One hundred seventy two deaths involving the use of oxycodone in Palm Beach County

Oxycodone is a potent semi-synthetic narcotic prescribed for the management of pain. Previous investigators have reported that the abuse of oxycodone is most frequently seen in conjunction with the abuse of other drugs, although fatalities have been reported with oxycodone alone. We undertook a retrospective review of cases investigated by the Palm Beach County Medical Examiner's Office in which postmortem toxicologic studies indicated the presence of oxycodone. A total of 172 consecutive cases were studied, including 18 in which death was attributed to oxycodone toxicity, 117 to combined drug toxicity, 23 to trauma, 9 to natural causes and 5 to another drug or drugs. The postmortem blood concentrations of oxycodone overlapped among the groups. The mean blood oxycodone concentration among the cases of oxycodone toxicity was 0.69 mg/L, combined drug toxicity 0.72 mg/L and trauma 0.62 mg/L. Concentrations were lower in cases of deaths attributed to natural causes and to another drug or drugs (mean each 0.087 mg/L). Benzodiazepines, detected in 96 cases, were the most common co-intoxicants in the cases of combined drug toxicity, followed by cocaine, which was found in 41. The most frequently encountered benzodiazepine was alprazolam. This study confirms that deaths in which oxycodone is a factor are most commonly cases of combined drug toxicity. The high incidence of alprazolam as a co-intoxicant has not been previously recognized.     

Enhancing the quality of aged latent fingerprints developed by superglue fuming: loss and replenishment of initiator

The recovery and identification of latent fingerprints from a crime scene are crucial to many investigations. The cyanoacrylate (superglue) fuming method (CFM), which develops fingerprints by growing a polymer coating over the print residue, is a powerful method but encounters severe limitations when prints are aged or exposed to harsh environmental conditions. We examine the aging process and how the changes that occur to a fingerprint residue over time influence the growth of polymer during development. We identify loss of initiator by erosion and degradation that, when coupled with a loss of water from the print residue, result in a decreased ability to polymerize ethylcyanoacrylate. Then, we present a methodology by which the ability of aged latent fingerprints to polymerize ethylcyanoacrylate is recovered. Two print enhancement agents, acetic acid and ammonia, are demonstrated to improve the growth of polymer from the print ridges by over an order of magnitude, while retaining the integrity of the print structure. Comparison between the two enhancement agents indicate that the enhancement occurs due to ridge coating by the ammonia or acetic acid and pH control of the latent print.     

Moral Convictions Often Override Concerns About Procedural Fairness: A Reply to Napier and Tyler

Napier and Tyler (this issue) question whether moral convictions about outcomes really override the influence of procedural fairness (PF) on fairness judgments and decision acceptance. The empirical answer to this question is “yes.” When people have strong moral convictions about outcomes, perceptions of outcome fairness and decision acceptance are primarily shaped by whether the morally “correct” outcomes are achieved. Pre-decision perceptions of PF have surprisingly little or no effect on these judgments. That said, pre-outcome perceptions of PF sometimes predict post-outcome perceptions of PF, even when people have morally vested outcome preferences. We provide further details supporting the validity and superiority of our data analytic approach and argue that our original conclusions were justified.

Initiative-Resistance and the Australian Party System

In the first half of the twentieth century, writing about Australian political parties was strongly influenced by the novelty of government — and the policy agenda — being led by the political arm of organised labour. This was reflected in the tendency for commentators to treat Labor as the driving force in Australian politics and policy, and to see non-Labor as playing a predominantly reactive and oppositional role. Following strong criticism, the “initiative-resistance thesis”, as this perspective was termed, lapsed. Here we revisit the concept, tracking its origins, use, and ultimate demise in the 1960s, and reconsider its validity and relevance, particularly in light of its affinity with the international literature on the “impact of parties”. While initiative-resistance was never a “thesis” as such, and critics have overstated the hold it enjoyed in early accounts, we argue that there is merit to a version reformulated in clear propositional terms. Critics may also have overstated its weaknesses. We illustrate this by focusing on one of the main original criticisms: the need to do justice to the separate identity of the National Party in understanding an essentially two-party system.     

Classification of Pelvic Ring Fractures in Skeletonized Human Remains

Pelvic ring fractures are associated with high rates of mortality and thus can provide key information about circumstances surrounding death. These injuries can be particularly informative in skeletonized remains, yet difficult to diagnose and interpret. This study adapted a clinical system of classifying pelvic ring fractures according to their resultant degree of pelvic stability for application to gross human skeletal remains. The modified Tile criteria were applied to the skeletal remains of 22 individuals from the Cleveland Museum of Natural History and Universidad Nacional Autónoma de México that displayed evidence of pelvic injury. Because these categories are tied directly to clinical assessments concerning the severity and treatment of injuries, this approach can aid in the identification of manner and cause of death, as well as interpretations of possible mechanisms of injury, such as those typical in car-to-pedestrian and motor vehicle accidents.     

Association for Conflict Resolution Guidelines for Eldercaring Coordinators

On November 6, 2014, the AFCC Board of Directors endorsed the Association for Conflict Resolution (ACR) Guidelines for Eldercaring Coordination, including ethical principles for Eldercaring Coordinators, training protocols, and court pilot project template. The collaboration between Task Forces created by ACR and the Florida Chapter of AFCC, composed of twenty U.S./Canadian and twenty Florida‐wide organizations, produced both an overarching guide to assist in the development of programs and a more detailed model addressing state/province‐specific needs and characteristics. Eldercaring coordination is a dispute resolution option specifically for high‐conflict cases involving the care, needs, and safety of elders.

Key Points for the Family Court Community:
• There are currently no dispute resolution options for parties involved in high‐conflict cases regarding the care, needs, and safety of an elder.
• The ACR Guidelines for Eldercaring Coordination address the discrepancies between dispute resolution options available for parents in conflict regarding their minor children and mature families with unresolved concerns about the care, needs, and safety of an elder.
• The ACR Guidelines for Eldercaring Coordination provide information regarding the ethical practice of eldercaring coordination including a specific definition, recommended qualifications, ethical practices, grievance procedures, training protocols, and a court pilot project template.
• The practice of eldercaring coordination will address the influx of court cases expected as baby boomers continue to age, reducing delays in court hearings, as parties will have the opportunity to resolve their concerns without continuous court attention.
• As of June 2015, five states began Pilot Projects on Eldercaring Coordination, which will be studied by an independent research group to enhance the progress of the process and to develop the best practices for initiating the programs elsewhere.