Forensic Features of Lethal Late‐Presenting Diaphragmatic Hernias

Diaphragmatic defects are a relatively common and benign finding in adults which may be congenital or secondarily acquired. The case files at Forensic Sciences South Australia were reviewed over a 10‐year period from July 2005 to June 2015 for all adult (>17 years) cases in which diaphragmatic hernias were identified at postmortem examination that had either caused or contributed to death. Five cases were found: age range 49–90 years (average 67.2 years); male:female ratio 2:3. Herniated organs included the stomach (N = 3), small (N = 3) and large intestines (N = 2). Mechanisms of death involved lung compression with respiratory failure and/or mediastinal shift, and vascular compromise with gastric or intestinal infarction and/or perforation. Diaphragmatic hernias may not be identified until the time of autopsy and may be quite complex entities to evaluate due to a lack of clinical history and to difficulties in determining their origin and possible contributions to mechanisms of death.     

A Greener Future

In the past year, extreme weather events have erupted across the globe, and 2010 looks to be one of the hottest years in recorded history. That has placed an onus on the Cancun conference to prompt     

Does Training and Documentation Improve Emergency Department Assessments of Domestic Violence Victims?

This study aimed to determine whether training and documentation led to improved assessment of female victims of assault due to domestic violence presenting to an emergency department. Eighty clinical records were audited using a valid and reliable audit tool over four time periods for variables including history, risk assessment, and examination. Documentation differed across the four groups (p?=?0.011). Between group analysis found there was a difference (p?=?0.055) between Groups 1 (before training) and 2 (after training), and Group 3 (with a specialist form in place), and there was a difference (p?=?0.009) between Groups 1 and 4 (8 years later). Training alone did not lead to change. Introducing specialist documentation with training was associated with an improvement in the standard of clinical assessment of female victims of assault due to domestic violence and this change increased over time.     

The Legal Characterization of the Armed Conflicts in Afghanistan and Iraq: Implications for Protection

This article explores the implications for the protection of civilians and other vulnerable persons, of the requalification of a conflict downwards from international to non-international, focusing in particular on the changes in the characterization of the conflicts in Afghanistan and Iraq from 2001 and 2003 respectively.

Determining the legal character of an armed conflict is rooted in an inherently political interpretation of black letter treaty law. It is generally agreed that when the United States and its coalition allies entered the wars in Afghanistan in 2001, and Iraq in 2003, their operations in those countries were initially subject to the laws of international armed conflict. However the International Committee of the Red Cross (ICRC) has determined that the conflict in Afghanistan became noninternational with the establishment of the United States’ backed government of Hamid Karzai on 19 June 2002 and that the conflict in Iraq became non-international with the establishment of the Iraqi Interim Government on 28 June 2004. The basis for this requalification is Article 2 of the Geneva Conventions read in conjunction with an interpretation of the meaning of ‘state’ (and of its power to authorize a foreign intervention in its own territory) that is inherently, and possibly inevitably, political.

Changes in the legal characterization of a war have profound implications for the protection of both non-combatants and combatants under international humanitarian law, in particular for humanitarian access; for the protection of non-nationals from deportation; for the protection of detainees; for the conduct of hostilities; and for the protection of persons transferred into the hands of local authorities. The practical consequence of a requalification of an armed conflict downwards to non-international is a marked loss of protection for persons that were protected by the Geneva Conventions in the earlier stages of the conflict.

     

Longitudinal Relations Among Depression,Stress, and Coping in High Risk Youth

The structural relationships among risk and protective factors were examined in a sample of 646 continuation high school students. Although depression predicted more perceived stress, it was not a unique predictor of anger coping, seeking social support, or substance use. Perceived stress increased seeking social support. Seeking social support decreased the utilization of anger coping, which suggests that it may be a means of prevention for adolescents. Anger coping behaviors were implicated as being significant in sustaining depression and perceived stress, and in increasing hard drug use over time. Moderation analysis indicated that although there was no difference in the stress–coping–depression relationship between Latinos and Caucasians, the relationship among perceived stress, anger coping, and depression was stronger for female than for male adolescents. Theoretical and practical implications of the findings are discussed.