This article concludes with recommendations for dissemination of trauma-informed practices across schools at all stages of readiness. We identify three main areas for facilitating the use of this framework: 1) assessment of school staff knowledge and awareness of trauma; 2) assessment of school and/or district's current implementation of trauma-informed principles and practices; 3) development and use of technology-assisted tools for broad dissemination of practices, data and evaluation, and workforce training of clinical and non-clinical staff.
A surge of young, unaccompanied immigrants is met with a broad range of programs intended to salve the effects of trauma, heal family relationships, and help with immigration legal issues.
Technical training plays a significant role in job retention, advancement and increased remuneration potential. Bilingual content has been shown to improve Hispanics understanding of the subject matter and English skills. Family income is a major stabilization or destabilization force in families. We hypothesized that by providing a series of three bilingual training sessions to Hispanic nursery workers related to American culture/life skills (LS) and/or horticulture skills (HS) that could potentially lead to job advancement opportunities, we could improve workers' self-esteem, work motivation and family-relations. There were three main objectives to this study: 1) to assess the validity of a Spanish translated version of The Index of Family Relations (IFR) and the Rosenberg Self-Esteem Scale (RSE) to evaluate family adjustment problems and self-esteem, respectively, when administered to 97 adult Hispanic nursery employees in seven Ohio nurseries in 2005 and 2006; 2) to determine if nurseries differed in their training needs; and, 3) to define which type of training LS or HS (without LS) could improve family adjustment and/or self-esteem. Ninety seven (43% female, 57% male) of 150 employees originally contacted (35%), completed all three trainings and both pre-and post-testing, which were requirements for inclusion in the analyses. The 35% attrition rate (26% with males, 8% with females, averaged over 7 nurseries) indicates the difficulties in offering even a free, on-farm training program for Hispanic nursery employees. The results of the Chronbach's alpha for the IFR and RSE were 0.8 and 0.68 before and 0.86 and 0.7 after the training, respectively, indicating that the IFR and RSE (> 0.6 required validity) tests were valid and marginally valid, respectively, for this audience. Differences in RSE (p < 0.0078) and IFR (p < 0.0625) scores were detected using before and after scores across nurseries with non-opposing or identical distributions. The results indicate that self-esteem and to a lesser extent family relations can be improved by providing nursery need specific training and LS training having the greatest effect across nurseries. At one nursery IFR scores above 30 were observed with only LS lowering scores to non-critical. At some sites basic LS trainings seemed critical before successful HS training discharge. This study seems to identify problem employers and could be fundamental in improving employer/worker relationships within the nursery industry.
Information on paracoccidioidomycosis (PCM) in Argentina is fragmented and has historically been based on estimates, supported only by a series of a few reported cases. Considering the lack of global information, a national multicentric study in order to carry out a more comprehensive analysis was warranted. We present a data analysis including demographic and clinical aspects of a historical series of 466 cases recorded over 10 years (2012–2021). Patients were aged from 1 to 89 years. The general male: female (M:F) ratio was 9.5:1 with significant variation according to the age group. Interestingly, the age range 21–30 shows an M:F ratio of 2:1. Most of the cases (86%) were registered in northeast Argentina (NEA), showing hyperendemic areas in Chaco province with more than 2 cases per 10,000 inhabitants. The chronic clinical form occurred in 85.6% of cases and the acute/subacute form occurred in 14.4% of cases, but most of these juvenile type cases occurred in northwestern Argentina (NWA). In NEA, the incidence of the chronic form was 90.6%; in NWA, the acute/subacute form exceeded 37%. Diagnosis by microscopy showed 96% positivity but antibody detection displays 17% of false negatives. Tuberculosis was the most frequent comorbidity, but a diverse spectrum of bacterial, fungal, viral, parasitic, and other non-infectious comorbidities was recorded. This national multicenter registry was launched in order to better understand the current status of PCM in Argentina and shows the two endemic zones with a highly diverse epidemiology.
An unusual series of germylenes and stannylenes with homoleptic symmetric and unsymmetric N-substituted sulfonimidamide ligands PhSO(NiPr)(NHiPr) 1 and PhSO(NMes)(NHiPr) 2 have been prepared by protonolysis reaction of Lappert’s metallylenes [M(HMDS)2]...
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