Indispensable chairs and comforting cushions — Falls and the meaning of falls in six older persons lives

The aim of the study was to illuminate the meaning of falls for older adults in an everyday perspective. In narrative in-depth interviews, four women and two men, 80–94 years old, told their stories from a daily-life perspective; they had experienced falling several times. The methodological approach used was interpretive phenomenology, in order to grasp the meaning of the participants' situations and everyday practices. The women had learned and used a special technique; they had disciplined their bodies with exercises and training activities, although they suffered from several chronic illnesses. In order to cope with the falling episodes, the women had equipped sofas and chairs with cushions to soften the process of getting up again, whereas the two men sat in a chair moving as little as possible. In handling the falls, each participant showed individual coping strategies and adaptive resources to achieve a life, experiencing a feeling of being well.     

Whiteness Studies and the Erasure of Gender

In recent years, the study of race and ethnicity has expanded, and there is now a growing field of research that examines whiteness and racial privilege. This article provides an overview of theories of privilege and whiteness studies, and argues that these analyses should incorporate an intersectional approach. Intersectional theories argue that race and gender are intertwined, and neither can be fully comprehended on its own. An intersectional approach sees race and gender as interacting and inseparable. Two specific contemporary racial projects are examined: the ideology of color blindness, and organized white supremacist discourse, and argues that gender is essential to understanding both. Finally, the consequences of the erasure of gender from our analyses of whiteness are examined.     

“We walk on eggshells”: A phenomenological inquiry of wives’ experiences of living with active-duty Marine husbands with PTSD

ABSTRACT

In this qualitative study, the authors explored the lived experiences of wives married to active-duty male Marines who have a diagnosis of post-traumatic stress disorder (PTSD). The first author and primary investigator conducted in-depth interviews with eight women, all of whom had been married more than 3 years and experienced at least one deployment while married. Transcendental phenomenology was used to gain an understanding of each woman’s experience. The central research question in this study was “What is it like to live with an active-duty male Marine with PTSD?” Findings demonstrated five essential themes: (1) the unpredictability of living with someone with PTSD, (2) the spouse had to take on different roles, (3) the wives felt unprepared to handle PTSD, (4) the wives received different messages when trying to seek help for their husbands, and (5) the wives wanted to send messages to other wives living with Marines with PTSD.     

Relatedness,autonomy, and competence in the caring relationship: The perspective of nursing home residents

Based on self-determination theory and person-environment congruence models, this study investigated the importance and experiences of relatedness, autonomy, and competence in the caring relationship from the perspective of residents of somatic nursing homes. Furthermore, discrepancies between the attached importance and the fulfillment of these three needs, as well as the role of resident age, health and cognition were explored.Structured questionnaires and semi-structured interview questions were used with 75 recently admitted somatic nursing home residents. The results show that relatedness was considered as more important than autonomy and competence, on average, but there also was large variation between residents in the importance attached to these three needs (n = 75). A subgroup that was asked about relatedness, autonomy, and competence in the caring relationship (n = 35) experienced rather high fulfillment of these needs, although the semi-structured interview questions revealed more nuances. In addition, discrepancies existed between the importance and the fulfillment of the needs for a considerable group of residents in this subgroup. Subjective health and cognitive functioning were correlated with the evaluation of relatedness, autonomy, and competence in the caring relationship.It is concluded that, in nursing homes, the focus should be on the match between individual preferences and actual support of relatedness, autonomy, and competence.This involves asking residents for personal preferences and facilitating caregivers in taking these into account during daily caregiving.     

Evidence of tactile arm stepping in newborns and its responsiveness to optic flows specifying self-translation

Although the arms participate in many forms of human locomotion, we know very little about when arm movements emerge during locomotor development. Here we investigated whether newborns would make tactile arm stepping movements when we supported them almost horizontally so their hands touched a surface and blocked their leg movements. Building off prior work showing that newborns make more crawling and air stepping leg movements when exposed to optic flows specifying forward and backward self-translation, we also examined whether newborns would make more tactile arm steps when exposed to forward and backward optic flows compared to a random optic flow that did not specify translation. We found that newborns can perform arm stepping and produce a significantly higher number of tactile arm steps in the optic flow condition specifying backward translation than in the random optic flow condition. Both translating optic flow conditions had significantly higher numbers of alternating arm steps than the random optic flow condition. These findings show that tactile arm stepping exists at birth and that optic flows can facilitate their production, similar to leg stepping. We argue that these results further support the idea that a quadrupedal organization underlies early upright stepping.     

Integrating performance and risk aspects of supply chain design processes

Abstract

Supply chain design is a complex and relatively poorly structured process, involving choosing many decisional parameters and it usually requires consideration of numerous sources of uncertainty. Many conventional processes of supply chain design involve taking a deterministic approach, using point estimates, on important measures of supply chain effectiveness such as cost, quality, delivery reliability and service levels. Supply chain disruptions are often separately considered as risks, both in the research literature and in practice, meaning that a purely traditional risk management and risk minimization approach is taken. We have developed and applied an approach that combines the intellect and experience of the supply chain designer with the power of evaluation provided by a Monte Carlo simulation model, which uses decision analysis techniques to explicitly incorporate the full spectrum of uncertain quantities across the set of alternative supply chain designs being considered. After defining and setting out the general decision variables and uncertainty factors for 16 distinct supply chain design decision categories, we then apply that approach to combine the decision-makers’ heuristics with the probabilistic modeling approach, iteratively, to achieve the best of both elements of such an approach. This novel approach to fully integrating performance and risk elements of supply chain designs is then illustrated with a case study. Finally, we call for further developmental research and field work to refine this approach.