Green Connections and Emotional Wellbeing: Sustainability as a Factor of Occupational (Dis)Satisfaction in Catering

Catering in Finland and Sweden constitutes a large industry serving annually 800 million meals and 1,9 billion meals, respectively. On the sector public caterers constitute an influential professional subgroup responding to political pressures for sustainability and illustrating the use of local, organic and fairly traded food. However, heavy cost pressures and currently dilemmatic interpretations of sustainability present public caterers as objects of cultural expectations and arouse their emotions in terms of sustainability in professional environments. This paper highlights caterers’ ‘emotional life-world’ due to their green connections as a micro-sociological phenomenon. The paper investigates how professional emotions as a social force promote structural changes within food systems, as local, organic or environmental interpretations of sustainable food gain preference. In-depth interviews with 16 Finnish caterers were extracted into three exemplary cases of a happy caterer, procuring organic and highly local food, a ‘luke-warm’ contract caterer moving after the trendy demand and a stressed caterer, looking for scientific evidence for sustainability. The caterers’ emotional wellbeing was clearly affected by their green connections, whereby both positive and negative emotions were seen to drive towards sustainable catering, albeit differently interpreted; either as a local and organic or an environmental-technical orientatio

Indenture Between Albertus C. Van Raalte and Christian Johanna, His wife, and the Consistory of the First Reformed Dutch Church of Holland

An indenture between Albertus C. Van Raalte and Christian Johanna, his wife, and the consistory of the First Reformed Dutch Church of Holland. The Van Raaltes receive one dollar for the lots one, two, fifteen and sixteen in block 41 from the congregation for the site on which they plan to build a church. The indenture was witnessed by Anna F Post and H[enry] De. Post. As Justice of the Peace, Post also handled the transaction. The consistory members who signed were elders: H. Broek, J. A. Verhorst, Jeltje Broersma, Gerrit Jan Hekhuis, J. Labots, J. A. Wilterdink, and W. V. Appeldoorn. The deacons were: A. De Weerd, G. W. Wilterdink, A. Plugger, and P. VandenBerg.https://digitalcommons.hope.edu/vrp_1850s/1219/thumbnail.jp

Non-Pharmacological Interventions for Terminal Restlessness in End-of-Life Care

A literature review was conducted between October 2020 to November 2020 to identify the best non-pharmacological interventions for dementia patients facing terminal restlessness. Eight pieces of literature were selected by researchers for review regarding end-of-life patients with dementia. The focus was on non-pharmacological interventions, as research showed that they may be more efficacious and have less adverse reactions then common pharmacological approaches. Methods were developed to implement non-pharmacological interventions for dementia patients specifically for Spencer Hospital in Spencer, Iowa. Outcomes of this project include that the non-pharmacological interventions aromatherapy, touch therapy, environmental modification, caregiver training and communication are best for improving end of life care in patients with terminal restlessness. Keywords: terminal restlessness, interventions, non-pharmacological, dementia, end of life, hospice, and agitation

Aggressive Surgical Management of Recurrent Lymph Node and Pancreatic Head Metastases of Resected Fibrolamellar Hepatocellular Carcinoma: A Case Report

Context Fibrolamellar hepatocellular carcinoma is a rare liver tumor with the propensity to metastasize to the lymph nodes months or years after initial surgery. However, its metastatic spread to the pancreas was previously reported only in a child. Case report We present an unusual case of a young female patient who was repeatedly treated by surgical excision of abdominal and mediastinal lymph node recurrences between 2 and 6 years after left hepatic lobectomy for fibrolamellar hepatocellular carcinoma. At 8 years following her initial surgery, the patient was diagnosed with pancreatic head metastasis and a pancreaticoduodenectomy was performed. Postoperative course was uneventful and the patient did not experience recurrence within the last 18 months. Conclusion The metastasis of fibrolamellar hepatocellular carcinoma to the pancreas is highly exceptional but possible and its excision appears warranted as well.Image: 11C-acetate PET/CT scan showing a decreased uptake of the tracer within the pancreatic head

How whales used to filter: exceptionally preserved baleen in a Miocene cetotheriid

Baleen is a comb-like structure that enables mysticete whales to bulk feed on vast quantities of small prey, and ultimately allowed them to become the largest animals on Earth. Because baleen rarely fossilises, extremely little is known about its evolution, structure and function outside the living families. Here we describe, for the first time, the exceptionally preserved baleen apparatus of an entirely extinct mysticete morphotype: the Late Miocene cetotheriid, Piscobalaena nana, from the Pisco Formation of Peru. The baleen plates of P. nana are closely spaced and built around relatively dense, fine tubules, as in the enigmatic pygmy right whale, Caperea marginata. Phosphatisation of the intertubular horn, but not the tubules themselves, suggests in vivo intertubular calcification. The size of the rack matches the distribution of nutrient foramina on the palate, and implies the presence of an unusually large subrostral gap. Overall, the baleen morphology of Piscobalaena likely reflects the interacting effects of size, function and phylogeny, and reveals a previously unknown degree of complexity in modern mysticete feeding evolution

COVID-19 driven adaptations in the provision of school meals in the Baltic Sea Region

Correction 6.5.2022 10.3389/fsufs.2022.882111The instability, rapid changes, and restrictions generated by the COVID-19 pandemic tested the provision of school meals in the Baltic Sea Region (BSR). School meal services were affected by factors such as full or partial lockdowns, strict hygiene regimes, lay-offs or staff shortages, stressful working environments, supply shortages, and changes to storing, cooking, and serving models. However, the responses to the COVID-19 crisis were highlighted by innovation, new opportunities, and cooperation. This paper reviews several examples of COVID-19 crisis management at school canteens in five BSR countries (Estonia, Finland, Poland, Russia (Saint Petersburg), and Sweden) between March 2020 and March 2021. The paper reveals the significant operational, logistical, and systemic problems that appeared because of the pandemic; the solutions and adaptations that were developed are also identified. The preparatory processes, logistics, and services that were adapted during the COVID-19 pandemic resulted in a new school meal provision model - a takeaway model; that includes similar features and unique characteristics across the different countries. Overall, the provision of school meals was carried out successfully in the BSR during the pandemic. Responsible, competent, and innovative professionals used their organizational skills, flexibility, and responsiveness to feed school pupils in a highly restricted and rapidly changing environment. It is expected that several of the COVID-19-driven innovations will remain in use following the pandemic.Peer reviewe

Transsphenoidal hypophysectomy as a treatment for Rathke's cleft cyst in a dog

The objective of the study was to describe the clinical, imaging, surgical and histological findings in a dog with Rathke's cleft cyst of the pituitary gland. A 6-year-old, female, neutered Staffordshire bull terrier was presented with an acute onset of abnormal behaviour. Magnetic resonance imaging of the skull showed a pituitary mass of 12.9 mm (height) × 8.8 mm (width) × 10.2 mm (length) with a pituitary height/brain area value of 0.73 (reference <0.31). Magnetic resonance imaging findings were suggestive of pituitary apoplexy or neoplasia. Transsphenoidal hypophysectomy was performed and a cystic mass was removed. Histopathology revealed a Rathke's cleft cyst lined by a layer of pseudo-stratified ciliated columnar epithelial cells and mucin-secreting goblet cells with remnant pituitary tissue with positive immunostaining against adrenocorticotropic hormone, alpha melanocyte and growth hormone in the periphery. Rathke's cleft cyst should be included in the differential diagnosis of pituitary masses in the dog, and transsphenoidal hypophysectomy is an effective treatment

Pulmonary Vascular Complications in Hereditary Hemorrhagic Telangiectasia and the Underlying Pathophysiology

In this review, we discuss the role of transforming growth factor-beta (TGF-β) in the development of pulmonary vascular disease (PVD), both pulmonary arteriovenous malformations (AVM) and pulmonary hypertension (PH), in hereditary hemorrhagic telangiectasia (HHT). HHT or Rendu-Osler-Weber disease is an autosomal dominant genetic disorder with an estimated prevalence of 1 in 5000 persons and characterized by epistaxis, telangiectasia and AVMs in more than 80% of cases, HHT is caused by a mutation in the ENG gene on chromosome 9 encoding for the protein endoglin or activin receptor-like kinase 1 (ACVRL1) gene on chromosome 12 encoding for the protein ALK-1, resulting in HHT type 1 or HHT type 2, respectively. A third disease-causing mutation has been found in the SMAD-4 gene, causing a combination of HHT and juvenile polyposis coli. All three genes play a role in the TGF-β signaling pathway that is essential in angiogenesis where it plays a pivotal role in neoangiogenesis, vessel maturation and stabilization. PH is characterized by elevated mean pulmonary arterial pressure caused by a variety of different underlying pathologies. HHT carries an additional increased risk of PH because of high cardiac output as a result of anemia and shunting through hepatic AVMs, or development of pulmonary arterial hypertension due to interference of the TGF-β pathway. HHT in combination with PH is associated with a worse prognosis due to right-sided cardiac failure. The treatment of PVD in HHT includes medical or interventional therapy

Copper Chelation Represses the Vascular Response to Injury

The induction of an acute inflammatory response followed by the release of polypeptide cytokines and growth factors from peripheral blood monocytes has been implicated in mediating the response to vascular injury. Because the Cu2+-binding proteins IL-1alpha and fibroblast growth factor 1 are exported into the extracellular compartment in a stress-dependent manner by using intracellular Cu2+ to facilitate the formation of S100A13 heterotetrameric complexes and these signal peptideless polypeptides have been implicated as regulators of vascular injury in vivo, we examined the ability of Cu2+ chelation to repress neointimal thickening in response to injury. We observed that the oral administration of the Cu2+ chelator tetrathiomolybdate was able to reduce neointimal thickening after balloon injury in the rat. Interestingly, although immunohistochemical analysis of control neointimal sections exhibited prominent staining for MAC1, IL-1alpha, S100A13, and the acidic phospholipid phosphatidylserine, similar sections obtained from tetrathiomolybdate-treated animals did not. Further, adenoviral gene transfer of the IL-1 receptor antagonist during vascular injury also significantly reduced the area of neointimal thickening. Our data suggest that intracellular copper may be involved in mediating the response to injury in vivo by its ability to regulate the stress-induced release of IL-1alpha by using the nonclassical export mechanism employed by human peripheral blood mononuclear cells in vitro