Fatal bupivacaine intoxication following unusual erotic practices

A fatal drug overdose is described which involved unusual erotic practices. A 54-year-old male was discovered supine on the floor surrounded by sexual paraphernalia, syringes, and medications including three empty bottles of bupivacaine. Acute and chronic injection sites of the external genitalia with contusions, scarring, focal necrosis, and calcification were present at autopsy. Toxicology revealed femoral blood, heart blood, and vitreous bupivacaine concentrations of 3.8, 2.8 and 1.3 mg/L, respectively. The urine bupivacaine concentration was 11.4 mg/L. The cause of death was attributed to bupivacaine intoxication and the manner of death was accidental.     

Reforming the relationship between medicine and the law of tort

The Australian Government's medical indemnity package is predicated on the belief that the current crisis is primarily one of insurance. However, an examination of the fault-based tort system illustrates that, irrespective of their insurance status, doctors are profoundly affected by the adversarial process and their response to it is leading to sub-optimal patient care. This article argues that the adversarial system of medical negligence fails to satisfy the main aims of tort law, those being equitable compensation of plaintiffs, correction of mistakes and deterrence of negligence. Instead, doctors experience litigation as a punishment and, in order to avoid exposure to the system, have resorted not to corrective or educational measures but to defensive medicine, a practice which the evidence indicates both decreases patient autonomy and increases iatrogenic injury. This is unacceptable and suggests that the package has missed the point. This article proposes an alternative medico-legal tort scheme which attempts to overcome some of these problems.     

A Comparison of the Values and Commitment of Private Sector, Public Sector, and Parapublic Sector Employees

This study investigated differences in general values, work values and organizational commitment among 549 private sector, public sector, and parapublic sector knowledge workers. No differences in general values were observed across sectors, although five significant work value differences were revealed: parapublic employees value work that contributes to society more than public servants, who value it more than private sector employees; parapublic employees value opportunities for advancement less than both public and private sector employees; public servants value intellectually stimulating and challenging work more than parapublic employees; and private sector employees value prestigious work more than public servants. Private sector employees displayed greater organizational commitment than the employees in the other two sectors. Overall, the findings suggest only limited value differences among employees of the various sectors. The finding of some work value differences between employees in the public and parapublic sectors suggests that these two groups merit separate consideration in comparative studies such as this one.     

How some rules just don't matter: The regulation of lobbyists

Brinig, Holcombe, and Schwartzstein (1993) have argued recently that lobby regulation restricts entry into the population of lobbying organizations, and that the number of lobbying organizations then influences legislative activity. However, they analyze only the relationship between the restrictiveness of lobby regulation and legislative activity, thereby assuming that regulation actually reduces numbers of registered interest organizations. We test this assumption with data on state interest organization populations and find little support for it. We consider several other explanations and comment more generally on the status of institutions and their rules in the study of political phenomena.     

Research Note: The Influence of the Press in Shaping Public Opinion towards the European Union in Britain

Existing research finds that European citizens evaluate the EU according to the perceived costs and benefits of integration. Instead of assuming that cue-givers provide an informational role in this process, we investigate the direct effects of positive and negative EU messages from prominent cue-givers, including political parties and the media. Using the 2001 British Election Study, we examine the impact of the main political parties and newspapers on public attitudes towards membership of the EU and the prospect of joining the single European currency. During the 2001 British General Election campaign, the media and the main political parties had small independent effects on attitudes towards EU membership and the potential adoption of the single European currency. When voters receive the same messages from both their party and their newspaper, these effects are considerable.     

Democracy Beyond Secrecy: Assessing the Promises and Pitfalls of Collective Voting

This paper assesses collective voting as a specific mode of democratic decision‐making and compares it to secret voting. Under collective voting, voters gather in one place and decide by the show of hands. We theorise two potential advantages and two disadvantages of collective voting so defined. We then draw on original survey data from one of the largest polities practising collective voting, the citizen assembly of the Swiss canton of Glarus. We find that both the promises and pitfalls of non‐secret voting are exaggerated. Non‐secret voting’s suspected pitfalls – social pressure and abstention – do not generally materialise in our sample, although for women they do appear to be relevant to some extent. However, the promises of collective voting – enabling cue‐taking and discursive bridging and bonding – are equally realised to a limited extent only.