Hearing the voices of Black Africans: Essential components for culturally relevant marriage enrichment programs in South Africa.

The literature on marriage supports teaching essential skills to enhance relationship quality and prevent divorce. However, limited marriage and relationship curricula tailored for African cultures, especially within the South African context, are currently available. This study aimed to redress gaps in literature and practice, outlining elements for inclusion into a marriage enrichment program (MEP) grounded on PREP 8.0 (Prevention and Relationship Education Program) and current baseline research conducted in South Africa. A qualitative descriptive phenomenological design was utilized, using face-to-face interviews with leaders and social services practitioners (SSPs) and a pilot study with couples, all sampled purposively. Findings show that (1) Black Africans are in high need of MEPs, revealed through intense gratitude and (2) a prerequisite for positive outcomes is the integration of equally necessary traditional contextual components with modern practices, elucidated by practical recommendations. A contextual and culturally relevant MEP is a systematic attempt to improve the functioning of marriage through education, effectively supporting Black Africans to cultivate healthy, stable family relationships.

Population and colony structure of an ant with territorial males, Cardiocondyla venustula.

BACKGROUND: Many species of social insects have large-scale mating and dispersal flights and their populations are therefore often relatively homogenous. In contrast, dispersal on the wing appears to be uncommon in most species of the ant genus Cardiocondyla, because its males are wingless and the winged queens mate in their natal nests before dispersing on foot. Here we examine the population structure of C. venustula from South Africa. This species is of particular interest for the analysis of life history evolution in Cardiocondyla, as it occupies a phylogenetic position between tropical species with multi-queen (polygynous) colonies and fighting males and a Palearctic clade with single-queen colonies and mutually peaceful males. Males of C. venustula exhibit an intermediate strategy between lethal fighting and complete tolerance - they mostly engage in non-lethal fights and defend small territories inside their natal nests. We investigated how this reproductive behavior influences colony and population structure by analyzing samples on two geographic scales in South Africa: a small 40 × 40m2 plot and a larger area with distances up to 5 km between sampling sites in Rietvlei Nature Reserve near Pretoria. RESULTS: Colonies were found to be facultatively polygynous and queens appear to mate only with a single male. The extraordinarily high inbreeding coefficient suggests regular sib-mating. Budding by workers and young queens is the predominant mode of colony-founding and leads to high population viscosity. In addition, some queens appear to found colonies independently or through adoption into foreign nests. CONCLUSION: While C. venustula resembles tropical Cardiocondyla in queen number and mating frequency, it differs by the absence of winged disperser males. Dispersal by solitary, mated queens on foot or by short flights and their adoption by alien colonies might promote gene flow between colonies and counteract prolonged inbreeding. The abundance of suitable habitat and the high density of nests facilitate the spread of this species by budding and together with the apparent resistance against inbreeding make it a highly successful pioneer species and invader of degraded and man-made habitats.

Convection-Enhanced Delivery in the Treatment of Glioblastoma.

OBJECTIVE: To describe the indications for convection-enhanced delivery in the treatment of glioblastoma, highlighting candidates for the delivery method, mechanics of drug delivery, and management of acute and long-term complications. DATA SOURCES: A conceptual framework drawn from published literature as well as author's expert experiences. CONCLUSION: Convection-enhanced delivery is an established method of delivering new therapies to patients with glioblastoma. Management of both acute and long-term complications is often drug dependent. IMPLICATIONS FOR NURSING PRACTICE: Nurses should be able to recognize and manage potential complications during the infusion of agents delivered via convection-enhanced delivery. Post-infusion symptoms may worsen because of immunologic responses related to the drug and management should be directed toward symptom relief and support without interference on the immunologic response.

Between fighting and tolerance: reproductive biology of wingless males in the ant Cardiocondyla venustula.

Male reproductive tactics vary widely across the species of the ant genus Cardiocondyla, from obligatory lethal combat among co-occurring males to complete mutual tolerance. The African species C. venustula Wheeler, 1908 has an intermediate phylogenetic position between taxa with fighting males and taxa with tolerant males and also shows an intermediate male behavior. Males from 2 native populations in South Africa and a population introduced to Puerto Rico attacked and killed freshly eclosing rivals but rarely engaged in deadly fights with adult competitors. Instead, several males per colony established small "territories" in their natal nests and defended them against other males. Males with a stable territory had more contact with female sexuals than nonterritorial males and more frequently engaged in mating attempts. In controlled choice experiments, female sexuals did not show any preference for particular males. We suggest that male territoriality in C. venustula is an adaptation to the seasonal production of large numbers of female sexuals by multiple mothers.

Diffuse growth pattern affects E-cadherin expression in invasive breast cancer.

We investigated the correlations between growth patterns and E-cadherin expression by immunohistochemistry and the presence of mutations of exons 6-10 of the E-cadherin gene by PCR-SSCP, in 79 cases of invasive lobular and ductal breast cancer. E-cadherin expression showed a tendency to be lower in lobular than in ductal carcinomas (p=0.064). In 60% of lobular carcinomas the diffuse growth pattern and in 72% of ductal carcinomas the compact growth pattern predominated. E-cadherin expression was significantly lower in diffuse than in compact tumor area (p<0.001) and not related to carcinoma type when it was considered in tumor areas with either diffuse (p=0.278) or compact (p=0.128) growth pattern. No mutations were detected. In conclusion, loss of E-cadherin expression is related to an increase of diffuse growth pattern in both lobular and ductal types of breast cancer, and the differential proportions of growth patterns in both tumor types cause the tendency for lower E-cadherin expression in the lobular type.

HPV 29-associated spotted hyperpigmentation of the face.

A healthy immunocompetent 40-year-old man presented with spotted hyperpigmentation of the face. Skin-biopsies taken from these lesions revealed slight acanthosis of the epidermis with vacuolization within the keratinocytes in the upper malpighian layer similar to HPV-induced cytopathic viral effects. Polymerase chain reaction analysis and subsequent direct DNA sequencing could clearly demonstrate the presence of HPV 29 DNA in the hyperpigmented macules. To our knowledge, this is the first report of facial hyperpigmented lesions induced by HPV 29.