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Background: In the United States, the COVID-19 pandemic led to a nationwide quarantine that forced individuals to adjust their daily activities, potentially impacting the burden of foot and ankle disease. The purpose of this study was to compare diagnoses made in an orthopaedic foot and ankle clinic during the shelter-in-place period of the COVID-19 pandemic to diagnoses made during the same months of the previous year. Methods: A retrospective review of new patients presenting to the clinics of 4 fellowship-trained orthopaedic foot and ankle surgeons in a major United States city was performed. Patients in the COVID-19 group presented between March 22 and July 1, 2020, during the peak of the quarantine for this city. Patients in the control group presented during the same period of 2019. Final diagnosis, chronicity of symptoms (acute: ≤1 month), and mechanism of disease were compared between groups. Results: A total of 1409 new patient visits were reviewed with 449 visits in the COVID-19 group and 960 visits in the control group. The COVID-19 group had a significantly higher proportion of ankle fractures (8.7% vs 5.4%, P =.020) and stress fractures (4.2% vs 2.2%, P =.031), but a smaller proportion of Achilles tendon ruptures (0.7% vs 2.5%, P =.019). The COVID-19 group had a higher proportion of acute injuries (35.4% vs 23.5%, P <.001). Conclusion: There was a shift in prevalence of pathology seen in the foot and ankle clinic during the COVID-19 pandemic, which may reflect the adoption of different activities during the quarantine period and reluctance to present for evaluation of non-urgent injuries. Level of Evidence: Level III, retrospective cohort study. [ABSTRACT FROM AUTHOR]

The current article examines rape as a form of sexual violence, drawing upon comparative research to describe and then proffer a tentative explanation of one specific type, referred to as ritualistic rape. Several cross-cultural examples and selected national data are referenced to examine three different forms of ritualistic rape: forced marriages or abductions, ritual defloration, and wife-lending. The evidence indicates that such “normative” or socially condoned rapes appear quite commonly in one form or another in nearly every society. The last section offers a general theory of ritualistic rape rooted in D. Black’s pure sociology perspective by identifying the confluence of several underlying structural features that purport to explain the conditions under which ritualistic rapes tend to thrive. [ABSTRACT FROM AUTHOR]

Despite evidence of a cultural shift in orientations toward violence, the problem of violence against women persists across a range of different societies. The preoccupation with the psychology of violence and the focus on cultural orientations obscure the more salient features of social life that promote violence: the structure of interpersonal relationships. The exploration of sociodemographic correlates and the search for "risk factors" of intimate partner violence have overshadowed the inclusion of a distinct set of social structural characteristics that are conducive to domestic violence. The current article draws on comparative research and Donald Black's theoretical approach to argue that key factors include (a) the degree of social isolation, (b) interdependence of support networks, (c) inequality, (d) relational distance, (e) centralization of authority, and (f) exposure to violent networks. The weak explanatory power of previous research can be improved by developing measures to evaluate an integrated structural model of violence against women. [ABSTRACT FROM AUTHOR]

Questions concerning the essential nature of altruism, the existence of an altruistic personality, and the genetic, biosocial, and social psychological bases of altruistic behavior have dominated theory and research on the topic. The current paper reconceptualizes financial altruism sociologically as a form of unilateral resource exchanges, or welfare.The alternative definition employs Donald Black's (1979, 2000) analytic approach to describe and explain the behavior of welfare with its location and direction in social space. The paper offers several propositions that purport to explain variations in welfare by drawing upon cross-cultural research. In general, welfare flows in the direction of those who are less integrated and who have lower social status. In addition, welfare varies directly with intimacy, conventionality, and respectability. Finally, welfare varies inversely with relational distance, cultural distance, and group size. The paper concludes with a brief discussion of strengths and limitations of the general propositions advanced. [ABSTRACT FROM AUTHOR]