Pre-emptive steroids for a severe oedematous Buruli ulcer lesion: a case report

Severe oedematous forms of Buruli ulcer (BU) often result in extensive tissue destruction, even with the institution of appropriate antibiotic treatment, leading to reconstructive surgery and long-term disability. We report a case of a patient with severe oedematous BU, which describes for the first time the pre-emptive use of prednisolone therapy commenced at the time of antibiotic initiation aimed at limiting the ongoing tissue destruction and its secondary sequelae

Evaluation of a systematic substitution of zidovudine for stavudine-based HAART in a program setting in rural Cambodia

Mexico AIDS Conference 200

Translating Aristotelian Lexis in Euripides's Electra

In Poetics, Aristotle defines lexis as being the “language” of tragedy, and this language is one of the elements of tragedy that creates the mimetic representation. As Aristotle literally describes of the words of tragic composition as “doing” something, I consider lexis as an equivalent to J.L. Austin’s locutionary function of language, and the creation of the mimetic representation as the illocutionary. Aristotle’s conception of tragic composition requires a rigid understanding of the tragic form and its proper deployment as he leaves no room for perlocution, and so I also employ Jan Mukařovský’s theory of intentionality/unintentionality in art to explain how a play such as Euripides’s Electra may be understood as a product of the literary culture in which it arose. I then review historical trends of translating Greek tragedy into English to establish how modern translation is moving further away from reverence to the lexis of tragedy. Finally I address the various sections of Electra, a play with an almost non-existent performance record in English, to establish how I may respect the original lexis in my own translation, thereby imparting a (hopefully) similar effect on a modern audience

A balancing act: therapists' experience of working with sexual offenders

This study uses grounded theory to investigate the experience of therapists who work with sexual offenders. The current literature outlines four main models that are commonly used to understand the impact of therapy on therapists. These are burnout, countertransference, secondary traumatic stress and vicarious traumatisation. However none of these models provides a totally satisfactory explanation for the experience of therapists who work with sexual offenders, although preliminary research from a range of studies has suggested that these four models may all be useful in part. The literature also recommends many different coping strategies for therapists, however these are not generally linked to the models of impact. This present study is based on in-depth interviews with seventeen therapists who work with sexual offenders from both community-based sex offender programmes and from the Department of Corrections in New Zealand. From a grounded-theory analysis of these interviews I have developed a model, which I have called the Balancing Act model that encapsulates the experience of these therapists. The Balancing Act model consists of five stages: Gaining Balance, Maintaining the Balance, Losing Balance, Regaining Balance and for those that leave the work, Stepping off the Balance. The Balancing Act model acknowledges that role of all four models of impact described in the literature. It suggests a relationship between the type of impact of working with sexual offenders and the coping strategies used and recommended by therapists in the sex offender treatment field. The Balancing Act model also acknowledges the ordinary ups and downs of being a therapist in the area of providing treatment to sexual offenders. This model is outlined in this thesis and then discussed with reference to the existing literature. Implications for agencies providing treatment to sex offenders are discussed and future directions for research are outlined

Weavers of deception and keepers of morality in Homer\u27s “Odyssey”

Though women play a key role in Homer\u27s Odyssey, attention remains focused on the male heroes. Women are portrayed as potential weavers of deception, keepers of morality, and helpers to dominant male characters. The Odyssey also portrays aspects of women\u27s life patterns, psychological relations and the societal constraints placed upon them by Greek culture. Values present in The Odyssey shape the actions of the characters as well as the issues and ideologies that were important to Greek culture and society; these aspects are also present in Greek myth. Time shows that much has not changed in the roles of women, nor in the expectations a given society has of women

Phase 1 in the development of a taxonomy of simulation based assessment

Bibliography: p. 148-165Some pages are in colour

Chromobacterium violaceum infection in chronic granulomatous disease: a case report and review of the literature

Introduction. Chromobacterium violaceum is an opportunistic human pathogen, associated with significant mortality, and has been reported in patients with chronic granulomatous disease (CGD), a genetic condition causing impaired phagocytosis. Case presentation. A 28-year-old man with a history of CGD presented with fever, pharyngitis, cervical lymphadenopathy and internal jugular vein thrombosis, following travel to the rural Solomon Islands. C. violaceum was recovered from his blood. The patient recovered after treatment with meropenem and trimethoprim/sulfamethoxazole. Conclusion. To the best of our knowledge, this is the first case report of internal jugular vein thrombophlebitis (Lemierre’s syndrome) caused by C. violaceum in a patient with CGD. A review of the literature demonstrated that the diagnosis of C. violaceum preceded the diagnosis of CGD in the majority of cases. This case emphasizes the importance of this organism in patients with CGD who live in or visit tropical areas