Book reviews

Jeff Haynes, Religion in Global Politics (Longman, London, 1998), 243 pp., ISBN 0–582–29312‐X (pb)

Haleh Afshar, Islam and Feminisms. An Iranian Case‐study (Macmillan, London, 1998), 235 pp., ISBN 0–333–73324‐X (hb)

Felix Moses Edoho, Globalization and the New World Order: Promises, Problems, and Prospects for Africa in the Twenty First Century (Praeger, Westport, 1997), 215 pp., ISBN 0–275–95517–6 (hb)

Cyrus Ernesto Zirakzadeh, Social Movements in Politics. A Comparative Study (Longman, London, 1997), 269 pp., ISBN 0–582–20946–3

Mick Ryan, Lobbying from Below: INQUEST in Defence of Civil Liberties (UCL Press, London, 1996), 208 pp., ISBN 1–85728–225–8 (hb), 1–85728–256–6 (pb)

Grant Jordan and William Maloney, The Protest Business? Mobilizing Campaign Groups (Manchester University Press, Manchester and New York, 1997), 213 pp., ISBN 0–7190–4371–9 (pb)     

Acute intoxication with guaifenesin, diphenhydramine, and chlorpheniramine.

Mixed drug reactions are frequently encountered in emergency department overdose cases and also in fatal intoxications. Assessment of the relative contribution of each drug in producing adverse effects is often compounded by lack of case history and the paucity of cases reported in the literature. This report describes a fatal intoxication with three common over-the-counter medications: guaifenesin, diphenhydramine, and chlorpheniramine. A 48-year-old woman was found dead in the attic bedroom of her residence. Specimens obtained at autopsy for toxicologic analysis included heart blood, urine, bile, gastric contents, vitreous humor, and cerebrospinal fluid. The over-the-counter drugs were identified and quantitated by acid/neutral or basic liquid-liquid extraction followed by gas chromatographic analysis with nitrogen phosphorus detection. Concentrations of guaifenesin, diphenhydramine, and chlorpheniramine detected in the heart blood were 27.4, 8.8, and 0.2 mg/L, respectively. The cause of death was determined to be acute intoxication by the combined effects of guaifenesin, diphenhydramine, and chlorpheniramine, and the manner of death was determined to be suicide. To our knowledge, the blood guaifenesin concentration in this case is the highest reported concentration to date associated with an acute intoxication.     

Terrorism and Beyond: a 21st Century Perspective

Abstract

This study examines trends in the incidence of international hostage‐barricade terrorism (HBT) since the late 1960s, the concurrent development of elite hostage rescue units (HRUs), and the relative effectiveness of American, Soviet, West European, Israeli, and other Third World responses—using dialogue or force—to HBT actions. Although HRUs have scored some dramatic rescues, three major hostage massacres in Third World countries in 1985–1986 and other bloody HBT incidents in 1988 demonstrated the high cost of using force prematurely and ineptly to resolve HBT crises. Focusing on these and other HRU failures, this study questions the American and Israeli “no‐ransom, no‐negotiation” policies in HBT situations and concludes that a more flexible approach of patiently “talking down” and “wearing down” the hostage‐takers through basic hostage‐negotiation techniques—even if only as a delaying tactic—is vital for maximizing the chances for rescuing hostages safely, whether through dialogue or force. Conversely, if authorities quickly resort to military action, hostages are far more likely to suffer casualties than to be rescued safely.     

Strategy of tension: The Belgian terrorist crisis 1982–1986

Abstract

Between 1982 and 1986, Belgium suffered a series of terrorist attacks that claimed more than 30 lives, making this campaign one of the most destructive in the recent history of western Europe. Two major groups were involved: one was purportedly a leftist radical sect, the other an anonymous cell popularly known as the “mad killers,” whom subsequent investigation has shown to be connected to neo‐Nazi organizations. Both groups were apparently seeking to destabilize the Belgian state at a time of intense political conflict, and it was widely suggested that the apparently opposed political extremes were actually allied in a common cause. In addition, official enquiries established connections between the terrorist groups and agents of Belgian state security. This paper discusses the use of terrorism in a political “strategy of tension” modeled on that developed in Italy in the late 1960s. It also suggests that the contemporary structure of European terrorist groups readily lends itself to manipulation in the cause of provocateur activity.     

Drug prevalence in drowning deaths in Cuyahoga County, Ohio: a ten-year retrospective study

Previous studies have shown that up to 50% of adult drownings are related to the consumption of alcohol. Little information is available in the literature regarding the possible contribution of ethanol and other drugs to drownings.All records of deaths occurring in Cuyahoga County, Ohio, from 1994-2003, in which drowning was listed as the cause of death, were reviewed. Toxicology analysis was performed on cases where specimens were submitted. Review of the 187 cases showed that the majority (78%) of drowning deaths were ruled as accidents, 26 (14%) as suicide, 5 (3%) as homicide, and 11 (6%) as undetermined.Among the accidental deaths (n=141), 97 (69%) were negative for all drugs, including ethanol, and 30 cases (21%) were positive for ethanol only. Illicit drugs were detected in 4 of the cases (3%). In the suicides (n=26), 16 (62%) were negative for all drugs, including ethanol, and 7 cases (27%) were positive for ethanol only (mean blood alcohol concentration [BAC] 0.03 g/dL). Illicit drugs were detected in 3 of the cases (12%). Two of the 5 homicide cases (40%) were positive for ethanol. There were no cases in which the victim tested positive for illicit drugs.Of the 11 cases ruled as undetermined, 64% (n=7) were negative for all drugs, including ethanol. The remainder of the cases tested positive for ethanol only. There were no cases in which illicit drugs were detected. This study demonstrates that the majority of drowning deaths in Cuyahoga County, Ohio, were not drug related. Deaths in which drugs were detected were typically accidental deaths, with ethanol the most common drug detected.     

The Impact of Distributive and Procedural Justice on Social Service Workers

The concepts of fairness and justice are embodied within the organizing principle of social justice. Although social justice is a primary focus of social work, social service workers are not always treated with fairness by their own employers. The results from a survey of 255 social service employees from a variety of agencies in Northwest Ohio indicate that distributive justice and procedural justice, two dimensions of organizational justice, are both significant predictors of job satisfaction and organizational commitment, with procedural justice having two to three times the impact of distributive justice.     

Disposition of quetiapine in biological specimens from postmortem cases

Quetiapine is a new atypical antipsychotic that was approved in 1997 by the U.S. Food and Drug Administration for the treatment of schizophrenia. It possesses a high affinity for 5-HT2 receptors and a low affinity for D1 and D2 dopamine receptors. Because quetiapine has only been released recently to the U.S. market, little information exists regarding therapeutic, toxic, and lethal concentrations. This study reports the detection of quetiapine in 13 postmortem cases. Following a basic liquid-liquid extraction, quetiapine was identified and quantitated by capillary gas chromatography with nitrogen phosphorus detection. Confirmation was accomplished by full scan electron impact gas chromatography/mass spectrometry. Heart blood quetiapine concentrations ranged from 0.07 to 18.37 mg/L (N = 12, mean +/- SD = 3.42 +/- 5.67, median 0.62) and femoral blood concentrations ranged from 0.06 to 19.25 mg/L (N = 10. mean +/- SD = 3.89 +/- 6.12, median 0.81). The average heart blood/femoral blood ratio was 1.31 (range 0.55 to 2.57, N = 10). Urine, bile, and gastric contents were assayed in all cases in which they were submitted. In three cases, the cause of death was determined to be quetiapine toxicity. In these cases heart blood concentrations ranged from 0.72 to 18.37 mg/L (N = 3). These data may provide a basis for establishing levels associated with quetiapine toxicity as well as therapeutic concentrations in postmortem specimens.     

Postmortem tissue distribution of olanzapine and citalopram in a drug intoxication

A 40-year-old white male was found dead in bed in a group home for mentally ill adults. The decedent had been diagnosed a paranoid schizophrenic. An autopsy was performed at the Office of the Cuyahoga County Coroner in Cleveland, Ohio. Toxicological testing detected olanzapine and citalopram in post mortem specimens. Multiple fluids and tissues were assayed by liquid-liquid extraction followed by gas chromatography with nitrogen phosphorus detection, and qualitative confirmation by electron impact gas chromatography/mass spectrometry. Drug concentrations [olanzapine: citalopram; mg/L or mg/Kg] determined in this case are the highest reported to date involving these drugs- 1.38:3.35 heart blood, 1.11:1.65 femoral blood, 60.24:32.43 urine, 6.47:10:71 liver, and 38.36:49.16 lung, respectively. Drug concentrations in tissues were found to be the highest in lung for both drugs and lowest in the heart. Citalopram but not olanzapine was detected in bone. The cause of death was ruled acute intoxication by the combined effects of olanzapine and citalopram and the manner, accident.