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131.
Byard RW Blumbergs P Scott G Kennedy JD Riches KJ Martin J Thompson GN 《The American journal of forensic medicine and pathology》2006,27(4):340-344
This report highlights the importance of undertaking immunohistochemical staining of the brains of infants who die unexpectedly, as it may not only assist with the evaluation of the cause of death in an individual infant but may also help with the clinical management of subsequent siblings. A 5-month-old male infant who died suddenly was found to have diffuse beta-amyloid precursor protein (beta-APP) staining in the brain, with no unusual features in his history, death scene examination, routine autopsy dissection, and ancillary tests to suggest any definite cause of death. Due to the beta-APP staining, the possibility of previous episodes of occult trauma, apparent life threatening events (ALTEs), and accidental or inflicted suffocation was raised in the autopsy report. As detailed analyses and investigations provided no supportive evidence for trauma or inflicted injury, hypoxia was clinically considered the most likely cause. Because of these concerns, sleeping oxygen saturation levels were monitored following the birth of a subsequent sibling who had normal APGAR scores and no evidence of any health problems. Oxygen desaturation to 70% occurred in association with a color change while on the postnatal ward, and a subsequent polysomnogram showed multiple episodic significant desaturations to around 80% in association with central apnea. Other testing was unremarkable. These cases demonstrate that beta-APP staining of the brain may not only provide clues as to possible mechanisms of death in pediatric forensic cases but may indicate a need for careful clinical evaluation of subsequent siblings for possible central apnea requiring oxygen therapy. 相似文献
132.
Scott H. Decker 《Journal of criminal justice》1985,13(3):207-216
This analysis focuses on the operation of a juvenile diversion program in a large metropolitan area. In particular, the impact of the program on referrals made by the police to the juvenile court is examined. Consistent with most studies of diversion, a significant amount of net widening was found to occur following the introduction of the program. A time-series design using a four-year-preprogram and four-year-program period was employed to examine the trends in processing over time. Referrals for all categories of offenses rose significantly during the program years. The implications of these results are discussed in light of both police commitment to the goals of diversion and the legal safeguards in juvenile processing. 相似文献
133.
Authors' note: This article reviews the findings of the Massachusetts Task Force on Secure Facilities' Final Report “The Issue of Security in a Community-Based System of Juvenile Corrections,” L. Scott Harshbarger, Chairman (1977), and includes the comments of the authors which do not necessarily represent the official position of the Task Force. 相似文献
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