Extensive Necrotic Purpura in Levamisole‐Adulterated Cocaine Abuse – A Case Report

Levamisole, which is used as an adulterated compound of cocaine, is currently being seen year after year in cocaine intoxication. For a few cases in the last decade, necrotic purpura and neutropenia after levamisole/cocaine intoxication have been described in the medical community. Herein, we present an original case of levamisole intoxication of a 40‐year‐old woman who smoked heroin and cocaine few during a month. She rapidly presented an extensive necrotic purpura of the nose, cheeks and extremities (lower and upper), and immunologic reactions (positive anti‐MPO and anti‐HNE). Levamisole was detected on hairs with ultra‐high performance liquid chromatography and tandem mass spectrometry. The case reports also a probable cocaine supplier deceit, which bring pure drug for hospital investigation after the intoxication of his client. The intoxicated woman had survived with several skin and chronic pain complications. That case recalls the knowledge about levamisole with a short review of the forensic literature.     

Tertiary institutions and capacity building in Ghana: challenges and the way forward

The last two decades have seen tremendous growth in tertiary education in Ghana. The prevailing consensus is that universities play a crucial role in development by making it possible to generate human capital in key areas such as health, agriculture, and engineering, also contributing to the attainment self-sufficiency. Whilst contributing to capacity building, this paper argues that universities in Ghana have had to contend with a number of challenges: low female access to universities, especially in science and technology-related courses; inadequate funds; poor research activity; and large class sizes. Making research a priority, designating strategic planning teams with appropriate institutional and financial support, developing cooperation with private universities, expanding access through the use of external degree centres and distance learning, and deepening universities’ relevance to societal needs, are identified as central to the enhancement of capacity building in Ghana.     

First Things First: R2P Starts with Direct Negotiations

Abstract

Public debates on R2P one-sidedly focus on its forcible aspects. They should, however, also focus on R2P’s non-coercive aspects, which include the legal obligations to cooperate and to pursue peaceful conflict resolution, notably the obligation to undertake meaningful attempts at negotiation before coercive means are taken into consideration. After the Arab Spring erupted in Libya and Syria, other countries did not exhaust reasonable efforts to deal and negotiate with the incumbent powers, and to assist and encourage them to meet their obligations under R2P, even though negotiations are part and parcel of the R2P framework and constitute the very first step to be taken whenever a state seems to ignore its obligations under that framework.     

Ukrainian volunteer fighters in the eastern front: ideas,political-social norms and emotions as mobilization mechanisms

Abstract

Following the outbreak of the insurgency in eastern Ukraine, thousands of volunteers joined pro-Kiev battalions. Although they have fiercely fought against pro-Kremlin forces, very little is known about them. The article will investigate why individuals have engaged in such a risky endeavour for no obvious material reward. It will claim that ideas, political-social norms and emotions have functioned as mobilization mechanisms that can explain individual decisions. Based on interviews, the article will argue that the mobilization of Ukrainian volunteer fighters has a strong cognitive-normative-emotional dimension that cannot be ignored and should be further explored.     

A New Tool for Coding and Interpreting Injuries in Fatal Airplane Crashes: The Crash Injury Pattern Assessment Tool Application to the Air France Flight AF447 Disaster (Rio de Janeiro–Paris), 1st of June 2009

For investigation of air disasters, crash reconstruction is obtained using data from flight recorders, physical evidence from the site, and injuries patterns of the victims. This article describes a new software, Crash Injury Pattern Assessment Tool (CIPAT), to code and analyze injuries. The coding system was derived from the Abbreviated Injury Score (AIS). Scores were created corresponding to the amount of energy required causing the trauma (ER), and the software was developed to compute summary variables related to the position (assigned seat) of victims. A dataset was built from the postmortem examination of 154/228 victims of the Air France disaster (June 2009), recovered from the Atlantic Ocean after a complex and difficult task at a depth of 12790 ft. The use of CIPAT allowed to precise cause and circumstances of deaths and confirmed major dynamics parameters of the crash event established by the French Civil Aviation Safety Investigation Authority.     

The Rights-Asserting Contemporary Public Service Customer in Botswana

This article discusses an often-ignored subject in Botswana-specific literature: the emergence of rights-asserting contemporary public service customers. These customers unflinchingly demand their rights. Given this situation, this article argues that there is a need for a paradigm shift on the part of public servants. Among other things, this will entail the crafting of a new internally created customer service charter which puts a high premium on service delivery. Thus, the charter should beget a public service that respects customers' inviolate right to quality public service. Although the case study is about Botswana, there are general lessons — e.g., an internally created public service charter.     

Expanding Microfinance in Brazil: Credit Utilisation and Performance of Small Firms

We take advantage of the natural experiment generated by the exogenous change in government policy towards microcredit to evaluate the impact of the increased supply of microcredit on the utilisation of credit by micro-entrepreneurs. Based on micro-entrepreneurs' survey and administrative data from a microcredit programme in Brazil, we show that: the increased supply of microcredit raised formal credit utilisation and this does not crowd out the use of informal credit sources; formal credit taking improves business performance; and returns are larger for women- than for men-owned firms, but males employ significantly more workers after taking formal credit than females.     

Conditional Cash Transfers,Adult Work Incentives,and Poverty

Conditional cash transfer (CCT) programmes aim to alleviate poverty through monetary and in-kind benefits, as well as reduce future incidence of poverty by encouraging investments in education, health and nutrition. The success of CCT programmes at reducing poverty depends on whether, and the extent to which, cash transfers affect adult work incentives. In this paper we examine whether the PROGRESA programme of Mexico affects adult participation in the labour market and overall adult leisure time, and we link these effects to the impact of the programme on poverty. Utilising the experimental design of PROGRESA's evaluation sample, we find that the programme does not have any significant effect on adult labour force participation and leisure time. Our findings on adult work incentives are reinforced further by the result that PROGRESA leads to a substantial reduction in poverty. The poverty reduction effects are stronger for the poverty gap and severity of poverty measures.     

Undermining cooperation: donor-patrons and the failure of political conditionality

This study extends the debate concerning the feasibility of using foreign assistance to leverage political reforms in developing countries. This research combines both quantitative and qualitative methodologies in an effort to expand on the work done by previous scholars. Conclusions of the empirical analysis point to the finding that political conditionality is most effective when close cooperation exists between donors. This coordination, however, is frequently sabotaged by self-interested donor-patrons, illustrated by the case of Cameroon and France. This pattern is generalizable and significantly undermines the overall success rate of a political conditionality approach.