Unusual cases of suicide among health care workers

We describe three unusual cases of suicide committed by health care workers. The aim of this paper was to analyze and evaluate the evidence of general diagnostic elements of poisoning in these cases.     

The characteristics of head wounds inflicted by "humane killer" (captive-bolt gun)--a 15-year study

The "humane killer" or captive-bolt gun, is the tool/weapon widely used in meat industry and private farmer households for slaughtering animal stock. Out of 17,250 autopsies performed at the Institute of Forensic Medicine in Novi Sad during the 15-year period (1991-2005), 29 cases of suicides and two homicides were committed by captive-bolt pistols. Wounds inflicted by captive-bolt guns have specific morphological features, distinctive from wounds made by other kinds of hand firearms. Selected features of the captive-bolt wounds (punched round entrance and a double pattern of smoke soiling) depend on distance and angle of instrument at the time of firing. Autopsy findings were compared with an experimental model consisting of 20 domestic pigs. Obtained results confirmed that the appearance of the entrance hole and soot deposits, along with differences in shape, location, extent, and density of soot blackening, could be useful in identification of weapon, direction of discharge, shooting distance, and angle of the muzzle to the frontal and sagittal planes of the head at the moment of fire.     

The Relationship Between High Education and Labor Market in Western Balkan Countries

This paper deals with the relationship between high education and labor market in Western Balkan countries. Having in mind that all these countries are in transitional process, suffering from poor economics, poor level of investments, and high unemployment rates, it would be wise that the governments and political elites put the quality of knowledge high on agenda, regarding it as the vital incentive instrument for economic and social development. All social and political subjects should be devoted to procuring good quality of knowledge, which is sensitive to the labor market＇s needs in all fields. This study attempts to find answer on the question why it is not so, making qualitative, quantitative, and empirical research. It analyzes the relationship between high education and labor market＇s needs, identifies main factors which influence this relationship, focusing on main influence of political interests and values. The paper presents rare good cases, as lessons from experience for the future.     

‘door bitches of club feminism’?: academia and feminist competency

After years of invisibility, the position of migrant women from Islamic countries now forms the core of the Dutch discourse on integration and emancipation. This article presents the downside of this visibility by showing that it is situated within a growing culturalist discourse. In addition to being culturalist, this discourse focuses on the shortcomings of migrants and is flavoured with a touch of new realism in its argument that it is a right to break the taboos of migrants. More visibility for migrant women will not help their empowerment if the basic assumptions of the dominant discourse are not challenged. Through presenting a case study, this article shows how this visibility can even strengthen the border between the Dutch as ‘emancipated self’ and Islamic migrants as the ‘unemancipated other’. In so doing it reinforces boundaries instead of alliances, isolation instead of empowerment, and suppression instead of emancipation.     

Ethical and legal consideration of prisoner's hunger strike in Serbia

Hunger strike of prisoners and detainees remains a major human rights and ethical issue for medical professionals. We are reporting on a case of a 48-year-old male sentenced prisoner, intravenous heroin user, who went on a hunger strike and died 15 days later. Throughout the fasting period, the prisoner, who was capable of decision making, refused any medical examination. Autopsy findings were not supporting prolonged starvation, while toxicology revealed benzodiazepines and opiates in blood and urine. Cause of death was given as "heroin intoxication" in keeping with detection of 6-MAM. Legal and ethical issues pertinent to medical examination and treatment of prisoners on hunger strike are explored in accordance with legislation and professional ethical standards in Serbia. A recommendation for the best autopsy practice in deaths following hunger strike has been made.     

Death caused by a signal rocket--not an isolated case*

Fatalities related to sporting events are predominantly caused by blunt force injuries especially due to the emotional involvement of crowd, but occasionally other types of trauma are reported as well. A case of very rare trauma caused by shooting with a hand-held parachute signal rocket during a football match is presented. A 17-year-old football fan sustained fatal injuries, a combination of mechanical trauma caused by rocket penetration, as well as extensive thermal burning of the thoracic viscera. Analysis of the event was based on autopsy findings and evidence produced by medicolegal and ballistic experts. Improper use of a hand-held signal rocket, designed for marine distress signals, may cause serious injuries either mechanically, due to explosion, or as a result of thermal discharge. In the reported case, pattern of injuries is discussed, and medical finding corroborated to other available evidence. The presented case is a reminder that the forensic pathologist should be informed accordingly on the type and features of weapon suspected to produce injury, to be able to understand traumatic changes, and look for potential presence of foreign bodies at postmortem examination.