EGO: WRITING THE PSYCHOLOGICAL PLAY, DIEGO

Ego: Writing the Psychological Play, Diego focuses on my analytical research and educational experiences as a Theatre major and Psychology minor as well as my personal journey over a four year period writing the play Diego. Theatre provided background for my writing process, and Psychology provided the basis for the play’s main themes. The play’s major plot as well as many of the characters and relationships came from a notable time in my own life, such that without those dramatic personal events, the inception of the play never would have occurred. I combined my experiences with my knowledge of playwriting and the mind to create a work that, while drawn from some unorthodox methods, holds true to the universality of human struggle

A new genus to accommodate three skinks currently assigned to Menetia (Lacertilia: Scincidae)

Menetia timlowi Ingram 1977 has had a chequered generic history due to ambiguity in interpreting its various character states. Ingram (1977) assigned this species to Menetia on the strength of “the long narrow obliquely oriented first supraocular” and “enlarged upper circumoculars”. In doing so, he admitted the possibility that M. timlowi “may in fact be a Carlia” but because “all Carlia, except burnetti, lack fused lower eyelids and have a typically anvil shaped presubocular”, allocating timlowi to Menetia seemed the best available option. Ingram and Covacevich (1988) revisited the generic status of this species when resurrecting Lygisaurus from the synonymy of Carlia to accommodate a group of small leaf-litter dwelling skinks. In proposing the new combination L. timlowi (Ingram 1977), they considered the supraoculars to be transverse whereas Ingram had stated them to be oblique in his original species description

Two new skinks (Scincidae: Glaphyromorphus) from rainforest habitats in north-eastern Australia

Tropical rainforest is largely restricted in Australia to the fairly continuous Wet Tropics region and disconnected patches to the north on Cape York. The Wet Tropics is relatively well explored and studied, whereas the rainforests of Cape York have received less attention due to their remoteness. Here we describe two new species of Glaphyromorphus skinks from rainforest areas on Cape York. The two new species are most similar to each other and to G. fuscicaudis and G. nigricaudis, but both are readily diagnosed on numerous traits. Glaphyromorphus othelarrni sp. nov. is diagnosed from all similar species by its supralabial count (typically 8 vs 7), high number of subdigital lamellae beneath the 4th finger (14-15 vs 85 mm) and slender body shape, low number of subdigital lamellae beneath the 4th toe (17-20 vs generally 20 or more), and head and body pattern. Both species also differ from each other and similar congeners in other aspects of body shape, scalation and colour pattern. Glaphyromorphus othelarrni sp. nov. is restricted to boulder-strewn rainforest of the Melville Range, whilst Glaphyromorphus nyanchupinta sp. nov. is known only from upland rainforest in the McIlwraith Range. We discuss patterns of rainforest vertebrate endemism on Cape York, and the importance of lithorefugia in generating these

ISSUES IN MEDICINE: Will clinical associates be effective for South Africa?

South Africa has developed an innovative mid-level medical worker model that can contribute substantively to the development of quality district-level health care. These clinical associates entered the South African job market in 2011 and have reportedly been received favourably. The first cohorts performed well on local and national examinations, with pass rates >95%. They have demonstrated confidence and competence in the common procedures and conditions encountered in district hospitals;reportedly fitted in well at most of the sites where they commencedworking; and made a significant contribution to the health team, resulting in a demand for more clinical associates. Universities and provinces involved in producing clinical associates are enthusiastic and committed. However, priorities are to establish sustainable funding sources for training and deployment, provide adequate supervision and support, monitor the initial impact of the new cadre on health services, and manage the sensitivities of the medical and nursing professions around scopes of practice and post levels. Longer-term concerns are national leadership and support, scaling up of training, the development of career pathways, and the improvement of working conditions at district hospitals

Psychological adjustment of men with prostate cancer: A review of the literature

OBJECTIVE: Prostate cancer (PCA) is the most common malignancy and a major cause of death in men but, importantly, a substantial proportion will live for several years following diagnosis. However, they face the prospect of experiencing symptoms, side-effects of treatment and diminished quality of life. The patient's psychological adjustment is particularly complex, given the potential trajectory of the disease, from the point of diagnosis, with its immediate impact, to the phase of palliative care, with its attendant issue of facing mortality. Since a comprehensive review of the literature on psychological adjustment of men with PCA has not yet been done, we have documented relevant research, integrated findings and drawn conclusions, where possible, in order to map out clinical and research implications. METHOD: We searched 5 databases for the period 1994 - July 2006, during which most of the work in the field has been done. RESULTS: We found few studies of substance among the 60 we examined to draw conclusions about psychological adjustment to prostate cancer and its treatment. This is in marked contrast to the picture in breast cancer. While some patterns have emerged, many gaps remain to be filled. DISCUSSION: Aspects of methodology need attention, particularly longitudinal, prospective designs, incorporation of control groups and the use of valid and reliable measures. There is scope for qualitative studies as a complement to quantitative research

Decreased operative risk of surgical treatment of mitral regurgitation with or without coronary artery disease

AbstractThe consecutive 2 year experience with patients undergoing first-time surgery for mitral regurgitation with and without coronary artery disease was reviewed. From January 1988 to January 1990, 127 patients with pure mitral regurgitation undergoing first-time operation were surgically treated. No other valve lesion, no reoperation and no congenital defects were included. The mean patient age was 62 years with 26% of the patients > 70 years. Twenty-six percent of the entire group was in functional class IV. Seventy-five patients received mitral valve repair and 52 underwent mitral valve replacement with a St. Jude or Hancock valve. In patients undergoing mitral valve repair, there was a higher incidence of those > 70 years old and of coronary artery disease and in patients undergoing mitral valve replacement there was a higher incidence of functional class IV.The operative mortality rate was 2.3% (3 of 127 patients). No patient failed to be discontinued from cardiopulmonary bypass and all three deaths occurred after mitral valve replacement, with one from complications of chronic renal failure and dialysis. There was no significant difference in patients who either did or did not have a concomitant coronary artery bypass graft and there was no difference related to age or functional class. Postoperative complications occurred in five patients in the valve repair group, including recurrent mitral regurgitation in two necessitating reoperation, and in three patients in the valve replacement group.With newer operative and postoperative management techniques, especially preservation of the papillary muscle annular continuity, the risk of mitral valve surgery, particularly of valve repair, is considerably lower than in previous years