Hemopericardium caused by endocarditis ulcerosa: an unusual cause of sudden death in adolescence

The authors report on the case of a 18-year-old student who died suddenly and unexpectedly of a pericardial tamponade after perforated ulcer-polypous endocarditis of the aortic valve. The detection of aerococcus urinae--which usually causes urinary tract infection--on the inflamed aortic valve demonstrates an unusual pathogenetic chain linking complexes of findings in the urogenital system and the heart.     

Shame and guilt in child sexual offenders

In this article, the authors build on previous discussions of the possible role of shame and guilt in sexual offending. They review the general psychological literature on shame and guilt and conclude that the distinction between internal and external shame is an important one in considering sexual offenders. The effects of shame and guilt on victim empathy and relapse are discussed, and it is proposed that the phenomena of shame and guilt have implications for treatment beyond those identified in previous studies. Shame is a salient feature in the initial presentation of many sexual offenders against children. Furthermore, aspects of the treatment of sexual offenders can be characterized as a shift from shame toward guilt. Implications of shame and guilt for treatment of sexual offenders are described.     

Assisted suicide and human rights

The case of R (Pretty) v. Director of Public Prosecutions, gave the House of Lords the opportunity to comment on the issues surrounding the application of the European Convention on Human Rights to the crime of assisted suicide in the case of the terminally ill. A conservative approach was taken in relation to both this issue and indeed in relation to the possibilities of judicial control of the Law Officers of the Crown.     

Fatal child abuse-maltreatment syndrome. A retrospective study in Ontario,Canada, 1990-1995

Child death due to repeated episodes of physical assault or neglect has been termed the child abuse-maltreatment syndrome (CAMS). We characterized the injuries in a series of fatally abused or maltreated child to delineate objective diagnostic criteria for the CAMS for use by clinicians and pathologists. All deaths (age <17 years) investigated by the Office of the Chief Coroner for Ontario, Canada during the time period 1990-1995 were reviewed. Cases of CAMS were defined as death due to lethal recent injury or malnutrition in the presence of significant old (healing or healed) injuries indicative of repeated episode of inflicted trauma. The nature and frequency of the various injuries was determined. The frequency of the shaken baby syndrome, and the types and frequency of ano-genital injuries were also studied. Twenty-one cases of fatal CAMS were found in the study period. Most cases had significant recent head injury with intra-cranial hemorrhage (71%). Other significant recent injuries commonly observed included blunt injuries of the skin and soft tissues (67%), blunt abdominal trauma with visceral injuries (14%), and fractures (18%). Eight cases (38%) fulfilled accepted criteria for the shaken baby syndrome. Many children with fatal head injuries had evidence of older head trauma (38% of all cases). A significant minority of cases had evidence of malnutrition due to neglect (10%) or ongoing ano-genital injuries (10%). Most cases of child homicides due to repeated episodes of abuse or maltreatment involve head trauma including shaken baby syndrome. Fractures of long bone and ribs, the classical markers of child abuse, were relatively infrequent compared with head injury. A proportion of cases had ano-genital injuries due to repeated sexual abuse or punitive maltreatment. All clinicians and pathologists must recognize the wide spectrum of injuries in child abuse to ultimate protect the victim or other children in an at-risk situation.     

Psychosocial Resources in First-Year University Students: The Role of Identity Processes and Social Relationships

The investigation involved the assessment of a model predicting that family and university relationship environments are linked with identity processes and identity states (statuses) that predict psychosocial resources among first-year university students. A sample of 351 university students, between the ages of 18 and 21 years, completed measures of psychosocial maturity based on Erikson's notions of ego virtues, a measure of identity processing styles (diffuse-avoidant, normative, and information styles), identity statuses (diffusion, foreclosure, moratorium, and achievement), measures of family climate (conflict, expression, cohesion), and assessments of university relationships with faculty, advisors, and students. Based on linear structural equations, the model, with some adjustments, had a good fit with the data and demonstrates the complex association between perceived family and school climate, identity formation, and the association with psychosocial resources. The investigation demonstrates how multivariate model testing can be completed to assess some of the complexity suggested by Erik Erikson regarding identity formation. Gerald R Adams is a Professor of Family Relations and Human Development at the University of Guelph in Ontario, Canada. His major interests focus on family relations, identity development, education, and prevention. Michael Berzonsky is Professor of Psychology at State University of New York at Cortland, New York. His major interests are identity styles, social cognition, and adolescent development. Leo Keating is a data analyst at the University of Guelph.     

Preference modification vs. incentive manipulation as tools of terrorist recruitment: The role of culture

Terrorism is a tactic much more likely to be used when combatants have asymmetric numerical strength and weaponry. Only if one side is comparatively very weak will it use terror tactics. This weakness requires a means of controlling strong incentives for free-riding or defection from the weaker side. There are two (nonexclusive) answers: (1) Atttract or inculcate recruits with an innate preference for cooperation, even if it results in the recruit's own death (2) Create a set of incentives that reward loyalty, by giving access to excludable near-public (“club”) goods. Culture is the key to achieving either of these solutions. Culture is defined here as the set of “inherited” beliefs, attitudes, and moral strictures that a people use to distinguish outsiders, to understand themselves and to communicate with each other. The primary question is whether culture creates a preference for cooperation as a primitive, or accommodates incentives such as excludable club goods that can only be obtained by cooperation. The difference between the two accounts matters greatly for determining the correct strategy to fight terrorism. If terrorists are selected for having unusual (cooperative, from the perspective of the terror group) preferences, then recruitment must be disrupted somehow. If, on the other hand, terrorists allow themselves to be recruited to gain access to club goods, then the intervention strategy must be the disruption of social networks that credibly guarantee access to those club goods.     

Dead Heat: The 2006 Public Choice Society Election

In 2006, the Public Choice Society chose a new president using approval voting. There were five candidates, and the election was extremely close. We indicate the sources of support of the different candidates, based in part on spectral analysis, by voters who cast between one and five votes. Using preference information that was also gathered, we show that two candidates different from the approval voting winner, including the apparent Condorcet winner, might have won under different voting systems. Because most voters did not indicate their complete preference rankings, however, these differences are hardly robust, especially since the outcome was essentially a dead heat.     

Job sprawl,spatial mismatch,and black employment disadvantage

This paper examines the relationship between job sprawl and the spatial mismatch between blacks and jobs. Using data from a variety of sources, including the 1990 and 2000 U.S. Census and U.S. Department of Commerce's ZIP Code Business Patterns, I control extensively for metropolitan area characteristics and other factors. In addition, I use metropolitan area physical geography characteristics as instruments for job sprawl to address the problem of simultaneity bias. I find a significant and positive effect of job sprawl on mismatch conditions faced by blacks that remains evident in the twostage least squares models but not in first difference change regressions. The crosssectional effect is particularly important in the Midwest and West, and in metropolitan areas where blacks' share of the population is large and where blacks' population growth rate is relatively low. Among others, the results also reveal that the measures of mismatch and job sprawl used in this analysis are highly correlated with blacks' employment outcomes in the expected direction. © 2006 by the Association for Public Policy Analysis and Management     

Politikbeendigung als policyanalytisches Konzept

The article analyses the policy termination literature that originated during the 1970s in the USA. It discusses the value of the traditional termination concept and the (meagre) empirical results of now three decades of its application. The article argues that policy termination may still be a promising policy analytical tool ’ if appropriately revised and refocused. The final part of the article suggests possible ways of reviving the policy termination concept by concentrating seriously on policy content, ideology and the cohesion of potential losers of termination decisions.