2D fetal echocardiography (ECHO) can be used for monitoring heart development in utero. This study’s purpose is to empirically model normal fetal heart growth and function changes during development by ECHO and compare these to fetuses diagnosed with and without cardiomyopathy with diabetic mothers. There are existing mathematical models describing fetal heart development but they warrant revalidation and adjustment. 377 normal fetuses with healthy mothers, 98 normal fetuses with diabetic mothers, and 37 fetuses with cardiomyopathy and diabetic mothers had their cardiac structural dimensions, cardiothoracic ratio, valve flow velocities, and heart rates measured by fetal ECHO in a retrospective chart review. Cardiac features were fitted to linear functions, with respect to gestational age, femur length, head circumference, and biparietal diameter and z-scores were created to model normal fetal growth for all parameters. These z-scores were used to assess what metrics had no difference in means between the normal fetuses of both healthy and diabetic mothers but differed from those diagnosed with cardiomyopathy. It was found that functional metrics like mitral and tricuspid E wave and pulmonary velocity could be important predictors for cardiomyopathy when fitted by gestational age, femur length, head circumference, and biparietal diameter. Additionally, aortic and tricuspid annulus diameters when fitted to estimated gestational age showed potential to be predictors for fetal cardiomyopathy. While the metrics overlapped over their full range, combining them together may have the potential for predicting cardiomyopathy in utero. Future directions of this study will explore creating a classifier model that can predict cardiomyopathy using the metrics assessed in this study.

The criminal justice system in the United States has recently come under intense scrutiny. To understand and critique the system it is important to understand the broader history and processes within the system. Looking specifically at the practice of juvenile detention, we see how the system developed parallel to the cruel practices applied to adults as punishment. Juvenile detention centers were modeled on adult prisons, both reflecting nineteenth-century ideas of redemptive suffering. The consistently coercive and oppressive features of the juvenile justice system also become apparent, when looking at the system through a historic lens. In contemporary juvenile detention centers, remnants of religious influence remain in the form of prison ministry programs. Throughout an examination of the historic and modern influence of evangelical Protestantism in prisons, the vulnerability of the individuals in these programs become apparent, as do the inequities within the system.

Sanctuary jurisdictions are jurisdictions that do not enforce one or more aspects of federal immigration policy in regards to unauthorized immigrants. Some states maintain state-wide sanctuary policies while others are adamantly against them. Estimates of taxes that unauthorized immigrants pay and estimates of the amount of state funding that unauthorized immigrants can access (education, financial aid, corrections, and welfare) reveal that regardless of sanctuary status, unauthorized immigrants may “pay in” more than they “take out” from the system. The status of “sanctuary jurisdiction” does not appear to have much if any effect on the net state budget. However, unauthorized immigrants are able to access more welfare programs in sanctuary states.

With the passage of the Affordable Care Act, the health system in the United States is now being further challenged. There is bipartisan debate on how it can be reconstructed: one party states that the government plays too big of a role, while the other believes it plays too little. Regardless, Americans want change. Reconstruction is not a new topic by any means, and other countries have been forced to do so due to political violence. This paper explores the history and current healthcare organizations of Japan, Iraq, and Afghanistan. These countries have all encountered major political turmoil, which has led to the rebuilding of their respective healthcare systems. Though the United States is not facing political violence that will necessitate reorganization, the examination of nations that have been forced to do so offers lessons applicable to the healthcare system in the US.