Coercion and patient satisfaction on psychiatric acute wards

Legal-, perceived- and objective coercion were examined both separately and together as a measure of accumulated coercion, to determine how coercion affected patient satisfaction in patients admitted for acute psychiatric care. Accumulated coercive events significantly reduced both overall satisfaction, and satisfaction in four of five subscales evaluating different aspects of treatment. Neither legal status nor perceived coercion affected patient satisfaction, while objective coercion had a significant negative effect on overall satisfaction when these measures were analysed separately. Overall patient satisfaction reported at discharge was low, while satisfaction with different aspects of treatment showed considerable variation. The observation that perceived coercion in the admission process did not affect satisfaction significantly underlines the need to further explore the interaction between subjective and objective measures for coercion. It appears that multiple measures for coercion should be used in future studies.     

A study of ethyl glucuronide in post-mortem blood as a marker of ante-mortem ingestion of alcohol

The possibility of post-mortem production of ethanol makes correct interpretation of ethanol detection in forensic autopsy samples difficult. Even though the levels of ethanol formed post-mortem are generally low, this may be highly relevant in cases where intake of alcohol was forbidden, for instance for pilots, professional drivers and countries with low legal alcohol limits for driving. Different criteria are used to determine whether a finding of ethanol is of exogenous origin, but there is no marker for alcohol ingestion that has been studied in detail. In this study, we wanted to evaluate the sensitivity and specificity of ethyl glucuronide (EtG), a direct minor metabolite of ethanol, measured in blood, as a marker of ante-mortem alcohol ingestion. Forensic autopsy cases were divided into groups with and without ante-mortem alcohol ingestion, according to strict inclusion criteria. In 93 cases with information on ante-mortem alcohol ingestion, EtG was detected in blood in all cases, even when levels of ethanol were low. In another 53 cases where there were no indications of ante-mortem alcohol intake, EtG could not be detected in blood in a single case, also in 11 cases in which ethanol was detected and considered to be most probably formed post-mortem. In conclusion, blood EtG determination seems to be a reliable marker of ante-mortem ingestion of alcohol, and it could be considered in forensic autopsy cases when post-mortem formation of ethanol is questioned.     

A pharmacokinetic study of ethyl glucuronide in blood and urine: applications to forensic toxicology

This pharmacokinetic study investigated the kinetics of ethanol and its metabolite ethyl glucuronide (EtG) in blood and urine during the whole time course of absorption and elimination. There are few previous studies on the kinetics of EtG in blood, and we wanted to evaluate whether such knowledge could yield valuable information regarding the time of ethanol ingestion in forensic cases, such as, for instance, drunk driving. Ten male volunteers consumed ethanol at a fixed dose of 0.5 g/kg body weight in a fasted state. Blood samples were collected for 14 h and urine samples were collected for 45-50 h after the start of drinking. EtG reached its maximum concentration (C(max)) in blood after a median of 4 h (range 3.5-5), a median of 3 h (range 2-4.5) after C(max) for ethanol. The ethanol-to-EtG ratios in blood (ethanol in g/L, EtG in mg/L) were >1 only for the first median 3.5 h (range 2.5-3.5) after drinking. EtG elimination occurred with a median half-life of 2.2 h (range 1.7-3.1 h), and the renal clearance was 8.32 L/h (median, range 5.25-20.86). The concentrations of EtG were always much higher in urine than in blood. The total amount of EtG excreted in the urine was median 30 mg (range 21.5-39.7), representing 0.017% (median, range 0.013-0.022) of the ethanol given, on a molar basis. The information from the present study may be a valuable supplement to determine the time of ethanol ingestion. For this purpose, two subsequent increasing EtG values and a high ethanol-to-EtG ratio in blood would support information of recent drinking.     

Implementing EU emissions trading: success or failure?

This article assesses and explains the implementation of the EU emissions trading scheme (EU ETS). It argues that implementation in terms of ambitiousness has been only moderately successful so far, but significant differences between the Member States are also observed. Similarities and differences are then explained within a multi-level governance approach emphasizing the need to search for explanations at national, EU, and global levels. The EU ETS case shows that the multi-level governance approach can be as relevant for understanding implementation as for explaining policy-making. In addition to factors located at the national level, the decentralized nature of the EU scheme itself is important for understanding how the system works in practice. At the global level, the link to the Clean Development Mechanism under the Kyoto Protocol is particularly important for determining how well the EU ETS will perform in the future.     

Exploring board formation and evolution of board composition in academic spin-offs

An in-depth analysis of 11 cases is used to provide insight into the neglected area of the dynamics of boards in academic spin-offs. Drawing on stage-based, resource dependence, and social network theories, we explore board formation and changes in board composition occurring in Norwegian and US spin-offs. We find that these theories are important complements to earlier research on boards in technology-based new ventures. The process of board formation is mainly driven by social networks of the founders. Although we find differences in the initial board compositions in Norwegian and US spin-offs, there is convergence over time in subsequent board changes, which are mainly driven by the social networks of the board chair. Additions of key board members are associated with the progress of a spin-off developing from one stage to another. Several avenues for future research and implications are discussed.     

Dauer der wasserrechtlichen Bewilligung nach § 8 Absatz 5 WHG bei Wasserkraftanlagen

Angeregt vor allem durch das Erneuerbare-Energien-Gesetz (EEG) kommen verst?rkt Pl?ne auf, Wasserkraft auf innovative Weise sowie selbst an kleinen Flie?gew?ssern zu nutzen. Angesichts der im Verh?ltnis zum Stromertrag relativ hohen Kosten solcher Vorhaben, aber auch bei klassischen Wasserkraftanlagen streben die Vorhabentr?ger nach m?glichst lang fristig gesicherten Rechtspositionen. Dabei spielt die vom Wasserhaushaltsgesetz (WHG) für Bewilligungen grunds?tzlich vorgesehene Grenze von drei?ig Jahren eine bedeutende Rolle. Zugleich ist beim Bewilligen einer Wasserkraftnutzung der angestrebten Umsetzung der Europ?ischen Wasserrahmenrichtlinie Rechnung zu tragen.     

Party Politics and the Organization of the Danish Welfare State, 1890–1920: The Bourgeois Roots of the Modern Welfare State

The role of the Social Democrats in the establishment of the Scandinavian welfare state has been challenged in recent years. Institutional legacies have conditioned post-war Social Democratic reforms, and the bourgeois parties have played a larger role than so far acknowledged. By exploring the origin of five core policies of the early Danish welfare state, it is shown that policy legacy theses cannot account for the pattern of policy organization. Focusing on party and class dynamics, it is demonstrated that the bourgeois parties, and in particular the Liberals, had a crucial influence on the choice of funding model and administrative structure. The distributional and administrative interests of core constituencies shaped the preferences of the bourgeois parties decisively.     

When Politics Matters: The Impact of Politicians' and Bureaucrats' Preferences on Salient and Nonsalient Policy Areas

For three decades, the “politics matters” literature has found that political ideology is an important explanation of public policy. However, this literature systematically fails to include the influence of the bureaucracy. In fact, it is almost impossible to identify a single study in this literature that controls for the influence of the permanent bureaucracy. In this article, we investigate whether politics still matters when bureaucratic preferences are taken into account. We do this in a simultaneous test of political and bureaucratic influences on public budgets, a policy measure often studied in the “politics matters” literature. We find that political preferences trump bureaucratic ones in policy areas salient to the public but not in less salient areas. This might be comforting news from a democratic perspective. However, as public budgets represent an easy case for political influence, it is food for thought that political preferences do not always prevail.     

Animals in natural interaction with soil,plants, and people in Asia

This article discusses the role of animals in small-scale crop/animal systems in Asia. It explains how the animals are generally multipurpose, rather than single or dual purpose, with security also being an important element. Farmers can be stimulated to produce more meat and milk when other forms of security such as banks are considered equally reliable. Multiculture is the predominant system of plant production in the region, with leguminous crops complementing non-leguminous crops. This also has benefits for soils. Multicultural systems are labour-intensive, but in a context in which labour supply is not a problem, labour-saving devices provide no solution. Animals in agroforestry are discussed in detail, with an emphasis placed on animals grazing under coconut and oil-palm plantations. Asian animal scientists should spend more time exploring the roles of multiculture and animals in agroforestry.