Ganglion of the wrist is one of the the most common lesions of the hand. The cause of pain in an occult dorsal wrist ganglion has been linked to compression of the posterior interosseous nerve at the wrist. A case is presented in this paper and the pathoanatomy discussed. Ultrasound-guided aspiration after hyaluronidase instillation provided a useful alternative to surgery with a high success rate. Arthroscopic decompression for dorsal and palmar wrist ganglia offered the patient the benefit of smaller surgical scars and a high success rate. A description of the surgical techniques, pathoanatomy, and early results of the authors and a review of the literature is presented.

American thought about criminal procedure is confined within a prevailing ideology.' By describing an alternative, I shall seek to il-This title, as the reader will understand in retrospect, is in several respects something of a misnomer. A central theme of this article is that Packer, to whose article of a similar name, see note 2 infra, this title alludes, has given us not the tv.'o "models" he claims, but only one; hence this article should be entitled "A Second Model of the Criminal Process." It seems better to sacrifice such logic to rhetorical convenience. A similar consideration dictated use of the word "model," despite the fact, discussd in note 14 infra, that we are concerned with ideologies and perspectives, not models. Finally. one of the most important features of the alternative ideology I shall develop is that it rejects the dichotomy between substance and process characteristic of the kind of thinking about criminal procedure which Packer exemplifies and which is implicit in the title I have borrowed from him. t Assistant Professor of Law, Yale Law School. B.A. 1962, University of California (Berkeley); LL.B. 1965, Yale University. 1. The concept of "ideology" has a long and tortured history. See especially K. MA NNHES, IDEOLOGY AND UTOPiA (1936). I am not, in this article, primarily interested in the relation of ideology to self-interest, social structure, or the like. Cf. however, pp. 414-16 infra. I am concerned, whatever its genesis, with its effect on thought. I use the word to refer to that set of beliefs, assumptions, categories of understanding, and the like, which affect and determine the structure of perception (not only of physcal phenomena, like causation, which has consumed the interest of philosophers, but also, and most particularly here, of social facts, relationsips and possibilities). Ideological beliefs are pre-logical because they determine the structure of perception and consciousness and therefore are enmeshed in the factual and linguistic premises of argument. It is only self-consclousness concerning the existence and nature of ideology which permits an appreciation of the extent to which it determines the contents of the world of experience and possibility. Self-consciousness is therefore the primary intellectual virtue. The analytic rigor appropriate to logical discourse is relatively less important, because the very content of the concepts to be used is at stake, and the latent propositions involved do not submit themselves to the sort of empirical or logical refutation that is possible once the ideological structure of a domain is set. The preceding ideas all have an extensive literature of their own, and they will figure, more or less explicitly, in the entire remainder of this article. Whatever the difficulties may be with the concept of ideology, it is an essential critical concept of which far too little use has been made in legal scholarship. Cf. A. BLrmERG, CPMUMNAL JusntcE (1967), where the concept of ideology is invoked as an explanatory tool, but is used only to ...

Background and methodology Issues relevant to the accessibility of male condoms for young people in the Greater Manchester area (UK) were investigated, using semi-structured, in-depth interviews and a questionnaire survey.Results Family planning clinics and condom vending machines (CVMs) were the most cited sources for condom acquisition. Young people's knowledge of where and when they could access condoms varied by age and gender. Suitable positioning of CVMs would need to take such variations into account when targeting potential customers. Levels of embarrassment about acquiring condoms also varied according to gender. The lifestyles of young people indicated the sorts of places in which CVMs might offer increased accessibility. For younger men and women this tended to involve low-cost, semi-private places such as local parks, school toilets and shopping malls/streets. Older men with higher spending power and increased confidence could access condoms through pub and club toilets and chemist shops.Conclusions Accessible positioning of CVMs was related to the age, gender and lifestyle of the participants, and programmes to enhance accessibility should reflect this. Increased accessibility for younger groups, and especially women, needs to take into account issues of cost, confidence and embarrassment. For older groups, lifestyle choices indicated pubs and clubs as key locations for both men and women. Key message pointsG Male condoms were accessible to the majority of participants but knowledge and use of locations varied according to both age and gender.G Whilst young women tended to obtain condoms from family planning clinics (FPCs), young men tended to obtain them from vending machines.G Barriers to accessing condoms included cost, embarrassment and lack of availability due to limited opening hours of shops and FPCs.

Purpose -The purpose of this paper is to extend awareness that workplace bullying impacts on the health of individuals both within and outside the workplace and that there are implications for workplace health management. Design/methodology/approach -The paper contextualises the problem of workplace bullying and workplace health management and introduces the five articles in the special issue. Findings -Workplace health management is becoming more prominent in some organizations and workplace health management, and a corporate culture based on partnership, trust and respect, offers considerable potential to move the agenda forward. Moreover, there appears to be a paucity of knowledge available as to how workplace health management strategies and programmes impact on organizational culture and assembling and sharing such a knowledge base could be a useful step. Research limitations/implications -Further research is required to extend the studies presented and to address workplace bullying from the perspective of workplace health management. Practical implications -Research is required to explore the extent to which the potential of workplace health management programmes to impact positively on corporate approaches to bullying and harassment has been realised and how those programmes have influenced corporate culture. Social implications -A partnership approach to knowledge creation and sharing has the most potential for successful outcomes and accords closely with the inferred ideals of the Luxembourg Declaration for Workplace Health promotion. Originality/value -The paper addresses a perceived gap in the literature linking workplace bullying to the impact on individual health and the implications for workplace health management.