The Cost of Affordable Food

When someone puts a piece of food in front of me, I don’t just see a piece of food. Instead, I see an innocent cow being cornered by a forklift and slaughtered, its limp, moist tissue hung on a long conveyer belt with hundreds of others. I see hundreds of chemically-injected chickens packed into a dark barn with no hope of seeing sunlight in their lifetime. I see immigrants pulled from their houses like criminals, taken away from the lives they’ve spent years building for themselves and their families, working for the same food company that courted them into the country. I see pink slime, a dubious compilation of cartilage, connective tissue, tendons and ammonia being served as chicken nuggets and hamburgers in public school lunches. [excerpt

WHAT KIND OF HEALING DOES PSYCHEDELIC-ASSISTED PSYCHOTHERAPY FOSTER?

World-wide, researchers and practitioners in psychiatry are increasingly interested in the effectiveness of such substances as MDMA, LSA, and psylocibin in treating such disorders as addiction, post-traumatic stress disorder, and other types of depressive and anxiety.  Although most of these substances were declared illegal in most countries during the 1970s, research into their use was widespread during the mid-20th century, and has recently returned to the spotlight. Psychotherapy enhanced by some of these substances has been demonstrated to be highly effective where pharmaceuticals have not.  People undergoing these therapies appear to be truly healed, rather than merely treated. This, though, raises the philosophical question of what the nature is of the healing that therapy utilizing these substances fosters. Unlike pharmaceutical treatments, these treatments are not based on a biological model, chronically altering brain chemistry; and unlike traditional talk therapies, psychedelic-assisted psychotherapy does not require extended periods of time, or any of the elements associated with Freudian, cognitive behavior, or other psychological  models.  Using traditional philosophical methods, this paper argues that objections to the use of psychedelics in psychotherapy are unwarranted, and that, in fact, the kind of healing that they bring about is just what our competitive, isolating, and alienating contemporary world needs

Rhetorical Implications of Contact Tracing Mobile Applications: An Examination of Big Data’s Work on the Body

For nearly a decade, big data has been hyped as an amazing new technology that will benefit corporations and consumers alike. By promising customized knowledge at an accelerated pace, big data technologies have slowly saturated the digital systems American consumers use to live, work, and play. Yet have the promised benefits materialized? An examination of the proposed contact tracing applications in response to the novel coronavirus alongside existing wearable technologies reveal that our trust and vulnerability, opening our bodies to be sensed by these networked systems, is a fraught rhetorical activity: not because an omniscient system now sees us and cares for us in our time of grave need. Rather, the opaque system misunderstands our embodied rhetorical actions, is incapable of moving the American polis, and cannot generate the promised collective action

Patient-Perspective Task Performance: Creating Contextually Relevant Student Clinical Training Through the Use of Patient Experience

Patient-centered and patient-focused care purports that patients are at the center of all clinical decisions made for optimal medical outcomes. Optimal medical outcomes originate from accurately and reliably executed task performance by healthcare professionals trained to administer highly specific care for each patient condition. Many of these executed tasks are performed in the presence of the patient; this is defined as direct patient care. However, there are equally important tasks executed that are not performed in the presence of the patient; the performance of diagnostic laboratory testing is an example of such tasks. Clinical training of healthcare laboratory professionals begins with enrollment into degree-based or certificate-based training programs designed to instruct students on theory and practice of diagnostic testing and associated tasks that support testing. This instruction comes in the form of didactic coursework and clinical practicums performed in a hospital or clinic-based setting. Most of the instruction clinical students receive is designed by college faculty who teach within Clinical Laboratory Science and Medical Laboratory Technology programs, and their students complete all practical training in the hospital clinical laboratory setting. This study examined how these clinical training experiences are created to include patient experience and what instructional strategies are used in clinical training for Medical Technology students. A qualitative case study design sought to describe how faculty, and the instructional designers who assist them, design program curriculum to include the patient perspective, which is used to create instructional strategies to enhance the patient experience. Findings show that little purposeful planning and design exists for patient experience inclusion within the design of curriculum; however, clinical training instructional strategies indirectly teach the concept using various types of case-based scenarios aligned to intended purpose and expected outcome

The critical elements of effective academic-practice partnerships: a framework derived from the Department of Veterans Affairs Nursing Academy.

BackgroundThe nursing profession is exploring how academic-practice partnerships should be structured to maximize the potential benefits for each partner. As part of an evaluation of the U.S. Department of Veterans Affairs Nursing Academy (VANA) program, we sought to identify indicators of successful partnerships during the crucial first year.MethodsWe conducted a qualitative analysis of 142 individual interviews and 23 focus groups with stakeholders from 15 partnerships across the nation. Interview respondents typically included the nursing school Dean, the VA chief nurse, both VANA Program Directors (VA-based and nursing school-based), and select VANA faculty members. The focus groups included a total of 222 VANA students and the nursing unit managers and staff from units where VANA students were placed. An ethnographic approach was utilized to identify emergent themes from these data that underscored indicators of and influences on Launch Year achievement.ResultsWe emphasize five key themes: the criticality of inter-organizational collaboration; challenges arising from blending different cultures; challenges associated with recruiting nurses to take on faculty roles; the importance of structuring the partnership to promote evidence-based practice and simulation-based learning in the clinical setting; and recognizing that stable relationships must be based on long-term commitments rather than short-term changes in the demand for nursing care.ConclusionsDeveloping an academic-clinical partnership requires identifying how organizations with different leadership and management structures, different responsibilities, goals and priorities, different cultures, and different financial models and accountability systems can bridge these differences to develop joint programs integrating activities across the organizations. The experience of the VANA sites in implementing academic-clinical partnerships provides a broad set of experiences from which to learn about how such partnerships can be effectively implemented, the barriers and challenges that will be encountered, and strategies and factors to overcome challenges and build an effective, sustainable partnership. This framework provides actionable guidelines for structuring and implementing effective academic-practice partnerships that support undergraduate nursing education

Childhood Maltreatment Predicts Poor Economic and Educational Outcomes in the Transition to Adulthood.

ObjectivesTo test whether childhood maltreatment was a predictor of (1) having low educational qualifications and (2) not being in education, employment, or training among young adults in the United Kingdom today.MethodsParticipants were from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative UK cohort of 2232 twins born in 1994 to 1995. Mothers reported on child maltreatment when participants were aged 5, 7, 10, and 12 years. Participants were interviewed about their vocational status at age 18 years.ResultsThe unadjusted odds of having low educational qualifications or of not being in education, employment, or training at age 18 years were more than 2 times greater for young people with a childhood history of maltreatment versus those without. These associations were reduced after adjustments for individual and family characteristics. Youths who reported having a supportive adult in their lives had better education outcomes than did youths who had less support.ConclusionsCloser collaboration between the child welfare and education systems is warranted to improve vocational outcomes for maltreated youths

Injury surveillance in community cricket: A new inning for South Africa

Published injury rates amongst elite and club-level youth cricketers highlight the need to implement injury risk-reducing strategies amongst the youth cricketing population. Data from sports injury surveillance systems are a prerequisite for the development and evaluation of strategies to reduce injury risk. Therefore, collecting injury surveillance data is a positive move towards reducing injuries in cricket. In South Africa, a systematic, standardised, evidence-informed injury surveillance system currently does not exist for community levels of play, namely, in cricket-playing high schools and cricket clubs. Although injury surveillance systems exist at elite levels, the obvious differences in elite versus community cricket settings mean that these systems cannot be implemented in their current form at community-level cricket. An innovative model is required to implement an injury surveillance system in community cricket. Clinical implications: This article proposes and describes a new research–practice partnership model to implement a systematic, standardised, evidence-informed injury surveillance system at cricket-playing high schools or cricket clubs within South Africa. Once this model has been employed, database systems will need to be established to allow long-term data management and sharing