Frequency and Clinical Features of Patients who Attempted Suicide by Hara‐Kiri in Japan

Hara‐kiri is a unique Japanese custom, primarily stemming from the manners and customs that a samurai held. The aim of the present study was to investigate the clinical features of individuals who attempted suicide by hara‐kiri. We enrolled 647 patients who had attempted suicide. Clinical features were compared between those who had employed hara‐kiri and those who had used other methods. 25 of the 647 subjects had attempted suicide by hara‐kiri. The ratio of men to women and the proportion of patients with mood disorders were significantly higher in the hara‐kiri group than in the other methods group. The average length of stay in either the hospital or in the intensive care unit was also longer in the hara‐kiri group than in the other methods group. Hara‐kiri is an original Japanese method of attempting suicide, and suicide attempts by hara‐kiri may be aimed at maintaining a reputation or taking responsibility.     

Quantification of Methamphetamine in Mouse Thighbones Buried in Soil

Bone samples are used for analysis of drugs in decomposed or skeletonized bodies. Toxicological analyses of buried bones are important for determining the causes and circumstances of death. In this study, methamphetamine and amphetamine concentrations in heart blood, thigh muscles, and thighbones were analyzed using solid‐phase extraction with liquid chromatography–tandem mass spectrometry. Methamphetamine concentrations in heart blood, thigh muscle, and thighbone ranged from 0.041 to 0.873 μg/mL, 0.649 to 2.623 μg/g, and 56.543 to 643.371 μg/g, respectively. Thighbone concentrations were significantly higher than those in heart blood or thigh muscles were. Methamphetamine concentrations in buried thighbone (4.010–45.785 μg/g) were significantly lower than those of unburied thighbones were (56.543–643.371 μg/g). Methamphetamine and amphetamine were detected in thighbones buried for 7–180 days. These findings indicate that the methamphetamine concentrations in bone are higher and decrease after burial in soil.     

An accidental death due to Freon 22 (monochlorodifluoromethane) inhalation in a fishing vessel

We have firstly presented a case using post mortem corrosive method in forensic medical practice after coronary stent implantation. Occlusions, fate of side branches could be detected during the clinical diagnostic angiography, intravascular ultrasound, computed tomography; however, the forensic medical determination of cause of death, identification of complications needs a careful post-mortem investigation. The injection-corrosive method seems to be a useful assistance in the characterisation of pathomorphological changes after stent implantation. Besides the classical techniques of histology, immunohistochemistry, electron microscopic investigation we have introduced a new synthetic resin corrosion cast method. This three-dimensional corrosion cast preparation may provide new data about the actual morphological condition of the coronary vessels and a better understanding of the pathomechanisms of sudden cardiac death after percutaneous coronary intervention.     

Forensic Potential of MMPs and CC Chemokines for Wound Age Determination

In this study, we investigated time-dependent expression of matrix metalloproteases (MMP)-2, MMP-9, chemokine CC motif ligand (CCL)-2, CCL-3, CCL-5, IL-1β, IL-6, and TNF-α mRNA at the skin injury site and sought their forensic potentials during the skin wound repair process. The tested wound ages in 42 mouse skin wounds were distributed at 0d, 1d, 3d, 5d, 7d, 10d, and 14d, respectively and then followed by real-time polymerase chain reaction. Ultimately, MMP-2 played an important role in the inflammation phase. On the contrary, MMP-9 became involved at a later phase during wound healing. Meanwhile, CCL-2 and CCL-3 were active throughout almost all of the process. However, CCL-5 mRNA had no significance. Collectively, an MMP-9/MMP-2 ratio of over 0.84 indicated that skin wound healing age was strongly 5 days or less. So elevated gene expressions of cytokines and chemokines in different phases of wound ages implied that combined exploration could make wound age determination more accurate and objective.     

Changes in the Frequency and Clinical Features of Suicide Attempts in the Midwestern Area of Kanagawa after the Great East Japan Earthquake

The aim of this study was to investigate the relationship between the clinical features of suicide attempts and the Great East Japan earthquake in Kanagawa. We enrolled 592 patients who attempted suicide and were hospitalized for inpatient treatment. Clinical features were compared between before the earthquake (A) and after the earthquake (B) groups. The number of suicide attempts increased from 286 to 306. The rate of increase in suicide attempts in men was the highest in the age group of 40–59 years. The frequency of joblessness, family psychiatric histories, precipitating event, and alcohol intake at suicide attempt was significantly higher in the B group than in the A group. The number of patients in serious condition in the B group was significantly higher than that in the A group. Other clinical features related to suicide in people who were indirectly affected by the earthquake disaster should be investigated to develop targeted prevention strategies.     

Debating Indonesia’s Reformasi: Bridging “Parallel Universes”

Fifteen years after the fall of Suharto in Indonesia, scholars still continue to disagree over why he fell and what the subsequent process of political transition has actually entailed. A review of the literature reveals two competing interpretations. In the liberal camp, scholars draw on transition theories and argue that the fall of Suharto was caused by a “people power” mobilisation. Other scholars in the oligarchy literature who adopt theories of political economy, however, question this interpretation and argue that the fall of Suharto entailed a reorganisation of patrimonialism. The latter has been criticised by liberals for underestimating the significance of changes in post-Suharto Indonesia, though little engagement has taken place between these camps, which now constitute two “parallel universes.” This article argues that while the oligarchy camp tends to emphasise continuity, it still provides us with important insights into changes in post-Suharto Indonesia which are not adequately recognised by liberals. This is largely because their different theoretical roots prevent meaningful conversations. By reframing the oligarchy literature using the language of transition theories, this article clarifies the difference in the nature of change these two camps are respectively concerned with in the hopes of stimulating more constructive engagements between them.     

日本医疗诉讼改革及对鉴定结论的评价

自2002年以来,日本针对医疗诉讼中鉴定人选任困难、鉴定结论提出期间长、证据价值不高、法院对鉴定结论等医学证据难以作出评价等长期存在的问题,对医疗诉讼体制作出了重大改革。鉴于我国医疗诉讼中也存在类似问题,本文对日本法的改革措施以及效果展开详细考察,以供我国参考借鉴。     

School History Textbooks and Historical Memories in Japan: A Study of Reception

Memory wars in Asia still revolve around Japan. Much has been discussed on the so-called ky??kasho mondai (history textbook controversies), yet, not much has been explored on the domestic social function of history textbooks per se. Emphasizing creators of history narratives (and their production), the field tends to overlook the audience, or, receivers in the process. In this article, by referring to the original interviews with Japanese college students, I question the very assumption of the creator?Creceiver connection. How are history textbooks perceived as a source for promoting Japanese people??s underlying historical consciousness? How have they been utilized in schools? Are they useful? If so, how? If not, why? I argue that in the case of Japan, how people reflect upon history issues is not necessarily the function of school history textbooks as often assumed, making a strong case for the importance of receivers in the analysis of public discourse.