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Social isolation has been suggested to foster paranoia. Here we investigate whether social company (i.e., being alone vs. not) and its nature (i.e., stranger/distant vs. familiar other) affects paranoia differently depending on psychosis risk. Social interactions and paranoid thinking in daily life were investigated in 29 patients with clinically stable non-affective psychotic disorders, 20 first-degree relatives, and 26 controls (n = 75), using the experience sampling method (ESM). ESM was completed up to ten times daily for 1 week. Patients experienced marginally greater paranoia than relatives [b = 0.47, p = 0.08, 95% CI (− 0.06, 1.0)] and significantly greater paranoia than controls [b = 0.55, p = 0.03, 95% CI (0.5, 1.0)], but controls and relatives did not differ [b = 0.07, p = 0.78, 95% CI (− 0.47, 0.61)]. Patients were more often alone [68.5% vs. 44.8% and 56.2%, respectively, p = 0.057] and experienced greater paranoia when alone than when in company [b = 0.11, p = 0.016, 95% CI (0.02, 0.19)]. In relatives this was reversed [b = − 0.17, p b = − 0.02, p = 0.67, 95% CI (− 0.09, 0.06)]. The time-lagged association between being in social company and subsequent paranoia was non-significant and paranoia did not predict the likelihood of being in social company over time (both p’s = 0.68). All groups experienced greater paranoia in company of strangers/distant others than familiar others [X2(2) = 4.56, p = 0.03] and being with familiar others was associated with lower paranoia over time [X2(2) = 4.9, p = 0.03]. Patients are frequently alone. Importantly, social company appears to limit their paranoia, particularly when being with familiar people. The findings stress the importance of interventions that foster social engagement and ties with family and friends.

Background : At present, the existing studies which explore the factors influencing elderly widows to remarry and their achievement towards successful step-parenthood are limited. Remarriage and step-parenthood are integrated into the complexities of the social phenomena in human experiences, which entail coping and adjustments to life changes. Objective: The study explored the lived experiences of elderly widows regarding coping and adjustments to remarriage and step-parenting as new roles. Methods: The study made use of a phenomenological approach, particularly the transcendental approach, to have a better understanding of their lived-experience after remarriage. Self-made open-ended questions were raised in the series of interviews using interview guides. The study was conducted in Iligan City, Philippines, where all the six participants reside. Purposive sampling was used wherein participants are selected based on criteria necessary to answer the objectives of the study: (1) He/ she should be at least 60 years of age; (2) must be remarried after the death of the previous spouse; and, (3) must be a bi-parent. Thematic analysis was used for data analysis. Result: Three themes emerged in all interviews: (1) adjusting to a new marital role, (2) sharing responsible parenthood, and (3) rewarding new parental role. Results highlighted bi-parenting among elderly widows as an aptly complex lived- experience as widows enter remarriage. Conclusion: It is concluded that the remarried widows view life after remarriage with the new family and children as a positive experience despite the challenges. Remarriage and being with another family can improve the wellbeing of the elderly widows. Having children and a new partner around is an opportunity to bring back a complete family structure together. This research recommends further that the understanding of their experiences and phenomena should be the basis of identifying their status. Researchers and clinicians should provide essential information to elderly remarried widows about the healthy and proper coping and adjustment to this life-changing event.

PurposeEffective nonverbal communication is associated with empathic behavior and improved patient outcomes. Touch, as a form of nonverbal communication, is relatively unexplored in medical education. This study sought to gain in-depth insights into physicians' experiences communicating with touch and to examine how these insights could inform communication skills curricula.MethodCollaborative inquiry, a form of action research, was used. Six experienced physician-educators from the University of Calgary met 8 times between 2015 and 2018 to critically reflect on their experiences of touch in clinical practice, teaching, and learning. Data comprised meeting transcripts, individual narrative accounts, and digital recordings of roleplays. Interpretative phenomenology, the study of lived experience, guided analysis.ResultsTwo themes were identified-touch as presence and touch as risk. Participants used touch to demonstrate presence and a shared humanity with patients, to express "being with" a patient. Risk was not associated with the physical experience of touch but, rather, with its social meaning, interpreted through gender, culture, relationships, and context. Individual experiences were open to many interpretations. Participants expressed tension between their personal experience communicating with touch to express empathy and formal curricular structures. Reflection, role-modeling, and clinical debriefs were suggested as ways to encourage situational awareness and sensitive use of touch.ConclusionsTouch is a powerful means to communicate with patients but is highly subjective. Rather than avoiding touch for fear of misinterpretation, encouraging dialogue about its complexity could promote a more balanced understanding of touch and its potential to convey empathy and help physicians more effectively manage risk when using touch.

Background Lymphoma incorporates histologically variable cancers derived from the immune system cells. The distinctive feature of lymphoma is the rapid increase in size and number of lymph nodes and/or secondary lymphoid tissues. The aim of the work is to evaluate the accuracy of PET/CT vs CECT in the assessment of response to therapy in lymphoma patients: both early and late therapeutic response assessment. This retrospective study was conducted on 80 patients with different types of lymphoma recruited and enrolled from a university hospital. All 80 patients underwent pre-treatment, during the course of chemotherapy and at the end of planned treatment contrast-enhanced СT (СEСT) and PET-СT. Interpretation of the СEСT and the fusion images PET/СT each was done separately and comparison of the results was achieved. Results PET/CT and contrast-enhanced computed tomography were concurrent in results in 55% of cases during treatment and 75% at the end of treatment with CT sensitivity of 61.1%, specificity of 92.2%, and accuracy of 76.2% during treatment in comparison to 100% sensitivity and specificity of PET/CT. Sensitivity of CT at end of treatment was 57.5%, specificity 86.7%, and accuracy 71.6% as compared to 100% sensitivity and specificity of PET/CT. Conclusion PET/СT using 2-deoxy-2-[18F] fluoro-d-glucose is considered one of the best oncologic imaging modalities at the time being with valuable applications in lymphoma. It is very efficient with least possible pitfalls and false results compared to either of its components alone and to side by side reading of separately acquired PET and СT. PET/CT can detect both anatomical information as well as metabolical information providing more data and thus giving more accurate results than CECT. It is becoming а standard modality for lymphoma providing а new vision to management and treatment plan.

Traditionally, the role of midwives has been to be with women throughout the pregnancy continuum, from conception until the end of the postnatal period. Midwives, however, have been named as key providers of abortion services. While freedom of conscience is legally protected within Europe, discrepancies exist between midwifery and conscientious objection to abortion-related services. Midwives are largely ignored within the academic discussion despite the care and support they give to women undergoing abortions. Those discrepancies led to the aim of this article to address this issue by discussing some of the key ethical and legal concepts that are relevant to midwives’ role in the provision of abortion services. This article shows that the decision to provide or object to abortion services remains ethically very complex because arguments exist both for and against its provision. Being with women can be interpreted differently and individual situations of care are multifaceted. Conscientious objection to abortion services is a highly contentious issue that has an overall importance to midwives. Noting that decisions are individual, may change or may be situationally dependant; a definitive position of midwives for or against conscientious objection cannot be assumed. Respecting conscience and acknowledging that there are various arguments for and against conscientious objection promotes widespread understanding. It accommodates both the opportunity for midwives to object on conscience grounds to the provision of abortion services and respect women’s autonomy so that mutual agreement may be reached on issues that may have far reaching consequences.

In Cuban novelist José Manuel Prieto’s ‘Russian Trilogy’, and in particular, in the novel Livadia/Nocturnal Butterflies of the Russian Empire (1997), the experience of crossing borders and the reflection on how to pass safely, and often secretly, is vital. The geographical borders that take center stage are those of the former Soviet Union of the 1990s and adjacent Northern and Eastern countries as well as the Black Sea. In a first step, this essay examines the portrayals of changing borders, changing concepts of the border as well as the protagonist’s main strategies of border-crossing in the novel. In a second step, it explores the impact of a seemingly lighthearted metaphor, that of the butterfly and in particular its wings, to elucidate what I see as Prieto’s protagonist’s innovative approach of reacting to the experience of the border and his previous hyper-individualist attitudes when facing it. This experience is intrinsically linked to the role of writing and reading. Both hold a transcending potential for the narrator, as it is through acts of reading and reiterated attempts at writing that he begins to engage in a process of care for himself and others and devise transformative forms of being with others, even virtually, when a spatial or temporal separation prevents real encounters. His pondering on his previous restless crisscrossing of national confines may thus help, in the most fortunate moments, transcend spatial and conceptual confines and broaden what he calls the notion of an “imaginación aduanal.”

RESUMO Objetivo: Refletir a enfermagem sob um olhar existencialista, em que o “estar-com” tem se mostrado como o melhor cuidado no mundo com Covid-19. Metodo: Estudo teorico reflexivo sobre a enfermagem no contexto de pandemia, sob referencial teorico filosofico existencialista. Resultados: A enfermagem passa a ser percebida pela sociedade como profissao cujas praticas estao para alem das condicoes clinicas que acometem os individuos que convivem com esta pandemia, pois cuidar do outro nao e somente imprimir acoes tecnicas, mas fundamentalmente sensiveis, como “estar com” de forma presente e autentica. Consideracoes finais: A pandemia provocou mudancas na maneira do ser humano relacionar-se no mundo, ocasionando a reflexao sobre seus valores pelas restricoes que impos. Neste cenario, a enfermagem torna-se visivel, sendo protagonista nos diferentes espacos de cuidado, pois o foco da sua pratica e o cuidado existencial, que se estabelece atraves das relacoes em encontros entre seres, possibilitando, assim, o “estar com”. Palavras-chave: Enfermagem. Existencialismo. Infeccoes por coronavirus.

In response to coronavirus disease 2019 patient care requirements and clinical staff shortages, radiology nurses are being reassigned to directly or indirectly support hospital patient care in medical/surgical, critical care, and emergency room settings. Through this reassignment, radiology nurses have become witnesses to and/or caregivers for dying patients. Being with and caring for the dying is a unique and profoundly spiritual experience, which may result in the radiology nurses unexpectedly experiencing grief and loss. Using relationship-based care theory, the author proposes PACE as a person-centric, relational mindset, and communication model, explores the significance of providing end-of-life spiritual care, and highlights the profound implications of grief and loss for the radiology nurse.

By taking as background a few examples from Japanese culture and society, as well as an ethnographic insight, this article reconsiders the way anthropology usually deals with and talks about issues regarding cultural differences in human relations. These issues, which start from the fact that different cultures articulate human relations in different ways, have as one of their main theoretical outcomes the analysis around the categories of “self” or “person.” However, within this move lies something akin to a “gestalt misconception” that reduces a shared moral understanding (human relations) to an analysis of conceptual categories and their cognitive, psychological, subjective (or other) processes. Alternatively, the article proposes a more dialogical approach informed by Gadamer’s idea of “dialog” and “fusion of horizons,” where one aims to learn from other cultures and not about them. As a result, some reflections of a philosophical, moral, and practical character are presented, leaving theoretical formulations about the “Japanese self” out of the equation. This article’s general purpose is not an exploration of “Japaneseness,” but rather a probe into the possibilities of Being. info:eu-repo/semantics/acceptedVersion

Aim to enhance the understanding of documented mismatches between ‘subjective’ experiences and ‘objective’ data in three cases of self-reported instantaneous healing of hearing impairment upon prayer. Method description of three cases taken out of a larger retrospective case-based study of prayer healing in the Netherlands. In this larger study multiple reported healings were investigated using both medical files and patients’ narratives through in-depth interviews. A subset of three cases with dramatic subjective reduction of hearing impairment upon prayer was studied. These patients underwent extensive additional investigations at the audiology center of the Amsterdam University Medical Centre. All data was evaluated by an interdisciplinary medical assessment team, subsequent analysis was transdisciplinary. Results the three case histories with self-reported healing after prayer demonstrated a clear mismatch between subjective experiences and objective findings. No measurable improvements were found in four different audiological testing methods. However, in-depth interviews, hetero-anamnesis and a validated questionnaire all confirmed the healings. The medical assessment team could not label these healings as ‘medically remarkable’ because of absence of measurable ‘objective’ changes, but they did consider them as ‘remarkable in a broader sense’. On expert consultation no equivalents of mismatches to this extent could be found. The healing experiences of our participants involved their entire being with profound positive effects in different domains of their lives, and a perception of a benevolent God who acted upon them. There was a distinctive pattern, labelled by the participants as a healing of mind, soul and body. Conclusions The subjective-objective incongruities that were found were not well understood. We noticed a paradox: the ‘objective’ measurements did not reflect hearing abilities in daily life where-as ‘subjective experiential’ data did. The latter could be ‘objectified’ and validated in various ways. In fact, a rigid distinction between ‘objective’ and ‘subjective’ was not relevant here, nor a hierarchy among them. A model leaving room for different causations (horizontal epistemology) complied best with the multi dimensionality we came across.

International audience; In this paper, we argue in favour of using an immersive Virtual Environment (VE) in order to improve human capabilities. Wedevelop this idea in order to advance the potential of VEs in enhancing humans. Training with VEs has proven in some casesto be more efficient than training in real world situations in terms of the reduction of time consumption, risk reduction, easilypresenting specific simulation realism, all of which improve learning capabilities. The VE would be an environment for extending human capabilities, the goal being to increase experiences. This last affirmation could renew the scope of action for AH research: acquiring new needed capabilities from the virtual world that would be usable in both worlds, real and virtual.

This paper is a continuation of deliberations on meaning (sense) of public spaces. It refers to unofficial spaces for informal activities, which could be called informal alternative spaces or maybe even a bit exaggeratedly “spaces-of-resistance”. Their extremely important features include absence of control and lack of rules, which distinguish them from other spaces. The paramount advantage visitors gain from these places is the ability to give the space a meaning of their own, thus changing the users’s position from that of a mere user into the user in possession. It also changes his/her relation to the space which ceases to be only a ‘closed object’. It is brought into use, as it is created and linked only for the time of the actor-user's (own) performance. The experimental character of the game leads to a reinterpretation of the meaning (or even necessity to change it) that the space has. Such an approach breaks with the patterns embedded in a collective imaginarium, which promote safe, comfortable behaviours – an unofficial, alternative space must be created each time from scratch, such space is a process. It is not treated as a product, it becomes space of commitment – it becomes political space, but as such, it is a challenge and thus it is interesting only for few people. By meeting each other and being with others we fulfill our basic psychological need, but simultaneously we enter into different roles in a social game in which our own “win” often counts above all. Our private satisfaction can also be valued by a sense of community, collaboration, having something in common, and this obviously can bring benefits to everyone. However, without a deeper thought practices that seek and provide best possible conditions for staying in space can lead to a certain inertia, which can turn into “algorithmization” in satisfying space users, specialized only in passive satisfaction of thoughtless users.

Background: Effective communication is defines as a two-way dialogue between two parties. Good nurses-patients communication is essential for successful individualized patient care outcome. Ineffective nurse-patient communication increases length of hospitalization, client dissatisfaction and resource wastage. Objective: The objective of the study was to assess level of nurse-patient communication and its barriers among nurses in the study area. Method: An institutional based cross-sectional study was conducted among 296 study participants at Tikur Anbessa specialized hospital between March 1st and March 30, 2018. A systematic random sampling technique was used to include study participants. A Semi-structured questionnaire was used to gather information from participants. Descriptive and analytical analysis including bivariate and multivariate analysis considering 95% CI was utilized to examine association between dependent and independent variables. P-value

Being ‘with woman’ is a fundamental concept of midwifery philosophy. Minimal evidence explicates ways this important construct is learned or taught. This paper reflects one part of a larger study and explored midwives' experiences of learning and teaching related to the phenomenon of being ‘with woman’. Using a descriptive phenomenological approach, 31 midwives working in a variety of models in Western Australia were interviewed to explore the phenomenon of being ‘with woman’. Rich descriptions of how midwives learned and taught others to be ‘with woman’ were obtained. Descriptive phenomenology is useful in revealing features of the phenomenon through description of lived experiences of purposively sampled participants. Giorgi's method was used to analyse data from the two main interview questions. The themes for learning to be ‘with woman’ were observing midwives; inspirational leaders; learning from the women; a variety of experiences enhances learning; and, develops over time. The themes for teaching being ‘with woman’ were, approaches for teaching; teaching is implicit; reliance on observation, comprehension and assimilation. Insights into the learning and teaching of practices supported by professional philosophy offer educators and leaders new knowledge and ways to enhance the transfer of knowledge and skills of being ‘with woman’. Refereed/Peer-reviewed

Recent research has critically evaluated the rapid growth of volunteer urban environmental stewardship. Framings of this phenomenon have largely focused upon environmentality and/or neoliberal environments, unfortunately often presenting a totalising picture of the state and/or market utilising power from above to create environmental subjects with limited agency available to local citizens. Based upon qualitative research with volunteer urban environmental stewards in Philadelphia, affective labour is proposed as an alternative explanation for participation. Stewards volunteered their time and labour due to the intense emotional attachments they formed with their neighbourhoods, neighbours, and nonhuman others in relationships of affective labour. Volunteer urban environmental stewardship as affective labour provides room for agency on the part of individuals and groups involved in volunteer urban environmental reproduction and opens up new ways of relating to and being with human and nonhuman others.

This article is an attempt of showing the presence of the word – the living word – as a linguistic/speech means in human being’s relation with the Other – with somebody closer than somebody else, who testifies with his/her presence to the presence of the person speaking to him/her. The presence of the word can be perceived as “non-relative” presence – in line with thinking about language/speech through the prism of their conventionally understood functions. Accepting after H.-G. Gadamer that our experience is linguistic in nature, I write about immersion in language in which, by assimilating its meanings, we can think and communicate our thoughts to others and communicate with them – we are able to talk. The presence of words as the foundation, opportunity and quality of relations with the Other is also relative in its nature. I present, following the ideas of E. Lévinas, the pre-linguistic way of being with the Other and I discuss silence as seemingly non-verbal contact with oneself and the Other. Since I focus on the relation with the Other, I also develop the theme of who is talking to whom, pointing out, at the same time, that talking to somebody fits in the “existential project” of the speaker. The considerations concentrated on the above problems became also a pretext to reflect on the selected aspects of verbal and non-verbal relation between an adult and a young child. The reflections undertaken in the article are mostly placed within the phenomenological perspective. W artykule podejmuję próbę ukazania obecności słowa – żywego słowa – jako środka języka/mowy w relacji jednego człowieka z Drugim – z kimś bliższym niż ktoś inny, kto swoją obecnością poświadcza obecność tego, który do niego mówi. O obecności słowa można mówić jako o obecności bezwzględnej – zgodnie z myśleniem o języku/mowie przez pryzmat ich konwencjonalnie rozumianych funkcji. Przyjmując za H.-G. Gadamerem, że nasze doświadczenie ma postać językową, piszę o zanurzeniu w języku, w którym, poprzez przyswojenie sobie jego znaczeń, możemy myśleć i komunikować swoje myśli innym oraz komunikować się z nimi – rozmawiać. Obecność słów jako podstawy, możliwości i jakości relacji jednego człowieka z Drugim ma także względny charakter. Za E. Lévinasem przedstawiam prelingwistyczny sposób bycia jednego człowieka z Drugim oraz omawiam milczenie jako pozornie nie-słowny kontakt z sobą samym i z Drugim. Ponieważ koncentruję się na relacji z Drugim, rozwijam także wątek tego, kto mówi do kogo, tym samym wskazując, że mówienie do kogoś mieści się w „projekcie egzystencjalnym” mówiącego. Rozważania skoncentrowane wokół powyższej problematyki stały się także pretekstem do podjęcia refleksji nad wybranymi aspektami słownej i niesłownej relacji między dorosłym a małym dzieckiem. Podjęte w artykule rozważania sytuuję przede wszystkim w perspektywie fenomenologicznej.

Background: Sociability and shyness are orthogonal personality traits, wherein both are characterized by varying behavioral and psychophysiological correlates. Shyness should not be equated with the lack of sociability, as shyness relates to discomfort that occurs in the presence of others and sociability is identified with an individual's preference for being with others rather than alone. Objectives: The objective of this study was to examine the effect of type of schooling on sociability and shyness among students and to study the gender differences between sociability and shyness among students. Methodology: The sample comprised 210 students from both private and government schools situated in Delhi. Data were collected using Eysenck Personality Profiler for measuring sociability and Revised Cheek and Buss Shyness Scale. Results and Conclusion: The results obtained from ANOVA revealed that government school students were observed to be more sociable as compared to private school students. On the other hand, private school students were found to be more shy as compared to government school students. Females were observed to be more shy as compared to males. In addition, significant interactive effect was observed for sociability when school and gender were taken altogether.

I present Gilbert Simondon’s thinking of technics, that I take to be so compelling today because it articulates technological reality in ecological terms as a technogeography and life as being-with-the-machines. I will (1) flesh out Simondon’s program for a being-with-the-machines, (2) show how it corresponds to the essence of the technical objects described in terms of milieu and relation (3) indicate how this is based on Simondon’s ontology of individuation (4) suggest a criticism of Simondon, insofar as he would underestimate the technicality of the human being him/herself and of his/her world.

Virtual copresence, or the sense of being with others in an online space, is a feeling induced on many apps and websites through user avatars and browsable profile pages. Despite the small/modest effect sizes observed in popular web-based personalized normative feedback (PNF) alcohol interventions for college students, previous research has yet to consider how copresence might boost efficacy. This study builds on previous PNF gamification work to investigate whether specific copresence features (visual and text-based information about peers) increase PNF's ability to reduce alcohol use relative to a standard PNF condition and a gamified PNF condition. Copresence and perceptions of drinking norms (average drinks, peak drinks, and binge episodes) were assessed during a 3-week period following random assignment of college students (N = 235) to 1 of the 4 web-based PNF conditions (Standard PNF, Gamified PNF Only, Gamified PNF + Visual Copresence, and Gamified PNF + Maximum Copresence). These conditions asked the same questions about drinking and delivered identical PNF on alcohol use, but differed in the level of visual and text-based information about peers. Overall, only the gamified condition that featured maximum copresence significantly reduced drinking outcomes relative to standard PNF. However, conditional effects were moderated by pre-intervention drinking. Among heavier pre-intervention drinkers, both gamified conditions that featured copresence significantly improved upon Standard PNF in reducing alcohol use at follow-up. Findings suggest that including social media-like copresence features to visually represent and provide basic information about the peers contributing to the norms can enhance the efficacy of gamified PNF interventions, especially among high-risk heavy drinkers.

An integrated school, like any educational institution, creates a specific field which is a combination of experiences of the people entering its area, the relations between them, attitudes and behaviours that affect both its "open" and "hidden" dimension. In this article the two dimensions are mentioned as: "integrated schools in Poland - formal assumption" and "integrated education in the hidden dimension of the school culture". These different reviews of the problem generate different consequences for understanding these two dimensions. Effective integration of people with disabilities into society should be based on ensuring continuity of activities improving from the moment of disability, to becoming independent, and also to organize a system of broad support for the development of a child with disabilities. It is also important to reflect on the discrepancies that arise between how integration makes itself present in formal records and how to make the postulates look more realistic. Its highest level of social integration is accompanied to a great extent by "being with each other" and not "being beside", the possibility of not only protecting and supporting the weaker, but also mutual exchange between disabled and non-disabled people.

In the post-September 11 era, the state in Saudi Arabia is said to be feminizing itself by promoting inclusive reform vis-à-vis women. Since King ʿAbdallah’s reign, and through Prince Muḥammad bin Salmān’s recent and ambitious roadmap of socio-economic reforms, the monarchy has been championing women’s causes. This article seeks to move beyond a state-centric approach that focuses on the role of the Saudi state, actors and institutions. Rather, it takes an ethnographic view point to explore how the state’s feminization of itself unfolds in the everyday encounters and interactions between women divorcées and the processes, offices and officials of the state in Riyadh, Saudi Arabia. Simply by engaging the state and continually re-interpreting what it might offer them in terms of rights and resources, divorcées are able to draw new boundaries around their private lives. Consequently, it matters not so much that state actors and institutions espouse women’s positions in various realms, but rather that this so-called feminization enables women to act upon, interpret and imagine differently family and sexual life, and crucially, ways of being with and for others. Après le 11 Septembre, l’État saoudien se serait féminisé en promouvant une réforme globale à l’égard des femmes. Depuis le règne du roi ʿAbdallah et grâce à la récente et ambitieuse feuille de route du prince Muḥammad bin Salmān en matière de réformes socio-économiques, la monarchie s’est faite le champion de la cause des femmes. Cet article cherche à aller au-delà d’une approche centrée sur l’État, mettant l’accent sur le rôle de l’État, des acteurs et des institutions saoudiens. Il explore plutôt, d’un point de vue ethnographique, comment la féminisation de l’État se manifeste dans les rencontres et les interactions quotidiennes entre les femmes divorcées et les processus, les bureaux et les fonctionnaires de l’État à Riyad, en Arabie saoudite. En engageant simplement l’État et en réinterprétant continuellement ce qu’il pourrait leur offrir en termes de droits et de ressources, les divorcées sont capables de tracer de nouvelles frontières autour de leur vie intime. Par conséquent, il importe moins que les acteurs et les institutions étatiques rallient les positions des femmes dans divers domaines, mais plutôt que cette soi-disant féminisation permette aux femmes d’agir, d’interpréter et d’imaginer différemment la vie familiale et sexuelle et, surtout, les façons d’être avec et pour autrui.

© 2019 The Author(s). Background: The phenomenon of being 'with woman' is fundamental to midwifery as it underpins its philosophy, relationships and practices. There is an identified gap in knowledge around the 'with woman' phenomenon from the perspective of midwives providing care in a variety of contexts. As such, the aim of this study was to explore the experiences of being 'with woman' during labour and birth from the perspective of midwives' working in a model where care is provided by a known midwife. Methods: A descriptive phenomenological design was employed with ten midwives working in a 'known midwife' model who described their experiences of being 'with woman' during labour and birth. The method was informed by Husserlian philosophy which seeks to explore the same phenomenon through rich descriptions by individuals revealing commonalities of the experience. Results: Five themes emerged 1) Building relationships; 2) Woman centred care; 3) Impact on the midwife; 4) Impact on the woman; and 5) Challenges in the Known Midwife model. Midwives emphasised the importance of trusting relationships while being 'with woman', confirming that this relationship extends beyond the woman - midwife relationship to include the woman's support people and family. Being 'with woman' during labour and birth in the context of the relationship facilitates woman-centred care. Being 'with woman' influences midwives, and, it is noted, the women that midwives are working with. Finally, challenges that impact being 'with woman' in the known midwife model are shared by midwives. Conclusions: Findings offer valuable insight into midwives' experiences of being 'with woman' in the context of models that provide care by a known midwife. In this model, the trusting relationship is the conduit for being 'with woman' which influences the midwife, the profession of midwifery, as well as women and their families. Descriptions of challenges to being 'with woman' provide opportunities for professional development and service review. Rich descriptions from the unique voice of midwives, provided insight into the applied practices of being 'with woman' in a known midwife model which adds important knowledge concerning a phenomenon so deeply embedded in the philosophy and practices of the profession of midwifery.

Purpose:: To determine the extent of contact lens fitting for myopia control (MC) in children (defined as ≤ 17 years of age) worldwide and to characterize the associated demographics and fitting patterns. Methods:: Survey forms were sent to contact lens fitters in 66 countries between January and March every year for eight consecutive years (2011–2018, inclusive). Practitioners were asked to record data relating to the first 10 contact lens fits performed after receiving the survey form. Data were analysed for those countries reporting ≥ 100 contact lens fits to children. Results:: Data were analysed for 535 MC fits and 23,830 other (non-MC) lens fits undertaken in 31 countries reporting ≥ 100 contact lens fits to children, with 52.1% of MC fits and 12.0% of non-MC fits being with rigid lenses (p < 0.0001). Overall, MC lenses represented 2.3% of all contact lens fits to children, with significant differences between nations (p < 0.0001), ranging from no MC fits recorded in the Czech Republic, Greece, Japan, South Korea and Puerto Rico, to 24.9% in Austria. There has been an increase in contact lens fitting for MC over the survey period (p < 0.0001). MC contact lenses were fitted to younger children compared to non-MC lenses (MC, median 13 years vs. non-MC, median 15 years) (p < 0.0001). There was no sex bias in the fitting of MC lenses (p = 0.89). Conclusions:: MC lenses are currently being prescribed for younger children in equal measure in terms of soft vs. rigid lenses and males vs. females. The extent of MC fitting is low and varies between nations. The gradual increase in MC fitting throughout the survey period perhaps reflects growing concerns among practitioners over the myopia epidemic.

This paper examines the proposition that movement offers new insight into the relationship between human and non-human animals, a relationship that is important to understanding contemporary bio-political existence. It draws on a recent commemoration of transhumance, the seasonal movement of herds and herders, to analyse different conceptions of movement and their implications for the relationship between human and non-human animals. On this basis, the paper argues that current attempts to address the violence of the relationship by establishing the subjectivity of non-human animals are not the answer. It proposes instead that Nancy’s re-articulation of existence as oscillating between the detachment of singularity and the attachments of multiplicity offers a more productive way of reconfiguring the relationship between human and non-human animals. This offers an understanding of the relationship as always already transforming, and in a manner that does not, at the same time, undermine the possibility of political action.

Galaxy assembly bias, the correlation between galaxy properties and halo properties at fixed halo mass, could be an important ingredient in halo-based modelling of galaxy clustering. We investigate the central galaxy assembly bias by studying the relation between various galaxy and halo properties in the Illustris hydrodynamic galaxy formation simulation. Galaxy stellar mass $\Mstar$ is found to have a tighter correlation with peak maximum halo circular velocity $\Vp$ than with halo mass $\Mh$. Once the correlation with $\Vp$ is accounted for, $\Mstar$ has nearly no dependence on any other halo assembly variables. The correlations between galaxy properties related to star formation history and halo assembly properties also show a cleaner form as a function of $\Vp$ than as a function of $\Mh$, with the main correlation being with halo formation time and to a less extent halo concentration. Based on the galaxy-halo relation, we present a simple model to relate the bias factors of a central galaxy sample and the corresponding halo sample, both selected based on assembly-related properties. It is found that they are connected by the correlation coefficient of the galaxy and halo properties used to define the two samples, which provides a reasonable description for the samples in the simulation and suggests a simple prescription to incorporate galaxy assembly bias into the halo model. By applying the model to the local galaxy clustering measurements in Lin et al. (2016), we infer that the correlation between star formation history or specific star formation rate and halo formation time is consistent with being weak., 17 pages, 11 figures, published by MNRAS

© 2017, Springer Science+Business Media Dordrecht. Previous research on children’s and adolescents’ well-being at school has been focused on the possible determinants. However, no previous research has analysed children’s and adolescents’ lay-beliefs or conceptualizations of happiness at school. In the present work, we studied children’s (N = 104, 9–10-year-olds) and adolescents’ (N = 113, 15–16-year-olds) conceptualizations of happiness at school and its link with self-reported happiness (assessed 3 months later) and academic achievement (assessed 7 months later). For both samples, seven conceptualizations emerged: happiness as ‘being with friends’, ‘being praised’, ‘getting good grades’, ‘learning’, ‘leisure’, ‘enjoyment’, and ‘helping’. Age differences appeared for the conceptualizations of ‘being friends’ and ‘helping’, as children mentioned significantly more the former and adolescents the latter. No gender differences emerged. For adolescents, the conceptualizations of happiness at school as ‘being with friends’, ‘being praised’, ‘helping’, and not ‘having leisure time’ were positively related to self-reported happiness, which was positively related to academic achievement. For children, none of the conceptualizations were positively related to self-reported happiness. The conceptualization of happiness as ‘learning’ was positively related to academic achievement. The results are discussed in regards to their implications for children’s and adolescents’ well-being at school. ispartof: JOURNAL OF HAPPINESS STUDIES vol:19 issue:6 pages:1811-1830 status: published

Objective This work sought to understand the meaning of invisible care for nurses in hospitalization services. Methods Qualitative ethnographic study conducted in Medellín, Colombia. Seven open interviews were conducted with an equal number of participants and 30 h of observation. The data was subjected to ethnographic analysis. Results Two principal categories of analysis emerged: What nurses do and The transformation of the role; the latter with three subcategories (Priorities of the nurses: “What the nurse should do”, Priorities of the institutions: “That which has to be done”, Result of the change: “The unknown nurse”). Nurses during their daily work transform their caregiver role to adapt to diverse demands from the institutional contexts. If they do what they believe they should do, they are invisible to the institutions, but if they do what is visible to the institutions, care becomes invisible to patients and their relatives. Conclusion In the hospitalization services, nurses care for patients but without being with them. Nurses during their daily work transformed their caregiver role to adapt to diverse demands from the contexts, especially the institutional context. Resumo Objetivo Compreender o significado do cuidado invisível para as enfermeiras nos serviços de hospitalização. Métodos. Estudo qualitativo etnográfico, realizado em Medellín (Colômbia). Se realizaram 7 entrevistas abertas a igual número de participantes e 30 horas de observação. Aos dados se lhes realizou análise etnográfico. Resultados Emergeram duas categorias principais de anaálise: O que faz a enfermeira e a transformação do papel; esta última com três subcategorias (Prioridades das enfermeiras: “O que se deve fazer”, Prioridades das instituições: “O que em que fazer”, Resultado da mudança: “A enfermeira desconhecida”). As enfermeiras no seu afazeres diário transformaram seu papel cuidador para adaptar-se a diversas exigências dos contextos institucionais. Se elas realizam o que acham que deveriam fazer, são invisíveis para as instituições, mas se fazem o que é visível para as instituições, o cuidado se torna invisível para os pacientes e seus familiares. Conclusão Nos serviços de hospitalização, as enfermeiras cuidam pacientes mas sem estar com eles. As enfermeiras nos seus afazeres diários transformaram seu papel de cuidador para adaptar-se a diversas exigências dos contextos especialmente, o institucional. Resumen Objetivo Comprender el significado del cuidado invisible para las enfermeras en los servicios de hospitalización. Métodos Estudio cualitativo etnográfico, realizado en Medellín (Colombia). Se realizaron 7 entrevistas abiertas a igual número de participantes y 30 horas de observación. A los datos se les hizo análisis etnográfico. Resultados Emergieron dos categorías principales de análisis: Lo que hace la enfermera y La transformación del rol; esta última con tres subcategorías (Prioridades de las enfermeras: “Lo que debe hacer”, Prioridades de las instituciones: “Lo que tiene que hacer”, Resultado del cambio: “La enfermera desconocida”). Las enfermeras en su quehacer diario transforman su rol cuidador para adaptarse a diversas exigencias de los contextos institucionales. Si ellas realizan lo que creen que deberían hacer, son invisibles para las instituciones, pero si hacen lo que es visible para las instituciones, el cuidado se vuelve invisible para los pacientes y sus familiares. Conclusión En los servicios de hospitalización, las enfermeras cuidan pacientes pero sin estar con ellos. Las enfermeras en su quehacer diario transformaron su rol cuidador para adaptarse a diversas exigencias de los contextos especialmente, el institucional.

© 2017 Australian College of Midwives Background: Midwives being ‘with woman’ is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being ‘with woman’ to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenomenon. Aim: This review synthesises research and theoretical literature to report on what is known and published about being ‘with woman’. Methods: A five step framework for conducting an integrative literature reviews was employed. A comprehensive search strategy was utilised that incorporated exploration in electronic databases CINAHL, Scopus, Proquest, Science Direct and Pubmed. The initial search resulted in the retrieval of 2057 publications which were reduced to 32 through a systematic process. Findings: The outcome of the review revealed three global themes and corresponding subthemes that encompassed ‘with woman’: (1) philosophy, incorporated two subthemes relating to midwifery philosophy and philosophy and models of care; (2) relationship, that included the relationship with women and the relationship with partners; and (3) practice, that captured midwifery presence, care across the childbirth continuum and practice that empowers women. Conclusion: Research and theoretical sources support the concept that being ‘with woman’ is a fundamental construct of midwifery practice as evident within the profession's philosophy. Findings suggest that the concept of midwives being ‘with woman’ is a dynamic and developing construct. The philosophy of being ‘with woman’ acts as an anchoring force to guide, inform and identify midwifery practice in the context of the rapidly changing modern maternity care landscapes. Gaps in knowledge and recommendations for further research are made.

Innocent suspects are expected to prove their innocence by providing a credible alibi. However, only 2% of non-offenders are able to do so. Although detectives only find an alibi credible if it remains unchanged and it is supported by strong evidence, such as camera images, the alibi of non-offenders is usually supported by weaker evidence, such as a witness testimony. Non-offenders may also make a mistake or lie to cover up being with a mistress, for instance. When assessing a suspect’s alibi, detectives should therefore take into account the content of the alibi, the feasibility of obtaining (strong) evidence and the fallibility of memory.