Psychological Components of Infertility

Infertility is a medical diagnosis impacting 48.5 million couples globally. Infertility impacts physical and emotional health as well as social and romantic relationships. People with infertility report feelings of distress, grief, anxiety and depression. Couples notice changes in their relationships; some report becoming emotionally closer while others report relationship difficulties. People may feel more isolated due to lack of social support. People that use third party reproduction, such as donor egg, sperm, embryo or gestational carriers, have additional emotional impacts during pregnancy and parenting. Continuing changes to laws complicate international fertility care, particularly given the ongoing COVID‐19 pandemic.     

Cyprus: in search of an exit from ambiguity

This paper underlines the relevance of ambiguity theory to understand the persistence of frames of agents and their audience with regard to ‘self,’ ‘other’ and the ‘land’ in a protracted conflict such as Cyprus. It examines the case study of Cyprus from the signing of the Agreements on Cyprus (1959), through the Turkish intervention (1974) and until the Akinci election (2015). The paper shows how peace agreements may impose ways of looking that endure the ups and downs of social adaptation after the signing of peace agreements. These frames go on to constitute archetypes against which other frames are ordered or evaluated. Moreover, the paper shows that despite worthy suggestions to create cross-cutting linkages among the Greek and the Turkish Cypriot communities, coexistence necessitates understanding how groups are likely to frame the available options and respond to ambiguity.     

Reliability of Craniofacial Superimposition Using Three‐Dimension Skull Model

Craniofacial superimposition is a technique potentially useful for the identification of unidentified human remains if a photo of the missing person is available. We have tested the reliability of the 2D‐3D computer‐aided nonautomatic superimposition techniques. Three‐dimension laser scans of five skulls and ten photographs were overlaid with an imaging software. The resulting superimpositions were evaluated using three methods: craniofacial landmarks, morphological features, and a combination of the two. A 3D model of each skull without its mandible was tested for superimposition; we also evaluated whether separating skulls by sex would increase correct identifications. Results show that the landmark method employing the entire skull is the more reliable one (5/5 correct identifications, 40% false positives [FP]), regardless of sex. However, the persistence of a high percentage of FP in all the methods evaluated indicates that these methods are unreliable for positive identification although the landmark‐only method could be useful for exclusion.     

Unpredictable and monetized contact with the police: Race,avoidance behaviors,and modified activity spaces

Exponential growth in order maintenance policing and associated misdemeanor sanctions have led to disproportionate consequences for people of color. Using data from qualitative interviews with individuals in the metropolitan St. Louis, Missouri, region, the current study documents the racialized and monetized nature of police contact. This work extends extant scholarship by considering how minor contact with the police shapes individual avoidance behaviors and activity spaces, places where people work and live. We consider how the combination of monetary sanctions, warrants, incarceration, and overpolicing in the region affects avoidance behaviors, particularly for people of color. Our findings suggest that the frequently unpredictable nature of police contacts and the parochial and often profit-focused structure of policing organizations in the region leads individuals to modify the ways in which they move through the region and, for some, to isolate. Narratives reflect the need for constant calibration of behaviors and decisions, as well as the legacy that police contact and monetary sanctions can have on everyday routines.     

Characteristics of Youth Remaining in Foster Care Through Age 19: A Pre- and Post-Policy Cohort Analysis of California Data

This study examined factors associated with youth remaining in extended foster care. Cohorts of youth in care in California at age 17 years were defined for the period from 2003–2012. Multivariable generalized linear models documented factors associated with remaining in care through age 19. Findings indicate that: a) the population of youth in care at age 17 has declined over time; b) youth in care at age 17 in 2012 were qualitatively different from those a decade earlier; c) a larger proportion of youth who do not exit to permanency are remaining in extended foster care; and d) although the characteristics of youth who remain in foster care as non-minor dependents continue to vary relative to those who age out, differences have diminished. Findings highlight the potential to target subgroups of youth who may benefit from the extension of care but are remaining in care at lower rates.     

A survey of the provision of family therapy in medium secure units in Wales and England

A cross-sectional survey design was utilised to capture a snapshot of the provision of family therapy in medium secure units (MSUs) across Wales and England during 2013. Semi-structured interviews were administered via telephone interview with 39 MSUs. Information pertaining to the main research question was also gathered from a further 10 via email follow-up. Over a third of responding MSUs in Wales and England were offering family therapy, with team members being appropriately qualified and receiving regular supervision. Systemic psychotherapy was the most prevalent approach to working with families and it is suggested here that systemic psychotherapy fits well with the complexity and uniqueness of working with families in secure contexts.     

Gamson rule not for all: Patterns of portfolio allocation among Italian party factions

This article investigates the dynamics of portfolio allocation within political parties to shed light on the patterns of conflict and cooperation between rival party factions. It provides a game‐theoretic model that helps in explaining differences in portfolio allocation due to alternative modes of party organisation or party system competitiveness. Focusing on party congresses to estimate the number, strength and policy positions of party factions, the Italian case is analysed by testing some hypotheses generated by the theoretical model. The results shown that, overall, spoils are shared in proportion to the strength of each faction, in line with the prediction of Gamson's Law. However, there are also some important deviations from this path. Rules that foster party leaders' autonomy in fact provide them with a higher degree of discretion that will be used to reward their followers and to ward off any credible and harmful threat to party unity. Indeed, strategic portfolio allocation might balance out a lower amount of policy payoffs and becomes a strategy to restrain minorities from breaking away, thus contributing to the preservation of party unity in highly competitive political systems.     

Managing rural landscapes in the context of a changing climate

Global competition for natural resources is intense and the supply of those resources is increasingly more constrained by climate variability and change. Governments and international development agencies have the dual responsibility to meet the socio-economic needs of the poorest and most vulnerable people while preserving and enhancing their natural capital. These responsibilities often are at odds with each other and different stakeholder groups have prioritised one over the other. This paper suggests that the landscape approach provides a solution for stakeholders to achieve climate change mitigation, adaptation, and poverty reduction goals, though not without some trade-offs.     

Spontaneous Rupture of the Gall Bladder: An Unusual Forensic Diagnosis

Peritonitis secondary to spontaneous rupture/perforation of the gall bladder is a rare condition overall and is even less common in the forensic population. We report the case of a middle‐aged man who died from generalized peritonitis from gall bladder perforation due to acute acalculous cholecystitis. This condition usually occurs in critical patients with systemic illness, and although the exact pathogenesis remains unclear, the development of acalculous cholecystitis appears to be multifactorial. Antemortem diagnosis is reliant upon clinical presentation, laboratory data, and radiologic studies. Surgery and appropriate antibiotics are mainstays of treatment; however, there is an emerging role for minimally invasive procedures. Histopathologic features show significant overlap with the calculous type. Although increasing numbers of acalculous cholecystitis have been diagnosed in the critically ill, the fatal presentation of a perforated gall bladder following an undiagnosed case of acute acalculous cholecystitis is unusual in a nonhospitalized and ambulatory man.