Anomalies of the human chest plate area. Radiographic findings in a large autopsy population

Anomalies of the sternal rib ends and costal cartilages, sternal foramina, and epi(supra)sternal bones from a large, modern autopsy population have been described. Rib abnormalities (duplications, fusions, and spurs) were found in 55 of 2,016 plastron roentgenograms, sternal foramina were found in 135, and episternal bones were found in 51. Sternal foramina were significantly more common in blacks than in whites and episternal bones more common in whites than blacks; rib anomalies had no recognizable racial predilection. Rib anomalies were almost three times more common in males than females, whereas episternal bones were only slightly more common in males. Sternal foramina had no sex predilection. Episternal bones were slightly more often unilateral than bilateral and, when unilateral, were twice as often located on the left. While none of the malformations studied appeared to be of clinical significance, they are of potential forensic value in individual identification.     

Executive agencies in Tanzania: liberalization and Third World debt

The purchase of an expensive, debt‐financed aircraft tracking system by one of Tanzania's newly created executive agencies suggests that recent bureaucratic restructuring and liberalization in Tanzania could possibly undermine the good use of international debt management schemes for poverty alleviation. Moreover, it raises a question about the uses (and misuses), in countries where governance capacities are weak, of new public management models of organization. This article explores Tanzania's donor‐funded executive agency programme, as one part of its wider civil service reforms. Drawing on empirical research, it examines the power structures and interdependencies between Ministers, departments and NPM style semi‐autonomous agencies and the potential for rent‐seeking behaviour and perverse outcomes. Copyright © 2002 John Wiley & Sons, Ltd.     

Vaginal "fisting" as a cause of death

We describe the death of a young girl that resulted from the insertion of a clenched hand and forearm into her vagina during heterosexual activity. (The male homosexual practice of rectal fist insertion has been described previously.) We believe this death to be the first reported case of a "fisting" death due to vaginal fist insertion during heterosexual activity. This death is reported to alert forensic pathologists, medicolegal death investigators, and coroners aware of the role of aberrant sexual activity and its potential to cause death.