'Cum together' : spectatorship, presence and La Fura Baus' XXX

Based on the Marquis De Sade's novel, Philosophy in the Bedroom, XXX, a controversial work by the Spanish Performance group La Fura Dels, has divided critics and audiences in Europe and Australia. On the one hand, the performance has been chastised for its lack of intellectual coherence and tedium. On the other hand, it has been lauded as a piece of innovative theatre that addresses the audience's senses through a variety of theatrical and multi-media devices in order to challenge their preconceptions about the connections between sex and politics in contemporary culture. Writing in the Sydney Morning Herald, Stephen Dunne asks "Why is this so desperately-naughty show so dull to watch?"

This paper challenges Dunne's assessment of the performance by examining the relationship between the performers and spectators in terms of what Susan Melrose calls theatre's specular and somatic economies in order to analyse the specific ways in which XXX simultaneously challenges and confounds traditional notions of theatrical spectatorship.

Updating the principles of the liturgical movement for a new liturgical movement

The author is a Benedictine monk of L’abbaye Sainte-Madeleine du Barroux in France. The original paper (in French) was delivered in July 2001 at a Liturgy Conference held at the Abbey of Notre Dame, Fontgombault, France,
in the presence of the then Joseph Cardinal Ratzinger when Prefect of the Congregation for the Doctrine of the Faith and was later published in the English translated proceedings of the conference edited by Dr Alcuin Reid, Looking Again at the Question of the Liturgy with Cardinal Ratzinger:
Proceedings of the July 2001 Fontgombault Liturgical Conference (St Michael’s Abbey, Farnborough, 2003). The paper here published is revised and translated from the original French especially for The Priest by Professor David Birch (Deakin University, Melbourne) at the invitation of the Editor, with the cooperation of Dom Charbel. The full set of footnotes is available in Reid (Ed.) (2003). Where passages are quoted from Magisterial texts, the Vatican website English translation is given rather than a translation of the French version used in the original paper. Sub-headings are due to the Editor.

Death and late-stage dementia in institutions : a cultural analysis

The first purpose of this study was to describe the deaths of fifteen nursing home residents with late-stage dementia. The devastating effect of dementia on a person has been called a ‘living death’ (Woods, 1989). The caring which occurs when someone is going through this process in a nursing home was recorded and analysed. In analysing this act of caring, the second purpose was to look for the origins of the structures and the sources of pressure that shaped the context and therefore helped determine the behaviour of the various groups under observation. These groups were residents and their relatives, the staff of the nursing home and the treating doctors. Before commencing observations and carrying out this study, an understanding needed to be developed of: the condition of dementia as it is perceived by health professionals and presented in the media; the institutions in which the majority of people with dementia end their days; the background and conditions of the staff who nurse in them; the models of care that guide and determine policies; and the conceptions of life and death which underpin relevant laws and moral standpoints. Accordingly, in part 1. chapter 1 the history, causes, pathology and effects of dementing conditions are examined. Relevant medical and lay literature including media influences are examined which pertain to the subject of death and dementia and nursing home care. The history of this institutional care is briefly examined together with the growth of the discipline of gerontological nursing. Chapter 2 discusses some of the effects of this history on present day care and the concept of emotional work being carried out within the present day aged care public policy regulations. The moral arguments surrounding illness and dying in Australian society today are briefly discussed. Chapter 3 describes the conceptual framework for the study, the ethnographic method that has been employed and an outline of critical theory as the basis for analysis. The chapter concludes by recounting the practical steps taken to arrange the field work, secure the consent of participants, record data and gather documents, and outlines the ethical considerations given to the undertaking of the study. Chapter 4 describes the context in which the study took place and the first tentative exploration of the culture from an etic perspective. Part 2 describes the death trajectories observed and raises some questions about alternative strategies that may have been considered within a different paradigm of caring. In chapter 5 the death trajectories of each of the fifteen residents in the study are described, each written with a particular emphasis to illustrate aspects of the culture of care that emerged through thematic analysis. Observations, comments and feelings from staff and family are wound in and around these case studies. Chapter 6 looks more closely at the impact of policy and institutional pressure on the milieu in which these deaths took place. Part 3 draws conclusions from the observations and makes suggestions for emancipatory change as viewed from the author's standpoint of critical ethnographic analysis. In the final chapter an argument is presented for policy change that leads a movement towards palliative care practices for people with late-stage dementia. Approaches to implementation of palliative care will need to take account of any expression by the resident such as an advanced directive, indicating a preferred approach to treatment in the period prior to death; a need for a better understanding of such issues as the significance of body breakdown, the manifestations of pain and electrolyte imbalances; the surrounding ethical complexities and shift in public opinion, and perhaps, most of ail, the culture of the institutions in which this dying will take place. A definition of late-stage dementia which might be used in determining patterns of care is set out. A discussion about changes in practice which relate lo communication with treating doctors, the administering of antibiotics, the relief of pain, the mobilisation of residents and the provision of food and water takes place in light of the evidence found. The discussion of these issues is raised in the form of debate. Each aspect needs more rigorous analysis and information so that evidence-based practice, rather than care which is value-laden and emotional, can be used when treatment decisions are made for people with late-stage dementia.

Cholesterol-lowering effects of plant sterol esters and non-esterified stanols in margarine, butter and low-fat foods

Objectives: To determine the efficacy on plasma cholesterol-lowering of plant sterol esters or non-esterified stanols eaten within low-fat foods as well as margarine.
Design: Randomised, controlled, single-blind study with sterol esters and non-esterified plant stanols provided in breakfast cereal, bread and spreads. Study 1 comprised 12 weeks during which sterol esters (2.4 g) and stanol (2.4 g) -containing foods were eaten during 4 week test periods of cross-over design following a 4 week control food period. In Study 2, in a random order cross-over design, a 50% dairy fat spread with or without 2.4 g sterol esters daily was tested.
Subjects: Hypercholesterolaemic subjects; 22 in study 1 and 15 in study 2.
Main outcome measures: Plasma lipids, plasma sterols, plasma carotenoids and tocopherols.
Results: Study 1¾median LDL cholesterol was reduced by the sterol esters (-13.6%; P<0.001 by ANOVA on ranks; P<0.05 by pairwise comparison) and by stanols (-8.3%; P=0.003, ANOVA and <0.05 pairwise comparison). With sterol esters plasma plant sterol levels rose (35% for sitosterol, 51% for campesterol; P<0.001); plasma lathosterol rose 20% (P=0.03), indicating compensatory increased cholesterol synthesis. With stanols, plasma sitosterol fell 22% (P=0.004), indicating less cholesterol absorption. None of the four carotenoids measured in plasma changed significantly. In study 2, median LDL cholesterol rose 6.5% with dairy spread and fell 12.2% with the sitosterol ester fortified spread (P=0.03 ANOVA and <5% pairwise comparison).
Conclusion: 1. Plant sterol esters and non-esterified stanols, two-thirds of which were incorporated into low-fat foods, contributed effectively to LDL cholesterol lowering, extending the range of potential foods. 2. The LDL cholesterol-raising effect of butter fat could be countered by including sterol esters. 3. Plasma carotenoids and tocopherols were not reduced in this study.

Arterial compliance in obese subjects is improved with dietary plant n-3 fatty acid from flaxseed oil despite increased LDL oxidizability

The compliance or elasticity of the arterial system, an important index of circulatory function, diminishes with increasing cardiovascular risk. Conversely, systemic arterial compliance improves through eating of fish and fish oil. We therefore tested the value of high intake of alpha-linolenic acid, the plant precursor of fish fatty acids. Fifteen obese people with markers for insulin resistance ate in turn four diets of 4 weeks each: saturated/high fat (SHF), alpha-linolenic acid/low fat (ALF), oleic/low fat (OLF), and SHF. Daily intake of alpha-linolenic acid was 20 g from margarine products based on flax oil. Systemic arterial compliance was calculated from aortic flow velocity and aortic root driving pressure. Plasma lipids, glucose tolerance, and in vitro LDL oxidizability were also measured. Systemic arterial compliance during the first and last SHF periods was 0.42 +/- 0.12 (mean +/- SD) and 0.56 +/- 0.21 units based on milliliters per millimeter of mercury. It rose significantly to 0.78 +/- 0.28 (P < .0001) with ALF; systemic arterial compliance with OLF was 0.62 +/- 0.19, lower than with ALF (P < .05). Mean arterial pressures and results of oral glucose tolerance tests were similar during ALF, OLF, and second SHF; total cholesterol levels were also not significantly different. However, insulin sensitivity and HDL cholesterol diminished and LDL oxidizability increased with ALF. The marked rise in arterial compliance at least with alpha-linolenic acid reflected rapid functional improvement in the systemic arterial circulation despite a rise in LDL oxidizability. Dietary n-3 fatty acids in flax oil thus confer a novel approach to improving arterial function.

Soy isoflavones improve systemic arterial compliance but not plasma lipids in menopausal and perimenopausal women

The possibility that the heightened cardiovascular risk associated with the menopause, which is said to be ameliorated by soybeans, can be reduced with soy isoflavones was tested in 21 women. Although several were perimenopausal, all have been included. A placebo-controlled crossover trial tested the effects of 80-mg daily isoflavones (45 mg genistein) over 5- to 10-week periods. Systemic arterial compliance (arterial elasticity), which declined with age in this group, improved 26% (P < .001) compared with placebo. Arterial pressure and plasma lipids were unaffected. The vasodilatory capacity of the microcirculation was measured in nine women; high acetylcholine-mediated dilation in the forearm vasculature was similar with active and placebo treatments. LDL oxidizability measured in vitro was unchanged. Thus, one important measure of arterial health, systemic arterial compliance, was significantly improved in perimenopausal and menopausal women taking soy isoflavones to about the same extent as is achieved with conventional hormone replacement therapy.

En-gendering the nation : gender-bending and nationalism in Miles Franklin's 'My brilliant career' and Emily Lawless's 'Grania: The story of an Island'

Writing in the lee of first-wave feminism and in an era of nation-invention, the Irish Ascendancy novelist, Emily Lawless, and the aggressively Australian Miles Franklin (of Irish, English and German extraction and coming from families who were pastoralists) wrote novels of adolescence, respectively, 'Grania: the Story of an Island' (1892) and 'My Brilliant Career' (1901). Similar and different in many ways, they both wrote as women and self-consciously inserted themselves into nation-inscribing projects with an eye to overseas readerships, and they played fast and loose with class. Curiously, both contributed to the process of transforming 'nowhere-places' into iconic nationalist places: Franklin put the Monaro on the map (a region that was a nationalist icon before the 'Red Centre' usurped its place); and Lawless wrote in ethnographic ways about the Aran Islands more than a decade before J.M. Synge tramped westward in search of the 'Peasant Quality', so beloved of the Abbey Theatre playwrights and audiences. Most compellingly, they wrote of the near-pathologies of masculinities within nationalist agendas, and of marriage and sexuality. This article examines the novels comparatively and contrastively and asks uncomfortable questions about why and how their interventions were untimely.

En-Gendering the Nation: Gender-bending and Nationalism in Miles Franklin’s My Brilliant Career and Emily Lawless’ Grania: the Story of an Island

Writing in the lee of first-wave feminism and in an era of nation-invention, the Irish ascendancy novelist, Emily Lawless, and the aggressively Australian Miles Franklin (of Irish, English and German extraction and coming from families who were pastoralists) wrote novels of adolescence, Grania: The Story of an Island (1892) and My Brilliant Career (1901) respectively. Similar and different in many ways, they both write as women, and self-consciously insert themselves into nation-inscribing projects with an eye to overseas readerships, and they play fast and loose with class. Curiously, both contributed to the process of transforming ‘nowhere-places’ into iconic nationalist places: Franklin put the Monaro on the map (a region that was a nationalist icon before the ‘Red Centre’ usurped its place); and Lawless wrote in ethnographic ways about the Aran Islanders more than a decade before Synge tramped westward in search of the ‘Peasant Quality’ so beloved of the Abbey playwrights and audiences. Most compellingly, they write of the near-pathologies of masculinities within nationalist agendas, and of marriage and sexuality. This paper examines the novels comparatively and contrastively and asks uncomfortable questions about why and how their interventions were untimely.

Topical arnica and mucopolysaccharide polysulfate (hirudoid) to decrease bruising and pain associated with haemodialysis cannulation - related infiltration: a pilot study

ABSTRACT
Background: