Staff cohesion in residential treatment

There is a continuous recognition in the literature of residential treatment of the need for studies to assess the impact of key variables which constitute a residential milieu on the treatment environment and, by implication, on the treatment outcome. One key variable is staff cohesion. The present study explored the effect of varying levels of staff cohesion on the treatment environment in a residential treatment center for disturbed adolescents. The results suggest that the variables Support, Personal Problem Orientation, Autonomy, Practical Orientation, and Staff Control are significantly affected by varying levels of staff cohesion. However, the clients' perception of their environment did not appear to be influenced by staff cohesion level.Received M.A. from University of British Columbia, B.C., Canada. Current interests are process of psychotherapy, interpersonal conflict resolution.     

No news is good news? Press coverage and corporate public affairs management

• Being in the public eye puts pressure on an organization's Public Affairs (PA) function. This study finds that firms more closely covered by the press tend to be more forceful in promoting their own position on social issues (social buffering). Press coverage is not associated with greater corporate efforts to comply with societal expectation (social bridging). Overall, press coverage is weakly associated with lowered perceived corporate public affairs performance.

Copyright © 2006 John Wiley & Sons, Ltd.     

Fatal meningitis and encephalitis due to Bartonella henselae bacteria

Bacterial infection due to Bartonella henselae commonly develops in children and young adults following cat/dog contacts and/or cat/dog scratches. Regional lymphadenopathy is its most common clinical expression. However, encephalitis and Parinaud's syndrome (oculoglandular syndrome) have also been reported as has systemic illness. A review of the international literature in all languages revealed no fatal complications in immunocompetent hosts. A four-year-old white child with no underlying illness began to have seizure-like activity. She was taken to a local hospital and subsequently transferred to a medical center. The child was treated aggressively for seizures and fever of unknown origin. However, her condition rapidly declined and she died without a specific diagnosis. At autopsy there was marked cerebral edema with no gross evidence of acute meningitis. Microscopic exams revealed multiple granulomatous lesions as well as a meningitis and encephalitis. A variety of cultures and stains were negative for acid fast and fungal organisms. Warthin-Starry stains of involved tissue including brain and liver revealed pleomorphic rod shaped bacilli consistent with Barronella henselae. Analysis of brain tissue with polymerase chain reaction (PCR) and Southern blot for the deoxyribonucleic acid (DNA) was definitive for DNA of Bartonella henselae bacteria.     

From analyst to negotiator: The OMB's new role

Dramatic changes in the executive and legislative budget processes over the last ten years have elevated the Office of Management and Budget (OMB) to a new position of power and importance. Within the executive branch the budget process has become more highly centralized in the president's office; and within the Congress a similar centralization has occurred. In both branches the OMB has become the key institution for coordinating the actions of the budget-making powers. At the same time, the much-discussed “iron triangles” explored by analysts of the budgetary system have lost much of their power to control the process. Although the OMB's active involvement in the congressional budget process diminished in 1983, the institutional relationships necessary for a more centralized budget process remain and can be reactivated to deal with the predicted enormous deficits.