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kaidanworkshop · 11 months ago

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Kaidan Revoiced: Community Expansion Content Frequently Asked Questions

Looking for more information about the Kaidan Workshop as a whole? Check here first!

What will be included in the Kaidan Revoiced: Community Expansion mod?

To list every small addition and fix would make this FAQ unbearably long, but here are the key highlights:

Remastered and rebuilt from the ground up! Every single line of code, every asset, and every script has been overhauled – our new follower framework eliminates long-standing bugs and quality of life issues that plagued the original mod

All new voice acting of Kaidan by the talented Paul Warren

Many new QOL features for Kaidan such as:

Wardrobe management

Pronoun selection

Combat damage adjustment

Immersive settings system through dialogue

Audio restoration and engineering on supporting characters from Kaidan 1 sources

Reviewed and updated quest commentary conditions - you may hear lines from the original script that you’ve never had the chance to hear before!

Customize your playthrough by choosing a nickname that Kaidan can use for you - or ask to not be called by a nickname (ie. "Dragonborn")

Players can now obtain the custom home Autumnwatch without marrying Kaidan if they so choose, or via the original romance route

New high poly and HD assets while preserving LivTempleton’s original mod aesthetic

Do I need the original LivTempleton Kaidan 2 mod?

No, Kaidan Revoiced: Community Expansion mod is standalone, and has no other mod requirements. It is not compatible with the original Kaidan 2 mod.

Can I use KR:CE with [insert Kaidan replacer]/[insert Kaidan patch]?

KR:CE will not be compatible out of the box with ANY existing Kaidan replacers, patches, or extensions. KR:CE uses a new framework that current visual replacers and compatibility patches simply will not work with; however, converting existing replacers and creating new compatibility patches for other mods (such as Legacy of The Dragonborn) is a relatively easy process we are more than happy to assist in.

Besides that, we have incorporated many different Kaidan fixes that have made several of his old patches and mods obsolete. Below is a non-exhaustive list of the fixes and mods included in KR:CE.

Extensive dialogue tweaks & subtitle fixes

Stat & combat balancing

Follower distance adjustments

HD Armor Retexture

Shackles Fix

Select parts of Kaidan’s Armory and Kaidan’s Arsenal

Dwarven Mail CC conflict patch

Immersive Start (pending current Community Poll)

Kaidan Refreshed

Additionally, Axarien’s Animations, as well as Kaidan Silvered, have been updated and will publish concurrently with KR:CE.

Patches and modules that will need to be converted &/or patched for compatibility include, but aren’t limited to:

All existing visual replacers

All existing Autumnwatch replacers

Legacy of the Dragonborn followers patch

Hjertesten

Blackthorn

MCO animation folders

Custom DAR/OAR animations

Can I use KR:CE with a follower manager mod, such as NFF or AFF?

No, KR:CE’s custom follower framework will break if you import Kaidan into any such mod. As we have rebuilt it from the ground up, any requested features that the community wishes to have implemented can be investigated and integrated relatively seamlessly; these can always be suggested via any of our socials for consideration.

Will Kaidan still have his interactions with Lucien?

Unfortunately, we are unable to coordinate the revoicing effort of the Lucien-Kaidan interactions for our initial 1.0 launch – it is something that we are very interested in pursuing once schedules permit.

Will Kaidan still curse/drink in KR:CE?

The short answer: Yes. Our design policy with regards to any changes we make to Kaidan is one that aims to be lore friendly, as well as keeping his characterization as close as possible to his original depiction.

The long answer, as per our Writing Team:

-- Please note the response below contains NSFW language --

"Kaidan's cursing and drinking is something our community has definitely weighed in on, spurring an entire section of exposition in our style guide to address it. Our main concern is that some of his language is anachronistic, and we want to address that.

In the base Skyrim script, mild language such as damn, piss, and bastard are used throughout the world, while other words like bitch, whore, sex, and ass are used less frequently. It was clearly LivTempleton's intent to have Kaidan be someone who is unafraid to let a foul word slip here and there, but not so much that he's swearing like a sailor. Hell and fuck are both used by Kaidan, and despite not being strictly “lore friendly,” both swears are canonically used within The Elder Scrolls world. Similarly with regards to drinking, Kaidan’s base script contains several lines that clearly show he enjoys having a drink here and there, but not so much that he’s a drunken mess.

We are considering replacements for the anachronistic swears with something more lore friendly in future Workshop Original content, but we don't have any specific plans to expand the amount of swearing or drinking lines he has by any significant amount at this time. Ultimately, sometimes less is more."

Can I use KR:CE with Extended Edition?

No, KR:CE will not be compatible out of the box with ANY existing Kaidan replacers, patches, or extensions. Further, as Extended Edition has the original Kaidan 2 as a mod requirement, it is unfortunately incompatible with our expansion.

Will KR:CE be ported to Xbox/Playstation/Switch?

For Xbox - Yes, we have plans to do so (and have been building KR:CE with console compatibility in mind), but in the event that we are unable to do so in house, we would be more than happy to coordinate with a knowledgeable member of the community to port KR:CE.

For Playstation & Switch - Unfortunately due to the limitations of modding on this particular console, we cannot release KR:CE on either of these platforms.

Can I use KR:CE with Skyrim VR?

Yes, KR:CE should be compatible out of the box.

Will KR:CE be backported to Skyrim: Legendary Edition?

We currently have no plans to backport KR:CE to LE. However, we would be more than happy to coordinate with a knowledgeable member of the community to port KR:CE.

Is the Workshop planning on creating interactions with [insert your favorite custom voiced follower]?

Interactions with other custom voiced followers has always been a goal of ours! Right now we are focused primarily on releasing the 1.0 version of KR:CE, and creating an entirely new script with another content creator will add too much production time to our current workflow. However, once we begin transitioning towards Workshop Original Script production post-launch, we will be revisiting this topic in full force.

Can I make a compatibility patch for [insert your favorite mod]?

In general, yes! Link us to the content you wish to make a patch for, so we can ensure it does not violate our Terms of Use Policy (see below). Besides that, all we ask is that you please credit us as The Kaidan Workshop, as well as crediting LivTempleton for providing her assets to the community.

Dragonborn Voice Over/AI Voice Generation Policy

The Kaidan Workshop, as well as our VA Paul Warren, have a strict policy against the utilization of AI Voice Generation. We do NOT consent to the use of Kaidan’s new lines by Mr. Warren in any mod &/or media content that uses AI Voice Generation as a permanent fixture of its content, nor do we consent to the utilization of any of our content in helping to train AI Voice Generators. Mods that use AI voices as placeholders while official lines are being recorded will be evaluated on a case by case basis. In the case of the popular Dragonborn Voice Over mod, only a voice from a human voice actor who has consented to their voice and its likeness being used for AI Voice Generation will be considered for a compatibility patch. Otherwise, the above no-tolerance policy stands.

NSFW Patch Policy

The Workshop, as well as our VA Paul Warren has a strict policy against the utilization of KR:CE in NSFW content. The only exception to this rule are nude body replacers for mods such as HIMBO or SOS.

Help! My question isn't on this FAQ page!

No problem! Come swing by our Discord, or leave a message in our inbox.

#kaidan 2 #kaidanworkshop #kaidan skyrim #custom voice follower skyrim #skyrim kaidan #elder scrolls skyrim #custom voiced follower #kaidan #tes v skyrim

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prototype-n · 1 year ago

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Prototype N SAGE2023 Demo v4.1 is live!

A bunch of bug fixes and QoL has been included. This includes the soft-lock bugs being all fixed.

Change log is found upon expanding this post.

Level Design Changes:

-The deathpit trap in the forest section of Morning Hills is replaced with a spike pit. -The last boulder puzzle's layout has been revamped a bit to prevent softlock.

Gameplay Changes: -Remote Missile now travels faster. -Remote Missile ammo is has been changed 25 -> 16 to re-balance around its power. -Pushing Boulders recoils the player far less, improving the level's pacing.

Aesthetical Changes: -Tortoisebot Ex's level icon has been updated. -Tortoisebot Ex's missile launcher has been updated to point straight instead of diagonally for consistency with the missile barrages.

Menu Changes: -"Data Select" option has been added, it takes you back to the file select screen. -"Exit" has been renamed to "Quit Game" for better clarification. It closes the game. -You can warp around the menu selection on all screens now. -Options menu has a "Default Settings" button. -Descriptions added to the options menu. -All options now previews the changes as you make them. -Fixed oversight where maximizing the game via game's border and exiting the options menu would window the game again. -Sounds has been added when you adjust any option settings.

Bug Fixes: -Dynamite Switches soft lock bug has been fixed. (There was a flag that did not reset when re-entering the stage) -Pushable Boulders and Metal Crates has gotten their collisions re-programmed. -Due to the above fix: Messing with Boulders and Metal Crates no longer give them telekinesis to shove most objects in the level with a few pixels forward or back. -Another side effect fix: Spike Crushers can no longer be clipped through. -Metal Crates can now hurt the player if it falls on them. (4HP damage) -You can no longer shove a boulder towards you with a frame-perfect slide turn. -Fixed where Fire-based enemy projectiles doesn't get you knockback when you take damage without any shield. (Bug caused by an oversight in the fire shield implementation) -Fixed bug where Nadine flies across the screen while during a ladder climb. -Holding down near (but not close enough to climb) a ladder while on ground no longer shakes Nadine.

Misc: -BGM and SFX Volume default level has been reduced. (80 -> 70)

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somethingwittyandweird · 1 year ago

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What's your favorite game you played this year?

You've activated my “review of my year in gaming” trap card! I was already going to make this post in some form or another, you've just given me the perfect launching point. So, the first thing you should know about asking me for favorites: I never give just one. How could I, when it's been such a banger year of games? (Heads up, this one's going to go long.)

I loved Tears of the Kingdom to death, and it took home my most hours played on Switch. It is a shining example of what devs can do with an extra few months to polish a game. There were so many remarkable moments that testified to how much care and ideas the devs were able to put in. I loved how it used the time since the first game to develop familiar places and characters, adding depth (no pun intended) and also making sure every familiar location had some new twist. The story was a much stronger followup to BotW, and I think this overall has my new favorite ending sequence of anything in the series (I'd love to make a full post sometime about how the final Ganondorf battles just keep getting more spectacular with each new title). I am so, so, so, so normal about this incarnation of Princess Zelda.

Also in my favorites this year is Fire Emblem Engage, which hit at just the right time to scratch my strategy itch. As a long time FE fan it’s not a surprise I enjoyed this one- though it lost the political intrigue of its predecessor in favor of a more traditional/tropey story, I still had a lot of fun with all its gimmicks and gameplay innovations. Also it is hands-down the most visually appealing game in the franchise, a title previously held by the series’ GBA entries which are masterworks from the peak era of beautiful sprite art. From the incredible crit animations to the spectacle of super attacks to the battle maps which are so beautifully detailed that the game lets you free roam around them after a battle just to appreciate them better.

I finished the Link’s Awakening remake this year! It was a charming trip back to an older era of Zelda design philosophy and I found it fascinating to compare the ways where the classic puzzles and challenges differ from what the game would be like if it were made today, as well as the places where modern technology allowed for better QoL changes that weren’t in the original. I really enjoyed the music as well, which I find to be a standout among the series still.

Here at the end of the year, I have to give a shout out to Sea of Stars. It has everything you want in an indie darling- very pretty pixel art, very nice music, turn-based battles with timed hits I joke, but Sea of Stars does a great job balancing evoking/paying homage to icons like Chrono Trigger and bringing new gameplay to the JRPG formula. I like its pared-down take on JRPG combat which revamps skills/mana into a much more dynamic resource that’s constantly being spent and regenerated, and I’m a known sucker for character combo attacks which this game has in spades. The later parts of its story are told with a lot of heart, and again I am a known sucker for certain character archetypes. Surprisingly also, I think the movement and exploration is absolutely a standout- not something that’s typically emphasized in the genre. But this game constantly has you hopping across stepping stones, balancing on tightropes, climbing walls and ledges… the emphasis on interesting traversal and verticality is a strength few games like it can boast.

Before my final pick, I’m including a special section for all the games I didn't play myself but watched my friends play and still want to praise: Hi-Fi Rush, Bomb Rush Cyberfunk, Mario Bros Wonder, Pizza Tower, the Minish Cap Switch rerelease, and more all came out this year and all of them have brought killer music, excellent gameplay, and stunning visuals that I’ve enjoyed to no end. Anyone considering to pick up any of them would find a quality product without a doubt.

With all that said: I think ultimately it has to be Tunic in the end. Underneath its premise of a Zelda/Souls-like adventure game there is a wealth of secrets that goes as far down as you have the courage to delve. It’s a game built to evoke nostalgia for games that you didn’t understand yet, posing as a game that you watched an older sibling play or a game you could only find a poorly-translated foreign copy of. It obscures everything and teaches you its secrets through context, exploration, and discovering in-game pages of the manual (remember manuals?). It’s a game made for lovers of secrets and puzzles, full of hidden paths and trophies that reward inquisitiveness and observation (and taking paper notes). It was when I saw that it not only has a conlang, but that it gives you the hints you need to fully translate it, that I knew I had to get it myself. It spurred me to screenshot every in-game piece of menu text, then spend evenings cross-referencing it to identify phonemes and construct a key.

The rush I got on completing that key is one of two moments I knew this game was absolutely special. The second standout moment is when the game teaches you its hugest secret, and then invites you to prove your mastery of it by presenting you a huge, multi-part puzzle. But, Tunic does the same thing that one of my other all-time favorites, Outer Wilds, does so well: powerups via knowledge, “unlocking” abilities that you always had, you just didn’t know that you did. The pieces to this puzzle are hidden in plain sight; it’s only when the game tells you what you’re looking for that your understanding shifts, everything clicks, and your eyes are opened to the path you have to follow. I don’t say it lightly, but I consider Tunic to be a one-of-a-kind title, and one that delivers completely on its unique vision.

In case that brick of text doesn’t make it clear, I love this game.

I love all of these games.

It's a fine time to be alive.

#i talk a lot tag #skysometric #loz #totk #sea of stars #fire emblem #fe17 #link's awakening #thank you so so much for giving me this space to make this post #sorry-not-sorry about the wall of text jumpscare #i mean everything i said sincerely and honestly still have more to say about some of these #that i'll save for another time #long post

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frostfyrezero · 3 years ago

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My top Werewolf mods for Skyrim special Edition

I felt that the vanilla game for werewolves is unfortunately...drab. You know, aside from a small combat advantage, I felt that there was no fun in being a werewolf in the game after joining the companions. So, after pumping my game with enough mods to crash the game, I found some choice ones that are decent and make the playthrough feel like you are an actual Hound of Hircine, cursed beast, or whatever you want to play as. These are my top favorites for Skyrim SSE. Mind you, some mods may conflict with each other, so read the requirements and conflicts and download at your own risk.

Moonlight Tales

The bread and butter of werewolf mods. This one allows you to change the default skin of your werewolf to either your race or another color that catches your fancy. You can also set what kind of transformations you have, from your standard full moon to every night. Its not like the Vanilla MLT mod, which also brings Sanieus Lupinus into Skyrim, but its still a good mod to have and I highly recommend it. It also works with the

female variant patch.

The Lunar transformation system grants you the option to choose what kind of moon you’d like to shift under. You can go W:TA/W:TF rules and choose to transform under a specific moon auspice, increase chances for specific moon types, or the classic full moon fever.

With the skin system, you can choose your desired color and select if NPCs can use them, granting some more werewolf variety to your game. I highly recommend this one.

Bloodmoon Rising (SSE)

Overhauls the werewolf (and werebear) mechanics. It’s compatible with most werewolf mods, including Moonlight Tales, but not the MLT: perk tree overhaul

Manbeast

It adds a few tweaks and balances to the werewolf system. Not as immersive as MLT or Growl-werebeast, but it gives you various buffs depending on your race to your Beast-blood character.

Growl Werebeast

This is another overhaul mod that overhauls the werewolf and werebear system to make your character a lot more powerful It also alters the perk system so that you can grant your werebeast blood to followers and other QoL features such as being able to revert back. It doesn’t also involve your beast form, but your human form as well. It also includes uncontrolled transformations if you do not heed the call of your beastblood, and have a chance to transform at random.

There are also other features that competes with Moonlight tales (SSE), such as the beastblood mechanic and the ability to grant it to followers, catching Sanieus from a werewolf attack, and the rare chance to become one (Such as sleeping outdoors when both of the moons are full). Its another mod I recommend as well if you want the vanilla Moonlight tales feel, but without the moon phase customization and skins.

This mod does conflict with MLTs and removes the perk system this mod has and overrides it with MLT��s. The beastblood as a alchemical item exists, but the mechanics to grant it to followers and NPCs with MLT installed do not work.

Werewolf Hunger

Another mod that enhances the werewolf experience. You are a hound of Hircine, and as such, the call of the hunt is in your blood.

With this mod, it introduces a system where you have to hunt and grants bonuses to heeding the call of the hunt and negatives to not sating your inner beast. Its a cool system that immerses you and how you want to play your character as a werewolf. Either as someone who sees their beast blood as a curse, a double edged sword that helps you fight monsters as a monster, or just embrace Hircine’s gift and go ham on some helpless townsfolk. It has a notification system that alerts you when your character is famished or starving. Your screen will blur and you will hear either growling or howling. You also can set the difficulty in order to make your character kill more often or much less.

Other QoL mods:

Canis Hysteria

Adds two variants to the disease, your vanilla Lupinis and the weaker Hysteria. It also includes a few reference books, voiced acknowledgement from the companions if you are one, and an alternate way to cure yourself if you are a non-companion were.

More Werewolves

Adds more werewolves (and some packs) in the game. Paired with lupins and other mods that have the addition to the disease, it increases your chances to become infected as well.

Deadlier Werewolves

Makes the NPC ones more formidable. Pairs well with mods like More Carnage.

Heart of the beast: Sound overhaul

Adds more RAWR to werewolves.

Sharing is caring!

Share your kill with your packmates!

Lupinus

Tweaks the werewolf gameplay and werewolf AI a bit. If you don’t add Canis Hysteria, it also adds the werewolf disease to the game.

Real Feeding

Instead of leaving a body, it’ll leave bones and junk. I’ll make another list if I find any more mods that makes werewolf gameplay fun.

#Skyrim #skyrim se #skyrim werewolf #werewolfcore #werewolf #werewolves #me playing skyrim for the 90th time #400+ skyrim mods and counting

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nicohverse · 2 years ago

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Entropic Float Post-Release Update

Hi everybody! It's been a month today since the initial release of Entropic Float: This World Will Decay And Disappear!

The response has been amazing so far- Wonderful feedback on steam and itch! I hope that with time, my story can continue to reach out and touch hearts.

Today's featured art includes two Artfight attacks I received! One of Loam from Gladebell, and one of Rashmi and Amelie from Liliatdmful~ Due to the timing of this release, the convention, and some other stuff in my personal life I wasn't able to participate quite as much as I did in 2021... But it was still a lot of fun!

But now, for some actual updates!

August QoL Update

Later this month, I'm hoping to release a QoL update with a few changes. Fixing up a few more mistakes that slipped through the cracks, of course, but a few solid changes as well. I'd like to adjust the trigger timing on the 'Are You Making Fun Of Me?' achievement to make it easier to get, balance the music and textspeed on initialization a little better, and introduce some more consistency with the other routes to the early parts of Amelie's morning route. If possible, I'd also implement a feature that labels save files with the route you're currently on, to make it easier to tell.

Letters To A Beloved Ghost DLC

I'm planning a small paid DLC called 'Letters To A Beloved Ghost'. This would consist of several side stories featuring both the main cast and side cast, as well as a bit more setup for the sequels. The art style would be changed to reflect the paid status- And the DLC's price point would be 5$, or included in any 5$+ backer tiers of the EF2 kickstarter. While certain side stories are already planned, I'll also be opening up a survey to see which characters in particular players may want to see more of.

Entropic Float 2: Land Of The Witch

Keep an eye out for a kickstarter in 2023! Land Of The Witch is going to have much more art and much more gameplay, being a point and click adventure (with an option to switch it to a stripped-down VN format as well). Going too much into the ideas I've got for it would be spoiling the first game, which I'd rather not do so soon, but rest assured that I have big plans... After I recover a bit from the marathon that was creating this first game, of course.

Thanks for checking in. Until next time!

#Entropic Float #Entropic Float This World Will Decay And Disappear #official content #vndev #visual novel #visual novel gamedev #indie gamedev #indie games #nicohverse

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dnd5a · 5 years ago

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Patch 2.0 - Blur of Blades

The most recent patch deals with some reworks, class improvements, and new additions. The biggest change here is the 2.5 rework of Æthera (now Animist), and the inclusion of the long-needed Second Martial Update: Rogue (Barbarians will get their fix sooner or later).

CLASSES

ÆTHERA Now called the 'Animist' this class has received a soft-rework, with many of the language used to describe its abilities change. The most prevalent changes are below:

Rework - Lifespinning Eidolons now follow a linearly scaling statblock. This acts as a significant quality of life improvement and overall large buff to the class

Rework - Materia Now act as passive benefits for your eidolon that you choose when you summon it, akin to invocations, as opposed to their previous functionality.

BLOODHUNTER Buff - Bloated Agony Damage now scales with your level.

INVOKER Spell List Now completed, with 96 available spells from 1st-5th level

ROGUE New - Strike Techniques Sacrifice your sneak attack dice on a hit to inflict powerful effects. These effects include:

Disorienting Strike: Throw off your opponent's aim

Hamstring Strike: Punish fast foes

Pinpoint Strike: Enable your allies to hit hard

Running Strike: Escape the fray

Serrated Strike: Inflict a bleed over time effect

Staggering Strike: Knock your foes off balance

Whirlwind Strike: Hit everyone around you for a little extra damage

WARDEN Rework - Limit Breaker - Lightning Now adds a once per turn arcing effect to your attacks.

RACES

DRAGONBORN Rework - Breath Weapon Now works on a system of Breath Weapon Charges. You have breath weapon charges equal to twice your proficiency bonus, which come back on a long rest. Your breath weapon does 1d6 damage per charge expended, which should allow for a much for effective breath weapon.

New - Dragon Claws Improved unarmed strikes

SPELLS

Changed - Detect Magic Removed from the Accursed spell list

New - Echoed Form Create a clone of yourself every turn that can do a bit of damage

Flavour/QoL - Tenser’s Destructive Wave Renamed to Tenser's Destructive Blast to avoid confusion with the paladin spell Destructive Wave

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rb-d2 · 6 years ago

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Catch Up

Current latest version : 0.4.5

Hey everyone it's been a while!

A new patch for the Project Wingman alpha demo is here! This will be the final update to the demo as now we need to fully focus on the 1.0 release of the game.

This update mostly contains QoL and Bugfixes submitted by the community. I've made sure that there is nothing gamebreaking in the demo but if there are any bugs be sure to let us know about it!

I will certainly try my best to keep this blog updated now that the ball is rolling again on development after the Kickstarter. And again I can’t thank everyone enough for all the amazing support and the feedback all of you have provided. It really makes me happy that a lot of people are enjoying the game even at its early stage right now. I hope this update can improve your experience in the game while you wait for the final release.

Thank you so much everyone!

Update Highlights:

Allied Kills

Allied on enemy kills now net the player 40% of the original enemy kill reward. It certainly makes sense especially with the introduction of Conquest mode where money means everything. A new column has also been introduced in the Scenario debriefing screen to accomodate for all the kills your allies has done.

Airship Hit Detection

Hit detection on the airship has been significantly improved. Now missiles and gunshots that should hit airship components will actually hit the components instead of hitting the airship hull. The old hit detection method wasn't suitable for components with multiple collision nodes so close in proximity to each other. So the missile and cannon hit detection has been slightly altered to accommodate the new requirements the weapons need now.

Radar Overhaul

The radar has received a bit of a facelift and functionality improvements! Now the radar zooms appropriately depending on the distance of the player to the target. It's not final yet as the UI as a whole could still go through a few iterations to improve its look.

Guns Guns Guns

A small little change yet in my opinion adds so much to the overall feel to the game. Enemy Fighter jets now can fire their guns, so be careful when going head on with the enemy!

Additional Configurations

Added a few more options such as Mouse Controls (Still Experimental) in the Controls section and Preferred Camera view in the Gameplay section.

Conquest Balance Changes

Various changes to the balance in Conquest mode has been implemented to reduce the difficulty spike within the game mode. That being said the gamemode is still quite difficult, but it should feel much fairer than the previous iteration of the gamemode. Please check it out! The final boss encounter has also been changed slightly so let me know how that goes!

Hangar + Conquest Hangar overhaul

The hangar has received a few layout improvements along with homogenization of the UI between the default hangar and Conquest hangar. This should make the whole interface more consistent and more intuitive as now they both use the same look and functionality.

As usual, I hope it meets your expectations! Please send your feedback through the channels we've described in the Project description page.

Thanks for reading!

-RB

Keep reading for the full patch notes (very long)

Patch notes below:

PATCH NOTES:

Project Wingman Alpha Update Patch Notes for Version 0.4.1.0625 -> 0.4.5.0923

Gameplay: -Fixed cannon hit detection radius on water. -Enemy railguns now show a charge up animation before firing. -Slowed railgun projectile. -Fixed projectiles not colliding with instanced static meshes. -AI Aircraft can now shoot their cannons at their target. -Fixed hit detection on airship VLS/SAM to be much more accurate with the model appearance. -Allied kills now nets 40% of the original score reward. -Added UI warning when the player gets near the map limits. -I/A-52 HP increased from 70->75

Controls: -Removed default keybindings for rookie flight controls and mouse controls. -Adjusted UI cursor controls and deadzone. -Mouse controls has been enabled -Mouse controls and rookie flight controls now disable each other in case of a conflict -Mouse controls and rookie flight controls is now saved in user settings.

Conquest: -Adjusted map lighting on all areas to be more consistent with the rest of the game. -Removed ominous black circle in some conquest maps. -Conquest cursor now remains in the same location after and before sortie. -Increased fighter count at lower alert levels to reduce loiter times. -Conquest no longer spawns random AA facilities throughout the map as it adds too much targetting noise for players. -Revised Conquest final boss fight.

Chainlink: -Adjusted the lighting to be more consistent with the rest of the game.

Clear Skies: -Adjusted the lighting to be more consistent with the rest of the game.

Operation Blackout: -Adjusted the lighting to be more consistent with the rest of the game. -Fixed collision profiles on the power lines near the transformers to no longer block missiles. -Fixed collision profiles on the power poles so that collision is now enabled for both players and projectiles. -Overhauled the appearance of the forward base facility. -Overhauled Oil Silo/Tanks to include destroyed models.

Hangar : -During loadout selection, the camera now remains static in front of the Aircraft. The camera can still be freely moved by toggling free camera mode. -Overhauled Conquest hangar to use the same hangar/loadout selection as Scenarios. -Added missing SV 37 picture on hangar screen. -Hangar now shows weapon compability list on each aircraft. -Weapon listing is now separated into category onto what they are effective against. -Readjusted the placements of a few UI elements in the hangar to be less intrusive.

Effects: -Adjusted flare particle effect. -Adjusted ground explosion effect. -Added cannon impact effect on water. -Adjusted water wake and dust effects activation distance. -AI aircraft now correctly shows water wake effects. -Fixed wingtip trail effect still appearing upon aircraft destruction.

UI: -Adjusted on which elements gets shown and hidden in cockpit minimalist mode. -Fixed rebinding UI that would occasionally show more sections than it should. -Revised the cockpit pitch ladder appearance to show more clearly on positive and negative pitch. -Revised radar UI appearance. -The radar now zooms in and out depending on the distance of selected target for better visibility and awareness. -Added grids onto the radar overlay for situational awareness. -Adjusted the opacity of friendly units on radar to be not as opaque. -Fixed inverted X and Y view axis in calibration view. -Fixed Target indicators to be consistent in size no matter the field of view. -Added preferred camera view. -The game now remembers which camera view was used last. -Adjusted the credits scene. -Resolution scale now rounds to the nearest whole number. -Fixed kill log not removing itself properly. -Water splashes and heat haze no longer distorts the UI.

Visuals: -Fixed the alignment of the F/D-14 model. -Fixed a bug where some Post Process effects were flickering on lower settings. -Adjusted Sk.27 external textures. -Adjusted SV 37 cockpit txtures. -Adjusted F/E-18 external textures. -Fixed shadows pop in on parachutes and the radar dishes in Operation Blackout. -Improved tree appearance in various levels. -Further landscape optimizations. -Fixed SV 37 cockpit textures where it would remain blurry for an extended period of time.

Audio: -Lowered STDM lockon tone volume. -Fixed Stall sound persisting on death. -Fixed where audio effects did not play during a cloud dive in some camera views. -Normalized some audio that were too loud or too quiet. -Fixed some subtitle mismatch. -Added gun hit sound on player. -Added projectile whizz sound when it flies near the player.

Patch notes for Project Wingman Alpha version 0.4.5.0923 "RC" to 0.4.5.0923 "Release"

Operation Blackout: -Re-adjusted the ground texture brightness in Operation Blackout -Fixed a map boundary issue where the player would start the mission with exiting map warning.

Conquest: -The mouse now moves the Conquest overworld cursor regardless of keybindings. -Fixed the timer not going up when HUD is hidden.

Controls: -Fixed an Issue where it would occasionally unbind everything unless the user presses "RESET" button.

Gameplay: -Fixed an issue where pausing and unpausing the game would cause a split second camera jitter. -Fixed an issue where Airship collision doesn't work properly on the player aircraft. -Fixed missile hit detection on airships where sometimes it would simply pass through or miss on shots that should hit.

Targeting system: -Fixed an issue where the targeting system would bias something that is closer to the player (despite being behind them) rather than what's in front of the player. -Fixed a sticky targeting issue where sometimes it would target the same thing despite having other units in the area to target.

UI: -Fixed UI elements misaligning in the Conquest Hangar -Fixed Conquest hangar where a player can endlessly bring up the exit confirmation menu. -Fixed the selected target indicator to be more distinct to the player. -Fixed Mouse Control cursor not dissapearing properly when disabled. -Mouse controls re-labeled as an Experimental feature. -Hangar UI now will no longer display weapons that has been removed/disabled from the game to appear in the weapons compatibility list. -Fixed the UI reappearing for the player despite HUD being disabled in the options menu. -Fixed some UI elements from still appearing for the player despite HUD being disabled in the options menu.

Visuals: -Fixed an issue where fade out to black to loading screens would constantly dissapear on lower settings making the screen flash constantly during loadings. -Fixed long distance shadows (again) -Fixed Mouse Control pointer appearing in subsequent playthroughs after a level. -Readjusted the Sk.27 textures.

still reading?

#Project Wingman #gamedev #UE4 #indiedev #agdg #aviation #sorry for taking so long

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blankd · 6 years ago

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Handsome Ransom was fun, are you planning to do a full version ?

Glad you had fun! And kinda!

I’m working on a hotfix version of the game with some immediate balances, fixing technical oversights, QOL changes, and other tweaks that have been suggested to me by playtesters.

That gamefile will be posted AFTER the IGMC voting period is over (around the end of December) to keep with the spirit of the contest. Its future file and current list of changes can be found here.

I would have promised that the file would have the rest of the areas and enemies implemented but since tumblr is on fire, the full (plot) version of the game may get pushed back a bit.

Otherwise the fixes and expansions I’ll be making to the game will not be new assets* or polished unless I manage to get appropriate dev support for areas outside of my skillset (eg: music, visual effects for attacks).

*Assets = whatever I made during the jam itself which is a decent chunk of enemies and bosses that include an optional superboss and the final boss

#handsome ransom #game dev #anon replies

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updatecrazy · 2 years ago

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A new major Outriders update 1.20 (1.020) is now rolling out on PS4, PS5, and Xbox One players. According to the official Outriders 1.20 patch notes, the latest Outriders Worldslayer update added a new campaign, new Gear, new progression, and new endgame. Apart from this, today's Outriders version 1.20 (1.020.000) also includes various bug fixes and changes. Previously, a minor update added quality of life fixes. Unfortunately, since the release, some players are still experiencing some issues with the game. Today’s Outriders version 1.20 will address all these issues. Read more details below. Outriders 1.17 Patch Notes (New Horizon Update) - June 28, 2022 What’s new in Worldslayer: Worldslayer introduces a host of new features and changes, which you can find out more about on the links below: Worldslayer Reveal Spotlight New Campaign, New Enemies, New Environments New Gear New PAX Class Trees New Ascension System Introducing the Apocalypse System + Third Mod Slot QOL Features: We continue to be aware of player requests for quality-of-life improvements. We needed to first wrap up work on Worldslayer before we were able to commit resources to such improvements. Item Locking is currently in development, but will not be ready for launch. We hope to implement it for free via a future patch. Improved Quick Mark functionality, specifically around Apocalypse Gear marking, is something we’re currently investigating and are hoping to implement via a future patch. Increases to the Stash size are currently being experimented with, but we don’t have any news to share regarding this right now. The main challenge here relates to finding a stash size that is a meaningful upgrade but that does also not lead to longer player load-in times or hang ups. We can’t guarantee what will be possible here, but are investigating the matter. Load-outs are not within the scope of the Worldslayer launch, though we do continue to recognize players’ desire for this feature. Base Game The release of Worldslayer will require a game update for all players, regardless of whether you have purchased Worldslayer or not. Key changes that this update will introduce to the base game are: Implementation of Apocalypse Tiers up to Tier 15. These replace Challenge Tiers, but can be applied to the story campaign (instead of applying World Tiers to the story campaign). This will allow you to play through the story campaign on difficulty tiers that can match your current progression. You will likely notice some changes in the difficulty of expeditions as well, as Apocalypse Tiers are slightly different to their equivalent Challenge Tiers during these levels. Balancing changes for gear and mods. These are explained more in depth in the “Worldslayer Balancing” thread, but you will be playing with the same balancing data tables as Worldslayer players. Upgrading to Worldslayer will not change your balancing, but it will grant you access to all new Worldslayer gear and mods, including Apocalypse Gear. Various bug fixes. Performance and networking optimizations. Download free Outriders update 1.20 on Sony PlayStation 5, PlayStation 4, and Xbox One.

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crimsonsportsmedicine · 3 years ago

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Wound Care Management and Dressing Materials_Crimson Publishers

Wound Care Management and Dressing Materials by Sriyani A Kumarasinghe* in Research & Investigations in Sports Medicine_Crimson Publishers Journals

Abstract Impairment of wound healing has many negative outcomes for the patient, family and to the society. Therefore, wounds need to be managed comprehensively through proper assessment, following proper techniques and, using proper dressings according to the nature of the wound and patient preferences. Careful assessment of the wound is vital to determine the healing progress and, to select the type of material to be used for the dressing. Pain assessment and its control are un-forgetful aspects of successful wound management. Though advanced dressing materials are available in facilitated settings, conventional wound materials including topical antibacterial agents are widely used in most of the settings due to unavailability, low cost, and unawareness. In this review, briefly discuss the general principles of wound management, principles of wound bed preparation, dressing selection, antibacterial agents and dressing materials using for wound care.Keywords:Wound care management; Dressing selection; Dressing materials; Advanced dressings

General Principles of Wound Management

A comprehensive assessment of an individual with a wound should cover both intrinsic and extrinsic factors [1] which are potential to impact on wound healing. It should follow by regular on-going assessment to ascertain any changes require treatment in relation to patient factors and/or wound factors. Usually, wounds are potentially painful. In order to promote wound healing it is necessary to control pain after careful assessment. Proper assessment helps in identifying factors which are deteriorating the wound, and in diagnosing etiology or complications. Followed by proper pain assessment, suitable measures may require managing the pain by considering local, regional or systemic patient factors to control it. It is also recommended that aseptic wound cleansing technique is used for individuals with immune compromised and for wounds which enter the body cavity. Also, patients’ referral is mandatory to obtain a more detailed diagnostic assessment when necessary, usually after results of initial assessment or evaluation of response to the current treatment regimen to a multidisciplinary team. Documentation is another important aspect. It should be clear and comprehensive, and that meet legal requirement and local policies and guidelines [2].

Wound Care

Wound care is the most focused aspects of the wound management and it plays a fundamental role in diabetic foot ulcer care. Wound dressings are an integral aspect of wound management and mainstay of treatment [3]. Principles of wound bed preparation involve moisture balance, minimization of inflammation, infection control, and epithelial edge advancement are directed to improve wound healing through epidermal migration, angiogenesis, and connective tissue synthesis [4]. Usually, dressings provide a moist environment to wound, protect from secondary infections, remove exudates, promote tissue regeneration [5], facilitates gaseous exchange [6], control wound odor, provide thermal insulation and mechanical protection. Thus, use of single dressing is not applicable for the entire period of wound healing [7].

Dressing Selection

Dressings which are most appropriate in successfully managing exudates and balance in wound bed environment are most vital aspects of promoting healing. Since a single type of dressing is not appropriate for throughout the journey of wound healing, selection of an appropriate dressing for the diabetic ulcer should be carefully decided. Moreover, pain and trauma at dressing changes, compatibility of other therapies and QoL and wellbeing of the patients are to be considered [8]. In addition, it is essential to be considered the cost-effectiveness and availability of dressings, and patients’ preferences [3].

Dressing Materials

Standard dressing care for treating diabetic ulcers is known to be the use of wet-to-dry or wet-to-moist saline gauze dressings. This dressing is very absorptive and adherent, as well as has good ability in debriding the wound bed. It is a one of the less expensive widely used dressing in the world [9]. This dressing is very popular in Sri Lanka and still use as standard care even in the developed country like US [10]. However, it does not provide an effective barrier for contaminants and bacteria. When using gauze dressing, based on the wound severity it is suggested to change the dressing frequently (two to three times a day) [9,10]. Also moistened the dressings before removal using a gentle cleanser (usually normal saline) prevent possible bleeding [9] and to minimize wound irritation and discomfort [11]. Iodine is a highly effective, easy to use a topical antimicrobial agent which can use for both acute and chronic wounds [12,13]. Two preparations of iodophors mostly used in dressing are Povidone Iodine (formulations of a solution, cream, ointment, spray) and Cadexomer Iodine (Iodosorb and Idoflex). Povidone-iodine (PVP-I) is a combination of molecular iodine and polyvinylpyrrolidone surfactant/iodine complex [13] while Cadexomer Iodine is an iodine and polysaccharide complex [12]. Povidone-iodine (10%) is an inexpensive antiseptic solution and mostly used in dressing in the Sri Lankan clinical practice. The effectiveness of Povidone-iodine in the clinical practice is still in the debate due to perceived issues with toxicity, absorption and delayed healing [12]. However, review studies found that iodine still has a room in the wound management especially when a presence of an infection [13], highly effective for antimicrobials and improve wound healing rates [12]. Another review study has concluded that iodine as an effective antiseptic and does not cause for delaying healing especially in chronic and burns wounds [14].

Antibacterial Agents

Topical Antibacterial agents widely used for diabetic ulcers in Sri Lanka are Povidone iodine and metronidazole gel. Topical antibacterial agents are less toxic and have good antibacterial coverage with either can use alone or in a combination. One of the widely used such an agent is Metronidazole gel (0.75--.80%) which provides high gram-negative anaerobic coverage [15] good moisture for the wound bed and help to control wound odor [16]. It can use on daily basis or more often appropriately. Experimental studies on rats have shown that metronidazole is effective in wound healing by stimulating collagen production and angiogenesis [17] and early epithelialization [18].

Advanced Dressings

Although patients are required, only less than 50% of patients receive modern moist wound dressings appropriate [19] due to high cost, unavailability and knowledge deficit especially in health care providers who involved in the routine care of the patients [20]. Consequently, extensively patients receive inappropriate dressings, mainly gauze-based ones, which provide minor support for healing [20]. During the past few decades, numbers of novel dressing have been produced and tested to combat the problem of impaired healing of diabetic ulcers [5]. These dressings introduced to facilitate not only to balance moisture of the wound bed but also to help for protease action, stimulate growth factors, improve permeability of oxygen and autolytic debridement which supports for granulation and re-epithelialization process [7], prolonged time of action and high efficiency [5]. The main categories of topical regimens use in the current practice for treating for diabetic ulcers includes films, hydrogels, hydrocolloids, alginates, foams, and silver-impregnated dressings [7], growth factors, and silicon impregnated non-traumatic dressings and etc [9].

Choice of dressing for highly exudate ulcers is moisture- absorbing materials such as alginates, foams [7,9,10] collagen-alginate combinations, carboxymethyl cellulose material [10] or gauze [9,10]. Hydrogels are effective to absorb low to moderate exudates and rehydrate the wound [9]. However, hydrogels are not recommended for highly exudate wound due to the potential for maceration [21]. Hydrocolloids show benefit for different wound bed conditions including necrotic, sloughy, granulating and epithelializing wounds. Occlusive hydrocolloid dressings are not suggested for highly exuding ulcers located in weight-bearing areas of the foot [10]. Both hydrogels and hydrocolloids dressings should be cautiously used for infected wounds [7]. Although numbers of types of dressings available in the current practice in treating diabetic ulcers show some efficacy, existing reviews have not found a single type of dressing superior to others in healing DFUs [22-24] treated in any setting. In a systematic review of Cochrane, five RCTs (n=535) were studied to compare effects of hydrocolloids with four types of dressings including antimicrobial (silver) fibrous, standard alginate dressing, an antimicrobial dressing (iodine-impregnated) and topical cream containing plant extracts [25]. However, there was no significant difference in healing between any types of dressings. Another Cochrane review of the same group included six studies (n=375) compared ulcer healing of alginate dressings with basic wound contact dressings, foam dressings and a silver-containing, fibrous-hydrocolloid dressings. Results showed any significant differences in ulcer healing between alginate dressings and basic wound contact dressings. As well, a number of ulcers healed between anti-microbial (silver) hydrocolloid dressing and standard alginate dressing were not different [26].

Conclusion

In this review, some important considerations that need to be considered in the assessment of the wound and selection of dressing were discussed. Both conventional, as well as advanced dressings have some important advantages that can be achieved when using them at the precise time. Since, a single dressing is not appropriate for the whole journey of wound healing, selection of the dressing material imperative to be based on the wound bed condition. Incorporating of antibacterial agent is also important when necessary. Despite the treatment and dressing methods, healing duration of some ulcers are usually longer and, some ulcers do not heal in timely passion, while more severe ulcers need amputation. Thus, the necessity of testing new approaches has emerged as essential.

References

Bajnok I, Grinspun D, Lloyd M, McConnell H, Mo J, et al. (2013) Assessment and management of foot ulcers for people with diabetes: second edition of RNAO’s clinical practice guideline. Diabetic Foot Canada 1: 24-28.

Health Service Executive (2009) National best practice and evidence based guidelines for wound management, Ireland.

Dowsett C (2015) Breaking the cycle of hard-to-heal wounds: balancing cost and care. Wounds International 6(2): 17-21.

Vuorisalo S, Venermo M, Lepäntalo M (2009) Treatment of diabetic foot ulcers. J Cardiovasc Surg 50(3): 275-291.

Moura LI, Dias AM, Carvalho E, de Sousa HC (2013) Recent advances on the development of wound dressings for diabetic foot ulcer treatment-a review. Acta Biomater 9: 7093-7114.

Harding KG, Jones V, Price P (2000) Topical treatment: which dressing to choose. Diabetes Metab Res Rev 16(1): S47-S50.

Yazdanpanah L, Nasiri M, Adarvishi S (2015) Literature review on the management of diabetic foot ulcer. World J Diabetes 6(1): 37-53.

International Best Practice Guidelines (2013) Wound management in diabetic foot ulcers.

Kavitha KV, Tiwari S, Purandare VB, Khedkar S, Bhosale SS, et al. (2014) Choice of wound care in diabetic foot ulcer: a practical approach. World J Diabetes 5(4): 546-556.

Mulder G, Armstrong DG, Seaman S (2003) Standard, appropriate, and advanced care and medical-legal consideration: Part one-diabetic foot ulcerations. Wounds 15(4): 1-17.

McDonald A, Lesage P (2006) Palliative management of pressure ulcers and malignant wounds in patients with advanced illness. J Palliat Med 9: 285-295.

Sibbald RG, Leaoer DJ, Queen D (2011) Iodine made easy. Wounds International 2(2): s1-s6.

Angel DE, Morey P, Storer JG, Mwipatayi BP (2008) The great debate over iodine in wound care continues: a review of the literature. Wound Practice and Research 16(1): 6-21.

Vermeulen H, Westerbos SJ, Ubbink DT (2010) Benefit and harm of iodine in wound care: a systematic review. J Hosp Infect 76(3): 191-199.

Castro DLV, Santos VLCG (2015) Controlling wound odor with metronidazole: a systematic review. Rev Esc Enferm USP 49(5): 858- 863.

Bale S, Tebble N, Price P (2004) A topical metronidazole gel used to treat malodorous wounds. Br J Nurs 13(11): S4-S11.

Sampaio CPP, Biondo-Simoes MLP, Trindade LCT, Farias RE, Pierin RJ, et al. (2009) Inflammatory alterations provoked by metronidazole in wounds: an experimental study in rats. Journal Vascular Brasileiro 8(3): 232-237.

Trindade LCT, Biondo-Simoes MLP, Sampaio CPP, Farias RE, Pierin RJ, et al. (2010) Evaluation of topical metronidazole in the healing wounds process: an experimental study. Rev Col Bras Cir 37(5): 358-363.

Eaglstein WH (2001) Moist wound healing with occlusive dressings: a clinical focus. Dermatol Surg 27(2): 175-182.

Queen D, Orsted H, Sanada H, Sussman G (2004) A dressing history. Int Wound J 1(1): 59-77.

Hilton JR, Williams DT, Beuker B, Miller DR, Harding KG (2004) Wound dressings in diabetic foot disease. Clin Infect Dis 39(2): S100-S103.

Markakis K, Bowling FL, Boulton AJ (2015) The diabetic foot in 2015: an overview. Diabetes Metab Res Rev 32(1): 169-178.

Wu L, Norman G, Dumville JC, O’Meara S, Bell-Syer SE (2015) Dressings for treating foot ulcers in people with diabetes: an overview of systematic reviews. Cochrane Database Syst Rev 7: CD010471.

Dumville JC, Deshpande S, O’Meara S, Speak K (2013) Foam dressings for healing diabetic foot ulcers. Cochrane Database Syst Rev 6: CD009111.

Dumville JC, Deshpande S, O’Meara S, Speak K (2013) Hydrocolloid dressings for healing diabetic foot ulcers. Cochrane Database Syst Rev 8: CD009099.

Dumville JC, O’Meara S, Deshpande S, Speak K (2013) Alginate dressings for healing diabetic foot ulcers. Cochrane Database Syst Rev 6: CD009110. For more open access journals in Crimson Publishers Please click on link: https://crimsonpublishers.com/

For more Articles on Crimson Publishers Please click on https://crimsonpublishers.com/rism/

#crimsonpublishers #open access journals

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linuxgamenews · 4 years ago

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Interstellar Space: Genesis announces new expansion and update

Natural Law expansion coming to Interstellar Space: Genesis on Windows PC, but Linux support is delayed. According to recent details from developer Praxis Games. Since the game available on both Humble Store, itch and Steam. The Interstellar Space: Genesis Natural Law expansion is due to release November 18th. Also release a massive free 1.2 update on the same day. So for a while now I have been keeping in contact with Praxis Games. With the new expansion on the way, this is a great time to reach out regarding Linux. And the reply from the developer paints a picture of the community and support.

Linux Support:

People have been reporting that the game plays well on Proton, picking up from the Windows files. However, they also report some graphical corruption here and there. Namely in the colony view and a choppy intro movie. Although the intro is not a big deal, graphical corruption on the colony view is.

Since the graphics issue is obvious to both the developer and native players. But it's the community reviews that also impact the lack of Linux support. And the same goes for the new Natural Law expansion.

These reports are significant because even not too long ago we got a negative review from a Steam user playing on Linux via Proton. Each negative review hurts our prospects deeply. So, as you can see, this is what happens when you don't provide official support for Linux. So imagine what would happen if you did support it officially?

Once again it seems the community is hurting its chances for a native port. The Praxis Games developer also goes on to explain, they want to support Linux and Mac. But it's "not possible to guarantee the level of quality and support that we need." And it's not possible to outsource development.

So, unfortunately, there will not be native Linux support for the time being. If we can sell many more copies and the company grows. Then perhaps that can happen at some point in the future.

Interstellar Space: Genesis - Natural Law Trailer

youtube

As for the Natural Law, this is the first expansion pack for Interstellar Space: Genesis. Which will not be available on Linux. But do go along with the expansion release. You can also expect the free 1.2 update on November 18th. This free update adds a lot of new features and important QoL improvements. While including balance changes and bug fixes. Many of which are coming in response to player feedback.

The Free 1.2 update:

The highlights include a new tactical auto-combat feature. As well as faster tactical combat animation options. And improvement to auto-resolve calculations. Along with the option to hide future tech when going with random tech trees. And also changes in rally points, and much more. And... the developer loves their fans. They would like like to offer a new fleet set. Available to everyone who owns and buys the game when the expansion and the free update are out. This will be a second Human fleet set that will be available when customizing a new race. Any race can play with this new fleet. It is based on an old Human fleet, now much improved and brought to the same level of polish as the other fleets. Regarding Natural Law, the objective is to really infuse the galaxy. While offering a great deal more variety and flavor. To do that, this means introducing some more friendly, and potentially not so friendly, faces. As 4X fans, Praxis Games know there is no better way to do that than through the introduction of two new races to the game. As for many new rulers and other goodies.

Here are the Natural Law expansion's features:

2 new playable races, the nature loving Palacean, and the law-enforcing Cerixx, each fully equipped with unique new capabilities which are also usable by custom races.

9 additional unique and fully animated rulers are ready to join your game and lead the game's default races or your own custom ones.

4 new music tracks inspired by the new races

4 new leaders from the new races!

Interstellar Space: Genesis is available now on both Humble Store, itch and Steam. Priced at $29.99 USD for Windows PC. There is hope for Linux support going forward. But be mindful how you post a game review. And also stay tuned for the Natural Law expansion.

#interstellar space: genesis #natural law #expansion #linux #gaming news #praxis games #ubuntu #windows #pc

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biomedgrid · 4 years ago

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Biomed Grid | Quality of Life and Spirituality in The Context of Chemical Dependency

Introduction

Drug misuse is a global issue causing concerns in parents, educators, health professionals and society in general. Humanity’s consumption of drugs is an old phenomenon and has accompanied us since the earliest civilizations, but its challenges are current1. It is estimated that 246 million people have used psychoactive substances within a year. Drug consumption in the world becomes more relevant considering that more than one user in ten present disorders and dependence [1-3], in which chemical dependence is characterized by the presence of symptoms where the individual prioritizes the use of the drug, in detrimental to necessities of life and responsibilities, causing problems in the biopsychosocial scope proportional to consumption [2]. In this perspective, it is evident the permanence of the prejudice and stereotype about the chemical dependent, affecting several aspects of life. Women and men develop different consumer profiles and confrontations. According to the Annual Report on the Evolution of the Drug Phenomenon in the European Union, published by the European Monitoring Center for Drugs and Drug Addiction (EMCDDA) based in Lisbon, women who use drugs carry more significant stigma than men. The report highlights the importance of finding answers that are more tailored to women, and which address their problems and the specific female needs [4].

About 10 percent of the world’s major urban centers consume abusive psychoactive substances, regardless of age, sex or level of education, reaching all social classes. In Brazil hospitalizations for alcohol dependence, on average, account for 90% of all admissions due to drug use, with a predominance of men, in a ratio 10 times higher than women [5]. Due to the relevance of this public health problem, the Brazilian government developed a policy of comprehensive care for alcohol and other drug users to provide individuals who consume psychoactive substances outside the hospital environment, offer support from the Centers for Psychosocial Alcohol Care and other Drugs (CAPSad) [6]. Psychiatric care programs have for decades been based on the separation of the patient from the community, centralizing the decision-making power of the psychiatrist. In this model, individualized care did not exist, and treatment was governed by medication and containment actions, seeking remission of symptoms. With the proposed new vision on health and the mentally ill, it was possible to elaborate therapeutic plans through a multidisciplinary approach, with the collaboration of a health team that allows a more complete and humanized care [6-8].

Nursing assumes a fundamental role in this team, performing actions such as reception, therapeutic communication, nursing consultation, medication administration, unit management, among other activities, which places the nurse figure as the main element within CAPSad [7]. The CAPSad, are open to the care of both sexes, and in general, the demand is higher on the part of the men. The analysis of patterns of alcohol consumption and other drugs in the Brazilian urban population showed a significant difference at some point in life in males compared to females. In this context, studies on the prevalence and incidence of alcohol and other drugs, although there are cultural variations characteristic of each country, usually report that male sex stands out as the largest consumer, and also in the most significant number of alcohol users and other drugs in care in CAPSad [6-8]. Thus, CAPSad is evaluated as a promising service due to the promotion of conceptual changes, values and vision of care, in which the use of therapeutic and assertive communication without confrontation is capable of promoting the development and improvement of Quality of Life (QL) [9].

Therefore, it is essential to promote better adherence to the proposed treatment, allowing the user to have his/her needs heard and respected particulars, providing an integral and humanized therapy in accordance with the guidelines of the Unified Health System (SUS), favoring the improvement of the considering the well-being and Quality of Life (QL) of the Brazilian public service user, in an equitable and egalitarian manner [7,10,11]. Nahas et al. [11,12] argue that QL is a particular concept to the individual or society, such combination being associated with variables such as health status, job satisfaction, economic issues, leisure and recreation, family relationships, spiritual well-being and the practice of pleasurable practices [11,12]. Recognizing spirituality as an essential ally for reaching the expanded concept of health and QL, the World Health Organization stresses that health is a dynamic state of complete physical, mental, spiritual and social well-being and not just the absence of disease, thus including religiosity, spirituality and personal beliefs in the concept of QL.

In the same direction, the Brazilian Federal Constitution, in Article 196, states that health is the right of everyone and the duty of the State, guaranteed through social and economic policies universal and equal access to actions and services for promotion, protection and recovery. Besides, it broadens the concept of health as the result of sufficient conditions of food, housing, education, income, environment, labor, transportation, employment, leisure, freedom, freedom of religion, access to and possession of land and access to services of health [13,14]. For years, spirituality and religiosity were considered as synonyms, until at the beginning of the nineteenth century these concepts began to present distinctions. Spirituality consists in a search for meaning and understanding of the meaning of life, a search for something greater than itself, through concepts that transcend the tangible, and may or may not include formal religious participation [9-12]. On the other hand, Religiosity refers to religious life and its actions. It is the relationship that the individual possesses with this belief [15,16]. Even today, this is a problematic issue for health professionals, which raises an extensive debate in search of consensus [16,17].

The balance between spirituality, physical and mental health, has shown beneficial results in heart disease, blood pressure, immunity, resistance to infectious diseases, pain and mortality processes, directly influencing the QL of the population. In this context, people demonstrate a greater sense of purpose and meaning in life, greater resilience when exposed to stress, and lower incidence of alcohol and other drug use [10,18,19]. In the search for the more effective and integral treatment of the abuse of licit or non-licit chemical substances, it is essential to listen to the user in their fears and doubts, to draw up action plans that favor QL. Thus, practical experience with these patients points to the use of spirituality and religiosity in recovery centers, for example, as an essential strategy for coping with dependence on alcohol and other drugs [20,21]. CAPSad is evaluated as a service that promotes conceptual changes, values and the vision of care, whose emphasis is on singularity and diversity to go beyond stigma and pre-established concepts, providing social reintegration and improvement of QL. Thus, activities are centered on the promotion of QL, ranging from those related to the maintenance of daily life and self-care to those associated with the recreation of social life. In this sense, the individual is seen in his everyday life and is inserted socially [6]. Given the above, this study aimed to describe the sociodemographic characteristics, quality of life and spirituality of users of alcohol and other CAPSad drugs in the Triangulo Mineiro region, comparing levels of quality of life and spirituality according to sex.

MethodsEthical aspects

The research project was submitted to the Research Ethics Committee of the Federal University of Triângulo Mineiro (UFTM) and approved under protocol number 2204. Each volunteer signed a Free and Informed Consent Term (TCLE) according to Resolution 466/12 /CEP/CONEP. The objective of the study was clarified, as well as the guarantee of the anonymity and total freedom of the volunteer to give up the research at any time. Authorities were requested to the respective city halls and the CAPSad of each municipality. After the necessary authorizations, data collection was started.

Study Design

A quantitative cross-sectional study carried out in the CAPSad, linked to the municipal health services of the Triângulo Mineiro Region: Uberaba, Uberlândia and Araxá, Minas Gerais State/Brazil. These units cover 100% of the health units in that region. Data were collected from March to June 2018.

Sample population

Inclusion and exclusion criteria: The study population consisted of users of alcohol and other drugs being treated at CAPSad. The sample was selected for convenience, within the period of data collection, considering the inclusion criteria: age equal to or greater than 18 years, of both sexes, being in treatment, agreeing spontaneously to participate in the study after being invited and signing the Term of Free and Informed Consent. The following were excluded from the study: users who demonstrated any condition that could make it difficult to understand items in the research questionnaire and were under intoxication due to drug use.

Study Protocol

The data were collected by the researcher, through interviews with an average duration of 30 minutes, in a private place and individually during the waiting period between the activities developed in CAPSad. Three instruments were applied: a form developed by the authors to identify the Socio-demographic and Economic Profile of the users, containing the variables: sex, age, income, marital status, vocational training course, receipt of government benefits and housing. Subsequently, the QOL evaluation instruments, called WHOQOL-bref and WHOQOL SRPB, were applied. The WHOQOL-bref is an instrument developed by WHO, later validated in the Brazilian version by Fleck et al. containing 26 questions, of which two are general perceptions about QoL and health and 24 inquiries related to the physical, psychological, social and environmental domains [22]. The WHOQOL - SRPB, an instrument developed as part of the WHOQOL GROUP work, later validated by Panzini, Porto Alegre, State of Rio Grande do Sul, 2006- 2009. Composed of 32 items and eight facets to assess how spiritual, religious, and personal beliefs are related to QOL. The WHOQOLbref and SRPB were analyzed separately with their respective syntaxes. The score varied from 0 to 100, with the highest number corresponding to the best QV [19].

Analysis of results and statistics

The data were typed in an EXCEL® spreadsheet, in double entry, to evaluate the consistency of the data. Then exported to the Statistical Package for Social Science (SPSS) application, version 17.0, to perform the statistical analysis. For the comparison of numerical variables, the Student t-test and the Mann-Whitney test were used according to the normality of the data. The results were considered statistically significant when p≤0.05. The Kolmogorov- Smirnov test verified the normality of the data.

Results

the study, and 43.5% did not show interest, refusing their participation. Of the 232 people interested in participating in the study, 187 were male and 45 female, with a predominance of the age group between 36 and 59 years. As for income, 39.2% received up to a minimum wage. See Table 1 - 5 on the profile of the patients evaluated and the results referring to the study objective based on the sample population.

Table 1: Socio-demographic characteristics of the patients evaluated.

Note: Sample population.

Table 2:Distribution of patients according to first use drug.

Note: Sample Population.

Table 3:Characterization of the domains of the WHOQOL- bref (QL) of patients.

Note: Standard deviation (SD).

Table 4:Characterization of the WHOQOL-SRPB Domains (spirituality) of the patients.

Note: Standard deviation (SD).

Table 5:Comparison of QL levels and spirituality between genders.

Discussion

The findings in the present study, concerning the average age of the users, showed in their majority age between 36-59 years, similar to another survey of the subject [23]. Regarding marital status, singles and separated accounted for a percentage of 70.2%, that is, the vast majority of those interviewed reported not having a partner, nor maintaining some stable relationship. Studies have shown that marital status is an important aspect to be considered as a risk factor for abusive drug use [9,23]. A study of caregivers of chemical dependents assessed care overload and found that in most situations caregivers were wives and had depressive symptoms, pointing to lack of sexual interest as a relevant and limiting factor in family support [24]. Low schooling, coupled with the fact that 77.6% has a family income of less than three minimum wages per month, negatively interferes with the prospect of social reintegration. The lack of motivation and the discontinuity of the study and work processes interrupt in an early form the activities related to teaching. Interventions are needed to improve professional qualification and entry into the labor market, as lack of employment and unemployment further fuel low self-esteem, perpetuating regular self-defeating habits.

The users inserted in the CAPSad, are in the most productive age group, being more than 61% are between 36-59 years of age. These data help us understand the impact that drugs have on contemporary society. Studies point to marijuana as the most commonly used illicit drug due to easy access and low cost, popularly considered as less aggressive drug and reduced social stigmas [25]. Studies show that among individuals who experience the substance, on average 10% will become daily users and 20- 30% will consume weekly [25,26]. Research conducted in several countries has shown that young people are increasingly in contact with drugs and start to drink alcoholic beverages at an earlier age [26,27]. This makes the scenario even more severe since the early initiation of alcohol use is associated with a higher probability of problems related to their consumption and dependence in adult life. In a survey conducted in Brazil on the use of psychotropic drugs (including alcohol) among elementary and middle school students (the majority between 10-18 years of age) has pointed out the severity of use at early ages. A national survey with 17 capitals showed that 65.2% had already had alcohol once in their lifetime and 11.7% had frequent drinking [26,27]. Another national-wide trial presented an alarming rate of 19.2% alcohol dependence among 18-24-year-olds. The abuse of alcohol and other drugs is of concern because of the consequences that the individual may suffer through adult life. The onset of alcohol consumption by adolescents (14-17 years) starts on average at 13.9 years and by young adults (18-25 years) at 15.3 years [28].

In both social and abusive use, alcohol is the drug most consumed in the world when comparing licit and illicit drugs. According to WHO data, more than 2 billion people consume alcoholic beverages. Misuse is one of the main factors contributing to the decline in global health, accounting for thousands of direct or indirect deaths. Concerning Latin America, alcohol assumes the importance of a more significant impact. About 16% of the useful lives lost on this continent are related to the misuse of this substance, which is four times higher than the world average [29]. Worldwide, although consumption among men is higher, there is a trend of convergence between men and women in the pattern of use among young people, especially about high doses in a short period, the so-called “heavy drinking” [28]. In the present study, alcohol appears as the first drug in 50% of users. This high-risk consumption is associated with several consequences, is one of the leading causes of morbidity and mortality among students, as they end up involved in traffic accidents, acts of violence, sexual abuse, sexual harassment, health problems, decreased academic productivity and interpersonal problems [28].

The initial use of drugs happens when the person seeks acceptance by a social group, a challenge to the norms, curiosity, will to feel the effects of the substance, among others. Regardless of motive, the onset occurs in adolescence. This finding intensifies the demand for preventive programs for this age group to reduce the harms of early use, providing better QL conditions [30]. Drug use and QL have been discussed in studies that show lower QL scores among users compared to the general population or other patients with chronic diseases [30,31]. In Brazil, the results are no different. The association between the lower QL scores and the use of alcohol and other drugs reinforces the negative influence of drug use on the perception of QL [31,32]. Spirituality can be presented as an expression of feelings in a solitary or collective way, linked to the experiences of the individual, not necessarily related to a more structured religion or belief [17]. Spirituality manifested in religiosity can influence the mental health of individuals by regulating their behaviors, such as healthy behaviors and lifestyle, making the person think about how they eat or abstain from food, drink or not, having sex, using legal or illegal substances, following prescriptions or medical treatments, raising children and marital relationship [17].

Social support is available, used as psychosocial support, since people feel that they belong to a group, which facilitates adherence to health promotion programs. It can be seen that religious confrontation can be positive or negative. It is positive when it is channeled to find spiritual lessons in stressful moments or to count on the help of companions of the same faith, seeking in the religion a direction, support, and comfort. The negative coping is in passive attitudes, waiting for extraordinary forces to control and resolve the situation. The individual can understand stress as a divine punishment or a demonic act and therefore raises questions about merit and justice [33,34]. Research points to religiousness as a protective factor for drug use among people who attend church regularly, who practice religious precepts or have received religious education in childhood.

Regarding spirituality, in the Spiritual Connection domain, women achieved a statistically significant higher score. In the totality and integration domain, it was the men’s turn to present the best results. Religiousness appears as an aid to the individual, raises optimism, offers emotional support, promotes resilience, reduces stress, anxiety and helps in socialization [16,35].

The religious/spiritual approach should be guided by the neutrality of the health professional, respecting the patient’s choices. But it is necessary to understand and work alongside his belief so that it does not become a hindrance in the personal development of health promotion [6]. The religious experience enables another look and a better understanding of the world, since the patient remains the same person, but changes the way of understanding the situation [16]. Drug use is widespread in contemporary society. But despite this, the abuse of these substances carries with it a high weight of prejudice and stigma. Society usually labels the involvement or abuse negatively in consumption. Although the presence of social discrimination is evident concerning any dependence on the substance, women seem to be even more stigmatized than men. Relevant stereotypes are attributed to it, such as the tendency towards promiscuity in the search to maintain the addiction, failure or failure to fulfill the family role and others. The family role, not only as a parent but also as a maintainer of the home, often in the popular conception, is feminine rather than a male position [36,37].

Society seems to be less tolerant and more demanding about the role of women. Despite all the changes of values, and “revolutions” in social relations between men and women, these stereotypes make it difficult for women to access treatment, either through shame or a sense of failure, that is, the structure of specialized health services that are concatenated to the male profile. Given this scenario, research is needed to reflect on this issue, to unveil the smallest female presence in the CAPSad and support policies that better serve women in their needs, such as care of their youngest children, private bathrooms and environments more adapted to the female reality [38]. The process of recovery of health is continuous; therefore, the nursing team must be prepared to help the chemical dependent on maintaining their new lifestyle after treatment and throughout the process of adaptation and social reintegration. Behavioral changes are needed, that is, a new way of life.

This process should be dynamic, and to maintain the effectiveness of the Singular Therapeutic Plan (STP), it is essential that patients be periodically reassessed, listening to the user and their family members, together with professionals from the multiprofessional team. Only in this way is it possible to offer a service that promotes integrated practices and transformative actions [39]. In this perspective of care, it is necessary to restructure nursing care to the users of mental health services. The logic of care must be interdisciplinary and comprehensive offering different types of therapeutic activities. The restructuring goes beyond the nursing consultation or administration of medications and causes significant changes in the care and treatment of patients who use this health service. In changing paradigms in the health care process and care restructuring, the nurse assumes a strategic position as a member of the team. An integrated team favors an environment of welcoming, respecting and developing individual capacities [40].

There were limitations in the development of this study concerning data collection since the patients showed deficits of concentration and difficulty of understanding referring to the instrument of data collection /questionnaire. Due to the peculiar heterogeneity of the sample population, there were difficulties in the application and interpretation of the evaluation questionnaire on quality of life for a community with different characteristics. This made it difficult to generalize the results to the entire population since it was applied in a regional sample. Contributions to the area of nursing the findings of this study contribute to the recognition of alterations in QL experienced by the patients, which may compromise the therapeutic plan, making treatment adherence difficult. In this context, the present study contributes to the advancement in knowledge and debate about the needs of nursing care adapted to this type of population, with actions directed to the individual and collective needs of the users, valuing the importance of QL in coping with the disease, respecting the differences of gender, religiosity and spirituality, promoting a more humane and practical assistance.

Conclusion

Despite being a licit drug, alcohol in its many forms of consumption causes a social impact in several dimensions. Marijuana is the leading drug in the beginning when it comes to illicit drugs. Thus, the results of this research justify the adoption of public policies that intervene in this mechanics of the consumption of both alcohol and marijuana in early life, especially among young adults.

The role of the family becomes vital in any sphere of the individual’s life. In this way, it is necessary for nursing to devote a differentiated look to the users’ families to help them to strengthen and face the problems caused by addiction to alcohol and other drugs, to join forces in the search for treatment. When comparing QL between the sexes, the data point out the women with the worse score in the Psychological and Environmental domains. Because of this, they deserve special attention to provide QL improvement in women, proposing a PTS that is more adapted to the female reality, taking into account spirituality as an essential factor for the recovery and enhancement of QL

Spirituality is an essential tool in the treatment of chemical dependents and can be used by nursing as an ancillary tool in the search for the personal development of the user, regardless of specific religious beliefs or links. Much has been advanced on the subject of chemical dependency, but there is still much to be tackled. Currently, many privately managed drug user recovery clinics use religion and spiritual attention in treating and improving QL, achieving relative success. Therefore, it is necessary for nursing to develop new research that addresses the topic of QL and spirituality in addicted patients. Such research should pay attention to the social and biological differences that distinguish men and women, thus orienting the actions of nursing and multidisciplinary health team, promoting a SUS that is more humane and integral to all.

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coloncanceriumw · 5 years ago

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Physical Activities (Arcchana)

According to a 2016 meta-analysis of 126 studies, people who participate and engage in physical activity daily have a 19% lower risk of getting colon cancer than those who are less active physically (Liu, et al., 2015). Nowadays, it is known that colorectal cancer has become the world’s fourth most deadly cancer with almost 900 000 deaths annually. Risk factors such as obesity, lack of physical activity and smoking increase the chance of getting colorectal cancer. It is the second most prone cancer diagnosed in women and third in men. As for women, the occurrence and mortality are roughly 25% lower than in men (Dekker, Tanis, Vleugels, Kasi, & Wallace, 2019).

People are recommended to change their lifestyle habits to prevent any type of cancer in general. According to Oruç & Kaplan (2019) study, The International Agency for Research on Cancer (IARC) has reported that 25% of all the cancer cases worldwide are caused by obesity and a non-active lifestyle (Oruc & Kaplan, (2019) as cited in Vainio, Kaaks, & Bianchini, 2002). According to Oruc & Kaplan (2019), physical activities have chances to prevent roughly 15% of colorectal cancers. It is also known to decrease the mortality rate and risk or recurrence before and after the colorectal cancer diagnosis. There is no exact type of exercise, time and intensity of it but it is strongly known that having an active lifestyle is a good way to prevent any type of cancer. Audit research, including 19 surveys, 26 meta-investigations and 541 unique examinations, assessing physical activity and growth possibilities, has demonstrated that physical activity is valuable in preventing 7 sorts of tumors (colon, breast, endometrium, lung, throat, pancreas and meningioma). The impact of physical activity on malignant growth hazard is a lot more grounded in breast and colon cancer than in different kinds of cancers (Oruc & Kaplan, (2019). As primary prevention, the recommended activity from a public health perspective is to daily exercise for at least 30 minutes.

The role of physical activity can be related to the number of colorectal polyps. In an epidemiological examination, it was seen that the individuals who practiced for ≥ 1 h for each week had a lower prevalence of colon polyps and adenoma than the individuals who practiced for < 1 h[17]. In this study, exercise decreased the risk of polyp development throughout the entire colon, and exercise was reported to decrease the total number of intestinal polyps by 50% and the number of large polyps by 67%. Many studies have shown that increasing your level of intensity on physical activities decreases the risk of colon cancer. Physical activity decreases insulin resistance and the insulin levels affect the IGF pathway and indirectly decreases the risk of CRC, recurrence and mortality (Oruc & Kaplan, (2019).

Physical activity is characterized as any bodily movement delivered by skeletal muscles that results in energy consumption. It includes walking, running, dancing, biking, swimming, performing household chores, exercising, and engaging in sports activities. Exercise is a subset of physical movement that is planned, organized, and repeated and has the target of improvement or support of physical wellness. Physical activity is accounted for to be related to numerous diseases, not simply malignant growth. Such a relationship was first depicted for coronary illness, trailed by diabetes, obesity, bone and joint disease, and other chronic disorders including depression. Past research recommended that physical activity is successful in bringing down mortality hazard, and over 1.3 million deaths could have stayed away from a 25% increase in physical activity. The main importance of physical activity for wellbeing is demonstrated in the 2008 Physical Activity Guidelines for Americans which express that week after week high-impact exercise of at any rate 150 to 300 min at moderate force, or 75 to 150 min at intense power, will create good health advantages. Be that as it may, improved well being status and longer future is known to result from even a limited quantity of activity, which may add to decreased clinical expenses and treatment necessities (Yamaga, Yamamoto, & Keiji, 2017).

According to the U.S. Department of Health and Human Services Physical Activity Guidelines for Americans, 2nd edition, released in 2018, recommends that for significant health benefits and to lower the risk of chronic diseases, including cancer, adults should engage in 150 to 300 minutes of medium-intensity aerobic activity, around 75 to 100 minutes of high-intensity aerobic activity or an equal amount of both combinations each week. It can be done in any duration of time. Besides that activities such as muscle-strengthening for at least 2 days a week, aerobic and balance training.

Many studies dating back over 90 years have investigated cancer prevention. Physical acitivity reduces the risk of developing cancer across a wide range of the population, irrespective of sex and type of physical acitivity. The 2006 American Cancer Society (ACS) cancer prevention guidelines recommend 30 min, or preferably 45 to 60 min, of moderate-intensity (or greater) physical activity at least 5 days a week, for the prevention of cancer. Preventive effects of physical activity are described extensively in the literature on breast and colorectal cancer. Current guidelines recommend 150 min of physical activity weekly in order to experience substantial health benefits. However, the incidence of cancer is significantly reduced even at half the recommended level, an average of 15 min physical activity per day . This shows that almost all loss of physical activity is highly deleterious and that moderate-intensity activity, even in small amounts, is beneficial. Even light-intensity physical activity can be important in preventing cancer , and this is possible because increases in light-intensity physical activity are related to relative reduction of cancer.

A meta-analysis of relationships between SB and cancer suggested that SB was associated with overall cancer risk and with the risk of uterine cancer, colon cancer, breast cancer, and lung cancer, specifically [24]. A metabolic equivalent of a task also known as the MET is to describe the intensity of physical activity. One MET is the pace of vitality consumed by an individual sitting very still. Light-power exercises exhaust under 3 METs, moderate-force exercises consume 3 to 6 METs, and enthusiastic exercises use at least 6 METs. An individual can be genuinely dynamic but invest a significant measure of energy being sedentary. Sedentary meaning a person tending to spend much time being seated or inactive Physical Activity Guidelines Advisory Committee, 2018). Physical activities such as exercising have many benefits on the body especially for colorectal cancer. These include:

• Decreasing the level of sex hormones such as estrogen and growth attributes that are known to be associated with cancer development (Winzer, Whiteman, Reeves, & Paratz, 2011).

• Averting high blood levels of insulin which too has been associated with yo cancer development (Winzer, Whiteman, Reeves, & Paratz, 2011).

• Reducing inflammation

• Adjusting the metabolism of bile acids, decreasing the exposure of the gastrointestinal tract to these suspected carcinogens.

• Reduces the time for food to travel through the digestive system which leads to decreasing gastrointestinal tract exposure to possible carcinogens.

Concerning primary prevention, compelling evidence indicates that PA can inhibit CRC growth, either in leisure or during work. In a meta-analysis, involving 52 observative and retrospective trials, Wolin et al. found that recreational PA could substantially reduce colon cancer incidence by a total of 24%. Moreover, in an earlier epidemiological review of 150,000 participants with a 6-year follow-up, it was observed that 4–6 hours of exercise a week could theoretically decrease the risk of colon and rectal cancer by 13% and 30% respectively. Thus, with increased cumulative hours of physical activities, the risk of colon cancer decreased dramatically, although this result was not shown in rectal cancer. The purpose of this review, however, is to focus on the effect of PA after diagnosis of CRC (tertiary prevention) and its impact on quality of life (QOL) and prognosis. The prognosis of the disease will thereby be defined as overall and disease-free survival (as cited in Schoenberg, 2016)

CRC diagnosis and treatment, in most cases include operation, chemotherapy, and in some cases radiation, inevitably adds to the patient's growing inactivity. The side effects include anemia, leukopenia, fatigue, diarrhea and vomiting, among others, as well as cardiomyopathy depending on the medications used. That obviously impairs the patients 'functioning PA. In addition, patients also suffer from cancer-related fatigue that leads to weariness, exhaustion and sometimes depression. During treatment, as both physical and mental symptoms can impair the ability to continue with and retain adequate PA. Recently evolving clinical studies have shown that physically active survivors of the CRC often decrease their chance of cancer recurrence and increased mortality. Meanwhile this idea has been backed by seven prospective reports (Schoenberg, 2016).

What to consider before preparing a fitness programme?

• Start slowly. Even if you can only do an activity for a few minutes a day will be of assistance. How much will a basic task like walking be increased gradually, and how long does it take? When you need to calm down and relax your muscles say you.

• Seek brief workout cycles and regular rest breaks. For starters, walk briskly for a few minutes, slow down, and walk briskly again until you've done brisk exercise for 30 minutes. You can break the task into three 10 minute sessions if you need to. You are going to also get the advantage of the exercise.

• Aim to incorporate aerobic exercise using large classes of muscles including the legs, abdominal (belly), arms, and back. Power, endurance and physical fitness are also essential aspects of a workable workout program.

• Aim to do other workouts that can help you maintain lean muscle mass and bone strength, such as resistance training or light weights.

• You may want to do movements that can make the joints more stable and maintain the range of motion within.

• The warm-up exercises often continue for around 2 to 3 minutes. Examples of these movements include shoulder shrugs, overhead raising shoulders, toe-tapping, leg lifts and marching. Term your session of workouts on stretching or endurance. Keep a rest, and breathe for about 15 to 30 seconds. Note as you rest, to relax.

• Pay care to your joints, and relax while you need to.

Source:

https://www.cancer.org/content/dam/cancer-org/cancer-control/en/booklets-flyers/life-style-changes-that-make-a-difference.pdf

Self-determination theory is the most simple but efficient theory that can be used in this situation. Deci and Ryan’s Theory of Motivation (1985), Self-determination theory is unique among human motivation theories to investigate the differential impact of qualitatively distinct incentive forms that can underlie behaviour. Originating from a humanistic viewpoint and therefore profoundly based on meeting desires, self-actualizing and understanding human capacity, self-determination theory is a systematic and emerging macro-theory of human personality and inspired behaviour.

Deci and Ryan have developed the Self-Determination Theory (SDT) and have been used in several experiments to seek to understand what motivates individuals to engage in PA (Deci & Ryan, 1985, 2000 as cited in Ball et al., n.d.). According to Deci and Ryan, motivation emerges when basic psychological needs are met (Deci and Ryan, 1985, 2000, 2002 as cited in Ball et al., n.d.). The basic psychological needs include three constructs: autonomy (choice power), competence (mastering skills) and communication (creating or establishing meaningful connections) (Deci & Ryan, 1985, 2000, 2002). Studies have reported mixed findings about whether or not a person's degree of autonomy, competence and relatedness promotes engagement and involvement in physical activity.

The specific performance of the regulations ranges from feeling of low autonomy to feeling of high autonomy. From the least autonomous to the most autonomous: motivation, external control, introjection, recognition, integration and inner motivation. The theory notes that satisfying three psychological needs (autonomy, competence, relationship) would lead to a change from low to high autonomous control (Deci & Ryan, 2000 as cited in Lewis et al., 2020).

First of all, self-determination theory distinguishes between intrinsic and extrinsic motivation types that control one's behaviour. Intrinsic motivation is characterized as behaviour due to its inherent satisfactions. As the intrinsically motivated person feels feelings of pleasure, the exercising of their skills, personal success, and anticipation, SDT distinguishes between intrinsic and extrinsic forms of motivation that control one's behaviour. Intrinsic motivation is characterized as performing an activity because of its inherent satisfactions. When the individual is intrinsically inspired, he feels feelings of happiness, skill exercise, personal achievement, and excitement. Extrinsic motivation refers to doing an action for functional purposes, as opposed to inherent motivation, or to achieve a purpose separable from the task per se. For example, when a person participates in an action to receive a monetary or social benefit or escape rejection, they are motivated in an extrinsic context (Teixeira, Carraça, Markland, Silva, & Ryan, 2012).

‌By putting together the strengths of both strategies, it might be best prepared to establish successful interventions that provide meaningful safety, safety and well-being outcomes not only among highly motivated patients willing to engage in clinical trials, but also among more general patient populations with whom clinicians communicate on a daily basis. It is only by promoting the creation of long-lasting realistic solutions that we can succeed in enhancing the duration and quality of life through lifestyle change. Collaborative efforts between complementary approaches will foster the development of a rigorous science of health behavior change that is equipped to tackle these issues in the real world of health care practice.

References

Ball, J., Bice, M., & Maljak, K. (n.d.). Exploring the Relationship Between Self-Determination Theory, Adults’ Barriers to Exercise, and Physical Activity. Retrieved September 19, 2019, from https://files.eric.ed.gov/fulltext/EJ1156136.pdf

Dekker, E., Tanis, P. J., Vleugels, J. L. A., Kasi, P. M., & Wallace, M. B. (2019). Colorectal cancer. The Lancet, 394(10207), 1467–1480. doi:10.1016/s0140-6736(19)32319-0

Lewis, L. S., Shaw, B., Banerjee, S., Dieguez, P., Hernon, J., Belshaw, N., & Saxton, J. M. (2020). The Role of Self-Determination in Changing Physical Activity Behavior in People DiagnosedzWith Bowel Polyps: A Pilot Randomized Controlled Trial. Journal of Aging and Physical Activity, 28(1), 42–52. https://doi.org/10.1123/japa.2018-0279

Oruç, Z., & Kaplan, M. A. (2019). Effect of exercise on colorectal cancer prevention and treatment. World journal of gastrointestinal oncology, 11(5), 348.

Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012). Exercise, physical activity, and self-determination theory: a systematic review. International journal of behavioral nutrition and physical activity, 9(1), 78.

Vainio, H., Kaaks, R., & Bianchini, F. (2002). Weight control and physical activity in cancer prevention: international evaluation of the evidence. European journal of cancer prevention: the official journal of the European Cancer Prevention Organisation (ECP), 11, S94-100.

Yamaga, T., Yamamoto, S., & Keiji, M. (2017). The impact of physical activity on cancer prevention and survivorship. Physical Medicine and Rehabilitation Research, 2(2). doi: 10.15761/pmrr.1000138 (Yamaga, Yamamoto, & Keiji, 2017)

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