scholarly journals Dying a Good Death: Indonesian Rituals and Negotiations About the End of Life

2021 ◽  
Vol 1 (2) ◽  
pp. 168-190
Author(s):  
Claudia Seise
Keyword(s):  
End Of Life ◽  
Good Death ◽  
Central Theme ◽  
Area Studies ◽  
Islamic Theology ◽  
The Family ◽  
Insight Into ◽  
Muslim Family ◽  
Islamic Rituals

Abstract In the following article, I aim to provide an insight into the Islamic understanding of death as perceived by a typical Indonesian Muslim family in South Sumatra. The discussion on what it means to die a good death is used as a central theme to introduce the Islamic rituals and practices surrounding death. I pay special attention to the signs observed by the members of the family while accompanying the dying person and examine how these are grounded in the particular religioscape of South Sumatra. The article is written at the crossroad of area studies and Islamic theology.

Understanding the concept of a “good death” among bereaved family caregivers of cancer patients in Singapore

2012 ◽  
Vol 11 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Geok Ling Lee ◽  
Ivan Mun Hong Woo ◽  
Cynthia Goh
Keyword(s):  
End Of Life ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Well Being ◽  
Good Death ◽  
Advanced Cancer Patients ◽  
The Family ◽  
Spiritual Well Being ◽  
Bereaved Family

AbstractObjective:The aim of this study was to examine the concept of a good death from the perspectives of both the dying person and the family caregiver, as perceived by bereaved family caregivers of advanced cancer patients.Method:The data were gathered from five focus group discussions and one face-to-face qualitative interview conducted over 8 months among 18 bereaved family caregivers recruited from a local hospice. The transcripts of the focus groups and the interview were entered into NVivo Version 8 and were analyzed using the thematic approach.Results:A good death may be understood as having the biopsychosocial and spiritual aspects of life handled well at the end of life. Five major themes were identified. These were preparation for death, family and social relationships, moments at or near death, comfort and physical care, and spiritual well-being. Differences were also noted in what is important at the end of life between the patients and caregivers. Having a quick death with little suffering was perceived to be good by the patient, but the family caregiver wanted to be able to say a final goodbye to the patient. Patients tend to prefer not to die in their children's presence but the children wished to be present for the final moment. In addition, family caregivers reported it was important for them to be able to give the patients permission to die, to feel recognized for the efforts made, and to have had a fulfilling caregiving experience.Significance of results:Whereas there are global attributes of a good death, our findings suggest that patients and family caregivers may define a good death differently. Therefore, there is a need to respect, address, and reconcile the differences, so that all parties may have a good experience at the end of a person's life.

scholarly journals Taking Care of a Dying Grandparent

2011 ◽  
Vol 28 (8) ◽  
pp. 564-568 ◽  
Author(s):  
Jaime R. Boquet ◽  
Debra Parker Oliver ◽  
Elaine Wittenberg-Lyles ◽  
Ardith Z. Doorenbos ◽  
George Demiris
Keyword(s):  
End Of Life ◽  
Family Caregivers ◽  
Fatigue Stress ◽  
Parents And Children ◽  
The Family ◽  
Caregiving Roles ◽  
Insight Into ◽  
Unique Individual ◽  
Taking Care

This study aims to provide insight into the role of grandchildren as informal hospice caregivers. It presents 4 cases that highlight the challenges and perceptions of grandchildren who care for a grandparent at the end of life. A researcher met regularly with family caregivers to discuss the problems or challenges during hospice caregiving. Although each caregiver presented unique individual experiences, several themes are common among the family caregivers including fatigue, stress, guilt, and loss of the “grandchild” identity. Grandchildren caregivers often take care of 3 generations (grandparents, parents, and children) and in many cases need additional assistance to help them overcome the challenges associated with managing a household, career, family, and caregiving roles.

A Review of Phytochemical and Pharmacological Studies of Inula Species

2020 ◽  
Vol 16 (5) ◽  
pp. 557-567
Author(s):  
Aparoop Das ◽  
Anshul Shakya ◽  
Surajit Kumar Ghosh ◽  
Udaya P. Singh ◽  
Hans R. Bhat
Keyword(s):  
Bacterial Infections ◽  
Chemical Constituents ◽  
Valuable Insight ◽  
Important Ingredient ◽  
Pharmacological Activities ◽  
Medicinal Uses ◽  
The Family ◽  
Pharmacological Studies ◽  
Perennial Herbs ◽  
Insight Into

Background: Plants of the genus Inula are perennial herbs of the family Asteraceae. This genus includes more than 100 species, widely distributed throughout Europe, Africa and Asia including India. Many of them are indicated in traditional medicine, e.g., in Ayurveda. This review explores chemical constituents, medicinal uses and pharmacological actions of Inula species. Methods: Major databases and research and review articles retrieved through Scopus, Web of Science, and Medline were consulted to obtain information on the pharmacological activities of the genus Inula published from 1994 to 2017. Results: Inula species are used either alone or as an important ingredient of various formulations to cure dysfunctions of the cardiovascular system, respiratory system, urinary system, central nervous system and digestive system, and for the treatment of asthma, diabetes, cancers, skin disorders, hepatic disease, fungal and bacterial infections. A range of phytochemicals including alkaloids, essential and volatile oils, flavonoids, terpenes, and lactones has been isolated from herbs of the genus Inula, which might possibly explain traditional uses of these plants. Conclusion: The present review is focused on chemical constituents, medicinal uses and pharmacological actions of Inula species and provides valuable insight into its medicinal potential.

Die klingende Ferne; Walter Braunfels’ Opera Die Vögel after Aristophanes’ Birds

2019 ◽  
Vol 11 (3) ◽  
pp. 355-371
Author(s):  
Michael Ewans
Keyword(s):  
Central Theme ◽  
Spiritual Values ◽  
Greek Comedy ◽  
Human Understanding ◽  
The Relationship ◽  
Insight Into

Abstract This article explores the opera Die Vögel (1920) by Walter Braunfels (1882–1954), and its reception of Aristophanes' Birds. The Introduction is substantial, as the work is little known. It is followed by an Overview of each of the two Acts, which discusses in Act I the relationship to Aristophanes (Braunfels discarded the second half of the original Greek comedy and struck out on a completely new path). Then the article analyses the development during Act II of insight into die klingende Ferne (‘the music of far away') by Hopeful, who is the principal human character in Braunfels' adaptation. It is shown that Hopeful's quest for spiritual values almost beyond human understanding is the central theme of the opera; the superiority of the life of birds, which Aristophanes treats humorously in the two parabaseis, is taken seriously in Braunfels' mystical second Act.

scholarly journals Family caregiver emotional distress in advanced cancer: the DME-C scale psychometric properties

2020 ◽  
pp. bmjspcare-2020-002608
Author(s):  
Joaquín T Limonero ◽  
Jorge Maté-Méndez ◽  
María José Gómez-Romero ◽  
Dolors Mateo-Ortega ◽  
Jesús González-Barboteo ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
End Of Life ◽  
Family Caregivers ◽  
Advanced Cancer ◽  
Emotional Distress ◽  
Family Caregiver ◽  
Screening Tools ◽  
Anxiety And Depression ◽  
The Family ◽  
End Stage

BackgroundFamily caregivers of patients with advanced illness at end of life often report high levels of emotional distress. To address this emotional distress is necessary to have adequate and reliable screening tools.AimThis study analyses the psychometric properties and clinical utility of the Family Caregiver Emotional Detection Scale for caregivers of patients with end-stage cancer (DME-C, Spanish acronym) who are receiving palliative care (PC).DesignMulticentre, cross-sectional study.Settings/participantsFamily caregivers of patients with advanced cancer at end of life receiving palliative treatment were interviewed to explore their emotional distress through the DME-C scale and other instruments measuring anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), distress thermometer (DT) and overload (B), as well as a clinical psychological assessment (CPA).Results138 family caregivers, 85 (61.6%) female and 53 (38.4%) male, with an average age of 59.69±13.3 participated in the study. The reliability of the scale, as measured by Cronbach’s alpha, was 0.76, and its stability over time was 0.734. Positive, significant correlations were found between the DME-C and the scores for anxiety and depression registered on the HADS scale, as well as with the total result of this latter scale and the results for B, the DT and the CPA. A statistical analysis of the receiver-operating characteristic curves showed that the scale has a sensitivity and specificity of 75%, and that the cut-off point for the detection of emotional distress was a score ≥11. Fifty-four per cent of the caregivers displayed emotional distress according to this scale.ConclusionsThe DME-C displays good psychometric properties. It is simple, short, reliable and easy to administer. We believe that the instrument is useful for the detection of emotional distress in the family caregivers of hospitalised patients suffering from end-stage illnesses and receiving PC.

scholarly journals X-Ray Structure of 12-Oxophytodienoate Reductase 1 Provides Structural Insight into Substrate Binding and Specificity within the Family of OYE

Structure ◽  
2001 ◽  
Vol 9 (5) ◽  
pp. 419-429 ◽  
Author(s):  
Constanze Breithaupt ◽  
Jochen Strassner ◽  
Ulrike Breitinger ◽  
Robert Huber ◽  
Peter Macheroux ◽  
...  
Keyword(s):  
Substrate Binding ◽  
X Ray ◽  
The Family ◽  
Structural Insight ◽  
Insight Into

scholarly journals Genetic and phenotypic analysis of the pathogenic potential of two novel Chlamydia gallinacea strains compared to Chlamydia psittaci

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marloes Heijne ◽  
Martina Jelocnik ◽  
Alexander Umanets ◽  
Michael S. M. Brouwer ◽  
Annemieke Dinkla ◽  
...  
Keyword(s):  
Virulence Factors ◽  
Opportunistic Pathogen ◽  
Chlamydia Psittaci ◽  
Phenotypic Analysis ◽  
Pathogenic Potential ◽  
The Family ◽  
Chicken Eggs ◽  
Sequence Types ◽  
Insight Into ◽  
Embryonated Chicken

AbstractChlamydia gallinacea is an obligate intracellular bacterium that has recently been added to the family of Chlamydiaceae. C. gallinacea is genetically diverse, widespread in poultry and a suspected cause of pneumonia in slaughterhouse workers. In poultry, C. gallinacea infections appear asymptomatic, but studies about the pathogenic potential are limited. In this study two novel sequence types of C. gallinacea were isolated from apparently healthy chickens. Both isolates (NL_G47 and NL_F725) were closely related to each other and have at least 99.5% DNA sequence identity to C. gallinacea Type strain 08-1274/3. To gain further insight into the pathogenic potential, infection experiments in embryonated chicken eggs and comparative genomics with Chlamydia psittaci were performed. C. psittaci is a ubiquitous zoonotic pathogen of birds and mammals, and infection in poultry can result in severe systemic illness. In experiments with embryonated chicken eggs, C. gallinacea induced mortality was observed, potentially strain dependent, but lower compared to C. psittaci induced mortality. Comparative analyses confirmed all currently available C. gallinacea genomes possess the hallmark genes coding for known and potential virulence factors as found in C. psittaci albeit to a reduced number of orthologues or paralogs. The presence of potential virulence factors and the observed mortality in embryonated eggs indicates C. gallinacea should rather be considered as an opportunistic pathogen than an innocuous commensal.

Fruit developmental biology and endosperm rumination in Elaeocarpus ruminatus (Elaeocarpaceae), and its taxonomic significance

2018 ◽  
Author(s):  
Janet N. Gagul ◽  
David Y. P. Tng ◽  
Darren M. Crayn
Keyword(s):  
Developmental Biology ◽  
Adaptive Significance ◽  
Evolutionary Significance ◽  
Phylogenetic Distribution ◽  
Taxonomic Significance ◽  
The Family ◽  
Developmental Phases ◽  
Trees And Shrubs ◽  
Insight Into ◽  
Gaining Insight

The genus Elaeocarpus is the largest genus in the family Elaeocarpaceae, comprising more than 350 species of trees and shrubs with a mainly Indo-Pacific distribution. Approximately 28 species in the genus, including nine species from Australia, are known to possess ruminate endosperm. To provide a basis for understanding fruit development and endosperm rumination in the genus and, therefore, its taxonomic and evolutionary significance, we studied the fruit anatomy of Elaeocarpus ruminatus F.Muell. at different developmental phases (petal-fall to maturity). We found lignin in pericarp and ovary wall tissues in the earliest stages of development. In contrast, endosperm rumination occurs only after fruits have fully expanded, and becomes more pronounced as fruits ripen. Its phylogenetic distribution suggests that ruminate endosperm is a derived, albeit homoplasious character in Elaeocarpus. Comparative studies on related species will be instructive in determining the utility of ruminate endosperm for informing infra-generic taxonomy of the genus, and gaining insight into its adaptive significance.

scholarly journals When Conscience Wavers. Some Reflections on the Normalization of Euthanasia in Belgium

2021 ◽  
pp. 25-37
Author(s):  
Willem Lemmens
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Psychiatric Patients ◽  
Therapeutic Option ◽  
Good Death ◽  
Life Care ◽  
Philosophical Perspective ◽  
Established Fact ◽  
The Law

AbstractIn this chapter, I evaluate from a philosophical perspective the ongoing discussions in the Belgian civil society triggered by the euthanasia law and its implementation in end-of-life care since 2002. I challenge the idea that the so-called normalization of euthanasia is an established fact and I contend that the ongoing discussions on the possible abuses of the law and the practice of euthanasia are unavoidable. I see three reasons for this. First, in contrast with what some think, euthanasia can never become a “normal” therapeutic option, that could be integrated in standard medical practice. Euthanasia is, by its very nature, a transgression of a fundamental moral taboo and will thus always, however liberal the law might be, challenge the conscience of some physicians. Secondly, because of its transgressive meaning, every act of euthanasia can always be contested by family members or the larger society. This is the case when euthanasia is given to patients who are not terminally ill (such as psychiatric patients), but also when a physician performs euthanasia in an undignified and negligent way. Thirdly, the very existence of the law puts pressure not only on patients and physicians but also the larger society. By making euthanasia into a symbol of the good death, a whole society loses its sensitivity for the intrinsic transgressive nature of euthanasia and creates all sorts of strategies to mask the wavering of conscience that results from this collective negligence. There is no way, so I conclude, to avoid this. The wavering of conscience will continue to haunt the end-of-life care in Belgium as long as the law on euthanasia remains as it is.

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