The outcome of adolescent anorexia nervosa: Findings from Berlin and Sofia

As part of a multisite collaborative outcome study of eating disorders in adolescence, two samples from West Berlin and Sofia were compared. The study was based on a systematic evaluation of the clinical status during the first inpatient treatment after onset of the disorder, and personal interviews with the former patients at follow-up. Despite the differences in the cultural background, the clinical features, the diagnostic pattern, the developmental histories, the family background, and the follow-up findings were remarkably similar. The mortality rate was higher in the West Berlin than in the Sofia sample. However, the outcome in terms of the distribution of eating disorders was similar in the surviving patients of the two samples.Received M.D. and Ph.D. in psychology at the University of Hamburg, Germany. Major research interests are eating disorders, developmental psychopathology, and neuropsychiatry.Received M.D. at the University of Sofia. Major research interest is in eating disorders.     

Cause of death in heroin users with low blood morphine concentration

The blood morphine concentrations in cases of heroin-associated fatalities can vary considerably. Currently, a free-morphine concentration of > or = 100 ng/ml in blood is generally considered as potentially fatal. Moreover, it is a common observation that fatal cases of heroin-intoxication with blood morphine concentrations lower than 100 ng/ml occur. This poses the question of how the fatal cases with low blood morphine concentrations can be explained. In the study described here, 62 cases of morphine only intoxications were examined. The fatal cases were divided into two groups according to the free morphine concentrations measured in the blood of the heart (group I: free morphine concentration < 100 ng/ml, n = 21 cases; group II: free morphine concentration > or = 100 ng/ml, n = 41 cases). The two groups were compared as to circumstances of death, as well as to autopsy findings and histopathologic alterations. Overall, infections of the respiratory tract occurred significantly more often in group I (lower morphine concentrations) than in group II. In a second step, the group I cases were analyzed individually to get detailed information on the cause of death. In 19 of the 21 cases the authors could find a plausible explanation for death in combination with low free morphine concentrations in the blood.     

Registration Fees for Same-Sex Unions,Local Party Politics and Societal Demand

This article addresses registration fees for same-sex unions and the number of registered gay couples in the German state of Baden-Württemberg. In contrast to the other 15 German states, in Baden-Württemberg each administrative district decides independently about the level of registration fees. Consequently, there is not only considerable variation of the number of registered gay couples across the individual administrative units, but also among the registration fees, which we seek to explain by relying on theories of public administration, policy analysis and political economy. Our findings show that the varying levels of registration fees for same-sex unions are primarily determined by the preferences of parties in the regional legislative committees. In this way, we can demonstrate that the definition of registration fees is politicised, which contradicts the legal principles of equivalency and cost recovery.     

Application of the hexagon-OBTI test and the RSID blood test for the determination of the post-mortem interval of bone samples

In this serial experiment, five human bones with known post-mortem intervals (PMI) in a soil environment from five different epochs (0.2 to approximately 2000 years) were tested in a blind setup with two established rapid tests for the identification of human blood traces (Hexagon-OBTI test and RSID blood test). Based on previous study results concerning the usability of the Luminol test for the first assessment of the PMI of osseous remains, the question arising was whether those test procedures, which are highly sensitive for the detection of human blood components, could also be used to narrow down the post-mortem interval. Five test series were conducted applying modified standard protocols of the manufactures. The aim was to find out whether with prior reaction steps or a prolonged time of incubation hemoglobin or its metabolites can be dissolved from the bone and positive test results can be achieved dependent on the PMI. Four test series yielded negative results for all bone samples and one test series a uniformly weak positive result. The results indicate that rapid tests based on the detection of blood are not suitable for the determination of the PMI of bone samples despite the modification of the standard protocols. Further thorough research is required to clarify the postmortem degradation of hemoglobin in bones.     

The value of skull-photo superimpositions in identifying corpses found in domestic settings

The identification of decomposed corpses found in domestic settings is frequently problematic because comparative material for methods such as forensic odontostomatology, comparative X-ray analysis, or DNA analysis, is not available. In the case presented here, a photograph from an old, expired passport could be used to successfully identify a "domestic setting" corpse in a skull-photo superimposition. In an additional DNA analysis, 13 STR-loci could be amplified from tissue samples taken from the corpse. DNA comparison with the presumed brother of the deceased yielded a probability of 97.09% for siblingship. Y-STR-analysis was, therefore, performed. The results showed that all of the systems for the presumed brother and the corpse conformed, with the exception of the DYS390 locus, in which allele 21 was found for the corpse and allele 22 for the brother. Despite the rapid development of other identification procedures, skull-photo superimpositions remain an important means of identification. Last not least this is due to the increasing ubiquity of personal photo documents in the age of digital photography. The validity of the results from a DNA analysis in an identification process depends largely on the authenticity of the samples available for comparison and the degree to which the DNA from the corpse is preserved. In the case presented by the authors, positive identification of the corpse solely on the basis of the DNA analysis would not have been possible. Numerous constellations can be imagined for decomposed corpses found in domestic settings for which skull-photo superimpositions may be the only possible option for identifying the corpse.     

Criteria for the classification as a "domestic-setting corpse"--a literature search and review to define the term

In German medical and media circles (daily routine, specialist literature, press, novels), the term "domestic-setting corpse" is frequently used, but the term is only vaguely defined. The authors thus decided to perform an in-depth study of the literature, including historic textbooks and all German- and English-language medicolegal journals, going as far back as their first issues, in an attempt to more clearly define the term. Inclusion criteria used in the search were a post-mortem interval of at least 24 hours prior to discovery and discovery of the corpse in a domestic setting. In the literature, 37 cases that complied with the above-mentioned inclusion criteria were found. These cases frequently described "advanced decomposition", often "unclear cause of death" and "problems in identification". These characteristics can thus be considered as being additional pointers in the definition. However, we suggest that the two general defining characteristics of a "domestic-setting corpse" are a post-mortem interval of more than 24 hours before discovery and the discovery of the corpse in a domestic setting.     

Explaining IMF lending decisions after the Cold War

This paper empirically investigates the economic and political factors that affect a country??s likelihood to sign an arrangement with the IMF and the determinants of the financial size of such a program. Arguably the world and the global financial architecture underwent structural changes after the ending of Cold War and so did the role of the IMF. Hence, we update and extend the work of Sturm et al. (Economics and Politics 17: 177?C213, 2005) by employing a panel model for 165 countries that focuses on the post-Cold War era, i.e., 1990?C2009. Our results, based on extreme bounds analysis, suggest that some economic and political variables are robustly related to these two dimensions of IMF program decisions. Furthermore, we show that it is important to distinguish between concessional and non-concessional IMF loans.