Examining the relationship between psychotropic medication use and testing positive for Chlamydia and Gonorrhea among detained adolescents

Objective

We examined whether psychotropic medication (PTM) use was related to testing positive for Chlamydia and Gonorrhea among detained adolescents.

Methods

A convenience sample of 550 detained adolescents ages 14-18 years were recruited from eight youth detention centers in Georgia. Using A-CASI technology, data was collected on demographic factors, use of PTM, and sexual risk behaviors. Chlamydia and Gonorrhea diagnoses were assessed by laboratory testing.

Results

Thirteen percent (13.1%) of adolescents not using PTMs tested positive for STIs compared to only 4.9% of those reporting PTM use. PTM users had a 62% smaller odds ratio for testing positive for Chlamydia or Gonorrhea.

Conclusion

Findings suggest that use of psychotropic medication, if deemed useful by detained youth, may be a protective factor against engaging in behaviors which may culminate in contracting some STDs. The practice implications are discussed within the context of these findings.     

The quantification of smiling using a microcomputer-based approach

This study examines the relationship between the ratings made of a set of smiling and neutral expressions and the facial features which influence these ratings. Judges were shown forty real face photographs of smile and neutral expressions and forty line drawings derived from these photographs and were asked to rate the degree of smiling behavior of each expression. The line drawings of the face were generated by a microcomputer which utilizes a mathematical model to quantify facial expression. Twelve facial measures were generated by the computer. Significant differences were found between the ratings of smile and neutral expressions. The Mode of Presentation did not contribute significantly to the ratings. Using the facial measures as separate covariates, five mouth measures and one eye measure were found to discriminate significantly between the ratings made on smile and neutral expressions. When entered as simultaneous covariates, only four mouth measures contributed to the differences found in the expression ratings. Future research projects which may utilise the computer model are discussedThe research reported in this paper was conducted in the Department of Psychology, University of Adelaide. The authors would like to thank Ulana Sudomlak for her assistance in the gathering and recording of the data for this project, and the reviewers for their helpful comments on an earlier version of this paper.     

Diversity management in preschools using a critical incident approach

Using the critical incident approach, preschool teachers at 10 preschools in Sweden were asked to describe their work with respect to ethnic and cultural diversity. The study attempted to provide insights that go beyond commonly used models of intercultural sensitivity and intercultural competence (e.g. Gudykunst and Kim; Landis, Bennett, and Bennett). Four different understandings and approaches to ethnic and cultural diversity were discernible in the empirical material (i.e. ‘instrumental,’ ‘co-productive,’ ‘facilitative proactive,’ and ‘agitative proactive’). The data suggest that preschool teachers, in order to be interculturally competent, need to work systematically with intercultural pedagogy, intercultural communication skills, and with their discursive awareness. Moreover, it is concluded that if preschool teachers fail to scrutinize their own values, modes of behavior, and a-priori understanding of what ‘is’ cultural behavior, they may sustain cultural stereotypes.     

A place to heal: a qualitative focus group study of respite care preferences among individuals experiencing homelessness*

Homeless patients have longer hospital stays than housed persons due, in part, to a lack of safe discharge locations. Respite care for homeless individuals decreases hospital length of stay and readmissions rates. This study aimed to develop client-centered recommendations for medical respite care. We conducted four focus group interviews (n?=?25 participants) between August 2010 and February 2013 of homeless adult residents in Minnesota. Four domains of respite care were identified from content analysis of interviews: physical, relational, facilitation, and amenities. Novel recommendations include (a) a facility equipped to address mental health and substance dependence needs, (b) a standardized training protocol for respite staff, (c) the creation of a patient advocate, and (d) the creation of a respite case manager to facilitate post-discharge instructions and connection to primary care and social services. These new and actionable recommendations could help inform policies and the development of future medical respite care facilities.     

Human factors methods to reduce medication error: using task analysis in a pediatric and adult pharmacy

Medication error is an issue that no hospital is immune from, leading to 7,000 deaths and 1.3 million patient injuries each year. The purpose of this study was to decrease the risk and occurrence of medication errors by analyzing the hospital pharmacy. Task analyses were performed and it was found that communication, expectation, and procedural issues were leading to the occurrence of the most common type of medication error in the pharmacy. Recommendations were made to improve the process and reduce the occurrence of this type of error.     

SOVA: Design of a Stakeholder Informed Social Media Website for Depressed Adolescents and Their Parents

Two moderated social media websites were designed for increasing likelihood for mental health treatment engagement for depressed adolescents (sova.pitt.edu) and for parents (wisesova.pitt.edu). This article describes iterative stakeholder interviews conducted with adolescents, young adults, parents, advocates, and clinicians and use of human computer interaction techniques to inform major design changes which: (a) underscored the role of online interaction to provide emotional support and information, (b) importance of anonymity, (c) desire to share positive media, and (d) need for frequent moderation. Future studies will examine acceptability and effectiveness of revised websites in helping depressed adolescents and their parents engage with treatment.     

Overcoming terms of service: a proposal for ethical distributed research

ABSTRACT

The last two years has marked a turning point in access to large-scale social media data for many researchers, as platforms hobbled their APIs and made recording, archiving, and analyzing social life online far more difficult. Particularly in the context of the United States, where violating the rules put in place by social platforms has the potential to lead to criminal charges, the balance of power between the extremely financially successful social media industry on one side, and the users and researchers of these platforms on the other, has become dangerously skewed. This article argues for a pragmatic partnering with the users to do research, rather than with the platform owners, and suggests some ways in which this might be accomplished.     

Overcoming neoliberal globalization: social-ecological transformation from a Polanyian perspective and beyond

ABSTRACT

The ecological crisis has intensified in many respects. Prominent proposals to deal with the crisis are discussed under the header ‘sustainability transformations’ or even ‘Great Transformation’. We argue that most contributions suffer from a narrow analytical approach to transformation ignoring the largely unsustainable dynamics of global capitalism and the power relations involved in it. Thus, a ‘new critical orthodoxy’ of knowledge about transformation is emerging which runs the danger to contribute to a spatially and socially highly uneven green capitalism. This article claims that the current debate on social-ecological transformation can be enriched by a Polanyian understanding but also based on regulation theory. We distinguish between three types of transformation: incremental adaptation of the current institutional systems, institutional change in favour of a new ‘green’ phase of capitalism, and a post-capitalist great transformation that implies a profound structural change of the mode of production and living.     

Changing ruralities, changing landscapes: exploring social recomposition using a multi-scale approach

Changes in agricultural practices have led to declines in the farming population and significant changes within the landscape. Paradoxically, many rural areas are recording significant demographic growth. Given the extent of rural areas experiencing these changes, little attention has been devoted to the relationship between rural migration processes and landscape developments. Therefore, the various rural dynamics resulting from these phenomena merit closer investigation. Moreover, we should explore these complex processes at scales where they are most evident. Through the multi-scale research approach used in this study, these processes are investigated in their regional, local, and domestic contexts.As shown by regional typological outlines, the great diversity of the rural areas indicates an increasing dissociation between the agricultural and socio-demographic trajectories. From our local-scale study, changes in lot occupation revealed new residential settlement patterns induced by an influx of in-migrants. Specific landscape characteristics seem to be a determining force shaping these population flows. At the same time, these population movements have dissimilar influences on evolving landscape dynamics. With the exception of isolated agricultural abandonment trajectories, migrant relocation does not seem to affect specific local-scale land use development. However, it is significantly associated with individual domestic practices. These practices are indicative of the migrant's identity in the rural landscape; further, they suggest specific values for the landscape's qualitative dimensions. These emerging urban and non-farming interests in rural landscapes challenge planning policies to guide the landscape's evolution for the benefit of its “producers” and “consumers”.     

Overcoming a collective action frame in the remaking of an antinuclear opposition

Recent research on social movements considers collective action frames and collective identities to be resources or achievements of social movement activity because they symbolicly link individuals to a collective cause. This paper maintains that a collective action frame operates at a sociocultural level and can be redefined by groups external to a movement. Nuclear power proponents worked to suppress the first cycle of protest against nuclear plants by redefining the movements' collective identity, such that individuals were unable to recognize movement organizations as representative of their interests. Citizens within the Ten Mile Radius, a group opposed to the licensing of the Seabrook nuclear power plant, initiated a second cycle of protest by overcoming the collective action frame imposed on the movement. This case suggests that the articulation and the representation of dissent is constrained due to the inability of social movement groups to retain control over their own collective identity. An earlier version of this paper was presented at the Eastern Sociological Society annual meeting, Baltimore, Maryland, April 1994.     

Exploring types of interference between work and non-work: using a diary study approach

Studies of work and family issues have used predominately between-subject cross-sectional designs. While some researchers have called for more longitudinal studies, others have suggested that a more strategic way forward for the field is the use of daily diary studies (Frone, Russell, & Cooper, 1992). This study explores different types of interference between work and non-work domains, using a diary study methodology. This study consisted of a two-week diary study among 12 Irish employees. Analysis involved a two-step procedure involving both content analysis and interpretative phenomenological analysis (IPA). Results indicated that while individuals reported strain-based and time-based interference, evidence was also found of interference concerning persistent and intrusive thoughts. Despite some limitations to the study, this paper demonstrates that diary studies represent an opportunity for researchers to explore work and non-work experiences in a sensitive and ecologically valid way.     

Scale,networks, and information strategies: exploring indigenous peoples' refusal of a protected area in Suriname

In this article, we examine the response of three indigenous communities in western Suriname to the proposed establishment of a protected area on their traditional lands. In particular, we focus on how the transnational, national and sub‐national networks associated with indigenous rights and protected areas influenced the decision the communities made to reject the protected area. Central to the analysis are the concepts of scale, networks and information; we explore how a national indigenous rights organization used scale and networks to relay information strategically and empower communities in their decision‐making. However, while scale was an empowering political tool, it has also served to disempower indigenous peoples in Suriname through the continuing importance of the state in protected area implementation and legal claims to lands and resources.     

Overcoming fieldwork challenges in urban health research in developing countries: a research note

With rapid growth in the global urban population over the next two decades, health will increasingly have an urban bias. The picture of public health is particularly complex in African cities, where rates of urbanisation, poverty and inequity are high. This paper identifies the main data collection problems encountered within a panel study in low‐income areas of Johannesburg, with special emphasis on sampling, access and partnerships. The paper will be of relevance to anyone considering research in the cities of developing countries, especially in Africa.     

Influences of landscape structure on butterfly diversity in urban private gardens using a citizen science approach

Urban Ecosystems - Although urbanization is increasing worldwide, private gardens may help mitigate the impact of urbanization on butterfly diversity. We investigated how local and landscape...     

Lessons learned using a values-engaged approach to attend to culture,diversity, and equity in a STEM program evaluation

Evaluation must attend meaningfully and respectfully to issues of culture, race, diversity, power, and equity. This attention is especially critical within the evaluation of science, technology, engineering, and mathematics (STEM) educational programming, which has an explicit agenda of broadening participation. The purpose of this article is to report lessons learned from the implementation of a values-engaged, educative (Greene et al., 2006) evaluation within a multi-year STEM education program setting. This meta-evaluation employed a case study design using data from evaluator weekly systematic reflections, review of evaluation and program artifacts, stakeholder interviews, and peer review and assessment. The main findings from this study are (a) explicit attention to culture, diversity, and equity was initially challenged by organizational culture and under-developed evaluator–stakeholder professional relationship and (b) evidence of successful engagement of culture, diversity, and equity emerged in formal evaluation criteria and documents, and informal dialogue and discussion with stakeholders. The paper concludes with lessons learned and implications for practice.     

Estimation of seroprevalence, rape, and homelessness in the United States using a social network approach

The authors have developed and tested scale-up methods, based on a simple social network theory, to estimate the size of hard-to-count subpopulations. The authors asked a nationally representative sample of respondents how many people they knew in a list of 32 subpopulations, including 29 subpopulations of known size and 3 of unknown size. Using these responses, the authors produced an effectively unbiased maximum likelihood estimate of the number of people each respondent knows. These estimates were then used to back-estimate the size of the three populations of unknown size. Maximum likelihood values and 95% confidence intervals are found for seroprevalence, 800,000 +/- 43,000; for homeless, 526,000 +/- 35,000; and for women raped in the last 12 months, 194,000 +/- 21,000. The estimate for seroprevalence agrees strikingly with medical estimates, the homeless estimate is well within the published estimates, and the authors' estimate lies in the middle of the published range for rape victims.     

Teaching mixed methods research: using a socio-ecological framework as a pedagogical approach for addressing the complexity of the field*

Mixed methods research is growing in acceptance and complexity, which translates into significant pedagogical challenges for teaching about mixed methods research. To address this challenge and to contribute to creating a pedagogical culture for teaching research methods, we developed a practically focused conceptual framework for describing the field of mixed methods research and used this framework to structure an Introduction to Mixed Methods Research course. Our socio-ecological framework describes the field of mixed methods within three nested and interacting levels: the mixed methods research process, content, and contexts. The course introduces students to each level and its components and considers how the framework accounts for different perspectives, issues, and debates found within the field. Course evaluations suggest that the new pedagogical approach helps students successfully understand and navigate the complexity and nuances of the mixed methods field, and develop foundational knowledge for designing and implementing a mixed methods study.     

Co-production: towards a utopian approach

This article outlines how co-production might be understood as a utopian method, which both attends to and works against dominant inequalities. It suggests that it might be positioned ‘within, against, and beyond’ current configurations of power in academia and society more broadly. It develops this argument by drawing on recent research funded through the UK’s Connected Communities programme, led by the Arts and Humanities Research Council; and by attending to arguments from the field of Utopian Studies. It explores particular issues of power and control within the field of co-production, acknowledging that neoliberalism both constrains and co-opts such practice; and explores methodological and infrastructural issues such that its utopian potential might be realised.     

Towards a family support approach with drug‐using parents: the importance of social worker attitudes and knowledge

Social worker attitudes to drug‐using parents are considered in the context of developing a family support approach with this client group. A survey (ADUPS) is formulated and applied to social work staff in an Outer London Borough and this is complemented by semi‐structured interviews. The study finds that the vast majority of social workers wanted to support drug‐using parents, rejected negative stereotypes of them and were optimistic that supportive approaches could lead to positive outcomes. However, responses in certain areas suggest that for many workers there is some ambivalence or lack of confidence in their stated positions. A minority of social workers seem to hold attitudes that appear to be inconsistent with family support for drug‐using parents, and are likely to discriminate against them. The need for training in work with drug‐using parents is clearly indicated. Copyright © 1999 John Wiley & Sons, Ltd.