A Collective Metamorphosis of Breastfeeding Mothers: A Phenomenological Exploration of a Face-to-Face Healthcare Provider Facilitated Peer Support Group

This research study used phenomenology to examine a face-to-face healthcare facilitated breastfeeding support group. Participant observations and phenomenology were used to address the following research questions: 1) what are the lived experiences of the women participating a breastfeeding support group, 2) how does the group influence their lived experiences, and 3) what were the common experiences of these women? The support group participants were observed while the researcher acted as a participant observer over the course of an eleven-month period. There were a total of seven women interviewed about their lived experiences breastfeeding and attending the support group. Data from the participant observations and interviews were analyzed at the same time using recursive qualitative methods. A codebook was generated to direct the analysis of the observation data. The interviews were analyzed according to the guidelines outlined by the Phenomenology Research Group at the University of Tennessee, Knoxville. Once analysis was completed, the findings revealed a common thread of transformation in the breastfeeding relationship for these mothers, creating a story of collective metamorphosis. Specifically, mothers found themselves living in a state of uncertainty that they knew they couldn’t remain in, as a result, they sought the support of the group and found a safe space where they were able to make small changes over time. In the end, mothers emerged from the group with a new sense of confidence in their abilities to successfully address their breastfeeding struggles. As such, a story of collective metamorphosis is discussed and presented. The findings from this study further ideas found in current literature and also identified some important inconsistencies that need to be further investigated

Exploring Connections Between Prenatal Physical Activity and Breastfeeding

Women who decide to engage in prenatal physical activity are giving themselves, and their child, an advantage over those who are not physically active during pregnancy; not only are there significant health benefits for mothers, but also there are great benefits for the unborn child. Breastfeeding is another important decision parents make that can impact the future health of their children. There has been extensive research on the benefits of both prenatal physical activity and breastfeeding, but the connection between the two is unclear. The purpose of this grounded theory study was to identify potential connections between factors influencing women’s decisions to engage in prenatal physical activity and breastfeeding among mothers in a medium sized city in Tennessee. Responses from mothers revealed numerous themes related to both prenatal physical activity and breastfeeding. Among these themes, mothers spoke most frequently about the benefits involved with prenatal physical activity and breastfeeding for both the mother and infant. Connections between prenatal physical activity and breastfeeding were identified through several themes including: healthy lifestyles, benefits associated with prenatal physical activity and breastfeeding, knowledge and research evidence, and the naturalness of prenatal physical activity and breastfeeding. An over-arching theme that captured the women’s collective experience and stories was determination

Why Bladder Training Prior to Foley Catheter Removal is Not Best Practice

Several studies have been completed on bladder training prior to foley catheter removal via intermittent clamping. While this practice initially appears to be beneficial to patient care, the studies we have researched all found the practice to be insignificant or not indicated for patient care. As we researched, we were able to compile evidence from multiple sources that support bladder training prior to catheter removal is not best practice. After compiling those results, we were able to gather a better understanding of the reasons this practice is not indicated and what risks it will pose to patients. In conclusion, we were able to defend that free draining foley catheter systems are best practice and should continue to be used rather than bladder training via clamping

Studies into cytauxzoon and helminth infections of bobcats (Lynx rufus) of Northwest Arkansas

The purpose of this study was to determine the prevalence of Cytauxzoon felis and gastrointestinal helminth infections in bobcats (Lynx rufus) of Northwest Arkansas, an area known to have numerous cases of cytaux in domestic cats. Sixty bobcat carcasses were collected from trappers located in Mulberry and Decatur, Arkansas. Blood samples from the hearts were used to isolate Cytauxzoon DNA. Next, a polymerase chain reaction ( PCR) procedure coupled with gel-electrophoresis assay for the 18s region of extracted DNA were used to determine the presence of the protozoan in the bobcats at the time of harvest. Out of the 60 bobcats, 54 (90%) were positive for the protozoan’s infection. These findings indicate a large reservoir of Cytauxzoon for possible infection of domestic cats. Along with the detection of Cytauxzoon felis, intestinal helminths of the bobcats were collected and identified. The isolated helminths included Alaria marcianae, Ancylostoma sp., Molineus barbatus, Taenia sp., Spirometra mansonoides, Mesocestoides lineatus, Aonchotheca putorii, Physaloptera praeputialis and Toxocara cati. All helminths found were previously shown to be common in omnivorous and carnivorous sylvatic as well as domestic mammals of the region. It is amazing that bobcats are able to withstand both parasitic infections concurrently, as they roam the forests of Northwest Arkansas

The Shape of Citizenship: Extraordinary Common Meaning and Constitutional Legitimacy

The United States, it is widely believed, is at a moment of constitutional crisis. At no time since the Civil War era has it seemed more likely that what James Madison called the “experiment entrusted to the hands of the American people”—the experiment in democratic constitutional self-governance—will fail. This article argues that one reason for this state of affairs is that the ‘people’ sense that they are no longer active participants in the experiment. While the historical etiology of this crisis is complex, and the forces involved not confined to the US, this article focuses on the crisis in the legitimacy of the Federal Judiciary—and the role that current orthodoxies in constitutional interpretation have played in fomenting that crisis. The immediate critical target of this article is contemporary jurisprudential uses of what is called “public meaning originalism,” specifically, and ‘textualist originalism’ more broadly, as a theory for the interpretation of those clauses in the US Constitution that refer to fundamental rights and freedoms. This concern with “textualism,” however, is primarily diagnostic. For, despite its relative unpopularity among most contemporary legal theorists, the application of “public meaning originalism” by the US Supreme Court is perfectly consistent with the dominant legal theoretical approach in the English-speaking world. The extremity of the Court’s recent ‘textualist’ jurisprudence provides an excellent illustration, or reminder, of the dangers of legal positivist jurisprudence. In arguing against textualist originalism, this article defends a version of the anti-positivist distinction between legal rules and legal principles, most famously associated with the work of Ronald Dworkin. It argues, however, that this distinction cannot be captured by understanding constitutional principles in terms of moral principles, as Dworkin suggests. Instead, constitutional principles must be understood as deliberative principles of political association and communal self-determination. The primary subject of this article, then, is the character of fundamental constitutional law; our hope is that the current crises in democratic constitutional legitimacy can help make salient certain aspects of the relation between popular sovereignty and constitutional legitimacy that are harder to discern in less fractured political climates. This article begins, in Part One, with a consideration of the Roberts Court’s recent jurisprudence, focusing on three landmark opinions issued in June of 2022: Dobbs v Jackson Women’s Health Organization, Kennedy v. Bremerton School Dist. and West Virginia v EPA. The point of revisiting this recent history will not be—or will not only be—to decry these rulings as anti-democratic and constitutionally ill-founded. The point, rather, will be 1) to see these rulings as consolidations of the Court’s newly asserted constitutional authority, and 2) show how contemporary positivist constitutional theory has helped prepare the way for the Court’s manipulation of the constitutional order. Part Two begins to elaborate an anti-positivist alternative both to legal positivism and to natural law legal theory. In agreement with traditional natural law theorists, it is argued that the distinction between illegitimate and legitimate expressions of political authority depends on the degree to which a system of authority is directed toward a common good. In disagreement with those theorists, however, this article contends that the common good of a political community is determined by the communal deliberative activity of a political community, and that the deliberative determination of a common good is the normative foundation of that community. Part Three focuses on the First Amendment of the US Constitution with two aims in mind. First, to illustrate the account of constitutional law here advocated, it offers a reading of the First Amendment as an attempt to put into words a shared understanding among the ratifiers of the Bill of Rights of what this article calls ‘the shape of citizenship’ in our constitutional democracy. Second, it shows how the Court’s recent opinions have radically subverted the last vestiges of this original connection between constitutional rights and the foundational principles of constitutional self-government. In Dobbs v Jackson, in particular, the Court asserts an understanding of constitutional rights as merely a particular structural variant of positive law, and in so doing effectively makes the legal order a sovereign power over the people, rather than an expression of and vehicle for their common self-determination

Stochastic Programming and Distributionally Robust Optimization Approaches for Location and Inventory Prepositioning of Disaster Relief Supplies

In this paper, we study the problem of disaster relief inventory prepositioning under uncertainty. Specifically, we aim to determine where to open warehouses and how much relief item inventory to preposition in each, pre-disaster. During the post-disaster phase, prepositioned items are distributed to demand nodes, and additional items are procured and distributed as needed. There is uncertainty in the (1) disaster level, (2) locations of affected areas, (3) demand of relief items, (4) usable fraction of prepositioned items post-disaster, (5) procurement quantity, and (6) arc capacity. We propose and analyze two-stage stochastic programming (SP) and distributionally robust optimization (DRO) models, assuming known and unknown uncertainty distributions, respectively. The first and second stages correspond to pre- and post-disaster phases, respectively. We propose a Monte Carlo Optimization procedure to solve the SP and a decomposition algorithm to solve the DRO model. To illustrate potential applications of our approaches, we conduct extensive experiments using a hurricane season and an earthquake as case studies. Our results demonstrate the (1) the robustness and superior post-disaster operational performance of the DRO decisions under various distributions compared to SP decisions, especially under misspecified distributions and high variability, (2) the trade-off between considering distributional ambiguity and following distributional belief, and (3) computational efficiency of our approaches

Physical activity and screen-viewing policies in Canadian childcare centers

Background: Physical activity (PA) offers numerous health benefits for young children; however, many children enrolled in childcare engage in low levels of PA and high levels of sedentary time. This study aimed to describe the prevalence and content of written PA and screen-viewing (SV) policies in Canadian childcare centers. Methods: Using a modified version of the Environment and Policy Assessment and Observation Self-Report (EPAO-SR) tool, an online survey was distributed to all directors/administrators of center-based childcare facilities across Canada. Reminder emails were sent to encourage survey completion and a strong response rate. Descriptive statistics were used to explore demographic characteristics and frequencies were run to examine the number of centers that implemented a PA or SV policy. Deductive content analysis was completed to identify common themes in participants\u27 open-ended responses. Results: A total of 1158 childcare representatives participated in the study; 514 provided complete data. Of these, 295 (44%) centers indicated having a written PA policy (with the majority regulated at the provincial/territorial-level; n = 227; 42%). Content of these policies included amount of time: spent outdoors (n = 395; 63%); in teacher-led active play (n = 101; 16%); and PA education for children (n = 91; 16%). Additionally, 178 (29%) respondents reported a written policy regarding SV (with majority regulated at the center-level; n = 173; 34%) and primarily focusing on amount of time children watch television. Conclusions: PA regulations are more common than SV policies in Canadian childcare centers; however, less than half implement a PA policy and only a third adopt SV regulations. An opportunity exists to advance practice by adopting proactive approaches to encouraging young children to be more active and less sedentary in childcare (i.e., through written policies). Supplementing policy with accessible resources, as well as consistent provision of early childhood educator (staff) training, represent important steps for putting said policies into action