After the quake: the complex dance of local government, national government and accounting

This research considers accounting for post-earthquake recovery in New Zealand. New Zealand’s most devastating earthquakes are considered to be the Murchison earthquake of 1929, the Napier/Hawke’s Bay earthquake of 1931 and the Christchurch earthquakes of 2010–11. At the time of the Murchison and Napier earthquakes, government accounting information was an ex post record of expenditure. Contemporary government accounting in New Zealand is accrual based and comprehensive, and so accounting information has played a more prominent role in the management of Christchurch’s earthquake recovery. Apart from evidencing the significant change to government accounting, an historical comparison of accounting in the context of the Murchison and Napier earthquakes vis-à-vis the Christchurch earthquakes indicates the extent of change in the interplay between national and local government in New Zealand. The relationship between national and local government, though legally unchanged, has become more complex, but the financial reports do not reveal this complexity. Through historical analysis the extent of this change is made visible

Combined Orofacial Aspergillosis and Mucormycosis: Fatal Complication of a Recurrent Paediatric Glioma—Case Report and Review of Literature

9noMucormycosis and aspergillosis are two opportunistic fungal infections, which can evolve into life-threatening complications. They generally affect patients with relevant risk factors such as immunocompromisation or long-term use of antibiotics or corticosteroids. Treatment usually combines medical and surgical approaches, often including extended necrosectomies, although the prognosis of generalized fungal infections is very poor. In this paper, we present the case of a 17-year-old girl affected by combined aspergillosis and mucormycosis, following treatment of a recurrent glioma. The patient was hospitalized for a suspected cellulitis of the right hemi-face, involving frontal maxillary area and the upper airways and was immediately put on intravenous antibiotic therapies; after performing nasal septum and maxillary biopsies, concomitant mucormycosis and aspergillosis were diagnosed and antimycotic therapy with liposomal B-amphotericin was administered. After evaluation by the oral surgeon and otolaryngologist, surgical cranio-facial necrosectomy was suggested, but refused by the parents of the patient. The girl died only few days later, due to a respiratory arrest. Awareness of this pathology with prompt diagnosis and early treatment may improve the outcome of these infections and reduce the mortality.reservedmixedChermetz, Maddalena; Gobbo, Margherita; Rupel, Katia; Ottaviani, Giulia; Tirelli, Giancarlo; Bussani, Rossana; Luzzati, Roberto; Di Lenarda, Roberto; Biasotto, MatteoChermetz, Maddalena; Gobbo, Margherita; Rupel, Katia; Ottaviani, Giulia; Tirelli, GIAN CARLO; Bussani, Rossana; Luzzati, Roberto; DI LENARDA, Roberto; Biasotto, Matte