Medical aspects of malpractice crisis in Greece: medical responsibility: a doctor's view

Malpractice and medical liability have been introduced into Greek reality over the last decade. Forensic sciences hold a key role in the investigation of medical liability cases. Along these lines, the medical examiner stands between colleagues and lawyers, who have divergent intentions in the investigation of such cases. This article offers an overview of the rapidly changing reality in Greece and approaches medical liability from the doctor's viewpoint. The role of forensic science and the medical examiner is portrayed, along with the emerging difficulties in the investigation of medical liability cases. Also attempted is an interpretation of the crisis phenomena that are very often seen between doctors and lawyers. However, the intent of this article is to search for ways to turn competition and tension between medical and law professionals into cooperation and understanding for the best interest for both professions and, more importantly, for the community.     

Africa's political boundaries: Colonial cartography,the OAU,and the advisability of ethno-national adjustment

This article challenges the notion that nation-state boundaries in Black Africa are best left intact despite their historically problematical origins and questionable ethnographic rationality. The increased energization and politicization of ethnic identity evident in much of Black Africa during the past generation call for reexamination of the boundaries inherited from colonialism. Although post-colonial nationalism has taken root in some countries, it has not, overall, provided the political cohesion to obviate the need for periodic boundary adjustments in light of prevailing political realities both within Black Africa and within the global political and economic systems. The underlying social and political forces evidently giving rise to politicized ethnic consciousness are not likely to recede in the near future. Accordingly, arguments concerning the rationality, and therefore the inviolability, of inherited boundaries, must be understood in light of political circumstances which have evolved during the first generation of independence from colonial rule.     

Tacit Collusion in the Frequently Repeated Multi-Unit Uniform Price Auction for Wholesale Electricity in England and Wales

Tacit collusion between National Power and PowerGen, the dominant generators in England and Wales for most of the 1990s, was widely speculated but was not definitively proven. In the event of a legal determination, the best available evidence is a test of suspicious patterns of bidding behavior. The methodology has two stages: the first is to show that the suspects behave differently from the rest, which are assumed competitive; the second stage is to ask whether or not strategies of suspects affect one another. Results: the impact of suspects on the aggregate bid function can not be explained away by costs and common market events, and a seemingly unrelated regression (SUR) on strategies of the suspects reveals bid inter-dependence and co-ordination on demand trends. A quarter of the dynamic indicators support an inference of tacit collusion. The existence of multiple equilibria in supergames, however, prevents a conclusive statement.     

The Role of Personal Benefits in Public Support for the EU: Learning from the Erasmus Students

This article presents evidence that the effectiveness of receiving personal benefits from one's country EU membership may have been overestimated. Based on the findings of a longitudinal survey on Erasmus students' attitudes towards the EU, it shows that the beneficiaries of the EU-funded programme did not strengthen their EU support over time. The data analysis controls for a number of alternative explanations and finds that they did not affect the failure of the Erasmus study-abroad experience to instil higher levels of EU support. Neither EU money nor personal contact with other Europeans was capable of influencing students' support for the EU. The empirical results highlight that the increased expectations from both the Erasmus programme and the egocentric utilitarianism thesis are likely to be ill-founded.     

The calculus of corruption: a paradox of ‘strong’ corruption amidst ‘strong’ systems and institutions in developing administrative systems

Without the right political will to battle corruption, systems and institutions are put in place and tend to be façade and window dressing. Ghana, especially, in the new millennium has seen the proliferation of various institutions ostensibly to curb the phenomenon of corruption, yet its impact has only been marginal. This study adopts two models of corruption to critically assess the institutional development of Ghana since the Fourth Republican Dispensation and how these institutions have impacted the fight against corruption. The study adopts mainly secondary data and resources from the 1992 Republican Constitution, Acts of Parliaments and Legislative Instruments relevant corruption combat. An analysis of the corruption perception index of Ghana from 2000 to 2014 and other data portrays poor performance. What accounts for this phenomenon? Are there really demons who obstruct the spirit and letter of the institutions? Are the systems weak or the human elements (demons) rather stronger in adapting and outsmarting the institutions? Copyright © 2015 John Wiley & Sons, Ltd.     

Public sector leadership‐subordinate ethical diffusion conundrum: perspectives from developing African countries

The interaction between organizational superiors and their subordinates has a practical implication on the entire organizational life cycle in terms of ethical conduct. This study explores how ethics among public leadership could trickle down on the conduct of public employees by using two empirical cases from developing African countries context. Using the attraction–selection–attrition and social learning models, the study assesses how superiors influence street level bureaucrats' interaction with clients or customers. Drawing from existing cases and other secondary data, we propose a leadership‐ethical diffusion model that argues that subordinates' perception and experience of superiors' behavior tend to create a kind of organizational ‘ethical groupthink’, which spans the rank and file of the organization. Copyright © 2015 John Wiley & Sons, Ltd.     

Organisational reputation and impact on employee attitude: A case study of MTN Ghana limited and Vodafon Ghana Limited

The impact organisational reputation has on employee attitude is very crucial to the fortunes of any organisation, and employees are the fuel that runs the engine of the organisation, and it is believed that their attitude towards the organisation creates a positive performance for the organisation. This study, therefore, sought to determine organisational reputation and the impact on employee attitude by determining the contribution of employee in achieving the reputation of the organisation. The type of research design was a survey, and it relied on secondary information such as reviewing available literature and primary data through the dissemination of questionnaires. The findings suggests that employees contribute earnestly and effectively to organisations reputation, and this creates an enabling environment for creativity and growth, as employees see themselves as stakeholders who play part in the achievement of organisations reputation to the market. It was also revealed that when employees are taken for granted, they become dissatisfied and apathetic, which is likely to adversely affect organisational performance and goes a long way to drag the image of the organisation into the mud. It is recommended that employees' feelings are sought on matters that affect their lives and work, and they should work under conducive and healthy environments as this would give employees the feeling that their employers are concerned about their wellbeing, and this builds a positive attitude to work within employees who in turn work to achieve the goals of their organisation. Copyright © 2015 John Wiley & Sons, Ltd.     

Don’t Blame the Euro: Historical Reflections on the Roots of the Eurozone Crisis

The article argues that many of the issues that are causing trouble in the eurozone today had long been debated, but not solved, prior to the beginning of the so-called euro crisis. Three thematic examples are used to show this: the decade-long discussion surrounding economic convergence and the question of a transfer union; the dispute over the alleged use of financial mechanisms as a substitute for addressing structural economic weaknesses; and the development of European banking regulation and supervision before the creation of the single currency. Finally, the article argues that even though some of the features of today’s crises – in particular the debt and deficit issues – were outlined at the time of the euro’s introduction, some important recent developments such as the various new operations undertaken by the European Central Bank were not. This should command modesty and cautiousness in the analysis of the evolution of the euro crisis.     

Influence of multiple injections of human chorionic gonadotropin (hCG) on urine and serum endogenous steroids concentrations

Since it is established that human chorionic gonadotropin (hCG) affects testosterone production and release in the human body, the use of this hormone as a performance enhancing drug has been prohibited by the World Anti-Doping Agency. Nowadays, the only validated biomarker of a hCG doping is its direct quantification in urine. However, this specific parameter is subjected to large inter-individual variability and its determination is directly dependent on the reliability of hCG immunoassays used. In order to counteract these weaknesses, new biomarkers need to be evidenced. To address this issue, a pilot clinical study was performed on 10 volunteers submitted to 3 subsequent hCG injections. Blood and urine samples were collected during two weeks in order to follow the physiological effects on related compounds such as the steroid profile or hormones involved in the hypothalamo-pituitary axis. The hCG pharmacokinetic observed in all subjects was, as expected, prone to important inter-individual variations. Using ROC plots, level of testosterone and testosterone on luteinizing hormone ratio in both blood and urine were found to be the most relevant biomarker of a hCG abuse, regardless of inter-individual variations. In conclusion, this study showed the crucial importance of reliable quantification methods to assess low differences in hormonal patterns. In regard to these results and to anti-doping requirements and constraints, blood together with urine matrix should be included in the anti-doping testing program. Together with a longitudinal follow-up approach it could constitute a new strategy to detect a hCG abuse, applicable to further forms of steroid or other forbidden drug manipulation.