Living and coping with Parkinson's disease: Perceptions of informal carers

A review of the literature highlights the important role informal carers play in the provision of palliative care in the community. In order to explore the caring experience of relatives with Parkinson’s Disease (PD), interviews were conducted with 26 informal family caregivers. Interviews were taped, transcribed and subjected to content analysis. All caregivers were spouses, the majority female ( n = 17) and all were responsible for providing physical, social and emotional care in the home. Although they viewed care giving as their role and duty, the results highlight the widespread burden of providing care on the emotional and physical health of the caregivers. The financial implications for providing care were outlined, with many reporting difficulty in accessing benefits. From the point of diagnosis, which had a huge emotional impact on relatives and carers, carers did not feel health professionals integrated them within the caring journey. Since diagnosis, carers commented on the lack of continued and coordinated care plans for relatives, resulting in symptoms being mismanaged and care opportunities for relatives and carers missed. Stereotypes of the meaning and timing of palliative care were common with many viewing it as being synonymous with cancer and not applicable to a person with PD. As the well-being of the informal carer directly influences the care of the person with PD, support interventions are required to relieve their burden, maximize outcomes and ensure targeting of services. </jats:p

Simplified mean-variance portfolio optimisation

We propose a simplified approach to mean-variance portfolio problems by changing their parametrisation from trading strategies to final positions. This allows us to treat, under a very mild no-arbitrage-type assumption, a whole range of quadratic optimisation problems by simple mathematical tools in a unified and model-independent way. We pro- vide explicit formulas for optimal positions and values, connections between the solutions to the different problems, two-fund separation results, and explicit expressions for indifference values

Between Education and Propaganda: Public Controversy Over Presidential Library Design

While there is abundant scholarship on extant presidential libraries, rejected presidential library proposals are comparatively understudied. Here, we analyze the public controversies surrounding Richard Nixon's and Ronald Reagan's ill-fated plans for housing their presidential libraries at Duke and Stanford Universities, respectively. These parallel cases offer a glimpse into what Thomas Farrell terms “social knowledge in controversy” — episodes where prevailing social precedents governing human decision-making evolve in the crucible of public argument. What are the presumptions about how presidential libraries should be built and operated? How did they shape the public argument at Duke and Stanford during the early 1980s, and in turn, how did those schools' ultimate decisions to reject the Nixon and Reagan Library proposals reinforce or mold the presumptions? Through examination of primary documents housed at the Stanford and Duke University archives, we generate insight regarding the evolving political function of presidential libraries, and explore the utility of Chaïm Perelman and Lucie Olbrechts-Tyteca's theory of argumentation as a tool of rhetorical criticism. Such inquiry is especially timely in the contemporary milieu, where public controversy simmers regarding the 43rd American president's future library at Southern Methodist University, and where issues of government transparency and accountability persist as salient topics of public and scholarly concern

Accounting &amp; NPM in UK Local Government - contributions towards accountability

Despite its size and economic importance, accounting in UK local government is still relatively under-researched. Two important developments which have emerged in recent years across the whole public sector are governance and New Public Management. It is timely to study the contribution which local government accounting makes in this changing context. Governance has proved a particularly contentious concept to define. This study has attempted to understand governance from the participants’ perspective and consequently a grounded theory methodology has been used. The empirical research comprised four UK local authority case studies over a twelve month period. The grounded theory developed makes two important contributions to our knowledge of accounting and NPM in relation to governance and accountability in local government. These are the relative importance of accountability rather than governance per se to participants, and the more significant contribution to accountability made by budgeting practices rather than NPM practices such as performance indicators, contracting out of services and Best Value studies. The reasons for these findings are explored and theorised in the paper, using Bourdieu's concept of habitus