Sudden and unexpected death from pituitary tumor apoplexy

Pituitary tumor apoplexy refers to a clinical syndrome precipitated by the expansion of a pituitary adenoma by hemorrhage or infarction. Individuals may present with myriad signs, including sudden onset of severe headache, visual changes, altered mental status, cranial nerve palsies, and hormonal dysfunction. This disorder constitutes a medical emergency and warrants an expedited evaluation, diagnosis, and treatment to prevent the potential sequelae of permanent visual loss, endocrine abnormalities, or death. We report a case of sudden death from undiagnosed pituitary tumor apoplexy. The decedent was evaluated by medical personnel on three occasions in the week prior to her death for severe headache, nausea, vomiting, and photophobia. Postmortem examination demonstrated a hemorrhagic infarction of a pituitary adenoma with necrosis and expansion out of the sella turcica. The recognition of and treatment for a patient with pituitary tumor apoplexy requires a rapid multidisciplinary effort. Failure of prompt diagnosis may be fatal and require a medico-legal death investigation for sudden and unexpected death.     

Studying survivors of near-lethal suicide attempts as a proxy for completed suicide in prisons

Sex determination is a necessary step in the investigation of unidentified human remains from a forensic context. Teeth, as one of the strongest tissues in the human body, can be used for this purpose. Most studies of sexual dimorphism in teeth are based on the traditional mesiodistal and buccolingual crown measurements. The purpose of this study is to examine the degree of sexual dimorphism in permanent molars of modern Greeks using crown and cervical diagonal diameters, and to evaluate their applicability in sex determination. A total of 344 permanent molars in 107 individuals (53 male and 54 female) from the Athens Collection were examined. Crown and cervical diagonal diameters of both maxillary and mandibular molars were measured. It was found that males have larger molars than females and in 19 out of 24 dimensions measured male molars exceeded female molars significantly (P<0.05). The most dimorphic molars are the maxillary second molar, and the mandibular second and first molars. Although other molars were also sexually dimorphic they did not have a statistically significant difference in all dimensions. Cervical diagonal diameters have found to be more sexually diamorphic than crown diagonal diameters. In discriminant function analysis the variables entered more frequently were the cervical diagonal diameters mainly of mandibular molars. Classification accuracy was found to be 93% for the total sample, 77.4% for upper jaw, and 88.4% for the lower jaw. Accuracy rates were higher for cervical than crown diagonal diameters. The data generated from the present study suggest that this metric method can be useful and reliable for sex determination, especially when the traditional dental measurements are not applicable.     

Do parents blame or doubt their child more when sexually abused by adolescents versus adults?

Although the importance of parental support for child sexual abuse victims is well documented, the nature of parental support for victims sexually abused by adolescents is less understood. In this exploratory study, we examine whether parents differ in their levels of blame or doubt for their child when sexually abused by adolescents versus adults. Data included 161 reports of child sexual abuse. Parental blame toward their child was higher when sexually abused by an adolescent versus an adult suspect. In the bivariate and multivariate analysis, parental blame was significantly higher as victim age increased, for Black, non-Hispanic children, and when there was an adolescent suspect. Practitioners need to recognize that high levels of blame and doubt could exist for adolescent victims of sexual abuse and when children are sexually abused by adolescents.     

Burden of Womanhood: Tamil Women’s Perceptions of Coping with Intimate Partner Violence

Helping women victimized by intimate partner violence (IPV) is a challenge, particularly when the women belong to diverse ethnic groups. The objective of our study was to collect information on perceptions of coping with IPV from the perspective of a specific immigrant group of women. Sixty-three women from the Tamil community in Toronto representing different generations and experiences of IPV were interviewed in focus group settings about their views of coping with IPV. Study findings suggested that their views were deeply embedded in their sociocultural context and influenced by the gender-role expectations from the community. The women showed a marked preference for “passive” modes of coping rather than “active.” Study findings have implications for the development of alternative approaches to helping ethnically diverse women deal with IPV.     

Building group capacity for problem solving and police–community partnerships through survey feedback and training: a randomized control trial within Chicago’s community policing program

Objectives

To examine whether group capacity for problem solving and partnership building could be enhanced at police–community meetings by providing the results from community surveys and training for group facilitators.

Methods

A randomized control trial was conducted in 51 police beats in Chicago’s community policing program, CAPS. Unlike control beats, results from web-based community surveys were provided at beat meetings in the feedback and training beats, with facilitators in training beats also receiving training and exercises to guide problem solving about survey results. Analysis included OLS and logistic regression of data from questionnaires administered to police and resident participants, as well as observations at beat meetings, which measured resident capacity, attitudes about the police–community partnership, and problem-solving activities.

Results

Support for hypothesized effects was found with greater resident confidence in their ability to achieve outcomes and solve local problems, as well as officers viewing their relationships with residents at beat meetings more favorably. Effects, however, were inconsistent and limited to the feedback group. While additional training and support provided in training beats indicated fuller engagement in problem solving, possible negative effects on attitudes were observed.

Conclusions

Failure to find more effects is discussed in terms of implementation and resistance. Officer resistance to and a shift in organizational priorities away from community policing worked against achieving full program implementation. The beat meeting context provided a traditional framework for police–resident interactions that precluded more comprehensive use of community data and possibly heightened dissatisfaction with the level of problem solving that occurred.     

Positive Effects in Detecting Lies from Training to Recognize Behavioral Anomalies

We examined whether training in both the verbal and nonverbal indicators of truth telling and lying would have positive effects on Law Enforcement Officers’ (LEOs) ability to evaluate truths from lies. College course-level training on empirically validated verbal and nonverbal indicators of truth telling and lying was provided to mid- to advanced-career level LEOs, whose accuracy in detecting lies from truths was assessed pre- and post-training using truthful and deceptive videos of mock crimes and opinions. A marginally significant truth bias existed at pre-test; training, however, resulted in a significant improvement in accuracy rates for both truth and lie videos, and the truth bias that existed at pre-test was eliminated. Additional analyses indicated that accuracy rates improved for videos of mock crimes but not for opinions. These findings add to a small but growing literature that indicates that training on validated verbal and nonverbal indicators of truth telling and lying has positive benefits.     

Collaborative Governance: Integrating Management,Politics, and Law

Scholars have engaged in an ongoing dialogue about the relationships among management, politics, and law in public administration. Collaborative governance presents new challenges to this dynamic. While scholars have made substantial contributions to our understanding of the design and practice of collaborative governance, others suggest that we lack theory for this emerging body of research. Law is often omitted as a variable. Scholarship generally does not explicitly include collaboration as a public value. This article addresses the dialogue on management, politics, and law with regard to collaborative governance. It provides an overview of the current legal framework for collaborative governance in the United States at the federal, state, and local levels of government and identifies gaps. The institutional analysis and development framework provides a body of theory that incorporates rules and law into research design. The article concludes that future research on collaborative governance should incorporate the legal framework as an important variable and collaboration as a public value.