An epidemiological assessment of problematic contacts to members of Congress

In order to assess the nature of threat assessment activity pertaining to members of Congress, 4387 cases involving threatening and other problematic contact were analyzed. The cases were studied regarding subject characteristics, articulated motives, as well as several aspects of contact behavior in relation to approach behavior. Approachers were significantly less likely to have articulated threat language prior to or during their contacts and were also less likely to have stated a policy grievance (foreign or domestic) as the source of their concern. Further, approachers were substantially more likely to have expressed help seeking requests as part of their prior and approach-related contacts and were less likely to have had racial or sexualized content within their contacts. Approachers were also significantly more likely to have had a criminal record as well as displayed symptoms suggestive of major mental illness. Subjects engaging in approach behavior were also less likely to have used an alias, were less likely to be a direct constituent of the target and were more likely to have contacted multiple congressional targets. The implications for threat assessment activity are discussed.     

Will physician unions improve health system performance?

In the public debate over the extension of collective bargaining rights to independent physicians, union proponents' primary argument has been that patients would benefit from allowing physicians to bargain collectively with health plans. This article examines the likely effects of physician unions on the U.S. health care system. Specifically considered are likely effects on economic efficiency, quality, access, and cost. Under none of these criteria are physician unions likely to improve health system performance, particularly when compared with available alternative strategies for dealing with problems identified by union proponents.     

Heat-induced dimensional changes in bone and their consequences for forensic anthropology

An understanding of heat-induced transformation of hard tissue is vital before a full interpretation of burned human remains can be successfully achieved. Samples of modem sheep (n = 60) were analyzed resulting in 5440 data points. An experimental approach was undertaken that explored the bi-variable impact of heating temperature and duration of burning. Subsequent heat-induced bone changes included the progression of color from natural through to blue-white, the significant loss of weight, the reduction in mechanical strength, the development of distinct fracture patterns, alterations in the microscopic porosity, substantial alterations in crystalline structure and reduction and expansion in size. Collation and integration of this information demanded a revision of the four stages of heat-induced degradation of bone previously presented by Mayne Correia (1) and Thompson (2). The results demonstrate that heat-induced shrinkage is also accompanied by expansion and that both can be statistically significant. This suggests that anthropological techniques applied to burned bone will likely be detrimentally affected and accuracy will be reduced.