Sudden infant death syndrome (SIDS)--standardised investigations and classification: recommendations

Sudden infant death syndrome (SIDS) still accounts for considerable numbers of unexpected infant deaths in many countries. While numerous theories have been advanced to explain these events, it is increasingly clear that this group of infant deaths results from the complex interaction of a variety of heritable and idiosyncratic endogenous factors interacting with exogenous factors. This has been elegantly summarised in the "three hit" or "triple risk" model. Contradictions and lack of consistencies in the literature have arisen from diverse autopsy approaches, variable applications of diagnostic criteria and inconsistent use of definitions. An approach to sudden infant death is outlined with discussion of appropriate tissue sampling, ancillary investigations and the use of controls in research projects. Standardisation of infant death investigations with the application of uniform definitions and protocols will ensure optimal investigation of individual cases and enable international comparisons of trends.     

Death of a 10‐Month‐Old Boy After Exposure to Ethylmorphine

Abstract: Ethylmorphine, an opiate that is partially metabolized to morphine, is a common ingredient in antitussive preparations. We present a case where a 10‐month‐old boy was administered ethylmorphine in the evening and found dead in bed the following morning. Postmortem toxicological analyses of heart blood by gas chromatography‐mass spectrometry and liquid chromatography‐mass spectrometry revealed the presence of ethylmorphine and morphine at concentrations of 0.17 μM (0.054 mg/L) and 0.090 μM (0.026 mg/L), respectively. CYP2D6 genotyping showed that the deceased had an extensive metabolizer genotype, signifying a “normal” capacity for metabolizing ethylmorphine to morphine. The autopsy report concluded that death was caused by a combination of opiate‐induced sedation and weakening of respiratory drive, a respiratory infection, and a sleeping position that could have impeded breathing. This is the first case report where the death of an infant has been linked to ethylmorphine ingestion.     

Localizing the Human Rights Council: A case study of the Declaration on the Rights of Peasants

The Human Rights Council (HRC) can enact and proclaim global human rights standards. To date the impact of local communities on such international standard-setting remains unclear. This study analyzes how local communities gain access to the HRC's mechanisms and investigates whether standard setting “from below” has been taken up by the HRC. As a case study, the research studies the trajectory of the network of organizations that have lobbied for a Declaration on the Rights of Peasants at the HRC.     

Hydrogen: Fueling EU-Morocco Energy Cooperation?

The war in Ukraine and the looming threat of climate change are driving the strategic need to diversify sources of energy, including renewables. Therefore, the European Union aims to develop energy relations with non-EU member states, and Morocco has become a key priority. Both Brussels and Rabat are pursuing ambitious green policies and cooperation initiatives, including on hydrogen. Drawing on theories of international institutions and political economy, this article analyzes hydrogen-related relationship patterns and explains demand and supply factors as drivers of institutionalized energy cooperation. We examine the EU's hydrogen approach and development, its relations with Morocco, and the political interests of both sides. Our analysis shows that the complex interdependencies in the evolving EU-Morocco hydrogen relations indicate that demand can be met by supply. However, challenges remain, including the need to deepen the partnership and prepare the market for commercial hydrogen production.     

Lessons Learned? German Security Policy and the War in Afghanistan

The mission in Afghanistan revealed fundamental shortcomings, inconsistencies and contradictions of core elements of German security policy. In an effort to contribute to the debate about the factors that account for the idiosyncrasies of German security policy, the purpose of this study is to assess how far Germany learned lessons from its policy failures in Afghanistan. The study introduces a typology of learning, which is mainly based on the Advocacy Coalition Framework (ACF); delineates the German security policy belief system; and explores two prominent cases of policy failure: the deployment of the Bundeswehr and leadership of the international police training mission. Utilising different sources of data, the study confirms assumptions of the ACF about the stability of core beliefs and shows that the lack of precise policy objectives was a significant barrier to learning. Instead of clarifying Germany's strategic viewpoint, Afghanistan has further enhanced its disorientation in security policy.     

Public–private partnerships (ppps) in global health: the good,the bad and the ugly

Global Health Partnerships (ghps) have become ubiquitous within global health governance (ghg). Even before the onset of the global financial crisis public–private partnerships (ppps) were an omnipresent policy tool in global health and in the current austerity climate ppps have been heralded as an effective way to address a growing resource gap in ghg. Despite their omnipresence, ghps have not received adequate attention from critical scholars; few efforts have been made conceptually and theoretically to grasp how ppps are transforming the logic of ghg. We argue that ghps have contributed to the emergence of a complex global health governance architecture in which private solutions (market mechanism) are generally privileged over public approaches. Drawing on Gramscian conceptualisations of public/private, we suggest that the reshaping of the private and public realm inherent to ppps represents a further deepening of the neoliberal management of individuals and populations, allowing private interest to become more embedded within the public sphere and to influence global and national health policy making. This undermines the attempt to improve global health results as the inequitable distribution of social determinants of health, especially poverty and social exclusion, remain the main barriers to achieving health for all.     

The Arab Military Force in Palestine Prior to the Invasion of the Arab Armies, 1945–1948

The article examines the size, structure, composition and modi operandi of the Arab military forces which fought the Jews in the 1948 war, before the invasion of the Arab regular armies, based first and foremost on the Arab sources themselves. An attempt is made to assess the substantial reasons behind the Arab defeat in the first ‘civil war’ phase of the campaign, including a comparison of the number of combatants, which also explains the outcome.