Abusive Pediatric Thoracolumbar Fracture Due to Forced Hyperextension: Case Report,Biomechanical Considerations,and Review of the Literature

Pediatric thoracolumbar fractures are rare due to the physiological differences which afford greater resilience to the immature spine. Most pediatric thoracolumbar fractures occur as the result of high energy trauma, such as motor vehicle accidents, and modes of reasonable accidental injuries are limited by age and developmental capabilities of the child. These fractures can occur as the result of inflicted blunt force trauma and child abuse, and in most cases, the mechanism of injury to the spine is not known. We report the death of a 29-month-old man due to blunt force trauma to the back and forced hyperextension of the thoracolumbar spine causing fracture of the fourth lumbar (L4) vertebral body. A complete forensic examination revealed a previous healing fracture of the anterior aspect of the L4 vertebral body, with acute disruption of the anterior longitudinal ligament overlying the fracture site, complete fracture of the vertebral body, and fatal retroperitoneal hemorrhage. We present a review of the biomechanical considerations of the pediatric spine, a survey of pediatric spinal fractures, and a review of the literature on pediatric abusive thoracolumbar fractures. In this case, there was never a provided explanation for how the injury occurred; however, understanding the biomechanics of the pediatric spine allowed for the determination of the mechanism, force required to produce this specific pattern of abusive spinal injury, and the manner of death.     

Radicalization of U.S. prisoners

Research Summary
Concern has been expressed that prisoner radicalization poses a high probability threat to the safety of the United States. Although the threat of terrorist acts planned in prison is known to be above zero because of a nearly executed terrorist plot hatched in a state prison, the central finding of this research is that the actual probability is modest. The reasons for a modest probability are fourfold: Order and stability in U.S. prisons were achieved during the buildup period, prison officials successfully implemented efforts to counter the "importation" of radicalism, correctional leadership infused antiradicalization into their agencies, and inmates' low levels of education decreased the appeals of terrorism.
Policy Implications
The prison environment permits a great deal of information to be collected on the activities and, more difficult to detect, planned activities of inmates after they are released. This environment requires the attentive observation of staff, collection of information from inmates, and efforts at different levels of a correctional agency to assemble, collate, and assess information; much of it is likely to be false and some will be vital.     

Criminal justice as an academic discipline: Costs and benefits

One of the stages through which any new field must pass is academic legitimation. The field of criminal justice is presently in this stage of striving for acceptance within the academic community. Recently, criticism of the field as well as legitimizing activities seem to have increased. In the course of the debate about the appropriate location and identity of criminal justice, it can be expected that the issue of disciplinary status for criminal justice will gain prominence.The issue of disciplinary status for the field of criminal justice is considered in terms of the advantages and disadvantages of disciplines. Also, assets of a multidisciplinary status are presented and “cost” comparisons are made between disciplines and multidisciplinary fields.While there seem to be points in favor of disciplines, an analysis of some of the weaknesses of disciplines suggests that continuance of a more synthetic and open approach is preferable for the field.     

The emotional and psychological impact of mass casualty incidents on forensic odontologists

Motivated by the findings of a previous research project, 38 forensic odontologists with known occupational experience of mass casualty incidents completed a questionnaire designed to elicit both quantitative and qualitative data. The questionnaire sought to provide an insight into the psychological and emotional impact of conducting work of this nature. Two psychometric scales were included in the questionnaire, The Positive and Negative Affect scale (PANAS) and the Impact of Events Scale (IOE). In addition, a number of open-ended questions relating to the personal experiences of the respondent during the mass casualty incident were also included. Quantitative findings indicate that on the whole mass casualty incidents resulted in a positive experience for the respondents, although over a third reported being distressed, upset or irritable at some time during the event. Sense of achievement and camaraderie were among the qualitative themes elicited that help explain the positive reactions. Working conditions, politics and the ictims were cited as sources of negativity.     

Observing protest: media use and student involvement on 7 April 2010 in Bishkek,Kyrgyzstan

Individuals in and around protests are generally classified as either participants or nonparticipants. However, observers witnessing protests can also play an important role in collective actions by sharing their experiences. This paper explores the characteristics of observers during the 7 April 2010 demonstrations in Bishkek, Kyrgyzstan. Based on data collected via a survey of university students, I demonstrate that protest observers differed from nonparticipants on a range of variables. A key factor differentiating student observers from nonparticipants was their online activity prior to the protests. Logistic regressions show that students with higher rates of online activity were significantly and substantially more likely to be protest observers than nonparticipants. These findings provide empirical evidence for categorizing observation as a distinct level of protest involvement, shed light on the demonstration in Bishkek on 7 April 2010, and suggest that examining online activity can contribute to a better understanding of protest involvement levels.     

Autonomy,paternalism, and institutional interest: why some conflicts can't be waived

This paper asks the question of why, in some cases, a client is precluded from demanding of their lawyer that they act for them and their adversary simultaneously. We accept that in numerous instances a lawyer can act for clients whose interests may diverge (or in some cases do in fact diverge) providing informed consent has been obtained. This paper enquires as to why the line between waivable and non-waivable conflicts is drawn where it is, and examines the theoretical underpinning of the waiver rule and its boundaries. It does so by first looking at the client autonomy argument for allowing waivers. It then turns to explore the paternalistic justifications for rendering a consensual waiver of a conflict inoperative. Finally it looks at those cases where a waiver is not permitted that are left unexplained by paternalism. It argues that paternalism, properly understood, is a legitimate justification for most refusals to accept a waiver of conflict. However, a residual body of cases remain unexplained by paternalism. Those cases are best explained by the propensity of the law and the legal profession to protect its institutional values and interest.