Managing incidental findings in human subjects research: analysis and recommendations.

No consensus yet exists on how to handle incidental findings (IFs) in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are findings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed.     

A NATIONWIDE SURVEY OF MANDATORY PARENT EDUCATION*

In an effort to take positive steps toward coping with problems for families and children created by high levels of separation and divorce, ever increasing civil caseloads and the exposure of children to interparental conflict, court‐affiliated educational programs have emerged in the United States for parents separating from their spouse or partner or going through a divorce. This article will provide an overview of the creation of such programs and their development, which includes a discussion regarding the numerous states currently mandating parents to attend. It will summarize some of the research which has been conducted as to the efficacy of the programs and will provide the results of our nationwide research for each state's parent education status. There is a discussion of domestic violence issues and sensitivities in the context of parent education programs and possible future directions for mandatory parent education.     

WINE WARS—DIRECT SHIPMENT OF WINE: THE TWENTY-FIRST AMENDMENT, THE COMMERCE CLAUSE, AND CONSUMERS'RIGHTS

The transportation or importation into any State, Territory, or possession of the United States for delivery or use therein of intoxicating liquors, in violation of the laws thereof, is hereby prohibited. ¹     

The Personal Is Political: The Cuban Ethnic Electoral Policy Cycle

This article documents a U.S. Cuban foreign policy cycle that operated in tandem with the presidential electoral cycle between 1992 and 2004. During these post–Cold War years, when Cuba posed no threat to U.S. national security, influential, well-organized Cuban Americans leveraged political contributions and votes to tighten the embargo on travel and trade, especially at the personal level. U.S. presidential candidates, most notably incumbent presidents seeking re-election, responded to their demands with discretionary powers of office. When presidential candidates supported policies that made good electoral sense but conflicted with concerns of state, they subsequently reversed or left unimplemented Cuba initiatives. After describing the logic behind an ethnic electoral policy cycle and U.S. personal embargo policy between 1992 and 2004, this article examines Cuban American voter participation, political and policy preferences, lobbying, political contributions, and the relationship between the ethnic policy and presidential election cycles.     

Why Medical Child Support is Important—and Complex

Courts resolving child support cases involving separated, divorced, and non‐marital children are charged with defining responsibility for health care coverage for the children under that order. This article explores historical and current medical child support requirements under Title IV‐D of the Social Security Act—the national child support enforcement (“IV‐D”) program. It analyzes legal requirements and policy recommendations, and provides a practical tool judges may use to determine whether health care coverage available to either or both parents is appropriate—that is, comprehensive, accessible, and affordable.