Unusual cases of suicide among health care workers

We describe three unusual cases of suicide committed by health care workers. The aim of this paper was to analyze and evaluate the evidence of general diagnostic elements of poisoning in these cases.     

Problem of early elections and dissolution power in the Czech Republic

Theory of parliamentary regimes presumes that parliament can express vote of no confidence in government. On the other hand executive power (government or head of state) is endowed with right to dissolve the parliament. However, these “doomsday devices” are not in balance in many parliamentary regimes, including the Czech Republic. On the basis of a comparative analysis of dissolution provisions in the constitutions of European states the article argues that the government in the Czech Republic should be given the right to dissolve the lower chamber at least in case that the latter expresses vote of no confidence in the former.     

Ethical and legal consideration of prisoner's hunger strike in Serbia

Hunger strike of prisoners and detainees remains a major human rights and ethical issue for medical professionals. We are reporting on a case of a 48-year-old male sentenced prisoner, intravenous heroin user, who went on a hunger strike and died 15 days later. Throughout the fasting period, the prisoner, who was capable of decision making, refused any medical examination. Autopsy findings were not supporting prolonged starvation, while toxicology revealed benzodiazepines and opiates in blood and urine. Cause of death was given as "heroin intoxication" in keeping with detection of 6-MAM. Legal and ethical issues pertinent to medical examination and treatment of prisoners on hunger strike are explored in accordance with legislation and professional ethical standards in Serbia. A recommendation for the best autopsy practice in deaths following hunger strike has been made.     

Inter-Rebel Alliances in the Shadow of Foreign Sponsors

From the Patriotic Front struggle against the minority rule in Rhodesia to the seven-party mujaheddin alliance in Afghanistan, inter-rebel alliances make the armed opposition more resilient and successful in the face of government repression. Why then do some rebel groups cooperate with each other while others do not? Drawing on the principal-agent theory, I argue that the presence of foreign sponsors is likely to encourage alliance formation in civil wars especially when two rebel outfits share a state sponsor. Shared sponsors may demand cooperation between their agents and credibly threaten to punish them for non-compliance. They may also insist on the establishment of umbrella institutions to improve their monitoring and sanctioning capacity, and to increase the legitimacy of their agents. I test this argument using the UCDP Actor dataset with new data on alliances between rebel groups. I find strong evidence that shared sponsors increase the probability of inter-rebel alliance.     

Allele frequencies and population data for 17 Y-chromosome STR loci in a Serbian population sample from Vojvodina province

Seventeen Y-chromosomal STR (short tandem repeat) loci were analyzed in a group of 185 healthy unrelated male individuals (n=185) from the population of Serbian province of Vojvodina. After minimal haplotype STR loci analysis we observed 129 different haplotypes. The most frequent haplotype was found in 13 copies, and total haplotype diversity was 99.11%. After analysis of additional eight Y-STR loci (DYS437, DYS438, DYS439, DYS448, DYS456, DYS458, DYS635 and YGATAH4) there were 176 different haplotypes observed, out of which 168 appeared in single copies, and 7 haplotypes appeared twice. The most frequent haplotype was found in three copies. The haplotype diversity (99.94%) and discrimination capacity (95.13%) were calculated. Comparisons were made with previously published haplotype data on neighbouring population samples and significant differences were demonstrated at DYS19, DYS389II and DYS393 loci. Pairwise comparison of populations revealed that our sample was significantly different only from Hungarian sample (RST=23.98%, p=0.0091).     

Gender-related differences in the pharmacokinetics of opiates

Previous studies have documented gender-related differences in a number of aspects of the pharmacology of opiates, including their analgesic activity, stimulative properties and generation of physical dependence. The current experiments were carried out with the aim to examine whether male–female differences exist in the blood and brain levels of opiates attained after their intraperitoneal injection to male and female Wistar rats. The tests were performed 5, 15, 45 and 120 min after the animal treatment with seized heroin. Gas chromatography–mass spectrometry (GC–MS) method was developed to quantitatively determine opiate alkaloids in blood and brain regions (known for their high concentration of μ-opiate receptors): cortex, brainstem, amygdala and basal ganglia. Maximal contents of opiates in blood of animals of both genders were found in the second measurement time (15 min), the values measured in the males being significantly higher, which suggests a faster passage of the opiates from blood to brain tissue in female animals. The highest content of opiates in the brain tissue of female animals was measured 15 min and with male animals 45 min after the treatment, which also indicates faster distribution of opiates from blood to brain in the female compared to male rats. The highest proportion of opiates was found in the basal ganglia of the animals of both genders. The obtained results offer the possibility of selecting this part of the brain tissue of both males and females as a representative sample for identifying and assessing contents of opiates.     

The Perils of Weak Organization: Explaining Loyalty and Defection of Militant Organizations Toward Pakistan

Why do some militant groups defect against their sponsors, while others remain loyal? Pakistan's sponsorship of Jaish-e-Mohammad and Lashkar-e-Taiba offers a controlled case comparison as the former turned its guns against Islamabad, while the latter remained obedient despite a similar strength, ethnic ties to the regime, and the presence of alternative supporters. What explains Jaish's defection and Lashkar's loyalty? Drawing on organizational and principal-agent theory, I argue that militant organizations that are more decentralized and factionalized are more likely to turn on their sponsors, because their weak command and control as well as dispersed decision making limit the militant leaders' ability to follow through on their commitments to the sponsors and makes it more difficult for the sponsors to discipline the militant organization. When a sponsor attempts to coerce such organizations into submission by detaining militant leaders, freezing or confiscating their material assets the rank-and-file is likely to turn guns against the sponsor.