Taawon

Simple SummaryConsumers, veterinarians, and farmers are increasingly concerned about animal welfare on dairy farms. Thus, invasive procedures should be avoided along the production flux and also during additional procedures, such as performing welfare measurements. In this study, we investigated whether routinely collected milk composition data could serve as an indicator of cows’ health and well-being. Data from 37 commercial farms were analysed, combining milk composition with direct assessments of health, behaviour, and housing conditions. Our findings indicated that specific milk components, such as the fat-to-protein ratio, energy-related metabolites, and udder health indicators, were significantly associated with markers of favourable or unfavourable welfare. Farms with healthier and more content cows tended to produce milk with a better fat-to-protein balance and lower evidence of disease. Conversely, farms with welfare challenges such as lameness, mastitis, or poor hygiene exhibited distinctive milk profiles. These results demonstrated that routine milk testing, already an integral part of herd management, can provide a simple and non-invasive means of monitoring animal welfare. Using milk characteristics to explore the cows’ health and welfare, farmers and advisors can make quicker, evidence-based decisions that benefit both the animals and society.Animal welfare is increasingly recognised as a core component of sustainable dairy production, yet objective assessment at the herd level remains challenging. This study evaluated whether milk biomarkers can serve as non-invasive indicators of cow welfare. Thirty-seven dairy farms were assessed using the Welfare Quality® protocol and various milk analysis parameters. As a first line of results, Spearman correlations revealed strong associations between milk biomarkers and welfare indicators. For example, a higher fat-to-protein ratio was linked to better feeding, lower prevalence of hunger, and improved human–animal relationships. In contrast, elevated somatic cell count and differential somatic cell count were associated with mastitis, lameness, dirtiness, and reduced emotional well-being. Using Principal Component Analysis (PCA), three dimensions were identified, health–hygiene, socio-behavioural, and metabolic stress, explaining 44.7% of variance. K-means clustering distinguished three herd profiles: feeding–metabolic balance, behavioural–comfort, and clinical–hygiene risk. These findings demonstrated that routine milk biomarkers provide integrated, non-invasive information on herd health, behaviour and, comfort. Incorporating routine milk analysis into welfare assessments can support the early detection of issues, facilitate evidence-based decision-making, and promote sustainable dairy management.

Abstract Purpose: Stage at diagnosis for most cancers remains advanced, despite multiple efforts. Situational awareness is critical in implementing projects in the B40 community. REBUNG (Reducing Barriers in Cancer Early Diagnosis in Urban B40 Group) is a multi-sectoral complex intervention that studies a community and the processes of accessing early cancer diagnosis in a single-site urban poor pilot community in Taman Medan, Petaling Jaya. Methods: The project was guided by the “Knowledge-To-Action” (KTA) process to translate research into ‘real-world’ settings. The processes and dynamics of the health systems, financial support and political landscape were analysed to identify actors and drivers. Consultative engagement minutes, reports and existing cancer control documents were reviewed. These stakeholders were engaged through iterative meetings to invite them to participate in the REBUNG project and identify their roles. Snowballing technique was used to recruit decision-makers and program implementers. Results: Sixty-two stakeholders made of health professionals, administrators, and organisations were pooled from 44 consultative meeting minutes. Manual methods were used to organise the themes. Theme 1: Main Stakeholders, Theme 2: Roles and Responsibilities, Theme 3: Changes in Roles and Processes. Through stakeholder management, community health promotion activities and optimal care pathways were supported by established cancer NGOs, community leaders and private and MOH health facilities. Conclusion: REBUNG stakeholder engagement and management co-created access to screening and expedited early cancer diagnosis pathways in the pilot primary care community clinic in the urban B40 community. The sustainability of co-created care pathways would be necessary for structural stability and continuity of expedited early cancer diagnosis care pathways. Citation Format: Nur Aishah Taib, Hamizah Sa’at, Haireen Abdul Hadi, Yew Kong Lee, Suat Yan Lai, Nurhyikmah Lothfi, Norhashimi Saad, Suet Yin Chow, Vicky Ayadurai, Suniza Jamarish, Boon Kiong See, Zainab Abdullah, Murallitharan Munisamy, Sylvia McCarthy, Wan Hilya Munira Mustapha, Zakiah Mohd Said, Nor Saleha Ibrahim Tamin, Feisul Mustapha. The “Knowledge-To-Action” Process Model for Cancer Control Stakeholder Engagement for the REBUNG Selangor, Malaysia [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 76.

Cultural competence is a set of congruent behaviors, attitudes and policies that come together in a system, agency, or professional and enable that system, agency, or professional to work effectively in cross-cultural situations. The word culture is used because it implies the integrated pattern of human behavior that includes thought, communication, actions, customs, beliefs, values, and institutions of a racial, ethnic, religious, or social group. The word competence is used because it implies having the capacity to function effectively. A culturally competent system of care acknowledges and incorporates-at all levels-the importance of culture, the assessment of cross-cultural relations, vigilance towards the dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation of services to meet culturally unique needs.

This chapter summarizes the complex history of colonization of the Indigenous peoples of what is now the United States from the perspective of leadership education. The authors review the dilemmas and challenges of bridging fundamental cultural differences regarding leadership education and concrete steps toward decolonizing leadership education.

Animal hoarding is a severe problem in the field of human-animal interaction. The goal of this study was to assess the current situation of animal hoarding in Germany. Reports of animal hoarding cases were collected from animal shelters and public media between January 2012 and December 2015; 120 cases were analyzed. A total of 9,174 animals were hoarded during the investigated time period. The results showed that cases involving cats were most common, followed by cases involving dogs and small mammals. The average number (x¯) of animals hoarded per case was 76 (x˜ = 43). Small mammals were hoarded in greater numbers than any other type of animal (x¯ = 88, x˜ = 53, Tukey’s HSD, p < 0.05). Most hoarders in this study were middle-aged females. Animal hoarding is a current and serious animal welfare problem for which a stronger interdisciplinary approach is needed. Responsible institutions such as veterinary, legal, and health departments need to improve cooperation and provide continuous help for hoarders and animals. Psychological and practical help for repeat offenders, but also for potential hoarders, could improve the situation sustainably. The German Animal Welfare Association (Deutscher Tierschutzbund e.V.) is an umbrella organization of more than 550 animal shelters in Germany. It provides financial and practical help in animal hoarding cases. This study follows up Sperlin´s veterinary dissertation (2012) and gives an overview of animal hoarding cases in Germany.

Tribal sovereignty is a theory that has gained credibility over the past few decades, but one that the child welfare field has still not fully embraced. A mainstream reluctance to understand or accept customary adoption, unique to tribal culture, illustrates the lack of credibility given to tribal child welfare beliefs and practices. Roger Paul, a member of the Passamaquoddy and Maliseet Tribes, was asked to discuss customary adoption. His wide-ranging narrative response illuminates past abuses and current strengths of tribal child welfare practice and belief. Two primary policy and practice implications emerge. They are (1) that cultural and institutional oppression continue to be embedded in current policy and practice and continue to have a detrimental impact on tribal children, families, and communities and (2) that little recognition of or support for the child welfare structure exists in tribal communities, as exemplified by the Wabanaki experience. Child welfare practices embedded in traditional tribal social structure can be trusted and effective. The recognition and acceptance of these practices will expand permanency resources for American Indian/Alaskan Native children and will improve relationships between tribal, state, and federal child welfare systems.

Vitiligo considerably influences the psychological well-being of patients. Disease-induced disfigurement can cause patients to experience a high level of stigmatization, which can lead to psychosocial stresses and negative impacts on quality of life (QOL). This study aims to ascertain the QOL of vitiligo patients compared to patients with other mild skin disorders. We also attempt to study which clinical features of vitiligo are closely related to the patient's QOL. One hundred and thirty-three vitiligo patients and 112 patients with mild skin disorders were analyzed. All participants were asked to fill out questionnaires covering comprehensive clinical profiles and the Korean version of Skindex-29. Statistical correlation between Skindex-29 and each clinical profile were analyzed. The symptom scale of Skindex-29 was significantly lower in vitiligo patients than in controls, but the function scale and the emotion scale were significantly higher in the vitiligo group than in controls. However, the difference in function scales between groups was significant in female patients, but not in male patients. Several clinical profiles, such as duration of disease, severity scores and previous history of treatments, showed close correlations with the function scale. Family history of vitiligo, Köebner phenomenon, patients' perspectives on disease prognosis, and discordance of the severity scores between physicians and patients also influenced the Skindex-29 subscales differently. In conclusion, the present study suggests that patients with vitiligo were highly affected in the functional and emotional aspects of QOL, with some sex differences. Various clinical features may play an important role in the QOL of vitiligo patients.

SUMMARYAn unexpected setback in my professional life caused me to consider how disability in therapists may be regarded, both by fellow‐members of the psychotherapy profession and by our clients. For example, how successful can a disabled therapist be in managing an unusual body‐image in a way that may be helpful to the client? And how aware are therapists who are physically ‘normal’ of their possible ambivalence, conscious or unconscious, towards physical ‘abnormality’ in others? These issues, and others pertaining to disability in therapists, have perhaps not received much reflection from the profession and it is to draw attention to them that I present this article.

British Journal of PsychotherapyVolume 4, Issue 1 p. 94-100 The End? Sonia Bliss, Sonia Bliss Sonia Bliss is a trained nurse and social worker. Until early retirement three years ago she was Senior Social Worker with the Child and Family Service, Shropshire. She has been a member of the Family Welfare Association (London) Private Counselling Service since 1979, and is now in private practice at 31 Port Hill Gardens, Shrewsbury SY3 8SB.Search for more papers by this author Sonia Bliss, Sonia Bliss Sonia Bliss is a trained nurse and social worker. Until early retirement three years ago she was Senior Social Worker with the Child and Family Service, Shropshire. She has been a member of the Family Welfare Association (London) Private Counselling Service since 1979, and is now in private practice at 31 Port Hill Gardens, Shrewsbury SY3 8SB.Search for more papers by this author First published: September 1987 https://doi.org/10.1111/j.1752-0118.1987.tb01004.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume4, Issue1September 1987Pages 94-100 RelatedInformation