This introduction highlights the historically oriented scholarship and politically engaged writing that examines places and times without police, which appear in this issue. Modern approaches to governance generally take the presence of police as necessary to maintaining social peace, even though police have proven to fail at fostering public safety and in fact tend to escalate harm and violence. Following the lead of activists working to dismantle police, prisons, and other institutions of state violence, the introduction takes seriously the question of how to imagine, and to build, a world without police. It looks specifically to historical analysis as an especially useful vantage from which to respond to this provocation and outlines how the issue’s contributors detail times and places when people worked without or against formal institutions of modern police.
Insecure attachment is linked to a host of negative child outcomes, including internalizing and externalizing behavior problems. Circle of Security-Parenting (COS-P) is a manualized, video-based, eight unit, group parenting intervention to promote children's attachment security. COS-P was designed to be easily implemented, so as to make attachment interventions more widely available to families. We present the theoretical background of COS-P, research evidence supporting the COS approach, as well as a description of the COS-P intervention protocol. The case example of "Alexa," mother of three children (aged 7, 6, and 4 years), illustrates how parents can make use of the COS-P intervention to better understand children's needs, build skills in observing and interpreting children's signals, learn to recognize and regulate their own responses to their children, and learn new ways of responding to children's needs.
Carolina at Chapel H. RATIONALE: Though peanut sublingual immunotherapy (SLIT) is a potentially efficacious treatment for patients with peanut allergy, its use is limited by adverse events, which are understudied. METHODS: We conducted a retrospective pooled cohort analysis from two peanut SLIT trials to determine characteristics and rates of AEs. We abstracted in-home AEs from daily symptom diaries. We characterized events that were at least possibly related to SLIT dosing. Bivariate analyses were performed to determine differences in rates of AEs by season and other patient characteristics. RESULTS: Of 101 participants (mean age 6.9 years) enrolled in 2 SLIT trials (mean duration 4.6 years), 86% experienced a total of 6377 possiblyor likely-related AEs associated with SLIT dosing; 14 participants (14%) accounted for 75% of all AEs. Ninety-six percent of AEs were mild; 2 reactions (0.03%) were severe. Systemic reactions accounted for 3.7% of AEs in 34% of participants. Most AEs involved transient oropharyngeal symptoms (84%), which occurred in 69% of participants. Those with AR had more frequent AEs, with increased AEs in June, July, and August (1247 in those with AR vs. 772 in those without AR, p<0.001). No epinephrine was administered. Antihistamines were used in 4% of AEs by 43% of participants. CONCLUSIONS: While peanut SLIT is associated with frequent AEs, nearly all are graded mild and most symptoms are limited to the oropharynx. Those with allergic rhinitis are at increased risk for AEs, particularly during the summer months and possibly implicates crossreactive pollen sensitization as one mechanism for AEs in peanut SLIT.
Asthma and Allergy, 4 Northwest Asthma Allergy Center, 5 Northwest Asthma and Allergy Center. RATIONALE: Acute FPIES is a non-IgE T-cell mediated gastrointestinal disorder. FPIES is a clinical diagnosis based on major criteria (delayed vomiting 1-4 hours after ingestion without classic IgE-mediated allergic skin/respiratory symptoms) plus additional minor criteria. As outlined in the 2017 international guidelines, FPIES has various food triggers and foods are risk stratified by age of introduction (lower-risk, moderate-risk, higher-risk). We hypothesize that some foods deemed lower-risk may trigger acute FPIES more commonly than previously described. METHODS: Retrospective electronic chart review was performed from January 2015 to present using ICD10 code and physician diagnosis of FPIES as defined in the 2017 guidelines RESULTS: 129 patients were identified with FPIES based on clinician diagnosis meeting major and minor criteria. Median age of diagnosis was 7 months. 235 food triggers were identified. Most common offending agent was milk for 0-3months (4/4), oat for 4-6months (16/44), egg for 6-11months (13/41), egg for 12-24months (7/22), and shellfish for >2years (12/18). 58 patients (45%) had multiple triggers. ''Lower-risk'' foods found in our cohort included avocado (13, 10%), quinoa (2), hemp (1), spinach (1), tree nut (1), sunflower (1). CONCLUSIONS: Our cohort matches previously published data with the most common FPIES triggers but uncovered many so-called ''lower-risk'' foods as culprits in a significant portion of our cohort, particularly avocado. These atypical food triggers found in our cohort may be secondary to the more varied diet in the Pacific Northwest and perhaps earlier exposure to these foods. Additionally, we had a higher proportion (45%) of patients with multiple food triggers.
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