Psychological adaptation to spousal bereavement in old age. The role of trait resilience, marital history, and context of death

This research examined the effect of marital status and gender on various indicators of psychological adaptation, namely depressive symptoms, loneliness, and life satisfaction. It further explores the role of trait resilience, marital history, and context of death for predicting These outcomes in bereaved individuals. Four hundred eighty widowed individuals aged between 60 and 89 were compared with 759 married peers. Main effects were found for marital status and gender for all indicators. The regression analyses illustrate the multifaceted structure of psychological adaptation. Trait resilience is a key factor in adapting to spousal bereavement, whereas marital history and the context are secondary.

Psychische Adaptation nach Verwitwung im Alter : die Rolle personaler Ressourcen und kontextueller Faktoren (Mantelpapier)

Verwitwung stellt ein typisches und dennoch sehr stressreiches kritisches Lebensereignis des späteren Lebensalters dar. Die Forschung zeigt, dass Betroffene Einbussen in verschiedenen Dimensionen des Wohlbefindens im Vergleich zu verheirateten Gleichaltrigen aufweisen. Die Stärke und Dauer dieser negativen Folgen ist jedoch sehr individuell. Sowohl die Multidimensionalität des Wohlbefindens wie auch die Variabilität in der psychischen Adaptation nach Verwitwung wurden in der bisherigen Forschung überwiegend vernachlässigt. Ausgehend davon ist es das Ziel der vorliegenden Inauguraldissertation, die Folgen der Verwitwung für das Wohlbefinden wie auch die individuellen Unterschiede in der psychischen Adaptation differentiell – unter Berücksichtigung von emotionalen, kognitiven, sozialen und physischen Indikatoren – zu untersuchen. Basierend auf einer interaktionistischen Perspektive werden dabei sowohl personale Ressourcen als auch beziehungs-­‐ und verlustbezogene sowie sozio-­‐historische Faktoren als mögliche Determinanten der psychischen Adaptation nach Verwitwung im Alter berücksichtigt. Auf der Grundlage empirischer Daten zweier Forschungsprojekte des Nationalen Forschungsschwerpunkts LIVES zu Partnerschaft und Altern in der Schweiz, wurden zu diesem Ziel vier Artikel veröffentlicht. Diese bestätigen das im Mittel tiefere emotionale, kognitive und soziale Wohlbefinden Verwitweter, wobei das Ausmass dieser Einbussen stark individuell variiert, besonders abhängig von den verfügbaren intrapersonalen Ressourcen. Der Vergleich über dreissig Jahre zeigt, dass sich die sozialen und wirtschaftlichen Fortschritte dieser Zeit besonders für Frauen günstig auf die Herausforderungen der Verwitwung im Alter ausgewirkt haben. Die psychische Bewältigung jedoch zeigt sich unabhängig von den gesellschaftlichen Rahmenbedingungen und so bestätigt sich die Verwitwung – zumindest aus psychologischer Sicht – als eine der grossen Herausforderungen des Alters. Die Artikel werden im vorliegenden Manteltext in den zugrundeliegenden Forschungsstand und theoretischen Zugang eigebettet, ihre Ergebnisse thematisch zusammengefasst, diskutiert und Implikationen für weitere Forschung und Praxis abgeleitet.

Diagnosing institutional barriers and opportunities for adaptation to climate change

Institutions are one of the decisive factors which enable, constrain and shape adaptation to the impacts of climate change, variability and extreme events. However, current understanding of institutions in adaptation situations is fragmented across the scientific community, evidence diverges, and cumulative learning beyond single studies is limited. This study adopts a diagnostic approach to elaborate a nuanced understanding of institutional barriers and opportunities in climate adaptation by means of a model-centred meta-analysis of 52 case studies of public climate adaptation in Europe. The first result is a novel taxonomy of institutional attributes in adaptation situations. It conceptually organises and decomposes the many details of institutions that empirical research has shown to shape climate adaptation. In the second step, the paper identifies archetypical patterns of institutional traps and trade-offs which hamper adaptation. Thirdly, corresponding opportunities are identified that enable actors to alleviate, prevent or overcome specific institutional traps or trade-offs. These results cast doubt on the validity of general institutional design principles for successful adaptation. In contrast to generic principles, the identified opportunities provide leverage to match institutions to specific governance problems that are encountered in specific contexts. Taken together, the results may contribute to more coherence and integration of adaptation research that we need if we are to foster learning about the role of institutions in adaptation situations in a cumulative fashion.

Drought Adaptation in Millets

Millets are major food and feed sources in the developing world especially in the semi-arid tropical regions of Africa and Asia. The most widely cultivated millets are pearl millet [Pennisetum glaucum (L.) R. Br.], finger millet [Eleusine coracana (L.) Gaertn], foxtail millet [Setaria italica (L.) P. Beauvois], Japanese barnyard millet [Echinochloa esculneta (A. Braun) H. Scholz], Indian Barnyard millet [Echinochloa frumetacea Link], kodo millet [Paspalum scrobiculatum L.], little millet [Panicum sumatrense Roth.ex.Roem. & Schult.], proso millet [Panicum miliaceum L.], tef [Eragrostis tef (Zucc.) Trotter] and fonio or acha [Digitaria exilis (Kippist) Stapf and D. iburua Stapf]. Millets are resilient to extreme environmental conditions especially to inadequate moisture and are rich in nutrients. Millets are also considered to be a healthy food, mainly due to the lack of gluten (a substance that causes coeliac disease) in their grain. Despite these agronomic, nutritional and health-related benefits, millets produce very low yield compared to major cereals such as wheat and rice. This extremely low productivity is related to the challenging environment in which they are extensively cultivated and to the little research investment in these crops. Recently, several national and international initiatives have begun to support the improvement of diverse millet types.

The great fluid debate: saline or so-called "balanced" salt solutions?

BACKGROUND Intravenous fluids are commonly prescribed in childhood. 0.9 % saline is the most-used fluid in pediatrics as resuscitation or maintenance solution. Experimental studies and observations in adults suggest that 0.9 % saline is a poor candidate for fluid resuscitation. Although anesthesiologists, intensive care specialists, perioperative physicians and nephrologists have been the most active in this debate, this issue deserves some physiopathological considerations also among pediatricians. RESULTS As compared with so-called "balanced" salt crystalloids such as lactated Ringer, administration of large volumes of 0.9 % saline has been associated with following deleterious effects: tendency to hyperchloremic metabolic acidosis (called dilution acidosis); acute kidney injury with reduced urine output and salt retention; damaged vascular permeability and stiffness, increase in proinflammatory mediators; detrimental effect on coagulation with tendency to blood loss; detrimental gastrointestinal perfusion and function; possible uneasiness at the bedside resulting in unnecessary administration of more fluids. Nevertheless, there is no firm evidence that these adverse effects are clinically relevant. CONCLUSIONS Intravenous fluid therapy is a medicine like insulin, chemotherapy or antibiotics. Prescribing fluids should fit the child's history and condition, consider the right dose at the right rate as well as the electrolyte levels and other laboratory variables. It is unlikely that a single type of fluid will be suitable for all pediatric patients. "Balanced" salt crystalloids, although more expensive, should be preferred for volume resuscitation, maintenance and perioperatively. Lactated Ringer appears unsuitable for patients at risk for brain edema and for those with overt or latent chloride-deficiency. Finally, in pediatrics there is a need for new fluids to be developed on the basis of a better understanding of the physiology and to be tested in well-designed trials.