Implementing Pasteurized Donor Human Milk Programs in Level One and Two Nurseries: policies, barriers, and successes

Pasteurized donor human milk (PDHM) as feeding supplementation has been shown to prevent and lower rates of gastrointestinal infection and increase exclusive human milk consumption (EHM) in critically-ill, low birthweight and premature infants. Policies/ procedures for the use of PDHM in “well” newborns and low birth weight newborns with non-life-threatening illness, level I and II nurseries, respectively, have not been established. The objective of this research is to gather and summarize policies/procedures and experiences from four hospitals in the northeast US that use PDHM in level I/II nurseries. Data was collected from interviews with hospital administrators and each hospital’s PDHM policies/procedures on PDHM procurement, storage and distribution, as well as patient inclusion criteria. Interview and policy/procedure data were analyzed to identify similarities, differences, successes, and barriers to PDHM program implementation and outcomes. Findings revealed policies and procedures of all four hospitals cited five indications for PDHM supplementation: ineffective breastfeeding, preterm birth, hypoglycemia, weight loss greater than 10%, and hyperbilirubinemia. One hospital did not include a step-by-step procedure on distributing PDHM, but the remaining three hospitals cited thirteen similar distribution steps. Three barriers to implementation and maintenance of each PDHM program were funding, “ick” factor, and time limit on supplementation. Two successes reported by all hospitals included increased EHM rates and gratitude for PDHM as a supplement option. Although sample size was limited to four hospitals, the findings were consistent, suggesting that this research can be used to develop a template on PDHM policy/procedures for level I/II nurseries in the US

My Fair Lady

There were 10 good reasons why My Fair Lady should have never made it on Broadway, according to CBC Radio Music Host Robert Harris. One reason was that the leading lady (Julie Andrews) was virtually unknown at the time, and another was that Henry Higgins (Rex Harrison) couldn\u27t sing! Instead, Lerner and Loewe\u27s masterpiece became their biggest and longest-running hit. Based on the play, Pygmalion, by George Bernard Shaw, the script weaves together entertainment and transformation. Eliza\u27s metamorphosis from guttersnipe to dazzling, high-class beauty is stunning, but the real transformation is the one inside. Through Henry Higgins\u27 prodding and provoking, Eliza becomes a strong, self-reliant woman. And as Higgins recognizes Eliza\u27s value as a person - regardless of social distinctions - he begins to change, too. Whether or not he falls in love is left to our imagination, but one thing is sure - we, along with Higgins, celebrate in Eliza the true worth of the human spirit.https://digitalcommons.cedarville.edu/theatre_productions/1016/thumbnail.jp

A Prescribed Environment - What are the Spatial Restrictions Experienced by Women Living with Anxiety Disorders?

A research project that aimed to investigate how anxiety disorders affect a group of four women, living in Glasgow, and their relationships with space. Women’s experiences of living with anxiety have historically been underrepresented; existing literature on the subject of anxiety disorders and space has predominantly been based on the experiences of western men living with agoraphobia. By focusing solely on the spatial restrictions experienced by agoraphobics, existing literature articulates that it is only agoraphobics that experience spatial restrictions as a result of their anxiety. This research poses the question: Does every anxiety disorder induce some kind of spatial restriction? Recognising the complexity of anxiety disorders, this project aims to identify where anxiety affects many aspects of these women’s lives and how this has potential to result in a spatial restriction. Participants involved in this research display many of the ‘lifestyle limiting’ avoidance tactics used by agoraphobics but do not describe themselves as having agoraphobia, identifying themselves as having anxiety instead. Distancing itself from finding the cause, this research explores how each individual’s anxiety impacts her daily routines and movements. Seeking to identify whether the participant’s anxiety places spatial restrictions on her and if such constraints affect her mobility

Fatherhood, bereavement and masculinity: an exploratory study of partner loss

Background: Early life-course partner bereavement is a highly stressful life-event demanding considerable readjustment for surviving parents and their children. Gender and masculinities are highly influential to fathers’ experiences; in that they inform labour division, social positioning, and health behaviours. This study aimed to explore the experiences of partner-bereaved fathers in the United Kingdom, to better understand how parenthood and gender influenced and were influenced by bereavement. It asked: What are the transition experiences of fathers (with resident children, aged ≤16 years) around the death of a partner, how do gender and masculinities influence these experiences, and what are their support needs and preferences? Methods: Thirty-five in-depth interviews were conducted with 18 fathers, from a range of backgrounds and family configurations, whose partners died from non-violent causes between 6 months and 5 years prior to participation. 17 participants took part in two interviews using creative methods to elicit rich narrative data. The first explored men’s experiences of bereavement using a ‘time-line’ method. The follow-up explored their support needs, experiences and preferences using visual prompt cards. Data were analysed using thematic analysis with framework. Findings: Despite supporting ‘new fatherhood’ and gender equality discourses, most men described unequal domestic arrangements in childcare and domestic work prior to bereavement. Fathers described significant role change when their partners’ health deteriorated and following their death, the majority inherited the primary caregiver role for the first time. This major transition led to deconstruction of gender boundaries between home and workplace. Many fathers’ public encounters alternatively brought heightened awareness of borders between gender roles, and perceived scrutiny. Findings show fathers felt their ability to cope as male primary caregivers was under question. They endorsed gender stereotypes around the supremacy of women as parents via ‘partner sanctification’. Participants were engaged in multiple forms of ‘custodianship’, including the performance of ‘continuing bonds’ between their children and deceased partner, expressing preference for routine over ritualistic remembrance. Decisions to seek, and acceptance of, support from others were highly gendered. While many ultimately accepted support, they often felt conflicted, with desire for self-reliance being a dominant theme. Whilst most men drew on informal support, preference was expressed for formal support. Considerable inequities in UK bereavement support provision across the UK were observed. Ideas for formal support improvement primarily centred on greater facilitation of bereavement support access. Conclusions: Fathers’ transition experiences were found to be dynamic — commonly beginning pre-bereavement and extending over a prolonged period. Findings indicate fatherhood (in terms of both gender and custodianship) plays a significant role in partnership bereavement (and vice versa) leading to unique support needs. Future support should consider these needs with improved facilitation of bereavement support access

Romeo & Juliet

Using the timelessness of this classic, Baker has set the play in Miami in the 1930’s. She reasons that this setting will celebrate the power of the play, as well as enhance the youthful feel for the audience. Along with using a relatively more modern setting all the while maintaining the Shakespearean structure, the script contains slight adjustments in language to help the audience better understand the plot of the story.https://digitalcommons.cedarville.edu/theatre_productions/1025/thumbnail.jp

The Miracle Worker

Based on the true story of Helen Keller - blind, deaf, and mute since infancy - and her teacher Annie Sullivan - the half-blind Yankee schoolgirl - this unforgettable play has inspired and moved audiences since its first performance. When we do the best we can, we never know what miracle is wrought in our life or in the life of another. — Helen Kellerhttps://digitalcommons.cedarville.edu/theatre_productions/1012/thumbnail.jp

And Then There Were None

Adapted from Agatha Christie’s best-selling novel, the play tells the tale of a group of strangers, all with questionable pasts, isolated on an island off the coast of Devon. And Then There Were None will captivate you not only by the skillful twists and turns of a “Who done it?” but also by the suspense of “Who’s next?” This is Agatha Christie at her best!https://digitalcommons.cedarville.edu/theatre_productions/1000/thumbnail.jp

The 39 Steps

Alfred Hitchcock’s masterpiece bursts onto the stage as a fast-paced, riproaring farce that will keep you guessing to the last moment! Winner of two Tony Awards, The 39 Steps is packed with nonstop laughs, over 150 zany characters (brilliantly played by four actors), an on-stage plane crash, and tomfoolery. And through all the daring action comes unexpected romance, as a man and woman discover the beating of their own hearts.https://digitalcommons.cedarville.edu/theatre_productions/1028/thumbnail.jp

Tartuffe, or the Imposter

Molière mixes morals, manners, and mischief in this, his laughter-filled farce. Orgon is duped by Tartuffe, a religious imposter, but finally through several hilarious situations, Orgon is made to see Tartuffe as the “wolf in sheep’s clothing” that he is. Without a doubt, this is considered Molière’s masterpiece!https://digitalcommons.cedarville.edu/theatre_productions/1010/thumbnail.jp

The Diary of Anne Frank

The Diary of Anne Frank tells the story of a young Jewish girl and her family during the German World War II occupation of the Netherlands. The play explores themes of persecution, coming of age during wartime, and Jewish identity in a world turned upside down by hatred. Anne’s unique perspective, recorded in her personal diary discovered after the war had ended, attests to her hope for all people to someday live without fear. The New York Daily News described the play as having “so much beauty, warm humor, gentle pity … that it is difficult to imagine how this play could be contained in one set on one stage … this is a fine drama.”https://digitalcommons.cedarville.edu/theatre_productions/1038/thumbnail.jp