Guidelines for postmortem protocol for ocular investigation of sudden unexplained infant death and suspected physical child abuse

Postmortem examination is a cornerstone in identifying the cause of unexplained sudden death in children. Even in cases of suspected or known abuse, an autopsy may help characterize the nature of the abuse, which is particularly important in the forensic autopsy of children in the first 3 to 4 years of life when inflicted neurotrauma is most common. Forensic examinations are vital in cases that might otherwise be diagnosed as sudden infant death syndrome. The ocular autopsy in particular may demonstrate findings that were not appreciated on antemortem clinical examination. This protocol for postmortem examination of the eyes and orbits was developed to promote more consistent documentation of findings, improved clinical and forensic decision making, and more replicable and coherent research outcomes.     

Sudden cardiac death due to giant cell inflammatory processes

Granulomatous inflammation of the myocardium may occur in a number of systemic disease processes including those with infectious etiologies such as fungal, mycobacterial and parasitic infections, as well as hypersensitivity reactions, and rarely autoimmune disorders. In many of these disorders, giant cells are components of the inflammatory infiltrate. Systemic granulomatous processes of unknown pathogenesis, most notably sarcoidosis, may also be associated with involvement of the myocardium. Occasionally, these disorders are associated with sudden death due to pathologic involvement of the heart. In contrast, giant cell myocarditis, also known as idiopathic myocarditis, a rare, frequently fulminant and fatal disorder of unknown etiology, is isolated to the heart and lacks systemic involvement. This disorder is most commonly diagnosed at autopsy. We present two cases in which sudden death resulted from a giant cell inflammatory process affecting the myocardium. Both individuals lacked antemortem diagnoses and collapsed at their respective places of employment. These cases compare and contrast the clinical and pathologic issues involved in the differential diagnoses of the subgroup of sudden cardiac deaths resulting from giant cell inflammatory processes that affect the myocardium, as well as the value of histologic examination and immunohistochemical studies.     

Langauge and Violence: Analysis of Four Discursive Operations

The Interactional and Discursive View of Violence and Resistance is a framework for critical analysis and research, prevention and intervention that takes into account the conditions that enable personalized violence, the actions of perpetrators and victims, and the language used in representing those actions. Using this analytic framework, we analyzed five accounts of personalized violence, one each from a perpetrator, a psychiatrist, a judge, a government minister, and a therapist. Our results demonstrate the scope and the ubiquity with which diverse accounts locally accomplish four-discursive-operations; namely, the concealing of violence, obfuscating of perpetrators’ responsibility, concealing of victims’ resistance, and blaming and pathologizing of victims. We examine the specific linguistic devices that combine to accomplish the four-discursive-operations in each case. These data suggest that the problem of violence is inextricably linked to the problem of representation.

Typologies of abuse among Afro-Trinidadian women

This study examines typologies of abusive behaviors among Afro-Trinidadian women. A total of 17 women participated in a 2-hour, face-to-face interview. The findings suggest that women experience multiple types of abuse including physical, sexual, and emotional abuse and controlling behaviors. This article discusses the implications of the findings for interventions with abused women.     

Statistical Inference After Model Selection

Conventional statistical inference requires that a model of how the data were generated be known before the data are analyzed. Yet in criminology, and in the social sciences more broadly, a variety of model selection procedures are routinely undertaken followed by statistical tests and confidence intervals computed for a “final” model. In this paper, we examine such practices and show how they are typically misguided. The parameters being estimated are no longer well defined, and post-model-selection sampling distributions are mixtures with properties that are very different from what is conventionally assumed. Confidence intervals and statistical tests do not perform as they should. We examine in some detail the specific mechanisms responsible. We also offer some suggestions for better practice and show though a criminal justice example using real data how proper statistical inference in principle may be obtained.     

Examination of an interventionist-led HIV intervention among criminal justice-involved female prisoners

The purpose of this study was to examine the implementation, adherence and protocol fidelity for the Reducing Risky Relationships for HIV (RRR-HIV) study. The RRR-HIV study is a phase III trial of a randomized intervention to reduce human immunodeficiency virus (HIV) risk behaviors among incarcerated women in four US states: Connecticut, Delaware, Kentucky and Rhode Island. The intervention consists of five interventionist-led prison-based group sessions and a sixth individual community-based session. Data on adherence, implementation, acceptability and fidelity of the intervention were obtained from forms completed after the five prison-based sessions by both the interventionist and participant. Data from the sixth session were collected by the interventionist. Of the 363 women recruited to date, 173 (47.6%) have been randomly allocated to the experimental RRR intervention, of which implementation measures were available for 162 (93.6%). Almost three-quarters of women attended all five sessions, each of which lasted a median of 90 minutes, indicating successful implementation of the protocol across multiple study sites. Interventionists and participants alike reported that all of the topics for each session were discussed, suggesting adherence to the protocol. In addition, protocol interventionists indicated that more than 95% of the women were engaged/involved, interested, and understood the materials presented, indicating high levels of acceptability among the participants and fidelity to the intervention protocols. The majority of participants also answered all of the post-test questions correctly, which is another strong indicator of the fidelity to the intervention. Results suggest that the RRR-HIV study has been successfully implemented across multiple study sites. Adherence to the protocol, as well as protocol fidelity and acceptability, were also strong, which is essential to establish prior to examining outcome data.     

Exploring the “Lost and Found” of Justice Theory and Research

Scientific interest in the nature of how people think about justice and fairness began approximately 70 years ago with Stouffer’s classic study on the American soldier. Since then there have been numerous theoretical frameworks and thousands of research studies conducted on what people perceive as fair and the consequences of making a fairness judgment. The goal of this article is to dig through the “lost and found” box of justice research in an attempt to re-examine where we have been, issues and ideas we may have forgotten, and to gain insight on directions we may want to go in the future. The key rediscovery of this review is that perspective matters. Specifically, how people interpret fairness depends critically on whether they are viewing a situation in terms of their material, social, or moral needs and goals. The implications of adopting a contingent theory of how people reason about fairness are discussed.

Risk Factor Models for Adolescent Verbal and Physical Aggression Toward Fathers

Using a French-Canadian population-based longitudinal data set, we examine the impact of socioeconomic factors (paternal education and family structure); inherent individual factors (child gender and developmental trajectories of physical aggression from early to later childhood, problematic substance use), family environment (concurrent parent-child involvement, parental problematic substance use), and prospective and concurrent parenting process variables (mean parental supervision at puberty, concurrent punishment practices) as predictors of adolescent-directed aggression against fathers (in the last 6 months). A childhood behavioral pattern characterized by physical aggression showed the highest risk of adolescent-directed verbal and physical aggression toward fathers, regardless of sex. In terms of parental practices, verbal (and not corporal) punishment in the last 6 months significantly predicted aggression toward fathers. A childhood life-course of violence is likely to culminate in aggression toward fathers during adolescence. Beyond this risk, it seems that harsh verbal punishment by parents builds up the odds of child-directed aggression against fathers.