Crisis intervention after the Tsunami in Phuket and Khao Lak

After the Tsunami disaster in Southeast Asia, India, Sri Lanka, and Africa, the German government set up a crisis task force that implemented crisis-intervention teams covering Thailand (Phuket and Khao Lak), Sri Lanka, and Sumatra. Two crisis teams were sent to Phuket; the first one on 28 December 2004, and the second one on 3 January 2005, each for an average of 1 week. This intervention was primarily for the benefit of German citizens and their expatriates and relatives caught up in a major catastrophe as well as the German helpers. This article describes the organizational structures of the German crisis intervention, protective factors for the helpers, psychiatric syndromes--often acute traumata, the problems of the identification process for relatives, and crisis intervention itself. Consequences for further crisis intervention after natural disasters are discussed.     

3 case examples of intravital maggot infestations

The authors report on three cases of myiasis which rarely occurs in the civilized world. Poor social conditions, old age, alcoholism, diabetes and vascular occlusive disease were predisposing co-factors. All three victims showed large necrotizing skin ulcerations, but in no case a generalized infection had developed. Therefore the probable benefit from the maggot infestation concerning these ulcerating skin lesions is discussed. For centuries clinicians have observed that maggots provide debridement of necrotic wounds particularly in Military Medicine. With the advent of antibiotics their therapeutic use declined. Recently "biosurgery" (syn. maggot or larval therapy) again became a promising tool for therapy of infected, necrotizing skin-ulcerations. Besides wound debridement marked anti-microbial activity and secretion of proteolytic enzymes could be detected. Maggot debridement is an valuable and cost-effective treatment option for patients with nonhealing wounds.     

Hegemony, not anarchy: why China and Japan are not balancing US unipolar power

The United States today dominates the globe and many regionalgeographical subsystems in an unprecedented way, maintaininga hegemonic order that is in no way similar to the ‘anarchy’assumed in realist analyses. The global system today is notsimply unipolar; it is a hegemonic system that is increasinglyglobalized, in which the basic concepts of realism (anarchy,self-help and power balancing) provide little guidance or understandingin explaining state behavior. This paper describes the US hegemonicsystem, analyzes the roles of China and Japan within this system,and examines how the Bush administration's plans for missiledefense might transform the system. The conclusion points tosome critical implications from this analysis for realist interpretationsof international politics.     

Charred body: virtual autopsy with multi-slice computed tomography and magnetic resonance imaging

The correct examination of a charred body is a forensic challenge. Examination, interpretation, and conclusion in respect to identification, vital reactions, toxicological analysis, and determining cause and manner of death are all more difficult than without burns. To evaluate what can be seen in the case of a charred body, we made an examination with the new radiological modalities of cross-section techniques, via multi-slice Computed Tomography (MSCT) and Magnetic Resonance Imaging (MRI), prior to performing the classical forensic autopsy. In a charred body case of a single motor vehicle/fixed object collision with a post crash fire, the radiological methods of MSCT and MRI made it possible to document the injuries caused by burn as well as the forensic relevant vital reactions (air embolism and blood aspiration). In conclusion, we think postmortem imaging is a good forensic visualization tool with a great potential for the forensic documentation and examination of charred bodies.     

Social position,ideology, and distributive justice

This paper addresses two important questions regarding distributive justice. First we ask whether people use standards or principles of distributive justice regarding the allocation of income. The study confirms our expectation that there are at least two principles, viz., the merit and the need principle. Our data show that there is no generally held consensus about the applicability of these two principles. Second, we looked for explanations to explain variations in adherence to these principles. The literature suggests five different theses: 1. self-interest; 2. ideology; 3. enlightenment; 4. historical shift; and 5. gender. Results provide qualified support for the Theses 1, 2 and 4. Class, ideology, and age affect the preferences for the principles of justice. Further elaboration suggests the data point to a specific version of the self-interest thesis, viz., the underdog thesis. Theses 3 and 5 are not confirmed. Implications of these findings are discussed.     

Federal Deficits, Debt and Interest Costs

Current federal government deficits are of a size unprecedented since World War II. While budget surpluses have been infrequent, deficits before 1982 were small enough that the federal debt shrunk in relation to the size of the economy. Now, however, the federal deficit is stuck at about 5 percent of gross national product, and the ratio of federal debt to gross national product (GNP) is growing rapidly. These large deficits are driving up interest rates, hurting American exports, turning the United States into a debtor nation, and causing government interest outlays to spiral. The possibilities are limited for lowering interest costs through directly reducing interest rates or introducing new Treasury debt management strategies. The only way to cage the interest monster is to enact a substantial package of tax increases and cuts in noninterest spending. We list some possible elements of such a package and show how they might be combined to tame the growth of debt.