Infant Death Following Home Birth: A Case Report of Fatal Neonatal Hypoglycemia

Infants born to diabetic mothers are at increased risk for symptomatic hypoglycemia and death after birth. A 36-year-old G4P3 mother with a history of gestational diabetes and newly diagnosed type II insulin-dependent diabetes gave birth at home, in the care of a midwife, to a macrosomic infant girl (10 lbs.). Several hours after birth, the infant became lethargic and was found to be hypoglycemic (blood sugar: 28 mg/dL). Glucose and sugar water were administered by the midwife; however, the infant continued to decompensate. Emergency medical services were called, and the infant was transported to the hospital where, despite resuscitative efforts, she died. An autopsy and review of the literature was performed. At autopsy, characteristic features of maternal–fetal glucose dysregulation were identified, including fetal macrosomia, cardiomegaly, hepatomegaly, and severe pancreatic islet cell hypertrophy/hyperplasia. Developmental abnormalities and other potential causes of death were not identified. Although deaths due to hypoglycemia cannot be reliably diagnosed postmortem using vitreous glucose levels, a clinical history of maternal glucose dysregulation in combination with certain gross and histologic findings should prompt a pathologist to consider maternal–fetal glucose dysregulation as a diagnosis of exclusion and cause of death.     

Effects of Pre-release Services on Access to Behavioral Health Treatment after Release from Prison

Using the Serious and Violent Offender Reentry Initiative data-set, substance use and mental health needs of released inmates are examined to explore whether there is a positive relationship between pre-release services and behavioral health treatment access at three months post-release. Two weighted hierarchical linear models were run testing the effects of three key pre-release services: pre-release needs assessment, pre-release linkage with inmates’ post-release case managers, and pre-release assistance with accessing post-release health insurance. Results demonstrate that pre-release needs assessment significantly increases the odds of receiving post-release substance abuse treatment, and case management linkage and assistance with accessing health insurance significantly increase the odds of mental health treatment after release. Policy implications for reentry service provision targeting behavioral health needs, and directions for future research, are discussed.     

Psychotic Domestic Murder: Neuropsychological Differences Between Homicidal and Nonhomicidal Schizophrenic Men

There is substantial evidence that individuals with schizophrenia are at increased risk for violent criminal behavior and an even higher risk for committing murder, relative to the general population. Neuropsychological features of seven schizophrenic men who murdered family members were compared to neuropsychological features of seven schizophrenic men with no history of violence, criminal offenses or antisocial behavior. The two groups were matched for age, education, race, gender, handedness, and diagnosis, and had similar psychotic symptom profiles and substance abuse histories. The schizophrenic murderers demonstrated significantly worse neuropsychological impairment, involving executive dysfunction and memory dysfunction, relative to nonviolent schizophrenic men. Implications include: (1) specific neuropsychological deficits may increase the likelihood of some schizophrenic men to murder family members due to an impaired capacity to inhibit impulsive violent aggression; (2) neuropsychological status of schizophrenic defendants who commit domestic homicide should be considered by the trier-of-fact when they are tried for murder.     

Making political citizens? Migrants’ narratives of naturalization in the United Kingdom*

Citizenship tests are arguably intended as moments of hailing, or interpellation, through which norms are internalized and citizen-subjects produced. We analyse the multiple political subjects revealed through migrants’ narratives of the citizenship test process, drawing on 158 interviews with migrants in Leicester and London who are at different stages in the UK citizenship test process. In dialogue with three counter-figures in the critical naturalization literature – the ‘neoliberal citizen’; the ‘anxious citizen’; and the ‘heroic citizen’ – we propose the figure of the ‘citizen-negotiator’, a socially situated actor who attempts to assert control over their life as they navigate the test process and state power. Through the focus on negotiation, we see migrants navigating a process of differentiation founded on pre-existing inequalities rather than a journey toward transformation.     

Individual and Day-to-Day Differences in Active Coping Predict Diurnal Cortisol Patterns among Early Adolescent Girls

Prior work has identified alterations in activity of the hypothalamic-pituitary-adrenal axis as a potential mechanism underlying stress-induced emotional health problems, which disproportionately impact girls beginning in mid-adolescence. How adolescent girls differ from one another in dispositional coping tendencies and shift specific coping strategies in response to varying stressors have been theorized as important predictors of their adaptation, health, and well-being during this dynamic period of development. The goal of this study was to examine whether individual and day-to-day (within-person) differences in adolescent girls’ coping responses are associated with daily patterns of hypothalamic-pituitary-adrenal axis activity, indexed by cortisol. Participants were 122 early adolescent girls (M _age?=?12.39) who provided three saliva samples per day for 3 days and completed daily coping reports, as well as a standard coping survey. Participants and primary caregivers also completed objective life stress interviews. On average, girls who were more likely to respond to interpersonal stress with voluntary engagement (active) coping exhibited generally adaptive daily physiological regulation—steeper diurnal cortisol slopes, lower total diurnal cortisol output, and lower cortisol awakening responses. Chronic interpersonal stress level significantly moderated these associations in different ways for two distinct components of the diurnal pattern—the slope and cortisol awakening responses. Regarding within-person differences, using active coping more than usual was associated with higher waking cortisol the following morning, which may help to prepare adolescent girls for perceived daily demands. These findings highlight the interactive influence of stress and coping in the prediction of daily hypothalamic-pituitary-adrenal axis activity and support the stress-buffering role of active coping for adolescent girls.     

Violent Victimization and Future Expectations: Results from a Longitudinal Study of At-Risk Youth

The relationship between offending and expectations for the future is well documented. Despite the link between offending and victimization and the wealth of research documenting the negative effects of victimization, how victimization shapes expectations for the future has not been fully explored. The authors investigate this relationship using longitudinal data derived from the Pathways to Desistance study. Using fixed-effects regression models for panel data that account for the effects of excluded time-invariant covariates, the authors examine time-varying factors such as self-reported delinquency, gang membership, binge drinking and drug use, and peer delinquency. The authors find that expectations for the future are decreased in waves in which a person is violently victimized. This finding indicates a potential intervention strategy for those who have been victimized, focusing on cognitive assessments postvictimization that could be useful in reducing revictimization as well as reoffending.     

Leader Language and Political Survival Strategies

Authoritarian leaders’ language provides clues to their survival strategies for remaining in office. This line of inquiry fits within an emerging literature that refocuses attention from state-level features to the dynamic role that individual heads of state and government play in international relations, especially in authoritarian regimes. The burgeoning text-as-data field can be used to deepen our understanding of the nuances of leader survival and political choices; for example, language can serve as a leading indicator of leader approval, which itself is a good predictor of leader survival. In this paper, we apply computational linguistics tools to an authoritarian leader corpus consisting of 102 speeches from nine leaders of countries across the Middle East and North Africa between 2009 and 2012. We find systematic differences in the language of these leaders, which help advance a more broadly applicable theory of authoritarian leader language and tenure.     

Attribute Affinity: U.S. Natives’ Attitudes Toward Immigrants

Political Behavior - We examine the extent to which relevant social identity traits shared between two individuals—what we term “attribute affinity”—can moderate out-group...     

Parent-Child Conflict during Elementary School as a Longitudinal Predictor of Sense of Purpose in Emerging Adulthood

Having a sense of purpose is viewed as a benchmark of adaptive development. Though adolescence and emerging adulthood are viewed as central periods for the development of a purpose, work still is needed to understand the childhood factors that influence this developmental process. The current study provides an initial investigation into whether parent-child conflict during elementary school predicts later sense of purpose, assessed during emerging adulthood (mean age: 21.01 years; range: 19.97–23.53). The sample included 1074 students (50% female), and their parents, who both reported on their levels of parent-child conflict during grades 1–5. Higher levels of parent-child conflict were associated with lower levels of purpose in emerging adulthood. Moreover, the study examined whether these effects remained when predicting the variance unique to purpose while accounting for other indicators of well-being in emerging adulthood. Bi-factor models demonstrated that the child’s perception of mother-child conflict has a unique prospective effect on purpose in emerging adulthood, above and beyond its negative association with general well-being. The findings are discussed with respect to how positive parent-child relationships may prove important for starting youth on the path to purpose.