Being Occupied With What Matters in Advanced Age

This article illuminates one key finding of an interpretive phenomenological study that brought an occupational lens to exploring how elders experience ageing in their everyday lives. Fifteen community-dwelling, New Zealand elders aged 71 to 97, 4 Maori and 11 non-Maori, were purposively recruited. Data were gathered through individual interviews focused on stories of everyday moments and photographs of the participant’s hands only while engaged in doing a chosen occupation. Discrete stories were drawn from the narrative data and interpreted, guided by Gadamerian hermeneutics and Heideggerian phenomenology. The notion of ‘doing what matters’ emerged as participants spoke of having one occupation that was of primary importance to them. This one compelling pursuit showed as an enduring interest over time, illuminating the temporal unity of past, present and future in advanced age. Accordingly, the boundaries of researching occupational engagement in advanced age ought to be redefined. Instead of a current emphasis on understanding elders’ participation in daily activities, activity categories and patterns, occupational science research might deepen the focus to understand how engagement in subjectively compelling occupations is associated with ageing well and longevity

Settlement Patterns in the Chifeng Region

Non peer reviewedPostprin

Aging Just Is: Illuminating Its That-being, How-being & What-being

Aging is part of life. Its natural occurrence means that, by virtue of living, each and every one of us exists toward being aged. It just happens. In the usual course of life it cannot, not happen. Aging is always already there within our human finiteness. Thus, as something which is unremitting, the being toward aging is present from the event of coming into the world to the moment of going out of it. I offer here a glimpse at a hermeneutic interpretation of the phenomenon of aging. Philosophically, Heidegger‟s understandings of the „that-being,‟ the „how-being‟ and the „what-being‟ of phenomena are used to illuminate the notion that „aging just is.‟ The deep soil in which the interpretation is grounded is the everyday stories told by 15 New Zealand elders. An outline of the study‟s design and methods is given in the abstract for this presentation. The photographs shown are not those of the study‟s participants

Being occupied in the everyday

This chapter draws on the stories told by elder New Zealanders as a way of illuminating the deeply contextual, habitual, relational and precarious nature of engaging in everyday occupations. In the telling we hear how routines matter because they give shape and structure to a day. Having a purpose, however, calls one into engaged activity with enthusiasm. Everyday occupations offer connectedness in time and with others. They can give a sense of continuity which stretches back into the distant past and which projects forward into the future. Memories and deeply held social customs matter. As such, those important to one‟s life who have died still stay as part of the livings‟ relational context. Paradoxically, we also hear how the ordinariness of familiar occupations is the context for the unfamiliar to be made visible. Precariousness is ever-present. These and other complexities of being in the everyday in advanced age, such as aloneness, and intergenerational relationships are analyzed vis-à-vis occupation using both a phenomenological and a transactional perspective. It is only by understanding the holistic, contextual nature of engaging in everyday occupations that one comes to recognize that when working with older people one must sensitively listen and think before acting. A transactional perspective provides the conceptual tools to support this practice

The promise of internationally collaborative research for studying occupation: the example of the older women's food preparation study

Growing awareness of the Western perspectives underpinning occupational science and occupational therapy’s values, theories, and evaluation tools has given rise to questions about culturally relevant knowledge and practice with non-Western populations. To make sense of attempts to develop cross-cultural knowledge taking place within the profession and discipline, the authors review epistemological perspectives and methodological advances in anthropology and psychology. Thus informed, they both summarize and critique constructivist and positivist approaches to knowledge development and practice that cross or resist the crossing of cultures. The authors outline a multicultural collaborative research method that supports extending and refining the profession’s knowledge in a way that both honors local perspectives and reveals concepts that cross cultures. Insights from a study that explored the meaning of food preparation to older Thai, American, and New Zealand women provide illustrative examples

Healthy Pacific Grandparents: A Participatory Action Research Project Exploring Ageing Well Amongst Pacific People in New Zealand

The New Zealand older adult population (aged 65+ years) is growing at a faster rate than the younger population, with many of those in the later years living much longer. The proportion of older Pacific people is forecast to reach 4.1% of the country’s total population within the next two decades, highlighting the importance of research focused on ageing Pacific populations. This article sets out the research protocol and methods for the Pacific Islands Families: Healthy Pacific Grandparents’ Study, which aims to investigate older Pacific people’s viewpoints on ageing to identify specific cultural values, perspectives and understandings as the Pacific population in New Zealand ages. The study will recruit and utilize participants from a grandparent cohort that is nested within the families of the longitudinal Pacific Islands Families Study. This study uses a Participatory Action Research approach to position the participants in a leadership role where they are co-researchers involved in both the research and the implementation of recommendations. Utilizing a transformative research process will bring older Pacific people together to define for themselves their needs and their experiences, identify any areas of shortcoming, and support the implementation of solutions through strategic and informed actions

Social, Leisure and Everyday Activities That Occupy People Living in Advanced Age

•Aim of the Living to Advanced Age study •The purpose of this paper •Background to researching elders‟ social, leisure & everyday activities •The outcome measures used •The findings •What do they mean

Strong SOD2 expression and HPV-16/18 positivity are independent events in cervical cancer

It is well known that persistent infection with high-risk HPV (hr-HPV), mostly HPV-16 and 18, is the main cause of cervical cancer development. Manganese superoxide dismutase (MnSOD or SOD2) are highly expressed in different neoplasia. The present study investigated SOD2 protein expression and the presence of hr-HPV types in 297 cervical samples including non-neoplastic tissue, cervical intraepithelial neoplasia grade 3 (CIN3), squamous cell carcinoma (SCC) and adenocarcinoma (ADC). Strong SOD2 expression was significantly higher in ADC (82%) than CIN3 (52%) or SCC (64%). There was no association between SOD2 expression and HPV 16 and/or 18 detection for every lesion analyzed. Binary Logist Regression revealed that strong SOD2 expression (OR: 27.50, 6.16-122.81) and HPV 16 and/or HPV 18 (OR: 12.67, 4.04-39.74) were independently more associated with CIN3 than non-neoplastic cervix. Strong SOD2 expression (OR: 3.30, 1.23-8.86) and HPV 16 and/or HPV 18 (OR: 3.51, 1.03-11.87) were independently more associated with ADC than SCC. Similar findings for SOD2 expression were observed by the Cochran Mantel-Haenszel test, controlling for HPV-16 and/or HPV 18. In conclusion, the expression of SOD2 was increased in CIN3 and SCC, and more increased in cervical ADC than in SCC. Strong SOD2 expression was statistically independent of the presence of HPV 16 and/or 18. These findings suggest that the mitochondrial antioxidant system and HPV infection could follow independent pathways in the carcinogenesis of cervical epithelium and in the differentiation to SCC or ADC of the cervix.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP; Grants No. 2008/57889-1, 2010/07739-3 and 2012/16059-1) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)/Instituto Nacional de Ciência e Tecnologia das Doenças Associadas ao HPV (INCT-HPV) (CNPq Grant No. 573799/2008-3)info:eu-repo/semantics/publishedVersio