Pathologic features of childhood pedestrian fatalities

A retrospective analysis of 68 cases of fatal childhood pedestrian accidents in South Australia that occurred over a 20-year period from January 1977 to December 1996 was undertaken. The age range was 12 months to 16 years (average, 7.6 years), with a male to female ratio of 41:27. The most common site of significant injury was the head (91.2%), followed by the abdomen (50%), chest (47.1%), and neck (38.2%). The most frequently encountered significant injury combinations involved the head, chest, and abdomen (14.7%); the head and chest (11.8%); and the head, neck, and abdomen (11.8%). Injuries were severe, consisting of extensive compound and comminuted skull fractures, neck fractures, and massive intraparenchymal brain and internal organ damage with avulsions and fragmentation. Non-life-threatening limb injuries occurred in 88% of cases. A distinct subgroup involved infants and younger children playing in driveways at home who were hit by reversing vehicles. The injuries were often of such a severe nature that death was instantaneous and with no possibility of successful medical intervention. More deaths occurred during the winter than summer months.     

The use of supercritical fluid extraction for the determination of amphetamines in hair

A laboratory study interested in the analysis of human hair for drugs-of-abuse was conducted to determine if drugs could be detected and quantified from hair. Supercritical fluid extraction (SFE) techniques followed by GC-MS analysis were applied to extract amphetamines from hair. The group of amphetamines included methylenedioxyamphetamine (MDA), methylenedioxymetamphetamine (MDMA), methylenedioxyethylamphetamine (MDEA) and internal standard mephentermine (MP). To validate information on amphetamine use in hair, powdered hair samples free from drugs were collected and soaked in a known amphetamine standard solution. Authentic fortified case hair samples taken from known drug users known to have consumed amphetamines were also analyzed for amphetamine. Results from this study show that amphetamine use can be detected in spiked and authentic fortified human hair using SFE techniques for qualitative and quantitative reproducible results.     

Economic inequality in satisfaction with healthcare in the Baltic countries during and after the economic crisis (2008–2014)

ABSTRACT

Public satisfaction with healthcare systems is an important dimension of healthcare legitimacy. The paper analyzes how satisfaction with healthcare systems depended upon the economic situation of our respondents during and after the economic recession in the Baltic states. The results show that there were no differences in public satisfaction with healthcare between better and worse off people in Estonia (except in 2009). In Lithuania, however, satisfaction among the economically better off was higher compared to other groups between 2008 and 2014. In Latvia, inequality in satisfaction between groups in different economic situations became significant from 2010.     

School-related victimizations among adolescents: An analysis of National Crime Survey (NCS) narratives

This paper uses a heretofore untapped source of information in the National Crime Survey (NCS) victimization data—the interviewer narratives—to explore school-related victimizations among adolescents. These narrative reports provide important information bearing on lifestyle and routine activity theories of victimization that is simply not available from the more familiar, highly structured portions of the NCS questionnaire. The NCS narratives suggest that a large proportion of school-related victimizations stems from peer interactions that occur in the course of routine daily activities and escalate into victimizations. Students represent pools of both potential offenders and potential victims who come in frequent contact with each other, often in the absence of capable guardians. However, rather than predatory, calculated attempts to harm, school-related victimizations among adolescents appear to consist primarily of bullying, injured pride, and misguided mischief. The theoretical and methodological implications of this study are highlighted.