Loss Of Spontaneity Research Articles

Living with and Caring for People with Multiple Food Allergies: A Qualitative Study.

The quality of life (QoL) impact of food allergies extends beyond severe allergic reactions, as food avoidance can permeate the daily lives of individuals with food allergies and their caregivers. People with multiple food allergies may experience a greater impact on QoL than people with a single food allergy, but there is limited evidence available. The aim of the study was to provide insight into the lived experiences of adults, teenagers, children, and caregivers of children with multiple food allergies. Semi-structured interviews were conducted of people with multiple food allergies and their caregivers (n = 20) in the United States, including 10 adults, 5 teenagers, and 5 caregivers of children. Patterns in responses were explored using reflexive thematic analysis. Four themes were developed by the researchers to convey the experiences of people with food allergies and QoL impact: preparedness and allergen avoidance results in a loss of spontaneity; emotional impact varies by person and for each person; participating in society involves speaking up and trusting others; and food is more than nutrition. In addition, 3 themes were identified that convey the experiences of caregivers: looking out for your child's safety is an emotional balancing act; limitations on what you can do on your own and as a family; and creating a safe and fulfilling environment can be time-consuming and costly. These findings highlight that people with multiple food allergies experience social limitations, stress about food safety and allergen avoidance, and restrictions on freedom. Caregiver QoL is impacted by the need to navigate social, emotional, and practical implications of caring for a child with multiple food allergies.

Transition from driving to driving-cessation: experience of older persons and caregivers: a descriptive qualitative design

BackgroundFor some older persons, driving is essential to maintain their daily activities and engagement with society. Unfortunately, some will have to stop driving, as they age. Driving-cessation is an important transition for older persons and caregivers, well known to cause significant challenges and consequences. This study aimed to describe the experience of older persons and caregivers in the transition from driving to ceasing to drive.MethodsWithin a descriptive qualitative design, semi-structured interviews were undertaken with older persons (n = 8) and caregivers (n = 6) from the city of Québec (Quebec, Canada), from November 2020 to March 2021. Using an inductive approach, the qualitative data was analyzed with the content analysis method.ResultsSome older persons had never thought they might someday lose their driver’s license. The process of legislative assessment was unknown by almost all older persons and caregivers. The process was therefore very stressful for the research participants. Driving-cessation is a difficult transition that is associated with loss of independence, freedom, spontaneity, and autonomy. Qualitative analysis of data showed different factors that positively or negatively influence the experience of ceasing to drive, such as the older person’s ownership of the decision, the presence of a network of friends and family, and self-criticism. There was significant impact related to driving-cessation for caregivers, such as assuming the entire burden of travel, psychologically supporting older persons in their grief, and navigating the driver’s licensing system.ConclusionsThese study results could help organizations and healthcare professionals to better accompany and support older drivers and caregivers in the transition from driving to driving-cessation.Trial registrationNone.

The Australian breaking scene and the Olympic Games: The possibilities and politics of sportification

In this article, we analyse the impact of breaking’s inclusion in the Olympics on the Australian breaking scene. We draw on our experiences as Australian breaking practitioners, as well as ethnographic field research conducted between 2018 and 2021, to show how Australian breakers have responded to, and made sense of, breaking becoming an Olympic sport. While some breakers see the Olympics as an opportunity and space for wider recognition, many have expressed concerns with the growing influence (and embrace) of transnational commercial organizations and institutional governing bodies in shaping and managing breaking’s future. Alongside concerns of an increasing sportification of breaking, this trajectory points towards an increasing loss of self-determination, agency and spontaneity for local Australian breakers and will have profound consequences for the way in which hip hop personhood is constantly ‘remade and renegotiated’ in Australia (Marie 2020: 4). Isolated from the major breaking hubs (North America/Asia/Europe), Australia’s breaking scene is marked by distinct, self-determined localized scenes separated from each other by the geographic expansiveness of this island-continent. Here, breaking is a space for those ‘othered’ by Australian institutions to express themselves and engage in new hierarchies of respect. We argue that breaking’s institutionalization via the Olympics will place breaking more firmly within this sporting nation’s hegemonic settler-colonial structures that rely upon racialized and gendered hierarchies. As such, in this article we discuss and examine how the Olympics impacts ongoing local, social and cultural productions and expressions of hip hop, and the distinct possibilities of breaking that enable its participants to ‘show and prove’ outside standardized, institutionalized rubrics.

Impact of Infertility on Female Sexual Function

ABSTRACT Introduction Infertility, known to have a negative impact on couples, may cause significant distress in a relationship and can potentially lead to/or exacerbate sexual dysfunction. The physical, psychological, and often financial strains of infertility treatments, with potential failure to achieve the desired pregnancy can all contribute to this stress. Additionally, sex may be seen as becoming a medical or therapeutic act, with loss of spontaneity and pleasure. Hence, infertility and sexual dysfunction can be interlinked. Despite this association, intervention with effective templates of care appears to be limited in addressing this issue. Objective A systematic literature review was done, focusing on female sexual dysfunction due to infertility and on what are available templates of care. Methods A Google Scholar and pub med search were done with keywords “sexual dysfunction,” “infertility,” and “couple.” Results Although there are many studies depicting the correlation between the infertility and sexual dysfunction, templates of management appear to be lacking. Data suggest that infertility is a major contributor to female sexual dysfunction. That is, not only the infertility diagnosis but also the duration of infertility contributes to the sexual dysfunction. Studies have shown the lubrication and orgasm issues are the woman's main concerns. Also, sexual dysfunction is more profoundly impaired in patients with secondary infertility, lower educational level and higher partner education. Conclusions These data suggest that couples undergoing infertility treatment should be evaluated for sexual dysfunction and be offered management during the infertility process. Sexual therapy does not appear to be routinely offered, despite the fact that these patients are at an increased risk of either developing a sexual dysfunction or a sexual dysfunction being exacerbated as a result of infertility as part of the infertility treatment process. Disclosure No

How People with a Chronic Health Condition Have Promoted their Health during COVID-19

Research ObjectivesTo interview individuals with long-standing Multiple Sclerosis about their perceptions of COVID-19 restrictions on health, health care access, and health promotion.DesignA descriptive qualitative approach with maximum variation sampling was used to facilitate low inference interpretation. After coming to consensus on the codes, the researchers clustered the codes and used them to identify emerging themes, consistent with analytic techniques suggested by Miles and Huberman.SettingTelephone interviews were conducted with individuals with multiple sclerosis living in the community who were recruited from the mailing list of the National MS Society.ParticipantsThe 24 individuals interviewed had an average age of 66 years, and had been diagnosed an average of 32 years. Half were married, and 75% were female. Many had college degrees; six were employed.InterventionsThis is a qualitative study with no intervention.Main Outcome MeasuresSelf-reported health, health care access, and health promoting behaviors.ResultsFour interconnected themes emerged from the analysis: negative effects on health and health promotion, being isolated, loss of spontaneity in daily life, and resilience. Although most individuals initially reported no effect of COVID-19 on their health, additional probing revealed that some felt weaker and had more balance problems. Normal exercise regimens had been disrupted for approximately half of them. Several also described decreased social interactions; 80% expressed negative emotional impacts. Many utilized previously developed coping mechanisms, such as cognitive reframing, and support from family as they adapted to COVID-19. Most individuals reported no MS exacerbations and were able to have some contact with providers, usually through telehealth.ConclusionsProviders and researchers should monitor the on-going impact of the COVID-19 pandemic on physical functioning and emotional well-being among individuals with MS. Higher levels of depression have been previously reported among those with MS. For those needing mental health supports, rapid advancements in telehealth enable providers to refer them to psychological services provided through access from their homes.Author(s) DisclosuresThe authors have no conflicts of interest to declare.

Psychological readiness of children to study at school and prerequisites for tolerance

The article presents the psychological growths of the transition from preschool to primary school age. Their value for the formation of psychological readiness for educational activity and the premises of tolerance is disclosed. A detailed analysis is given of how the loss of children's spontaneity during the crisis of 7 years leads to the formation of a "facade" of the personality and a new type of tolerance. The phenomenon of "bitter candy", revealed by A. N. Leontiev, is considered in the aspect of awareness of social norms as a criterion for assessing one's behavior, forming ethical instances and changing the grounds for self-acceptance. The article analyzes the correlation of a new type of relationship between a preschooler during the seven-year crisis period with adults, peers, and self-reliance with the main components of educational activity. The role of decentration in the formation of the prerequisites for educational activity and tolerance is disclosed. The problem under study is correlated with the results of research by Jean Piaget of moral realism and moral relativism. The legitimacy of the conclusion of N.V. Nizhegorodtseva that preschool age is a sensitive period in the formation of tolerance is theoretically justified.

Sexual Rehabilitation After Prostate Cancer Through Assistive Aids: A Comparison of Gay/Bisexual and Heterosexual Men

The use of assistive aids in sexual rehabilitation after prostate cancer (PCa) was examined in 124 gay, bisexual, and other men who have sex with men (GBM) and 225 heterosexual men. GBM were significantly more likely to use assistive aids (79% versus 56%), to try multiple assistive aids (M = 1.65 versus M = 0.83) including medication, penile injection, penile implant, vacuum pump, and nonmedical sex aids, and to seek information about sexual rehabilitation on the Internet, through counseling, or in a support group. There were no differences between the groups in satisfaction with the use of assistive aids. However, use of aids was a significant negative predictor of sexual functioning for GBM and a significant positive predictor for heterosexual men. Interview accounts described satisfaction with assistive aids in terms of maintaining erectile functioning and relationships. The majority of men in the study also described hindrances, both physical and social, resulting in discontinuation of assistive aids, including perceived artificiality, loss of sexual spontaneity, side effects, failure to achieve erectile response, cost, and lack of access to information and support. It is concluded that the specific needs and concerns of GBM and heterosexual men regarding sexual rehabilitation after PCa need to be addressed by clinicians.

Políticas para la eliminación de lo humano y su conjuración

Initially, it is proposed how the political nature of the human in Aristotelian and Kantian key turns against itself until at least three forms of its elimination are determined, as a result of the loss of spontaneity, freedom and thought. Arendt’s statements, exterminating his capacity of astonishment and making impossible the opportunity of change, via the deactivation of the conscience; for which, outlining as a resistance three modes of conjuration of these forms of elimination of the human through writing as a recovery of thought, remembrance in taking responsibility for the past by updating it responsibly and training as a power of self-determination that gives meaning to materiality and human spirituality.

Aspects of Cognition/Health Failure by HIV-infected Individuals: Amelioration through Exercise

A profile of progressive neurological symptoms referred to collectively as HIV-associated neurocognitive disorder (HAND) has been found to be linked to human immunodeficiency virus type 1 (HIV- 1) with symptoms implicating several cognitive domains, including attention, learning, memory, affect and motor functioning. Neuropsychological testing indicates that around fifty percent of HIV patients, in antiretroviral therapy, present evidence of mild cognitive impairment (MCI)/HIV dementia which implies that prevalence was unchanged from the pre- to the potent antiretroviral period, although incidence of MCI had increased and HIV dementia decreased. In children and adolescents presenting HIV, the status of stimulant treatment fot cognitive, behavioral and quality-of-life deficits remains an expectancy, rather than a guarantee of long-term improvement . The syndrome, HAND, presents a spectrum of neurocognitive-neurologic deficits characterized, on the one hand, by poor concentration, memory impairments and psychological sluggishness, and on the other hand, by psychomotor retardation, deficits in fine motor control, balance and posture problems with accompanying clumsiness, and tremors. The behavioral deficits include apathy, flatness of affect, lethargy and loss of spontaneity.

The Furniture’s Thinking Lesson: Allusions and Subtext in a Line from Auden’sThe Sea and the Mirror

FOR all its endearing and affable tone, Prospero’s address to Ariel in The Sea and the Mirror exhibits a number of obscure passages. One of these, nonchalantly disguised under the apparent simplicity of common objects, involves the personification of some ‘furniture’ and the mention of ‘its thinking lesson’. The context is that of Prospero offering Ariel a proof of the child’s initial ingenuity and his subsequent disenchantment as an adult. The gist is sufficiently clear, but critics have abstained from elaborating on the peculiar terms of Prospero’s actual phrasing—the result, it seems, of some private allusion or, perhaps, of Auden’s customary highly condensed style. Apparently, all that Auden had to say about this passage was that ‘the child believes that things are like people he can trust; the adult has a sense of duty and an awareness of the necessity of work, which the child lacks’.2 Auden’s paraphrase underlines the centrality of personification in children’s thinking and the subsequent loss of spontaneity in adult life; however, it fails to shed light on the reasons for his specific wording and for the peculiarly asymmetrical syntax with which he develops the opposition child vs adult. Such choices become more comprehensible if one compares these lines with two other personifications of the ‘furniture’ occurring in two poems that Auden wrote in close proximity to the The Sea and the Mirror.

A 'lost life': coming to terms with haemodialysis.

To describe the essence of the lived experience of patients and families in the early phase of long-term haemodialysis therapy. Past qualitative research has taken a long-term view describing established haemodialysis therapy as it impacts on physical limitations and changes in self-concept, psychosocial well-being and sense of dignity with subsequent consequences for family roles and financial status. This study used the qualitative approach of Heideggerian phenomenology. Eleven patients with end-stage kidney disease who had recently initiated haemodialysis and five family carers engaged in semi-structured interviews. These were recorded and transcribed verbatim and analysed using an hermeneutic framework. The essence of the early dialysis experience was a 'lost life', and participants were overwhelmed by shock and grief. This appeared to result from a lack of mental and physical preparation for dialysis as a long-term management strategy. A loss of sense of self, loss of spontaneity and personal freedom and loss of social connectedness challenged the participants' ability to contribute to family and community. Changed body sensations ranged from improved wellness to a sense of depletion and fatigue. Family caregivers found the caring role was unremitting and required intense vigilance. Patients and family members in the early phase of dialysis may have difficulty perceiving a positive future. A greater focus on preparation for the possibility of dialysis and frameworks of care that support adjustment to this new way of life are of vital importance. Family presence during haemodialysis and support groups for patients and family should be actively facilitated.

Experiences of sexuality and intimacy in terminal illness: A phenomenological study

Background: There is a paucity of research considering sexuality and intimacy in palliative care. It is therefore unclear whether palliative care professionals have a role in addressing these issues with patients and their partners. Aim: To understand people’s experiences of sexuality and intimacy when living with a terminal illness. Design: A Heideggerian hermeneutic (interpretive) phenomenological study was undertaken. Data were collected using one-to-one conversational interviews. An iterative approach to analysing the narratives was used to reveal shared meanings. Setting/participants: A total of 27 patients and 14 partners of patients with either cancer or motor neuron disease were recruited from outpatient, community and hospice inpatient units. All participants were aware that the illness was life-limiting. Findings: When someone is living with a life-limiting illness, their coupled relationship is also dying. In their being-towards-death-of-the-couple, patients and partners of patients with motor neuron disease and terminal cancer experienced connecting and disconnecting within their coupled relationship. Becoming-apart-as-a-couple was experienced as loss of spontaneity, as lack of reciprocity and as rejection. This was influenced by a range of factors including medical treatments, disfigurement and the disabling effects of equipment. Some participants experienced re-connecting through becoming-closer-as-a-couple, although this was not always sustained. Conclusions: This study sheds new light on people’s experiences of sexuality and intimacy when living with a terminal illness. The ethos of holistic care requires palliative care professionals to provide opportunities for patients and their partners to discuss any concerns they might have about their coupled relationship and to understand the meanings symptoms have for them.

Loss of thermodynamic spontaneity in methanogenic consortium with ammonia contents

Over 60% of the primary and secondary sludge produced in the UK is now processed by mesophilic anaerobic digestion in order to “stabilise” and extract bio-energy from the organic material. However inhibition and destruction of microorganisms is frequently reported and related to elevated ammonia concentrations. Ammonia is released from proteinaceous material in the wastewater and concentrated in the sludge. Empirically observed inhibition or loss of bio-kinetic rate is seldom attributed to specific underlying causes such as loss of enzyme activity or loss of thermodynamic driving force. This work takes a theoretical electrochemical modelling approach to investigate thermodynamic limitations by free energy, enthalpy and entropy analysis. From the Gibb’s free energy results, there is no evidence for thermodynamic limitation arising from even very high concentrations of ammonium ion. However entropy analysis shows a sudden loss of spontaneity when the initial ratio of ammonia to the other solutes, R, exceeds a, concentration dependent, threshold value. The loss of spontaneity is not directly related to the rising pH value which is indicative of the addition of ammonium ions. The loss is however attributable to the depletion of carbonates occurring in anaerobic ammonium oxidation. These results suggest that empirically observed ammoniacal inhibition in anaerobic digestion arises from reduced activity of hydrogenophilic methanogens which are dependent on the simultaneous availability of hydrogen and bi-carbonate ion.

1963 – Difficulty in the psychopharmacological approach of fronto-temporal dementia- case report

Introduction The clinical syndromes related to fronto-temporal lobar degeneration are the second most common cause of pre-senile primary dementia. There are three distinct clinical variants: behavioral-variant fronto-temporal dementia (BvFTD), semantic dementia and progressive non-fluent aphasia. BvFTD is characterized by a significant change in the patients personality and social behavior, and impaired executive function. Objectives Review the current literature on both the pharmacologic and nonphar- macologic management of fronto-temporal dementia. Aims Brief literature review. Methods Case report and literature review. Results We describe case of a 65-years-old male with hyperactivity, desinhibition, aggressive, stereotyped and persevering behaviors with continuous walking and changes in eating habits (hyperphagia). He also presented distractibility, poor speech with loss of spontaneity, an indifferent attitude, mental rigidity, inflexibility, and lack of insight for his condition. This condition developed within one year, with a change in his personality and the appearance of an inadequate social conduct, with an insidious onset and gradual progression. He has family history of dementia. Computerized Tomography scan shows lobar fronto-temporal atrophy. During hospitalization no drugs has had effect, apart from paroxetine (partial response). Conclusion Concerning therapy, several drugs were used without proved effect in controlling the symptoms, highlighting the difficulty in the psychopharmacological approach of this disorder. The selective serotonin reuptake inhibitors have shown some effect on behavior.

A thermodynamic equilibrium consideration of the effect of sodium ion in acetoclastic methanogenesis

AbstractBACKGROUND: Sodium ion, a common constituent of food, is empirically observed to inhibit microbial activity (reduce bio‐kinetic rate) in anaerobic digestion. However such reductions may arise from a number of sources, including loss of enzyme activity and loss of thermodynamic driving force. In this work the theoretical thermodynamic approach was used to describe the inhibitory effects of sodium ion in acetoclastic and hydrogen utilizing methanogenesis.RESULTS: This work takes a modeling approach to investigate thermodynamic limitation by free energy, enthalpy and entropy analysis. Simple free energy analysis provides no evidence for thermodynamic limitation arising from even very high concentrations of sodium ion. However, entropic analysis suggests that increasing concentrations of sodium ion result in the loss of spontaneity. The loss of spontaneity arising from the presence of sodium ions is not directly related to the rise in equilibrium pH, which may also occur in the presence of sodium ions. The results also indicate that hydrogenophilic methanogens are less likely to be affected by the presence of sodium ion than their acetoclastic equivalents.CONCLUSION: From the thermodynamic perspective, the model advises that when the supply of thermal energy is sufficient, sodium inhibition under anaerobic conditions can be virtually completely overcome. The thermodynamic model also provides a design tool with which the stability of methanogenesis in response to feedstock mixtures containing sodium ion and a carbon source such as HAc can be investigated. © 2012 Society of Chemical Industry

Struck by Living: From Depression to Hopeby HershJulie K.. Dallas, Brown Books Publishing Group, 2010, 223 pp., $19.95 (paper).

Struck by Living: From Depression to Hopeby HershJulie K.. Dallas, Brown Books Publishing Group, 2010, 223 pp., $19.95 (paper).

1SI1030 Weakness of the will and loss of spontaneity(1SI How does hierarchical soft structure create spontaneous activity:Smart dynamics from single macromolecule to human being,The 48th Annual Meeting of the Biophysical Society of Japan)

1SI1030 Weakness of the will and loss of spontaneity(1SI How does hierarchical soft structure create spontaneous activity:Smart dynamics from single macromolecule to human being,The 48th Annual Meeting of the Biophysical Society of Japan)

Reste-t-il de la place pour la sexualité lors de la prise en charge en assistance médicale à la procréation ?

This research enabled us to study the links between the diagnosis of infertility, medical care and the sexuality of the couples treated with Assisted Reproductive Techniques (ART). The impact of infertility has been observed in various fields related to sexual intercourse: sexual desire and satisfaction, frequency of intercourse, sexual disorders as well as marital relationship and more generally the patient's experience of this medical follow-up. These effects were studied in the light of various factors, such as sex and age, number of children and years of ART as well as the type of protocol and the origin of infertility. Our study reveals that the marital relationship is preserved as well as the pleasure felt during intercourse. However, the couples express a reduction of their sexual desire, linked to a loss of spontaneity that can be related to the strategies they set up to maximize their chances of pregnancy and to medical care.

A Focus Group Assessment of Patient Perspectives on Irritable Bowel Syndrome and Illness Severity

There is a growing need to understand from the patient's perspective the experience of irritable bowel syndrome (IBS) and the factors contributing to its severity; this has been endorsed by the Food and Drug Administration (FDA). Accordingly, we conducted focus groups to address this issue. A total of 32 patients with mostly moderate to severe IBS were recruited through advertising and were allocated into three focus groups based on predominant stool pattern. The focus groups were held using standard methodology to obtain a general assessment of the symptoms experienced with IBS, its impact, and of factors associated with self-perceived severity. Patients described IBS not only as symptoms (predominantly abdominal pain) but mainly as it affects daily function, thoughts, feelings and behaviors. Common responses included uncertainty and unpredictability with loss of freedom, spontaneity and social contacts, as well as feelings of fearfulness, shame, and embarrassment. This could lead to behavioral responses including avoidance of activities and many adaptations in routine in an effort for patients to gain control. A predominant theme was a sense of stigma experienced because of a lack of understanding by family, friends and physicians of the effects of IBS on the individual, or the legitimacy of the individual's emotions and adaptation behaviors experienced. This was a barrier to normal functioning that could be ameliorated through identifying with others who could understand this situation. Severity was linked to health-related quality of life (HRQOL) and was influenced by the intensity of abdominal pain and other symptoms, interference with and restrictions relating to eating, work, and social activities, and of the unpredictability of the condition. This study confirms the heterogeneous and multi-component nature of IBS. These qualitative data can be used in developing health status and severity instruments for larger-scale studies.

P01-107 The interface neurology-psychiatry: A case report of fronto-temporal dementia

The authors describe case of a male of 48 years old admitted in an acute psychiatric unit with psychomotor restlessness, temporal disorientation and severe distractibility, although prior to the admission he had shown symptoms of apathy and social retraction suggesting a depressive syndrome. This was a patient without prior psychiatric history, with a good psychosocial functioning and well adjusted prior personality. Within one year, there was a change in his personality and the appearance of an inadequate social conduct, with an insidious onset and gradual progression. CT scan and MRI showed lobar fronto-temporal atrophy. The SPECT showed also changes consistent with a fronto-temporal dementia. During the admission he manifested hyperactivity, some desinhibition, mental rigidity, inflexibility, stereotyped behaviors and persevering with continuous walking and changes in eating habits, alternating severe anorexia with hyperphagia. He also presented distractibility, poor speech with loss of spontaneity, an indifferent attitude, emotional flattening and lack of insight for his condition. In the neuropsychological evaluation initially existed only prejudice of the frontal lobes functions, with preservation of other cognitive functions, but gradually evolved. Addressing to the therapy, it were used various drugs, including SSRI"s, that until now have not proved to be effective in controlling the symptoms, highlighting the difficulty in the psychopharmacological approach of FTD.