Malignant transformation of chronic leg ulcers of vascular origin is mainly encountered in elderly patients and manifests as an abnormally vegetating lesion, which may be occasionally bilateral. Malignant transformation usually occurs towards well-differentiated SCC and only exceptionally towards BCC. The high death rate, especially in metastatic cases, is at least partly due to delay in diagnosis. Surgery remains the treatment of choice. Leg amputation should be considered in the most extensive cases.

There are ongoing debates in the scientific community and in practice settings about how intimate partner violence (IPV) should be defined and understood and about how various interventions must be carried out. If these debates are to bear fruit, however, we must first gain a comprehensive understanding of each stakeholder's viewpoints on IPV and its solutions. This article seeks to contribute to this goal by summarizing empirical studies investigating how practitioners who work with IPV perpetrators understand the problem and its solutions. Based on an integrative review of the literature, it focuses on how practitioners define IPV and its causes, how they perceive the perpetrators and victims, and on the solutions they put forward in order to work against this social problem. The limitations of our current knowledge are outlined as well as the implications of this review for IPV debates.

To document the viewpoints on intimate partner violence (IPV) of Québec practitioners working with violent partners and of program managers of batterer intervention programs (BIPs). Method: Based on Loseke's ( 2003) theory of the construction of social problems, a qualitative study was carried out with 25 practitioners working with violent partners and with18 program managers of BIPs so as to explore their conceptions of IPV and their representations of perpetrators and victims. Results: Study participants primarily defined IPV as a way of taking control, while nonetheless noting other motivations. They also insisted on the diversity of contexts of IPV and its numerous manifestations. For them, IPV was a complex, multifactorial problem, involving individual risk factors for the most part, though also including contextual and social ones. Not only did they not see a single type of IPV, but they also saw no single perpetrator or victim profile. They saw both perpetrators and victims as accountable for their choices, even though they posed some limitations on this general principle of accountability. Conclusions: Complexity and diversity seemed to characterize their conceptions of IPV and their representations of perpetrators and victims. Findings are discussed in the light of current debates about IPV, of implications for BIPs, and of contexts that may influence IPV conceptions.

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