Causes of death in hospitalized intravenous drug abusers

The authors reviewed at autopsy the causes of death of 274 patients with evidence of intravenous drug abuse who had been admitted to a large public hospital. There were 127 who died from diseases unrelated to intravenous drug abuse, and in 41% of these, chronic alcoholism was implicated. Deaths from overdose syndromes and drug-related organ pathology comprised only 11% of all cases. The mean age at death was 39 years. There was a male/female ratio of 3.6:1. Half of all patients died from infection--72 from acquired immunodeficiency syndrome (AIDS) alone. These findings indicate that persons hospitalized with a history of intravenous drug abuse usually die from causes other than overdose and that AIDS and chronic alcoholism are significant problems. Emphasis should be placed upon detecting "hidden" intravenous drug deaths to provide more accurate statistical information.     

Physician recruitment after Hermann Hospital

The state of physician recruitment changed after the Internal Revenue Service required Hermann Hospital to publish its closing agreement with the IRS. The closing agreement released the long-awaited IRS "Hospital Physician Recruitment Guidelines." The IRS' recently proposed revenue ruling provides additional insight on acceptable physician recruitment practices as well.     

The Battle for Algeria

Martin Stone, The Agony of Algeria (Hurst, London, 1997), 273 pp., ISBN 1–85065–177–9 (pb)

Robert Malley, The Call from Algeria: Third Worldism, Revolution and the Turn to Islam (Univerity of California Press, Berkeley and London, 1996), 323 pp., ISBN 0–520–20301–1 (pb)     

The Positive Psychology of Interested Adolescents

Using the experience sampling method (ESM) and a diverse national sample of young people, this study identifies two groups of adolescents: those who experience chronic interest in everyday life experiences and another who experience widespread boredom. These groups are compared against several measures of psychological well-being: global self-esteem, locus of control, and emotions regarding one's future prospects. It is hypothesized that a generalized chronic experience of interest, an innate physiological function, can be used as a signal for a larger measure of psychological health, while chronic boredom is a sign of psychic dysfunction. A strong association between the experience of interest and well-being was found.     

IS THIS RUSSIA’S MOMENT IN THE MIDDLE EAST?

Sir Jeremy Greenstock, formerly British permanent representative to the UN, who has had long experience of dealing with Russia in the context of diplomacy, considers whether the current moment of Russian dominance in Syria and the Middle East, combined with the recent general disengagement of the western powers in the region, could be considered as marking the beginning of a general period of Russian hegemony in the Middle East. The article takes into account the global geopolitical situation, the recent history of Russia and the Middle East, the consequences of western intervention in Iraq, and the motivations of the Russian government particularly in view of its recent engagement in Ukraine.     

Lies Matter

Law and Philosophy -     

Regionalism and the WTO: Opportunities and dangers for Africa

An examination of regionalism and its ramifications for the African region within the framework of the World Trade Organization and other economic partnership agreements being negotiated with this and other regions.