Children who were older than four at the time of their adoption experience more psychological problems than those who were younger.According to study in the UK, adopted children can have mental health problems that do not improve even four years after their adoption. Children with multiple adverse childhood experiences are more likely to have mental health problems. The study suggests that to identify and tread mental health problems early, care professionals and the adopting parents need detailed biographical information about the childs life. Another study in the UK suggests that adopted children are more likely to suffer from post-traumatic stress (PTS) than the general population. Their PTS symptoms depend on the type of adverse experiences they went through and knowledge of their history offers an option for tailored support. Adoptees of LGBT parents
There is evidence that shows the adoptees of LGBT families and those in heterosexual families have no significant differences in development. One of the main arguments used against same-sex adoption is that a child needs a mother and a father in the home to develop properly. However, a 2013 study of predictors for psychological outcomes of adoptees showed that family type (hetero, gay, lesbian) does not affect the childs adjustment; rather the preparedness of the adoptive parent(s), and health of relationship to partner, and other contextual factors predicted later adjustment in early placed adoptees.
In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid  or fish poisoning. E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat. Erysipelothrix rhusiopathiae also causes Swine Erysipelas. It is common in domestic pigs and can be transmitted to humans who work with swine. It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae. Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation. Diagnosis
Violaceous swelling with severe pain but without pus (Which differentiates from pus forming streptococcal and staphylococcal erysipelas)

Erysipeloid of Rosenbach
Erysipeloid of Rosenbach is a cutaneous condition most frequently characterized by a purplish marginated swelling on the hands. : 264  The eponym Rosenbachs disease is in reference to the milder type of the condition and is named after Friedrich Julius Rosenbach. Early work on the condition in US fishermen was carried out by Klaunders and colleagues. Treatment
The treatment of choice is a single dose of benzathine benzylpenicillin given by intramuscular injection, or a five-day to one-week course of either oral penicillin or intramuscular procaine benzylpenicillin. Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin. See also
Erysipeloid of Rosenbach

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