Children with Severe Acute Malnutrition (SAM) are at risk of developmental problems. Psychosocial stimulation can improve the developmental outcomes of hospitalised children with SAM. However, the intervention has remained underutilised in health facilities in resource-poor settings. Moreover, there is limited evidence on the acceptability and feasibility of the intervention. We conducted a qualitative study to explore the acceptability and feasibility of integrating psychosocial stimulation interventions in the inpatient care of children with SAM in selected areas in the Silti Zone, Central Ethiopia. Nine focus group discussions and 15 key informant interviews were conducted with parents, health workers, and other stakeholders. The data were transcribed, translated, and analysed using a thematic approach. Caregivers and health workers had positive attitudes toward the intervention and perceived it beneficial for the children’s development, recovery, and bonding with the mothers. Health workers reported barriers such as lack of materials, time, and space, capacity building training, and supervision for the effective implementation of the intervention. At the household level, gendered factors such as the housework burden of mothers and the inadequate engagement of fathers in childcare were the main challenges to the implementation of the intervention. Overall, psychosocial stimulation intervention was found to be acceptable and feasible for routine implementation with inpatient care provided for children with SAM. The study recommends supporting health facilities, health workers, and partners with the necessary resources and skills to promote the implementation of stimulation interventions along with the existing care provided in health facilities in resource-poor settings.

This essay revisits the metanormative version of the motivational critique of contemporary conceptions of cosmopolitan justice. I distinguish two ways of understanding this critique as leveling the charge of infeasibility against cosmopolitanism. Cosmopolitan motivation can be understood to be infeasible because it is impossible or because it is not reasonably likely to be achieved if tried. The possibilistic understanding is not persuasive, given that examples show that cosmopolitan motivation is possible. The conditional probabilistic understanding is more compelling, by contrast, because under certain social conditions it may not be reasonably likely that cosmopolitan motivation is achieved if tried. I argue, however, that whether cosmopolitan motivation is infeasible in the conditional probabilistic sense depends on malleable social conditions, given that, according to a plastic account of the human moral mind developed by Allen Buchanan, social conditions can undermine or favor the formation of cosmopolitan motivation. I illustrate this plastic account by showing how it can explain recent anticosmopolitan orientations as “tribalistic” reflexes to global crises, like the COVID-19 pandemic, which involved competition for survival resources and (existential) threats. I conclude that cosmopolitan motivation is not infeasible under all social conditions and that cosmopolitanism therefore requires bringing about and maintaining those social conditions under which cosmopolitan motivation is feasible.

Clinical research studies run the risk of being in a deficit leading to premature study termination or a desperate struggle to find new funding to continue the research. It is important for institutions, small or large, to have financial oversight during the research process. We created a financial audit process for a core clinical research department at a pediatric hospital. Understanding where to find your costs, what costs are important, and other elements of the audit process are essential. Knowing how to replicate a financial audit process can help you eliminate the risk of a financial deficit.

Les aînés qui vivent avec des problèmes de santé mentale ou des difficultés psychosociales sont souvent isolés et marginalisés. Le programme Participe-présent a été développé dans le but de promouvoir leur participation communautaire. Les objectifs de cette étude étaient de 1) décrire la pertinence, l’acceptabilité, et la faisabilité du programme lors de sa mise à l’essai et 2) d’explorer les bienfaits et les effets à court-terme du programme pour les participants. Vingt-trois aînés, quatre animateurs et trois responsables provenant de quatre organismes ont participé à l’étude. Les aînés ont été satisfaits de leur expérience de participation au programme et ont rapporté une meilleure connaissance des ressources et une plus grande satisfaction à l’égard de leur vie sociale. Les animateurs et les responsables d’organismes ont souligné l’adaptabilité de Participe-présent aux besoins de leur clientèle et à leur contexte de pratique, et ont identifié les facilitateurs et les obstacles à sa mise en œuvre. D’autres études mèneront à des recommandations favorisant le succès de la mise en œuvre de Participe-présent dans différents contextes.

Naturalistic online grocery stores could provide a novel setting for evaluating nutrition interventions. In 2021–2022, we recruited US adults (n 144, 59% low-income) to complete two weekly study visits: one in a naturalistic (‘mock’) online grocery store developed for research and one in a real online grocery store. Participants selected groceries and responded to survey questions. Analyses examined survey responses and expenditures on fifteen food categories (e.g., bread, sugar-sweetened beverages). Nearly all enrolled participants completed both visits (98% retention). Moreover, nearly participants all reported that their selections in the naturalistic store were similar to their usual purchases (95%) and that the naturalistic store felt like a real store (92%). Participants’ spending on food categories in the naturalistic store were moderately-to-strongly correlated with their spending in the real store (range of correlation coefficients: 0⋅36–0⋅67, all P-values < 0⋅001). Naturalistic online grocery stores may offer a promising platform for conducting nutrition research.

In this study we investigated the robustness of the WelFur welfare assessment system for farmed mink (Neovison vison) to date of assessment in the winter and growth assessment periods. The prevalence of occurrences of certain measurements was hypothesised to increase with date of assessment (too thin, fur-chewing and stereotypic behaviour in the winter period and injuries, diarrhoea and exploratory mink in the growth period). The welfare was assessed on eight Danish mink farms according to the WelFur-Mink protocol. Each farm was assessed once in the nursing period (to be able to calculate WelFur-Mink scores), four times in the growth period and three times in the winter period. WelFur scores were calculated based on the assessments in the three periods: one calculation for each assessment in the winter and growth periods. The odds of fur-chewing increased with date of assessment in the winter period, and the odds of injuries, diarrhoea and exploratory mink increased with date of assessment in the growth period. The odds of too thin mink in the winter period decreased, ie the change was in the opposite direction to what was expected. The effect of these changes on the aggregated WelFur scores on the higher levels was limited, but could potentially lead to changes in the overall welfare categorisation of farms if the principle scores were close to a threshold between two categories. A potential way to eliminate the effect of date of assessment could be to develop a correction factor for the measurements that can be expected to change within each assessment period.

In this study we present a semi-random sampling method developed for the sampling of mink (Neovison vison) for on-farm welfare assessments according to the WelFur-Mink system. The only information required for implementation of this method is the number of cages in use in each shed on the farm. The representativeness of samples selected with this method was evaluated in relation to the physical characteristics of the farm and the mink characteristics by simulated sampling on a farm with a complicated structure in the growth period. The selection of 10,000 samples was simulated. The trueness was, in general, high, ie the method has no systematic skewness. The precision was low for certain factors due to the high variation within sheds. The sampling in sections of six adjacent cages means that it is often not possible to select a sample which is an exact representation of the mink and their housing environment. If accepting a deviation of ± one cage section, the estimated probability of selecting a representative sample was high for most of the individual factors. However, the estimated probability of selecting a sample that is representative according to all factors was rather low. This deviation from exact representativeness ought to be evaluated in the light of the increased feasibility and repeatability offered by the method. Also, we expect that the representativeness of samples selected with this method will be higher on other less-complicated farms. We suggest that this simple method balances feasibility and representative sampling in a way that makes it useful in the WelFur-Mink system.