Petechial Hemorrhages and Ethanol in Deaths from Intoxication

Petechiae in conjunctivae and in the palpebrae/skin of the eyelids are of particular interest for the forensic pathologist, because of their association with pressure on the neck. They have been described in the eyelids of intoxicated persons both in case reports and in text books of forensic pathology. We studied 590 deaths caused by intoxication, and 75 had petechiae either in the conjunctivae, the eyelids, or in both locations. We examined the influence of drugs and ethanol on the location of the petechial hemorrhages in these deaths. Deaths with ethanol in blood and in urine/vitreous humor more often had petechiae in both locations than those without. This association was statistically significant, independent of body position and livor mortis. No association between the location of petechiae, medicinal drugs, or narcotics was found. These results suggest that ethanol may contribute to the development of petechial hemorrhages in deaths from intoxication.     

Resilience Factors Among Police Investigators: Hardiness-commitment a Unique Contributor

The aim of this study was to explore the role of individual and contextual buffers against the effects of work stress among police investigators. 156 Norwegian police investigators were assessed on the predictor variables psychological hardiness, work engagement, social support, and meaningfulness, and on the outcome variables of burnout, subjective health complaints, and self-reported sick leave. Hierarchical regression analysis showed that psychological hardiness predicted the variance in burnout beyond that of work engagement, social support, and meaningfulness. When the investigators were divided into two groups based on their field, investigators of assault crime showed higher scores than the group consisting of forensics and investigators of fire, financial, and environmental crime on the variables psychological hardiness, social support, meaningfulness, and subjective health complaints. No differences between the groups were found on burnout, sickness absence, and work engagement. The findings show the importance of resilience factors for coping with work stress, with the commitment dimension of hardiness being particularly important.     

Jeremy Bentham,John Stuart Mill and the Secret Ballot: Insights from Nineteenth Century Democratic Theory

As part of a series of demands for political reform in Britain in the late eighteenth and early nineteenth century, Jeremy Bentham famously made a case for use of the secret ballot in elections. The advocacy of Bentham and his disciples on this issue fed into broader and at times robust public debate, particularly in the 1830s. On the opposite side of this debate was another leading political theorist, John Stuart Mill, who opposed secret ballot reform. This paper re‐examines the contours of this debate, making the case that it has important implications for contemporary political theory and debates about democracy. Firstly, and in terms of making sense of the debate itself, it points to the need to make a distinction between the “voter intimidation” argument and the Benthamite preference aggregation argument. Secondly, it suggests that distinguishing between vote‐buying and voter's dependence provides support for defenders of the secret ballot. Thirdly, it demonstrates the potential application of the idea of voting held in “trust” to the so‐called boundary problem in democratic theory. Finally, it points to the potentially wide but overlooked application of the Chartist idea of open voting (allowing the oppressed to identify their allies) in contemporary political theory.     

Delegation and accountability in parliamentary democracies

Abstract. Parliamentary democracy has been widely embraced by politicians and especially by the scholarly community but remains less widely understood. In this essay, I identify the institutional features that define parliamentary democracy and suggest how they can be understood as delegation relationships. I propose two definitions: one minimal and one maximal (or ideal–typical). In the latter sense, parliamentary democracy is a particular regime of delegation and accountability that can be understood with the help of agency theory, which allows us to identify the conditions under which democratic agency problems may occur. Parliamentarism is simple, indirect, and relies on lessons gradually acquired in the past. Compared to presidentialism, parliamentarism has certain advantages, such as decisional efficiency and the inducements it creates toward effort. On the other hand, parliamentarism also implies disadvantages such as ineffective accountability and a lack of transparency, which may cause informational inefficiencies. And whereas parliamentarism may be particularly suitable for problems of adverse selection, it is a less certain cure for moral hazard. In contemporary advanced societies, parliamentarism is facing the challenges of decaying screening devices and diverted accountabilities.     

Multiculturalism and the Willingness of Citizens to Defer to Law and to Legal Authorities

A key problem in trying to manage diverse societies is finding social policies that will be acceptable to all individuals and groups. Studies suggest that this problem may not be as intractable as is often believed, since people's acceptance of policies is shaped to an important degree by the fairness of the procedures used by authorities to make policy. When policies are fairly made, they gain widespread support, even among those who may feel that the consequences of the policy for them or their group are undesirable or even unfair. These findings support an optimistic view of the ability of authorities to manage diverse societies. On the other hand, research suggests that the ability of procedural justice to bridge differences among individuals and groups may not be equally strong under all conditions. People's willingness to accept policies is more influenced by procedural justice judgments when they identify with the society that the authorities represent and view them as representing a group of which they are members. They are less influenced by procedural justice judgments when they identify more strongly with subgroups than with society and/or view the authorities as representatives of a group to which they do not belong.     

Institutions,distributional concerns,and public sector reform

Abstract. As in otherWestern countries, a wave of reform has swept the Danish public sector. The record of these reforms is mixed and paradoxical; an ambiguous delegation of executive authority and radical privatization have been successfully implemented, while other measures, especially contracting out and user democracy or the introduction of greater choice, turn out to have failed. The paper argues that this experience offers two general lessons. First, shortterm costs and benefits are decisive to those who enact and implement public sector reform. Second, institutional factors specific to each type of reorganization have a major impact on the political distribution of costs and benefits.     

Where is public affairs going?

This paper suggests the future direction in which public affairs practice is developing and advances a number of propositions about public affairs and political systems which provide the context in which public affairs practitioners operate. The paper examines the changing nature of the political systems in which public affairs functions and argues that, by inference, public affairs practice is culturally specific. The paper explores these contextual issues from both a European and a global perspective. The paper argues that an understanding of public affairs should be recognised as an essential element on management teaching syllabi and laments the fact that this is far from the case. Copyright © 2001 Henry Stewart Publications     

How does social trust lead to better governance? An attempt to separate electoral and bureaucratic mechanisms

This paper explores questions related to the association between social trust and governance. In particular, the paper explores whether the trust-governance association is mainly a reflection of political responsiveness to the demands of the electorate or of the supply of honest politicians and bureaucrats. After outlining some simple theory, the findings suggest that the association reflects a causal influence of both types of trust on institutions of economic-judicial governance while electoral institutions are not associated with social trust. Assessed at the sample mean, the value of social trust under high political competition as evaluated by the compensating income variation is substantial.     

Near‐fatal Intoxication with the “New” Synthetic Opioid U‐47700: The First Reported Case in the Czech Republic

Recreational use of the potent synthetic opioid 3,4‐ dichloro‐N‐(2‐(dimethylamino)cyclohexyl)‐N‐methylbenzamide (U‐47700) is rising, accompanied by increasingly frequent cases of serious intoxication. This article reports a case of near‐fatal U‐47700 intoxication. A man was found unconscious (with drug powder residues). After 40 h in hospital (including 12 h of supported ventilation), he recovered and was discharged. Liquid chromatography/high‐resolution mass spectrometry (LC/HRMS) or gas chromatography/mass spectrometry (GC/MS) were used to detect and quantify substances in powders, serum and urine. Powders contained U‐47700 and two synthetic cannabinoids. Serum and urine were positive for U‐47700 (351.0 ng/mL), citalopram (<LOQ), tetrahydrocannabinol (THC: 3.3 ng/mL), midazolam (<LOQ) and a novel benzodiazepine, clonazolam (6.8 ng/mL) and their metabolites but negative for synthetic cannabinoids. If potent synthetic opioids become cheaper and more easily obtainable than their classical counterparts (e.g., heroin), they will inevitably replace them and users may be exposed to elevated risks of addiction and overdose.