Fatal child abuse-maltreatment syndrome. A retrospective study in Ontario,Canada, 1990-1995

Child death due to repeated episodes of physical assault or neglect has been termed the child abuse-maltreatment syndrome (CAMS). We characterized the injuries in a series of fatally abused or maltreated child to delineate objective diagnostic criteria for the CAMS for use by clinicians and pathologists. All deaths (age <17 years) investigated by the Office of the Chief Coroner for Ontario, Canada during the time period 1990-1995 were reviewed. Cases of CAMS were defined as death due to lethal recent injury or malnutrition in the presence of significant old (healing or healed) injuries indicative of repeated episode of inflicted trauma. The nature and frequency of the various injuries was determined. The frequency of the shaken baby syndrome, and the types and frequency of ano-genital injuries were also studied. Twenty-one cases of fatal CAMS were found in the study period. Most cases had significant recent head injury with intra-cranial hemorrhage (71%). Other significant recent injuries commonly observed included blunt injuries of the skin and soft tissues (67%), blunt abdominal trauma with visceral injuries (14%), and fractures (18%). Eight cases (38%) fulfilled accepted criteria for the shaken baby syndrome. Many children with fatal head injuries had evidence of older head trauma (38% of all cases). A significant minority of cases had evidence of malnutrition due to neglect (10%) or ongoing ano-genital injuries (10%). Most cases of child homicides due to repeated episodes of abuse or maltreatment involve head trauma including shaken baby syndrome. Fractures of long bone and ribs, the classical markers of child abuse, were relatively infrequent compared with head injury. A proportion of cases had ano-genital injuries due to repeated sexual abuse or punitive maltreatment. All clinicians and pathologists must recognize the wide spectrum of injuries in child abuse to ultimate protect the victim or other children in an at-risk situation.     

Thinking Globally,Integrating Locally: Gender,Entrepreneurship and Urban Citizenship in Germany

Germany's refusal to pursue active integration policies for three decades has unleashed surprising do-it-yourself-integration processes among migrant communities, as demonstrated by dramatic changes in the Turkish ethnic economy since 1990. This study embeds these developments in an analytical framework linking economic enclaves and urban citizenship. Initially motivated by structural unemployment and social exclusion, guestworkers and their offspring are turning to self-employment, not only adding new jobs to an otherwise moribund national economy but also promoting urban revitalization in cities like Berlin, Frankfurt and Cologne. The study outlines generational differences within the Turkish-German community, ascertaining that third-generation ethnics are more likely to start businesses outside the food sector and more willing to embrace FRG citizenship. It describes the size and scope of ethnic enterprises across Germany, followed by a treatment of women entrepreneurs in Berlin. Ethnic associations indirectly foster “participatory” consciousness among males, but women tend to identify directly with the society that offers opportunities not available to them in the purported Turkish homeland. Instead of producing “parallel societies” (as German politicians often insist), ethnic businesses and local community involvement are crucial in bridging majority and minority cultures, on the one hand, and in granting Turkish entrepreneurs top-level access to state policy-makers—even without the formal rights of citizenship.     

Missing pieces: an overview of the institutional puzzle

Institutional development has become a core component of international development programmes. Yet, institutional reforms have, to date, had a disappointing impact on poverty reduction in the South. The causality of the links between institutions and poverty reduction and how exactly the institutional environment and development outcomes affect each other is still unclear. A lack of analytical consensus has resulted in vague policy recommendations and a dearth of clear operational guidelines for international development practitioners. This article provides an overview of the main current institutional development debates and gaps in existing research, and identifies some key organisations working on institutional issues in the academic and practitioner spheres. Copyright © 2006 John Wiley & Sons, Ltd.     

Five‐year effects of an anti‐poverty program on marriage among never‐married mothers

Using data from an experimental evaluation of the New Hope project, an anti‐poverty program that increased employment and income, this study examined the effects of New Hope on entry into marriage among never‐married mothers. Among never‐married mothers, New Hope significantly increased rates of marriage. Five years after random assignment, 21 percent of women assigned to the New Hope condition were married, compared to 12 percent of those assigned to the control group. The New Hope impact on marriage was robust to variations in model specification. The program also increased income, wage growth, and goal efficacy among never‐married mothers, and decreased depression. In non‐experimental analyses, income and earnings were associated with higher probability of marriage and material hardship was associated with lower probability of marriage. © 2006 by the Association for Public Policy Analysis and Management     

Vom „demokratischen Frieden” zur demokratiezentrierten Friedens-und Gewaltforschung

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