Fatal amphetamine-associated cardiotoxicity and its medicolegal implications

Amphetamines are popular drugs of abuse, particularly among youngsters and at dance scenes. Cardiotoxicity (manifested as cardiomyopathy, acute myocardial infarction/necrosis, heart failure, or arrhythmia) after the recreational (mis)use of amphetamine and its synthetic derivatives has been documented but is rather rare. Amphetamine-related cardiac fatalities are even more rare. We present 6 cases of young persons who died unexpected after the chronic abuse of amphetamines. Death was not attributed to a lethal intoxication but to an acute myocardial necrosis, a right ventricle rupture, a cardiomyopathy, or an arrhythmia. Two of the deceased persons presented prior to their death to the emergency department, but their complaints were not considered (probably due to their young age) to be of cardiac origin. One case was a sport-related fatality where medical screening failed to identify the underlying cardiac pathology or the amphetamine abuse, and 1 case was a so-called idiopathic dilated cardiomyopathy where substance abuse was not considered by the treating physician. We think that amphetamine-associated cardiotoxicity is a rare but probably genuine entity that should be considered both in forensic and clinical/emergency medicine because of its potential medicolegal implications.     

From Justus Hostis to Rogue State the Concept of the Enemy in International Legal Thinking

This article examines the changing image of war in international law and politics. In classical international law, the ideal typical image of war was a duel between equal states, represented as 'magni homines', This conception of war was based on a particular reading of the sovereign equality of states and a corresponding interpretation of the enemy in war. Due to the attempts to outlaw war and the growing enthusiasm for the use of force in the name of humanity, this image of war has changed significantly. In current international relations, the use of force is increasingly defined as enforcement or a preventive action against wrong-doers, risks to international peace and security or against 'rogues'. This article examines the changing conceptions of sovereignty and war as well as the changing image of the international community that underlie this changing conceptualisation of the enemy.     

Barriers to technology transfer and their elimination

An analogy between the flow of technology and the flow of electricity is used as a method to analyze technology transfer. This effort is expanded by an analogy to the Lewin's field theory in Social Science. An effort is then made to understand better the types of barriers to technology transfer. Several classes of barriers are identified and are then discussed in detail.     

Should the EU Protect Democracy and the Rule of Law inside Member States?

Against the background of recent developments in Hungary, the article discusses the question whether the European Union ought to play a role in protecting liberal democracy in Member States. First, it is argued that the EU has the authority to do so, both in a broad normative sense and in a narrower legal sense (though the latter is more likely to be disputed). The article then asks whether the EU has the capacity to establish a supranational militant democracy; here it is argued that at the moment both appropriate legal instruments and plausible political strategies are missing. To remedy this situation, the article proposes a new democracy watchdog, analogous to, but more powerful than, the Venice Commission. Finally, it is asked whether EU interventions would provoke a nationalist backlash. There is insufficient evidence to decide this question, but the danger of such a backlash probably tend to be overestimated.     

Introduction to the supplement

Abstract

The return of the generals to power in Bangkok last year, after only three short years of civilian rule, brought fears that Thailand would be Asia's Chile. Political repression was harsh and swift, and the international circumstances surrounding the coup pointed to at least partial United States responsibility.     

Discovering a sense of well-being through the revival of Islam: profiles of Kazakh imams in Western Mongolia

Throughout Central Asia, the end of communism has been marked by a significant change in the management and influence of local mosques. In many rural areas, small underground mosques operated by informally trained, elderly moldas have been supplanted by newly constructed mosques led by younger, foreign-educated local imams and financed by governmental and private donations from Turkey, Saudi Arabia, and other countries. From several perspectives, this ‘revival’ of Islam is characterized in a way that implies that increased religiosity and piety is somewhat problematic. In this essay, based on six months of ethnographic fieldwork in Western Mongolia, we argue that such an approach prevents an understanding of how religious changes are enhancing the social and material well-being of certain actors. We explore the utility of the concept of well-being by focusing on the everyday lives of Kazakh imams in Western Mongolia. Approximately 100,000 ethnic Kazakhs live in the Western Mongolian province of Bayan-Ölgii, where they comprise about 80% of the population. Although a significant portion of the population has been migrating to Kazakhstan in the post-socialist period, the Kazakhs who choose to remain in Mongolia have experienced a significant increase in religious freedom. In this context, the new cohort of imams is playing an important mediating role as members of the local population reinterpret and renegotiate their identity as Muslims. In addition to finding spiritual well-being through their knowledge of Islam, these imams are acquiring social status and economic security from their local roles as religious leaders and through their transnational connections with a broader Muslim community.     

J. Brunnée; S.J. Toope,Legitimacy and Legality in International Law: An Interactional Account,Cambridge University Press,Cambridge 2010, xviii + 411 pp., UK£60/US$105, ISBN 978-0-521-88065-7 (hardback); UK£29.99/ US$55, ISBN 978-0-521-70683-4 (paperback). doi: 10.1017/S0165070X11200056

Netherlands International Law Review -