Delayed death in sudden infant death syndrome: a San Diego SIDS/SUDC Research Project 15-year population-based report

A fraction of SIDS cases have death delayed by successful CPR, yet they have not been compared to SIDS cases which were found dead or not successfully resuscitated. Our aims were to: (1) determine the percent of SIDS cases in the San Diego SIDS Research Project database for whom death was delayed by CPR and subsequent life support; (2) compare demographics, circumstances of death and autopsy findings of delayed death SIDS cases (delayed SIDS) with those whose deaths were not delayed (non-delayed SIDS); (3) examine the evolution of pathologic changes in delayed SIDS as a function of survival interval. A retrospective 15-year population-based study of 454 infant deaths attributed to SIDS revealed 29 delayed SIDS cases (Group I) and 425 non-delayed SIDS cases (Group II). Group I cases were significantly older than Group II cases (mean age 132 days vs. 102 days and p<0.0001). Eighty-nine percent of the Group I cases were discovered between 08.00 and 19.59 h; none were found between 00.00 and 07.59 h, compared to 38% of the Group II cases. Group I infants were found significantly more often away from home (at daycare, or at the home of a relative, friend, or baby sitter) than Group II infants (45% vs. 25%, p<0.05). There were no differences between groups with regard to gender, gestational age, type of delivery, bed sharing, URI within 48 h of death, ALTEs, a history of referral to child protective services, body position when placed or found, or face position when found. Pathologic changes were semiquantitatively evaluated; findings were characteristic of anoxic-ischemic injury that generally became more severe with increasing survival intervals. Anoxic-ischemic brain injury was the immediate cause of death in all delayed SIDS cases. Aspiration of gastric contents was identified in Group I cases surviving less than 48 h and was the likely etiology of acute bronchopneumonia occurring in 83% of the Group I cases. We did not identify factors that would reliably predict which SIDS cases might be discovered soon enough to allow earlier and more effective CPR and survival without permanent brain injury.     

Explanations of protectionism in international trade votes

In this study, we analyze the voting records of U.S. senators on three recent international trade bills. Our objective is to assess the importance of ideology and constituent interest as forces that influence protectionist vs. free trade voting behavior. The methodology uses discriminant analysis supplemented with expert judgement. The first conclusion is that ideology is the more important force in generic protectionism issues, and local constituent interests are more important for commodity-specific issues. Second, we find that protectionism is especially associated with liberal ideology, high import impact, and low export dependence. Although the discriminant analysis outperforms expert judgement in classifying protectionist vs. free trade votes in two of the three bills studied, the best explanation is obtained by using both methods together.We are indebted to Dennis Quinn, Tom Brewer, Michael Czinkota, Karen Gaertner, Annette Shelby, and Melanie Hayes. Errors remain our responsibility.     

A. Article

OCCUPATION: ISRAEL OVER PALESTINE. Edited by NASSER ARURI. London, Zed Press, 1984. £24.95 (hardback); £9.95 (paperback)

DOCUMENTS ON THE ISRAELI‐PALESTINIAN CONFLICT 1967–1983. Edited by YEHUDA LUCAKS. Cambridge, Cambridge University Press, 1984. £19.50.

PEACEMAKING IN THE MIDDLE EAST. Edited by PAUL MARANTZ and JANICE GROSS STEIN. London, Croom Helm, 1985. £17.95.

THE IMPACT OF GUSH EMUNIM: POLITICS AND SETTLEMENT IN THE WEST BANK. Edited by DAVID NEWMAN. London, Croom Helm, 1985.£17.95.     

Whales and minnows: Some sexual theorists and their followers and how they contribute to making feminism invisible

Past feminism was made to vanish, so that only now are we beginning to realise the full extent of our history. The same process is already beginning to happen to present feminism—we too are being made invisible. One instance of this process is examined in the work of some ‘radical’ male academics. They use the work of various sexual theorists (Lacan, Gagnon and Simon, Foucault) to construct a particular and de-politicized version of ‘sexual politics’; and in doing so they recognize only an equally partial version of ‘feminism’. It seems that ‘our friends’, ‘radical’ men, are at least as dangerous as the rest, for they increasingly claim the right to ‘name’ feminism and sexual politics for us.