Ethnic Differences in Trajectories of Family Cohesion for Mexican American and Non-Hispanic White Adolescents

This study examined gender, family structure, SES and language usage as predictors of cultural orientation and family cohesion. Ethnic differences in trajectories of family cohesion were tested within a hierarchical linear modeling framework. The sample consisted of 4156 adolescent respondents, measured at three time points during three consecutive years. The three study groups consisted of Mexican Americans oriented to Mexican culture (N = 738), Mexican Americans oriented to majority American culture (N = 867), and Non-Hispanic Whites (N = 2551). Family cohesion was assessed using the cohesion subscale of the Family Adaptability and Cohesion Scale (FACES III). Analyses consisted of hierarchical linear modeling (HLM) in which a linear trajectory of family cohesion for the three groups was computed followed by a test for the effects of ethnicity with the inclusion of control variables. Thus, ethnic differences in the trajectories of family cohesion over time were examined. Neither group of Mexican Americans was significantly different from Non-Hispanic Whites in initial status. However, Mexican Americans oriented to Mexican culture showed a significant increase in family cohesion at mid adolescence. Judith C. Baer is an Associate Professor at Rutgers University. She received her Ph.D. in Social Work from the University of Houston. Her major research interests include the study of adolescent development within the contexts of culture, and family, adolescent sexual risk taking, and the nosology of mental disorders. Mark F. Schmitz is Clinical Assistant Professor at Temple University. He received his Ph.D. in sociology at Iowa State University. His major research interest involves the use of several large epidemiologic datasets for an extensive examination of the empirical basis for the diagnostic criteria of various DSM-IV mental disorders. He also is involved in research on cultural issues in child development and family processes.     

Emergence of fentanyl-related deaths in Travis County,Texas and surrounding areas: A retrospective review of postmortem fentanyl-related drug toxicities from 2020 to 2022

The opioid epidemic has affected the United States (US) for decades with fentanyl and its analogs accounting for a recent surge in morbidity and mortality. Currently, there is a relative lack of information characterizing fentanyl-related fatalities specifically in the Southern US. A retrospective study was conducted to examine all postmortem fentanyl-related drug toxicities in Travis County, Texas, encompassing Austin (one of the fastest-growing cities in the US), from 2020 to 2022. Fentanyl contributed to 2.6% and 12.2% of deaths submitted for toxicology between 2020 and 2022, respectively, representing a 375% increase in fentanyl-related deaths over this 3-year period (n = 517). Fentanyl-related fatalities primarily occurred in males in their mid-30s. Fentanyl and norfentanyl concentrations ranged from 0.58 to 320 ng/mL and 0.53 to 140 ng/mL with mean (median) concentrations of 17.2 ± 25.0 (11.0) and 5.6 ± 10.9 (2.9) ng/mL, respectively. Polydrug use was present in 88% of cases, with methamphetamine (or other amphetamines) (25%), benzodiazepines (21%), and cocaine (17%) representing the most frequently identified concurrent substances. Co-positivity rates of various drugs and drug classes widely varied over time. Scene investigations reported illicit powder(s) (n = 141) and/or illicit pill(s) (n = 154) in 48% (n = 247) of fentanyl-related deaths. Illicit oxycodone (44%, n = 67) and illicit “Xanax” (38%, n = 59) pills were frequently reported on scene; however, toxicology only identified oxycodone and alprazolam in 2 and 24 of these cases, respectively. The results of this study provide a better understanding of the fentanyl epidemic in this region creating an opportunity to promote increased awareness, shift focus to harm reduction, and aid in minimizing public health risks.     

Medium‐Chain Acyl‐CoA Dehydrogenase Deficiency in Adulthood: A Potential Diagnosis in a Patient with Mental Status Changes Suspected of Drug Toxicity

Medium‐chain acyl‐CoA dehydrogenase (MCAD) deficiency is a rare but important component of the differential diagnosis for adults with a history of premortem mental status changes and the postmortem finding of hepatic steatosis. This case report describes a 30‐year‐old white man who, following a period of nausea and vomiting, was admitted to the hospital with sudden mental status deterioration followed rapidly by clinical deterioration and death. Treating physicians in this case suspected acute illicit drug toxicity with synthetic cathinones based on social history. Clinicians and medical examiners should be aware that the presentation, signs, and symptoms described may indicate an underlying inborn error of metabolism such as MCAD deficiency and take action accordingly.     

Interventions with women offenders: a systematic review and meta-analysis of mental health gain

Currently, a conjunction of policy, legislative change in health and social care and the criminal justice system, combined with funding for innovative services make it opportune to assess the evidence base for interventions with women offenders. Women offenders have a distinctive criminological, health and social profile and a gender specific approach to their difficulties is advocated. This systematic review and meta-analysis focus on mental health gain in adult women offenders in forensic health settings, criminal justice institutions and in the community, following therapeutic interventions. Interventions were assessed in terms of specific outcome measures of depression, trauma symptomatology and global mental health status. Comprehensive search strategies yielded 3018 articles, from which we obtained 199 full text articles. Seventeen articles were included in the final review, of which six were excluded from the meta-analysis as there was no comparator group. There is a modest, but increasing, body of evidence for the utility of some interventions, notably those addressing the consequences of earlier trauma, including interventions which also address comorbid substance misuse. This does not amount, to date, to a robust evidence base. Limitations of these studies are discussed and include small sample sizes, their restriction mainly to prison populations and that they were substantially undertaken in the US. Variations in outcome measures follow-up and the difficulties inherent in measuring change in this complex population are also detailed. However, the review delineates definite avenues for further work. To achieve this, those responsible for policy, practice and purchase of services should both be mindful of existing evidence and promote additional, high quality research into interventions which are designed around a coherent, theoretical approach.     

Living in the Shadow of Violence: Local Civil–Military Engagement during Anti-Communist Insurgency Operations in the Philippines

Abstract

The Philippine approach to the anti-communist insurgency after 1986 has featured peace talks with the rebels, amnesty and livelihood packages, and strengthened security forces. While the military has remained central to the counterinsurgency campaign, the government has also institutionalized police involvement in conducting operations and requested input from local civilian authorities in paramilitary recruitment and human rights monitoring. Legal restrictions against human rights violations by soldiers were also established. The experience of 20 frontline communities in central Philippines reflects these changes. Local civil-military interaction has moved from confrontation to consultation and accommodation. However, tension remains because the military and civilian leaders disagree on the gravity of the insurgent threat.