A case of sudden death from primary intracranial germinoma complicated by microvascular disease of the heart

A coroner's autopsy conducted on an 11.5-year-old girl, with a history of hypopituitarism, manifesting as growth hormone deficiency associated with short stature, demonstrated the presence of an undiagnosed hypothalamic intracranial germinoma, showing hypophyseal and mesencephalic invasion, together with histological evidence of microvascular (small coronary artery) disease of the heart. The substantive, or primary, cause of her sudden death was clearly the intracranial germinoma, which was acutely haemorrhagic and necrotic. However, it is postulated that there might be an, as yet, undescribed association between this malignancy and the pathogenesis of the coronary microvascular disease; the latter being deemed, in this instance, to be a contributory cause of death.     

Parents’ Communication with Adolescents About Sexual Behavior: A Missed Opportunity for Prevention?

Parents may wait to talk to their teens about sexuality until they believe their child is in a romantic relationship. To examine this, telephone surveys were conducted with 1069 parents of adolescents. Measures assessed parents’ perception of teens’ romantic involvement and parent-child communication about several sexuality topics. Multivariable regression models determined the odds of talking about each topic among parents who reported their teen had been in a romantic relationship compared to those who did not. Most parents reported talking at least a moderate amount about some sex-related topic. Parents who believed their teen had been romantically involved were more likely to have discussed most of the topics examined here (ORs=1.64 – 2.56). For some topics, associations were more pronounced among parents of younger teens. Findings suggest that parents may miss important opportunities to influence behavior, and should initiate conversations about sexuality before they believe their child to be romantically involved.Assistant Professor at the University of Minnesota. She received her Sc.D. in Social Epidemiology from the Harvard School of Public Health. Her major research interests are the social influences on high risk health behaviors among adolescents.Associate Professor with the School of Nursing and the Department of Pediatrics at the University of Minnesota. She received her Ph.D. in Epidemiology from the University of Minnesota. Her research focuses on on family, peer, and individual-level influences on adolescents’ sexual behaviors and violence involvement. She is also Deputy Director of the Healthy Youth Development Prevention Research Center, which conducts research and disseminates actionable knowledge that promotes healthy youth development and reduces health disparities among young people.Professor and Director of the Center for Adolescent Nursing at the University of Minnesota School of Nursing. She received her Ph.D. in Educational Psychology from the University of Minnesota. Her major research interests focus on understanding key risk and protective factors in adolescence, particularly among vulnerable populations of youth.President of Midwestern Professional Educational and Research Services, Inc., a DHHS funded non-profit agency serving as a Title X Regional Training Center. She received her Masters in Psychology from Miami University and worked for 12 years in flight psychophysiology before moving into public health. Her primary research interests center on identifying barriers that limit adolescent and low income population’s access to publicly funded reproductive health care services.Professor and Director of the Healthy Youth Development Prevention Research Center at the University of Minnesota Department of Pediatrics. He received his Ph.D. in Health Services Research and Policy from the University of Minnesota. His major research interests are understanding risk and protective factors in the lives of young people, particularly around issues of reproductive health, pregnancy, and violence.     

Seriousness of crimes: A survey of the nation's chiefs of police

The views of 105 police chiefs throughout the United States were obtained in regard to their ranking of the seriousness of 60 criminal offenses. Responses indicated that the chiefs see most crimes very much in the same light as do citizens surveyed by Rossi et al. (1974) in Baltimore a decade ago. There also is considerable consensus among chiefs throughout the country in their views about seriousness. Variations between the present findings and those of similar studies of other populations are also set forth.     

Social Competence and Substance Use Among Rural Youth: Mediating Role of Social Benefit Expectancies of Use

The present study examined the mechanisms by which social competence may be associated with substance use during early adolescence. The sample consisted of rural youth (N = 1,568) attending 36 junior high schools in a midwestern state. Structural equation modeling indicated that social competence had a direct protective association with substance use in that those youth who were more socially confident, assertive, and had better communication skills reported less smoking and drinking. Further analyses revealed that the relationship between social competence and substance use was fully mediated by social benefit expectancies of use. These findings suggest that poorly competent youth turn to smoking and alcohol use because they perceive that there are important social benefits to doing so, such as having more friends, looking grown up and cool, and having more fun. Prevention programs that teach youth interpersonal skills may reduce the initiation of substance use by improving social competence and providing youth with more adaptive means of gaining approval from peers.     

Bacterial Translocation and Sample Contamination in Postmortem Microbiological Analyses

The diagnostic value of postmortem bacteriology has been discussed controversially for decades. In the study herein, contamination during sampling procedures and postmortem translocation were investigated to interpret postmortem microbiology results. One hundred medicolegal autopsy cases in total were included. Radiology, histology, bacteriology, and biochemistry were performed in all cases. Based on all investigation findings, 4 groups of cases were identified: death unrelated to infection, true infections, false positive (contamination during sampling procedures, postmortem translocation and mixed situations), and undetermined. The results of this study indicate that postmortem bacteriology provides useful data supporting infection‐related deaths, especially when potentially significant observations are accompanied by consistent autopsy, histology, and biochemistry. Result interpretation requires careful evaluation of number and type of isolated microorganisms.     

Evaluating an Online Program to Help Children Exposed to Domestic Violence: Results of Two Randomized Controlled Trials

The current study reports the results of two randomized controlled trials investigating effects of an online program (Change A Life) designed to educate individuals about children’s exposure to domestic violence (DV), and to increase individuals’ self-efficacy for providing support to children exposed to DV. In both a community sample (n = 110) and a college student sample (n = 146), participants who completed Change A Life, compared to those who completed a control program, reported increased knowledge about children’s exposure to DV. In the community sample, but not the college student sample, those who completed Change A Life also reported increased self-efficacy for helping children exposed to DV. Neither participant sex nor history of exposure to domestic violence moderated intervention effects.     

A feminist analysis of the American criminal justice system’s response to human trafficking

While criminological and criminal justice scholars have made important contributions to human trafficking literature, to date, such scholarship has been devoid of a feminist analysis of the topic as scholars have spent little time reflecting on how patriarchy impacts the criminal justice system’s response to human trafficking. Such examination is necessary to understand how the issue of patriarchy impacts criminal justice system approaches to the crime as well as the outcomes of such anti-human trafficking efforts. It is argued the influence of patriarchy on criminal justice system policy development and practice undermines the system’s anti-human trafficking efforts.