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.     

The New Governance of French Education?

This article contributes to ongoing debates in comparative public administration through exploring the governance paradigm in the unfavourable empirical terrain of French education. After identifying potentially relevant features of governance, we investigate changing patterns of policy-making in French education at macro, meso and micro levels. Extrapolating research findings from extensive interviews and participant observation at ministerial meetings, we conclude the existence of a French-style governance that operates within distinctive ideational and institutional environments and interest structures. The article emphasizes the importance of historical and institutional traditions in framing the available pathways of governance.     

Non-Governmental Policy Transfer: The Strategies of Independent Policy Institutes

Discussions of policy transfer have primarily focused on official actors and networks. The non-governmental mode of policy transfer via foundations, think tanks and non-governmental organizations is a relatively neglected dimension. Accordingly, this paper addresses the role of think tanks in promoting the spread of policy ideas about privatization. The importance of think tanks to policy transfer is their ability to diffuse ideas by (1) acting as a clearing-house for information; (2) their involvement in the advocacy of ideas; (3) their involvement in domestic and transnational policy networks; and (4) their intellectual and scholarly base providing expertise on specialized policy issues. Concepts from comparative public policy and international relations such as "social learning" and "epistemic communities" are used to outline the way think tanks advocate innovative policy ideas. However, not only have think tanks been effective in promoting the transfer of policy ideas, the international spread of think tanks also exhibits organizationaltransfer.     

Factors Associated with Separation and Ongoing Violence among Women with Civil Protective Orders

This study examined a large sample of women recruited out of court at the time they received a civil protective order to better understand relationship status after obtaining a protective order (PO) and factors associated with protective order violations. Results are consistent with prior research suggesting that the protective order may be the impetus in separating from the abusive partner for some women, while for other women it is part of the separation process. Results also indicated that five out of ten women who did not continue a relationship experienced a violation while seven out of ten women who did continue a relationship with the PO partner experienced a violation. The majority of women felt safer and reported they believed the protective order was effective 13 months post-PO, regardless of relationship status. Furthermore, stalking played a significant role in separation from an abusive relationship and in protective order violations regardless of relationship status. Implications for practice and future research are discussed.

Does Context Matter in Determining Psychological Abuse? Effects of Pattern,Harm, Relationship,and Norms

This study explored contextual influences in determining whether psychologically aggressive actions constitute abuse. One hundred and thirty-one undergraduates completed measures of key experiences, attitudes, and traits, and rated abusiveness of behaviors in a series of vignettes. Vignettes varied contexts in which behaviors occurred, including whether the behavior was a pattern, whether there was harm to the recipient, characteristics of the initiator-recipient relationship, and whether behavior was normative. Results showed no effects for participants’ gender, past experiences with psychological aggression, and traits or attitudes. Findings indicated that behaviors were rated as more abusive when harm to the recipient was evident. Findings regarding patterns of behavior, relationship, and normative contexts were less consistent. Implications for measurement of psychological abuse are discussed.     

Refugee youth as peer leaders in a teen dating violence study

This article examines the experiences of six Karen peer leaders involved in research evaluating the effectiveness of a teen dating violence (TDV) program. Seven categories were identified: 1) the benefits of peer leadership, 2) motivation to become a peer leader, 3) concerns, 4) favorite part of the experience, 5) lessons learned about research, 6) TDV content learned, and 7) recommendations for researchers. Associated themes emerged within each category. Implications for prevention programs include providing an abbreviated version of the program to the peer leaders and engaging parents in recruitment. Future research should focus on conducting similar studies with Karen or other refugee youth in other areas of the United States.     

The Forgotten Educator: Experiential Learning’s Internship Supervisor

Past studies have addressed the role of the university, student interns and, the faculty advisor; here, we attempt to fill in a missing piece of the experiential-learning process by examining the role and importance of the often overlooked internship supervisor. A survey was developed and distributed to 343 recent internship supervisors. Their responses show that many of these supervisors view internships as an important professional and educational experience. We argue here that the internship supervisor can maximize one’s effectiveness when operating within a strong college or university educational infrastructure facilitated by an engaged and competent faculty advisor. Our recommendations were discussed and confirmed by a focus group of experienced faculty advisors.