Unrealistic Expectations Research Articles

3D Printed Prostheses: The Path from Hype to Reality.

3D printing has an over forty-year history but has only become popular in the last fifteen years with the expiration of restrictive patents which allowed open access and unfettered innovation by a broad range of technology developers. During the last decade interest in prostheses made by 3D printing has grown in popularity. The interest in devices has followed the Gartner Hype Cycle as 3D printing companies and associated organizations have used popular claims about 3D printed prostheses to increase their own company's popularity. These claims created unrealistic expectations which outran the early-stage limitations of the technology, causing disillusion. Currently, the industry is moving beyond these limitations and the field seems to be advancing at a sustainable rate. This article provides an understanding of the history of popular misconceptions surrounding the technology. It provides a basis for separating the myth from reality in 3D printing technology so the reader can question the popular preconceived ideas and find the real value. With a greater understanding of the past, one can apply lessons to present technology use and guide the direction of future 3D printing. This paper will also discuss lessons applicable to both high and low-income countries along with providing recommendations for the future development.

Quo vadis, esthetic dentistry? Part II: Composite resin overtreatment and social media appeal.

This article presents case reports highlighting over-treatments with resin composites, often misconceived as minimally invasive procedures. Tooth-colored restorative materials, such as ceramics and composites, have found widespread application to correct problems related to tooth color, shape, and alignment. When composite resin is used, these procedures can be done in a very conservative, cost-effective, and timely fashion. However, it is noteworthy that contemporary dental esthetic expectations are based on standards propagated by social media and other marketing and communications platforms. The abuse of and addiction to social media impacts can lead to unrealistic esthetic expectations and standards for both patients and dentists. After a critical discussion on ceramic veneers published in part I of this 2-part series, this article directs attention towards what has become a trendy fashion, i.e., the use of direct composite resins as "non-prep" veneers in clinical situations that arguably required no restorative intervention at all. We further explore how social media influences the decision-making processes of both professionals and patients.

‘Ageing well’: Discursive constructions of ageing and health in the public reach of a national longitudinal study on ageing

Established in 2006, the Irish Longitudinal Study on Ageing (TILDA) investigates the health, economic and social circumstances of a nationally-representative sample of people aged fifty years and older in a series of biennial data collection waves. Irish newspapers have been reporting the results of TILDA for over a decade and a half, and their texts represent reports of scientific research distilled through the pen of journalists. In their totality, their texts constitute a public discourse on ageing and health. Using critical discourse analysis, we examined the discourse within the texts of a purposive sample of two national daily newspapers. As sites of public discourse, newspapers reflect social life and are influential in forming and legitimating public attitudes. Like other sites of discourse, their language-in-use is contextually located, is rarely neutral and may employ strategies to discursively construct, sustain and privilege particular social identities, including ageing identities.Discursively constructed as ‘ageing well’, our analysis of newspaper texts revealed a discernible meta-discourse on ageing and health in which ageing was framed as a life course stage that may be cultivated, diligently self-nurtured and exploited for its positive aspects. When considered in light of literature on health and social inequalities, the consequences of this broadly positive ageing discourse can, somewhat perversely, frame older adults in unintended negative ways, including homogenising them and attributing to them capacities for ageing well that they may not possess. Discursively constructing older adults as a social and economic resource can also impose unrealistic expectations on them and may legitimise exploitation and demonstrate how normative ideologies of ageism and ableism are conveyed through legitimising language. Despite these potentially unintended consequences, the available media resources associated with TILDA may represent one of the most important contributions of the study, in terms of informing positive public attitudes towards ageing.

A national survey of UK practice for day-case vaginal prolapse surgery: Unrealistic expectations?

ObjectiveThe UK NHS Getting It Right First Time report (2021) recommended that a significant proportion of native tissue vaginal prolapse operations should be undertaken as day-case procedures (target: 80% anterior compartment, 70% posterior compartment, 60% combined anterior/posterior compartment). The evidence for perioperative care, options for anaesthesia and outcomes of day-case vaginal prolapse surgery is limited. This study aimed to establish current practice amongst UK gynaecologists and explore perceived barriers to implementing day-case surgery for pelvic organ prolapse.Study designA pre-tested 16-item survey was emailed to British Society of Urogynaecology members in July 2022. This survey recorded rates of day-case prolapse surgeries, barriers to implementation and practices for managing urethral catheters, vaginal packs, intraoperative anaesthetics and perioperative care. Responses to free-text questions were independently analysed by two of the authors and underwent thematic analysis. Results121 eligible responses were received (28 % response-rate): 41 % never undertook day-case prolapse repair, 16 % undertook < 5 per year and 26 % undertook > 20 cases per year. There was no significant difference in training level or hospital setting between those groups. Reasons cited for not undertaking day-case prolapse surgery included concerns about vaginal packs and urinary catheters (92 %) postoperative complications (67 %), early discharge of elderly patients (60 %) and a lack of published evidence (39 %) or national guidance (35 %). For those currently undertaking day-case prolapse surgery; 67 % used general anaesthesia, 15 % spinal with short-acting local anaesthetic, 14 % spinal with long-acting local anaesthetic and 3 % local anaesthetic alone. Vaginal packs and self-retaining urethral catheters were used by 68 % and 70 % respectively. Concerns regarding the management of vaginal packs and urinary catheters were the most frequently cited barrier to implementing day-case surgery for pelvic organ prolapse amongst free-text responses. There were wide variations in managing catheters and packs, and in managing readmissions. ConclusionsThere is significant variation in uptake and practice for day-case prolapse surgery in the UK, with legitimate clinical concerns a barrier to its implementation. Further evaluation and development of robust, evidence-based management pathways are required to make day-case prolapse surgery consistent, feasible and defensible in clinical practice.

Sociocultural pressures and body related experiences during pregnancy and the postpartum period: A qualitative study

Sociocultural pressures to pursue unrealistic appearance expectations and control body shape and weight during pregnancy and postpartum periods have been increasing. Little is known about messages from different sources that may constitute unhelpful or protective influences. The aim of this study was to qualitatively examine messages women received from the sociocultural environment during pregnancy and postpartum and their association with experiences of living in their bodies and body change behaviors. Twenty women, mean age (SD)= 31.85, (2.3) years, 95% White, 60% with a Master’s degree or higher, participated in individual interviews and completed online surveys. Women described appearance pressure from multiple sources during and after pregnancy, that increased their concerns related to their weight and shape. For a small number, these concerns were associated with efforts to control weight. Others described protective influences from friends and family that promoted body attunement, functionality appreciation, and positive body image. Findings highlight the importance of sociocultural influences during the peripregnancy period yet how many women derive elements of positive body image from this period. These findings have implications for interventions to support body image among women during the peripregnancy period and positive outcomes among mothers and infants.

Overpromising in science and technology: An evaluative conceptualization

This research article examines overpromising in scientific discourse that may raise unrealistic expectations in order to gain trust and funding. Drawing on signaling theory, philosophy of promising, and science communication research, a conceptualization of overpromising is presented. This conceptualization facilitates the evaluation of promises in science and technology and highlights the importance of the knowledge context. Further research is needed to explore the broader dimensions and motivations for overpromising.

Hope and illness expectations: A cross-sectional study in patients with advanced cancer

Background: The fear of taking away hope hinders clinicians’ willingness to share serious news with patients with advanced disease. Unrealistic illness expectations, on the other hand, can complicate decision making and end-of-life care outcomes. Exploration of the association between hope and illness expectations can support clinicians in better communication with their patients. Aim: The aim of this study was to explore whether realistic illness expectations are associated with reduced hope in people with advanced cancer. Design: This is a cross-sectional secondary analysis of baseline data from a primary palliative care cluster-randomized trial CONNECT (data collected from July 2016 to October 2020). Hope was measured by Herth Hope Index. Illness expectations were measured by assessing patients’ understanding of their treatment goals, life expectancy, and terminal illness acknowledgement. Multivariable regression was performed, adjusting for demographical and clinical confounders. Setting/participants: Adult patients with advanced solid cancers recruited across 17 oncology clinics. Results: Data from 672 patients were included in the study, with mean age of 69.3 years (±10.2), 53.6% were female. Proportion of patients indicating realistic expectations varied based on which question was asked from 10% to 46%. Median level of hope was 39 (IQR = 36–43). Multivariate non-inferiority regression did not find any significant differences in hope between patients with more and less realistic illness expectations. Conclusions: Our results suggest that hope can be sustained while holding both realistic and unrealistic illness expectations. Communication about serious news should focus on clarifying the expectations as well as supporting people’s hopes.

The Influence of Love View on Young People in Chinese Idol Dramas A Case Study of the Costume Idol Drama Lost You Forever

This paper presents a detailed investigation into the influence of love perspectives conveyed through Chinese costume idol dramas, with a specific focus on the popular series, Lost You Forever. Targeting a predominantly youthful audience, these dramas hold a significant role in shaping the views and values of young people regarding love and relationships. Using an extensive survey approach with 134 respondents, predominantly young females, this study delves into the demographic profiles of viewers, their motivations for engaging with Lost You Forever, and the subsequent impact on their perceptions of love and relationships. Results reveal that Lost You Forever effectively engages its target audience, with most viewers ardently following the series. Beyond entertainment, viewers seek relaxation and social bonding. Significantly, the drama influences respondents views on romance, increasing their emphasis on qualities such as personality, shared interests, trust, respect, and emotional connection when considering partners. This suggests a positive impact on relationship values. However, its vital to recognize the potential for unrealistic expectations, especially if viewers idealize certain character dynamics. Thus, encouraging media literacy and critical thinking regarding portrayals of love and relationships becomes crucial.

‘When you become addicted to it you start having these unrealistic expectations’: young people’s perceptions of porn addiction

ABSTRACTThere is ongoing academic and clinical debate over whether someone can be addicted to porn. To gain insights into the role of porn in young people’s lives, this research sought to explore young people’s understandings of porn as a normal part of their lives, or by contrast, as addictive. Drawing on qualitative small friendship group interview data from 106 school-aged young people in New Zealand, I reflect on young people’s views on porn addiction. The young participants believed that men can quite easily become addicted to porn whereas women are much less likely to watch porn or become addicted. A minority of young men in this study were concerned that they were or had been addicted to porn. Their primary concern with porn was their frequency of use more than any of the myriad of other related issues, which was reflective of broader masculine perspectives and concerns.

Unrealistic Expectations and Future Status Coercion in Minor League Baseball Players’ Future-Oriented Labor

This study examines minor league baseball players’ future-oriented labor by interviewing 44 baseball players and collecting data on 8,000 minor league baseball players’ careers. Minor league baseball players’ expectations of reaching Major League Baseball impacted how they evaluated their work in the present, leading them to tolerate unfair pay and working conditions. We show that players’ expectations of reaching Major League Baseball were moderately unrealistic, partly due to managerial practices encouraging unrealistic expectations. This study contributes to labor research by showing that future-oriented labor ideology is based on unrealistic expectations that employers can promote to create opportunities for future status coercion.

The Prevalence of Body Dysmorphic Disorder and Its Associated Risk Factors Among Dental Patients: Why Are My Patients Not Satisfied?

Body dysmorphic disorder (BDD) is a common disorder that consists of a distressing or impairing preoccupation with imagined or slight defects in appearance. In dentistry, those patients will have unrealistic expectations and usually will be unsatisfied with the outcomes of dental treatment. This study investigated the prevalence of BDD and its associated factors among dental patients. In this cross-sectional survey-based study, a purposive sample was used to recruit adult patients seeking dental treatment in private and public facilities. Data was collected using the validated Arabic version of the Cosmetic Procedure Screening Questionnaire (COPS) for Body Dysmorphic Disorder, a validated nine-item self-administrated instrument that is scored from zero (least impaired) to five (most impaired). Chi-Square, Mann-Whitney U, and Fisher's Exact tests were used to compare the associations between the study variables and BDD. A total of 507 patients responded to the questionnaire. The prevalence of BDD was 34.1%. The average age of the participants was 35.2 years; the majority were males 290 (57%) and Saudis 436 (86%) with a college education 304 (60%). None of the demographics was associated with BDD but the type of treatment was significantly associated with BDD with teeth crowning and restorations. This study provides insights into the prevalence of BDD and its associated factors among dental patients in Eastern Saudi Arabia. The findings highlight the need for further research to better understand the factors contributing to the development of BDD and to guide prevention and intervention strategies in dental settings.

PERSPECTIVES ON NUSYUZ AS A BASIS FOR DIVORCE FROM JUDGES OF THE JEMBER RELIGIOUS COURT

The aim of this article is to examine the Jember Religious Court judges' perspectives on nusyuz as a basis for divorce. The study utilises a normative and legal approach through fieldwork research. The pivotal information source for this research is the Jember Religious Court judges. It should be noted that the judges' decision-making process is significantly influenced by the husband's consent to provide financial support during the iddah period. In conclusion, this research aligns with the husband's agreement to provide iddah maintenance to his spouse. Sometimes husbands neglect their obligations, which may lead to their wives committing nusyuz. The panel of judges has ruled that the wife is still entitled to iddah maintenance unless the nusyuz is related to bad faith and actions such as drunkenness, gambling, and adultery. b. The factors contributing to nusyuz by a wife include economic factors, infidelity, idleness, lack of interaction, and unrealistic expectations. The effect of nusyuz, which can lead to divorce, ultimately harms the family and causes a loss of harmony. The effect of nusyuz, which can lead to divorce, ultimately harms the family and causes a loss of harmony. The effect of nusyuz, which can lead to divorce, ultimately harms the family and causes a loss of harmony. Furthermore, children may be negatively impacted by their parents' divorce due to nusyuz, suffering from psychological disorders and trauma. The phenomenon of nusyuz has significant sociological impacts and is capable of disrupting familial relationships. It can lead to conflicts between spouses, extended family, and relatives.

In search of self after stroke: a longitudinal qualitative study in the context of client-centred rehabilitation

ABSTRACT Purpose The aim was to illuminate the experiences of stroke survivors returning to everyday life in the year following stroke, in the context of client-centred rehabilitation. Methods Four men who participated in a client-centred rehabilitation program were followed during the first year after stroke. Semi-structured interviews were conducted, allbut the first in the participants’ home. The data were analysed using a grounded theory approach. Results The results revealed a process with the overarching core category; The “new” self becomes reality through challenging everyday experiences, and five main categories driving the process: 1) Striving for structure in a “new” chaotic world, 2) Homecoming an ambiguous experience, 3) Reaching the “new” self through reflections of self-understanding, 4) Socialising in new circumstances, and 5) Realising a new reality. Conclusions While in hospital, stroke survivors can have unrealistic expectations. When at home they can begin to realise their actual capacity . To find a “new” self after a stroke can involve time-consuming and taxing processes of reflections of self-understanding. Engagement in self-selected meaningful and valued activities can support stroke survivors’ reconstruction of the “new” self but not all stroke survivors may succeed in finding their “new” self during the first year after stroke.

Inaccurate forecasting of a randomized controlled trial

Abstract We report the results of a forecasting experiment about a randomized controlled trial that was conducted in the field. The experiment asks Ph.D. students, faculty, and policy practitioners to forecast (1) compliance rates for the RCT and (2) treatment effects of the intervention. The forecasting experiment randomizes the order of questions about compliance and treatment effects and the provision of information that a pilot experiment had been conducted which produced null results. Forecasters were excessively optimistic about treatment effects and unresponsive to item order as well as to information about a pilot. Those who declare themselves expert in the area relevant to the intervention are particularly resistant to new information that the treatment is ineffective. We interpret our results as suggesting that we should exercise caution when undertaking expert forecasting, since experts may have unrealistic expectations and may be inflexible in altering these even when provided new information.

Pharmacological Management for Pediatric Irritable Bowel Syndrome: A Review.

Irritable bowel syndrome is a multifactorial disease with chronic symptoms that interfere with the quality of life of patients. It represents one of the most common causes of functional abdominal pain in the pediatric population. Various theses with little evidence tried to explain the pathophysiology of the disease. Neurological origin was one of the theories explaining the disease, either by the disturbance of neurotransmitters like dopamine, noradrenaline, and serotonin, which have some evidence of their relation to GI tract functions. Other factors like bio-psycho-social factors that affect the pediatric population are represented in bullying, unrealistic academic expectations from the parents, continuous educational stress, and difficult relationships with peers. Other factors may be genetic abnormalities of the receptors or visceral hypersensitivity. Treatment strategies for the disease varied from physical activity like yoga to a diet like a low-FODMAP diet. Pharmacological treatment of the disease targets the presenting symptoms, represented by antispasmodic drugs treating abdominal pain/discomfort, antipsychotics that regulate the disturbance in the brain-gut axis, and other drugs targeting diarrhea or constipation that present with the patient according to the type of IBS and the condition of the patient.

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries.

Addressing equity in healthcare is fundamental for delivering safe care to vulnerable patients, especially during COVID-19. This paper aims to identify barriers and enabling factors for general practitioners (GPs) in delivering safe and equitable care during the COVID-19 pandemic. Semi-structured interviews took place during May-July 2020 among 18 Flemish and 16 Dutch GPs. Thematic analysis of the interviews demonstrated that while GPs acknowledged a smooth information flow by governments and professional organizations on care guidelines, the fast-changing information challenged them to stay up to date. Media communication facilitated information dissemination but also fueled misinformation and miscommunication, creating unrealistic patient expectations. Certain guidelines and patient reluctance delayed necessary care. A shortage of personal protective equipment made GPs concerned about patient safety during face-to-face contacts. Teleconsultations became a popular alternative, but posed increased patient safety risks. GPs struggled to identify and reach vulnerable patients. Equitable care was hindered by time constraints; thus, having the appropriate materials facilitated such care. An interprofessional collaboration involving paramedical, social, and city services benefited patient safety and equity in healthcare. However, limitations in this collaboration pressured GPs. The unprecedented and resource-constrained environment challenged GPs' capacity to provide the healthcare quality they aspired to deliver. A well-structured collaborative network involving all stakeholders could benefit safe and equitable care in future pandemics.

Об относительной точности оценки пола по черепу

Introduction. There are no fewer than two hundred algorithms for sex estimation based on cranial morphology, relying on statistical analysis of non-metric, linear, angular traits, and their combinations. Nevertheless, many physical anthropologists prefer to rely on visual observations. The objectives of this research encompass exploring potential reasons behind the preference for a visual approach and conducting an analysis of the comparative effectiveness of visual and statistical methods for sex estimation. Materials and methods. The study is grounded in an analysis of publications related to methods of sex estimation based on cranial traits, spanning the past 70 years. Comparison of accuracy estimates was conducted using non-parametric tests, considering differences in statistical methods, validation approaches (no validation, cross-validation, independent test), and variable types (non-metric traits, craniometry, geometric morphometrics). Results. General reasons for skepticism towards algorithms include unrealistic expectations regarding their capabilities, greater susceptibility to errors by models compared to humans, lack of control over classification. However, algorithms generally surpass experts in predicting the target variable. The average accuracy of visual sex estimations based on cranial traits is slightly lower than the estimates of statistical models and exhibits noticeable variability. The accuracy of estimations made by experienced anthropologists is comparable to the average performance of models. Nevertheless, the effectiveness of algorithms significantly diminishes when applied to datasets originating from sources other than the training set, particularly when dealing with craniometric traits. In a substantial portion of studies, the size of the training datasets is insufficient for a reliable assessment of model effectiveness, and the sex distribution is skewed towards male skulls, leading to some inflation of the accuracy of their estimates. Model effectiveness can also decline due to errors in the evaluation of non-metric traits, and the assessment of inter-researcher discrepancies does not allow for an evaluation of their impact on model accuracy. Conclusion. Despite an extensive bibliography, there remains a lack of data on both the accuracy of the visual approach to sex estimation and the reliability of models with claimed high effectiveness. The adoption of flexible methodologies enabling researchers to independently control both variable selection and the composition of the training set will help overcome algorithm aversion and enhance the quality of estimates. @ 2023. This work is licensed under a CC BY 4.0 license

Non-Qualified Staff's Experience of Suicidal Behaviour in Adult Mental Health Inpatient Services.

Suicide and attempted suicide of people receiving care in Adult Mental Health Inpatient Services (AMHIS) leads to significant emotions amongst mental health professionals, characterised by guilt and shame. A sense of responsibility occurs due to hospital being seen as a safe place. However, little is known about what it is like for 'non-qualified' staff. This study explored experiences of suicide and attempted suicide on 'non-qualified' staff in AMHIS. Semi-structured interviews explored ten staff's experiences. Participants were recruited online and transcripts were analysed using Reflexive Thematic Analysis. Four themes were identified; 'Direct personal impact', 'Unrealistic expectations', 'Attempting to contain the impact' and 'Acclimatisation'. Ten sub-themes outlined; responsibility for assessing risk, shame and protective strategies to aid acceptance. The results provide insight into the unique experience of non-qualified staff in AMHIS experiencing suicidal behaviour.

“Do you have kids? Do you have kids? How many kids do you have?” the enforcement of hegemonic gender in Australian society

ABSTRACT This research explored women’s lived experiences of societal enforcement of motherhood through mechanisms of surveillance and judgement. Using a descriptive qualitative phenomenological design, 24 Australian women were interviewed about their lived experiences as women within society. Thematic analysis revealed five themes: women’s enforcement of hegemonic gender; the enforcement of motherhood in public and private spaces; labelling to control women; the gendered nature of social control; and the impacts of enforcement of motherhood. Overall, this study’s findings draw attention to how the surveillance, and subsequent judgement, of women within society plays an important role in maintaining the unrealistic expectations placed on women to become mothers and adhere to the ideology of good motherhood. Competition, surveillance and judgement are central to keeping women subordinate and distracting them from the ways in which structures of hegemonic gender function to oppress them within society. If freed from the constraints of hegemonic gender, mothering could be a site of equality where power is shared between parents rather than a site for continued oppression.

Perfectionism in the anesthesiological environment

BackgroundPerfectionism today is understood as an individual's psychological conviction that the ideal can and should be achieved, and the imperfect result of work (physical, intellectual, etc.), in their opinion, has no right to exist.The purpose of the studyOur goal was to investigate levels and types of perfectionism among anesthesiology interns in comparison with the indicators of practicing anesthesiologists.Materials and methodsAn anonymous survey of 92 anesthesiology interns and 124 practicing anesthesiologists was conducted according to the Big-Three Perfectionism Scale (BTPS).ResultsThe mean general level of perfectionism was average, with the total BTPS score of 124,38 ± 14,47 out of 225 in interns and 105,97 ± 10,31 in practicing anesthesiologists (p < 0,05). Both interns and practicing doctors leaned toward rigid perfectionism (mean score 32,32 ± 3,32 out of 50 in interns and 33,33 ± 3,23—in practicing doctors, p < 0,05) and self-critical perfectionism, with the average score of 52,08 ± 4,37 out of 90 in interns and 42,87 ± 4,76 in postgraduates (p < 0,05). Narcissistic perfectionism is the factor with the least relative score in both groups (39,99 ± 7,61 out of 85 in interns and 29,77 ± 4,20 in practicing doctors, p < 0,05).ConclusionsNeither anesthesiology interns nor practicing anesthesiologists in general exhibited high levels of perfectionism. In both groups there was a moderate leaning towards rigid and self-critical perfectionism, which indicates a tendency for the individuals to set high standards for themselves and base their own self-worth on meeting these standards. In interns, the general perfectionism levels were significantly higher than in practicing doctors. Also the self-critical type was more prominent among interns. This might indicate a sense of pressure to meet unrealistic outside expectations and an impostor syndrome which is common for the people at the start of their careers, but it’s also a significant risk factor for future burnout.