Burkholderia pseudomallei sepsis presenting with pericardial effusion and tamponade.

Severe septicaemia secondary to melioidosis carries a high mortality. Although melioidosis can involve most tissues and organs, pericardial involvement is rare. We report a 40-yearold woman with melioidosis with pericardial involvement but no contiguous pulmonary involvement.

Surviving atlanto-occipital dislocation.

Traumatic atlanto-occipital dislocation carries a significant mortality and morbidity. We present the clinical and radiological features of a case of traumatic skeletal and central nervous system disunion. Thanks to a combination of early resuscitation and luck, the patient survived an improbably severe injury to leave hospital and enjoy a degree of independent life.

Measuring the impact of rehabilitation services on the quality of life of disabled people in Cambodia.

The present study aimed to measure the quality of life (QOL) of disabled people in Cambodia and the impact of rehabilitation services. The categories of services were: physical rehabilitation (prosthetics/orthotics with physiotherapy); community-based rehabilitation; and (3) labour market assistance. The 164 respondents were from a range of urban and rural settings.