The present study was designed to test the hypothesis that culture mediates coping styles and that acculturative stress will be attenuated by the use of culturally relevant coping strategies. A cross‐sectional sample of Asian and Anglo‐Australian students in Australia was used in the study. Newly arrived Asian students resident in Australia less than 6 months (Asian 1), Asian students resident in Australia for more than 6 months but less than 3 years (Asian 2), Asian students resident in Australia more than 3 years (Asian 3), Asian‐Australians, and Anglo‐Australians (N = 112) completed the Perceived Stress Scale (Cohen, Kamark, & Mermelstein, 1983) and the COPE scale (Carver, Scheier, & Weintraub, 1989). Results indicate that Asian students within their first 6 months of residency in Australia are highest in levels of perceived stress and also tend to employ collectivist coping strategies more than any other group. Anglo‐Australians are lowest on measures of perceived stress and tend towards the use of individualist coping styles. The longer the Asian student remains in Australian culture, the less they tend towards the use of collectivist coping styles. The dimension of individualism and collectivism offers a theoretical basis for the discussion of crosscultural differences in coping styles.

Interventricular septal haematoma is a rare postoperative complication in congenital heart surgery. We present one case of a 6-month-old after tetralogy of Fallot repair and 1 case of a 10-month-old after ventricular septal defect repair. Both were noted to have interventricular septal haematoma on intraoperative transoesophageal and postoperative echocardiogram. Although multiple previous reports, mainly in adults, have suggested aggressive intervention, both these cases were managed conservatively, highlighting the management and evolution of a rare postoperative complication in the paediatric population.

SUMMARYWe present the case of a 14-year-old previously healthy boy who presented to his general practitioner with back pain and fever after rugby training. He was initially treated for suspected discitis but during the course of his admission he rapidly deteriorated and developed severe necrotising pneumonia. He was intubated, ventilated and transferred to a paediatric intensive care unit. Panton-Valentine leukocidin Staphylococcus aureus was suspected and subsequently identified in blood cultures. BACKGROUND

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