The epidemiology of female rape victims who seek immediate medical care: temporal trends in the incidence of sexual assault and acquaintance rape

Women who seek medical care following sexual assault are usually evaluated and treated in an emergency department (ED). Therefore, EDs can be an important source of sexual assault surveillance data. The authors compared the incidence of sexual assault presenting for emergency care in a single county during July to November of 1974 and 1991. Participants included all female sexual assault victims aged 14 and older who presented for ED evaluation. Treating physicians prospectively collected data using standardized forms. The z statistic was used to compare sexual assault incidence. There was a 60% increase in the incidence of sexual assault victims presenting for emergency care in 1991 compared to 1974, primarily due to an increase in the incidence of women presenting to the ED after rapes by known assailants. In contrast, the annual incidence of reported stranger assaults was similar in the two study years.     

Kosovo: Where It All Began

Kosovo, a largely ethnically Albanian province of the Serbian republic, played an important role in Yugoslavia's troubles in the last two decades of the twentieth century. Shortly after Tito's death in 1980, disturbances in Kosovo set the Albanians and the Serbs on a collision course and also polarized the country politically. Ironically, when Yugoslavia began to disintegrate in 1991, and as it fell into four years of warfare, Kosovo remained relatively calm. Only after the Dayton peace, in late 1995, did Kosovo's Albanians opt for a militant policy toward the Serbs. Meanwhile Serbs escalated their oppression of the local population. International diplomatic intervention failed to defuse tensions, and ultimately, NATO initiated military action to stop Serbia. NATO prevailed in the seventy-eight day engagement in 1999, while Kosovo acquired greater autonomy and was put under UN protection.     

Forensic DNA Sampling and the England and Wales National DNA Database: A Sceptical Approach

This paper explores possible implications of the rapid expansion of the England and Wales National DNA Database (NDNAD), and the current DNA sampling of offenders and the retention of samples. A precis of the justifications enunciated for the NDNAD is followed by a sceptic's rebuttal and wider analysis of the impact of the growth of forensic DNA testing. It is contended that the expansion of forensic DNA testing should be considered a response within the risk society to the problem of criminal detection, where “risky populations” will have their DNA held permanently by the State for the prevention and early detection of crime. As with any new technology, new “risks” are created, including not only error, improper access and disclosure and “function creep” but the potential creation of a “suspect society” with forensic DNA technology co-opted into mass surveillance and social control mechanisms. This revised version was published online in July 2006 with corrections to the Cover Date.     

Mobile pastoralism a century apart: continuity and change in south-eastern Kazakhstan, 1910 and 2012

ABSTRACT

This article challenges the ahistorical figure of the ‘steppe nomad’ by presenting some of the main characteristics of Kazakh nomadic pastoralism, which vary widely in time and space. It compares two ethnographic studies conducted a century apart in the same place in south-eastern Kazakhstan: a statistical survey from 1910 and an account of a transhumance in which the author took part in June 2012. Sedentary pastoralism now prevails in Kazakhstan, but a system of seasonal pastures endures in some areas. In Ra?ymbek District (Almaty Province), vertical nomadism takes advantage of the altitudinal variations of vegetation and climate. This article demonstrates both the continuity of nomadic routes despite successive crises during the twentieth century, and considers the overall change from quasi-nomadism to quasi-sedentarism. This comparison a century apart also fosters dialogue between history and social anthropology through a dual synchronic approach, seeking to restore historicity to our understanding of pastoral nomadism.     

Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left ventricular rupture due to child abuse has been reported. We report a child who sustained a fatal left ventricular apical rupture. It appeared to have resulted from hydrostatic forces resulting from abusive blunt thoracic injury. That he was being abused was previously missed when he was presented to the emergency department with facial pyoderma. It was not noted that he also had lip and oral mucosal injury, sites not affected by staph toxins. As a result, his underlying, abusive and secondarily infected, facial flow type scald burn was not appreciated. Within a week thereafter his fatal injury occurred, accompanied by extensive and obvious associated abusive injuries. Postmortem high‐detail whole body computed tomography scanning aided the autopsy. Although rare, ventricular rupture from abusive blunt thoracic injury can occur.