Pulmonary lymphangioleiomyomatosis with an associated giant renal angiomyolipoma.

Pulmonary lymphangioleiomyomatosis (LAM), a rare, progressive disease predominantly affecting the lungs of women of reproductive age, is often associated with renal angiomyolipoma (AML). We report the case of a 29-year-old female patient who presented to our obstetrics department at 37 weeks' gestation, complaining of abdominal pain, and constipation. Ultrasound noted a viable singleton with a large left-sided abdominal mass. After undergoing a caesarean section, she was referred to our urology department to assess her flank mass further. Computed tomography demonstrated a large, exophytic left renal mass measuring 22 cm x 16 cm x 13 cm, suggestive of an AML and numerous bilateral pulmonary cysts. A diagnosis of LAM and associated unilateral giant renal AML was made. As soon as she had fully recovered from her caesarean section, we removed the huge AML via a standard left-sided open nephrectomy without incident. We report this rare case of giant AML associated with LAM and review the literature about the association of these two conditions.

Clinical manifestations of mental disorders among Sesotho speakers.

Objective. The goal of this study was to compare four Sesotho-speaking clinical groups in South Africa concerning the manifestation of mental disorders. Methods. The participants were Sesotho speakers suffering from major depressive disorder, schizophrenia, anxiety disorders and substance abuse. The participants (N=407) were assessed and diagnosed by a multi-professional team. A clinical interview was then conducted with each participant and the symptomatology compared with the DSM-IV-TR criteria. Results. Differences among the four clinical groups were found regarding age, gender, marital status, substance abuse and aggressive behavior. Although the symptomatology of all four groups overlapped with that of their counterparts in Western cultures, some differences were noted. For example, delusions and hallucinations seem to be more prevalent in the Sesotho speakers with major depressive disorder and anxiety disorders than in Westernized groups. Traditional medicine remains the first treatment of choice for a significant number of the participants. It is recommended that traditional medicine should be incorporated into the national health system. Conclusion. In multicultural societies such as South Africa, further research regarding cultural differences in the clinical manifestation of mental disorders is urgently needed in order to make the necessary provision for cultural uniqueness.

The court for sexual offences: perceptions of the professionals involved.

This article evaluates the functioning of the Court for Sexual Offences in Bloemfontein, Free State, South Africa at the hand of the perceptions of those professionals most frequently involved with the Court. The findings suggest that professionals involved with this court tend to be positive in their appraisals of the sex-court system. However, the ability of the sex-court to remain objective and to reduce secondary victimization is called into question. Misconceptions with regard to the Court's current ability to contribute to the rehabilitation of offenders and the emotional recovery of the victims were exposed. The operational difficulties facing sex-court personnel are discussed and directions for future research are identified.

The court for sexual offences: perceptions of the perpetrators of sexual offences.

This article explores the largely hereunto-ignored perceptions of the offenders within the specialist sex-courts in Bloemfontein, Free State, South Africa. Various factors potentially affecting such perceptions within this group of individuals are identified by way of theoretical orientation. Respondents were inclined to view the Court for Sexual Offences as biased in process and excessively punitive with regard to sentencing. The specialist sex-court was also perceived to be inefficient and slow. Female prosecutors were judged to be overly involved in cases to the extent that their objectivity was impaired. The need for additional research in various related areas is also explored.

The Court for Sexual Offences: perceptions of the families of the victims of sexual offences.

This article aims to evaluate the degree to which the Court for Sexual Offences in Bloemfontein, Free State, South Africa and associated auxiliary institutions meet the needs of the families of the victims of sex-crimes. The perceptions of 24 family members of victims were obtained. These individuals generally perceived the functioning of the Court and its auxiliary institutions in a positive light. However, perceptions of the time that cases took to come to trial and the standard of post-trial interaction between the Court and the families was not positive. A need for more effective victim-care at both social and psychological levels was identified. Future psycho-legal research possibilities in this largely neglected field are highlighted.

The Court for Sexual Offences: perceptions of the victims of sexual offences.

This article explores the perceptions of sexual offence victims following their interaction with the Court for Sexual Offences in Bloemfontein, Free State, South Africa. The study primarily investigates these individuals' satisfaction with the degree to which the Court succeeds in providing more effective justice for victims and reduces secondary victimization during judicial proceedings. The respondents were generally positive with regard to their experiences with the Court. However, cases were still found to be slow in coming to trial. The treatment of the victims after their participation in the trials was found not to be of the same standard as that received before they testified. These findings point to potential changes to the current system to further enhance the Court's functioning and legitimacy amongst the people who make use of its services.