IMPROVING PEDIATRIC PROVIDERS’ INTENT FOR SAFE SLEEP ANTICIPATORY GUIDANCE WITH AN ELECTRONIC EDUCATIONAL INTERVENTION

Background: Sudden Infant Death Syndrome or SIDS is the fourth leading cause of infant mortality in the United States. There is no definitive cause of death pertaining to SIDS, but certain risk factors have been identified that increase the risk of SIDS in an infant. While safe-sleep education during the prenatal time of parenthood is important, it is also essential to continue this education comprehensively in the primary care setting and in any other exposure the family has to healthcare. Objective: The objective of this study is to evaluate the self-reported knowledge of University of Kentucky Children’s Hospital Pediatric Residents’, confidence, and beliefs on anticipatory guidance in relation to safe sleep practices before and after a virtual safe sleep educational intervention. Methods: Using a pre- and post-test design, this single site quasi-experimental study included: (1) Pre-intervention electronic survey (2) PowerPoint educational intervention via E-Mail (3) Post-intervention electronic survey. Convenience sampling was used among medical residents in the UK Pediatric Residency Program (n=70) for eligible participants. Descriptive statistics and odds ratios were generated to determine statistical significance. Results: Of the 70 eligible participants, 13 participants (n=13) completed the pre-survey, resulting in an 18.5% response rate. Only 1 of the 13 eligible participants completed the post-survey in its entirety resulting in a 7% response rates. This caused the main data to be pulled from the pre-survey responses. Results found that 23.1% of residents found discussing safe sleep is difficult. Barriers that were identified for safe sleep education were time (30.8%), not enough resources (15.4%), and patients not being interested in receiving education (15.4%). Things that were identified by the sample that would aid in educating families are additional training (69.2%), educational videos for families (53.8) and printed materials to share with families (100%). Lastly, only 46.2% of the sample had received formal safe sleep education. Conclusions: Providing additional training and materials to providers on the topic of safe sleep anticipatory guidance could improve their confidence in providing safe sleep education to families

Growing consumers through production and play:a phenomenological exploration of food growing in the school foodscape

This article adopts a phenomenological perspective to illustrate how gardens become important spaces where children informally encounter, produce, consume and learn about food. We extend the theoretical concept of the ‘foodscape’ by applying it to both childhood production and consumption and, drawing on qualitative insights from two UK school gardening clubs, show why bodily and sensory phenomena are central to unlocking the potential for foodscapes as learning environments. We highlight how sensory engagement with ‘mess’ and ‘dirt’ normally dissociated from food retail and service enhances the agentic capacity of children as growers and consumers. Our central contribution to the sociology of food is to advance the argument that sensory learning is vital if children are to successfully negotiate between abstract and experiential awareness of the taste and source of myriad consumables, something which currently exacerbates the culture of anxiety and mistrust in contemporary food consumption

‘It’s just a job’:understanding emotion work, de-animalization and the compartmentalization of organized animal slaughter

This article contributes to an understanding of the nexus between humans and animals by drawing on ethnographic research conducted in a British chicken factory and, more particularly, by exploring the emotional subjectivity of Meat Inspectors employed by the Food Standards Agency to oversee quality, hygiene and consumer safety within this plant. We argue that these Inspectors displayed a complex range of often contradictory emotions from the ‘mechanized’ to the ‘humanized’ and link this, in part, to the technocratic organization of factory work that compartmentalizes and sanitizes slaughter. This serves to de-animalize and commodify certain animals, which fosters an emotional detachment from them. In contrast to research which suggests that emotions switch off and on in a dialectic between violence and non-violence, or that we are living in a post-emotional society, we elucidate the co-existence, fluidity and range of emotions that surface and submerge at work. While contributing to the extant literature on ‘emotionologies’, we add new insights by considering how emotions play out in relation to animals

(Re)connecting the food chain:Entangling cattle, farmers and consumers in the sale of raw milk

This paper deals with the following class of nonlocal Schr\"odinger equations $$\displaystyle (-\Delta)^s u + u = |u|^{p-1}u \ \ \text{in} \ \mathbb{R}^N, \quad \text{for} \ s\in (0,1).$$ We prove existence and symmetry results for the solutions $u$ in the fractional Sobolev space $H^s(\mathbb{R}^N)$. Our results are in clear accordance with those for the classical local counterpart, that is when $s=1$

Bridging the Divide Between Theory and Practice : Taking a Co-Productive Approach to Vet-Farmer Relationships

This article explores the practical difficulties faced by veterinary surgeons in bridging the divide between scientific and practitioner knowledge. By review of extant literature and an empirical example from the dairy industry, cattle lameness, the article advocates innovative approaches to the concept of knowledge transfer and suggests an alternative to the evidence-based communication model that many vets seek to use in practice. In highlighting a qualitative understanding of knowledge within a needs-based process of learning, the article suggests that co-produced experiences, framed by dialogic exchange and democratic learning techniques, have potential to bring together different forms of expertise in applied ways. The article contends that doing so carries the potential for greater collaboration, learning and change on farms

Development of a universal measure of quadrupedal forelimb-hindlimb coordination using digital motion capture and computerised analysis.

BACKGROUND: Clinical spinal cord injury in domestic dogs provides a model population in which to test the efficacy of putative therapeutic interventions for human spinal cord injury. To achieve this potential a robust method of functional analysis is required so that statistical comparison of numerical data derived from treated and control animals can be achieved. RESULTS: In this study we describe the use of digital motion capture equipment combined with mathematical analysis to derive a simple quantitative parameter - 'the mean diagonal coupling interval' - to describe coordination between forelimb and hindlimb movement. In normal dogs this parameter is independent of size, conformation, speed of walking or gait pattern. We show here that mean diagonal coupling interval is highly sensitive to alterations in forelimb-hindlimb coordination in dogs that have suffered spinal cord injury, and can be accurately quantified, but is unaffected by orthopaedic perturbations of gait. CONCLUSION: Mean diagonal coupling interval is an easily derived, highly robust measurement that provides an ideal method to compare the functional effect of therapeutic interventions after spinal cord injury in quadrupeds

Kinship Health Relationships: Reconfiguring the ‘good death’ in mixed species families.

Through an innovative interspecies analysis, this article explores narratives surrounding the medical treatment of humans and pet animals at the end of life among UK veterinary surgeons, medical practitioners and members of the public. Contrasting the care options open to pet owners with those available to human patients, and through a thematic focus on treatments and medicines, euthanasia and palliation, this article pays close attention to the ways that practitioners and members of the public make sense of - and express ideas about - interspecies family kinship at the end of a life. We highlight the utility of interactionist approaches for understanding microsocial human-animal kinship ties and argue that health policy and practice during end-of-life care should better reflect the lived reality of the multispecies family. In so doing, we highlight the significance and complexities of interspecies conversations for the development of contemporary end-of-life care debates. Keywords: ‘good death’, end-of-life care, clinical responsibility, euthanasia, palliative care, animal-human relations; pets; posthumanism; kinship

Quantification of deficits in lateral paw positioning after spinal cord injury in dogs

<p>Abstract</p> <p>Background</p> <p>Previous analysis of the behavioural effects of spinal cord injury has focussed on coordination in the sagittal plane of movement between joints, limb girdle pairs or thoracic and pelvic limb pairs. In this study we extend the functional analysis of the consequences of clinical thoracolumbar spinal cord injury in dogs to quantify the well-recognised deficits in lateral stability during locomotion. Dogs have a high centre of mass thereby facilitating recognition of lateral instability.</p> <p>Results</p> <p>We confirm that errors in lateral positioning of the pelvic limb paws can be quantified and that there is a highly significant difference in variability of foot placement between normal and spinal cord injured dogs. In this study there was no detectable difference in lateral paw positioning variability between complete and incomplete injuries, but it appears that intergirdle limb coordination and appropriate lateral paw placement recover independently from one another.</p> <p>Conclusion</p> <p>Analysis of lateral paw position in the dog provides an additional tier of analysis of outcome after spinal cord injury that will be of great value in interpreting the effects of putative therapeutic interventions.</p