Literacy comes second: working with groups in developing societies

The ?Literacy comes second? model is an experimental approach that may hold greater promise for the future than the traditional literacy classes. The model works with groups that already exist within the community, such as religious groups, groups meeting for business, residents? groups (especially in urban areas), local government and political groups. The main characteristic of these groups is that, from the point of view of literacy, they are mixed groups consisting of men and women who have different levels of literacy skills. The group members share their skills and experiences; thus every member is valued. The justification for the approach comes from an adult learning theory, which states that adults learn best through doing things in their own lives for real. In general, the goal for this approach is that people will learn how to read and write and use literacy skills to achieve developmental tasks.     

Distribution of morphine and morphine glucuronides in body tissue and fluids--postmortem findings in brief survival

An intoxication following administration of morphine, tramadol and atracurium in a suicide case is reported. The route of administration and the amount of the particular drug were known from the investigation of the death scene and the findings of the postmortem examination. Tramadol was present in the gastric contents as well as in blood, liver, kidney and brain samples, whereas the drug could not be detected in muscle. All body fluids and tissues investigated contained morphine as well as its 3- and 6-glucuronides with the exception of muscle tissue. The concentrations of morphine and its glucuronide metabolites were determined by LC/MS following solid phase extraction. Interestingly, the concentration of M6G in brain, liver and kidney were close to the concentration of M3G in the particular tissue. This phenomenon might be explained by a preferential hydrolysis of M3G or by a preferential formation of M6G postmortem. Measurement of morphine and M6G in femoral blood and cerebrospinal fluid may be a useful indicator in rapid deaths.