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PubMed1979

Crime and treatment of heroin users.

In San Antonio serious reported crime increased every year from 1965 through 1969. Then, in 1970, coincident with a marked increase of heroin users in treatment, the crime rate decreased. In three succeeding years while the treatment rate increased, crime decreased. Then in 1974, due to loss of program funds, the treatment rate decreased and the crime rate increased. The changes in the crime rate were due primarily to changes in the theft rate. For the years 1970-1974, treatment and theft had a significant negative correlation. We tentatively attribute part of the changes in the theft rate to changes in the treatment rate.

Crime↗
PubMed1988

Guidelines for the prevention and detection of controlled substance diversion.

Controlled substance diversion is a problem all hospitals face with far ranging legal and medical implications. Drug diversion or tampering can take many forms, such as simple theft, theft by substitution, theft by charting, and under-medicating the patient. The diversion of controlled substances by professional staff from patient care areas can frequently be prevented and detected at the nursing staff level. Often, diversion can be detected in daily hospital practice by performing careful narcotic counts, witnessing the "wasting" of partial doses, and routinely examining product packaging. Such procedures should be hospital policy and strictly enforced. Use of the guidelines presented in this report in conjunction with an effective inservice program can educate health care professionals in the problem of drug diversion. Drug diversion must be reported to maintain patient care standards, employee morale, and ultimely provide the necessary help and guidance to an impaired staff member.

Boston↗
PubMed2001

Tips on thwarting thieves who prey on hospital employees.

Following a series of hospital thefts in New Jersey, the state's IAHSS Chapter, along with the New Jersey Hospital Association and the Englewood, NJ Police Department, held a seminar on "Preventing Hospital Thefts by Outsiders: Establishing a Dialogue and Strategy with Local Police." The featured speaker at the conference was Detective Timothy Torell, Englewood Police Department. The department solved a number of hospital thefts in Englewood that were perpetrated for years by one individual. In attendance were 80 law enforcement executives and hospital security directors, who learned more about.

Hospital Administration↗
PubMed2006

Effects of media violence on health-related outcomes among young men.

OBJECTIVE: To test the effects of media violence exposure on blood pressure, negative affect, hostile social information processing, uncooperative behavior, and attitudes toward health risk behaviors among young men varying in lifetime violence exposure within the home and community. DESIGN: Experimental laboratory study. SETTING: University campus situated within an urban environment. PARTICIPANTS: One hundred male undergraduates aged 18 to 21 years. INTERVENTION: Men who had previously reported differing amounts of lifetime home and community violence were randomly assigned to play The Simpsons: Hit and Run (low-violence condition) or Grand Theft Auto III (high-violence condition). MAIN OUTCOME MEASURES: Systolic and diastolic blood pressure; negative affect; hostile social information processing; uncooperative behavior; and permissive attitudes toward violence, alcohol use, marijuana use, and sexual activity without condom use. RESULTS: Men randomly assigned to play Grand Theft Auto III exhibited greater increases in diastolic blood pressure from a baseline rest period to game play, greater negative affect, more permissive attitudes toward using alcohol and marijuana, and more uncooperative behavior in comparison with men randomly assigned to play The Simpsons. Only among participants with greater exposure to home and community violence, play of Grand Theft Auto III led to elevated systolic blood pressure in comparison with play of The Simpsons (mean, 13 vs 5 mm Hg). CONCLUSIONS: Media violence exposure may play a role in the development of negative attitudes and behaviors related to health. Although youth growing up in violent homes and communities may become more physiologically aroused by media violence exposure, all youth appear to be at risk for potentially negative outcomes.

Adolescent↗
PubMed2000

The rise and fall of frequency and imageability: noun and verb production in semantic dementia.

This study examines the impact of progressive degeneration of conceptual knowledge on the content words used in connected speech elicited using the Cookie Theft picture description (Goodglass & Kaplan. 1983). We began with an analysis of control subjects' descriptions with regard to word types and their frequency and imageability. Because the impairment of conceptual knowledge in semantic dementia is graded by concept familiarity, we created a model of a standardized normal Cookie Theft description that was then progressively degraded by the systematic removal of lower bands of word frequency. We drew two main predictions from this model: reduced availability of the lower bands of word frequency should result in (a) an apparent deficit for noun retrieval in relation to verb retrieval and (b) an apparent reverse imageability effect. Results from a longitudinal study. in which three patients with semantic dementia each described the Cookie Theft picture on three occasions during the progression of their disease, confirmed these predictions. An additional cross-sectional analysis, adding narratives from a larger number of cases, demonstrated that the decline in ability to produce suitable words for the picture description is closely related to the extent of semantic impairment as measured in tests of word comprehension and production. Both verbs and nouns are affected by the degradation of semantic memory; the fact that the impairment to noun production is manifested earlier and more catastrophically may be attributed to the relatively lower frequency of these terms.

Aged↗
PubMed2007

Can reinforcement induce children to falsely incriminate themselves?

This study examined whether reinforcement can induce children to falsely incriminate themselves. Ninety-nine children in kindergarten through third grade were questioned regarding the staged theft of a toy. Half received reinforcement for self-incriminating responses. Within 4 min reinforced children made 52% false admissions of guilty knowledge concerning the theft, and 30% false admissions of having witnessed it. Corresponding figures for controls were 36 and 10%. Twelve percent of children admitted to participating in the theft, but the effect of reinforcement was only marginally significant. The findings indicate that reinforcement can induce children to falsely implicate themselves in wrongdoing.

Child↗
PubMed2006

Patterns of acquisitive crime during methadone maintenance treatment among patients eligible for heroin assisted treatment.

OBJECTIVE: To determine the patterns of acquisitive crime during methadone maintenance treatment among chronic, treatment-resistant heroin users eligible for heroin assisted treatment in the Netherlands. METHODS: We retrospectively assessed the type and number of illegal activities during 1 month of standard methadone maintenance treatment in 51 patients prior to the start of heroin assisted treatment. Data were collected using a semi-structured interview focussed on crime with special emphasis on property crime. Volume analyses consisted of frequencies and descriptives of mean numbers of offences per day and per type. RESULTS: In a Dutch population of problematic drug users eligible for and prior to commencing heroin assisted treatment, 70% reported criminal activities and 50% reported acquisitive crimes. Offending took place on 20.5 days per month with on average 3.1 offences a day. Acquisitive crime consisted mainly of shoplifting (mean 12.8 days, 2.2 times/day) and theft of bicycles (mean 5.8 days, 2.4 times/day); theft from a vehicle and burglaries were committed less frequently. The majority of these patients (63%) reported to have started offending in order to acquire illicit drugs and alcohol. CONCLUSION: During methadone maintenance treatment, 50% of criminally active, problematic heroin users eligible for heroin assisted treatment reported acquisitive crime. Shoplifting, thefts and/or other property crimes were committed on average two to three times on a crime day. This study discusses that the detail provided by self-reported crime data can improve cost estimates in economic evaluations of heroin assisted treatment.

Adult↗
PubMed2002

Regional brain atrophy in patients with mild Alzheimer's disease and delusions.

BACKGROUND AND OBJECTIVE: The pathophysiology and the neurobiology of the behavioral disturbances in Alzheimer's disease (AD) are far from understood. The aim of the study was to assess whether delusional AD patients have a specific pattern of regional brain atrophy. METHODS: The setting of the study was the outpatient facility of a memory clinic. Subjects were 41 AD patients with mild dementia severity (Mini-Mental State Exam score of 22 +/- 3, range 18 to 27). Delusions were assessed with the pertinent subscale of the UCLA Neuropsychiatric Inventory (NPI). Nondelusional (n = 22) AD and delusional (n = 19) AD were defined on the basis of absence (NPI delusions subscale = 0) or presence (NPI delusions subscale = 1 or higher) of delusions. Thirteen (68%) of the delusional patients had isolated theft delusions, and 6 (32%) had theft associated with another paranoid delusion (of jealousy or persecution). None of the patients had misidentifications or other delusions of nonparanoid content. Temporal lobe and frontal lobe atrophy were assessed with linear measures (radial width of the temporal horn, rWTH, and frontal index, FI) taken from computed tomographic films. Temporal and frontal asymmetries were computed as right/left ratio of the rWTH and FI. RESULTS: AD patients without delusions had symmetrical enlargement of both temporal (8.1 +/- 3.9 vs. 8.5 +/- 4.5) and frontal horns (35.8 +/- 4.8 vs. 35.9 +/- 4.6). On the contrary, AD with delusions showed temporal horns larger to the right (9.1 +/- 3.3 vs. 7.7 +/- 3.1, p = .06) and the frontal horn to the left (35.7 +/- 4.3 vs. 37.5 +/- 4.2, p = .02). This different pattern was confirmed with a gender-adjusted repeated measures analysis of variance model interaction term between asymmetry and group: F1,38 = 5.5, p = .03). DISCUSSION: AD patients with delusions are characterized by a specific pattern of frontal and temporal asymmetry of brain atrophy, whereas nondelusional patients are symmetric. Because the asymmetry pattern of the delusional patients is similar to the physiological pattern of asymmetry of individuals without dementia, the data indicate that the absence of theft delusions in the mild stage of AD rather than their presence is associated with an abnormal asymmetry pattern.

Aged↗
PubMed2005

Obstruction of critical information on over-the-counter medication packages by external tags.

BACKGROUND: Over-the-counter (OTC) medication packages are important sources of information for consumers during product selection and use. Consumers may not be able to access information from OTC packages if external tags, namely price or anti-theft tags, are improperly placed. OBJECTIVE: To determine the amount and type of information concealed by anti-theft tags and price tags affixed on OTC drug packages. METHODS: A field study was performed by evaluating packages containing acetaminophen and combinations of acetaminophen in stores located in Houston. Five packages for 4 products selected from each store after an initial survey for presence of an external tag were examined. A data collection sheet was prepared that extracted the type and amount of information concealed by these tags. Data were analyzed by performing descriptive analyses to provide an understanding of the information obscured. RESULTS: A total of 24 stores were considered in the study, and 67 products and 285 packages were evaluated. External tags, both anti-theft and price tags, obscured significant amounts of information on the principal display panel (53.4%) and the Drug Facts panel (47.7%) of OTC packages. These tags concealed crucial information on various aspects of labels such as brand names (42.3%), product description (36.3%), warnings (51.5%), uses (10.4%), and purposes (7.2%). CONCLUSIONS: Results suggest that improper use of external tags clearly obscured important information on OTC medication packages necessary for consumers to make informed decisions regarding product selection and use. Tagging practices should be altered to allow consumers full access to drug information on the product.

Advertising↗
PubMedDate not supplied

Travel insurance claims made by travelers from Australia.

BACKGROUND: Little is known about travel insurance claims made by travelers returning from abroad. This study was designed to investigate travel insurance claims made by travelers from Australia, particularly examining demographic factors, type of travel insurance coverage, nature and duration of travel, when treatment was sought during travel or when the problem arose, use of emergency assistance, nature of claim, and claim outcome, including cost. METHODS: A random sample of approximately one in five claims reported during the period 1996 to 1998 to a major Australian travel insurance company were examined. RESULTS: A total of 855 claims were examined, of which 42.6% (356/836) were made by male travelers and 57.1% (477/836) were made by female travelers. The majority of claimants were in the 55 years and over age groups (445/836, 53.2%). Medical and dental conditions accounted for 66.6% of claims (569/854), with the remainder associated with loss, theft, and damage (285/854, 33.4%). The most common medical conditions were respiratory (110/539, 20.4%), musculoskeletal (90/539, 16.7%), gastrointestinal (75/539, 13.9%), ear, nose, and throat (67/539, 12.4%), and dental conditions (39/539, 7.2%). Only one case of venous thrombosis was reported, secondary to a lower limb infection. Use of the travel insurance company's emergency telephone service was reported in 17.1% of claims (146/853). Almost two-thirds (559/853, 65.5%) of claims were fully accepted. Those who claimed medical treatment, assault, and theft were significantly more likely to have their claims accepted compared to those claiming dental conditions, cancellation, curtailment, loss and damage (chi2 = 127.78, df = 40, p <.00001). The majority of medical and dental conditions did not require further medical investigations (427/569, 75.0%). The mean cost of claim refunds was Australian dollars (AUD)991.31 (standard deviation [SD] 6 AUD5400.76) for males and AUD508.90 (SD 6 AUD1446.10) for females. Claims for assault, cancellation, and curtailment were significantly more expensive than other types of claims (Kruskal-Wallis one way analysis of variance [ANOVA]; chi2 = 106.87, df = 8, p <.00001). Claims for treatment of gastrointestinal, cerebrovascular, cardiovascular, musculoskeletal conditions, and pyrexias of unknown origin were significantly more expensive than other medical and dental claims (Kruskal-Wallis one way ANOVA; x2 = 61.68, df = 15, p <.00001). CONCLUSIONS: This explorative study highlights the importance of travelers taking out appropriate travel insurance. Claims for medical and dental conditions represent the majority of travel insurance claims made by Australian travelers returning from abroad, although travel insurance also covers against such contingencies as loss, theft, and cancellation. The most common medical conditions claimed were respiratory, musculoskeletal, and gastrointestinal disorders. Travelers should be advised to take out appropriate travel insurance before departure overseas and to take care with preexisting medical and dental conditions, which may not be able to be claimed against travel insurance.

Adult↗
PubMed2004

Legalized gambling and crime in Canada.

In the 10 provinces and 2 territories of Canada in 2000, but not in 1990, the total number of types of gambling activities was positively associated with rates of robbery (p<.05). Controls for other social variables did not eliminate these associations. With so many correlations in the present study the likelihood of a Type I error was quite large. Alpha was adjusted to control that likelihood. Statistical analysis now required even stronger evidence before concluding that there were significant relationships between crime and gambling variables or among gambling variables. In the 10 provinces of Canada in 1999/2000, the total numbers of electronic gambling machines for each province was associated with rates of theft over $5000 (p<.01). In 1990 there were positive associations found for burglary with off-track betting and race/sportsbooks; motor vehicle theft with off-track betting, and race/sportsbooks; rate of theft with casinos; quarter horse racing with thoroughbred racing. In 2000 there were positive associations for robbery with casinos and slot machines; casinos with slot machines; scratch tickets with raffles, break-open tickets, sports tickets, and charitable bingo; raffles with break-open tickets, sports tickets, and charitable bingo; break-open tickets with sports tickets; charitable bingo with break-open tickets and sports tickets.

Canada↗
PubMed1993

Special report. Hospitals and parking security: shoring up a major crime locale.

Parking lots, parking structures, and adjacent perimeter areas--grounds, walkways, and public streets--account for a substantial portion of crimes committed in hospitals. Hospital security directors participating in the most recent International Association for Healthcare Security and Safety (IAHSS) Annual Crime Survey (for 1991) reported that 68% of incidents of armed robberies took place in parking and adjacent areas; 62% of vandalism incidents; 56% of rapes; 38% of burglaries; 34% of sexual assaults; 33% of robberies. Parking and adjacent areas registered lower but important frequencies of other crimes--homicide, 19%; simple assault, 16%; theft, 14%. Some 1,042 incidents of auto theft, a crime with virtually 100% occurrence in parking areas, were reported by the 284 hospitals participating in the 1991 survey. In the IAHSS 1989 survey, some 315 hospitals reported 667 incidents of vehicle theft indicating that this should be an area of growing concern. Additionally, a review by the newsletter Parking Security Report of major large dollar lawsuits for negligent security that came before state and federal appeals courts in the 1980s found that 27% of them were based on incidents that took place in parking areas. Clearly, parking security represents a major challenge for hospitals, demanding time, personnel, equipment, and dollars. In previous issues, we have presented a number of case history articles on how individual hospitals are dealing with the problem. In this report, we'll review what a number of other hospitals are doing to harden their parking security setups.

Crime↗
PubMed2001

[Pacemaker dysfunction in the clinical practice].

Lead dysfunction is still the predominant cause of pacemaker dysfunction. Beyond lead dysfunction clinicians might encounter problems resulting from the surgical procedure of pacemaker implantation, from specific programmable pacemaker functions (e.g. undersensing of premature ventricular complexes when autosensing is activated) and from interference with electromagnetic fields. Electromagnetic interference between pacemakers and mobile phones has been demonstrated both in vitro and in vivo, but in daily life pacemaker patients can readily use mobile phones when certain security measures are taken into account. Electromagnetic interference between anti-theft devices and pacemakers can arise from situations where the pacemaker is in close proximity to the anti-theft device, but in daily life these interferences are rare. The electromagnetic fields generated during magnetic resonance imaging (MRI) are considerably stronger than those generated by mobile phones or anti-theft devices, therefore permanent pacemakers are still considered a contraindication for MRI, although several case reports have recently been published that reported on uneventful MRI procedures in pacemaker patients. The present review summarizes the current knowledge on the most frequent pacemaker dysfunctions and electromagnetic interferences that might be relevant in clinical practice.

Cardiac Surgical Procedures↗
PubMed1991

Nosocomial Pseudomonas pickettii bacteremias traced to narcotic tampering. A case for selective drug screening of health care personnel.

Three patients in a university hospital developed nosocomial infusion-related Pseudomonas pickettii bacteremia. Investigation identified six additional patients who had received intravenous fluid contaminated by P pickettii but did not become ill. All nine patients had had surgery, and each of these patients but only nine of 19 operated-on control patients had received intravenous fentanyl citrate in the operating room; the mean dose given to the nine case patients was far greater than that given to control patients. Fentanyl in 20 (40%) of 50 predrawn 30-mL syringes was shown to be contaminated by P pickettii. Contamination was caused by theft of fentanyl from predrawn synringes and replacement by distilled water contaminated by P pickettii. Narcotic theft by health care personnel may cause patients to suffer pain needlessly and can also result in dire unanticipated consequences, such as nosocomial bacteremia. Whereas drug testing in the workplace is highly controversial, we believe that testing of health care personnel is indicated when drug abuse or theft is suspected.

Adult↗
PubMedDate not supplied

[A rare and little-known method of elaborating the loss of the object in melancholia].

The author presents a fully detailed report of the observation of two economically secure young women who were caught shop-lifting in a large department store; one woman was apprehended while suffering from depression, the other was caught just prior to the onset of a depressive episode. It is hoped that the details referred here may contribute to the insufficient data published on this subject up to the present. It is important to note that the thefts committed by these patients show the typical characteristics of "impulsive behavior". Furthermore, the impulse to steal may appear in various psychiatric conditions. Therefore, the author first considered the hypothesis that these thefts may have been computed during an acute dysthymic psychosis. Epilepsy was ruled out in both cases based on anamnestic data, electroencephalographic findings and, even after the administration of a pharmacological trigger, no epileptic symptoms appeared. These negative results prompted the author to propose a psychosemeiogenetic rapport between the depressive conditions and the thefts. Considering basic information regarding the psychodynamic of impulsive behavior in general, and that manifested in the course of melancholia in particular, the author confronts the problem of the psychosemeiogenesis of the impulsive to steal in the depressed patient. In order to understand this problem, the author proposes several interpretative hypotheses (equivalence of suicide or "parasuicide" according to Deshaies; attempt to give a concrete reason for the "feeling of guilt"; conduct to symbolically compensate the loss of the "object"). Following an in-depth, critical discussion, the author concludes that the "parasuicide" hypothesis is most accurate in the case of the first patient, whereas "compensation" more adequately explains the second. In conclusion, the interest that these cases present in the forensic medical sphere is also brought to light.

Depressive Disorder↗
PubMed1985

The utility of differentiating between mixed and pure forms of antisocial child behavior.

This study examined the utility of classifying boys on the basis of a typology of antisocial behavior. A group of 195 boys, aged 10-17, was divided into four mutually exclusive groups based on their pattern of antisocial behavior. Stealing and fighting were chosen as criteria to define the four groups: boys who fought but did not steal (Exclusive Fighter Group), boys who stole but did not fight (Exclusive Theft Group), boys who stole and fought (Versatile Antisocial Group), and boys who did neither (Remaining Group). A multimethod-multirespondent study of these boys showed that the Exclusive Fighter Group tended to score high on a range of overt antisocial behaviors and were relatively little involved in delinquency; the Exclusive Theft Group tended to score high on some overt antisocial behaviors and were much involved in delinquency; Versatile Antisocial youths scored highest among all groups on almost all overt and covert antisocial behaviors, and in terms of delinquent acts. The Versatile boys came from families with the most disturbed child-rearing practices.

Adolescent↗
PubMed1983

The day-to-day criminality of heroin addicts in Baltimore--a study in the continuity of offence rates.

A representative sample of 354 male heroin addicts living in the Baltimore metropolitan area was traced from onset of opiate use to time of interview to ascertain any changes in the frequency or type of offences committed during their years at risk. Five basic measures of criminality were employed: crime-day theft, crime-day violence, crime-day dealing, crime-day con games and crime-day other offences. A sixth measure -- composite crime day -- incorporated all five crime-day measures. Crime rates per year were derived from these six measures. It was found that the start of addiction was associated with a high level of criminality (255 composite crime-days per year), and that this high rate continued over numerous subsequent periods of addiction. Theft of property was the most common type of crime, followed by drug sales, other offences, con games, and violent offences. In contrast to the addiction periods, criminality decreased over successive non-addiction periods. Thus, the composite crime rate (82 composite crime-days per year) for the first non-addiction period was only 32% of the rate of the first addiction period and this lower rate of criminality decreased markedly thereafter.

Crime↗
PubMed2006

Reported events of stolen radioactive sources in Texas from 1956 to 2000.

Incident reports describing stolen source events in Texas from the years 1956 to 2000 were obtained from the Texas Department of Health-Bureau of Radiation Control and recorded into a computerized database using a pre-established set of codes. The data were then analyzed for the identification and characterization of trends. Over the 45-y period of analysis, 113 sources were reported as stolen. The radionuclides most commonly reported in theft events were Am, Cs, and Ir. The proportion of sources including Am as the sole source or Am combined with Be, or as a companion source with Cs, represented 56% of the total reported as stolen. Key risk factors identified as associated with source theft appear to include portability status, transportation status, transporter status, and radionuclide type. Based on the observations noted, suggested improved security measures are postulated including additional permitting controls, enhanced inspections, improved locking and storage procedures, and steps for communication to the public to enhance the prospects for recovery. Suggested enhancements to further improve data collection are proposed so that crime prevention information can be derived in future research.

Americium↗