A complex fracture of the talus following a rugby union line-out.

Fractures of the talus are frequently difficult to treat. The vulnerable blood supply and abundant articular surfaces may lead to long-term problems with avascular necrosis and osteoarthritis. A case of a complex injury to the talus occurring in a rugby union player during a line-out is presented. The laws relating to line-out play disallow "lifting" and "levering" in the line out, but in reality allow "supporting" of the jumper on his shorts, once he has jumped. A further law insists on "lowering" of the supported jumper to the ground as soon as the ball has been won. This unusual injury to the talus clearly demonstrates the potential dangers of the line-out and the necessity that the laws of the game must be strictly adhered to, in order to ensure the safety of the line-out jumper.

Laparoscopic port site recurrence in the absence of intra-abdominal disease.

A case is reported of a patient who presented with recurrent tumour at the site of a laparoscopy port where there had been no evidence of intra-abdominal tumour. Possible mechanisms of recurrence are postulated including a haematogenous spread of the primary tumour and the implantation at the port site.

Circulating auto-antibodies to neutrophil cytoplasmic antigens in vasculitis. A report of 3 cases.

Three patients are described who presented with symptoms and signs of a vasculitic illness but in whom a definite diagnosis was not made until the application of a test to detect auto-antibodies to neutrophil cytoplasmic antigens. There has long been a need for a diagnostic marker for the groups of diseases which fall into the broad classification of systemic vasculitides. Diagnosis of the patients as having either Wegener's granulomatosis or microscopic polyarteritis by the finding of this auto-antibody enabled a positive approach to treatment with combinations of immunosuppressive agents. In addition, serial measurement of the auto-antibody titres enabled monitoring of disease activity.

Suffering and damage in Catholic sexuality.

This article suggests there may be a probable correlation between Catholic sexual orthodoxy and pathology in various Catholic cultures of the United States. There exists no empirically valid documentation suggesting the need for scientific research.In a series of private interviews conducted anonymously with religious and clinical professionals and a limited sample of lay opinion, there was near unanimous support for the idea of research linking sexual orthodoxy and pathology in the Catholic tradition, since the majority interviewed believe it is an undocumented fact based on clinical-pastoral observation and human experience.

Twentieth-century attitudes toward masturbation.

This article demonstrates the progress that medicine, psychiatry, religion, and anthropology have made toward a variant perspective, of masturbation. Researchers documented the suffering and damage caused by classically ingrained religious and medical distortions.The "secret sin" of Judeo-Christianity and the "social disease" of nineteenth-century medicine has paradoxially become the therapy for various forms of psychosexual dysfunction. Catholic, Protestant, and Jewish denominations polarize opinions from rigorous orthodoxy to unconditional acceptance of this psychosexual behavior as a source of emotional homeostasis.

Masturbation from judaism to victorianism.

This article demonstrates how masturbation, based on a misconception of Genesis 38:7-10, was judged harshly in both Judaism and Christianity, laying the foundation historically for social and religious hostility toward sex. Masturbation, known as the "secret sin," a threat to the human race, and an ontic evil, was condemned officially in 1054 by Pope Leo IX.From the medieval era to Victorianism there evolved new distortions of religion and science, so that masturbation was regarded as unnatural sex, murder, a diabolical practice, and the cause of two-thirds of all diseases and disorders including insanity, neurosis, and neurasthenia. Masturbation has historically served as the catalyst for social change in sexual attitudes.