Causes of death of patients in an institution for the developmentally disabled

The causes of death of 53 severely to profoundly developmentally disabled patients who died in an intermediate care facility were reviewed. Respiratory disease, predominantly pneumonia and aspiration, accounted for 72% of deaths. Seven patients died of nonrespiratory causes, and in 8 patients, no cause of death could be determined, even after a complete autopsy or investigation. The median age at death was 20 years. The weights of these patients' organs at autopsy were lower than those for normal individuals of the same age. The lifespan of these severely impaired individuals continues to be significantly shortened, even with improved methods of care.     

Sudden death in a neonate as a result of herpes simplex infection

This paper describes a case of a neonate with disseminated herpes simplex born to a 14-year-old asymptomatic mother. The infant's physical examination was normal at birth, and subsequent abnormalities were so subtle that infection was not recognized during life. Postmortem cultures of liver and spleen grew herpes simplex virus, and immunofluorescent direct antibody typing revealed Type 2. A cervical culture of the mother obtained after the infant's death was negative.     

Assessing and predicting the competency of juvenile court volunteer probation officers

The volunteer movement in criminal justice settings is burgeoning. It has been estimated that by the end of 1982 there will be over one million volunteers working in criminal-justice-related functions. The volunteer role that appears to be increasing most rapidly is that of the one-to-one counseling relationship with delinquent and young adult offenders on formal or informal probation. While the demand for volunteer probation officers is increasing rapidly, few of our courts have attempted to develop and validate screening instruments capable of assessing and predicting the general competency of the volunteer. The need for such instruments has been emphasized recently by Judge Keith J. Leenhouts, Director of Volunteers in Probation, a division of the National Council on Crime and Delinquency. The present study attempts to assess the usefulness of one such potential screening device, the Critical Incident Response Test (CIRT) developed by Traitel (1972) and others at the Oakland County Juvenile Court in Pontiac, Michigan. It is hoped that this study will motivate other probation departments and court volunteer programs to develop and validate similar selection instruments.     

The evidential value of peptidase A as a semen typing system

Human erythrocyte peptidase A (Pep A) displays a genetic polymorphism in blacks. Its occurrence in human semen was examined for its possible use as a semen typing system. Studies by starch gel electrophoresis, in which the Pep A was located by an improved method, were carried out on semen, semen stains, and vaginal swabs taken at known times after intercourse. In addition, a large number of vaginal swabs, negative for semen, were taken from females throughout their menstrual cycles and examined for Pep A activity. The results indicated that Pep A typing could be carried out on semen and semen stains. However, it was possible to determine the Pep A type on vaginal swabs only when they had been taken within about 3 h after intercourse.