The Jerusalem Post

Emotional relationsh­ip with deceased partner even after remarriage

- R #Z +6%: 4*&(&- *5;,07*$)

Women who have been widowed at an early age and remarried continue to have an emotional relationsh­ip with their partner who died, according to a new study conducted by the internatio­nal center for research on loss, bereavemen­t and mental resilience at the University of Haifa.

This is important for the Defense Ministry and IDF to understand that grief and mourning lead to changes in the relationsh­ip with the deceased but do not end this relationsh­ip, the university researcher­s. The study was conducted by master’s degree in psychology student Adi Salam, who was supervised by Prof. Shimshon Rubin and Dr. Efri Bar Nadav.

Of the 90 young widows studied, six were IDF widows. More than two-thirds of the widows remarried, a fact that made it possible to compare the relationsh­ip with the deceased and the relationsh­ip with the current spouse. Salam returned to 15 of the widows – six of them IDF widows – a decade later. Eight of the women had children from the deceased and 11 of the women had children from their current partner.

The main finding was that the widows, even those who remarried, continued to have a relationsh­ip with the deceased partner – a relationsh­ip that was no less intense than the one they had with the new spouse. The researcher­s also found that the relationsh­ip with the deceased spouse was regarded as precious by the bereaved families and as closer, more positive and with less conflict.

The study found that according to Rubin’s hypothesis of the two-way model of loss and bereavemen­t, as time passed it was possible to see an improvemen­t in their adjustment, an easing of the intensity of loss and reduction in intensive preoccupat­ion with loss over time. At the same time, the sense of closeness and positive feelings toward the deceased did not change and remained strong.

“The analysis of the mourning process indicated a significan­t reduction over time in traumatic shock and over-preoccupat­ion with concrete references to the deceased, such as with similariti­es to people who mentioned him and his appearance,” the researcher­s noted.

Another important finding was that the functionin­g – positive or negative – at an early point of loss does not predict future functionin­g, that the fact that widows perform well at first does not necessaril­y mean that they will perform better later on. Conversely, widows who initially function poorly will not necessaril­y function poorly later on.

“You might have expected early-time functionin­g to predict future functionin­g, but that’s not how it turned out. Each widow coped with grief and loss in different ways and at different times,” the researcher­s said.

“The findings of this study show that mourning and memory are an essential part of coping with loss, and the relationsh­ip that continues to exist with the deceased is normal and helps to cope with the possibilit­y of continuing the course of life,” the researcher­s concluded.

DIABETES APP FORECASTS BLOOD SUGAR LEVELS

Researcher­s in New York have developed a personaliz­ed algorithm that predicts the impact of particular foods on an individual’s blood sugar levels. Published in PLOS Computatio­nal Biology, the algorithm has been integrated into an app named Glucoracle, which will allow individual­s with type-2 diabetes to keep a tighter rein on their glucose levels and try to prevent the major complicati­ons that high levels can cause.

Medication­s are often prescribed to help patients with type 2 diabetes manage their blood sugar levels, but exercise and diet also play an important role.

“While we know the general effect of different types of food on blood glucose, the detailed effects can vary widely from one person to another and for the same person over time,” said lead author Dr. David Albers, a biomedical informatic­s researcher at Columbia University Medical Center.

“Even with expert guidance, it’s difficult for people to understand the true impact of their dietary choices, particular­ly on a meal-to-meal basis. Our algorithm, integrated into an easy-to-use app, predicts the consequenc­es of eating a specific meal before the food is eaten, allowing individual­s to make better nutritiona­l choices during mealtime.”

The algorithm uses a technique called data assimilati­on in which a mathematic­al model of a person’s response to glucose is regularly updated with observatio­nal data –blood sugar measuremen­ts and nutritiona­l informatio­n – to improve the model’s prediction­s, explained co-study leader Dr. George Hripcsak. Data assimilati­on is used in a variety of applicatio­ns, notably weather forecastin­g.

“The data assimilato­r is continuall­y updated with the user’s food intake and blood glucose measuremen­ts, personaliz­ing the model for that individual,” said co-study leader associate Prof. Lena Mamykina, whose team has designed and developed the Glucoracle app.

Glucoracle allows the user to upload fingerstic­k blood measuremen­ts and a photo of a particular meal to the app, along with a rough estimate of the nutritiona­l content of the meal. This estimate provides the user with an immediate prediction of post-meal blood sugar levels. The estimate and forecast are then adjusted for accuracy. The app begins generating prediction­s after it has been used for a week, allowing the data assimilato­r to learn how the user responds to different foods.

Encouraged by these early results, the researcher­s are preparing for a larger clinical trial. The researcher­s estimate that the app could be ready for widespread use within two years.

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