Allocations among programs having counteractive outcomes

Difficulties have been encountered in attempting to apply benefit-cost analysis to the problem of determining resource allocations among social programs, especially when there are multiple outcomes associated with each of the programs. Further complications result when program outcomes are characterized as counteractive: a specific allocation of resources to a program is likely to achieve a favorable impact regarding certain objectives while that allocation is also likely to have an unfavorable impact regarding other objectives. A model which promises to be useful in determining optimal resource allocations among programs having counteractive outcomes is presented. Two steps are required for the use of the model: (1) values, reflecting priorities, need to be assigned to the various objectives that programs are intended to accomplish and (2) an ensemble of probabilistic functions relating resources to program outcomes needs to be specified and combined to reflect the value of an ensemble of programs. In addition to determining optimal resource allocations, the model provides insights into the consequences of resource decisions based on noneconomic considerations. An example illustrates the major features of the model.     

Distribution of morphine in body fluids and tissues in fatal overdose

Two cases of fatal overdose with morphine are presented. Large amounts of the drug were involved in both cases, one by oral ingestion, the other by intravenous injection. Morphine concentrations in various body fluids and tissues are compared to those in the literature.     

“There is no end to relationship among the indians”: Ojibwa Families and Kinship in Historical Perspective

This article presents an overview of the Ojibwa family over the past three centuries, from early European contacts to the present. It emphasizes the extent to which Ojibwa familial relations have long been embedded in extensive networks of kin that played major roles in the family lives of individuals of all ages. The article traces the effects of historical change on the Ojibwa family and examines continuity within Ojibwa kinship relations. The changes of the last century have taken a heavy toll on these relationships, yet, where they persist or are being revived, they are sources of strength and renewal.     

Death caused by orphenadine poisoning

The number of deaths as a consequence of orphenadine poisoning seems to increase, mostly among severely psychotic males. The lethal dose corresponds to the weekly average dose used in the treatment of neuroleptic extrapyramidal side effects. Based on the literature, the serious, rapidly incipient, cardiac, and neurologic symptoms of poisoning are emphasized. The handing out of orphenadine to suicidal persons must be restricted, and even small overdoses (1-2 g) ought to result in the immediate initiation of observation at an intensive care unit.