The PMMA epidemic in Norway: comparison of fatal and non-fatal intoxications

During a 6 month period (July 2010-January 2011) we observed 12 fatal intoxications and 22 non-fatal cases related to the drug paramethoxymethamphetamine (PMMA) in Norway (4.8 mill inhabitants). This toxic designer drug, also known as "Death", is occasionally found in street drugs offered as "ecstasy" or "amphetamine". The present study aimed to evaluate the cause of death, and to compare the PMMA blood concentrations in fatal and non-fatal cases. Methods for identification and quantification of PMMA are presented. The median age of fatalities was 30 years (range 15-50) with 67% males; in non-fatal cases 27 years (20-47) with 86% males. In the 12 fatalities, the median PMMA blood concentration was 1.92 mg/L (range 0.17-3.30), which is in the reported lethal range of 0.6-3.1 mg/L in peripheral blood and 1.2-15.8 mg/L in heart blood. In the 22 non-fatal cases, the median PMMA concentration was 0.07 mg/L (range 0.01-0.65). Poly-drug use was frequent both in fatal and non-fatal cases. The PMA concentrations ranging from 0.00 to 0.26 mg/L in both groups likely represented a PMMA metabolite. Three fatalities were attributed to PMMA only, six to PMMA and other psychostimulant drugs, and three to PMMA and CNS depressant drugs, with median PMMA concentrations of 3.05 mg/L (range 1.58-3.30), 2.56 (1.52-3.23) and 0.52 mg/L (0.17-1.24), respectively. Eight victims were found dead, while death was witnessed in four cases, with symptoms of acute respiratory distress, hyperthermia, cardiac arrest, convulsions, sudden collapse and/or multiple organ failure. In summary, all fatalities attributed to PMMA had high PMMA blood concentrations compared to non-fatal cases. Our sample size was too small to evaluate a possible impact of poly-drug use. A public warning is warranted against use and overdose with illegal "ecstasy" or "speed" drugs.     

Fighting your friends? A study of intra-party violence in sub-Saharan Africa

ABSTRACT

This article focuses on a less visible and less studied type of political violence, namely violence that occurs within political parties. We use new, district-level data to compare the temporal and spatial dynamics of intra-party violence to those of general election violence across selected sub-Saharan African countries, including both democracies and autocracies, from 1998 to 2016. Relying on cross-national and sub-national analyses, we show that intra-party violence follows a unique pattern. First, unlike general election violence, intra-party violence peaks prior to election day as it is often sparked by individual parties’ candidate nomination processes. Second, low levels of competitiveness – typically theorized to reduce the risk of election violence – increase the risk of intra-party violence on the sub-national level. Thus, dominant party elections do not necessarily see less election-related violence than hotly contested elections. Rather, violence may be pushed from election day to intra-party competitions. If we neglect the study of violence within political parties, we thus risk underestimating the threat of election violence and misdiagnosing its causes.     

Trace DNA collection—Performance of minitape and three different swabs

In this study two types of synthetic swabs and one commercially available minitape were tested and compared with the currently used cotton swab. The results indicate that there is no major difference in performance between the swabs for recovery of trace samples, and that the minitape is better suitable for recovering from absorbent materials than swabs are. However, no statistical calculations were carried out due to the low number of samples in each category.     

‘Doing gender and gender equality’ through emotional expressions during a research interview. Views of highly educated Swedish young adults

The aim of this article is to contribute to the knowledge on how concepts of gender and gender equality are constructed within research interviews, deepening our understanding of the underlying gender system in society. We focus on emotions and emotional processes expressed during interviews on work and family when specific questions originating in the World Value Survey were asked. Our study is based on interviews with highly educated women and men, in two metropolitan areas of Sweden. In this article, we seek to shed more light on how incorporating emotional expressions and the evaluation of these emotions can grasp the construction of gender and gender equality. We highlight the range of emotional expressions that appear during the interviews, differences in their usage by women and men and the links to the construction of gender and gender equality. We explore how the specific situation of the interview influences ‘doing gender and gender equality’ through emotions. Our results reveal that men and women use similar but also different emotional expressions in conforming to the gender equality norm. Men and women, interviewers and interviewees agreed on this norm, but the ways they ’performed’ the norm are gender based.     

Effect of integrated treatment on the use of coercive measures in first-episode schizophrenia-spectrum disorder. A randomized clinical trial

The effect of integrated treatment on the use of coercive measures in first-episode schizophrenia-spectrum disorder in Denmark is not known. A total of 328 patients were randomly assigned to integrated treatment (167 patients) or standard treatment (161 patients). Integrated treatment consisted of assertive community treatment, psycho-educational multi-family groups, and social skills training. Data on coercion were extracted from the register from the National Board of Health, and data on continuity from medical records. Even though the level of continuity seemed higher in integrated treatment, this did not reduce the use of coercive measures compared to the use in standard treatment.