"Where did I park my car?" : a mixed methods investigation on mild cognitive impairment diagnosis in New Zealand : a thesis submitted in partial fulfilment of the requirements for the degree of a Doctor of Philosophy in Psychology at Massey University, Wellington, New Zealand

Mild cognitive impairment (MCI) is defined as an objective impairment in cognitive function which spares everyday functional ability. The syndrome is shrouded in controversy regarding definition, cut-off criteria, and clinical utility. Consequently, it is an uncertain label for the client being diagnosed by their healthcare practitioner. To date, minimal research in New Zealand has focused on MCI within specialist assessment services. Reasons for this paucity of literature will be discussed throughout this thesis. The current research aimed to identify how practitioners deliver and perceive cognitive impairment diagnosis, and examine how clients respond to receiving this diagnosis. Client experiences were framed within the common sense model (CSM). This theory originates from health psychology, where coping behaviour is said to be influenced by the cognitive representations that a person has about their condition. Although the framework is previously discussed in relation to chronic illness, international researchers have started to examine the utility of the model in explaining MCI diagnosis response. Given this context, the CSM framework guided the client-focused components of this thesis. In Study One, 57 practitioners who diagnose cognitive impairment completed a questionnaire on labels applied to MCI and beliefs about the value of diagnosis delivery. Responses were analysed using content analysis to gain an impression of professional practice. Cognitive disorder - not otherwise specified (CD-NOS), early dementia, and normal ageing were reported to additionally label the symptoms of MCI in clinical practice. In Study Two, client responses were examined in a small clinical sample (N = 9) diagnosed with MCI and CD-NOS. Participants were interviewed twice within six months of initial diagnosis. Interpretative phenomenological analysis was used to gain insight into how people cope and make sense of their diagnosis over time. Descriptive analyses were also undertaken with a subset of Study Two data to examine changes and differences in coping strategies over time. Findings suggest that participants may not see their diagnosis as an illness or significant health threat in the first six months following diagnosis. This prompts a question on the suitability of an illness model with reference to diagnosis response. Findings from this research add to the literature by highlighting practice associated with an evolving form of clinical diagnosis in NZ

Riding the Technological Rapids with the Millennials

The Millennial Generation is generally agreed to be those born between approximately 1982 and 2002. Neil Howe and Bill Strauss are credited with coining the term Millennials, as well as generally defining the birth years of this generation in their book Millennials rising: the next great generation. A few others disagree and define this generation as starting as early as 1979 or as late as 1984; additionally, there are even those who define the Millennial generation as ending as early as 1994. There is no easy way to define a generation. In the past, many have used the change in birth statistics to define generations, but there are other ways to confirm the birth years of any particular generation that may make more sense (Howe and Strauss, 2000, p.40). One of the most interesting is to define generations based on what experiences they missed

The incidence of capital taxation and the magnitude of its burden.

Capital ; Taxation

Do state corporate income taxes reduce wages?

Amid falling revenues and impending budget shortfalls, state policymakers must find ways to increase revenue, cut spending, or both. At the same time, they must develop policies that attract or keep businesses and jobs. Some policymakers may consider raising corporate tax rates because it avoids directly taxing workers who are already suffering the effects of this recession. But as states reevaluate their current tax policy, it is important to consider the effects of each tax component. One important question is: Who will bear the burden of the taxes? ; State corporate income taxes are complex, and thus the answer to this question is far from obvious. Many believe that the state corporate tax structure is highly progressive because the corporate capital taxed is owned disproportionately by wealthy individuals. In today's economy, however, the burden of the corporate tax may have shifted to consumers or labor, resulting in a less progressive tax structure. ; Research has shown that in some cases labor bears a substantial weight of the corporate tax. While this burden has fluctuated over time, the relationship between corporate taxes and wages has been consistently negative. In other words, higher corporate taxes are typically associated with lower wages. ; Felix examines the impact of state corporate taxes on wages. She shows that corporate taxes reduce wages and that the magnitude of the negative relationship between the taxes and wages has increased over the past 30 years. She also finds that state corporate taxes have a larger negative effect on more highly educated workers.

The growth and volatility of state tax revenue sources in the Tenth District

With the sluggishness in the national economy in 2008, many state governments are projecting budget shortfalls for the 2009 fiscal year. This trend is a concern to policymakers, as the health of a state's tax revenues is important to its economic growth and its ability to finance the public services that residents demand. State governments provide physical infrastructure, educate the future workforce, and protect people and property. In addition, in the Tenth Federal Reserve District, state and local governments employ over 16 percent of the workforce. ; While a number of factors influence the growth and volatility of state tax revenues, one key determinant is the composition of each state's tax portfolio. Governments desire a portfolio of tax instruments that allows for revenues to grow with the economy so that spending demands can be met without much change in tax rates. At the same time, stability in the revenue stream is important so that governments are not left with large financing constraints during downturns. ; Felix analyzes the impact of portfolio composition on the growth and stability of state tax revenues, particularly in the states that make up the Tenth District. She uses long-run and short-run elasticity estimates to analyze the growth and stability of each tax instrument and discusses implications for Tenth District states.

Can Memoirs Be Used For Spiritual Development in a Book Group?

Biographies have historically been used by Christians for instruction and encouragement. The current trend in biographical writing is the memoir. Can spiritual memoirs be used as an effective tool for learning more about Scripture, doctrine or the Christian life? Approximately twenty spiritual memoirs were read and evaluated to determine if there was a central theme or series of themes that provided a story-based context for exploring greater biblical truths. This article reviews the genre of spiritual memoirs, discusses their strengths and weaknesses, and suggests a method for preparing them for a book group format

Functional genomic analysis of C. elegans molting.

Although the molting cycle is a hallmark of insects and nematodes, neither the endocrine control of molting via size, stage, and nutritional inputs nor the enzymatic mechanism for synthesis and release of the exoskeleton is well understood. Here, we identify endocrine and enzymatic regulators of molting in C. elegans through a genome-wide RNA-interference screen. Products of the 159 genes discovered include annotated transcription factors, secreted peptides, transmembrane proteins, and extracellular matrix enzymes essential for molting. Fusions between several genes and green fluorescent protein show a pulse of expression before each molt in epithelial cells that synthesize the exoskeleton, indicating that the corresponding proteins are made in the correct time and place to regulate molting. We show further that inactivation of particular genes abrogates expression of the green fluorescent protein reporter genes, revealing regulatory networks that might couple the expression of genes essential for molting to endocrine cues. Many molting genes are conserved in parasitic nematodes responsible for human disease, and thus represent attractive targets for pesticide and pharmaceutical development

Who offers tax-based business development incentives?

Many American communities seek to attract or retain businesses with tax abatements, tax credits, or tax increment financing of infrastructure projects (TIFs). The evidence for 1999 indicates that communities are most likely to offer one or more of these business development incentives if their residents have low incomes, if they are located close to state borders, and if their states have troubled political cultures. Ten percent greater median household income is associated with a 3.2 percent lower probability of offering incentives; ten percent greater distance from a state border is associated with a 1.0 percent lower probability of offering incentives; and a 10 percent higher rate at which government officials are convicted of federal corruption crimes is associated with a 1.2 percent greater probability of offering business incentives. TIFs are the preferred incentive of communities whose residents have household incomes between $25,000 and$75,000; whereas TIFs are much less commonly offered by communities whose residents have household incomes below $25,000. The need to finance TIFs out of incremental tax revenues may make it infeasible for many of the poorest of communities to use TIFs for local business development.

Towers of recollement and bases for diagram algebras: planar diagrams and a little beyond

The recollement approach to the representation theory of sequences of algebras is extended to pass basis information directly through the globalisation functor. The method is hence adapted to treat sequences that are not necessarily towers by inclusion, such as symplectic blob algebras (diagram algebra quotients of the type-\hati{C} Hecke algebras). By carefully reviewing the diagram algebra construction, we find a new set of functors interrelating module categories of ordinary blob algebras (diagram algebra quotients of the type-${B}$ Hecke algebras) at {\em different} values of the algebra parameters. We show that these functors generalise to determine the structure of symplectic blob algebras, and hence of certain two-boundary Temperley-Lieb algebras arising in Statistical Mechanics. We identify the diagram basis with a cellular basis for each symplectic blob algebra, and prove that these algebras are quasihereditary over a field for almost all parameter choices, and generically semisimple. (That is, we give bases for all cell and standard modules.)Comment: 61 page