIMH Center Grants MH 30906-01A and MH 30906-03 and by a grant from the Spencer Foundation.     

Framing and dominant metaphors in the coverage of North Korea in the Australian media

Through the selective allocation of attention, framing and metaphors in covering foreign affairs and countries, media narratives often act to delegitimise, marginalise and demonise international actors. Focusing on Australian reportage of North Korea in The Australian, The Sydney Morning Herald and from the Australian Broadcasting Corporation (ABC) between 1 January 2010 and 31 December 2012, this paper explicates how the framing mechanisms utilised in media point to media complicity in reinforcing a negative, adversarial orientation towards North Korea. It also discusses implications for how Australians view the North Korean people, Australian–North Korean relations, and policy pertaining to Northeast Asia more broadly.     

The Application of Remote Sensing for Detecting Mass Graves: An Experimental Animal Case Study from Costa Rica*

Abstract: Detection of mass graves utilizing the hyperspectral information in airborne or satellite imagery is an untested application of remote sensing technology. We examined the in situ spectral reflectance of an experimental animal mass grave in a tropical moist forest environment and compared it to an identically constructed false grave which was refilled with soil, but contained no cattle carcasses over the course of a 16‐month period. The separability of the in situ reflectance spectra was examined with a combination of feature selection and five different nonparametric pattern classifiers. We also scaled up the analysis to examine the spectral signature of the same experimental mass grave from an air‐borne hyperspectral image collected 1 month following burial. Our results indicate that at both scales (in situ and airborne), the experimental grave had a spectral signature that was distinct and therefore detectable from the false grave. In addition, we observed that vegetation regeneration was severely inhibited over the mass grave containing cattle carcasses for up to a period of 16 months. This experimental study has demonstrated the real utility of airborne hyperspectral imagery for the detection of a relatively small mass grave (5 m²) within a specific climatic zone. Other climatic zones will require similar actualistic modeling studies, but it is clear that the applications of this technology provide the international community with both an early detection tool and a tool for ongoing monitoring.     

Assessing the Risk of Future Psychological Abuse: Predicting the Accuracy of Battered Women’s Predictions

Building on a handful of studies demonstrating battered women’s accuracy in assessing their risk of being physically reabused, this study examined how accurately victims assess their risk of future psychological abuse. Participants’ ratings of the likelihood that their partner would engage in controlling/dominance behaviors or efforts to humiliate/degrade them in the coming year and their reports 18 months later of whether this had actually occurred were used to create a four category version of accuracy (true positive, false positive, true negative, false negative). Victims were more likely to be right than wrong in their assessments of risk; PTSD symptoms, the recency of physical violence, and the degree of stalking and psychological abuse in the relationship predicted membership in the four accuracy categories. These findings overlap considerably with those examining victim accuracy in predicting physical abuse and inform ongoing debates about the value of incorporating victims’ insights into risk assessment efforts.

(Re)Connecting the Global and Local: Europe's Regional Seas

One of the challenges to sustainable development is the disconnection between environmental impacts and their underlying causes. Whilst impacts are often localized and perceptions limited accordingly, sources can often be traced to broader factors, and there is a need for methodologies to establish these linkages between localized effects and global causes. Europe's Regional Seas provide a useful illustration, characterized by a variety of ecological problems influenced by a range of local and wider factors within complex ecosystems. The Driver-Pressure-State-Impact-Response (DPSIR) model is one methodology used to establish connections between ecological conditions and human activity. Whilst there are some significant challenges in developing and using such models, they deepen understanding of ecological systems and the influences of socio-economic forces on them. In particular, they can help in contextualizing the apparent effectiveness of regulatory interventions and understanding the role that the forces of globalization play in creating localized ecosystem degradation.     

Health and occupational consequences of spouse abuse victimization among male U.S. Army soldiers

Little is known about health and occupational outcomes of male spouse abuse victims. In all, 11,294 male spouse abuse victims with a history of spouse abuse perpetration, 3,277 victims without prior spouse abuse perpetration, and 72,855 nonvictims and nonperpetrators were followed for 12 years to assess army attrition and hospitalization risk. In multivariate Cox models controlling for age, race, education, rank, service time, and dependents, victims were at significantly greater risk for early army discharge and hospitalization than were nonvictims- particularly hospitalizations for depression, alcohol dependence, and mental health-even when the hospitalization occurred years after the abuse event. Victim-perpetrators had greater risk than did victim-nonperpetrators for both attrition (1.13, 95% confidence interval [CI] = 1.08-1.18; 1.05, 95% CI = 1.02-1.08, respectively) and hospitalizations (1.45, 95% CI = 1.38-1.52; 1.38, 95% CI = 1.27-1.49, respectively). College education was protective and deserves further inquiry. Male victims need greater support following spouse abuse.     

Disability,Reasonable Accommodation and the Employer's Obligations: Nano Nagle School v Daly

The duty on employers to provide reasonable accommodation is a well-established component of disability discrimination legislation, yet it continues to generate litigation in many jurisdictions. This article examines a recent decision of the Irish Supreme Court concerning the extent of the employer's obligations where, after having acquired an impairment, a worker is no longer able to perform all of the functions of her original job. The case also addressed the question of what procedures should be followed by an employer when considering the provision of reasonable accommodation, as well as the need for courts to justify awards of compensation. The issues in Irish law were intertwined with obligations arising from EU and international law instruments. Therefore, the decision is pertinent for other jurisdictions confronting similar challenges.