Spontaneous rupture of the liver associated with a primary angiosarcoma: case report

A case of fatal spontaneous rupture of the liver caused by primary angiosarcoma is described. Spontaneous rupture of the liver is a rare clinical and pathological entity associated with high morbidity and mortality rates. Possible causes include infections such as hydatid disease, infiltrating conditions such as amyloidosis, inflammatory disorders such as the vasculitides, malignant and benign tumors, and tumorlike conditions. As in the case presented, the finding of a ruptured liver raises the possibility of blunt abdominal trauma, and the circumstances and scene should be assessed. The possibility of terminal resuscitation attempts should also be considered as a possible cause.     

Hypotensive hemorrhagic necrosis in basal ganglia and brainstem

Hypotensive hemorrhagic necrosis of the basal ganglia and brainstem has only occasionally been described. Three such cases are reported. Cardiac arrest had occurred in all cases, and it took at least 1 hour to restore adequate circulation. The patients remained comatose for 2 days to 2 weeks until death. Persistent hypotension causing ischemia in the distribution of deep perforating arteries is considered to have been the key underlying mechanism. Hemorrhage is thought to have been caused by extravasation of red blood cells through damaged blood vessels.     

The anglicisation of political marketing: how Blair ‘out‐marketed’ Clinton

Despite increasing academic interest in political marketing, confusion remains over its meaning and scope. Whilst most research focuses on its use in election campaigns, some argue that marketing influences other aspects of political behaviour. This paper contends that a lack of comparative research has contributed to this confusion. Theories derived from country‐specific studies may not be broadly applicable due to the impact of systemic differences. To show this, it analyses the case studies of Clinton in the 1992 US presidential election and Blair in the 1997 UK general election. Comparing the use of marketing in the two cases reveals that while systemic features created the scope for a broader, more coordinated and delivery‐oriented approach in the case of Labour, in both cases marketing influenced the design as well as the presentation of the ‘products’ on offer. This suggests that the potential applications of political marketing are broader than conventional definitions imply. Copyright © 2002 Henry Stewart Publications.     

Nationalist in a Liberal Order: Why Populism Missed Japan

In the past few years, many wealthy democracies have exhibited significant backlash against the liberal international order. Why has Japan—also a leader of this order—remained comparatively calm? I argue that though Japan was a prominent member of the liberal international order, in many ways it pursued policies far less liberal than those of its partners. Japanese trade policies (lingering trade barriers in in agriculture and non-tariff barriers in industrial sector) protected different sectors of the Japanese economy. Where Japan did liberalize, the government upheld the social compact of extending benefits to dislocated workers. Furthermore, Japan’s strict immigration policy contrasts with far more welcoming immigration policies in Europe and the United States. Tokyo deferred to public skepticism about immigration (rather than disregarding it, as did American and European leaders). The more nationalist agenda of a leading liberal state is critical for understanding both the roots of the current crisis in the liberal international order—and how it might be saved.     

Making Choices: Adoption Seekers’ Preferences and Available Children with Special Needs

Most children available from public adoption agencies are children with special needs, such as disabilities. This pilot study on the child profile preferences of 5830 adults registered with province-wide adoption agency found that those who were most open to considering children with special needs had been formally seeking to adopt for some time and had completed government-required SAFE assessments and training. Most preferred younger children, and half would consider sibling groups. Between 43% to 60% indicated willingness to consider adopting children with degrees of learning disabilities, emotional behavioral disorders, and physical disabilities, although the willing proportion decreased as the level of each disability's specified impact progressed from “mild” to “moderate” to “severe.” Most preferred, among 20 categories of available children's possible exposures and health diagnoses, were past abuse exposures versus diagnosed disabilities or enduring conditions. Possible explanations for these findings and their implications are explored and ideas for further research proposed.     

Four Principles of Big Data Practice for Effective Child Welfare Decision Making

Large administrative data systems are powerful tools that can aid child welfare decision making by allowing populations, trends, and risks to children to be described. But realizing the value that this “big data” can bring to improving the lives of children and their families requires one to (a) start the process by asking a question, (b) take a disciplined approach to converting data to evidence, (c) commit to the cyclical process of improvement using evidence, and (d) arrange and analyze the data in ways that maximize evidence yield. This article describes how these four principles can help agencies and researchers use big data wisely and in accordance with scientific standards as an instrument to generate evidence that fuels the cycle of continuous quality improvement.     

A Novel Method for Removing a Spinal Cord with Attached Cervical Ganglia from a Pediatric Decedent

A diagnosis of child abuse is dependent on a comprehensive and accurate assessment of injury in the context of a thorough investigation. However, signatures of trauma are often subtle and interpretation can be very difficult. Recently, researchers have refocused their attention from the head to the neck in search of traumatic signatures of abusive head trauma. HCIFS has developed a technique to remove the cervical spinal cord with the ganglia attached that is less destructive and more time and cost efficient than alternative methods previously published. Once removed, the dorsal nerve roots and ganglia are evaluated for the presence of hemorrhage. The authors performed a small pilot study using the novel method to evaluate 20 decedents with a history of blunt force trauma and eight without a traumatic history. Fifteen of the traumatic deaths and two of the nontraumatic deaths were found to have dorsal nerve root and/or ganglia hemorrhage.     

The Conditioning Effects of Race and Gender on the Juvenile Court Outcomes of Delinquent and “Neglected” Types of Offenders

Drawing upon concepts from prior research that emphasize race and gender stereotyping, the present research compares how delinquent and “neglected” types of offenses (i.e. status offenses, probation violations, youth charged with contempt) are treated across three juvenile court outcomes. Beyond how offense type may directly impact case outcomes, we also investigated whether race and gender influenced juvenile justice processing within each offense type. Using data from two Mid-Atlantic States, results indicated that type of offense, race, and gender resulted in both severe and lenient case outcomes depending on the stage examined. By including different types of offenses that represent a significant percentage of youth that have been relatively neglected in prior research, the current study provides greater insight into the contexts of race and gender disparities in juvenile justice decision-making. The implications of the findings and directions for future research are also discussed.     

A meta-analysis update on the effectiveness of early self-control improvement programs to improve self-control and reduce delinquency

Objective

To update Piquero et al.’s (Justice Quarterly 27:803–834, 2010) meta-analysis on early self-control improvement programs.

Methods

Screening of eligible studies was carried out for the period between January 2010 and September 2015. An additional seven studies were identified, which were added to the original database of 34 studies, totaling an overall sample of 41 eligible studies. A random effects model was used to obtain an overall mean effect size estimate. Additional analyses were performed to assess publication bias and moderation.

Results

Overall average, positive, and significant effect sizes were observed for improving self-control (0.32) and reducing delinquency (0.27). There was evidence of publication bias for the self-control improvement outcomes, as well as some evidence of moderation for both self-control improvement and delinquency outcomes.

Conclusions

Early self-control improvement programs are an effective evidence-based strategy for improving self-control and reducing delinquency.

     

A meta-analysis update on the effects of early family/parent training programs on antisocial behavior and delinquency

Objective

To update Piquero et al.’s meta-analysis on early family/parent training programs.

Methods

Screening of eligible studies was carried out for the period between January 2008 and August 2015. An additional 23 studies were identified, which were added to the original database of 55 studies, totaling an overall sample of 78 eligible studies. A random-effects model was used to obtain an overall mean effect size estimate. Additional analyses were performed to assess publication bias and moderation.

Results

An overall average, positive, and significant effect size of 0.37 was calculated, which corresponds to 32 out of 100 in a treated group versus 50 out of 100 in a control group who offended. There was some evidence of publication bias and moderation.

Conclusions

Early family/parent training programs are an effective evidence-based strategy for preventing antisocial behavior and delinquency.