Neoplasia masquerading as physical abuse

We describe three children with organic disease presenting as possible physical abuse. The first child was an infant with an ‘unexplained’ transverse fibular fracture, who was initially placed on the child protection register. Subsequent progress and investigation revealed that the fracture was caused by a haemangioma arising from the surrounding tissues. Two further children presented with bruising, in one case due to acute lymphoblastic leukaemia and in the other neuroblastoma. In both, the correct diagnosis became evident following assessment by an experienced paediatrician. These cases demonstrate the importance of obtaining an accurate history and of performing a careful examination when considering physical abuse, but also the need to review that diagnosis if subsequent contradictory evidence comes to light. Copyright © 2000 John Wiley & Sons, Ltd.     

Promoting resilience and emotional well-being of transgender young people: research at the intersections of gender and sexuality

Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing health-related scholarship on trans lives, with a growing awareness of the impact of health inequalities on trans well-being. The aim of the paper is to provide greater understanding of transgender young people’s views of what is needed to promote their emotional well-being and resilience by undertaking specific analysis of data collected as part of wider research with young people (n?=?97). The study utilised participatory qualitative methods with a cross sectional design generating data via a focus group with trans youth (n?=?5), followed by thematic analysis. Findings suggest that both individual and collective capacities or resources enable and sustain resilience and well-being for trans young people. The adversity trans youth face is present in school, the community and in healthcare, but they are able to find places where they feel safe and connected to others. Practitioners, teachers and school nurses are well positioned to facilitate structural change in alliance with trans youth to promote resilience. Research results were utilised to inform health improvement, commissioning and service delivery.     

Hong Kong: From Worker to Manager

Review article on: Made by Hong Kong. Edited by Suzanne Berger and Richard K. Lester The Hong Kong Advantage. By Michael T. enright, Edit E. Scott and David Dodwell     

The Jewish dead in the great war as an indicator for the location,size and social structure of Anglo‐Jewry in 1914

Use of statistics of Jewish war dead from the Great War throws some light on the Jewish community in Great Britain at a time when the mass immigration from Eastern Europe had more or less run its course. The statistics show some discrepancies with commonly quoted figures from the ‘Jewish Year Book’, as Year Book data outside the smaller immigrant communities were often little more than guesses and had sharp underestimates for more anglicized communities. The picture at 1916 shows a similar distribution to the Jewish population today.     

When “model minorities” become “yellow peril”—Othering and the racialization of Asian Americans in the COVID-19 pandemic

Using the ongoing coronavirus disease 2019 (COVID-19) pandemic as a case study, this paper engages with debates on the assimilation of Asian Americans into the US mainstream. While a burgeoning scholarship holds that Asians are “entering into the dominant group” or becoming “White,” the prevalent practices of othering Asians and surging anti-Asian discrimination since the pandemic outbreak present a challenge to the assimilation thesis. This paper explains how anger against China quickly expands to Asian American population more broadly. Our explanation focuses on different forms of othering practices, deep-seated stereotypes of Asians, and the role of politicians and media in activating or exacerbating anti-Asian hatred. Through this scrutiny, this paper augments the theses that Asian Americans are still treated as “forever foreigners” and race is still a prominent factor in the assimilation of Asians in the United States. This paper also sheds light on the limitations of current measures of assimilation. More broadly, the paper questions the notion of color-blindness or post-racial America.     

A Monte Carlo Risk Assessment Model for Acrylamide Formation in French Fries

The objective of this study is to estimate the likely human exposure to the group 2a carcinogen, acrylamide, from French fries by Irish consumers by developing a quantitative risk assessment model using Monte Carlo simulation techniques. Various stages in the French-fry-making process were modeled from initial potato harvest, storage, and processing procedures. The model was developed in Microsoft Excel with the @Risk add-on package. The model was run for 10,000 iterations using Latin hypercube sampling. The simulated mean acrylamide level in French fries was calculated to be 317 μg/kg. It was found that females are exposed to smaller levels of acrylamide than males (mean exposure of 0.20 μg/kg bw/day and 0.27 μg/kg bw/day, respectively). Although the carcinogenic potency of acrylamide is not well known, the simulated probability of exceeding the average chronic human dietary intake of 1 μg/kg bw/day (as suggested by WHO) was 0.054 and 0.029 for males and females, respectively. A sensitivity analysis highlighted the importance of the selection of appropriate cultivars with known low reducing sugar levels for French fry production. Strict control of cooking conditions (correlation coefficient of 0.42 and 0.35 for frying time and temperature, respectively) and blanching procedures (correlation coefficient −0.25) were also found to be important in ensuring minimal acrylamide formation.     

Source Attribution of Food-Borne Zoonoses in New Zealand: A Modified Hald Model

A Bayesian approach was developed by Hald et al .^{( 1 )} to estimate the contribution of different food sources to the burden of human salmonellosis in Denmark. This article describes the development of several modifications that can be used to adapt the model to different countries and pathogens. Our modified Hald model has several advantages over the original approach, which include the introduction of uncertainty in the estimates of source prevalence and an improved strategy for identifiability. We have applied our modified model to the two major food-borne zoonoses in New Zealand, namely, campylobacteriosis and salmonellosis. Major challenges were the data quality for salmonellosis and the inclusion of environmental sources of campylobacteriosis. We conclude that by modifying the Hald model we have improved its identifiability, made it more applicable to countries with less intensive surveillance, and feasible for other pathogens, in particular with respect to the inclusion of nonfood sources. The wider application and better understanding of this approach is of particular importance due to the value of the model for decision making and risk management.     

Calling Social Work

New Labour has promoted the use of information and communicationtechnology. Call centres are a key development in this strategyand are now in use for accessing social services. In officialpolicy, the use of call centres is presented as an aspect ofattempts to change the relationship between service users andthe purchasers and providers of services. In contrast, we suggestthat the use of call centres in social care does little to shiftthe balance of power. Call centres bring together four dimensionsof New Labour discourse: learning from the private sector, cuttingcosts, technology and consumerism. Three issues emerge fromtheir development: the undermining of social work’s senseof place; the circumscribing of service user participation;the rationalization of social workers. The call centre servesas a signifier of what, it is claimed, the combination of NewLabour’s consumerism and technology can achieve. Thissignification disguises call centres’ properties of efficiency,calculability, predictability and control. Contrary to the rhetoricthat accompanies them, call centres may be curtailing serviceuser participation, as well as delimiting the social work role.Accordingly, their use has important, but as yet largely unresearched,implications for service users and social workers.