Homicidal ethylene glycol intoxication: a report of a case

We report a case of a 75-year-old hypertensive, diabetic man who presented to the emergency room with symptoms and signs of nausea, acute intoxication, significant alteration in mental status with rapid neurologic deterioration, and blunt impact injuries sustained during a recent altercation with a 36-year-old female companion-caretaker. He denied a history of ethanol abuse or other recent toxic ingestion and had not been diagnosed with or treated for depression. Hospital laboratory tests revealed a metabolic acidosis and a negative urine toxicology screen. He was diagnosed with toxic encephalopathy with metabolic acidosis secondary to metformin. Despite treatments including hemodialysis, he expired after approximately 28 hours of hospitalization. A postmortem anatomic examination revealed recent blunt-impact injuries and cardiac and renal pathology. A subsequent histologic examination revealed the presence of calcium oxalate crystals in the kidneys and brain, in addition to cardiac and renal pathology. Comprehensive forensic toxicologic testing was performed on antemortem and postmortem samples and revealed lethal levels of ethylene glycol. The cause of death was as a result of acute intoxication by ethylene glycol with another condition of multiple blunt impacts to the head, trunk, and extremities. The manner of death was ruled as homicide. A trial by jury, involving the female companion-caretaker, resulted in her conviction, and she was sentenced to 23 years to life in prison. In this report, we present an unusual case of homicidal ethylene glycol intoxication in which legal proceedings have occurred.     

Agency Fever? Analysis of an International Policy Fashion

In the last 15 years, the governments of many OECD countries have transferred a wide range of functions to new, agency-type organizations. Allowing for the fact that, for comparative purposes, it is difficult precisely to define agencies, and further acknowledging that in many countries agencies are far from being new, it nevertheless remains the case that there seems to have been a strong fashion for this particular organizational solution.This article investigates the apparent international convergence towards agencification. It seeks to identify the reasons for, and depth of, the trend. It asks to what extent practice has followed rhetoric. The emerging picture is a complex one. On the one hand, there seems to be a widespread belief, derived from a variety of theoretical traditions, that agencification can unleash performance improvements. On the other hand, systematic evidence for some of the hypothetical benefits is very patchy. Furthermore, the diversity of actual practice in different countries has been so great that there must sometimes be considerable doubt as to whether the basic requirements for successful performance management are being met.     

BENCHMARKING OR THE SEARCH FOR INDUSTRY BEST-PRACTICE: A SURVEY OF THE WESTERN AUSTRALIAN PUBLIC SECTOR

Abstract: "The continuous process of measuring products, services, and practices against the toughest competitors or those companies recognised as industry leaders. (That is)… the search for industry best practices that will lead to superior performance" (Camp 1989. p. 10).
"Benchmarking" or the "Search for Industry Best Practices" has been accepted as a useful strategic tool. The move into the public administration arena is more recent. The underlying research in both cases is limited. The paper considers the advantage of benchmarking over business intelligence systems. Also, the government's stance on establishing quality programs and the relationships to benchmarking are considered.
The paper is based on research conducted in the public sector in Westem Australia to determine the extent to which benchmarking is used. The results indicate that whilst the concept is being embraced, the full range of benefits that could accrue is as yet not being realised. Indicators as to why this is so are outlined.     

Parent-adolescent conflict and stress as a parent: Are there differences between being a mother or a father?

Parent-adolescent conflict is viewed as a common dimension of the family during the teenage years. The purpose of the present study was to determine whether mothers and fathers of young adolescents differ in their report of conflict with their adolescent, level of stress, and parenting competence. Furthermore, the role of age and gender of the young adolescents was examined. One hundred and twenty-two adolescents and their parents participated in the study. All families were intact. The families were divided into groups according to the adolescent's age and gender. Analyses of variance with three factors (adolescent's age, adolescent's gender, mothers versus fathers) were performed. Mothers and fathers did not differ on personal (depression) or marital adjustment and on perceived parenting competency. In contrast, in terms of parent-adolescent conflict, mothers reported a less positive relationship, a greater number of conflicts, and more intense discussions of conflicts with their adolescents. Gender and age of the adolescent were not important contributors to the analyses. The results suggest that, in terms of the variables examined in this study, conflict in the parent-adolescent relationship is the primary difference between mothers and fathers.