Ethylene glycol poisoning

A 40-year-old man was admitted to the emergency department after a suicide attempt. The patient was found at home unconscious, with an open bottle of antifreeze near him. The patient was in a coma on admission, but neurological examination excluded intracranial changes. Results of initial urine and serum toxicological screening tests were negative. Laboratory values indicated metabolic acidosis, leukocytosis, urinalysis revealed hematuria and unrecognized crystals. Osmolality and osmol gap were not determined on patient admission. Treatment with ethanol as an antidote and hemodialysis were started because of metabolic acidosis, anamnestic data and clinical status of the patient, and subsequently led to improvement of his condition. Further toxicological analyses of glycolic and oxalic acids in serum and urine samples were performed by ion-chromatography (IC) method and showed high values in spot urine and serum ultrafiltrate at admission, but during therapy the values progressively decreased. Treatment of poisoned patient for 3 weeks resulted in complete recovery.     

Why should trade between Central Asia and China continue to expand?

Trade volume between Central Asia and China has tripled since 2002. This study, which is based on Chinese sources, explains the reasons for this expansion in trade. Even if numerous obstacles remain, Government development policy in China’s western regions has induced trade growth between Xinjiang and Central Asia. Trade flows mainly consist of three blocks: economic activities of the Xinjiang Production and Construction Corps, commerce conducted by traders of the coastal province of Zhejiang, based in Xinjiang, and petty trade notably between Kazakhstan and Xinjiang.     

Economics and politics of cross-border oil pipelines—the case of the Caspian basin

The construction of cross-border pipelines requires large upfront investment and, because of transit through third countries, is subject to increased risk. We demonstrate that the decision to build cross-border pipelines in landlocked regions is influenced more by economics than by politics. Governments use transportation constraints to discriminate among foreign oil companies and to promote low-efficiency routes for political purposes. This paper describes strategies used by importers and oil majors to address this limitation, using the Caspian basin as a reference. Based on data obtained from oil professionals operating in the region, and professional journals, we highlight that, on average, transportation costs in the Caspian basin are up to six times higher than in the other oil-producing regions of the world.     

Changing the Rules of the Game: Comparing FIFA/UEFA and EU Attempts to Promote Reform of Power-Sharing Institutions in Bosnia-Herzegovina

This article compares two international attempts to promote reform of power-sharing institutions in Bosnia-Herzegovina: failed European Union-led efforts to promote reform of the country's constitution, which was established by the 1995 Dayton Agreement; and the recent successful reform of Bosnia-Herzegovina's institutions of football governance, promoted by the game's international and European governing bodies, FIFA and UEFA. The article outlines the history of these two reform processes and seeks to explain why FIFA and UEFA have been more successful in promoting reform in this post-conflict setting than the EU. It argues that, in contrast to the EU, which has been vague about the precise reforms expected of Bosnia-Herzegovina's politicians, leaving the details to be negotiated by domestic political elites, FIFA and UEFA were more precise in their demands and were also willing to capitalise on popular frustration with the governance of the sport and to bypass nationalist elites who stood in the way of reform.     

Fatal Injury Caused by a Ram (Ovis Aries) Attack

Animal‐inflicted injuries to humans are a major public health problem around the world resulting in great morbidity, money loss, and mortality. They are related to wild and domestic animals alike. Animals can cause injuries by various mechanisms—biting, stinging, crushing, goring, stomping, butting, kicking, pecking, etc. We present a case of a ram's attack with fatal consequences. A 4‐year‐old, 120 kg jezersko‐sol?ava breed ram with prior history of aggressive behavior inflicted multiple injuries to his 83‐year‐old owner, who died in the hospital a few hours later due to severe blunt force injuries sustained in the attack. The autopsy revealed the cause of death to be multiple injuries of the thorax and the head. Sheep, even though they are not considered aggressive or large farm animals such as cattle and horses, can inflict serious injuries with devastating results.