Fatalities in west Austrian prisons

The purpose of this study is to review 23 causes of death that have occurred in Western-Austrian prisons from 1974 to 1989. The majority of them (11 cases) were due to suicides. Among 9 cases of natural death there was a 25 years old man, who died of an unknown purulent meningoencephalitis. Two drunken prisoners had not been supervised and therefore died of alcohol poisoning. In one case the police jail physician did not recognize an epidural hematoma.     

Career Public Service 2000: Road to renewal or impractical vision?

Abstract: Historically, the concept of career public service has received remarkably little attention in Canada. Career public service is, however, a central theme in the recent Public Service 2000 white paper on renewal of the federal public service. The challenge is to decide the extent to which the public service should adhere to the major principles of career public service relating to political neutrality, merit, open versus closed competitions, and career planning. There are significant barriers to achieving these principles, including conflict between some of the principles themselves. The extent to which career service will be achieved depends largely on the degree to which the vision of Public Service 2000 is realized. It is a vision of a new public service culture that is results-oriented and client-oriented and that is based on the precepts of service, innovation, people, and accountability. Among the obstacles to successful implementation of this vision are resistance by public service unions, lack of understanding about the magnitude of the commitment required to create a new public service culture, and the possible lack of political will to implement the white paper's proposals. Among the means by which the federal government can enhance the prospects for career service are a renewal of commitment to career service, including the allocation of more resources to career planning and development, and greater sensitivity to the threat of undue politicization of the public service. Sommaire: Historiquement, au Canada, le concept d'une fonction publique de carrière a bien peu retenu I'attention. Mais récemment, un livre blanc consacré au renouveau de la fonction publique, intituléFonction publique 2000, en a fait son thème central. L'enjeu, c'est de décider dans quelle mesure la fonction publique devrait adhérer aux principes fondamentaux d'une fonction publique axée sur des fonctionnaires de carrière, en ce qui concerne la neutralité politique, le mérite, les nominations en système ouvert ou fermé, et la planification de carriÈre.     

Social justice as a Holy Grail: The endless quest

This paper gives the author's impressions on the following aspects of justice: desert, equity, equality, need, and intergenerational equity. The author concludes that these different aspects cannot be reconciled but instead must be compromised. An example of such a compromise is provided by a discussion of welfare reform. The author claims that rights are correlative with duties, and that asserting the former has little meaning without specifying the latter. He then discusses justice toward groups rather than individuals. He proposes that maintaining cultural variety in the presence of a homogeneous superculture is a major problem of the contemporary world. The paper concludes with a discussion of various forms of power, particularly the integrative power that people acquire over each other by virtue of ties of loyalty and identity.     

Separation of stomach contents using the sieve-tower technique]

The authors present a method to separate and preserve stomach contents for forensic purpose. Analysis by "sieve tower" technique is simple and quickly done during autopsy. Solid phases of stomach content are arranged size up and can be stored for subsequent examinations. With the fluid phase drug analysis or microscopic analysis to confirm identy of the foodstuffs may be done. By adding alcohol (70%) enzymatic digestion and bacterial degradation of the stomach content are stopped.     

Medicaid and access to child health care in Chicago.

In this article we examine how increasing the reimbursement of physicians and expanding Medicaid eligibility affect access to care for children in Cook County, Illinois, which overlies Chicago. Using Medicaid claims and other data at the zip-code level, we compare the places where Medicaid children live with the places where all the physicians who treat children and those who accept Medicaid patients have their practices. Our findings suggest that the recent changes in legislation are unlikely to benefit extremely poor children, who are more likely to live in depressed inner-city areas, where there are few physicians. "Near-poor" children whose homes are dispersed throughout the county, who are now eligible for Medicaid as a result of the recent changes, are likely to see improvements in their access to care. Further changes in policy, aimed at enhancing the capacity of institutions providing care, could improve access for the children of the inner city.