Causes of Sudden Death in Patients with Obstructive Sleep Apnea

There are few autopsy studies of patients dying suddenly with obstructive sleep apnea (OSA). Twenty‐five forensic autopsies of unexpected sudden death in individuals with OSA were reviewed. The causes of death were as follows: cardiomyopathy (n = 11); sudden unexpected death without morphologic findings (SUDNA, n = 6); and other cardiovascular diseases not related to OSA (n = 8). The cardiomyopathy group comprised five hearts with concentric left ventricular hypertrophy without dilatation and six with left ventricular diameter >4 cm (dilated cardiomyopathy). Four of six hearts in the SUDNA group showed right ventricular dilatation compared with seven of 11 showed cardiomyopathy and one of eight miscellaneous. The degree of obesity was greatest in the dilated cardiomyopathy group (10 of 11 obese) followed by the SUDNA group (four of six obese). The cardiac findings in patients dying suddenly and unexpectedly with OSA include nonspecific cardiomyopathy, other cardiac conditions, and hearts without a morphologic cause of death, which show frequent right ventricular dilatation as the only finding.     

Biological protective factors for antisocial and criminal behavior

Purpose

Although risk factors are typically the focus of criminological research, increasingly researchers are interested in identifying protective factors that reduce the probability of antisocial behavior, either in the presence or absence of risk factors. Biosocial researchers are in an opportune position to research factors that protect against the development of antisocial behavior in high-risk individuals, given biosocial criminology’s focus on the interaction between biological and social factors. The purpose of this article is to review neuropsychological and psychophysiology research into protective factors.

Results

Of the neuropsychological factors, high IQ has the best-replicated protective effects, though executive functioning is also a promising candidate as a protective factor. High resting heart rate, as well as enhanced autonomic fear conditioning and attentional processing may also have protective effects.

Conclusions

Though research into biological protective factors is currently limited, there is promising evidence that biological factors could help us to better understand why some individuals do not become antisocial or criminal in the presence of high social risk. Neuropsychological and psychophysiological measures are relatively easier and less costly to operationalize than other biological measures, making them promising candidates for criminological researchers who would like to incorporate biological measures into their research designs.     

Engaging With Criminal Prosecution: The Victim's Perspective

Despite more than a decade of policies that encourage prosecutors to proceed without the victim's input or actions in cases of intimate partner violence (IPV), prosecutors still often rely on the victim's participation to move a case forward. The purpose of this study was to identify the barriers and motivators influencing female IPV victims' engagement with the criminal justice system and their preferences regarding prosecution. Findings from focus groups with women who had experienced police response to IPV revealed that women wanted the violence to end but faced numerous barriers to engaging with the criminal prosecution process. The dominant voice favored police and prosecutors taking action toward prosecution without depending solely or heavily on the victim's active participation.     

Merging law and ethics: Discourse legal theory and freedom of expression in Hurley

This article, analyzing and building on the work of Jürgen Habermas, demonstrates how discourse legal theory disavows a separation between law and ethics. The article suggests that discourse theory puts forward a more political theory of law that promotes the normative goal of creating a more just society through discursive practices. A critique of the United States Supreme Court's decision in Hurley v. Irish‐American Gay, Lesbian and Bisexual Group of Boston shows how the Court overvalued the private function of speech and undervalued its public, discursive function. The article argues that discourse theory provides a more protective access standard for disempowered groups, especially when public fora are used for the expression of ideas.     

A New Ethical World of British MPs?

Following a series of financial scandals in the early 1990s, the House of Commons implemented new ethics rules and regulatory procedures, including a Code of Conduct, a ban on paid advocacy, a Parliamentary Commissioner for Standards and a Select Committee on Standards and Privileges. In the absence of hard data about parliamentary integrity and the prevalence or otherwise of unethical parliamentary conduct, this paper explores the possible effects of the new rules and procedures on MPs' attitudes by comparing data from the 2005 British Representation Study with research conducted in the late 1980s. The evidence suggests that there has been some attitudinal change at the aggregate level, although it remains unclear how much of this change can be attributed directly to the Nolan reforms.     

Longitudinal Associations between Social Relationships and Alcohol Use from Adolescence into Young Adulthood: The Role of Religiousness

Journal of Youth and Adolescence - As adolescence is a time characterized by rapid changes in social relationships as well as an increase in risk-taking behaviors, this prospective longitudinal...     

APPLYING CASE STUDY METHODOLOGY TO CHILD CUSTODY EVALUATIONS

The child custody evaluation (CCE) can play a critical role in the resolution of custody disputes in the Family Court. There have been a number of significant methodological advances made in this field by various researchers over the past 20 years. It is timely that a scientifically‐based, integrative, methodological framework be developed within which existing methods might be situated. In this paper, case study methodology is proposed as an appropriate methodological framework for CCEs. The application of this methodology to CCEs is explicated with particular attention being paid to the methodological tasks of data collection and data interpretation. An orienting model is proposed to guide the collection of data, and strategies are described for applying population level research findings to individual cases in the form of risk and resilience models. Finally, coherence, analogy, and making methodology explicit are proposed as evaluation criteria for the CCE process and reports, and suggestions are made about outcome research.