Resilience in Sexually Abused Women: Risk and Protective Factors

The goal of this study was to evaluate the contribution of family characteristics (family conflict and cohesion) and abuse characteristics (age at which abuse occurred, abuse severity, and relationship to perpetrator) to resilience (self-acceptance, ability to engage in positive relationships with others, and environmental mastery) in a sample of one hundred and 77 university women who had experienced childhood sexual abuse (CSA). The respondents completed a questionnaire that focused on childhood experiences including family environment in childhood, characteristics of the abuse they had experienced in addition to degree of current resilience defined as their level of well-being (self-acceptance, ability to engage in positive relationships with others, and environmental mastery). The results indicated that family characteristics accounted for 13–22% of the variance in the well-being outcomes. In contrast, abuse characteristics accounted for 3% or less of the variance in the well-being outcomes. The clinical implications of these findings are discussed.     

Impacts of a law fostering training development: Lessons from Quebec's experience

Abstract: Since the 1980s, numerous studies in Canada have shown weaknesses in the level of involvement by firms in training and have thus raised the question of the role of public policy. In 1995, the Quebec government adopted a unique law in North America in this regard: An Act to Foster the Development of Manpower Training. The “1% Wage Bill Law” was intended to improve the qualifications, skills and performance of workers through training. This article investigates three impacts of this law: the level of investment by firms; the distributional aspect of the law in terms of its capacity to ensure a more equitable investment in training for the different categories of workers in firms; and, finally, the structural aspect in terms of establishing partnerships. From a theoretical perspective, the Quebec experience illustrates that, between the liberal approach and the institutionalist approach (market versus institutions), it is possible to observe a compromise being made by social actors with respect to the regulation process, which at the same time respects the decisional space of firms. Another observation relates to the complementary aspect of institutional forms in labour‐market regulation and to the fundamental role of unions in partnershipbuilding. Sommaire: Depuis les années 1980, de nombreuses etudes au Canada ont révélé un faible degré de participation des entreprises à la formation et ont ainsi soulevé la question du rôle de la politique gouvemementale. En 1995, le gouvemement du Québec a adoptéà cet égard une loi unique en son genre en Amérique du Nord: une Loi fauorisant le de'veloppement de la formation de la main‐d‘œuvre. La G loi du 1 % de la masse salariale “visait à améliorer les qualifications, les competences et la performance des travailleuses et travailleurs grâce 5 la formation. Le présent article examine trois impacts de cette loi: le niveau d'investissement des entreprises; l'aspect répartition de la loi en termes de sa capacitéà s' assurer que des investissements plus équitables soient consacrés à la formation pour différentes catégories de travailleuses et travailleurs dans les entreprises; et enfin, l'aspect structurel pour ce qui est de l’établissement de partenariats. D'un point de vue théorique, l'expérience du Québec illustre qu'entre l'approche libérale et l'approche institutionnelle (marché contre institutions), il est possible d'observer un compromis de la part des acteurs sociaux en ce qui concerne le processus de réglementation, qui respecte en même temps l'espace décisionnel des entreprises. Une autre observation porte sur l'aspect complémentaire des formes institutionnelles dans la réglementation du marché du travail et sur le rôle fondamental des syndicats dans l‘établissement de partenariats.     

iPLEDGE Allegiance to the Pill: Evaluation of Year 1 of a Birth Defect Prevention and Monitoring System

The United States Food and Drug Administration (FDA), in collaboration with pharmaceutical manufacturers, have recently implemented a heavily revised risk-management program for patients on isotretinoin (Accutane), a drug with known and pronounced teratogenic effects. This revised risk management plan places significant burdens on both providers and patients in the hopes of achieving its goal of reducing fetal exposure to isotretinoin. The main focus of this paper is to discuss the burdens of various aspects of the program in relationship to potential corresponding benefits. In particular, we evaluate the pregnancy rates of women on isotretinoin therapy compared with that of the general population and the rate changes based on the risk management programs. Additionally, we investigate whether the benefits of the program for women have increased as the benefits have risen. We devote special attention to the ethical implications of the intent of the program and to an analysis of the ethical justification of the restrictions placed on women of childbearing potential (WCP) as it compares to the risk-benefit relationship of using isotretinoin.     

The Sociology of Law in France: Trends and Paradigms

To suggest that French legal sociology is a field in which a dominant theoretical tendency is identifiable is misleading; equally, attempts to provide insight into the work achieved in French socio-legal studies which presuppose that a complete inventory of the field must be undertaken are misguided. In this article, an exposition of French legal sociology is attempted using different means: following a brief history of the evolution of socio-legal studies in France, the authors suggest different paradigms around which French researchers appear to converge. Eight paradigms are identified, covering the majority of French sociologists and jurists. The article concludes with an analysis of some characteristics of socio-legal studies in general, within the framework of French intellectual and academic life.     

Disopyramide and Mianserin Intoxication: A Unique Fatal Case – Review of the Literature

Lethal occurrence is exceptional after disopyramide or mianserin poisoning. A case of intentional lethal intoxication with these drugs was reported, as well as a review of the literature. Pre‐ and postmortem blood concentrations of disopyramide or mianserin were assessed in a woman who died from acute cardiac failure after ingestion. The premortem blood concentration of disopyramide alone was considered lethal, and a toxic premortem concentration of mianserin was observed that may have increased cardiovascular failure induced by disopyramide because the metabolism of both drugs is mediated via cytochrome P450. Moreover, it was shown that the postmortem redistribution of disopyramide was limited, as pre‐ and postmortem concentrations were 48 and 65 mg/L, respectively. As regards mianserin, redistribution was observed after death with pre‐ and portmortem concentrations at 0.23 and 0.79 mg/L, respectively. This case illustrates that if postmortem blood concentration of disopyramide is known, the premortem concentration can be deduced.     

Analysis of Positive Control STR Experiments Reveals that Results Obtained for FGA,D3S1358, and D13S317 Condition the Success Rate of the Analysis of Routine Reference Samples

About 120,000 reference samples are analyzed each year in the Forensic Laboratory of Lyon. A total of 1640 positive control experiments used to validate and optimize the analytical method in the routine process were submitted to a multivariate exploratory data analysis approach with the aim of better understanding the underlying sources of variability. The peak heights of the 16 genetic markers targeted by the AmpF?STR^® Identifiler^® STR kit were used as variables of interest. Six different 3130xl genetic analyzers located in the same controlled environment were involved. Two major sources of variability were found: (i) the DNA load of the sample modulates all peak heights in a similar way so that the 16 markers are highly correlated, (ii) the genetic analyzer used with a locus‐specific response for peak height and a better sensitivity for the most recently acquired. Three markers (FGA, D3S1358, and D13S317) were found to be of special interest to predict the success rate observed in the routine process.     

Estimating the Number of Contributors to Forensic DNA Mixtures: Does Maximum Likelihood Perform Better Than Maximum Allele Count?

Abstract: Determining the number of contributors to a forensic DNA mixture using maximum allele count is a common practice in many forensic laboratories. In this paper, we compare this method to a maximum likelihood estimator, previously proposed by Egeland et al., that we extend to the cases of multiallelic loci and population subdivision. We compared both methods’ efficiency for identifying mixtures of two to five individuals in the case of uncertainty about the population allele frequencies and partial profiles. The proportion of correctly resolved mixtures was >90% for both estimators for two‐ and three‐person mixtures, while likelihood maximization yielded success rates 2‐ to 15‐fold higher for four‐ and five‐person mixtures. Comparable results were obtained in the cases of uncertain allele frequencies and partial profiles. Our results support the use of the maximum likelihood estimator to report the number of contributors when dealing with complex DNA mixtures.     

Psychiatric correlates of medical care costs among veterans receiving mental health care

Research on increased medical care costs associated with posttraumatic sequelae has focused on posttraumatic stress disorder (PTSD). However, the provisional diagnosis of Disorders of Extreme Stress Not Otherwise Specified (DESNOS) encompasses broader trauma-related difficulties and may be uniquely related to medical costs. We investigated whether DESNOS severity was associated with greater nonmental health medical care costs in veterans receiving mental health care. Participants were 106 men and 105 women receiving VA outpatient mental health treatment. A standardized interview assessed DESNOS severity. The dependent variables consisted of primary and specialty medical treatment costs. Sequential zero-inflated negative binomial regression was used to evaluate the variance in medical costs accounted for by DESNOS severity, controlling for PTSD severity and established predisposing, enabling, and need-based health care factors. Contrary to our hypothesis, in fully adjusted models, DESNOS severity independently added a significant amount of variance to lower specialty medical care costs, whereas PTSD did not consistently account for significant variance in medical care costs. Greater DESNOS severity appears to be associated with lower specialty medical care costs but not primary care costs. These findings may indicate that patients with DESNOS symptoms are at risk for being underreferred for specialty care.