25 research outputs found

    Living well to the end:a phenomenological analysis of life in extra care housing

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    OBJECTIVES: To understand older adults' experiences of moving into extra care housing which offers enrichment activities alongside social and healthcare support. DESIGN: A longitudinal study was conducted which adopted a phenomenological approach to data generation and analysis. METHODS: Semi-structured interviews were conducted in the first 18 months of living in extra care housing. Interpretative phenomenological analysis was used because its commitment to idiography enabled an in-depth analysis of the subjective lived experience of moving into extra care housing. Themes generated inductively were examined against an existential-phenomenological theory of well-being. RESULTS: Learning to live in an extra care community showed negotiating new relationships was not straightforward; maintaining friendships outside the community became more difficult as capacity declined. In springboard for opportunity/confinement, living in extra care provided new opportunities for social engagement and a restored sense of self. Over time horizons began to shrink as incapacities grew. Seeking care illustrated reticence to seek care, due to embarrassment and a sense of duty to one's partner. Becoming aged presented an ontological challenge. Nevertheless, some showed a readiness for death, a sense of homecoming. CONCLUSIONS: An authentic later life was possible but residents required emotional and social support to live through the transition and challenges of becoming aged. Enhancement activities boosted residents' quality of life but the range of activities could be extended to cater better for quieter, smaller scale events within the community; volunteer activity facilitators could be used here. Peer mentoring may help build new relationships and opportunities for interactive stimulation. Acknowledging the importance of feeling-empathic imagination-in caregiving may help staff and residents relate better to each other, thus helping individuals to become ontologically secure and live well to the end

    More Than They Bargained For Adverse Drug Effects

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    The Development and Testing of the Codependency-Overeating Model in Undergraduate Social Science Students in a Mississippi College

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    Overeating is a common eating disorder and often leads to obesity and to significant physical, emotional, and social problems often warranting nursing care. Codependency has expanded beyond the chemical dependency field and describes the dysfunctional pattern of behavior of an individual in a relationship with another person or from survival in a dysfunctional family of origin. The psychological and behavioral factors surrounding overeating are noted frequently in the literature but are not emphasized in most overeating treatment programs. Anxiety, depression, anger, and compulsivity are the psychological problems often linked with overeating and codependency. The purpose of this study was to test the Codependency-Overeating Model (COM) by examining the relationship between overeating and codependency, anxiety, depression, anger, and compulsivity. The variables were measured with the Overeating Questionnaire, Codependency Assessment Tool, and Symptom Checklist-90-R. This study used a model-testing correlational design with 567 students recruited from a Mississippi community college. Pearson’s product–moment correlations noted weak correlations between age and anxiety (r = .12), age and depression (r = .20), age and compulsivity (r = .20), codependency and anxiety (r = .12), and codependency and anger (r = .16). No significant correlations were noted between overeating and codependency, anxiety, depression, anger, or compulsivity. Although the predictive relationships were not verified in the model, several important ways to minimize limitations in future studies were identified. The development and testing of the COM was the beginning step in pursuing a solid understanding of overeating and codependency and a catalyst for worthwhile future research

    Disparate genetic divergence patterns in three corals across a pan-Pacific environmental gradient highlight species-specific adaptation

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    Tropical coral reefs are among the most affected ecosystems by climate change and face increasing loss in the coming decades. Effective conservation strategies that maximize ecosystem resilience must be informed by the accurate characterization of extant genetic diversity and population structure together with an understanding of the adaptive potential of keystone species. Here we analyzed samples from the Tara Pacific Expedition (2016–2018) that completed an 18,000 km longitudinal transect of the Pacific Ocean sampling three widespread corals—Pocillopora meandrina, Porites lobata, and Millepora cf. platyphylla—across 33 sites from 11 islands. Using deep metagenomic sequencing of 269 colonies in conjunction with morphological analyses and climate variability data, we can show that despite a targeted sampling the transect encompasses multiple cryptic species. These species exhibit disparate biogeographic patterns and, most importantly, distinct evolutionary patterns in identical environmental regimes. Our findings demonstrate on a basin scale that evolutionary trajectories are species-specific and can only in part be predicted from the environment. This highlights that conservation strategies must integrate multi-species investigations to discern the distinct genomic footprints shaped by selection as well as the genetic potential for adaptive change.ISSN:2731-424

    Neutrino constraints: what large-scale structure and CMB data are telling us?

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    We discuss the reliability of neutrino mass constraints, either active or sterile, from the combination of different low redshift Universe probes with measurements of CMB anisotropies. In our analyses we consider WMAP 9-year or Planck Cosmic Microwave Background (CMB) data in combination with Baryonic Acoustic Oscillations (BAO) measurements from BOSS DR11, galaxy shear measurements from CFHTLenS, SDSS Ly-a forest constraints and galaxy cluster mass function from Chandra observations. At odds with recent similar studies, to avoid model dependence of the constraints we perform a full likelihood analysis for all the datasets employed. As for the cluster data analysis we rely on to the most recent calibration of massive neutrino effects in the halo mass function and we explore the impact of the uncertainty in the mass bias and re-calibration of the halo mass function due to baryonic feedback processes on cosmological parameters. We find that none of the low redshift probes alone provide evidence for massive neutrino in combination with CMB measurements, while a larger than 2 sigma detection of non zero neutrino mass, either active or sterile, is achieved combining cluster or shear data with CMB and BAO measurements. Yet, the significance of the detection exceeds 3 sigma if we combine all four datasets. For a three active neutrino scenario, from the joint analysis of CMB, BAO, shear and cluster data including the uncertainty in the mass bias we obtain Sigma m(nu) = 0.29(-0.21)(+0.18) eV and Sigma m(nu) = 0.22(-0.18)(+0.17) eV (95%CL) using WMAP9 or Planck as CMB dataset, respectively. The preference for massive neutrino is even larger in the sterile neutrino scenario, for which we get m(s)(eff) = 0.44(-0.26)(+0.28) eV and Delta N-eff = 0.78(-0.59)(+0.60) = (95%CL) from the joint analysis of Planck, BAO, shear and cluster datasets. For this data combination the vanilla Lambda CDM model is rejected at more than 3 sigma and a sterile neutrino mass as motivated by accelerator anomaly is within the 2 sigma errors. Conversely, the Ly-alpha data favour vanishing neutrino masses and from the data combination Planck+BAO+Ly-alpha we get the tight upper limits Sigma m(nu) < 0.14 eV and m(s)(eff) < 0.22 eV - Delta N-eff < 1.11 (95%CL) for the active and sterile neutrino model, respectively. Finally, results from the full data combination reflect the tension between the sigma(8) constraints obtained from cluster and shear data and that inferred from Ly-alpha forest measurements; in the active neutrino scenario for both CMB datasets employed, the full data combination yields only an upper limits on Sigma m(nu), while assuming an extra sterile neutrino we still get preference for non-vanishing mass, m(s)(eff) = 0.26(-0.24)(+0.22) eV, and dark contribution to the radiation content, Delta N-eff = 0.82 +/- 0.55

    Developing a Human Activity Model for Insider IS Security Breaches Using Action Design Research

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    Part 2: Human Aspects of SecurityInternational audienceInsider security breaches in organizations have been identified as a pressing problem for academics and practitioners. The literature generally addresses this problem by focusing on the compliance of human behavior to stated policy or the conformance with organizational culture. The cultural stance and resultant activities of organizational insiders are key determinants of information security. However, whilst compliance with security policies and regulations is of great importance, the very structure of human activities that facilitates or hinders such compliance have seldom appeared in the literature. In this paper we present a human activity model that captures different aspects of a security culture. The model elucidates the patterns of behavior in organizations. Applying the model before and after an insider security breach allows us to make salient, critical areas that need attention
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