The rectus sheath block has been used with success for postoperative analgesia in adults. This paper reviews the anatomy of the rectus sheath, and presents our initial experience of using the block to provide intra- and postoperative analgesia in children having repair of umbilical and paraumbilical hernia. The rectus sheath block appears to be a useful technique in children, particularly for paediatric day-cases surgery.
BackgroundSjögren’s Syndrome is an autoimmune exocrinopathy characterised by lymphocytic infiltration of exocrine glands in multiple sites, with dry mouth as a primary presenting symptom. Although quantitative studies have shown the negative impact of both dry mouth and Sjögren’s Syndrome on patients’ quality of life, no qualitative diary and interview study has been undertaken to examine the lived experience of dry mouth for Sjögren’s Syndrome sufferers. The aim of this qualitative study was to provide clinicians with insight into how dry mouth can impact on the daily lives of Sjögren’s Syndrome patients.MethodsThe American-European Consensus Group (AECG) Revised International Classification criteria were used to identify participants from patients seen in an oral medicine clinic. After pilot study work to test the approach, the 10 main study participants were recruited. Diary entries and semi-structured interviews were used to explore how dry mouth affects their lives. Owing to the exploratory nature of the research, thematic content analysis was applied, allowing the themes to arise naturalistically from the data without bias or elicitation.ResultsThe data showed that it is unrealistic to understand the experience of a single symptom, but that the disease as a whole needs to be taken into perspective. The empirical evidence supported four main themes that depicted the lived experience of Sjögren’s Syndrome. These included: (1) the journey to diagnosis; (2) disease impact spectrum (of dry mouth amid other symptoms); (3) interactions with healthcare professionals; and (4) the positive coping process.ConclusionsThe findings revealed patients’ perspectives on diagnosis, coping with dry mouth and Sjögren’s Syndrome, and interaction with healthcare professionals. Dry mouth is not a trivial symptom for Sjögren’s Syndrome sufferers; it has considerable impact on their day-to-day lives. Healthcare professionals need to understand patients as individuals in their environment in order to be part of the Sjögren’s journey.
PurposeThis paper seeks to explore whether the global market segment Generation Y shares a common perception of a specific consumption activity, namely bungy jumping, and how perceptions of cool operate around that.Design/methodology/approachA qualitative methodology is adopted, appropriate to the exploratory aims of the research, which utilises existing filmed interviews to elicit responses from other members of Generation Y. The research explores shared identification, meaning and knowledge of a specific consumption practice, namely commercial bungy jumping.FindingsThe actual form of consumption, bungy jumping was widely accepted as being “cool” but a global consensus on a “cool” consumer and their story could not be reached. The research concludes by proposing a hierarchy for the attribution of cool from one Generation Y member to another; thus extending theoretical discussion and knowledge by investigating an established concept in a specific context to illustrate the complex and uneven nature of cultural globalisation.Research limitations/implicationsThis research interprets global Generation Y culture from a small convenience sample from America, Ireland, Scotland and England, thus generating avenues for further research as discussed.Originality/valueThese findings have value for businesses that create consumption experiences for Generation Y customers and scholars seeking insight into the plural and complex function of cool.
Purpose -Are peaches, Caesar salad and chocolate masculine or feminine food? Literature suggests that there is a clear association between certain types of food, portion sizes and gendered identities. This research paper and short film aims to explore the theory in practice of food consumption for young consumers, particularly impression management required to create/maintain an attractive identity to the opposite sex.Design/methodology/approach -The authors adopt an interpretive approach to an in-depth analysis of the food practices of an all male and an all female household. They use a theory in practice methodology to explore their food consumption.Findings -It is found that despite enlightenment in many areas, gendered identities are still strongly associated with food consumption. The experiment in which each household consumed a meal associated with the opposite gender offers insight into the association between food consumption and gendered identity. The social implications of the research demonstrate that masculine identity is supported and negotiated through what he is eating, whereas feminine identity is being constructed by what she is not eating. It is concerning that an attractive feminine identity is premised on omission rather than consumption and traps many females into a negative and potentially harmful relationship with food consumption.Originality/value -The use of videography allows insight into the negotiation of an underpinning cultural attitude where women eat less to be what consumer culture has defined as an attractive feminine identity which means being slimmer and smaller than males.
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