3 research outputs found
'Foreigners are stealing our birth right': Moral panics and the discursive construction of Zimbabwean immigrants in South African media
We examine 575 randomly selected articles on Zimbabwean immigrants from the South African
Media (SAM) database to expose discourses of exclusion and the production of the psycho-social
condition - moral panic. We use critical discourse analysis, notions of remediation and immediacy
to scrutinize discourse structures and other discursive strategies designed to conceal mediation
and authorial prejudices, and to make the reader 'experience' the actual content. In addition to
making the anti-immigrant rhetoric appear legitimate, and the danger immediate and real, we
argue that the apparent seamless content is often biased by selection and structured in such a way
as to deny voice to immigrants and their advocates. Among other things, we conclude that since
the readers' interpretations are filtered through lenses of subjectivities defined by communicative
contexts characterized by job scarcity, poverty, crime and wanting healthcare, the news content
heightens anxiety and miseducates more than it enlightens readers on migration issues. Hence
there is a danger of SAM becoming unwitting conveyors of the same vices they preach against.IS
The ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitisA and Hartmann's procedure or resection with primary anastomosis for purulent or faecal peritonitisB in perforated diverticulitis (NTR2037)
Background: Recently, excellent results are reported on laparoscopic lavage in patients with purulent perforated diverticulitis as an alternative for sigmoidectomy and ostomy. The objective of this study is to determine whether LaparOscopic LAvage and drainage is a safe and effective treatment for patients with purulent peritonitis (LOLA-arm) and to determine the optimal resectional strategy in patients with a purulent or faecal peritonitis (DIVA-arm: perforated DIVerticulitis: sigmoidresection with or without Anastomosis). Methods/Design: In this multicentre randomised trial all patients with perforated diverticulitis are included. Upon laparoscopy, patients with purulent peritonitis are treated with laparoscopic lavage and drainage, Hartmann's procedure or sigmoidectomy with primary anastomosis in a ratio of 2:1:1 (LOLA-arm). Patients with faecal peritonitis will be randomised 1:1 between Hartmann's procedure and resection with primary anastomosis (DIVA-arm). The primary combined endpoint of the LOLA-arm is major morbidity and mortality. A sample size of 132:66:66 patients will be able to detect a difference in the primary endpoint from 25% in resectional groups compared to 10% in the laparoscopic lavage group (two sided alpha = 5%, power = 90%). Endpoint of the DIVA-arm is stoma free survival one year after initial surgery. In this arm 212 patients are needed to significantly demonstrate a difference of 30% (log rank test two sided alpha = 5% and powe