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1.
Psychodyn Psychiatry ; 52(3): 283-304, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39254939

RESUMO

Since he first proposed it, Carl Jung's "archetype" theory has faced resistance from a pervasive but seldom examined set of underlying Cartesian assumptions embedded in mainstream psychology. This paradigm assumed a physical universe (and hence body) free of psyche that coincided with an essentially disembodied mind largely concerned with abstract symbol manipulation. This situation led archetype theory to remain largely within insulated psychoanalytic circles for decades. Since the 1980s, however, cognitive psychology has increasingly become embodied from a variety of standpoints. This article shows how the results of embodied cognition and spontaneous thought "demystify" many of the attributes Jung described in his archetype theory, making archetype theory not only more comprehensible but clinically applicable. Combining approaches suggests new avenues of inquiry for experimental research and enriches the psychoanalytic perspective.


Assuntos
Cognição , Teoria Junguiana , Humanos
2.
Biosystems ; 244: 105285, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39128645

RESUMO

Code biology reveals a great many codes beyond the genetic code as integral to biological functioning. Recent scholars have linked the growing field of code biology to analytical psychology, confirming that the encoded information inherited by the human organism is indeed massive and capable of great sophistication. In this discussion, I will expand on this project by showing how developments in embodied cognition reveal a code that links the world of universal emotional responses to common experiences to the world of embodied visuospatial narratives--i.e., the "archetypes" of analytical psychology. Viewed in this manner, archetypes become spontaneous symbolic narratives that symbolize universal emotional responses to typical human environments. Such symbolic narratives aim toward adaptation, and use a universal code that maps such situations to visuospatial narratives, with the adaptor being the human body itself.


Assuntos
Código Genético , Humanos , Código Genético/genética , Emoções/fisiologia , Cognição/fisiologia
4.
Ambio ; 53(11): 1587-1598, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38992337

RESUMO

The crises of climate change and biodiversity loss have pushed the aim for increasing the resilience of forest ecosystems high on the agenda of foresters and policymakers. At the same time, synergistic opportunities for restoring forests and biodiversity are emerging to safeguard these ecosystems. Naturalness is a key characteristic of forest ecosystems, which should be considered when estimating benchmarks for resilience and biodiversity conservation. The naturalness of forest ecosystems is highly dependent on the intensity of human activity, as different levels of management intensity can change the original traits of forest ecosystems. This paper presents an archetypal typology of forest ecosystems, describing the association between management and naturalness. Both features are represented as gradients covering the full spectrum observed in European forests. The array of forest ecosystem archetypes was verified using case studies across Europe. The typology provides useful information for setting targets for resilience and restoration of forest ecosystems.


Assuntos
Biodiversidade , Mudança Climática , Conservação dos Recursos Naturais , Agricultura Florestal , Florestas , Conservação dos Recursos Naturais/métodos , Europa (Continente) , Agricultura Florestal/métodos , Ecossistema
5.
Proc Natl Acad Sci U S A ; 121(30): e2401830121, 2024 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-39012826

RESUMO

As cells age, they undergo a remarkable global change: In transcriptional drift, hundreds of genes become overexpressed while hundreds of others become underexpressed. Using archetype modeling and Gene Ontology analysis on data from aging Caenorhabditis elegans worms, we find that the up-regulated genes code for sensory proteins upstream of stress responses and down-regulated genes are growth- and metabolism-related. We observe similar trends within human fibroblasts, suggesting that this process is conserved in higher organisms. We propose a simple mechanistic model for how such global coordination of multiprotein expression levels may be achieved by the binding of a single factor that concentrates with age in C. elegans. A key implication is that a cell's own responses are part of its aging process, so unlike wear-and-tear processes, intervention might be able to modulate these effects.


Assuntos
Caenorhabditis elegans , Senescência Celular , Caenorhabditis elegans/genética , Animais , Humanos , Senescência Celular/genética , Proteínas de Caenorhabditis elegans/metabolismo , Proteínas de Caenorhabditis elegans/genética , Transcrição Gênica , Envelhecimento/genética , Regulação da Expressão Gênica , Fibroblastos/metabolismo
6.
Front Psychol ; 15: 1379391, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38863671

RESUMO

The alteration of consciousness during shamanic rituals is both a physical and mystical phenomenon. It involves psychological and spiritual experiences. Through ritual practices, shamans can connect with archetype within the collective unconscious, utilizing trance-inducing techniques for "hallucinatory exploration". This study surveyed 75 participants to investigate the impact of prototype symbols in Shamanistic rituals on participants' consciousness states focusing on Jungian psychology's concept of archetype. The results indicate that archetype symbols in shamanic rituals can significantly influence participants' conscious state, leading them to experience a conscious dissolution of the self. Furthermore, archetype symbols have different effects at the stages of consciousness change. In particular, during the "Visionary Restructuralization" stage, archetype symbols, such as patterns, masks, totems and music, brought participants' consciousness to a peak and caused significant changes to it. These findings suggest that the metaphoric function of archetype symbols plays a crucial role in rituals. Archetype symbols connect the individual to the collective unconscious through visual images and symbolic imagery. They prompt the participants to experience emotional resonances that transcend individual experiences and affect their state of consciousness.

7.
J Anal Psychol ; 69(3): 455-477, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38721715

RESUMO

After Evangelos Christou (1923-1956) studied philosophy at King's College, Cambridge, with Wittgenstein and others, he earned a doctorate at the Jung Institute in Zürich. He then returned home to Alexandria, near which he died in a car crash. The Logos of the Soul, published posthumously, argued for a psychology that would be neither a natural scientific psychology, devoted to causal analyses, nor a philosophical discipline that analysed mental events. Psychology would be an autonomous science of the soul, an unknown distinct from body and mind. Science deals with bodies and behaviours; philosophy with the mental concepts and acts. Psychology deals with "psychological experience". Dreams and fantasies can be sources of psychological experience, but so can perceptual acts and mental acts. Meaning occurs when something encounters an ego or self in a psychological experience. Observation in psychology is participant observation, akin to witnessing of a drama. Psychological methods, such as psychotherapy, are both means of discovery and means of becoming. Christou's work brought together Jung's analytical psychology and mid-century British philosophy in order to stake out the ground for psychology that would be an empirical analysis of psychological experience and a logical analysis of the concepts used in that psychology.


Après qu'Evangelos Christou (1923­1956) ait étudié la philosophie au King's College à Cambridge, avec Wittgenstein et d'autres, il fit un doctorat à l'Institut Jung de Zurich. Il retourna ensuite à Alexandrie, où il mourut peu de temps après dans un accident de voiture. The Logos of the Soul, publié à titre posthume, plaide pour une psychologie qui ne serait ni une psychologie scientifique naturelle, dédiée aux analyses causales, ni une discipline philosophique qui analyse les événements du mental. La psychologie serait une science autonome de l'âme, une inconnue distincte du corps et du mental. La science traite des corps et des comportements; la philosophie s'occupe des concepts et des actes. La psychologie s'intéresse à « l'expérience psychologique ¼. Les rêves et les fantasmes peuvent être des sources d'expérience psychologique, mais il en est de même pour les actes de perception et les actes du mental. Le sens apparait quand quelque chose rencontre un moi ou un soi dans une expérience psychologique. L'observation en psychologie est une observation participative, qui s'apparente à être témoin d'une pièce dramatique. Les méthodes psychologiques, telles la psychothérapie, sont à la fois des moyens d'exploration et des moyens pour devenir. L'œuvre de Christou a relié la psychologie analytique de Jung et la philosophie britannique du milieu du siècle afin de revendiquer le terrain pour une psychologie qui serait une analyse empirique de l'expérience psychologique et une analyse logique des concepts utilisés dans cette psychologie.


Luego de estudiar filosofía en el King's College de Cambridge, con Wittgenstein y otros, Evangelos Christou (1923­1956) obtuvo un doctorado en el Instituto Jung de Zúrich. Posteriormente regresó a su casa en Alejandría, cerca de la cual murió en un accidente de auto. El Logos del alma, publicado póstumamente, abogaba por una psicología que no fuera ni una psicología científica natural, dedicada a los análisis causales, ni una disciplina filosófica que analizara los acontecimientos mentales. La psicología sería una ciencia autónoma del alma, lo desconocido distinto del cuerpo y de la mente. La ciencia se ocupa de los cuerpos y las conductas; la filosofía, de los conceptos y los actos mentales. La psicología se ocupa de la "experiencia psicológica". Los sueños y las fantasías pueden ser fuentes de experiencia psicológica, pero también los actos perceptivos y mentales. El sentido se produce cuando algo se encuentra con un ego o un self en una experiencia psicológica. La observación en psicología es una observación participante, similar a ser testigo de un drama. Los métodos psicológicos, como la psicoterapia, son a la vez medios de descubrimiento y medios de devenir. La obra de Christou reunió la psicología analítica de Jung y la filosofía británica de mediados de siglo para sentar las bases de una psicología que fuera un análisis empírico de la experiencia psicológica y un análisis lógico de los conceptos utilizados en esa psicología.


Assuntos
Teoria Junguiana , Humanos , História do Século XX , Filosofia , Psicologia/história
8.
J Anal Psychol ; 69(3): 411-433, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38812091

RESUMO

For a significant part of its history, archetype theory has been undermined by criticisms containing unexamined Cartesian assumptions. Such assumptions treat all cognition as disembodied, consisting of mere manipulation of abstract, inherently meaningless signs mimicked from verbal instruction or cultural learning. Since the 1980s, due to the results of many independent disciplines, however, this view is being replaced with one of embodied cognition. This shift has important consequences for archetype theory, allowing us to provide a non-reductive biological anchor that explains many characteristics of the archetypal image.


Pendant une partie importante de son histoire, la théorie des archétypes a été discréditée par des critiques contenant des hypothèses cartésiennes qui n'étaient pas remises en question. De telles hypothèses considèrent que toute capacité cognitive est désincarnée et consiste en une simple manipulation de signes abstraits et intrinsèquement dépourvus de sens, imités à partir d'instructions verbales ou d'apprentissage culturel. Néanmoins depuis les années 1980, du fait de résultats provenant de plusieurs disciplines indépendantes, cette façon de voir est remplacée par une autre: celle de la capacité cognitive incarnée. Ce déplacement a des conséquences importantes pour la théorie des archétypes, nous permettant de fournir un ancrage biologique non­réducteur qui explique un grand nombre de caractéristiques de l'image archétypale.


Durante una parte significativa de su historia, la teoría de los arquetipos se ha visto afectada por críticas que contenían supuestos cartesianos no examinados. Dichos supuestos dan cuenta de toda cognición como incorpórea, consistiendo en la mera manipulación de signos abstractos e intrínsecamente carentes de significado, imitados a partir de la instrucción verbal o el aprendizaje cultural. Sin embargo, desde la década de 1980, gracias a los resultados de muchas disciplinas independientes, este punto de vista se está sustituyendo por el de la cognición encarnada. Este cambio tiene importantes consecuencias para la teoría de los arquetipos, ya que nos permite ofrecer un anclaje biológico no reductivo que explica muchas características de la imagen arquetípica.


Assuntos
Metáfora , Inconsciente Psicológico , Humanos , Corpo Humano , Teoria Junguiana
9.
IUCrJ ; 11(Pt 3): 347-358, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38629168

RESUMO

Categorization underlies understanding. Conceptualizing solid-state structures of organic molecules with `archetype crystal structures' bridges established categories of disorder, polymorphism and solid solutions and is herein extended to special position and high-Z' structures. The concept was developed in the context of disorder modelling [Dittrich, B. (2021). IUCrJ, 8, 305-318] and relies on adding quantum chemical energy differences between disorder components to other criteria as an explanation as to why disorder - and disappearing disorder - occurs in an average structure. Part of the concept is that disorder, as probed by diffraction, affects entire molecules, rather than just the parts of a molecule with differing conformations, and the finding that an R·T energy difference between disorder archetypes is usually not exceeded. An illustrative example combining disorder and special positions is the crystal structure of oestradiol hemihydrate analysed here, where its space-group/subgroup relationship is required to explain its disorder of hydrogen-bonded hydrogen atoms. In addition, we show how high-Z' structures can also be analysed energetically and understood via archetypes: high-Z' structures occur when an energy gain from combining different rather than overall alike conformations in a crystal significantly exceeds R·T, and this finding is discussed in the context of earlier explanations in the literature. Twinning is not related to archetype structures since it involves macroscopic domains of the same crystal structure. Archetype crystal structures are distinguished from crystal structure prediction trial structures in that an experimental reference structure is required for them. Categorization into archetype structures also has practical relevance, leading to a new practice of disorder modelling in experimental least-squares refinement alluded to in the above-mentioned publication.

10.
J Anal Psychol ; 69(1): 88-101, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38321837

RESUMO

This paper celebrates the life and legacy of psychiatrist and Jungian author Anthony Stevens, who passed away at age 90 on July 13, 2023. It outlines Stevens's origins as a research fellow in Greece, where his work on infant attachment led to a lifelong dedication to establishing the biological and evolutionary foundation of psychiatry. It details his instrumental role in the debate about the theory of archetypes and describes the current state of the literature including the responses and reactions to Stevens's biological innatist position. The paper concludes with a career retrospective in which Stevens's major works are introduced and briefly described.


Cet article célèbre la vie et l'héritage du psychiatre et auteur jungien Anthony Stevens, décédé à l'âge de 90 ans le 13 juillet 2023. L'article décrit les origines de Stevens en tant que chercheur en Grèce, où ses travaux sur l'attachement du nourrisson l'ont conduit à se consacrer toute sa vie à établir le fondement biologique de la psychiatrie, dans une perspective évolutionniste. L'article détaille son rôle important dans le débat sur la théorie des archétypes et décrit l'état actuel de la littérature, y compris les réponses et réactions à la position biologique innéiste de Stevens. L'article se termine par une rétrospective de sa carrière, dans laquelle les œuvres majeures de Stevens sont présentées et brièvement décrites.


Este artículo celebra la vida y el legado del psiquiatra y autor Junguiano Anthony Stevens, quien falleció a los 90 años el 13 de julio de 2023. Describe los orígenes de Stevens como investigador en Grecia, donde su trabajo sobre el apego infantil lo llevó a una dedicación de por vida para establecer los fundamentos biológicos y evolutivos de la psiquiatría. Detalla su papel instrumental en el debate sobre la teoría de los arquetipos y describe el estado actual del arte, incluyendo las respuestas y reacciones a la posición biológica innatista de Stevens. El artículo concluye con una retrospectiva de su carrera en la que se presentan y describen brevemente las principales obras de Stevens.

11.
J R Soc Interface ; 20(208): 20230349, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-38016640

RESUMO

An instrumental discovery in comparative and developmental biology is the existence of assembly archetypes that synthesize the vast diversity of organisms' body plans-from legs and wings to human arms-into simple, interpretable and general design principles. Here, we combine a novel mathematical formalism based on category theory with experimental data to show that similar 'assembly archetypes' exist at the larger organization scale of ecological communities when assembling a species pool across diverse environmental contexts, particularly when species interactions are highly structured. We applied our formalism to clinical data discovering two assembly archetypes that differentiate between healthy and unhealthy human gut microbiota. The concept of assembly archetypes and the methods to synthesize them can pave the way to discovering the general assembly principles of the ecological communities we observe in nature.


Assuntos
Biota , Microbioma Gastrointestinal , Animais , Humanos
12.
Psychol Sport Exerc ; 67: 102432, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37665885

RESUMO

Scholars have argued that mental toughness is a term that represents hypermasculine ideals. This hypermasculinity ideal could be considered relevant in the sport of Australian rules football, which has been played, at the professional level, by male athletes for the majority of its existence. Given the rising popularity of the Australian Football League Women's (AFLW), the present research sought to explore how the term mental toughness was understood at an AFLW club through a cultural sport psychology lens. Interviews were conducted with players (n = 4) and coaches (n = 6) from an AFLW club over the course of a competitive season. Data were transcribed verbatim and thematically analysed, with themes constructed to correspond with different levels of contextual influence. From this analysis, the club values and underlying assumptions, the social truths, and the role models/archetypes that provided a collective understanding of the term were identified. Mental toughness was defined by high-performance values of the men's game, which had implications for female athletes in this environment who are not afforded the same opportunities to fully embody these values. Mental toughness is positioned, in this environment, as an ideal with different meanings for female athletes due to structural factors associated with elite-level competition (e.g., full-time versus part-time professionalism).


Assuntos
Atletas , Homens , Humanos , Feminino , Masculino , Austrália , Esportes de Equipe
13.
Int J Med Inform ; 178: 105207, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37688835

RESUMO

BACKGROUND: Geopolitical and economic crises force a growing number of people to leave their countries and search better employment opportunities abroad. Meanwhile, the highly competitive labor market provides opportunities for employees to change workplaces and job positions. Health assessment data collected during the occupational history is an essential resource for developing efficient occupational disease prevention strategies as well as for ensuring the physical and psychological well-being of newly appointed workers. The diversity in data representation is source for interoperability problems that are insufficiently explored in the existing literature. OBJECTIVES: This research aims to design a worker's occupational health assessment summary (OHAS) dataset that satisfies the requirements of an international standard for semantic interoperability in the use case for exchanging extracts of such data. The focus is on the need for a common OHAS standard at EU level allowing seamless exchange of OHAS at both cross-border and at the worker's country of origin level. RESULTS: This paper proposes a novelty systematic approach ensuring semantic interoperability in the exchange of OHAS. Two use cases are explored in terms of UML sequence diagram. The OHAS dataset reflects common data requirements established in the national legislation of EU countries. Finally, an EN 13606 archetype of OHAS is designed by satisfying the requirements for semantic interoperability in the exchange of clinical data. Semantic interoperability of OHAS is demonstrated with realistic use case data. CONCLUSIONS: The designed static, non-volatile and reusable information model of OHAS developed in this paper allows to create EN 13606 archetype instances that are valid with respect to the Reference model and the datatypes of this standard. Thus, basic activities in the OHAS use case can be implemented in software, for example, by means of a native XML database as well as integrated into existing information systems.


Assuntos
Saúde Ocupacional , Semântica , Humanos , Sistemas de Informação , Emprego , Ocupações
14.
J Anal Psychol ; 68(5): 828-848, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37753666

RESUMO

In the manner of Oedipus Rex, the myth of Myrrha-a story about a daughter's initiation of sex with her father-promises to divulge insights about feminine development. Given parallels between these two myths, the author asks why Jung identified Electra rather than Myrrha as the feminine counterpart to Oedipus, and revisits Freud's and Jung's differing interpretations of the incest theme in personality development. To break open the metaphor of Myrrha's incest, the author analyzes a similar account of incest in the Old Testament story of Lot and his wife and finds that they share a theme of female bitterness related to wounding of the mother and its arresting effect on the daughter's maturation. The article then considers the Demeter-Persephone myth, a tale not of incest but rape in Persephone's initiation into womanhood. In contrast to Myrrha, Persephone's development unfolds with strong maternal support tempered by the opposing claims on her by the masculine. The article draws these stories together to illuminate the archetypal forces that drive feminine development as well as the human affairs that resist and complicate them. The article concludes with a case study of a client whose developmental "stuckness" follows the contours of the Myrrha myth.


À la manière d'Oedipe Roi, le mythe de Myrrha, une histoire sur l'initiation sexuelle d'une fille avec son père promet de divulguer des éclairages concernant le développement féminin. Compte tenu des parallèles entre ces deux mythes, l'auteur se demande pourquoi Jung a identifié Électre plutôt que Myrrha comme la contrepartie féminine d'Œdipe. Il revisite les interprétations différentes de Freud et Jung sur le thème de l'inceste dans le développement de la personnalité. Pour ouvrir la métaphore de l'inceste de Myrrha, l'auteur analyse un récit similaire d'inceste dans l'histoire de Lot et de sa femme dans l'Ancien Testament et constate qu'ils ont en commun le thème de l'amertume féminine lié à la blessure de la mère et à son effet saisissant sur la maturation de la fille. L'article examine ensuite le mythe de Déméter-Perséphone, qui est non pas une histoire d'inceste mais de viol dans l'initiation de Perséphone à la féminité. Contrairement à Myrrha, le développement de Perséphone se déroule avec un fort soutien maternel tempéré par les revendications que le masculin lui oppose. L'article rassemble ces histoires pour éclairer les forces archétypales qui animent le développement féminin ainsi que les affaires humaines qui y résistent et les compliquent. L'article se termine par l'étude d'un cas clinique dont le « blocage ¼ développemental suit les contours du mythe de Myrrha.


A la manera de Edipo Rey, el mito de Mirra, una historia sobre la iniciación sexual de una hija con su padre, promete divulgar conocimientos sobre el desarrollo de lo femenino. Dados los paralelismos entre estos dos mitos, la autora se pregunta por qué Jung identificó a Electra en lugar de Mirra como la contrapartida femenina de Edipo y revisa las diferentes interpretaciones de Freud y Jung sobre el tema del incesto en el desarrollo de la personalidad. Para desentrañar la metáfora del incesto de Mirra, la autora analiza un relato similar de incesto en la historia de Lot y su esposa en el Antiguo Testamento y descubre que comparten el tema de la amargura femenina relacionada con la herida de la madre y su efecto paralizante en la maduración de la hija. A continuación, el artículo examina el mito de Deméter-Perséfone, una historia, no de incesto sino de violación, en la iniciación de Perséfone a la femineidad. A diferencia de Mirra, el desarrollo de Perséfone se desarrolla con un fuerte apoyo materno atenuado por las pretensiones opuestas de lo masculino sobre ella. El artículo reúne estas historias para iluminar las fuerzas arquetípicas que impulsan el desarrollo de lo femenino, así como los asuntos humanos que se resisten a ellas y las complican. El artículo concluye con un estudio de caso de una clienta cuyo "estancamiento" en su desarrollo sigue los devenires del mito de Mirra.


Assuntos
Teoria Junguiana , Humanos , Feminino , Família
15.
J Anal Psychol ; 68(4): 687-705, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37531135

RESUMO

Debates surrounding Jung's archetype theory could be characterized as tacit attempts to contend with the concept's dual function as referring to something known to psychologists (sign) and standing for something that is fundamentally unknowable (symbol). This essay considers implications of the term "archetype," outlines and critiques some of the conundrums of categorization and scientific credibility posed by Jung's formulation of the theory, and prompts locating the archetypal "human quality" of being human in imaginaries of typical patterning of the experiential realm.


Les débats entourant la théorie des archétypes de Jung peuvent être caractérisés comme des tentatives tacites de lutter contre la double fonction du concept, qui fait référence à quelque chose de connu des psychologues (le signe) et qui représente quelque chose de fondamentalement mystérieux (le symbole). Cet essai examine les implications du terme « archétype ¼. Il expose et fait la critique de quelques problématiques de la catégorisation et de la crédibilité scientifique posées par la formulation de la théorie par Jung. L'article incite à localiser la «qualité humaine¼ archétypale de l'être humain dans des imaginaires de modèles typiques du domaine expérientiel.


Los debates en torno a la teoría de los arquetipos de Jung podrían caracterizarse como intentos tácitos de lidiar con la doble función del concepto: referirse a algo conocido por los psicólogos (signo) y representar algo que es fundamentalmente incognoscible (símbolo). Este ensayo examina las implicaciones del término "arquetipo", describe y critica algunos de los enigmas de categorización y credibilidad científica que plantea la formulación de la teoría de Jung, e incita a situar la "cualidad humana" arquetípica del ser humano en los imaginarios de patrones típicos del ámbito experiencial.


Assuntos
Teoria Junguiana , Humanos
16.
Healthc Anal (N Y) ; 3: 100197, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37275436

RESUMO

COVID-19 pandemic has sent millions of people to hospitals worldwide, exhausting on many occasions the capacity of healthcare systems to provide care patients required to survive. Although several epidemiological research works have contributed a variety of models and approaches to anticipate the pandemic spread, very few have tried to translate the output of these models into hospital service requirements, particularly in terms of bed occupancy, a key question for hospital managers. This paper proposes a tool for predicting the current and future occupancy associated with COVID-19 patients of a hospital to help managers make informed decisions to maximize the availability of hospitalization and intensive care unit (ICU) beds and ensure adequate access to services for confirmed COVID-19 patients. The proposed tool uses a discrete event simulation approach that uses archetypes (i.e., empirical models of trajectories) extracted from empirical analysis of actual patient trajectories. Archetypes can be fitted to trajectories observed in different regions or to the particularities of current and forthcoming variants using a rather small amount of data. Numerical experiments on realistic instances demonstrate the accuracy of the tool's predictions and illustrate how it can support managers in their daily decisions concerning the system's capacity and ensure patients the access the resources they require.

17.
Sci Total Environ ; 893: 164851, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37329910

RESUMO

Greenhouse gas (GHG) emissions from reservoirs are influenced by many factors, including the reservoir's morphology, watershed, and local climate. Failure to account for diversity in waterbody characteristics contributes to uncertainties in estimates of total waterbody GHG emissions and limits the ability to extrapolate patterns from one set of reservoirs to another. Hydropower reservoirs are of particular interest given recent studies that show variable - and sometimes very high - measurements and estimates of emissions. This study uses characteristics describing reservoir surface morphology and location within the watershed to identify US hydropower reservoir archetypes that represent the diversity of reservoir features relevant to GHG emissions. The majority of reservoirs are characterized by smaller watersheds, smaller surface areas, and lower elevations. Downscaled climate projections of temperature and precipitation mapped onto the archetypes show large variability in hydroclimate stresses (i.e., changes in precipitation and air temperature) within and across different reservoir types. Average air temperatures are projected to increase for all reservoirs by the end of the century, relative to historical conditions, while projected precipitation is much more variable across all archetypes. Variability in projected climate suggests that despite similar morphology-related traits, reservoirs may experience different shifts in climate, potentially resulting in a divergence in carbon processing and GHG emissions from historical conditions. Low representation in published GHG emission measurements among several reservoir archetypes (roughly 14 % of the population of hydropower reservoirs), highlights a potential limit to the generalization of current measurements and models. This multi-dimensional analysis of waterbodies and their local hydroclimate provides valuable context for the growing body of GHG accounting literature and ongoing empirical and modeling studies.

18.
Explor Res Clin Soc Pharm ; 9: 100251, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37095893

RESUMO

Background: Patient-centered care is at the center of the Pharmacists' Patient Care Process; however, little is known about patient-centered care preferences and expectations for pharmacist care. Objective: To develop and test items exploring the applicability of a proposed three-archetype heuristic for patient-centered care preferences and expectations in pharmacist care in a population of older adults using community pharmacies that provided enhanced and integrated services. Methods: This was an exploratory analysis of a cross-sectional survey developed and distributed by postal mail to 17 Medicare-eligible patients at five Community Pharmacy Enhanced Service Network (CPESN) pharmacies in Iowa between November 2021 and January 2022. A total of 15 Likert-type archetype survey items were developed with an item developed for each of five constructs (Nature of Relationship and Locus of Control, Care Customization, Care Longevity, Intent of Communication, and Source of Value) for three archetypes ("Partner," "Client," and "Customer").Items were grouped by archetype to yield three, five-item scales, intended to reflect each archetype. Cronbach alphas (α) were calculated for each scale, measuring internal consistency. K-means clustering with silhouette analysis was performed using a group of archetype items with high internal consistency to identify clusters. Kruskal Wallis and Fisher's exact tests used to determine statistical significance for response means and frequencies between clusters, when appropriate. Results: In total, 17 participants completed the survey (100% response rate). Cronbach alphas for the five-item scales reflecting "Partner," "Client," and "Customer" archetypes were 0.66, 0.33, and - 0.03, respectively. K-means clustering identified two clusters, labeled: "Independent Partner" and "Collaborative Partner." There were significant (p-value <0.05) differences between clusters for four of the 15 Likert-type items, suggesting the "Independent Partner" more autonomous, seek pharmacist expertise less frequently, and value pharmacist collaboration less compared to the "Collaborative Partner." Conclusions: The items comprising the "Partner" archetype scale had a reasonably strong level of internal consistency. Older adults may desire highly tailored, co-created experience created from long-standing relationships with a particular pharmacist.

19.
Int J Audiol ; : 1-13, 2023 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-37079087

RESUMO

OBJECTIVE: This study investigated the adjustment behaviour of hearing aid (HA) users participating in a semi-supervised self-adjustment fine-tuning procedure for HAs. The aim was to link behaviour with the reproducibility and duration of the adjustments. DESIGN: Participants used a two-dimensional user interface to identify their HA gain preferences while listening to realistic sound scenes presented in a laboratory environment. The interface allowed participants to adjust amplitude (vertical axis) and spectral slope (horizontal axis) simultaneously. Participants were clustered according to their interaction with the user interface, and their search directions were analysed. STUDY SAMPLE: Twenty older experienced HA users were invited to participate in this study. RESULTS: We identified four different archetypes of adjustment behaviour (curious, cautious, semi-browsing, and full-on browsing) by analysing the trace points of all measurements for each participant. Furthermore, participants used predominantly horizontal or vertical paths when searching for their preference. Neither the archetype, nor the search directions, nor the participants' technology commitment was predictive of the reproducibility or the adjustment duration. CONCLUSIONS: The findings suggest that enforcement of a specific adjustment behaviour or search direction is not necessary to obtain fast, reliable self-adjustments. Furthermore, no strict requirements with respect to technology commitment are necessary.

20.
J Anal Psychol ; 68(2): 369-375, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36941764

RESUMO

This paper will provide a theoretical basis for looking at a dream in the analysis of a client during a calamity. Finding the archetype of the anima is a way of responding to a crisis, in this case to the COVID-19 pandemic period. With all the basic instincts disrupted by a catastrophe, the emergence of the anima, as archetype of life, is there to remind us how to survive and recover. The anima archetype, often representing psychological resilience in ancient myths, shows up in dreams to guide human transformation from the struggle to survive trauma to the art of living a full life.


Cet article fournira un fondement théorique pour l'exploration d'un rêve dans l'analyse d'un client durant un désastre. Trouver l'archétype de l'anima est une manière de répondre à une crise, ici à la période de pandémie. Lorsque que tous les instincts fondamentaux sont perturbés par la catastrophe, l'émergence de l'anima en tant qu'archétype de la vie vient nous rappeler comment survivre et se remettre. L'archétype de l'anima, qui représente souvent la résilience psychologique dans les mythes anciens, apparait dans les rêves pour guider la transformation humaine dans la lutte pour survivre au traumatisme et pour aller vers l'art de vivre une vie pleine.


Este artículo ofrece una base teórica para observar un sueño en el análisis de un cliente durante una calamidad. Encontrar el arquetipo del ánima es una forma de responder a una crisis, en este caso al periodo pandémico. Con todos los instintos básicos perturbados por una catástrofe, la aparición del ánima como arquetipo de la vida está ahí para recordarnos cómo sobrevivir y recuperarnos. El arquetipo del ánima, que a menudo representa la resiliencia psicológica en los mitos antiguos, aparece en los sueños para guiar la transformación humana en la lucha por sobrevivir al trauma hacia el arte de vivir una vida plena.


Assuntos
COVID-19 , Resiliência Psicológica , Humanos , Pandemias
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