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Recent upticks of stimulant presence in overdose deaths suggest the opioid epidemic is morphing, which raises questions about what drugs are involved and who is impacted. We investigate annual and growth rate trends in combined opioid-stimulant overdose toxicology between 2013 and 2019 for White, Black, and Hispanic male and female decedents in Delaware. During these years, toxicology shifted to illegal drugs for all with fentanyl leading the increase and opioid-cocaine combinations rising substantially. While combined opioid-cocaine toxicology grew among Black and Hispanic Delawareans, White males continue to report the highest rates overall. These findings depart from historical patterns and may challenge existing opioid epidemic policies. [ABSTRACT FROM AUTHOR]

Intimate partner homicide (IPH) continues to be a form of violence disproportionately affecting women in the United States, and access to firearms can greatly increase the likelihood that intimate partner violence becomes lethal. In response to concerns about firearms violence and their prevalence in IPH incidents specifically, states have passed restrictive firearms laws and policies. In this study, we provide an analysis of female IPH victimization disaggregated by race/ethnicity that incorporates state‐level firearms legislation. Our analytical approach is informed by intersectionality and accounts for other key intimate partner violence policies and structural predictors. We find that the relationship between firearms legislation and IPH varies in magnitude and direction across specific race/ethnicity female victimization groups. As such, our findings provide support for an intersectional framework in that restrictive firearms laws are not consistently associated with lower levels of IPH when incidents are disaggregated by gender and race/ethnicity. [ABSTRACT FROM AUTHOR]

The study aims to expand our understanding of escalation from intimate partner violence to intimate partner homicide (IPH) by exploring the known circumstances leading up to a lethal event. The study draws on qualitative data from law enforcement reports and coroner/medical examiner reports within the National Violent Death Reporting System to identify themes preceding and surrounding IPH incidents. Findings support the utility of risk assessments in identifying escalation while illustrating the complex ways that violence between current or former intimate partners can escalate to lethality, particularly the role of separation and the use of firearms. [ABSTRACT FROM AUTHOR]

Police shootings have received considerable attention recently. While official data have often been used to capture police use of lethal force, "unofficial" databases have been developed to document lethal force patterns throughout the United States. Thus, it is now possible to systematically compare databases, exploring racial differences and potential causes, which is important given longstanding criticisms of official records. Here, we examine police shootings using Mapping Police Violence and Supplemental Homicide Reports data and investigate the impact of commonly used structural predictors on race-specific police shootings. Significant differences are revealed across official and unofficial databases, particularly by race. We conclude that the data used to estimate police shootings matter, which has key implications for future work on this important topic. [ABSTRACT FROM AUTHOR]

This paper examines the impact of one specific type of learning (differential association) on the marijuana use of juveniles who were participating in a drug court program. The subjects were youths from a rural community in Ohio. The data were taken from the Global Appraisal of Individual Needs (GAIN) (Dennis, 1999). The theoretical framework for this research was Sutherland's theory of differential association. The differential association model accounted for nearly 40% of the marijuana use of the youths in this sample. Two specific measures (the number of people a subject used drugs with and using drugs with a sexual partner) were significant predictors of marijuana use. Implications of this study for court programs and future research also are discussed. [ABSTRACT FROM AUTHOR]

We present a case of distal radius fracture. Several sequential unfortunate events resulted in a poor outcome. The patient was poorly selected because the degree of early dementia was not fully appreciated, due to intermittent periods of lucidity. Having elected to treat this distal radius fracture with Kirschner wires, a wire snapped during the procedure and was deemed safe to leave within the medullary cavity. Subsequently, the patient was left in a cast for 4 weeks without regular pin site inspection. When the cast was removed a gross osteomyelitis had developed. This series of events, led to unnecessary morbidity and extended the immobilisation time with reduced wrist function. This case highlights the importance of careful patient selection, surgical tactics and continuity of care. [ABSTRACT FROM AUTHOR]