The Relapse Story: its rituals and meanings

Alcohol relapse is a major problem and challenge for health care professionals working in the field of addictive disorders. Despite the array of relapse prevention methods available, alcohol misusers become caught up in a cycle of relapse which is difficult to break. What does the relapse experience mean for the client? The purpose of this study is to combine understanding of the relapse story and its sequences with the intention of improving therapy and assisting patients and their families. In this qualitative study, the chains of events in five case studies or stories were investigated and analyzed in order to uncover deeper meanings behind alcohol relapse. Internal and external validity, in this case study, were strengthened by the use of control questions and pattern-matching. Multiple-case interviews revealed important themes including control, ritual behavior, childhood trauma, and guilt. Using the relapse interview as a guide, a new conversational model or therapeutic approach is proposed where the therapist and the client together, examine, reflect over, and learn from the alcohol relapse story. Moreover, the methodology in this approach, allows the therapist to combine research with clinical treatment of the client

Λύχνος: Shedding light on daily life in Graeco-Roman and Byzantine Egypt

The present paper aims to examine the role of the oil lamp (λύχνος) in the daily life of the residents of Egypt through the documentation of Greek papyri and ostraca from the Graeco-Roman and Byzantine periods. Due to the fragmentary condition of the archival material, the sources of ancient Greek and Latin literature are also taken into consideration with a view to corroborating some uncertain points of detail. Specifically, careful scrutiny is given to aspects such as the oil lamp's price and material, its domestic uses, its role as pledge (ἐνέχυρον) and part of inheritance, as well as its function in various activities performed at night. The matters of its importance in the realm of theatre, its connection to theft, the side-effects of its use, and the exploration of the figurative use of the term λύχνος as a literary device are also examined

Lung management protocols increase the incidence of lung procurement and organ transplantation: A meta-analysis

<p><b>Background</b>: Improved donor management, including respiratory physiotherapy, may optimize donor suitability and increase successful lung procurement. This review aimed to determine the efficacy of lung management protocols on the incidence of successful lung procurement and transplantation. <b>Methods</b>: Searches were completed in MEDLINE, CINAHL, EMBASE, PubMed, PEDRO, and Cochrane Registry of Controlled Clinical Trials, from database inception to March 2018. Randomized controlled trials and observational studies, with a control or comparison group, of humans, published in English, in peer-reviewed journals were included. Any respiratory management was eligible. Two investigators assessed eligibility and study quality. Meta-analysis and narrative analysis were completed. <b>Results</b>: Ten of 430 articles identified were eligible for inclusion. Implementation of protocols in potential donors increased the incidence of lung procurement, odds ratio (OR), 95% CI: 3.42 (2.48, 4.71) and transplantation procedures OR 2.56 (1.41, 4.62) compared to control groups. Recipient survival was significantly higher, in favor of lung management protocols compared to control groups at 30 days (OR 2.37 (1.14, 4.95)) and 1 year (OR 1.82 (1.02, 3.27)). Pooling of randomized controlled trials was not possible due to heterogeneity between interventions. No studies reported adverse events associated with lung management protocols or the incidence of ventilator-associated pneumonia. Despite differences in intervention design and study quality, observational studies reported consistent direction and magnitude of effects in favor of protocolized interventions. <b>Conclusions</b>: Lung management protocols appear to increase transplantation success. High-quality randomized trials are warranted to test observed effects and ascertain the effects of specific protocol components on transplantation outcomes.</p

« The Reception of Roman Comedy in Early-Modern Italy and France »

International audienc

Native Italian drama and its influence on Plautus

No abstract available

« 20th and 21st Century Reception and Staging of Roman Comedy »

International audienc