Evidence Issues in Domestic Violence Civil Cases

This article is intended to assist practitioners in anticipating and responding to some of the evidentiary challenges in civil cases in which relief is sought for the victims of domestic violence. First, expert testimony is often necessary to dispel common myths about battered women and to educate judges and juries about the dynamics of domestic violence. Recent case law, however, has limited the admissibility of non-scientific expert testimony and may make it difficult for practitioners to use experts in their cases. In addition, particular evidentiary issues arise when victims are pursuing both criminal and civil remedies against the batterer. This article will explore the ways in which evidence issues may benefit and inhibit civil actions arising from the domestic violence. Finally, we will discuss the difficulties in using prior bad acts evidence. Because batterers tend to engage in repeated acts of abuse, evidence of prior acts may be particularly relevant in proving the extent of harm and predicting the likelihood of future abuse. Traditional principles of evidence law, however, often prohibit the admission of other crimes, wrongs and acts

Temporal Reliability of Willingness to Pay from the National Survey of Fishing, Hunting, and Wildlife-Associated Recreation

The U.S. Fish and Wildlife Service's National Survey of Fishing, Hunting, and Wildlife Associated Recreation has been a source of information on wildlife-related recreation since 1955. The contingent valuation method has been used to estimate willingness to pay for recreation trips in the 1980, 1985, 1991, 1996 and 2001 surveys. However, relatively little comparative analysis over time has been performed. Similar value elicitation formats were used in the 1991 and 1996 surveys for bass and trout fishing, deer hunting, and nonconsumptive wildlife recreation. We statistically analyze these data to assess the temporal reliability of the willingness to pay. We control for the effects of trip quality and socioeconomic variables and find that willingness to pay is significantly lower in 1996 for each activity. A subtle, but important, change in the 1996 question format may drive the result of lower willingness to pay.

A review of US Army aircrew-aircraft integration research programs

If the U.S. Army's desire to develop a one crew version of the Light Helicopter Family (LHX) helicopter is to be realized, both flightpath management and mission management will have to be performed by one crew. Flightpath management, the helicopter pilot, and the handling qualities of the helicopter were discussed. In addition, mission management, the helicopter pilot, and pilot control/display interface were considered. Aircrew-aircraft integration plans and programs were reviewed

PLD.08 Influence of the duration of the second stage on the likelihood of obstetric anal sphincter injury: a retrospective cohort study.

To determine if duration of the second stage influences the likelihood of sustaining obstetric anal sphincter injuries (OASIS) in women undergoing spontaneous vaginal delivery.Othe

Pathways to Online Hate: Behavioural, Technical, Economic, Legal, Political & Ethical Analysis.

The Alfred Landecker Foundation seeks to create a safer digital space for all. The work of the Foundation helps to develop research, convene stakeholders to share valuable insights, and support entities that combat online harms, specifically online hate, extremism, and disinformation. Overall, the Foundation seeks to reduce hate and harm tangibly and measurably in the digital space by using its resources in the most impactful way. It also aims to assist in building an ecosystem that can prevent, minimise, and mitigate online harms while at the same time preserving open societies and healthy democracies. A non-exhaustive literature review was undertaken to explore the main facets of harm and hate speech in the evolving online landscape and to analyse behavioural, technical, economic, legal, political and ethical drivers; key findings are detailed in this report

Factors influencing the likelihood of instrumental delivery success.

OBJECTIVE: To evaluate risk factors for unsuccessful instrumental delivery when variability between individual obstetricians is taken into account. METHODS: We conducted a retrospective cohort study of attempted instrumental deliveries over a 5-year period (2008-2012 inclusive) in a tertiary United Kingdom center. To account for interobstetrician variability, we matched unsuccessful deliveries (case group) with successful deliveries (control group) by the same operators. Multivariate logistic regression was used to compare successful and unsuccessful instrumental deliveries. RESULTS: Three thousand seven hundred ninety-eight instrumental deliveries of vertex-presenting, single, term newborns were attempted, of which 246 were unsuccessful (6.5%). Increased birth weight (odds ratio [OR] 1.11; P<.001), second-stage labor duration (OR 1.01; P<.001), rotational delivery (OR 1.52; P<.05), and use of ventouse compared with forceps (OR 1.33; P<.05) were associated with unsuccessful outcome. When interobstetrician variability was controlled for, instrument selection and decision to rotate were no longer associated with instrumental delivery success. More senior obstetricians had higher rates of unsuccessful deliveries (12% compared with 5%; P<.05) but were used to undertake more complicated cases. Cesarean delivery during the second stage of labor without previous attempt at instrumental delivery was associated with higher birth weight (OR 1.07; P<.001), increased maternal age (OR 1.03; P<.01), and epidural analgesia (OR 1.46; P<.001). CONCLUSION: Results suggest that birth weight and head position are the most important factors in successful instrumental delivery, whereas the influence of instrument selection and rotational delivery appear to be operator-dependent. Risk factors for lack of instrumental delivery success are distinct from risk factors for requiring instrumental delivery, and these should not be conflated in clinical practice.This is the author accepted manuscript. The final version is published in Obstetrics & Gynecology 123: 796-803. doi: 10.1097/AOG.0000000000000188, which can be found here: http://journals.lww.com/greenjournal/Abstract/2014/04000/Factors_Influencing_the_Likelihood_of_Instrumental.11.asp

Small Community Water Systems Have the Highest Prevalence of Mn in Drinking Water in California, USA

Manganese (Mn) is currently regulated as a secondary contaminant in California, USA; however, recent revisions of the World Health Organization drinking water guidelines have increased regulatory attention of Mn in drinking water due to increasing reports of neurotoxic effects in infants and children. In this study, Mn concentrations reported to California’s Safe Drinking Water Information System were used to estimate the potentially exposed population within California based on system size. We estimate that between 2011 and 2021, over 525,000 users in areas with reported Mn data are potentially exposed to Mn concentrations exceeding the WHO health-based guideline (80 μg L–1), and over 34,000 users are potentially exposed to Mn concentrations exceeding the U.S. Environmental Protection Agency health-advisory limit (300 μg L–1). Water treatment significantly decreased Mn concentrations compared to intake concentrations for all system sizes. However, smaller water systems have a wider range and a higher skew of Mn concentrations in finished water than larger systems. Additionally, higher Mn concentrations were found in systems above the maximum contaminant levels for chromium and arsenic. The treatment of these primary contaminants appears to also remove Mn. Lastly, data missingness remains a barrier to accurately assess public exposure to Mn in very small, small, and medium community water system-delivered water

Collaboration Versus Cheating

We outline how we detected programming plagiarism in an introductory online course for a master's of science in computer science program, how we achieved a statistically significant reduction in programming plagiarism by combining a clear explanation of university and class policy on academic honesty reinforced with a short but formal assessment, and how we evaluated plagiarism rates before SIGand after implementing our policy and assessment.Comment: 7 pages, 1 figure, 5 tables, SIGCSE 201

The influence of hours worked prior to delivery on maternal and neonatal outcomes: a retrospective cohort study.

BACKGROUND: Long continuous periods of working contribute to fatigue, which is an established risk factor for adverse patient outcomes in many clinical specialties. The total number of hours worked by delivering clinicians before delivery therefore may be an important predictor of adverse maternal and neonatal outcomes. OBJECTIVE: We aimed to examine how rates of adverse delivery outcomes vary with the number of hours worked by the delivering clinician before delivery during both day and night shifts. STUDY DESIGN: We conducted a retrospective cohort study of 24,506 unscheduled deliveries at an obstetrics center in the United Kingdom from 2008-2013. We compared adverse outcomes between day shifts and night shifts using random-effects logistic regression to account for interoperator variability. Adverse outcomes were estimated blood loss of ≥1.5 L, arterial cord pH of ≤7.1, failed instrumental delivery, delayed neonatal respiration, severe perineal trauma, and any critical incident. Additive dynamic regression was used to examine the association between hours worked before delivery (up to 12 hours) and risk of adverse outcomes. Models were controlled for maternal age, maternal body mass index, parity, birthweight, gestation, obstetrician experience, and delivery type. RESULTS: We found no difference in the risk of any adverse outcome that was studied between day vs night shifts. Yet, risk of estimated blood loss of ≥1.5 L and arterial cord pH of ≤7.1 both varied by 30-40% within 12-hour shifts (P<.05). The highest risk of adverse outcomes occurred after 9-10 hours from the beginning of the shift for both day and night shifts. The risk of other adverse outcomes did not vary significantly by hours worked or by day vs night shift. CONCLUSION: Number of hours already worked before undertaking unscheduled deliveries significantly influences the risk of certain adverse outcomes. Our findings suggest that fatigue may play a role in increasing the risk of adverse delivery outcomes later in shifts and that obstetric work patterns could be better designed to minimize the risk of adverse delivery outcomes.ARA is supported by grant P2CHD047879, awarded to the Office of Population Research at Princeton University by The Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health. JGS is supported by a CAREER grant from the U.S. National Science Foundation (DMS-1255187).This is the author accepted manuscript. The final version is available from Elsevier via http://dx.doi.org/10.1016/j.ajog.2016.06.02

Factors associated with adverse clinical outcomes among obstetrics trainees.

OBJECTIVES: This study was conducted to determine whether UK obstetrics trainees transitioning from directly to indirectly supervised practice have a higher likelihood of recording adverse patient outcomes in operative deliveries compared with other indirectly supervised trainees, and to examine whether performing more procedures under direct supervision is associated with fewer adverse outcomes in initial practice under indirect supervision. METHODS: We examined all deliveries (13 856) conducted by obstetricians at a single centre over 6 years (2008-2013). Mixed-effects logistic regression models were used to compare estimated blood loss (EBL), maternal trauma, umbilical arterial pH, delayed neonatal respiration, failed instrumental delivery, and critical incidents for trainees in their first indirectly supervised year with those for trainees in all other years of indirect supervision. Outcomes for trainees in their first indirectly supervised 3 months were compared with their outcomes for the remainder of the year. Linear regression was used to examine the relationship between number of procedures performed under direct supervision and initial outcomes under indirect supervision. RESULTS: Trainees in their first indirectly supervised year had a higher likelihood of recording EBL of > 2 L at any delivery (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.01-1.64; p  1 L (OR 2.54, 95% CI 1.88-3.20; p  1 L (p < 0.05). CONCLUSIONS: Obstetrics trainees in their first year of indirectly supervised practice have a higher likelihood of recording immediate adverse delivery outcomes, which are primarily maternal rather than neonatal. Undertaking more directly supervised procedures prior to transitioning to indirectly supervised practice may reduce adverse outcomes, which suggests that experience is a key consideration in obstetrics training programme design.ARA is supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) grant for Infrastructure for Population Research at Princeton University (Grant R24HD047879). During the initial preparation of this manuscript she was also supported by an NICHD Individual Predoctoral Fellowship (Grant F31HD079182) and an NICHD infrastructure grant awarded to the Population Research Center at The University of Texas at Austin (Grant R24HD042849).This is the author accepted manuscript. The final version is available from Wiley via http://dx.doi.org/10.1111/medu.12741