Advisory bodies and morality policies: does ethical expertise matter?

Policy Sciences - Governments and parliaments struggle to design biomedical policies: while research and practice make rapid progress, they often trigger value conflicts. One response involves...     

Die Bedeutung des regionalen Kontexts für die programmatische Positionierung von Schweizer Kantonalparteien1

Zusammenfassung: In Mehrebenensystemen agierende Parteien sind mit sozialstrukturell sehr unterschiedlich zusammengesetzten Wählerschaften konfrontiert. Da für regionale Parteigliederungen – insbesondere in föderal organisierten Demokratien – der Wettbewerb um Wählerstimmen zuvorderst innerhalb der Grenzen der jeweiligen Region stattfindet, müssen sie den unterschiedlich zusammengesetzten Elektoraten differenzierte inhaltliche Angebote machen, die auf die spezifischen Präferenzen der Wählerschaft eingehen. Wir evaluieren diese Überlegungen am Beispiel der Schweiz als einem Mehrebenensystem, in dem sich die Wählerschaft von Kanton zu Kanton in ihrer sprachlichen, konfessionellen und sozioökonomischen Struktur deutlich unterscheidet. Dabei nehmen wir eine Analyse der programmatischen Dokumente der Schweizer Parteien auf kantonaler Ebene vor, um deren inhaltliche Präferenzen zu bestimmen. Die dabei herangezogenen Wahlprogramme von kantonalen Parteigliederungen sind eine bisher wenig beachtete Quelle zur Bestimmung von Parteipositionen, die jedoch gerade für die Arbeiten zur subnationalen Politik grosses Potential bietet. Die Ergebnisse zeigen, dass sich sozialstrukturelle Eigenschaften der Wählerschaft eines Kantons in der Tat in den programmatischen Positionen der Kantonalparteien widerspiegeln. So sind Parteien in der französischsprachigen Schweiz wirtschaftspolitisch “linker”, wohingegen die Parteien in ländlichen Kantonen tendenziell konservativere Haltungen in Fragen der Gesellschaftspolitik einnehmen.     

Detection of amitriptyline, citalopram, and metabolites in porcine bones following extended outdoor decomposition

Skeletal remains of a domestic pig were assessed for relative distribution of amitriptyline, citalopram, and metabolites. Following acute exposure and outdoor decomposition for 2 years, drugs and metabolites were analyzed in 13 different bones. Bones were pulverized following a simple wash procedure, and drugs were extracted by passive incubation in methanol, followed by solid-phase extraction. Samples were analyzed by ultra-high performance liquid chromatography (UHPLC) and confirmed with gas chromatography-mass spectrometry. The Kruskall-Wallis test showed that bone type was a main effect with respect to drug level for all analytes, with levels varying from 33- to 166-fold. Ratios of levels of drug to that of the corresponding metabolite were less variable, varying roughly one- to eightfold. This suggests limitations in the interpretive value of drug measurements in bone and that relative levels of drug and metabolites should be further investigated in terms of forensic value.     

No-show at a forensic psychiatric outpatient clinic: risk factors and reasons

Nonattendance for and late cancellations of scheduled appointments, that is no-show, is a well-known phenomenon in psychiatric outpatient clinics. Research on the topic of no-show for initial and consecutive appointments in the field of forensic psychiatry is scarce. This study therefore aims to determine the prevalence and causes of no-show and to explore reasons for nonattendance. The study was carried out in an outpatient clinic in northern Netherlands. Telephone interviews were administered to 27 no-show clients, 84 follow-up no-show clients, and 41 attendees of 18 years and older. A no-show rate of 24.9% and a follow-up no-show rate of 9.8% was found. The majority of appointments missed were in the beginning phase of clinic contact. No-show clients were younger than their attending counterparts and more often dropped out from clinic contact. Also, less family social support was experienced by nonattendees. Reasons for nonattendance were having forgotten about appointment and work commitments.     

The relationship between peer victimization,cognitive appraisals,and adjustment: A systematic review

Underpinned by the transactional model of stress (TMS), this systematic review synthesizes research testing the role of primary and secondary appraisals in the relationship between peer victimization and adjustment. A comprehensive literature search was undertaken and 23 articles were included in the review. Primary appraisals of threat and control, but not blame, mediated the relationship between peer victimization and adjustment. Secondary appraisals of self-efficacy and perceived social support were found to mediate and moderate the relationship. The findings of the review highlight the utility of the TMS in developing our understanding of individual differences in the relationship between peer victimization and adjustment. The development of the TMS in a peer victimization context, and future areas of research are discussed.     

Sudden death following exercise testing related to abnormalities of the cardiac conduction system and coronary artery pathology

A case of sudden death following exercise testing in a 33-year-old man is reported. The forensic autopsy showed atherosclerotic stenosis of the left coronary artery, as well as some changes in the cardiac conduction system, including anomalies of the atrioventricular node and moderate fibrosis and fatty infiltration of the branching bundle. This case demonstrates that cardiac arrest during vigorous exercise may be multifactorial and that abnormalities of the cardiac conduction system may have played some role in the fatal issue.     

Suicide by injection of a veterinarian barbiturate euthanasia agent: report of a case and toxicological analysis

The history and toxicological findings of a suicidal case involving injection of a veterinarian barbiturate euthanasia agent (Vetanarcol containing pentobarbital are presented. Blood pentobarbital concentrations compatible with drug overdose were determined. Almost identical levels were found in blood, cerebrospinal fluid (CSF) and vitreous humour (VH). The highest concentration was measured in the bile. The present case is compared with similar rare cases in the literature.     

The Informational Role of the Arbitration Clause

We analyse the role of an arbitration clause as a quality signal. We model a contractual relationship between one buyer and two sellers, one of which offers a high-quality product, the other a low-quality product. With a certain probability, the product is defective. The sellers have the choice of either taking the case to court if the product is defective, or including an arbitration clause in which case an arbitrator determines the indemnity payment. Under some conditions, only the high-quality seller offers an arbitration clause, which then serves as a quality signal.     

The Politics of Innovation in State Courts: The Merit Plan of Judicial Selection

A potentially fruitful but partially explored dimension of thestudy of state policy innovations concerns the patterns of reformin the organization, structure, and personnel of state courtsystems. This study considers the adoption of merit judicialselection by nearly half of the states during the 1960s and1970s. Specific attention is given to testing the hypothesisadvanced by prior research that the Merit Plan was a strategicinitiative launched by rural political interests in responseto the threatened growth of urban political power in the wakeof reapportionment. Empirical evidence concerning the circumstancesof the reform campaigns that produced the Plan, the patternsof legislative sponsorship, and the nature of voter supportsuggest, however, that the political base for the Merit Planand associated court reforms has been in urban areas. The implicationsof the findings for future inquiry into the patterns of court-relatedinnovations are then explored.