Asphyxia due to angiotensin converting enzyme (ACE) inhibitor mediated angioedema of the tongue during the treatment of hypertensive heart disease

This report describes seven deaths caused by angioedema of the tongue related to angiotensin converting enzyme (ACE) inhibitors. These seven cases were received in our office between 1998 and 2000. In that time frame we performed approximately 2000 autopsies. The cases involved African-American men and women, aged 51 to 65 years, all of whom had been prescribed an ACE inhibitor for the treatment of hypertensive heart disease. In each case, the external examination revealed markedly swollen tongues. The autopsies confirmed massive tongue swelling due to angioedema, and some patients also had swelling of the lips, pharynx, and larynx. Toxicologic analyses on postmortem blood samples were negative for ethanol and drugs of abuse. Although oral and pharyngeal swelling related to angioedema is well known in the clinical literature, its fatal potential has rarely been described.     

The influences of chronic illness and ego development on self-esteem in diabetic and psychiatric adolescent patients

Self-esteem as measured by the Coopersmith Self-Esteem Inventory [Coopersmith, S. (1967),The Antecedents of Self-Esteem, Freeman, San Francisco] and ego development as measured by the Washington University Sentence Completion Test [Loevinger, J., and Wessler, R. (1970),Measuring Ego Development, Vol. I, Jossey-Bass, San Francisco] were evaluated in three groups of early adolescents: diabetic patients, nonpsychotic psychiatric patients, and a nonpatient group of high-school students. We found that low levels of ego development were associated with low levels of global and domain-specific self-esteem in all three subject groups. Levels of self-esteem among diabetic patients were not significantly different from those of nonpatients. While psychiatric patients had significantly lower self-esteem levels than the other groups, this difference was accounted for by preconformists, i.e., those at the lowest stages of ego development. Psychiatric patients reaching higher ego levels showed self-esteem levels indistinguishable from those of the diabetics and nonpatients.This study was supported by the youth development project of the Joslin DRTC (NIH AM20530-01), a grant from the Joslin Diabetes Center (NIH-BRSG), and NIH Grant AM27845. The authors thank John Houlihan, M.A., for statistical and computer consultations and Jennifer Johnson for data analyses.Received M.D. from The University of Chicago. Currently studying psychosocial consequences of diabetes mellitus.Received M.D. from Yale University and Ph.D. from Harvard University (Psychology). Currently studying family contexts of adolescent development.Received Ed.D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Dipl. Psych. from Freie Universitat, Berlin (Clinical Psychology). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.     

Sex differences within the family: Studies of adolescent and parent family interactions

Sex differences in verbal family interactions were investigated in a group of 79 adolescents and parents from normal and psychiatric settings. The analyses were designed to study these differences in both generations, parent and adolescent. Parent and adolescent interactions with one another were observed in a semistructured, revealed-differences family discussion. All of the individual speeches were then scored with our Constraining and Enabling Coding System (CECS). Initial predictions involved both adolescent and parent differences. These hypotheses were only partially confirmed. The strongest findings pertained to parent sex differences, as we found strikingly higher levels of cognitive enabling speeches expressed by fathers and significantly more speeches addressed to fathers. We discuss several alternative interpretations of these findings. Perspectives included in our considerations are direction of effect and influences of task/context upon the expression of family sex differences.This study was supported through a grant from the National Institute of Child and Human Development (NICHD Grant No. R01 HD18684-02) and a Research Scientist Development Award No. 5 K-02-MH-70178 (Dr. Hauser) from the NIMH.Received M.D. from Yale University and Ph.D. from Harvard University (psychology). Currently studying family contexts of adolescent development.Received B.A. from Michigan University. Currently graduate student in organizational behavior, Northwestern University. Current interests are women and work.Received his Ph.D. from Boston University. Research interests are in methodology and statistics.Henry A. Murray Research Center of Radcliffe College. Received Ed. D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Ph.D. from Ohio State University (psychology). Current interests in assessing ego development and family systems.Parent-Place, Judge Baker Guidance Center. Received Ph.D. from the University of Miami (clinical psychology). Research interests are in family studies and adolescent development.Received M.D. from the University of Chicago. Currently studying psychological consequences of diabetes mellitus.the Children's Unit of McLean Hospital. Received Diploma Psych. from Freie Universitat, Berlin (clinical psychology), and Ed.D. from Harvard University (School of Education). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.     

‘No,buddy, I will not speak to the press – I am working!’: criminal justice and the interprofessional dynamics of communication production in the Chilean Public Prosecutorial Office

This article analyses the interprofessional dynamics of communication production in the criminal justice system. Through 26 in-depth interviews, we investigate the production of media information on prosecutorial work in Chile, tracking the relationships between internal communication agents, prosecutors, and external legal journalists. Previous scholarship has shown the success of police organizations in defining the content of crime communication based on asymmetrical power relations with the media. By contrast, our study reveals that legal journalists can bypass attempts to control the flow of information from the prosecutorial office and impose extra-organizational goals. Lawyers regularly dismiss the work of journalists, particularly those working as strategic communication advisors with prosecutors, but the asymmetrical relationship between the criminal justice agency and the media plays in favour of external legal journalists. Our article considers several explanations for this configuration, including interprofessional values, transactional relationships between journalists and prosecutors, and local legal culture.     

Perceptions of Remote and Walk‐In Service Delivery in Family Law Cases

In recent years, the number of litigants representing themselves without legal counsel has increased across the United States. Courts have responded by creating programs and services to help litigants represent themselves. Self‐help centers nationwide use different models to deliver legal advice and information to unrepresented litigants. Some offer court‐based, walk‐in self‐help centers. Others provide services remotely via phone, web, email, video conferencing, and live chat. In Maryland, self‐help center services are offered at walk‐in centers and remotely by phone and live chat. This article examines litigants' perceptions of in‐person and remote delivery of legal advice and information on family law matters. Results revealed that all three service delivery methods have high satisfaction rates, but chat users were less likely to feel as though they knew what to do next. They were also less optimistic about their case than were phone or in‐person users.     

Is International Relations a Global Discipline? Hegemony,Insularity, and Diversity in the Field

Using data from the Teaching, Research, and International Policy (TRIP) project, we address several questions posed by students of the international relations (IR) discipline, specifically, whether and to what extent: US scholars, institutions, and journals dominate the field; national communities of IR scholars are insular or inward-looking; and/or the discipline is theoretically, methodologically, and epistemologically diverse. We draw from two major data sources: a series of cross-national surveys of IR faculty in thirty-two countries and a database of journal articles published in the twelve leading IR journals from 1980 to 2014. We find obvious signs of US hegemony and insularity. Other national IR communities are relatively open to foreign ideas, if not to hiring scholars trained in other countries. Finally, despite US hegemony in the discipline and pockets of geographic insularity, we see a diverse field characterized by a wide range of theoretical, methodological, and epistemological commitments. We conclude with a discussion on the sources and consequences of diversity in the international relations discipline.     

The Freedom of Seduction

For most of human history, the other half of the species, women, were on the sidelines. Now they are central actors in all our societies as we negotiate the fraught transition from male‐dominated tradition to modernity and beyond. In this section we hear the voices of powerful women who in their own lives are making this historic shift.     

Trends in intimate partner violence: 1980-2008

Research on trends in partner violence has primarily relied on official measures of victimization focusing primarily on women's risk for intimate partner homicide. The current study uses 28 years of data from the National Crime Victimization Survey (NCVS) to examine the trends of intimate partner violence against female victims and identify variation in women's risk as a function of race and employment. Although it has been theorized that employment is correlated with the risk of intimate partner victimization for women, research has not thoroughly addressed this in a longitudinal context. In addition, research has not explored the extent to which intimate partner violence is correlated with the combined variables of race and employment. The authors find that between 1980 and the mid-2000s employment is associated with an increase in women's risk for intimate partner violence. However, the conclusion that the rate of victimization is higher for employed women appears to be partly contingent on the victims' race. The trend for non-White unemployed women appears to be relatively comparable to both White and non-White employed women, at least for the first 15 years of the series.     

The role of center of mass kinematics in predicting peak utilized coefficient of friction during walking

Slips frequently occur when the friction required between the foot and floor exceeds available surface slip resistance. To date, the ability to identify variables that predict an individual's friction needs during walking, or utilized coefficient of friction (COFU), remains limited. Understanding COFU in the context of pedestrian/walkway accidents is important as individuals who demonstrate higher COFU are at a greater risk of slipping. This study determined if whole body center of mass (CM) kinematics were predictive of peak COFU during walking. Ground reaction forces and kinematic data were recorded simultaneously as subjects walked. Stepwise regression analysis determined that the combination of the subject's CM-to-center-of-pressure angle and CM anterior (i.e., forward) velocity predicted 62% of the variance in peak COFU during weight acceptance (p < 0.001). The identified relationships between CM kinematics and peak COFU provide insight into how gait and individual anthropometric characteristics may increase risk for slip initiation.