A Fatal Case of Anaphylactic Shock During Paragliding

Abstract: The growth in popularity of flying ultralight aircraft and paragliding has been associated with an increased involvement of Emergency Medical Services because of various types of trauma suffered from both inexperienced and skilled individuals. This case presentation reports on a paraglider pilot, who was seen spinning “unusually” rapidly toward the ground, without visible attempts to regain control of the aircraft. Besides the bilateral mydriasis and the absence of any ECG activity, there was a significant swelling of face, lips, neck, and tongue. Upon opening the mouth, a dead bee was found over the tongue, underneath the palate. A fatal anaphylactic shock was the likely cause of death of the pilot while still “in mid‐air.” This case is certainly different from the commonly reported accidents during paragliding. An updated review of the medical literature shows no reported cases of fatal anaphylactic shock during the practice of paragliding.     

Adolescent self-image as a mediator between childhood maltreatment and adult sexual offending

Purpose

The link between maltreatment and offending has been well established in the literature, with research examining the etiology of criminal behavior consistently documenting the negative effects of experiencing trauma early in life. Theoretically, ideas behind the cycle of violence hypothesis have greatly contributed to our understanding of this connection; however, there is a lack of understanding of the mechanisms underlying this relationship. We address this research gap by examining the mediating role that adolescent mental health, particularly self-image, plays in the relationship between child maltreatment and subsequent adult sex offending.

Methods

We utilize retrospective data from a sample of incarcerated sex offenders at a maximum security penitentiary located in Canada (N = 565).

Results

Results indicate that poor self-image in adolescence partially mediates the relationship between child maltreatment and the extent of sex offending in adulthood.

Conclusions

Implications for research, theory, and policy are discussed.     

Sex industry exposure over the life course on the onset and frequency of sex offending

Purpose

Research has examined pornography use on the extent of offending. However, virtually no work has tested whether other sex industry experiences affect sex crime. By extension, the cumulative effect of these exposures is unknown. Social learning theory predicts that exposure should amplify offending. Separately, the developmental perspective highlights that the timing of exposure matters.

Methods

Drawing on retrospective longitudinal data, we first test whether exposure during adolescence is associated with a younger age of onset; we also examine whether adulthood exposure is linked with greater frequency of offending.

Results

Findings indicate that most types of adolescent exposures as well as total exposures were related to an earlier age of onset. Exposure during adulthood was also associated with an overall increase in sex offending, but effects were dependent on “type.”

Conclusion

There are nuances in the effect of sex industry exposure on offending patterns. Implications of results are discussed.     

Packing Heat in the Classroom: Public Support for “Armed Teacher” Policy

ABSTRACT

Recently, states have enacted teacher-carry laws. While controversial, little scholarship has tapped public attitudes toward such reforms. Because public opinion shapes policy, the public is an important stakeholder in this debate. Thus, we investigated three questions. First, how supportive is the public of arming teachers? Second, what demographic and social divides exist, if any, for reform approval? Finally, do crime-related perceptions, concerning views about public safety, and criminogenic influences shape policy preferences? We test these questions using a 2018 poll of Virginia residents (N = 521). Overall, approval for teacher-carry is split. Crime-related perceptions mediate some of the initial social and demographic divides in opinion but other correlates, such as parental status, remain salient predictors of views. Implications are discussed.     

Antibiotics and probiotics in chronic pouchitis:A comparative proteomic approach

AIM:To profile protein expression in mucosal biopsies from patients with chronic refractory pouchitis following antibiotic or probiotic treatment,using a comparative proteomic approach. METHODS:Two-dimensional polyacrylamide gel electrophoresis and matrix-assisted laser desorption/ ionization-time of flight mass spectrometry were used to characterize the changes related to antibiotic therapy in the protein expression profiles of biopsy samples from patients with chronic refractory pouchitis.The same proteom...     

The Crime Kuznets Curve

Objectives

Criminologists have long studied the relationship between economic conditions and crime. Empirical evidence is inconclusive, pointing at different directions. This may reflect the conflicting theoretical predictions on the relationship between these phenomena, but also the prevailing methodological choice which focuses on linear relationships even though nonlinearities are plausible theoretically.

Methods

In this paper, we revisit the empirical relationship between economic conditions and crime by exploring potential nonlinearities. We look at flexible parametric specifications that include up to a cubic term of per capita income (or one dummy for each income quintile) and nonparametric and semi-parametric specifications (such as General Additive Models). Our results are robust to controlling for the standard socioeconomic, demographic, and policy determinants of crime, as well as to including a lagged dependent variable or state and time fixed effects.

Results

We document the existence of an inverted U-shaped relationship between crime and income within US states for the period 1970-2011. Crime increases with per capita income until it reaches a maximum, and then decreases as income keeps rising. This “Crime Kuznets Curve” (CKC) exists for property crime and for categories of violent crime that can be related to economic appropriation, like robbery, and is less robust for violent crimes not connected to economic incentives. We show that this pattern cannot be explained by correlated changes in economic inequality or by changes in law enforcement.

Conclusions

In addition to providing robust evidence of the existence of a CKC, our findings lay the groundwork for studies exploring the underlying theoretical mechanisms. These should go beyond income inequality or law enforcement, and should explain why the results hold more clearly for property than for violent crime. Our findings and subsequent research to understand the underlying drivers are relevant for policy, as they suggest that violent conflict cannot be tackled solely by the trickle-down forces of economic growth.

     

Death related to aortic coarctation in a young female during sexual intercourse

Coarctation of the aorta (CA) is diagnosed mainly in pediatric patients, and therapy is conservative if asymptomatic, but surgical treatment is required if advanced arterial hypertension is present. Moderate to severe forms contraindicate any type of physical activity requiring cardiac effort. Here, we describe the first documented death of an apparently healthy 35-year-old woman because of cardiac tamponade by rupture of an aortic aneurysm, possibly related to congenital CA, prolonged use of oxymetazoline hydrochloride, and physical and/or emotional stress during sexual activity. Our patient was asymptomatic for classical CA symptoms. The patient's breathing difficulties likely in hindsight were due not so much to nasal congestion, but rather to an ineffective oxygenation of the blood from the abnormal heart. In an attempt to treat the "nasal disease," the patient ingested chronic and excessive doses of decongestants, aggravating her fatal disease. The danger of inhaling large doses of nasal decongestants without an appropriate medical indication is highlighted here.     

Insects found on a human cadaver in central Italy including the blowfly Calliphora loewi (Diptera, Calliphoridae), a new species of forensic interest

In the case of unidentified bodies the estimation of the period since death or of the season of death plays an important role to focus the attention on a reduced number of people among the ones reported missing. Forensic entomology can be one of the most important methods for these estimations, as occurred in this case. Flies are typically the first insects to colonize a dead body. The case reported here concerns the colonisation by insects of a male body in advanced decay found during the winter in Central Italy. This case is of particular interest as few data are available on the entomological evidence in the cold season. In particular, in this case we recovered Calliphora loewi (Calliphoridae), a species never collected before on dead bodies in Southern Europe. Larvae of the black soldier fly Hermetia illucens (Stratiomyidae), pupae and larvae belonging to genus Hydrothea (Muscidae), and Necrobia rufipes (Cleridae) specimens were also collected. The estimated PMI enabled identification of the cadaver, confirmed by DNA analysis.