Brian Doyle

First published in 2002. This volume is part of the New Accent series looking at English and popular culture, language, policy, fiction and democracy. Each volume in the series will seek to encourage rather than resist the process of change; to stretch rather than reinforce the boundaries that currently define literature and its academic study.

OBJECTIVE: To describe the location of, primary reason for, and time between the first positive HIV test and AIDS diagnosis in a sample of persons with newly diagnosed AIDS. DESIGN: Interviews supplementing information routinely collected through AIDS case reporting. SETTING: Eleven US states and cities. PATIENTS: Persons with AIDS (2441) diagnosed between January 1990 and December 1992. MAIN OUTCOME MEASURES: Location of first positive HIV test, primary reason for testing, and time interval between first positive HIV test and AIDS diagnosis. RESULTS: Overall, persons were tested late in their course of HIV infection: 36% were tested for HIV within 2 months and 51% within 1 year of their AIDS diagnosis. Sixty-five per cent were HIV-tested in acute health-care settings: 33% in hospitals, 28% in physicians' offices, and 4% in emergency departments. Testing during hospitalization was most common among injecting drug users (43%) and persons infected through heterosexual contact (50%). Persons primarily sought HIV testing because of illness (58%); other reasons included being in a known risk group (13%) and having had a known HIV-infected sex partner (8%). Testing because of being in a known risk group was least common among persons infected through heterosexual contact (1%). Among persons in these exposure categories, testing differed by race/ethnicity. CONCLUSION: Most persons with AIDS were tested relatively late in their course of HIV infection, in acute health-care settings, and because of illness. Not knowing one's serostatus precludes early medical intervention and may increase transmission.

Disability and discrimination disabled employment rights in Britain, Europe, the United States, Canada and Australia defining disability discrimination the protected class fitness for work accommodating difference quotas and preferential treatment enforcement and remedies beyond enforcement conclusion.

The analysis of metaphors constitutes an ideal point of entry into the exegesis of Biblical Hebrew poetic texts because it forces the exegete to examine the said text from a variety of perspectives. How can one discern the presence of metaphorical speech? What are the various types of metaphorical speech available to and employed by the biblical poet? How does the structure of a piece of Hebrew poetry carry its metaphorical dimensions? How did the biblical poet make use of the various types of metaphor and to what end? Can we ultimately gain access to the poet's meaning? The present study endeavours to provide at least a partial answer to these questions. In maintaining focus on the biblical text, moreover, the author hopes to anchor some of the abstractions of metaphorical theory with chosen examples taken from the so-called 'Apocalypse of Isaiah'. The Hebrew prophets constitute fertile ground in their use of metaphorical language for speaking the unspeakable, especially concerning the relationship between the people and God.