Uncertainty of determining cause of death in a medicolegal material without autopsy. An autopsy study

In constrast to other studies, this investigation was made on cases of medicolegal deaths that would not normally be autopsied. 223 females and 322 males, whose deaths were found to be natural before as well as after autopsy, were studied. The cause of death was estimated by external medicolegal examination, and after autopsy.In 79 females and 109 males, i.e. 35% and 34% respectively, estimated cause of death was found to be different after the autopsy. This was mostly because ischaemic heart disease as a cause of death was overestimated at the external medicolegal examination. No constant relationship between differing causes of death and age group could be demonstrated. Underdiagnoses and overdiagnoses tended to outweigh each other. Pneumonia, pulmonary embolism, cor pulmonale and aortic stenosis were clearly underestimated before autopsy. In addition, a variety of diseases that were not even mentioned at the medicolegal examination was found (subarachnoid haemorrhage, uraemia, perforated and bleeding gastric ulcers, tuberculosis).The same unreliability in the estimated cause of death therefore exists among cases not normally autopsied as found in retrospective studies of cases where autopsy is performed under all circumstances at the request of the police.False information will thus be given to the mortality statistics among the approximately 5000 cases of medicolegal deaths not autopsied in Denmark per year, most of these being natural deaths. Besides, contagious and inherited diseases could be overlooked, relatives given false information and the value of scientific studies in causes of death diminished.The conclusion is that autopsy is still essential to ensure continuous control and correction of causes of death.     

Work and growth: A review of research on the impact of work experience on adolescent development

Work has not been extensively studied as a context for adolescent development, even though increased work experience has been widely recommended as a means of improving the transition of adolescents to adulthood. Studies of the impact of work experience on adolescent socialization, defined broadly, suggest that work has beneficial results that persist over time. Developmental theorists and critics of conventional patterns of workplace organization remind us, however, that current knowledge is inadequate to specify optimal types and amounts of work experience for adolescents. Studies of narrower outcomes of work experience — career knowledge and plans, job-related attitudes, behavior, and skills — are less persuasive. An ecological strategy is recommended for future research. Such research should consider the varying effects of different kinds of work experience on different adolescents and should seek those effects in settings other than the workplace and over long periods.Received his Ed.D. from the Harvard Graduate School of Education in 1975. Main interests are the transition of adolescents to adulthood and the development and evaluation of programs to ease that transition.Main interests are the interaction between families and human development, especially the effects of work.     

Is technology transfer more than a “mechanical” process?

Editorial Advisory Board     

The accuracy of sex identification in European skeletal remains using the phenice characters

Three documented European skeletal series were examined to assess the accuracy and reliability of the pubic variables described by Phenice for correctly identifying the sex of adult human skeletal remains. The accuracy and objectivity of these variables, as reported by Phenice, Kelley, Sutherland and Suchey, and Lovell, could not be confirmed on this European material. In general, the subpubic concavity feature, when used alone, proved to be the most reliable variable for sex identification. In this study, the level of correct sex identification that could be achieved using the Phenice variables was shown to be significantly affected by the previous experience of the observer.