Testing an Age-old Adage: Can Autopsy Findings be of Assistance in Differentiating Opioid Versus Cardiac Deaths?

Given the common occurrence of both opioid and cardiovascular deaths, and the concomitant use of opioids in those with cardiac disease, the present study was undertaken to see whether the old adage of using the triad of cerebral and pulmonary edema and bladder fullness to suggest an opioid death could be used to differentiate deaths due to opioid toxicity from deaths due to cardiac disease. Brain weight, lung weight, and bladder fullness were compared among opioid-related deaths, cardiac deaths, and a control population. It was found that opioid-related deaths were more likely to have heavy lungs, a heavy brain, and a full bladder, while cardiac-related deaths had smaller volumes of urine in the bladder and heavier hearts. In conjunction with a thorough investigation, these findings may be useful to forensic pathologists when determining whether a death is opioid-related, especially in the setting of concomitant cardiac disease.     

Promises,Rights, and Deontic Control

Law and Philosophy - This article argues that the notion of a promissory right captures a central feature of the morality of promising which cannot be explained by the notion of promissory...     

Increasing the Human Capital of Children in Latin American Countries: The Role of Parents’ Time in Childcare

In this paper, we focus on the relationship between parents’ education and activities aimed at increasing the human capital of children (for example, educational childcare). Using time use surveys from Mexico, Peru, Ecuador, and Colombia we find that in Mexico, Peru, and Colombia the level of education of both father and mother has a positive association with the time devoted to educational childcare, while in Ecuador only fathers’ level of education has a positive association with father’s time devoted to educational childcare. Furthermore, we find that the time devoted to educational childcare by parents is positively related in all four countries.     

Literatur

Ohne Zusammenfassung     

The Presidential and Parliamentary Elections of the Bolivarian Revolution in Venezuela: Change and Continuity (1998–2000)

The paper examines to what extent electoral behaviour in Venezuela, as it appeared in the elections of 1998 and 2000, is different from that observed between 1958 and 1988. The paper reaches the conclusion that given the decline in party identification (dealignment), the short-term variables specific to each election, in particular the attitude towards government performance and personalities, have grown in weight vis-à-vis the structural factors (party identification, institutions, long-standing political predispositions). However, the latter were still relevant and important in the 1998 and 2000 elections and it is very likely they will carry on as such for the future. It is also concluded that, even though the party system has become unstable due to the decline in identification with the traditional government parties, new stabilising factors seem to have appeared and should be taken into account. These are ideology and negative party identification.     

Editorial

Although a growing body of research has investigated gendered pathways to crime, this study is the first to investigate whether varying levels of family support may constitute a gendered pathway to recidivism. Logistic regression analyses were used to determine the effects of emotional and instrumental support on self-reported reoffending in the 3-, 3- to 9-, and 9- to 15-month postrelease periods. Interaction terms revealed that higher levels of emotional support significantly reduced recidivism for both genders but had a greater effect for females. Whereas higher levels of instrumental support reduced recidivism for females, higher levels increased the likelihood of recidivism for males in some time periods. Implications for correctional policy and practice are discussed.     

The living will: does an advance refusal of treatment made with capacity always survive any supervening incapacity?

There is a widespread consensus in law and medical ethics that living wills have to be obeyed by the physician if the patient was competent when the medical directive was signed and if, after the patient becomes incompetent, additional conditions occur which were considered by him. According to this viewpoint, the effectiveness of living wills is a direct consequence of the patient's right of self-determination. As the British Law Commission has recently put it: "An advance refusal made with capacity simply survives any supervening incapacity." However, this opinion does not take into account the empirical fact that the formerly competent person's critical interests (at t1) do not necessarily correspond wit his experiential interests after incompetency is established irreversibly (at t2). The author's goal is to answer the question of whether there can be cases which do not allow the formerly competent person's critical interests to prevail over the incompetent patient's experiential interests.