Towards an increased understanding of reminiscence therapy for people with dementia: A narrative analysis

Aim Reminiscence therapy is a popular therapeutic intervention for people with dementia. This review set out to provide a better understanding of reminiscence therapy through a deeper analysis of its contents and delivery. Method This review examined 22 studies from the most recent Cochrane review (Woods, B., O’Philbin, L., Farrell, E. M., Spector, A. E., & Orrell, M. (2018). Reminiscence therapy for dementia. Cochrane Database of Systematic Reviews, 3, Article 001120) and addressed the following research questions: (1) What are the components of reminiscence therapy? (2) Who delivers reminiscence therapy? (3) How is reminiscence therapy delivered? (4) Is reminiscence therapy underpinned by a theoretical framework? (5) Is reminiscence therapy delivered according to a programme/model? (6) Are there commonalities in the reminiscence therapy components utilised? Multiple and layered narrative analyses were completed. Findings Thirteen reminiscence therapy components were identified. ‘Memory triggers’ and ‘themes’ were identified as the most common but were found not to be consistently beneficial. Reminiscence therapy was typically delivered in a care setting using a group approach; however, there was no consistency in session composition, intervention duration, as well as the training and supervision provided to facilitators. Operationalisation of theory within reminiscence therapy was not identified. Reminiscence therapy was not consistently delivered according to a programme/model. Lastly, as a result of a small number of studies, the components ‘life stages’, ‘activities’ and ‘family-only sessions’, showed beneficial promise. In summary, this review highlights that reminiscence therapy needs more consistency in content and delivery, in addition to a clear theoretical framework

Sources of dissolved inorganic carbon to the Canada Basin halocline : a multitracer study

Author Posting. © American Geophysical Union, 2016. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research: Oceans 121 (2016): 2918–2936, doi:10.1002/2015JC011535.We examine the dissolved inorganic carbon maximum in the Canada Basin halocline using a suite of geochemical tracers to gain insight into the factors that contribute to the persistence of this feature. Hydrographic and geochemical samples were collected in the upper 500 m of the southwestern Canada Basin water column in the summer of 2008 and fall of 2009. These observations were used to identify conservative and nonconservative processes that contribute dissolved inorganic carbon to halocline source waters, including shelf sediment organic matter remineralization, air-sea gas exchange, and sea-ice brine export. Our results indicate that the remineralization of organic matter that occurs along the Bering and Chukchi Sea shelves is the overwhelming contributor of dissolved inorganic carbon to Pacific Winter Water that occupies the middle halocline in the southwestern Canada Basin. Nonconservative contributions from air-sea exchange and sea-ice brine are not significant. The broad salinity range associated with the DIC maximum, compared to the narrow salinity range of the nutrient maximum, is due to mixing between Pacific and Atlantic water and not abiotic addition of DIC.NSERC; Fisheries and Oceans Canada; US National Science Foundation Office of Polar Programs Grant Number: OPP-0424864; Canadian International Polar Year Office2016-11-0

Deterioration of perennial sea ice in the Beaufort Gyre from 2003 to 2012 and its impact on the oceanic freshwater cycle

© The Author(s), 2014. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Journal of Geophysical Research: Oceans 119 (2014): 1271-1305, doi:10.1002/2013JC008999.Time series of ice draft from 2003 to 2012 from moored sonar data are used to investigate variability and describe the reduction of the perennial sea ice cover in the Beaufort Gyre (BG), culminating in the extreme minimum in 2012. Negative trends in median ice drafts and most ice fractions are observed, while open water and thinnest ice fractions (<0.3 m) have increased, attesting to the ablation or removal of the older sea ice from the BG over the 9 year period. Monthly anomalies indicate a shift occurred toward thinner ice after 2007, in which the thicker ice evident at the northern stations was reduced. Differences in the ice characteristics between all of the stations also diminished, so that the ice cover throughout the region became statistically homogenous. The moored data are used in a relationship with satellite radiometer data to estimate ice volume changes throughout the BG. Summer solid fresh water content decreased drastically in consecutive years from 730 km3 in 2006 to 570 km3 in 2007, and to 240 km3 in 2008. After a short rebound, solid fresh water fell below 220 km3 in 2012. Meanwhile, hydrographic data indicate that liquid fresh water in the BG in summer increased 5410 km3 from 2003 to 2010 and decreased at least 210 km3 by 2012. The reduction of both solid and liquid fresh water components indicates a net export of approximately 320 km3 of fresh water from the region occurred between 2010 and 2012, suggesting that the anticyclonic atmosphere-ocean circulation has weakened.Support for Krishfield, Proshutinsky, and Timmermans, partial financial support of logistics, hydrographic observations on the board of Canadian icebreaker, and full financial coverage of all mooring instrumentation was provided by the National Science Foundation (under grants OPP-0230184, OPP-0424864, ARC-0722694, ARC-0806306, ARC- 0856531, ARC-1107277, and ARC- 1203720), and Woods Hole Oceanographic Institution internal funding. Funding for Tateyama was provided by the International Arctic Research Center – Japan Aerospace Exploration Agency (IJIS) Arctic project, and for Williams, Carmack, and McLaughlin by Fisheries and Oceans Canada

Deterioration of perennial sea ice in the Beaufort Gyre from 2003 to 2012 and its impact on the oceanic freshwater cycle

© The Author(s), 2014. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Journal of Geophysical Research: Oceans 119 (2014): 1271-1305, doi:10.1002/2013JC008999.Time series of ice draft from 2003 to 2012 from moored sonar data are used to investigate variability and describe the reduction of the perennial sea ice cover in the Beaufort Gyre (BG), culminating in the extreme minimum in 2012. Negative trends in median ice drafts and most ice fractions are observed, while open water and thinnest ice fractions (<0.3 m) have increased, attesting to the ablation or removal of the older sea ice from the BG over the 9 year period. Monthly anomalies indicate a shift occurred toward thinner ice after 2007, in which the thicker ice evident at the northern stations was reduced. Differences in the ice characteristics between all of the stations also diminished, so that the ice cover throughout the region became statistically homogenous. The moored data are used in a relationship with satellite radiometer data to estimate ice volume changes throughout the BG. Summer solid fresh water content decreased drastically in consecutive years from 730 km3 in 2006 to 570 km3 in 2007, and to 240 km3 in 2008. After a short rebound, solid fresh water fell below 220 km3 in 2012. Meanwhile, hydrographic data indicate that liquid fresh water in the BG in summer increased 5410 km3 from 2003 to 2010 and decreased at least 210 km3 by 2012. The reduction of both solid and liquid fresh water components indicates a net export of approximately 320 km3 of fresh water from the region occurred between 2010 and 2012, suggesting that the anticyclonic atmosphere-ocean circulation has weakened.Support for Krishfield, Proshutinsky, and Timmermans, partial financial support of logistics, hydrographic observations on the board of Canadian icebreaker, and full financial coverage of all mooring instrumentation was provided by the National Science Foundation (under grants OPP-0230184, OPP-0424864, ARC-0722694, ARC-0806306, ARC- 0856531, ARC-1107277, and ARC- 1203720), and Woods Hole Oceanographic Institution internal funding. Funding for Tateyama was provided by the International Arctic Research Center – Japan Aerospace Exploration Agency (IJIS) Arctic project, and for Williams, Carmack, and McLaughlin by Fisheries and Oceans Canada

Carbon dynamics in the western Arctic Ocean : insights from full-depth carbon isotope profiles of DIC, DOC, and POC

© The Author(s), 2012. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Biogeosciences 9 (2012): 1217-1224, doi:10.5194/bg-9-1217-2012.Arctic warming is projected to continue throughout the coming century. Yet, our currently limited understanding of the Arctic Ocean carbon cycle hinders our ability to predict how changing conditions will affect local Arctic ecosystems, regional carbon budgets, and global climate. We present here the first set of concurrent, full-depth, dual-isotope profiles for dissolved inorganic carbon (DIC), dissolved organic carbon (DOC), and suspended particulate organic carbon (POCsusp) at two sites in the Canada Basin of the Arctic Ocean. The carbon isotope composition of sinking and suspended POC in the Arctic contrasts strongly with open ocean Atlantic and Pacific sites, pointing to a combination of inputs to Arctic POCsusp at depth, including surface-derived organic carbon (OC), sorbed/advected OC, and OC derived from in situ DIC fixation. The latter process appears to be particularly important at intermediate depths, where mass balance calculations suggest that OC derived from in situ DIC fixation contributes up to 22% of POCsusp. As in other oceans, surface-derived OC is still a dominant source to Arctic POCsusp. Yet, we suggest that significantly smaller vertical POC fluxes in the Canada Basin make it possible to see evidence of DIC fixation in the POCsusp pool even at the bulk isotope level.The 2008 JOIS hydrographic program was supported by Fisheries and Oceans Canada, the Canadian International Polar Year Office, and the US National Science Foundation (OPP-0424864; lead-PI Andrey Proshutinsky)

The rapid response of the Canada Basin to climate forcing : from bellwether to alarm bells

Author Posting. © Oceanography Society, 2011. This article is posted here by permission of Oceanography Society for personal use, not for redistribution. The definitive version was published in Oceanography 24 no. 3 (2011): 146–159, doi:10.5670/oceanog.2011.66.Sea ice extent in the Arctic Ocean diminished significantly during the first decade of the 2000s, most particularly in the Canada Basin where the loss of both multiyear and first-year ice was greater than in the other three subbasins. Using data collected during basin-wide surveys conducted from 2003–2010 together with data collected during the 1990s and 2000s at one station in the southern Canada Basin, we investigate the response of the Canada Basin water column to this significant decrease in ice cover. Changes were evident from the surface down to the Atlantic layer: some changes were the result of Beaufort Gyre forcing on regional processes, others were the result of Arctic Ocean atmospheric forcing on a hemispheric scale and large-scale advection. These changes have troubling consequences for the ecosystem.We acknowledge support from Fisheries and Oceans Canada, the US National Science Foundation Office of Polar Programs (grant OPP-0424864), and the Canadian International Polar Year office

Abortion provision in Northern Ireland: the views of health professionals working in obstetrics and gynaecology units

Introduction: Abortion became decriminalised in Northern Ireland in October 2019. Until that point there existed no evidence concerning the views of health professionals on decriminalisation or on their willingness to be involved in abortion care. The purpose of this study was to address this lack of evidence, including all categories of health professionals working in obstetrics and gynaecology units in Northern Ireland. Methods: The online survey was targeted at medical, nursing and midwifery staff working in the obstetrics and gynaecology units in each Health and Social Care (HSC) Trust in Northern Ireland. The survey was issued via clinical directors in each Trust using the REDCap platform. Results: The findings showed widespread support for decriminalisation of abortion up until 24 weeks’ gestation (n=169, 54%). The majority of clinicians stated they were willing to provide abortions in certain circumstances (which were undefined) (n=188, 60% medical abortions; n=157, 50% surgical abortions). Despite regional variation, the results show that there are sufficient numbers of clinicians to provide a service within each HSC Trust. The results indicate that many clinicians who report a religious affiliation are also supportive of decriminalisation (n=46, 51% Catholic; n=53, 45% Protestant) and are willing to provide care, countering the assumption that those of faith would all raise conscientious objections to service provision. Conclusions: The findings of this study are very encouraging for the development, implementation and delivery of local abortion care within HSC Trusts in Northern Ireland and should be of value in informing commissioners and providers about the design of a service model and its underpinning training programmes