"Natural death" of a patient with a deactivated implantable-cardioverter-defibrillator (ICD)?

A 66-year-old patient with terminal heart insufficiency (NYHA IV) received maximum medical therapy, but was also in need of an implantable-cardioverter-defibrillator (ICD). The ICD functioned flawlessly for the whole duration of implantation. It reverted several ventricular tachycardias with anti-tachycardial pacing alone, whereas some needed cardioversion as well. The patient died on the fourth day of hospitalization for a routine check of his ICD. The post-mortem examination revealed, that the ICD was deactivated and that the data had been erased after the patient's death. By reading off the raw data still stored within the ICD, the erased information could be restored. The stored EGMs showed traces of old ICD interventions as well as a permanent deactivation provoked by exposition to a magnetic field just hours before the patient's death. The problem of archiving and documenting the volatile electronic data inside the ICD is discussed. The need of a full autopsy after telemetric reading of the ICD data, including the explantation of the ICD aggregate and electrodes, as a means of quality assurance and under forensic aspects is emphasized.     

A Case of Contested Cremains Analyzed Through Metric and Chemical Comparison

Since the 1980s, cremation has become the fastest growing area of the U.S. funeral industry. At the same time, the number of litigations against funeral homes and cremation facilities has increased. Forensic anthropologists are often asked to determine whether the contents of an urn are actually cremated bone, and to address questions regarding the identity of the remains. This study uses both metric and chemical analyses for resolving a case of contested cremains. A cremains weight of 2021.8 g was predicted based on the decedent's reported stature and weight. However, the urn contents weighed 4173.5 g. The urn contents also contained material inconsistent with cremains (e.g., moist sediment, stones, ferrous metal). Analysis using XRD and SEM demonstrated that the urn contained thermally altered bone as well as inorganic material consistent with glass fiber cement. Although forensically challenging, cremains cases such as this one can be resolved using a multidisciplinary approach.     

Metric Sex Determination of the Human Coxal Bone on a Virtual Sample using Decision Trees

Decision trees provide an alternative to multivariate discriminant analysis, which is still the most commonly used in anthropometric studies. Our study analyzed the metric characterization of a recent virtual sample of 113 coxal bones using decision trees for sex determination. From 17 osteometric type I landmarks, a dataset was built with five classic distances traditionally reported in the literature and six new distances selected using the two-step ratio method. A ten-fold cross-validation was performed, and a decision tree was established on two subsamples (training and test sets). The decision tree established on the training set included three nodes and its application to the test set correctly classified 92% of individuals. This percentage was similar to the data of the literature. The usefulness of decision trees has been demonstrated in numerous fields. They have been already used in sex determination, body mass prediction, and ancestry estimation. This study shows another use of decision trees enabling simple and accurate sex determination.     

A New Predictor of Local Financial Distress

The development of predictive models for financial distress is a recurring topic in both private and public contexts, although currently its repercussions are greater in the public sphere, where efforts are being made to define new warning systems for fiscal crises. The present study thus aims first to show the similarities and differences between the absolute and relative models based on a 10-point scale, in order to subsequently combine the positive aspects of both proposals to find a system that can determine local fiscal distress in a more robust way.

The results obtained show that the optimum predictive system is a slight variant of the model proposed by Kloha et al. (2005) Kloha, P., Weissert, C. S. and Kleine, R. 2005. Developing and testing a composite model to predict local fiscal distress. Public Administration Review, 65(3): 313–323. [Crossref], [Web of Science ®] , [Google Scholar]. This variant consists of the inclusion of two indicators of financial independence proposed by Zafra-Gómez et al. (2009a) Zafra-Gomez, J. S., López-Hernández, A. M. and Hernández-Bastida, A. 2009a. Developing an alert system for local governments in financial crisis. Public Money &; Management, 29(3): 175–82. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar] for which an alert threshold has been empirically determined.     

What Generates,Constitutes and Causes Opportunity-driven Violence? The Case of West Kalimantan

Abstract

This article uses the example of West Kalimantan to show some new ways of studying opportunities for violence, contributing especially to the so-called ‘sons of the soil’ conflict debate. By showing that the opportunity structure in West Kalimantan was not primarily material, but social, related to ways to circumvent fear of and norms against violence, this article attempts to update the theoretical premises of the traditional security studies approach to obstacles to conflict and opportunities for violence. The intention is to show how socially constructed realities are relevant in offering and denying opportunities for violence, and how the study of the meanings of actions reveals ways in which opportunities for violent demonstrative argumentation are born in local conflict discourses. The case study shows how powerful narratives enable the justification of violent action and how identities and violent policies mutually constitute each other. This way the empirical evidence calls for understanding the generative and constitutive sources of violence, which are not simply mechanistic causes of conflict.     

Having Your Cake and Eating It,Too: Can Regulatory Agencies Be Both Independent and Accountable?

Independent regulatory agencies (IRAs) were created in various sectors and on different governmental levels to implement liberalization policies. This paper investigates the link between IRAs' independence, which is said to promote regulatory credibility and the use of technical expertise, and their accountability, which is related to the need for controlling and legitimizing independent regulators. The literature on the regulatory state anticipates a positive relation between the independence and accountability of IRAs, but systematic empirical evidence is still lacking. To tackle this question, this paper measures and compares the independence and the accountability of IRAs in three differentially liberalized sectors in Switzerland (telecommunications, electricity and railways). With the application of Social Network Analysis, this piece of research shows that IRAs can be de facto independent and accountable at the same time, but the two features do not necessarily co‐evolve in the same direction.     

Never Say Never: Considerations about the Possibility of Australia Acquiring Nuclear Weapons

Abstract

Australia's decision to sign the Nuclear Nonproliferation Treaty and forego the acquisition of nuclear weapons was taken on medium-term strategic grounds. While similar circumstances prevail today, it is possible to identify three conditions for the acquisition of nuclear weapons by Australia to be a credible option: the existence of a major threat to Australia; a loss of confidence in US guarantees; and allied acquiescence to an Australian nuclear program. These conditions interact with Australia's relationship with Indonesia and the technological and industrial feasibility of “tactical” and “strategic” nuclear weapons postures, respectively. The only Australian nuclear posture that does not lack credibility in light of all these factors is the use of “tactical” weapons to deter major landings on the Australian mainland.     

Pseudo‐democracy in the Muslim world

This paper investigates the mechanisms of democratisation leading to the formation of pseudo‐democratic political systems in the contemporary Muslim world. It is argued that pseudo‐democracies in the Muslim world are created and strengthened by the structural opposition between three types of democratic doctrines, social practices and institutional mechanisms inspired by liberalism, republicanism and Islamism. Departing from the usual instrumentalist analyses that dominate the democratisation literature, this account emphasises that pseudo‐democratic regimes are not simply an expedient fallback position from liberal democratic systems but dynamic political orders based on alternative notions of democracy. It is argued that what is specific to the Muslim world as a socio‐historical construct is that pseudo‐democracies are produced by the evolving stalemate between the three abovementioned political currents. In these polities liberal democratic discourses and practices are undermined by non‐liberal yet demotic forms of social mobilisation and political learning that are more effective than laissez‐faire models of liberal political mobilisation.