Mothers\u27 Mental Health Evaluations in Foster Care Practice: A Social Constructionist, Qualitative Data-Mining Study

This qualitative research study utilizes social constructionist theory and the client career perspective as a framework for developing a grounded theory that explains how mothers\u27 mental health evaluations function in the context of foster care practice. Using clinical data-mining methodology, the foster care records of sixteen mothers were purposively selected. Selection criteria included having completed psychiatric and psychological evaluations and having one child or more in foster care. The sample was divided into subgroups of substance users (n = 9) and those who did not use substances (n = 7), mothers who acknowledged their mental illness (n = 6) and those who did not (n = 10). Findings describe the sample\u27s demographic profiles and psychosocial characteristics, impact of acknowledgment on utilization of mental health evaluations and the relationship among variables such as mental health diagnosis and service plan adherence on children\u27s permanency outcomes. Emergent themes informed the formulation of the study\u27s grounded theory. Substance abuse accounted for slight variations between the two groups. Drug users were more likely to be African-American and a year older than mothers who refrained from drug use. The whole sample was single mothers of low socioeconomic status whose children tended to have special needs. Although both groups experienced severe psychosocial stressors, substance abusers were slightly more likely to experience childhood trauma and foster care placement. The effect of acknowledgment was mixed with six mothers (3 who acknowledged, 3 who did not) reunifying with their children. Service plan adherence and taking responsibility for their children\u27s maltreatment also affected children\u27s permanency outcomes. The grounded theory posits that mothers\u27 mental health assessments function as an organizing mechanism for the foster care agency\u27s development of the mothers\u27 service plans. The mothers are socially constructed as women in need of evaluations due to their attitudes and behaviors. Following the completion of the assessments, service recommendations are purported and expected to be followed by the mothers. Implications for practice, research, policy and administration are discussed, especially for applying a trauma-informed practice lens and solution-focused casework models for work with mentally ill mothers with children in foster care

A pan-European epidemiological study reveals honey bee colony survival depends on beekeeper education and disease control

Reports of honey bee population decline has spurred many national efforts to understand the extent of the problem and to identify causative or associated factors. However, our collective understanding of the factors has been hampered by a lack of joined up trans-national effort. Moreover, the impacts of beekeeper knowledge and beekeeping management practices have often been overlooked, despite honey bees being a managed pollinator. Here, we established a standardised active monitoring network for 5 798 apiaries over two consecutive years to quantify honey bee colony mortality across 17 European countries. Our data demonstrate that overwinter losses ranged between 2% and 32%, and that high summer losses were likely to follow high winter losses. Multivariate Poisson regression models revealed that hobbyist beekeepers with small apiaries and little experience in beekeeping had double the winter mortality rate when compared to professional beekeepers. Furthermore, honey bees kept by professional beekeepers never showed signs of disease, unlike apiaries from hobbyist beekeepers that had symptoms of bacterial infection and heavy Varroa infestation. Our data highlight beekeeper background and apicultural practices as major drivers of honey bee colony losses. The benefits of conducting trans-national monitoring schemes and improving beekeeper training are discussed

Why Do Fools Fall in Love (at Work)? Factors Associated With the Incidence of Workplace Romance

We conducted 2 Web-based survey studies to examine factors associated with the incidence of workplace romance. In Study 1, results based on data collected from 197 employees indicate that their degrees of perceived workplace sexualization and task interdependence were related to their observations of workplace romance. In addition, employees were most likely to report participating in a workplace romance when workplace sexualization and male-female social contact were high. In Study 2, results based on data collected from 80 employees indicate that their degrees of perceived workplace sexualization was related to their observations of workplace romance. Taken together, the results of the 2 studies suggest that work context is associated with the incidence of workplace romance. © 2011 Wiley Periodicals, Inc

The diagnostic dilemma for atypical presentation of progressive human Mpox

Abstract Background Human mpox has increasingly been reported worldwide since May 2022, with higher incidence in men who have sex with men (MSM) and persons living with HIV (PLHIV) with presentation typical for generalized macules and papules. Case presentation We are describing a case of human mpox, which presented as widespread, atypical round verrucous lesions that went undiagnosed in the community for six months and was treated with antibacterials and antifungals given the similarity to skin manifestations associated with endemic mycoses. Conclusions Suspicion for human mpox should be high in young MSM and PLHIV who present with rash and mpox should be ruled out earlier

The major genetic determinants of HIV-1 control affect HLA class I peptide presentation.

Infectious and inflammatory diseases have repeatedly shown strong genetic associations within the major histocompatibility complex (MHC); however, the basis for these associations remains elusive. To define host genetic effects on the outcome of a chronic viral infection, we performed genome-wide association analysis in a multiethnic cohort of HIV-1 controllers and progressors, and we analyzed the effects of individual amino acids within the classical human leukocyte antigen (HLA) proteins. We identified >300 genome-wide significant single-nucleotide polymorphisms (SNPs) within the MHC and none elsewhere. Specific amino acids in the HLA-B peptide binding groove, as well as an independent HLA-C effect, explain the SNP associations and reconcile both protective and risk HLA alleles. These results implicate the nature of the HLA-viral peptide interaction as the major factor modulating durable control of HIV infection

A randomized trial of tigecycline versus ampicillin-sulbactam or amoxicillin-clavulanate for the treatment of complicated skin and skin structure infections

Background: Complicated skin and skin structure infections (cSSSIs) frequently result in hospitalization with significant morbidity and mortality.Methods: In this phase 3b/4 parallel, randomized, open-label, comparative study, 531 subjects with cSSSI received tigecycline (100 mg initial dose, then 50 mg intravenously every 12 hrs) or ampicillin-sulbactam 1.5-3 g IV every 6 hrs or amoxicillin-clavulanate 1.2 g IV every 6-8 hrs. Vancomycin could be added at the discretion of the investigator to the comparator arm if methicillin-resistant Staphylococcus aureus (MRSA) was confirmed or suspected within 72 hrs of enrollment. The primary endpoint was clinical response in the clinically evaluable (CE) population at the test-of-cure (TOC) visit. Microbiologic response and safety were also assessed. The modified intent-to-treat (mITT) population comprised 531 subjects (tigecycline, n = 268; comparator, n = 263) and 405 were clinically evaluable (tigecycline, n = 209; comparator, n = 196).Results: In the CE population, 162/209 (77.5%) tigecycline-treated subjects and 152/196 (77.6%) comparator-treated subjects were clinically cured (difference 0.0; 95% confidence interval [CI]: -8.7, 8.6). The eradication rates at the subject level for the microbiologically evaluable (ME) population were 79.2% in the tigecycline treatment group and 76.8% in the comparator treatment group (difference 2.4; 95% CI: -9.6, 14.4) at the TOC assessment. Nausea, vomiting, and diarrhea rates were higher in the tigecycline group.Conclusions: Tigecycline was generally safe and effective in the treatment of cSSSIs.Trial registration: ClinicalTrials.gov NCT00368537. © 2012 Matthews et al.; licensee BioMed Central Ltd

Risk indicators affecting honeybee colony survival in Europe : one year of surveillance

The first pan-European harmonized active epidemiological surveillance program on honeybee colony mortality (EPILOBEE) was set up across 17 European Member States to estimate honeybee colony mortality over winter and during the beekeeping season. In nine Member States, overwinter losses were higher and statistically different from the empirical level of 10 % under which the level of overwinter mortality was considered as acceptable with usual beekeeping conditions. In four other countries, these losses were lower. Using multivariable Poisson regression models, it was showed that the size of the operation and apiary and the clinically detected varroosis, American foulbrood (AFB), and nosemosis before winter significantly affected 2012-2013 overwinter losses. Clinically detected diseases, the size of the operation and apiary, and the non-participation to a common veterinary treatment significantly affected 2013 summer losses. EPILOBEE was a prerequisite to implement future projects studying risk factors affecting colony health such as multiple and co-exposure to pesticides