scholarly journals Producer and Veterinarian Perspectives towards Pain Management Practices in the US Cattle Industry

Animals ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 209 ◽  
Author(s):  
Ivelisse Robles ◽  
Andreia G. Arruda ◽  
Emma Nixon ◽  
Elizabeth Johnstone ◽  
Brooklyn Wagner ◽  
...  
Keyword(s):  
Pain Management ◽  
Management Practices ◽  
Management Strategies ◽  
Well Being ◽  
Cattle Industry ◽  
The Past ◽  
The Us ◽  
On Farm ◽  
Cattle Farms ◽  
Analgesic Use

Producers and veterinarians are considered responsible for improving animal welfare, as they are responsible for implementing practices that directly impact the animal’s well-being. Most husbandry procedures performed in cattle do not include pain mitigation, and understanding challenges faced by these stakeholders to use analgesics is key in improving on-farm pain management strategies. Therefore, the objectives of this study were to explore producer and veterinarian perspectives on pain management practices by (1) exploring inquires received by Food Animal Residue Avoidance Databank (FARAD) regarding analgesic use in cattle and (2) using a survey instrument to identify factors that impact pain management implementation in the US cattle industry. Albeit analgesia use increased in the past ten years for some producers and the majority of veterinarians, administering analgesics for pain management on US cattle farms remains a challenge. From a producer perspective, drug cost, availability and logistics for administration. From a veterinarian perspective, lack of Food and Drug Administration (FDA) products hinders the support of on-farm protocols requiring extra-label drug use. Future steps to improve analgesic use on-farm include identifying and approving drugs that demonstrate efficacy for managing pain in cattle and disseminating educational resources to support stakeholders in both the implementation and drug withdrawal process.

A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital

2021 ◽  
pp. 084456212110477
Author(s):  
Jodi Wilding ◽  
Hailey Scott ◽  
Victoria Suwalska ◽  
Zarina Geddes ◽  
Carolina Lavin Venegas ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Pain Management ◽  
Chart Review ◽  
Management Practices ◽  
Pain Treatment ◽  
Management Strategies ◽  
Improvement Project ◽  
Pain Scores ◽  
Health Quality ◽  
T1 And T2

To assess and improve pain management practices for hospitalized children in an urban tertiary pediatric teaching hospital. Methods Health Quality Ontario Quality Improvement (QI) framework informed this study. A pre (T1) – post (T2) intervention assessment included chart reviews and children/caregiver surveys to ascertain pain management practices. Information on self-reported pain intensity, painful procedures, pain treatment and satisfaction were obtained from children/caregivers. Documented pain assessment, pain scores, and pharmacological/non-pharmacological pain treatments were collected by chart review. T1 data was fed back to pediatric units to inform their decisions and pain management targets. Results At T1, 51 (58% of eligible participants) children/caregivers participated. At T2, 86 (97%) chart reviews and 51 (54%) children/caregivers surveys were completed. Most children/caregivers at T1 (78%) and T2 (80%) reported moderate to severe pain during their hospitalization. A mean of 2.6 painful procedures were documented in the previous 24 h, with the most common being needle-related procedures at both T1 and T2. Pain management strategies were infrequently used during needle-related procedures at both time points. Conclusion No improvements in pain management as measured by the T1 and T2 data occurred. Findings informed further pain management initiatives in the participating hospital.

scholarly journals 302 Current pain mitigation practices in beef and dairy cattle in the United States

2019 ◽  
Vol 97 (Supplement_3) ◽  
pp. 2-2
Author(s):  
Elizabeth C Johnstone ◽  
Johann Coetzee ◽  
Lily Edwards-Callaway ◽  
Pablo Pinedo
Keyword(s):  
United States ◽  
Pain Management ◽  
Management Practices ◽  
The United States ◽  
Management Options ◽  
Adult Cattle ◽  
Analgesic Drugs ◽  
On Line ◽  
Analgesic Use ◽  
Pain Mitigation

Abstract The lack of FDA-approved analgesic drugs for use in cattle in the United States offers limited pain management options to cattle veterinarians and producers. An on-line survey was developed to investigate current use of pain mitigation by cattle veterinarians and producers. The survey was distributed electronically to multiple listservs in Summer 2018 (BEEF Magazine, American Association of Bovine Practitioners, National Milk Producers Federation Farmers Assuring Responsible Management evaluators, Dairy Moms and Dairy Girls Facebook groups; n = 46,577). A total of 1,187 (2.5%) surveys were received; 41.9% of respondents identified as producers, 47.9% as veterinarians, and 10.2% as both. Multivariate logistic regression was used for analysis. Veterinarians [OR (95% CI) = 10.2 (7.21–14.4)] and both veterinarians and producers [OR (95% CI) = 3.30 (2.02–5.39)] had significantly greater odds of using analgesia than producers in all cattle ages. Summary statistics indicate that analgesic use increased with cattle age; 57.6% of respondents used pain management in calves < 2 months of age, while 71.6% of respondents used pain management in adult cattle (>12 months of age). Respondents agreed that “cattle benefit from receiving analgesic drugs” (76.6%) and that “US/USDA/FDA regulations limit my ability to use analgesic drugs in cattle” (64.01%). Fifty-eight percent of respondents indicated their use of pain management had increased in the last 10 years. Data identify impediments to improving pain management practices in cattle. Results indicate the need for education and communication between veterinarians and producers on the necessity of pain management.

SOCIAL WORKER TURNOVER ISSUE IN MAINLAND CHINA: ORGANIZATIONS CAN DO SOMETHING

2018 ◽  
Vol 52 (01n02) ◽  
pp. 63-83
Author(s):  
KITTY YUEN-HAN MO ◽  
HUNG-SING LAI
Keyword(s):  
Social Work ◽  
Qualitative Study ◽  
Social Workers ◽  
Social Worker ◽  
Management Practices ◽  
Management Strategies ◽  
Mainland China ◽  
Cultural Issues ◽  
The Past ◽  
Worker Turnover

The turnover issue among social workers in Mainland China has been a challenge for the past ten years. Research studies on organizational effort in handling turnover problems of social worker have been lacking in the country. A recent qualitative study has been conducted in the summer of 2017. The study examines turnover issues and how to tackle them by management practices. It helps to answer a question, that is, “what organization can do to retain social workers?” Cultural issues are discussed as well. The role and responsibilities of social work managers in implementing management strategies are mentioned in this study.

scholarly journals Factors Associated with Prescription Opioid Analgesic Use in the US Population, 2011–2014

Pain Medicine ◽  
2018 ◽  
Vol 20 (7) ◽  
pp. 1338-1346 ◽  
Author(s):  
Steven M Frenk ◽  
Susan L Lukacs ◽  
Qiuping Gu
Keyword(s):  
Opioid Analgesic ◽  
Opioid Analgesics ◽  
Opioid Use Disorder ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Factors Associated ◽  
The Past ◽  
The Us ◽  
Opioid Users ◽  
Analgesic Use

Abstract Objective This study examined factors associated with prescription opioid analgesic use in the US population using data from a nationally representative sample. It focused on factors previously shown to be associated with opioid use disorder or overdose. Variations in the use of different strength opioid analgesics by demographic subgroup were also examined. Methods Data came from respondents aged 16 years and older who participated in the National Health and Nutrition Examination Survey (2011–2014). Respondents were classified as opioid users if they reported using one or more prescription opioid analgesics in the past 30 days. Results Opioid users reported poorer self-perceived health than those not currently using opioids. Compared with those not using opioids, opioid users were more likely to rate their health as being “fair” or “poor” (40.4% [95% confidence interval {CI} = 34.9%–46.2%] compared with 15.6% [95% CI = 14.3%–17.1%]), experienced more days of pain during the past 30 days (mean = 14.3 [95% CI = 12.9–15.8] days compared with 2.3 [95% CI = 2.0–2.7] days), and had depression (22.5% [95% CI = 17.3%–28.7%] compared with 7.1% [95% CI = 6.2%–8.0%]). Among those who reported using opioids during the past 30 days, 18.8% (95% CI = 14.4%–24.1%) reported using benzodiazepine medication during the same period and 5.2% (95% CI = 3.5%–7.7%) reported using an illicit drug during the past six months. When opioid strength was examined, a smaller percentage of adults aged 60 years and older used stronger-than-morphine opioids compared with adults aged 20–39 and 40–59 years. Conclusions Higher percentages of current opioid users than nonusers reported having many of the factors associated with opioid use disorder and overdose.

scholarly journals Evaluating health and well-being outcomes following the South Gloucestershire Pain Review pilot for patients on long-term opioids for chronic non-cancer pain

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703445
Author(s):  
Jo Kesten ◽  
Lauren Scott ◽  
Kevin Bache ◽  
Rosie Closs ◽  
Sabi Redwood ◽  
...  
Keyword(s):  
Primary Care ◽  
Pain Management ◽  
Cancer Pain ◽  
Management Strategies ◽  
Well Being ◽  
Service Users ◽  
Opioid Use ◽  
The South ◽  
Health And Well Being

BackgroundThe South Gloucestershire Pain Review pilot is an individually-tailored service to help primary care patients on long-term (>3 months) treatment with opioid painkillers for chronic non-cancer pain understand their relationship with opioids and support alternative non-drug-based pain management strategies. The pilot was based in two GP practices in South Gloucestershire.AimTo evaluate the health and well-being outcomes and perceived impact of the pilot service to inform future service development.MethodQuantitative data were collected for all enrolled patients on demographics; opioid use, misuse and dose; and pre-post intervention changes in health, well-being, quality of life (QoL), pain intensity/relief, and interference with life measures. Twenty-five semi-structured interviews (18 service users, seven service providers) explored experiences of the pilot including perceived impacts.ResultsFifty-nine patients were invited to use the service and 34 (58%) enrolled. The median prescribed opioid dose reduced from 90 mg (interquartile range [IQR] 60–240) at baseline to 72 mg (IQR 30–160) at follow-up (P<0.001). On average, service users showed improvement on all health, well-being, and QoL outcomes except pain relief. The service was received positively. Perceived benefits related to well-being and QoL, use of pain management strategies (for example pacing), changes in medication use and changes in primary care use.ConclusionThe pilot has shown promising results. The service was viewed as acceptable and health and well-being outcomes suggest a benefit. Following further development of the service, a randomised controlled trial is needed to formally test the effects of this type of care pathway on pain management and reducing long-term opioid use.

scholarly journals Farmers Integrated Management Challenges of Plantains Product at Cauvery Delta, Thanjavur District

2019 ◽  
Vol 8 (2S4) ◽  
pp. 691-695
Keyword(s):  
Management Practices ◽  
Integrated Management ◽  
Management Strategies ◽  
Sampling Technique ◽  
Research Area ◽  
Sustainable Growth ◽  
Recent Trends ◽  
Cauvery Delta ◽  
On Farm ◽  
The Relationship

In recent trends Farmers had been striving on farm management strategies to make their farming profitable. Farming activities are interdependent with various functions and strong inter-relations with production, finance and marketing. The Indian farmers were not acquainted with the modern management practices. Indian farmers plagued by various management challenges in their farming. However there is upward concern about the gap between the farmer’s potential and their actual earnings. The farmers are not obtaining the profit for their hard work and challenges towards farming. This paper explores the integrated farming challenges of production, finance and marketing factors pertaining plantain product growers. The research area is Cauvery Delta, Thanjavur District. Convenient sampling technique method is used in collecting the data. The data obtained from 315 samples are investigated using descriptive statistics. The correlation tool was used to find out the relationship among the variables. The Multiple Regression tool was used to find out the probable variables that influence the factors. Then, the reliability test was employed to check the reliable of the collected data. The SPSS IBM 20 package was used for data analysis. The outcome of the research will facilitate the researchers, agricultural extension, government and farmers for the agricultural sustainable growth.

scholarly journals Crop Protection and Its Effectiveness against Wildlife: A Case Study of Two Villages of Shivapuri National Park, Nepal

2016 ◽  
Vol 16 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Sudip Pandey ◽  
Siddhartha Bajra Bajracharya
Keyword(s):  
Protected Areas ◽  
National Park ◽  
Management Practices ◽  
Management Strategies ◽  
Crop Protection ◽  
Buffer Zone ◽  
Well Being ◽  
Economic Loss ◽  
Crop Damage

A complex relationship between the residents and protected areas continue to be an obstacle to successful conservation of protected areas. Conflicts between park authority and people living around the park pose a threat to conservation. Moreover, crop depredation due to wildlife incurs a severe economic loss to communities living in the close vicinity of the park, affecting the livelihood and well-being of locals. Many studies have been carried out emphasizing the identification and quantification of crop damage, but studies highlighting the means used for the crop protection and their effectiveness are limited. This paper examines frequency of the crop damage by wildlife and efficacy of utilized management practices in Shivapuri National Park (SNP). Altogether 132 households were visited in two buffer zone villages namely, Sikre and Jhor Mahankhal of Shivapuri National Park, Nepal. The study suggested that crop depredation by wildlife was a function of several factors, namely, distance of the farmland from the park, size of the crop raiding animals, frequency of their attacks on the farmland, and the type of crops. Five different measures were identified by the communities which they regularly used to prevent crop damage. Both traditional as well as modern means were used by households to guard crops from invading wild animals. The means of crop protection from wildlife differed according to the type of animal and crop being protected. Biofencing and trenches were effective for the small animals. Watch tower “Machans” and throwing flaming sticks and making noises were the most effective and safest means of crop guarding from all kind of animals. Though crop guarding was intensive, no means were found to be able to prevent crop damage completely. Thus, site specific management strategies as well as technical and financial support from donor organizations would be most useful to minimize crop loss.Nepal Journal of Science and Technology Vol. 16, No.1 (2015) pp. 1-10

scholarly journals The Service-Profit Chain: Reflections, Revisions, and Reimaginations

2021 ◽  
pp. 109467052110524
Author(s):  
Jens Hogreve ◽  
Anja Iseke ◽  
Klaus Derfuss
Keyword(s):  
Management Practices ◽  
Well Being ◽  
Future Research ◽  
Feedback Effects ◽  
The Past ◽  
Current State ◽  
Human Resource Management Practices ◽  
Published Research ◽  
Service Managers ◽  
Service Profit Chain

Over the past 25 years, the service–profit chain (SPC) has become a prominent guidepost for service managers and researchers. In this article, we reflect on and synthesize published research to clarify what researchers have learned about the SPC and what remains less well understood. Based on an in-depth discussion of the field, we present a revised SPC and propose multiple areas in which further research would be worthwhile, such as internal service quality as specific systems of human resource management practices, both employee and customer well-being as additional mediators, different targets of employee and customer loyalty, contingencies, and non-linear and feedback effects. We conclude by reimagining the SPC, and we discuss digital and artificial-intelligence–driven changes to the SPC’s structure. Finally, based on the insights we discuss, we inform scholars of the current state of SPC research and provide a detailed agenda for future research.

Pain management strategies among cervical cancer patients in Zimbabwe

2021 ◽  
Author(s):  
Oppah Kuguyo ◽  
Frances Desales Misi ◽  
Shirley Chibonda ◽  
Alice Matimba ◽  
Charles Nhachi ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Pain Management ◽  
Cancer Pain ◽  
Management Practices ◽  
Management Strategies ◽  
Assessment Tools ◽  
Cervical Cancer Patient ◽  
Patient Records ◽  
Cancer Pain Management ◽  
Prevalence Of Pain

Aim: To describe pain management regulations, prevalence of pain and pain management practices in a Zimbabwean setting. Materials & methods: A multi-methods approach was used, consisting of: policy and guideline review; review of 410 cervical cancer patient records for pain symptoms and pain management data; and semistructured interviews with oncology healthcare practitioners. Results: We found a lack of policies that are specific for cervical cancer pain management. Although prevalence of pain was 68% (n = 278), only 42% of the patient records indicated pain drugs had been prescribed. Barriers to pain management included inadequate use of pain assessment tools, inaccessibility of key drugs and limited capacity. Conclusion: Cancer pain management in Zimbabwe can be improved by tailoring assessment protocols, improving drug accessibility and strengthening healthcare systems.

scholarly journals Pain Management Strategies and Lessons from the Military: A Narrative Review

2015 ◽  
Vol 20 (5) ◽  
pp. 261-268 ◽  
Author(s):  
April Hazard Vallerand ◽  
Patricia Cosler ◽  
Jack E. Henningfield ◽  
Pam Galassini
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
General Population ◽  
Management Strategies ◽  
The United States ◽  
Narrative Review ◽  
Chronic Pain Management ◽  
Management Guidelines ◽  
Us Military ◽  
The Us

BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings.OBJECTIVE: To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population.METHODS: A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population.DISCUSSION: The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes.

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