Daily Situations Research Articles

Acceptance, Sensory Characterization and Consumption Contexts for Dehydrated Persimmon Slices, Chips, Leathers and Powder: A Consumer Study.

Valorization of persimmon discards is a current challenge for the food industry. Obtaining dehydrated persimmon products can be a good option, but studies are necessary to predict consumer responses before placing new products on the market. In this study, we produced dried slices, chips, leathers and powder from persimmons that were discarded at harvest. A consumer study was performed with 100 participants. For a realistic context, the four products were presented to the participants in specifically designed packages to simulate commercial packages. The participants were asked about their interest in having each product available on the market. Then, they were asked to taste the samples and to state their acceptance and purchase intention. The participants characterized the main sensory properties of the samples using the CATA questions. The consumption contexts evoked by each product were also investigated based on the item-by-use method, plus the CATA questions. Our results revealed that, before tasting the samples, the participants showed special interest in having chips and slices available on the market. After tasting, the participants reported very good acceptance of chips, slices and powder, but leathers were less liked. According to the consumer characterizations, slices had the most intense persimmon taste and a succulent texture, while powder was characterized by its caramel taste. Chips were differentiated from the other samples, mainly for their crispy texture, while leathers were sticky and tasteless, which explained their poor acceptance. By evaluating the data on acceptance and the evoked consumption contexts together, we conclude that persimmon consumption could be enhanced by commercializing slices, chips and powder. The participants described chips and slices as healthy snacks in different daily situations, while powder could be used as a sweetener for yoghurts or hot drinks and as an ingredient for baking desserts. These are all contexts in which fresh persimmon would be not consumed as reported by the participants.

Transitions in daily search tactics: during the cross-app interaction search process

PurposeCross-app interactive search has become the new normal, but the characteristics of their tactic transitions are still unclear. This study investigated the transitions of daily search tactics during the cross-app interaction search process.Design/methodology/approachIn total, 204 young participants' impressive cross-app search experiences in real daily situations were collected. The search tactics and tactic transition sequences in their search process were obtained by open coding. Statistical analysis and sequence analysis were used to analyze the frequently applied tactics, the frequency and probability of tactic transitions and the tactic transition sequences representing characteristics of tactic transitions occurring at the beginning, middle and ending phases. FindingsCreating the search statement (Creat), evaluating search results (EvalR), evaluating an individual item (EvalI) and keeping a record (Rec) were the most frequently applied tactics. The frequency and probability of transitions differed significantly between different tactic types. “Creat? EvalR? EvalI? Rec” is the typical path; Initiate the search in various ways and modifying the search statement were highlighted at the beginning phase; iteratively creating the search statement is highlighted in the middle phase; Moreover, utilization and feedback of information are highlighted at the ending phase. Originality/valueThe present study shed new light on tactic transitions in the cross-app interactive environment to explore information search behaviour. The findings of this work provide targeted suggestions for optimizing APP query, browsing and monitoring systems.

Development of an Enhanced Surveillance and Epidemiology Program to Support the Birmingham 2022 Commonwealth Games in England: Outcomes and Lessons Learned

Introduction:The 2022 Commonwealth Games (B2022) was hosted by Birmingham, United Kingdom (UK) from July, 28 2022 to August 8, 2022. As a major global sporting event and mass gathering, B2022 included over 4,500 athletes (from 72 countries and territories) and attracted 1.5 million spectators. Robust public health surveillance and support for health protection incidents was required from the UK Health Security Agency (UKHSA) to protect the health of both those directly involved in B2022, and the local population.Method:UKHSA surveillance activities in the UK West Midlands region were enhanced, utilizing lessons learned from the response to the London 2012 Olympic and Paralympic Games and the 2021 G7 Summit (hosted in England). Enhancements included: adaptation of existing and development of new methods for the identification of increased activity of a range of pathogens/diseases/conditions of particular concern to a mass gathering; standardized daily situation reporting to inform both public health action and the B2022 organizing committee. Three streams of routine UKHSA surveillance data were assessed each day: a UKHSA health protection/clinical management system, statutory laboratory reports of infection, and syndromic surveillance. Bespoke surveillance was also implemented using B2022 health data sources.Results:Enhanced daily surveillance activities successfully met the need for next-day public health surveillance and reporting during B2022. No outbreaks or incidents of public health significance to the Games were identified. Syndromic surveillance reported an increased impact on local health services due to periods of extremely hot weather before and following the competition period, although these impacts were not unique to the Birmingham area.Conclusion:Surveillance and epidemiology reporting for B2022 provided reassurance there were no incidents/outbreaks of public health significance to the Games. The enhancements made will inform future routine surveillance and reporting activities and will be employed for similar activities during future mass gathering events.

Demographic and clinical characteristics of COVID-19 patients in the least developed province Balochistan of Pakistan – an observational descriptive study

This study was designed to determine the epidemiological and clinical attributes of COVID-19 patients in the least developed province of Balochistan, Pakistan. The information was obtained from the daily situation report by the Health Department, Government of Balochistan, Pakistan. We investigated the reports of 4177 patients confirmed by RT-PCR tests. Demographic, epidemiological and risk factors data along with comorbidities and clinical signs were recorded. Out of 4500 suspected cases, 4177 cases were directed for the confirmation of COVID-19. A sum of 2177 patients was confirmed to have COVID-19 and 2000 individuals tested negative for the illness. Out of 4177 patients, 2000 patients recovered but 177 patients died because of COVID-19. In current statistics, most males were affected by COVID-19 as 3243 (77.69%) were males and 934 (22.36%) were females. A total of 90.81% of individuals had fever, 88.97% had a cough, 81% had body throbs, and 89.66% had a sore throat. Shortness of breath was observed in 97.06% and 44.09 % had comorbidity. Multiple logistic regression analysis showed that the outcome of patients was associated with gender and symptoms. The district Quetta had the maximum number of COVID-19 cases and deaths. COVID-19 cases and case casualty proportion are low in Balochistan. Whether this is because of failure to do more tests is still to be discovered. Males and individuals of older age are more impacted, and fatalities were higher in cases with co-morbid conditions. Balochistan has a feeble medical care framework and many asymptomatic cases, and needs more rigid screening activities.

Seeing the forest or the tree depends on personality: Evidence from process communication model during global/local visual search task.

In everyday life, we are continuously confronted with multiple levels of visual information processes (e.g., global information, the forest, and local information, the tree) and we must select information that has to be processed. In the present study, we investigated the relation between personality and the ability to process global and local visual information. Global precedence phenomenon was assessed by a standard global/local visual search task used in many visuo-spatial precedent studies, and the 77 participants were also presented with the standard Process Communication Model (PCM) questionnaire. Results suggest that the ability to process global and local properties of visual stimuli varied according to the Base type of participants. Even if four among six Base types (Thinker, Persister, Harmonizer and Promoter) presented a classical global visual precedence, the two other Base types (Rebel and Imaginer) presented only an effect of distractors and an effect of global advantage, respectively. Taken together, these results evidenced that each human being does not equally perceive the "forest" (global information) and the "tree" (local information). Even if objectively presented with similar visual stimuli, individual responses differ according to the Base, an inter-individual variability that could be taken into account during daily life situations.

“Another (hard) day moving in the city”: Development and validation of the MCSS, a multimodal commuting stress scale

Although most of the literature on stress-related factors uniformly points out several negative health, performance, and safety issues as potential outcomes attributable to a prolonged exposition to stressful situations, the applications of these assumptions to the field of urban mobility (and more specifically to commuting) remain considerably scarce. Indeed, while commuters worldwide usually face daily situations such as traffic jams, dearth of transport choices, crowded public transport services, long trips, and road conflicts, there are only a few studies that have methodologically addressed the issue of commuting stress (CS). AimThis paper aims to present in detail the development and validation of the Multimodal Commuting Stress Scale (MCSS), a self-report tool for assessing commuting stress-related factors among urban commuters of different modalities. MethodsThis cross-sectional study retrieved data from a nationwide sample of 1,429 commuters (aged between 18 and 78; average 34.42 years) from all 17 Spanish regions. Data were analyzed through Structural Equation Model-based competitive Confirmatory Factor Analyses, thus testing the psychometric performance of the scale under different structural assumptions, as well as its reliability, consistency, and validity insights. ResultsThe outcomes of this study suggest that the developed MCSS has a clear four-dimensional structure, an optimal set of factor loadings, fair goodness-of-fit indexes, and satisfactory internal consistency and reliability. Additionally, validity analyses show that commuting stress factors measured through the MCSS have coherent associations with both physical/mental health indexes and trip-related factors, while it also discriminates commuting stress scores by sex, age, and commuting modality. ConclusionAll in sum, the findings of this study endorse the suitability of the Multimodal Commuting Stress Scale for measuring stress-related factors affecting urban commuters, as well as to make comparisons among different groups of them.

VR-SOAP, a modular virtual reality treatment for improving social activities and participation of young people with psychosis: a study protocol for a single-blind multi-centre randomized controlled trial

BackgroundYoung people with a psychotic disorder have the same social goals as their healthy peers, but their social networks are smaller, they participate less often in leisure activities and are less successful in work and education. Causes of these problems are multifaceted, but culminate in difficulties with interacting in daily life social situations. Current treatments have only moderate effects on social functioning and often target one specific domain. Virtual reality (VR) has the potential to improve the treatment of social interaction difficulties. We developed a modular VR treatment for social functioning and participation (VR-SOAP). In this study, the effect of this intervention will be investigated in a randomized controlled trial (RCT).MethodsA total of 116 participants (age 18–40) with a DSM-5 diagnosis of schizophrenia spectrum or other psychotic disorder and problems with social functioning will be recruited from mental healthcare institutes in the Netherlands. Participants will be randomized to the experimental condition (VR-SOAP) or active VR control condition (VRelax). VR-SOAP consists of 14 sessions and 5 modules addressing causes of impaired social functioning: four optional modules (1–4) and one fixed module (5). Vrelax consists of 14 sessions that entail psychoeducation, stress management, relaxation techniques, and the exploration of relaxing environments in VR. Primary outcomes are quantity and quality of social contacts, leisure activities and social participation, measured with the experience sampling method (ESM). Secondary outcomes are psychiatric symptoms, social behaviour, social cognition, self-esteem, self-stigma and paranoid thoughts. Treatment effects will be compared at pre-treatment (baseline), post-treatment and at 6-month follow-up.DiscussionIf VR-SOAP proves to be effective, it provides therapists with a much-needed tool to improve social functioning of young adults with a psychotic disorder. Additionally, since the treatment consists of multiple modules targeting different transdiagnostic factors, this trial might provide input for new treatments to improve social functioning in a range of symptoms and disorders, e.g. mood, autism spectrum and anxiety disorders.Trial registrationOn the 10th of November 2021, this trial was registered prospectively in the Dutch Trial Register as NL9784.

Effect of audio content on simple and repetitive tasks requiring eyesight: Focus on task performance and emotional responses

Although video content includes many advantages over audio content in terms of information delivery, the latter is being continuously released into the market. Additionally, audio content is being consumed in repetitive daily work situations that require the continuous use of eyesight because such content transmits information by only using auditory stimuli. Therefore, this study examined how listening to audio content while performing simple repetitive tasks can affect the performance and perception of such tasks. Based on the findings, although the audio content type decreased the participants’ performance of the primary task, the difference was not statistically significant. Contrary to the effect on performance, the audio content lowered the fatigue and boredom of the primary task, while increasing satisfaction, enjoyment, and immersion. In particular, music, entertainment speech, and information speech had a significant effect on the participants’ work cognition, whereas autonomous sensory meridian response (ASMR) had no statistically significant effect.

Adolescents' neural reactivity to parental criticism is associated with diminished happiness during daily interpersonal situations.

The goal of this study was to examine the relation between real-world socio-emotional measures and neural activation to parental criticism, a salient form of social threat for adolescents. This work could help us understand why heightened neural reactivity to social threat consistently emerges as a risk factor for internalizing psychopathology in youth. We predicted that youth with higher reactivity to parental criticism (vs neutral comments) in the subgenual anterior cingulate cortex (sgACC), amygdala and anterior insula would experience (i) less happiness in daily positive interpersonal situations and (ii) more sadness and anger in daily negative interpersonal situations. Participants (44 youth aged 11-16 years with a history of anxiety) completed a 10-day ecological momentary assessment protocol and a neuroimaging task in which they listened to audio clips of their parents' criticism and neutral comments. Mixed-effects models tested associations between neural activation to critical (vs neutral) feedback and emotions in interpersonal situations. Youth who exhibited higher activation in the sgACC to parental criticism reported less happiness during daily positive interpersonal situations. No significant neural predictors of negative emotions (e.g. sadness and anger) emerged. These findings provide evidence of real-world correlates of neural reactivity to social threat that may have important clinical implications.

Girls With Social and/or Attention Deficit Re-Examined in Young Adulthood: Prospective Study of Diagnostic Stability, Daily Life Functioning and Social Situation

Objective: Investigate diagnostic stability, daily life functioning and social situation in women diagnosed with ADHD and/or ASD in childhood. Methods: Prospective 17 to 20-year follow-up study of 100 girls of whom 92 diagnosed in childhood with main DSM-IV ADHD or ASD, and 60 comparison girls. Ninety and 54 of these women were examined (M = 27, 4 years old) with semi-structured interviews and questionnaires, close relatives were interviewed. Results: At follow-up, 89% of women with ADHD or ASD in childhood still met the criteria for either of these diagnoses. Very few women were “in remission.” In 34% the main diagnosis shifted from ADHD to ASD. Women with ADHD and ASD had significantly more disability and unfavorable social situation than comparison women. Conclusion: Women with ADHD and/or ASD in childhood had impairing problems 17 to 20 years later. Early ADHD changed to ASD in adulthood in some cases. Nearly all with ASD met criteria for ADHD as adults.

The Importance of Diverse User Goals When Designing an Automated COVID Risk Counselor

The COVID-19 Pandemic has required everyone to understand and respond to the ever-evolving threats during daily life. The overall goal of our work is to develop a system based on an interactive conversational agent that functions as a ‘risk counselor’ by providing personalized information to people who have concerns about the risk of COVID infection when participating in daily situations. Such a system could also be useful for people who have concerns about other kinds of infection (e.g., HIV), and more broadly, risk in other domains (e.g., radon exposure in the home). As an initial step, we conducted MTurk surveys to elicit people’s concerns about COVID risk in daily situations. A key takeaway from this study is that when designing an agent, there needs to be a better framing of risk-related recommendations about daily situations, which may be particularly effective for educating people about the risk and encouraging actions that address risk. This framing should also address diverse user goals, including emotional responses, uncertainty, planning, and opinions about these situations.

A Mixed Methods Assessment of Self- Management Needs and Preferences of People with Type 2 Diabetes Mellitus in China.

Consistent and effective self-management is a major challenge for people with diabetes and long-term effects can be difficult to sustain despite the many interventions. Interventions often fail to take patients' perceptions of self-management into account from their perspective. Exploring the needs preferences and the influencing factors of self-management in patients can improve the effectiveness of self-management. This study used a mixed research approach, exploring patient needs and preferences through web crawl methods and using qualitative interviews to explore the logic of preferences. 1605 data were obtained from 4 online health communities through web crawlers. Data were coded using grounded theory to analyze self-management needs. The codes were also coded for frequency statistics and ranked to explain the self-management preferences. The second phase explained the logic of the ranked distribution of preferences through one-on-one interviews with 22 patients. This study summarized six self-management needs of people with diabetes through web crawler data, among which medication management and conflict between disease and daily life were the most important concerns of patients. The reasons why patients are particularly concerned about these two needs were explored through qualitative interviews, and it was found that patients' concerns about medication were mainly due to the following three aspects: the effect of drugs is direct and obvious, medication use makes life less complicated, and progressive side effects. The patients' concerns about the conflict between disease and daily life are often caused by the following three aspects: diabetes impacts social roles, disease complicates life, and reducing the impact of the disease on life. The self-management needs of Chinese diabetics have six themes. Medication management, conflict between disease and daily life, diet, diabetes knowledge, blood glucose monitoring and exerciseIn order of frequency of mention and possible preference: medication management, conflict between disease and daily life were the most frequent needs, while diet, knowledge about diabetes, blood glucose monitoring and exercise were their least frequent needs.Understanding the individual's perception and understanding of diabetes self-management and the expression of the patient's daily life situations can guide the medical team to optimize collaboration on personalized care plans.

Changes in the Experience of Stuttering Following Intensive Prolonged Speech and Non-Avoidance Treatments

Purpose: The main purpose of this study is to apply a multidimensional comprehensive instrument to evaluate the overall impact of stuttering (OASES-A) from the perspective of adults who stutter (AWS) who completed one of two intensive stuttering therapies: The La Trobe prolonged speech program and Van Riper’s non avoidance approach. Methods: The OASES-A was applied to evaluate participants’perceptions of their experience of stuttering with the specific aim of compare the changes in the experience of stuttering following two intensive treatments. An essential element in post-treatment evaluation are changes in the speaker’s self reported quality of life. Results: OASES-A group results regarding the La Trobe and Van Riper intensive treatment outcomes show positive changes in stuttering experience for 27 AWS in four sections: 1) general information on stuttering; 2) reactions to stuttering; 3) communication in daily situations; and 4) quality of life. Conclusions: The article represents the first English-language documentation of the Bulgarian results of OASES-A application of previously conducted intensive treatments. OASES-A outcomes show significantly greater overall improvement and changes in the four sections that relate to the experience of stuttering following two intensive treatments. As a research-based instrument for assessment of quality of life in AWS, the OASES-A was easy to administer and analyze. The OASES-A describes in substantial detail the experience and influence that stuttering exerts on quality of life from the client’s perspective. Its application was preferred because it assists speech-language pathology Master’s degree students to recognize the speech needs, abilities, preferences, and interests of AWS.

Measurement of Trunk Movement during Sit-to-Stand Motion Using Laser Range Finders: A Preliminary Study.

The sit-to-stand (STS) motion evaluates physical functions in frail older adults. Mounting sensors or using a camera is necessary to measure trunk movement during STS motion. Therefore, we developed a simple measurement method by embedding laser range finders in the backrests and seats of chairs that can be used in daily life situations. The objective of this study was to validate the performance of the proposed measurement method in comparison with that of the optical motion capture (MoCap) system during STS motion. The STS motions of three healthy young adults were simultaneously measured under seven conditions using a chair with embedded sensors and the optical MoCap system. We evaluated the waveform similarity, absolute error, and relationship of the trunk joint angular excursions between these measurement methods. The experimental results indicated high waveform similarity in the trunk flexion phase regardless of STS conditions. Furthermore, a strong relationship was observed between the two measurement methods with respect to the angular excursion of the trunk flexion. Although the angular excursion of the trunk extension exhibited a large error, the developed chair with embedded sensors evaluated trunk flexion during the STS motion, which is a characteristic of frail older adults.

Psycho-emotional peculiarities of workers from legal field

The activity in legal field is varied, taking into account that this large sphere is related to the defense of fundamental rights and freedom of a person, duet to the responsibility provided, emanated by the workers from justice field, the responsibility to protect fundamental norms in force. Workers of legal, justice field, daily confront situations of infringements of civil, criminal and administrative laws, as well as the violation of procedural-criminal order. In the given study we are going to determine the psycho-emotional peculiarities of specialists from justice/legal field, namely to research the level of manifestation of anxiety, aggressiveness, rigidity and frustration. The sample of the given study is formed by jurists, attorneys, as well as prosecuting officers – the majority of subjects are men with different age and professional experience in the field.

Patient perspectives on the need for improved hearing rehabilitation: A qualitative survey study of German cochlear implant users.

The electrical cochlear implant (eCI) partially restores hearing in individuals affected by profound hearing impairment (HI) or deafness. However, the limited resolution of sound frequency coding with eCIs limits hearing in daily situations such as group conversations. Current research promises future improvements in hearing restoration which may involve gene therapy and optical stimulation of the auditory nerve, using optogenetics. Prior to the potential clinical translation of these technologies, it is critical that patients are engaged in order to align future research agendas and technological advancements with their needs. Here, we performed a survey study with hearing impaired, using an eCI as a means of hearing rehabilitation. We distributed a questionnaire to 180 adult patients from the University Medical Center Göttingen's Department of Otolaryngology who were actively using an eCI for 6 months or more during the time of the survey period. Questions revolved around patients needs, and willingness to accept hypothetical risks or drawbacks associated with an optical CI (oCI). Eighty-one participants responded to the questionnaire; 68% were greater than 60 years of age and 26% had bilateral eCIs. Participants expressed a need for improving the performance beyond that experienced with their current eCI. Primarily, they desired improved speech comprehension in background noise, greater ability to appreciate music, and more natural sound impression. They expressed a willingness for engaging with new technologies for improved hearing restoration. Notably, participants were least concerned about hypothetically receiving a gene therapy necessary for the oCI implant; but expressed greater reluctance to hypothetically receiving an implant that had yet to be evaluated in a human clinical trial. This work provides a preliminary step in engaging patients in the development of a new technology that has the potential to address the limitations of electrical hearing rehabilitation.

Artificial moral experts: asking for ethical advice to artificial intelligent assistants

In most domains of human life, we are willing to accept that there are experts with greater knowledge and competencies that distinguish them from non-experts or laypeople. Despite this fact, the very recognition of expertise curiously becomes more controversial in the case of “moral experts”. Do moral experts exist? And, if they indeed do, are there ethical reasons for us to follow their advice? Likewise, can emerging technological developments broaden our very concept of moral expertise? In this article, we begin by arguing that the objections that have tried to deny the existence (and convenience) of moral expertise are unsatisfactory. After that, we show that people have ethical reasons to ask for a piece of moral advice in daily life situations. Then, we argue that some Artificial Intelligence (AI) systems can play an increasing role in human morality by becoming moral experts. Some AI-based moral assistants can qualify as artificial moral experts and we would have good ethical reasons to use them.

The Concept of Randomness in Chilean Primary School Textbooks

Background: Randomness is a fundamental concept in the formation of citizens because it intervenes in various daily life situations. In addition, it is present in the school curriculum of various countries, such as Chile. Objective : To analyse the teaching of the concept of randomness in primary education mathematics textbooks in Chile. Design: The research uses a qualitative methodology and uses the content-analysis method. Setting and participants : 42 textbooks were analysed, including student texts and activity logs. Data collection and analysis : Through content analysis, the sections and segments of the textbooks in which the concept of randomness intervenes are studied, relating them to definitions, problem situations, cognitive levels that should be developed, and the use of technological tools. Results : The concept of randomness is introduced through random games and concepts associated with random experiment, chance, random, and sample space, without delving into the definition of some cardinal concepts such as chance and randomness. Conclusions : The textbooks partially conform to the Chilean curricular guidelines. In addition, activities related to the concept of randomness generally refer to the use of physical devices and, on a small scale, to the use of technological tools. Finally, the textbooks present a small number of problem situations with an adequate cognitive level that favours the development of skills necessary for primary education students’ acquisition of probabilistic thinking.

Influence of Child's Temperament on Behaviour Management Problems in the Dental Office: A Literature Review.

A child's temperament could have an influence on his/her behaviour in the dental environment. This review aims to present the main temperament surveys and their clinical use and to discuss the relationship between certain temperament dimensions and Dental Behaviour Management Problems (DBMP). A literature search was conducted in Medline/PubMed, ScienceDirect, Wiley Online Library and Cochrane library electronic databases for publications, up to June 2022, investigating the link between child's temperament and DBMP. From 733 potentially eligible studies, 12 were included in qualitative synthesis. According to studies using the Child Behaviour Questionnaire (CBQ) scale, the most impactful dimensions are activity, extraversion and surgency, high-intensity pleasure and attention control. For those using the Emotionality-Activity-Sociability (EAS) scale, emotionality and shyness have a statistically significant positive linear correlation with dental anxiety and DBMP. It has yet to be determined whether the use and interpretation of these questionnaires can be carried out in a daily clinical situation as an aid to sharpen the indications for the several levels of sedation.

O que é ser uma pessoa idosa que apresenta queixas de memória: a percepção de mulheres atendidas em um Centro de Reabilitação Física

Abstract Objective To understand what it is like to be an older person with memory complaints from the perspective of women seen at a Physical Rehabilitation Center. Method A qualitative exploratory descriptive study was conducted involving a population of older women aged >60 years who had impaired cognitive function, as measured by the Mini-Mental State Examination (MMSE), and subjective memory complaints was carried out. A questionnaire was applied to characterize the participants and an audio-recorded semi-structured interview based on a guiding question was conducted. The transcribed interviews were analyzed using Bardin's Content Analysis. Results The age of the 19 participants ranged from 62 to 84 years, with mean of 72.37 (±6.72) years. Reading and analysis of the discourse produced in response to the guiding question revealed two categories: (1) feelings the older women experienced due to memory complaints; (2) daily life situations affected by memory complaints. Conclusion Being an older woman with memory complaints was reported as challenging, promoting changes in daily life, impacting situations that used to be routine, and requiring readjustments both for the older individual with memory impairment and those around them.