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 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.

     

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.

     

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.     

Prevalence of xylazine in overdose cases: An analysis of Miami-Dade County medical examiner case data

Xylazine sedative, muscle relaxant, and analgesic used in a veterinary setting. Although xylazine was never approved for therapeutic use in humans, it has become popular in the street drug market as a cutting or bulking agent in the fentanyl and heroin supply. Recently, there has been a significant increase in the detection of xylazine in postmortem forensic toxicology casework. Xylazine can be identified during routine toxicology screening utilizing instrumentation such as gas chromatography–mass spectrometry and liquid chromatography–mass spectrometry. Using the Miami-Dade Medical Examiner's LIMS system, all cases received between 2015 and 2022 in which xylazine was reported were reviewed. The cases studied include accidental drug overdose deaths in Miami-Dade County as well as Collier County (Naples), Florida. In total, there are 170 cases; the majority are accidental polydrug overdoses involving White males between the ages of 25 and 44 years old. Of the 170 cases, 37% listed xylazine as the cause of death. 13% of cases contained only xylazine and fentanyl while the remaining 87% of deaths were attributed to polydrug toxicity involving two or more substances. The prevalence of xylazine can be attributed to its increasing popularity rather than an increase in caseload. In 2019, xylazine was present in only 4% of all accidental fentanyl overdoses. By 2021, this percentage has increased sixfold, with xylazine present in 24% of all accidental fentanyl overdoses. Despite a decrease in fentanyl overdoses in 2022, the percentage of xylazine detection remained the same.     

Criminal Justice System Involvement Among Homeless Adults

This study characterized the specific offenses for which homeless individuals are arrested and incarcerated. Data were gathered from 581 homeless adults across 6 Oklahoma City shelters. Participants were asked to self-report incarceration history, nights spent in jails and prisons, and the offenses for which they were arrested. Overall, 76% of the sample had ever been arrested. Fifty-seven percent of the sample had been to jail more than 3 times in their lifetime and 13% had ever intentionally been arrested. The most prevalent type of arrest was drug possession (35%), followed by driving under the influence (31%) and disorderly conduct or public drunkenness (28%). Violent arrests, such as assault, robbery, domestic violence, murder, and rape, were the least prevalent type of arrest. In summary, offenses were largely drug and status offenses. These offenses may be prevented through increased substance use treatment accessibility and availability of housing. Policies to increase employment and housing for homeless adults regardless of criminal history should be expanded to reduce the occurrence of justice involvement.     

Changes in illicit cocaine hydrochloride processing identified and revealed through multivariate analysis of cocaine signature data

For nearly 30 years, the methods utilized in illicit cocaine hydrochloride production have remained relatively consistent. Cocaine hydrochloride is typically produced one kilogram at a time. As a result, each individual kilogram is unique and distinct from other kilograms in any particular seizure based on the total alkaloid profile, occluded solvent profile, and isotopic signature. Additionally, multi-kilogram cocaine seizures are often comprised of cocaine from several different coca growing regions. There has been a documented shift in this type of processing based on the recent analysis of a large cocaine seizure in the Eastern Pacific. Signature analyses of samples from 21 kg randomly selected from a 517 kg seizure were virtually identical. Triplicate analyses of each sample via gas chromatography with flame ionization detection, static headspace gas chromatography mass spectrometry, and isotope ratio mass spectrometry were completed. An initial outlier evaluation of the data and an in-depth univariate analysis indicated there was no statistically significant difference among the 21 samples at the 95% confidence interval. Principal components analysis did reveal consistent minor deviations between the samples and known authentic data from the Nariño coca growing region of Colombia. These deviations were only observed on the latter principal components and could be explained by differences in solvent selection during cocaine hydrochloride processing. Chemical analyses in addition to a thorough statistical evaluation suggest a shift in the traditional small-batch method of cocaine processing to a multi-kilogram, high throughput approach.