Personal Expectations Research Articles

"I am the mother of the kind of child you dread having": Experiences of living with chronic sorrow among parents with a disabled child.

Chronic sorrow involves parents' enduring grief due to their child's disability. This stems not only from the recurring painful reality parents face, which differs from the life they had hoped for their children, families, and themselves but from also being confronted with societal and personal norms and expectations they cannot meet. There is a lack of research on the lived experiences of parents' chronic sorrow. An Interpretative Phenomenological Analysis (IPA) study involving six parents with severely disabled children explored what it is like for parents to confront being "different." Besides sorrow, the parents experienced intense ambiguity, guilt, and uncertainty while navigating societal expectations and their own perceptions of their children. Their ideas of parenthood and their self-identity as parents proved central to their strategies. This study provides insight into the intricacies of this particular aspect of chronic sorrow in parents, with relevance for research and practice.

Hormone replacement therapy in surgical menopause after gynecological malignancies

This review examines hormone replacement therapy (HRT) in cases of surgical menopause following gynecological malignancies. It aims to capture current knowledge, summarize recent findings, and provide recommendations for clinical settings. Unlike natural menopause, surgical menopause occurs abruptly, without an adjustment period, and is associated with a notably higher risk of fractures, arthritis, cognitive decline, dementia, Parkinson’s disease, and various metabolic disorders affecting glucose and lipid levels—all of which contribute to an increased risk of major cardiovascular events. In 2017, The North American Menopause Society recommended that, barring contraindications, HRT should be initiated in women who enter surgical menopause before age 45. If these women do not experience vasomotor symptoms or other issues, HRT should be maintained consistently at least until age 52. This guideline reflects contemporary knowledge and is the result of a multidisciplinary consensus, based on a review of existing literature and several randomized clinical trials focusing on women who have survived gynecological cancers and whose quality of life is significantly impacted by surgical or early menopause. Estrogen supplementation is particularly beneficial, as it is linked to marked improvements in quality of life, including delayed onset of chronic cardiovascular issues, reduced fracture risk, enhanced cognitive function, reduced inflammation, and improved self-esteem, as well as better social and work performance. Clinical implementation of HRT, however, requires a highly individualized approach. This approach must consider the type and stage of malignancy, histopathological characteristics, risk factors for recurrence (such as diet, concurrent medications, medical history, and genetic predispositions), and a thorough assessment of the potential benefits and risks of HRT, as well as the patient’s personal wishes and expectations.

How food delivery service can be sustainable: some evidence from the Giusta delivery case

PurposeThe study explores the drivers of the intention to continue using sustainable food delivery services, considering the influence of value, satisfaction and the combined effects of utilitarian and hedonic motives. We employ a comprehensive framework that integrates the norm activation model (NAM) and the theory of planned behavior (TPB), with satisfaction, utilitarian motives and hedonic motives. This approach facilitates a deeper understanding of the factors motivating users to remain loyal to the service.Design/methodology/approachThe study examines the data using a quantitative approach based on the partial least squares approach to structural equation modeling (PLS-SEM).FindingsThe findings suggest that the intention to continue using sustainable food delivery services, such as the Giusta app, is significantly influenced by user satisfaction and attitudes. Attitudes not only influence the intention but also user satisfaction and are shaped by utilitarian motivations associated with sustainable food delivery. Beyond personal expectations and perceived benefits, the study reveals that behavior is also driven by altruistic values and moral convictions. Specifically, attitudes and satisfaction are positively affected by personal norms, which are influenced by ascribed responsibility. This ascribed responsibility is, in turn, shaped by awareness of both environmental and social issues.Originality/valueThis research contributes to the current debate on consumers' ethical behavior in food delivery. Only a few studies have integrated the NAM and TPB models in this context. This article highlights the factors useful in predicting people’s choice of food delivery services, showing the key role of personal norms, attitude, satisfaction and utilitarian motives.

Investigating the Mental Health, Wellbeing, and Resilience of Postgraduate Researchers

Background: This study investigates the factors affecting the mental health and wellbeing of postgraduate researchers (PGRs) at a UK institution, with a focus on resilience as a determinant of wellbeing. PGRs experience unique challenges, including workload pressures, isolation, and imposter syndrome. Methods: This study employs a mixed-methods approach to identifying the most pertinent factors affecting their wellbeing. Quantitative data were collected through an online survey using validated scales such as the Warwick-Edinburgh mental wellbeing scale (WEMWBS), the Connor–Davidson resilience scale (CD-RISC), and the Juniper PhD wellbeing scale (JPWBS). Result: The survey results revealed that PGRs scored significantly lower on wellbeing and resilience compared with the general population. To further explore these findings, qualitative data were obtained through semi-structured interviews with a subset of participants, generating the following key themes: control, balance, and coping. Conclusions: The research highlights the complex interplay between institutional factors, personal expectations, and coping strategies in shaping PGR wellbeing. The findings underscore the need for tailored interventions that address these factors, emphasizing the importance of building resilience, providing adequate support, and fostering a balanced work–life environment for PGRs. This study contributes to the growing body of literature on PGR mental health, offering insights for universities to enhance support services and promote a healthier research environment.

Educator perspectives on stressors and health: a qualitative study of U.S. K-12 educators in February 2022

BackgroundTeachers experienced increased stressors and stress during the initial onset of the COVID-19 pandemic. While many educators returned to in-person instruction in the 2021–2022 school year, they faced changing job demands and stressors which has important implications for educator well-being. We sought to understand the stressors and health impacts faced by U.S. educators in the 2021–2022 school year, two years following the acute phase of the pandemic.MethodsThirty-four certified educators based in Connecticut, USA participated in four virtual focus groups in February 2022. A semi-structured focus group script, designed by the research team and guided by the job demands-resources model, was administered to understand stressors and stress impacts. Data were transcribed and analyzed using the constant comparative method to identify themes and sub-themes. Themes were summarized based on how many participants mentioned them.ResultsAnalysis of the qualitative data yielded three themes concerning the well-being impacts of stress: physical health and health behaviors, psychological health, and relationships and social well-being behaviors. The majority of educators indicated impacts in these domains with 76% indicating impacts on physical health and health behaviors (e.g. poor sleep, physical exhaustion, lack of exercise, unhealthy eating), 62% indicating impacts on psychological health (e.g. emotional exhaustion, anxiety, negative self-evaluation); and 68% indicating impacts on relationships social well-being behaviors (e.g. connections with family or friends, connections with others, relationships with coworkers). The majority (94%) of educators indicated that stressors from the school or district with the majority (91%) citing stressors related to protocols/expectations (e.g. excessive or increased demands, insufficient or decreased resources) and some (38%) administrators. Over half (62%) indicated personal stressors including personal/home life (41%), high personal expectations (18%), and income (18%). Some (35%) indicated either the pandemic (26%) or safety concerns (9%) were stressors. Some (24%) cited students’ parents as a stressor and a few indicated community (12%), students (12%), and state or national level (9%) stressors.ConclusionEducator well-being continued to be impacted in the post-pandemic era. Targeted interventions are needed to reduce school and district-related demands and to address stress-related educator well-being.

Exploring Soccer Coaching Methods: Design and Validation of a Measurement Instrument

Soccer coaches, although not prominently featured in the foreground, are essential to the outcomes of the sport. They are key figures between athletes and organizational goals. Choosing, retaining, and developing the greatest athletes is the cornerstone to a successful coaching career. The aim of this study was to develop and validate a questionnaire that was determine the characteristic soccer coaching styles. A experimental study involved the participation of 207 soccer coaches (B, A and PRO UEFA coaching license). The questionnaire comprises 14 themes and consists of 65 items designed to evaluate soccer coaching styles, developed from the updated Leadership Scale for Sport. The validation of the developed instrument in this empirical study was conducted using two procedures: (1) factor analysis (PCA with oblique rotation) and (2) an internal consistency assessment (Scale Reliability Analysis – Cronbach's Alpha). Nineteen significant factors were extracted, and they are as follows: Player contribution to the game system; Cooperation/ Opinions; Implementation of coach's requirements; Teaching; Motivation; Conflict resolution; Informations; Sanction; Expressing an opinion; Error correction at own discretion; Highlighting the good and bad sides of players; Instructions; Team goal setting; Highlighting positivism/ negativism; The coach's personal expectations; Team solutions; Strategy creation; Social support; The influence of the team on coaching decision-making. By analyzing the data, it was determined that “B” football coaches are characterized by the coaching style "positive feedback", “A” soccer coaches by the "training and instructor" and "positive feedback" styles, while “PRO” coaches are characterized by the "positive feedback" style and a slightly lower frequency by the "training and instructor" style. Using only one coaching/leadership style is certainly a limiting factor, as different situations require different coaching approaches.

The effect of career compromise on nurses’ turnover intention: the mediating role of job satisfaction

AimWe aimed to examine the relationships among nurses’ career compromise, job satisfaction, and turnover intention and the mediating role of job satisfaction in the relationship between career compromise and turnover intention.BackgroundNurses are prone to career compromise when there is a discrepancy between the reality of their job and their personal career expectations due to personal or family factors. High levels of career compromise may have a significant impact on turnover intentions through low job satisfaction, thereby affecting the stability of the nursing workforce. There is a paucity of research on the impact of nurses’ career compromise on turnover intentions.MethodThis was a cross-sectional research design of nurses in hospitals in Guangdong Province using a convenience sampling method. The Career Compromise Scale (CCS), Job Satisfaction Scale (JSS), and Turnover Intention Scale (TIS) were used. The obtained data were analyzed through descriptive statistics, Spearman’s correlation coefficient, and the mediating effect of perceived organizational support was tested through the PROCESS macro mediation model in SPSS.ResultsData from 821 nurses who met the inclusion criteria were analyzed. The total score of nurses’ turnover intention was 14.68 ± 4.32. Spearman’s correlation analysis showed that career compromise was negatively correlated with job satisfaction (r = -0.594, p < 0.01), job satisfaction was negatively correlated with turnover intention (r = -0.471, p < 0.01), and career compromise was positively correlated with turnover intention (r = 0.544, p < 0.01). The mediating effect of job satisfaction on the relationship between career compromise and turnover intention has been demonstrated. The mediating effect is significant, with a value of 0.056, representing 25.71% of the total effect.ConclusionsThe turnover intention of nurses in Guangdong Province is high. Job satisfaction mediated the relationship between career compromise and turnover intention. This study further enriches JD-R theory and COR theory and provides new perspectives for nurse managers to develop intervention strategies to stabilize the nursing workforce and reduce turnover.

“There is a life before and after cancer”: experiences of resuming life and unmet care needs in stage I and II melanoma survivors

Although the largest increase in melanoma incidence is observed for localised melanoma, little research has been done on its impact. Despite favourable prognoses and relatively short treatment trajectories, diagnosis and treatment may significantly impact life post-treatment. Therefore, the aim of this study was to gain an in-depth understanding of stage I and II melanoma survivors’ experiences resuming life after treatment and their associated survivorship care (SSC) needs. A qualitative focus group study was conducted with 18 stage I or II melanoma survivors, divided over three focus groups with 6 survivors each. Transcripts were analysed through thorough thematic content analysis, using multiple phases of coding. In resuming life, survivors experienced profound initial impacts of disease and treatment, fed by a perceived lack of knowledge and underestimation of melanoma. They faced unexpected physical and emotional effects post-surgery, experiencing mixed feelings from relief to fear and uncertainty. Survivors felt misunderstood, had to adjust their lives, and managed personal and external expectations while experiencing a positive shift in life perspective, leading to a notable difference in life before and after cancer. In terms of SSC needs, survivors stressed the need for tailored information, accessible resources, patient-centered follow-up, and supportive care addressing the total impact of disease and treatment. These findings highlight the importance of improving melanoma awareness and providing holistic SSC not only to advanced, but also to localised melanoma survivors. A tailored survivorship care plan could facilitate access to information and supportive care, helping patients resume their lives.

Comparison of distance versus in-person laparoscopy training using a low-cost laparoscopy simulator—a randomized controlled multi-center trial

IntroductionSimulation training programs are essential for novice surgeons to acquire basic experience to master laparoscopic skills. However, current state-of-the-art laparoscopy simulators are still expensive, limiting the accessibility to practical training lessons. Furthermore, training is time intensive and requires extensive spatial capacity, limiting its availability to surgeons. New laparoscopic simulators offer a cost-effective alternative, which can be used to train in a digital environment, allowing flexible, digital and personalized laparoscopic training. This study investigates if training on low-cost simulators in a digital environment is comparable to in-person training formats.Materials and methodsFrom June 2023 to December 2023, 40 laparoscopic novices participated in this multi-center, prospective randomized controlled trial. All participants were randomized to either the ‟distance” (intervention) or the “in-person” (control) group. They were trained in a standardized laparoscopic training curriculum to reach a predefined level of proficiency. After completing the curriculum, participants performed four different laparoscopic tasks on the ForceSense system. Primary endpoints were overall task errors, the overall time for completion of the tasks, and force parameters.ResultsIn total, 40 laparoscopic novices completed digital or in-person training. Digital training showed no significant differences in developing basic laparoscopic skills compared to in-person training. There were no significant differences in median overall errors between both training groups for all exercises combined (intervention 3 vs. control 4; p value = 0.74). In contrast, the overall task completion time was significantly lower for the group trained digitally (intervention 827.92 s vs. control 993.42; p value = 0.015). The applied forces during the final assessment showed no significant differences between both groups for all exercises. Overall, over 90% of the participants rated the training as good or very good.ConclusionOur study shows that students that underwent digital laparoscopic training completed tasks with a similar number of errors but in a shorter time than students that underwent in-person training. Nevertheless, the best strategies to implement such digital training options need to be evaluated further to support surgeons’ personal preferences and expectations.

Parental perspectives on fertility preservation for their trans and gender-expansive children: Reflections on complexities of autonomy, support, and societal realities

Introduction Navigating fertility preservation poses unique challenges for young transgender and gender expansive (TGE) youths, who must balance short-term concerns like delaying gender-affirming hormonal treatment (GAHT) with long-term considerations of potential infertility. Parents play a crucial role in supporting their TGE children through their gender affirmation journey, which includes discussions about fertility preservation. Aim This study aimed to explore parental feelings and attitudes toward the fertility preservation of their TGE children, acknowledging the diverse perspectives shaped by societal, legal, and personal factors. Methods The study involved 82 parents who completed an online-distributed questionnaire. Participants were parents of TGE youths aged between six and twenty-five years old. The mixed-methods study utilized a tailored questionnaire comprising both open-ended and closed-ended questions. Results Descriptive analysis revealed that a significant majority of parents were aware of the effects of GAHT on fertility, with 65.3% expressing a desire for their children to have their own children in the future. However, parents shared that only 14.5% of children underwent a fertility preservation pathway, while 68.1% did not, citing barriers such as lack of services, cost, and procedural distress. Qualitative analysis identified four main themes: (1) Emotional response, (2) Parental expectations, (3) Parent-Child relationship, and (4) Structural barriers. Discussion Overall, the study underscores the multifaceted nature of parental experiences regarding fertility preservation for TGE individuals, emphasizing the importance of addressing societal norms, personal expectations, and structural barriers to ensure equitable access to reproductive healthcare services.

Public trust and support for government technology: Survey insights about Singapore's smart city policies

The smart city concept is an increasingly popular urban policy framework, and recent advances in technologies like artificial intelligence are poised to shape this trend in unprecedented ways. As public sector investment in technology accelerates, it is prudent to consider how smart cities shape and are shaped by public trust in government – an issue about which there is a growing body of research but lingering questions. This study investigates determinants of public trust in government technology, including public awareness, government communication, personal ideals and aspirations, and personal perceptions and expectations. Data come from a 2021 survey (N = 1500) about smart cities in Singapore, a country with high developmental ambitions and sufficient resources to pursue advanced smart city programs. This study seeks to deepen scholarly and practical understandings about the mutually necessary but often diverging forces of public trust in technology and public trust in government.

Exploring Smartphone User Interface Experience-Sharing Behavior: Design Perception and Motivation-Driven Mechanisms through the SOR Model

This study investigates user experience (UX) sharing behaviors in the context of smartphone user interface (UI) design, emphasizing their significance for UI enhancement and effective marketing strategies. Grounded in the Stimulus–Organism–Response (SOR) framework, we examine how design perception attributes—perceived usability, novelty, enjoyment, and brand image—influence UX sharing, with a spotlight on the mediating role of individual motivation. A quantitative analysis (N = 472), Structural Equation Modeling (SEM), and mediation analysis were conducted. Our findings confirm that these components can positively impact UX sharing by bolstering personal expectations and self-efficacy in knowledge sharing, with perceived usability being an exception as it unexpectedly showed a negative association with sharing frequency. Moreover, perceived brand image and individual self-expectancy and self-efficacy enhance sharing outcomes. This research enriches our understanding of the strategic importance of user interface (UI) design in the context of smartphones, furnishing empirical grounding for devising sustainable UI design strategies and productive marketing tactics. Consequently, it bears considerable relevance to both theoretical insights and practical applications.

Dental bleaching: patient perception and satisfaction.

Teeth bleaching is a common practice performed by dental hygienists and dentists to correct aesthetic problems due to dental discoloration. Patients' opinions on this procedure may be different according to their personal experiences, expectations and individual sensitivities. The aim of this study is to assess the degree of satisfaction and related sensitivity of patients to professional and home bleaching treatment. A questionnaire consisting of 12 multiple-choice questions was submitted to 625 subjects among general population. These were related to: 1) patient's age and whether the patient is a smoker; 2) personal satisfaction; and 3) post-treatment tooth sensitivity. Descriptive analyses of all variables in the questionnaire were performed, and statistical analyses between variables were carried out by Chi-square test and Fisher's Exact test. Of the people surveyed, 66% performed home bleaching, while the remaining performed the treatment in a dental office. Thirty-three percent of patients had previously undergone teeth bleaching and the 95.7% stated that they were satisfied with the treatment. Of these, only 36.4% reported experiencing postoperative hypersensitivity. Most patients (91.3%) received professional scaling before undergoing bleaching treatment. Patient satisfaction with tooth whitening treatment can vary from patient to patient and represents a strong indicator of treatment efficacy and suitability. A proper communication, careful management and individualized patient assessment are key to maximizing satisfaction and ensuring a positive and fulfilling patient experience.

A Comparative Study of Language Profiles Across Two Multilingual Jordanian Communities

Many researchers underscore the need to study bilinguals and multilinguals by unleashing different methods to fathom full range of its trajectories and complexities including their personal beliefs, policies, practices, values, norms, realities and expectations (García &amp; Lin 2017). This study examines the multilanguage proficiency, practices, and attitudes among Bilingual Jordanians (N=22) predominantly residing in Jordan and trilingual Jordanians (N=26) living in Hungary. The participants answered to an online composite questionnaire that included a subjective overall language proficiency questionnaire, self-assessed language skills (Can-Do questionnaire), a Language Use and a language attitude Questionnaire. Results using the Spss software indicated that overall self-assessed proficiencies in each language positively correlated with the 4 language skills of that language for both participant groups. However, no statistically P significant differences in the scores of overall proficiencies between the two groups were found for Arabic (L1) and English (L2). Moreover, Language use and attitudes patterns revealed that Jordanian trilinguals exhibited greater linguistic flexibility and a more diverse multilanguage use compared to bilinguals, and they showcased a more positive outlook on multilingualism.

Health Perception and Healthy Life Awareness during the COVID-19 Pandemic: Turkey Profile Study.

The perception of health, which is the combination of personal feelings, thoughts, prejudices, and expectations regarding the individual's health, is closely related to healthy life awareness. This research examines the relationship between health perception and healthy life awareness of individuals during the COVID-19 pandemic and the influencing factors. The study has been carried out in Turkey from July to October 2020. The population of the research is the people who live in Turkey. The sample comprises 1752 participants who met the research criteria and were selected through a stratified sampling method. The study data were collected using the Sociodemographic Characteristics Form, Perception of Health Scale, and Healthy Life Awareness Scale. The participants' mean score from the Perception of Health Scale was 51.67 ± 6.72, and the mean score from the Healthy Life Awareness Scale was 57.84 ± 7.14. A statistically moderate positive correlation was found between the perception of health and healthy life awareness. A higher level of perception of health was found in the participants who live in the Marmara region, have postgraduate education, are single, and have more income than their expenses. It was also found that, among the participants, those who live in the Marmara region, aged 29-39, are female, have a postgraduate education, are married, have more income than expenses, and have a higher level of healthy life awareness. It was found that as the health perception of individuals increases, their understanding of healthy life also increases during the COVID-19 pandemic period.

Childbirth Experience and Pain Control: Expectation, Satisfaction, and Analgesia Myths.

In our days, increasing importance has been given to maternal satisfaction as a quality indicator in healthcare services. A positive childbirth experience should meet a woman's personal and sociocultural beliefs and expectations in every setting. This study aimed to evaluate childbirth experience regarding expectations, satisfaction, and myths around epidural analgesia. A cross-sectional survey designed was carried out in the Obstetric Department of a public hospital in Madeira-Portugal. Awell-structured questionnaire was applied to 101 post-partum women covering aspects such as sociodemographic details, childbirth expectations, overall satisfaction, and prevailing myths. IBM SPSS Statistics for Windows, Version 26.0 (IBM Corp., Armonk, NY) was used for data analysis. From the total of 101 participants, 32 (31%) women belonged to the 31-35 age group. Among the respondents, 58 (57%)had attained a high school diploma. The results showed that there was a positive experience with childbirth; out of the total women, 79 (78%) considered it exceeded their expectations. The majority of pregnant women (93, 92%)received neuraxial analgesia for labor, reporting the experience as good or excellent. The overall satisfaction related to the birth experience was good or excellent for 88 (87%) women. Regarding the myths, education level was significantly associated with the myth Epidurals often cause permanent back pain(P< 0.05), since women with higher education don't believe them. The result of this study proves that, despite the high level of satisfaction with the labor and delivery experience found in our maternity unit, satisfaction remains a complex and dynamic phenomenon.

Return to Work Following Hip or Knee Arthroplasty: A One-Year Prospective Cohort Study in Participants with Direct Referral from Hospital to Occupational Health Care Services.

In a new Finnish Coordinated Return to Work (CRTW) model, patients are referred to occupational health care after hip or knee arthroplasty. This study evaluated the CRTW model's effect on return to work (RTW), activities used in occupational health care and in the workplace, and the patient- and work-related factors affecting early RTW. 209 participants with occupational health care service underwent primary hip (THA) or total/unicondylar knee (KJA) arthroplasty and completed self-reported questionnaires after arthroplasty and at time of RTW. Factors affecting RTW, and the roles of occupational health care and the workplace in RTW were evaluated. Time to RTW was determined as days between the arthroplasty and RTW. Mean time to RTW was 69days after THA and 87days after KJA. For easing RTW, work arrangements were made for 56% of the participants. The most utilized adjustments of work were enabling remote work and arranging limitations in work tasks. Participants with earlier RTW had lower physical workload, higher professional status and motivation to work, less pre-arthroplasty sick leave, and more positive personal expectations about the time to RTW compared to participants with later RTW (p < 0.001 for all). The linear regression and dominance analyses showed participants' own expectations and pre-arthroplasty sick leave as the strongest factors affecting time to RTW. The CRTW model seems to shorten time to RTW after THA and KJA. Occupational health care and workplace play important roles in supporting RTW. Patients' own expectations should be noted when giving pre-arthroplasty information.

Preservice teachers' judgments of students’ expectations of success and task values: Close relations with their personal task motivation

Little is known about the mechanisms underlying preservice teachers' judgments of students' task motivation, which is relevant to instructional planning. In this study, 64 preservice teachers rated their personal expectations of success and task values, and they judged average ninth grade students' expectations of success and task values associated with four modeling and four intramathematical problems. Preservice teachers judged students' task values lower than their personal task values. In the ranking of problems, the correlation between personal and judged task motivation was strongly positive, indicating that preservice teachers’ personal task motivation is a powerful determinant of their diagnostic judgments.

Psychosocial Experiences Associated with Dysphagia and Relevant Clinical Implications Among Adults with Parkinson Disease.

Although the psychosocial sequelae of living with dysphagia secondary to Parkinson disease (PD) are described in the literature as challenging, there has been little focus on using this information to influence the design of dysphagia treatment. A more nuanced understanding of the psychosocial experiences of this population may assist clinicians in providing a patient-centered approach to care. Our study was designed to gather insight into the common psychosocial experiences associated with dysphagia in the context of PD. A semi-structured interview consisting of open- and closed items was conducted with 25 individuals from regions across the country with self-reported oropharyngeal dysphagia secondary to PD. Questions were developed using comprehensive stress and coping frameworks that emphasized psychosocial predictors of specific affective reactions (e.g., grief, anxiety, depression), including self-evaluation (e.g., self-identity), coping strategies, social support, personal expectations (including perceived control over symptoms and prognosis), positive experiences, and perceptions of personal growth. Interview responses were subjected to a qualitative analysis and revealed three dominant themes: (1) Recalibration of a PD Diagnosis, (2) Vigilant Caution to Swallowing, and (3) Grieving the Loss of the Communal Meal. Using these data interpretations, we discuss three concepts for speech-language pathologists working with individuals with dysphagia and PD to consider during clinical interactions; these are reframing swallowing vigilance to engagement with mindful eating, using biofeedback to align patient perceptions and swallow physiology, and understanding the consequences of loss (of their former swallowing ability) through grief and growth reactions.

Transition and adaptation: An analysis of how professional fishermen change their practices

The succession of crises in the French professional fishing sector raises the question of the sector's capacity to adapt to changes in its global environment, and of the possibilities for fishermen to change their practices. Through interviews with fishermen and representatives, 5 ideal types of individual transitions were described, as well as two examples of changes in the fisheries management system. Some changes can be characterised as adaptations following a shock, rather than real voluntary and planned transitions. Voluntary individual transitions do exist, however, initiated by a variable trigger factor, but they require a high degree of introspection about personal and professional expectations. These examples of transitions are made possible by the rare synchronisation of external events and various characteristics of the project owners and remain overall a niche phenomenon in the current situation. There is little scope for transition in the sector, mainly because of the difficulty of accessing production rights and the rigidity of management systems. To help the sector evolve and adapt to a changing macro-environment (organisational, environmental, societal, energy, etc.), transition levers can be mobilised at organisational, political, financial, technical, social and societal levels. The age structure of ships and people will probably be the mainstay of a major reconfiguration of the sector in the short term.