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Loneliness and person-centred health care
Published in Stephen Buetow, From Loneliness to Solitude in Person-centred Health Care, 2023
Since persons and their needs continue to change, person-centred health care is a journey taken to help acclimatize in a fast-moving world. In this passage, persons perceptibly move through space and time to manage problems, such as loneliness. Their movement harnesses the potential energy stored in them, their condition, and systems of care. It utilizes this energy to power work by creating positive possibilities from states like aloneness, for example, through self-love. Motion is integral to this adaptive process whose precise form is not entirely predictable because each situation is unique. Therefore, persons continue to mobilize as dynamic beings whose kinetic management of conditions like loneliness remains a central feature of their lives. Their movement originates with inward action since they can only temporarily escape themselves, whether through turning to others or by running away to pause rather than fix their problems. Consequently, in Ernest Hemingway’s The sun also rises,69 the journalist Jake Barnes advises his college friend, Robert Cohn, not to go to South America to get more from life because “You can’t get away from yourself by moving from one place to another.”
Acclimatization
Published in Andrew M. Luks, Philip N. Ainslie, Justin S. Lawley, Robert C. Roach, Tatum S. Simonson, Ward, Milledge and West's High Altitude Medicine and Physiology, 2021
Andrew M. Luks, Philip N. Ainslie, Justin S. Lawley, Robert C. Roach, Tatum S. Simonson
In general, prior experience at high altitude serves as a good, but not perfect, predictor of future performance at high altitude. An individual who had no difficulties on a prior trip to high altitude is likely to remain well with repeat ascent to the same elevation provided they move at the same ascent rate. Similarly, someone who was previously ill at a given elevation is likely to get sick with further trips at the same rate to the same elevation. Deviations from prior ascent rates, however, can raise or lower the risk for that individual. In fact, although references are often made to the fact that some individuals acclimatize well and are resistant to acute altitude illness, any individual who ascends to too high an elevation at too fast a rate is at risk for acute altitude illness, as demonstrated by Bartsch (1999), who reported the cases of several climbers who had successfully summited peaks above 8000 m without difficulty but developed HAPE during rapid ascents of other 8000 m peaks.
Aesthetics
Published in Alan Bleakley, Medical Education, Politics and Social Justice, 2020
As they progress in their careers to medicine or surgery, and then to specialties (including general practice), what Tyson Lewis (2012) calls “acclimation pedagogy” – focused on work-based learning – intensifies. This is a pedagogy that does not primarily open up an inquiring mind and teach critical thinking. Rather, it is one that narrows down learning to specifics that are tightly policed or subject to a strong ethical and professional frame, following a pattern of induction and socialization. Performance spaces (Bleakley 2016) such as operating theatres, morgues, laboratories, wards, critical care units, dermatology clinics, maternity units, lecture theatres and so forth cultivate ways of emoting and being that are tightly controlled by conventions and traditions, where emotional capital is held by an authority and a fabric of sensibility is formed so that you sense according to how you should and not necessarily how you wish, as a circulation of tradition.
Human cold habituation: Physiology, timeline, and modifiers
Published in Temperature, 2022
Beau R. Yurkevicius, Billie K. Alba, Afton D. Seeley, John W. Castellani
The following are definitions of the general terms used in this review, as defined by the International Union of Physiological Sciences [9]. The term adaptation is used to describe “changes that reduce the physiological strain produced by stressful components of the total environment”. The terms acclimation and acclimatization are often used interchangeably to refer to any adaptive change which occurs due to prolonged or repeated exposure to a stressful environment, and which reduces the strain or enhances endurance of strain in that environment. The terms differ slightly in that acclimation refers to experimentally driven or lab-based exposures, while acclimatization refers to natural exposures due to climate, season, or location. Habituation is defined as a “reduction of responses to or perception of a repeated stimulation.” In the context of this review, adaptation will be used as a general term, acclimation and acclimatization will be used to differentiate exposure type within the profiled studies, and habituation will be used to describe a reduction in the typical responses observed during acute cold exposures.
Self-control in Quarantined Individuals during the COVID-19 Pandemic in South Korea
Published in Journal of Community Health Nursing, 2022
The acclimation phase refers to a period during which the participants kept themselves active and busy as they attempted to acclimate to two weeks of quarantine. They spent time doing the activities they had planned during the preparation phase, such as cleaning their home, studying, and catching up on sleep. Some participants, such as Q03, said they spent considerable time watching TV and browsing the Internet. Others, such as Q12, spent time communicating with people by phone or text message to relieve their sense of isolation. The participants attempted to avoid spending time doing nothing to prevent lethargy or depression. “ … clean the living room tomorrow and clean the cupboard the next day … It shouldn’t be quick because I had to pass some time everyday … otherwise there was nothing else to do.” (Q11)“On the phone with my friends, we chatted continuously for 30 minutes or an hour. It was much better than not talking … I also read a lot of books because I had nothing else to do.” (Q12)
Human vulnerability and variability in the cold: Establishing individual risks for cold weather injuries
Published in Temperature, 2022
François Haman, Sara C. S. Souza, John W. Castellani, Maria-P. Dupuis, Karl E. Friedl, Wendy Sullivan-Kwantes, Boris R. M. Kingma
This review shows that: 1) all humans are highly at risk of developing CWI without adequate knowledge and protective equipment and 2) that understanding the large interindividual variability in morphology, insulation, and metabolism is essential to reduce potential risks for CWI between and within populations. When exposed to environmental cold, the body struggles for a balance between Hprod and Hloss. Maintaining this balance allows conditions to be considered compensable, avoiding the detrimental effects of CWI. Some individual characteristics and statuses such as age, race, sleep deprivation, hypohydration, and previous cold injuries, may expose vulnerabilities in some individuals. To counteract these shortcomings, interventions of equipment, nutrition, hypohydration, and/or cold acclimation can mitigate the risks for CWI.