Subvalvular aortic stenosis as a cause of sudden death: two case reports

Sudden death is defined as a death that occurs suddenly, develops during an unpredictable course, and is due to natural or unnatural causes. Although there is no universally standardized definition on how "sudden" a sudden death is, WHO defines sudden death as a death that occurs within 24 hours after the onset of symptoms. The aim of this study is to present 2 rarely reported autopsy cases and to emphasize the importance of systemic autopsy at sudden death. On macroscopic examination, crescent-shaped, thick, fibrous membranes, located 5 mm and 3 mm away from the aortic valves, were detected. Fibrous membranes extended from the ventricular septum to the left ventricular outflow tract, thus apparently narrowing this region. Left ventricular wall and septum were slightly thickened, and there were scattered grayish-white areas of a small diameter. These became more intense in the septum and myocardium of the left ventricle on the anterior plane of the myocardial sections. In both cases, the aortic valves of were thickened and also markedly narrowed on one of them. In this case, the fibrous membrane adhered to the aortic valve and extended to the anterior leaflet of the mitral valve at one side. Both aortic valves comprised 3 leaflets. Other valves and coronary arteries showed no macroscopic pathologic findings. Microscopic examination of both cases demonstrated that the fibrous membrane comprising abundant collagen fibers was situated on the ventricular septum. Hypertrophy, moderate to severe interstitial fibrosis, and focal areas of scarring were observed in the specimens taken from the septal and ventricular myocardium. No abnormality was found on the conduction system examinations. Toxicologic analysis results in blood were negative. Based on the findings, membranous-type (discrete type) subvalvular aortic stenosis, diagnosed during the autopsy, was considered as the cause of sudden death in both cases.     

How welfare reform affects young children: Experimental findings from Connecticut—A research note

As welfare‐to‐work reforms increase women's labor market attachment, the lives of their young children are likely to change. This note draws on a random‐assignment experiment in Connecticut to ask whether mothers' rising employment levels and program participation are associated with changes in young children's early learning and cognitive growth. Children of mothers who entered Connecticut's Jobs First program, an initiative with strict 21‐month time limits and work incentives, displayed moderate advantages in their early learning, compared with those in a control group. A number of potential mechanisms for this effect are explored, including maternal employment and income, home environment, and child care. Mothers in the new welfare program are more likely to be employed, have higher income, are less likely to be married, have more children's books in their home, and take their children to libraries and museums more frequently. However, these effects explain little of the observed gain in child outcomes. Other parenting practices and the home's social environment do explain early learning, but these remained unaffected by welfare reform. © 2003 by the Association for Public Policy Analysis and Management     

Water and Federalism in the 1990s

Federalism has always been an issue in water management. Thephasing out of grants for the construction of sewage treatmentplants, the reduction of the federal contribution for constructionof water development projects, the decrease in federal expendituresfor basic water data collection, and the lack of federal fundsfor state dam-safety programs have all had an impact on watermanagement and intergovernmental relations. This article summarizescontemporary issues in intergovernmental relations and waterpolicy. First, the relationship between water, environmentalprotection, and federalism is examined. Then, the shifting financialresponsibility for water pollution control from the federalto state and local governments is reviewed.     

An empirical test of the social support paradigm on male inmate society

While social support theory has been applied to a variety of criminal justice settings, there has been little empirical research on the effect of social support on inmate behavior. In this article, we test Cullen’s proposition that social support, in whatever form it manifests itself, has an effect on Korean inmates’ experiences. Specifically, we examine whether social support in an all-male prison environment explains inmate misconduct, victimization, fear of victimization, and the intent to commit crime in the future. We build upon previous research by using unique measures of the instrumental and the expressive dimensions of social support to determine their effect on reducing criminogenic engagement in a prison setting. The results indicate that social support is an important factor in reducing prison violence, enhancing pro-social behavior, and potentially reducing recidivism.     

Child Protection Law as an Independent Variable

Child protection professionals work in a multidisciplinary system in which the law and the family court play central roles and which collects an increasing amount of data. Yet we know little about what impact the law has on whether a child is removed by child protective services, is deemed neglected by a family court, or reunifies with a parent. Do state‐to‐state variations in child protection laws, or changes by individual states to their laws, lead to different outcomes for children and families? The dramatic variations in child welfare practice from one state to another suggest that legal variations do matter. Yet empirical research on these questions is scarce both because we collect too little data to measure all such issues, and, because we have failed to study the data we do have. This article is a plea for researchers to rectify that problem and for policymakers to improve data collection. Doing so would facilitate a more clear understanding of the law's effect on child protection outcomes and aid policymakers and advocates in identifying both promising and problematic practices and legal reforms.     

Preliminary Study of Testosterone and Empathy in Determining Recidivism and Antisocial Behavior

Recidivism, repeated criminal behavior after conviction and correction of prior offenses, is a costly problem across the nation. However, the contribution of empathy in determining the risk of recidivism has received limited attention, although lack of empathy has been related to antisocial personality disorder in various studies. Studies linked testosterone to aggression, antisocial behavior, and criminality, and evidence support hormonal connections between empathy and aggression. Adult male prison inmates convicted of violent or nonviolent offenses were included in a cross‐sectional study of empathy, antisocial behavior, salivary testosterone, and recidivism. Subjects underwent criminal history, Empathy Quotient, Levenson Self‐Report Psychopathy Scale, Beck Depression Inventory, Spielberger State‐Trait Anxiety Inventory, and salivary testosterone assays. Bivariate analyses indicated multiple correlations between variables. Multivariate modeling analyses found a significant relationship between self‐reported conviction number and psychopathy scale score (p = 0.013). These preliminary results suggest avenues of investigation of factors contributing to recidivism risk.     

Integrating Public Deliberation into Engineering Systems: Participatory Technology Assessment of NASA’s Asteroid Redirect Mission

We discuss an experiment employing participatory technology assessment (pTA), a public deliberation method for eliciting lay citizen input prior to making decisions about science and technology to inform upstream engineering decisions concerning technical aspects of NASA’s Asteroid Initiative. In partnership with NASA, the Expert and Citizen Assessment of Science and Technology network conducted a pTA forum on NASA’s Asteroid Initiative in 2014. The goal of the exercise was to assess citizens’ values and preferences about potential asteroid detection, asteroid mitigation, and exploration-based technologies associated with NASA’s Initiative. This article discusses the portion of the forum that focused on the Asteroid Redirect Mission, an effort to redirect an asteroid into lunar orbit that astronauts can study. The forum sought public input on two options for performing the mission that NASA included in technical assessments to make a down select decision: Option A to capture a 10-meter-diameter asteroid; or Option B to redirect a several-meters-diameter boulder from the surface of a larger asteroid. We describe the values and perceptions participants had about Option A and B, how these results were used by NASA managers, and the impact the results of the pTA had on the down select.     

Making Every Vote Count: The Important Role of Managerial Capacity in Achieving Better Election Administration Outcomes

A public agency's capacity to implement policy and achieve valued public outcomes has been a long-running area of research in public administration. Many articles provide theory and empirics regarding the capacity to implement policy, but relatively few examine multiple types of agency capacity within the same analysis. This article develops a model based on the election administration literature in political science and public administration to examine the effects of managerial capacity, financial capacity, and technology on the election management outcome of the residual vote rate in North Carolina election jurisdictions. The results indicate that higher levels of management capacity and technology significantly reduce problems with voting as measured by the residual vote rate. Financial capacity shows a negative association with the residual vote rate but is not significant. The article concludes by discussing how studying election administration provides an important and uniquely good administrative context for developing administrative theory.     

‘Party competition and dual accountability in multi-level systems’ the independence echo: the rise of the constitutional question in Scottish election manifestos and voter behaviour

ABSTRACT

Since the formation of the Scottish Parliament, the idea of Scottish independence increased in salience and popularity among Scottish voters to such an extent that it now constitutes the country’s defining political cleavage. Given that Scottish politics is increasingly organized around this constitutional question, support for either side of the debate among voters and elites drives political engagement, election turnout and public attitudes to other major issues. Although much popular and academic work has sought to explain the rise of support for independence, few scholars have explored changes in elite behaviour or its consequences for public opinion. From an elite-driven perspective, the increased salience of independence may be but an echo of elite and partisan attention. Developing hypotheses from this approach, we predict that voters identifying with parties developed stronger views on independence following increased attention in parties’ campaigns. We examine these hypotheses by performing computer assisted, unsupervised content analysis of Scottish Parties’ election manifestos. We then use estimates from a structural topic model to predict change in voter support for independence from the British Election Study. The theory and results suggest that increasing salience on alternative dimensions of politics likely closely relates to elite-driven choices in their election campaigns.