Narrativity Analysis in Alzheimer’s Disease

Context. Alzheimer’s Disease (AD) is a neurodegenerative illness with frequency of occurrence increasing with old age. If memory impairment setting progressively in is here an element associated upfront, other neurocognitive troubles are also associated, for example, language impairment which can degenerate into aphasia. Aim of the study. To evaluate semantic and textual impairment in AD. Methods. Populationsstudied concerned 151 AD patients in consultation at Brest University Hospital. Certain sociodemographic data (sex, age, cultural levels) were collected as well as results from neuropsychological tests: (Folstein – MMSE; Dubois’s 5-word test; fluencies, Dubois’ s frontal test battery; Cornell’s scale for depression; Barbizet’s test, “The Lion’s tale”, for textual analysis. Demented patients were composed of 102 females and 49 males of average age 80.3 ± 6.91. All the tests, including the number of items memorized latterly in the Barbizet’s test are impaired all the more by Folstein’s test being altered. The formal fluency on demented patients is less impaired than the semantical lexical fluency test (scored respectively 5.74 ± 1. 09 versus 4.41 ± 2. 19;t= 5.60, p<0.01). The studied demented cohort shows more intrusions (n=36) than inversions in the delayed Lion’s tale, whether for items or for episodes in which they occur (n=19). The regressive PLS analysis shows that for the explanation of the overall scores to do with “The lion’s tale”, calculated later, only attainment of lexical fluency has any notable influence (Regression coefficient CR=0.224) or, more accessorily, the cultural level (CR=0.12). Conclusions. Attainment of category fluency and patient culture levels have effects on narrativity. Keywords: Alzheimer’s Disease, semiotics, semantics, textualit

Travel Assistance App with Tips : studying the degree to which the french generation z would adopt passeport + app to travel

Mobile applications have recently changed how tourists prepare and experience their travels. However, it has also been found that existing travel applications often have no personal, authentic, or useful tips or recommendations for Gen Z travelers especially. Because of this gap in the market, an investigation was done into the willingness of French Gen Z to embrace a travel assistance app called Passeport+, which is meant to provide real-time personalized local tips and advice for travel purposes. The primary assignment and research objective evaluated the significance of Passeport+ for potential adoption by French Generation Z and the UX drivers affecting their adoption or praised satisfaction from the application. This study investigated a deductive mixed-method approach comprising qualitative interviews and quantitative surveys. The survey included a sample of 30 Generation Z individuals to learn about their traveling behaviors, online likes and dislikes, and attitude toward the Passeport+ application. In particular attached were essential UX determinants: usability, look-and-feel, and perceived usefulness, which would probably influence user satisfaction and adoption intention. Users strongly indicated preference for easy navigation, personalized, localized information, and interactivity as needed. Another important determinant of willingness for adoption was security and trust in the management of users' personal data. Based on the findings, Passeport+ would be best effective in addressing the existing gaps in the current market since it matched the expectations of Generation Z travelers in relation to digital and functional needs. Emphasis on a user-friendly UX design along with proper safety measures in the protection of data would increase the chances of adoption. Further studies should be done that include larger numbers with different samples as well as more universal international locations

Переживание личного времени при болезни Альцгеймера

Original manuscript received February 3, 2020.Revised manuscript accepted March 18, 2020.Background. Alzheimer’s Disease (AD) is a neurodegenerative illness, which occurs with increasing frequency as people age, and is currently a disease beyond curative therapeutic possibilities. While progressive memory impairment is the upfront element associated with the disease, other neurocognitive problems are also associated with it, such as language impairment that tend to degenerate into aphasia. The paper presents singular representations of time in such patients’ lived experience, which with the course of the disease gradually move away from the real present around them. In consequence, they live in a bygone era. The dimension of the perceived world implies an anchoring in temporality in the present by using the resources of the past. This becomes impossible with the progression of the cognitive disorders. Multiple psychological tensions result from patient’s maladjustment to temporality. Objective. The article attempts to define the singular experience of the time of the demented patient according to the phases of the disease. Design. An analysis of the psychological tensions summoned at the various stages of the disease was carried out using a semiotic methodology. Results. The progression of the disease gives way to another mode of relation to the world, presentism. With its course, emotions can no longer unfold. At first, the patient seeks to increase his grip on the surrounding world, and the internal psychological tensions are accentuated. Suddenly the world ends up completely escaping him, and catastrophically the internal tensions collapse. The patient slides irreversibly towards regression. Conclusion. If the emotional intensity of what the patient experiences is enough, he remains engaged in the time of a presence in the world, even if it is distinct from the reality of those around him. When the intensity collapses, the demented patients disengage from it. The caregivers or families who take care of them can understand the mechanisms involved in the patients’ experience of time. This allows them to adapt their own behavior. Thus, they limit the risk of misinterpretation and induce certain behavioral disorders linked to their shift from the reality of the patients.Краткое введение. Болезнь Альцгеймера (AD) — это нейродегенеративное заболевание, случающееся с возрастающей частотой при увеличении возраста, и в настоящее время находится за рамками лечебных терапевтических возможностей. Первым признаком болезни является прогрессирующее ухудшение памяти, но при AD возникают и другие нейрокогнитивные проблемы, например, речевое расстройство, имеющее тенденцию переходить в афазию. В статье описаны единичные представления времени в жизненном опыте пациентов с болезнью Альцгеймера, которые с течением болезни постепенно отдаляются от реального настоящего вокруг них. Фактически они живут в давно ушедшей эпохе. Измерение воспринимаемого мира подразумевает привязку к временнóму в настоящем посредством использования ресурсов прошлого. Это становится невозможным при прогрессировании когнитивных расстройств. Многочисленные психологические напряжения возникают в результате неправильного приспособления пациента к темпоральности. Цель. В статье предпринята попытка определить единичный опыт переживания времени у больных с деменцией в соответствии с фазами заболевания. Дизайн. Анализ психологических напряжений, вызванных на различных стадиях заболевания, проводился с использованием семиотической методологии. Результаты. Прогрессирование болезни вызывает другой способ отношения к миру, презентизм. При этом больной уже не может выражать свои эмоции. Сначала пациент стремится усилить свою “хватку” за окружающий мир, и внутреннее психологическое напряжение также усиливается. Но внезапно мир полностью ускользает от него, и внутреннее напряжение катастрофически разрушается. Пациент необратимо скатывается к регрессии. Вывод. Если эмоциональная интенсивность переживаний пациента достаточна, он остается вовлеченным в жизнь, хотя его восприятие и отличается от реальности окружающих его людей. Когда интенсивность эмоций резко снижается, пациенты с деменцией выпадают из реальности. Ухаживающий персонал или семьи, которые заботятся о больных, могут понять механизмы, задействованные в переживании пациентами времени. Это позволяет им адаптировать свое собственное поведение. Таким образом, уменьшается риск неправильного толкования поведения больных и можно предупредить определенные поведенческие расстройства у пациентов

Discrimination et inégalités chez les femmes âgées

Les inégalités et les discriminations portant sur les femmes âgées sont peu documentées dans la littérature. La problématique est cependant massive et dramatique pour des millions de femmes. Tout semble confiné à une invisibilité de leur détresse. Ces problématiques persistent dans les pays occidentaux, économiquement développés, mais tendent à s’atténuer sans disparaître pour autant. Elles n’ont rien à voir, cependant, avec celles rencontrées dans nombre de pays où les inégalités de genre acquises, côtoient un niveau de vie et des attendus familiaux et religieux défavorables aux femmes notamment âgées. Ailleurs, leur misère est aggravée par les guerres et les déplacements de population. Nous examinons dans cet article les ressorts qui sous-tendent leur discrimination. Nous pointons la nécessité de la constitution d’un droit international pour pallier ces situations qui tendent à s’aggraver dans certains pays. En matière de santé, on assiste actuellement dans de nombreux pays à une détérioration des structures de soins destinés aux plus fragiles, ce qui concerne notamment des millions de femmes, jeunes ou âgées.Las desigualdades y la discriminación contra las mujeres adultas mayores están poco documentadas en la literatura. Sin embargo, el problema es masivo y dramático para millones de mujeres. Todo parece limitarse a la invisibilidad de su angustia. Estos problemas persisten en los países occidentales, que están económicamente desarrollados, pero tienden a disminuir sin desaparecer. Sin embargo, no tienen nada que ver con las que se encuentran en muchos países donde las desigualdades de género adquiridas se codean con un nivel de vida y expectativas familiares y religiosas que son desfavorables para las mujeres, especialmente para las ancianas. En otros lugares, su miseria se ve agravada por las guerras y los desplazamientos de población. En este artículo, examinamos las razones de su discriminación. Señalamos la necesidad de la constitución de un derecho internacional para paliar estas situaciones, que tienden a empeorar en algunos países. En el campo de la salud, en muchos países estamos asistiendo actualmente a un deterioro de las estructuras de atención a los más vulnerables, que afecta a millones de mujeres, jóvenes y ancianas.As desigualdades e a discriminação contra as mulheres idosas são pouco documentadas na literatura. No entanto, o problema é enorme e dramático para milhões de mulheres. Tudo parece estar confinado a uma invisibilidade de sua angústia. Esses problemas persistem nos países ocidentais, que são economicamente desenvolvidos, mas tendem a diminuir sem desaparecer. Eles não têm nada a ver, no entanto, com aqueles encontrados em muitos países onde as desigualdades de gênero adquiridas convivem com um padrão de vida e expectativas familiares e religiosas que são desfavoráveis às mulheres, especialmente às mulheres mais velhas. Em outros lugares, sua miséria é agravada por guerras e deslocamentos populacionais. Neste artigo, examinamos as razões de sua discriminação. Apontamos para a necessidade de a constituição do direito internacional aliviar essas situações, que tendem a se agravar em alguns países. No campo da saúde, assistimos atualmente a uma deterioração das estruturas de cuidados aos mais vulneráveis, que afeta milhões de mulheres, jovens e idosos.Inequalities and discrimination against older women are poorly documented in the literature. However, the problem is massive and dramatic for millions of women. Everything seems confined to the invisibility of their distress. These problems persist in economically developed Western countries but tend to diminish without disappearing. They have nothing to do, however, with those encountered in many countries where acquired gender inequalities have a standard of living, family expectations, and religious unfavorable to women, particularly older women. Elsewhere, their misery is aggravated by wars and population displacement. In this article, we examine the underlying causes of their discrimination. We highlight the need for the establishment of international law to address these situations, which tend to worsen in many countries. In terms of health, we are currently witnessing in many countries a deterioration in healthcare structures for the most vulnerable, which particularly concerns millions of women, young and old