Assessment of exposure to opiates and cocaine during pregnancy in a Mediterranean city: preliminary results of the "Meconium Project"

For the first time in Europe, the "Meconium Project" aimed to estimate the prevalence of drug use by pregnant women and the effects of exposure to illicit drugs during pregnancy on the fetus and infant. Between October 2002 and February 2004, 1151 (79%) dyads among the 1439 mother-infant dyads from the Hospital del Mar, Barcelona, Spain, met eligibility criteria and agreed to participate in the study. We present preliminary results on the first 830 meconium samples and 549 mother-infant dyads, for which statistical analysis of socio-economic and demographic characteristics and newborn somatometry was completed. The meconium analysis showed an overall 7.9% positivity for drugs of abuse, with 6-monoacetylmorphine and cocaine being the analytes, most frequently found in samples positive for opiates and cocaine. Structured interview disclosed 1.3, 1.8 and 1.3% of mothers exposed to opiates, cocaine and both drugs, while only one mother declared ecstasy consumption. Meconium analysis showed that prevalence of opiates, cocaine and combined drugs exposure was 8.7, 4.4 and 2.2%, respectively, and confirmed the case of ecstasy use. Arecoline, the main areca nut alkaloid, was found in meconium specimens from four Asiatic newborns, whose mothers declared beetle nut consumption during pregnancy. Parental ethnicity was not associated with drug use, nor was the social class, although a higher tendency toward drug consumption was observed in professional and partly skilled mothers. Drug consuming mothers showed a higher number of previous pregnancies and abortions (p<0.05) when compared to non-consumer mothers (meconium negative test), probably due to a lack of family planning. Consumption of opiates and cocaine during pregnancy was associated with active tobacco smoking, a higher number of smoked cigarettes and cannabis use. Exposure status and smoking behavior correlated with significantly lower birth weight in newborns from mothers exposed only to cocaine and to opiates and cocaine simultaneously. Of the four newborns exposed to arecoline, one showed a low birth weight, low intrauterine growth, hyporeflexia and hypotonia.     

Grenzsetzende Macht

Using a historical and comparative perspective, the present article argues that the politically most effective and strategically most enduring boundaries of modernity were not those between nation-states, but rather those whose orienting and identity building function were based on the maintenance of a power imbalance essentializing cultural, religious or economic differences. The main argument is that the historically unique power of definition, which has conferred validity to the different versions of the West/Rest or North/South explanatory models up to this day, can be traced back to two elements: on the one hand, to the constitutive relationship between Western notions of cultural difference and the global Western power (“Occidentalism”), on the other hand, to the universalizing perspective which in this power context was declared as the only valid scientific representation of space (“hubris of the zero point”). The historical and current impact of this discursive strategy for constructing essentialized spaces are shown using the examples of Latin America and Eastern Europe as typical products of asymmetric boundaries.     

Civil society actors in peace negotiations in Central America

Civil society actors are assumed to play an important part in post-conflict peacebuilding; therefore, the international community pushes for civil society participation already during peace negotiations. However, the actual connection between civil society’s participation in those negotiations and its role in implementation processes remains unclear. Taking the Central American peace processes of the late 1980s and early 90s as a case study, this article compares civil society participation in peace negotiations and provisions for civil society involvement for the implementation phase, with the actual role that the civil society played in the implementation processes in Nicaragua, Guatemala and El Salvador. The article questions the importance of including civil society actors in the negotiation process since the level of civil society inclusion in, activism during and influence on the negotiation process in the three cases did not result in a stronger role for civil society organizations in the implementation process. The article concludes with an analysis of how these findings modify the current understanding of the role of civil society in peace processes and proposes a different focus for future research.     

School-based Stress Management Training for Adolescents: Longitudinal Results from an Experimental Study

This study aimed to investigate the effectiveness of a school-based universal preventive stress management training program for early and middle adolescents in comparison with a no-treatment control group. The study examined the intervention effects of age (early versus middle adolescents) and gender on perceived stress, interpersonal coping, and self-efficacy prior, immediately after as well as 3 months after the intervention. Three hundred and twenty adolescents (ages 10–14 years) participated in the study. Whereas both experimental conditions did not differ substantially in baseline scores, the experimental group scored higher on perceived self-efficacy compared to the control group at the follow-up assessment. Additionally, the experimental group showed less perceived stress and more adaptive coping at the post and follow-up assessment. Age-dependent intervention effects suggested that early adolescents primarily benefited from the treatment. Although the effects must be replicated using a randomized design, the current findings reveal that the program does strengthen important protective factors for the psychosocial development of adolescents.

An Overview of Zoonotic Disease Outbreaks and its Forensic Management Over Time

Most emerging or re‐emerging infections are vector‐borne or zoonotic and can be disseminated worldwide by infected humans or animals. They are a major public health problem and cause a great impact on economy. Zoonotic outbreaks began to be characterized in the 90s, after the creation of Europol and the FBI. Such investigations are carried by forensic pathologists and other specialists to determine whether an outbreak is natural or deliberate. This review will discuss ten zoonotic outbreaks nonrelated to wars focusing on forensic management. In conclusion, some points should be highlighted in the management of a zoonotic outbreak: (i) its diagnosis and detection by forensic pathologists and the coordination of efforts between other specialists are key factors; (ii) communication guidelines and an efficient healthcare system are crucial for any emergency response; (iii) biosafety of all specialists involved must be guaranteed.     

MANAGING MUNICIPAL SERVICES IN AN ERA OF DECUNING FEDERAL ASSISTANCE

Federal aid to local governments was cutback throughout the Reagan administration. In dealing with these revenue cutbacks, ex-recipients have a variety of options, to find new sources of revenue or reduce expenditures. Based on the perspectives of local government budget officials and environmental data, this study attempts to determine which governments will be most successful in minimizing service cutbacks in this environment. Using a cross-sectional analysis and data concerning federal revenue sharing, we find both support and differences for many predictors found in previous case-studies of fiscal stress. The differences likely stem from the new cutback environment. This study illustrates that management strategies under fiscal decentralization are strategic and not haphazard.     

Liberty and development: A further empirical perspective

This paper uses the Wright ratings of economic freedom to investigate the relationship between economic freedom and economic development for most countries in the world. This relationship is apparently strong and direct for such economic freedoms as freedom of property and freedom of movement but inverse for freedom of association. These findings appear to be independent of the type of economic system or civil liberties, as measured by the Gastil ratings, which have their own important effects on economic development.With the statistical assistance of Laurie D. Still. Comments on previous drafts by Iraj Aberdian, Merle Holden, Brian Kantor, John W. Kendrick, Peter Kennedy, Jack Knetsch, Chris Lingle, Denton Marks, Peter Moll, Frank Vorhies, an anonymous referee, and the participants of seminars at the University of Cape Town, the University of Natal and Simon Fraser University are gratefully acknowledged.     

Measuring Children's Suggestibility in Forensic Interviews

According to the scientific literature, childrens’ cognitive development is not complete until adolescence. Therefore, the problems inherent in children serving as witnesses are crucial. In preschool‐aged children, false memories may be identified because of misinformation and insight bias. Additionally, they are susceptible of suggestions. The aim of this study was to verify the levels of suggestibility in children between three and 5 years of age. Ninety‐two children were examined (44 male, 48 female; M = 4.5 years, SD = 9.62). We used the correlation coefficient (Pearson's r) and the averages variance by SPSS statistical program. The results concluded that: younger children are almost always more susceptible to suggestibility. The dimension of immediate recall was negatively correlates with that of total suggestibility (r = ?0.357 p < 0.001). Social compliance and source monitoring errors contribute to patterns of suggestibility, because older children shift their answers more often (r = 0.394 p < 0.001). Younger children change their answers more times (r = ?0.395 p < 0.001).