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

Oxygen isotope ratio, barium and salinity in waters around the North American coast from the Pacific to the Atlantic: Implications for freshwater sources to the Arctic throughflow

In 2002, oxygen isotope ratios of water (H218O/H216O), dissolved barium, and salinity were measured in surface waters around northern North America to identify freshwater sources and to provide a large-scale background for interpretation of regional inputs and processes. Oxygen isotope ratios showed that precipitation, river runoff, and sea ice meltwater were all significant contributors to the freshwater carried by the coastal component of the Arctic throughflow. Precipitation and runoff contributed \u3c40% and \u3e60%, respectively, to the freshwater found in surface waters along the Pacific coast. Sea ice meltwater contributed up to 65% to waters residing near the Mackenzie River and in the Canadian Arctic Archipelago. The salinity-barium relationship, after being corrected for dilution by sea ice meltwater, indicated that freshwater from the Mackenzie River flowed eastward into Amundsen Gulf. It did not, however, continue eastward through Dolphin Union Strait and Coronation Gulf in 2002. In the eastern part of the Canadian Arctic Archipelago, Baffin Bay and the Labrador Sea, barium concentrations in surface waters were low, the result of biological activity and/or local freshwater inputs with low barium concentrations

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)

Re-implantation of cryopreserved ovarian cortex resulting in restoration of ovarian function, natural conception and successful pregnancy after haematopoietic stem cell transplantation for Wilms tumour

With the improvement of long-term cancer survival rates, growing numbers of female survivors are suffering from treatment-related premature ovarian insufficiency (POI). Although pre-treatment embryo and oocyte storage are effective fertility preservation strategies, they are not possible for pre-pubertal girls or women who cannot delay treatment. In these cases, the only available treatment option is ovarian cortex cryopreservation and subsequent re-implantation. A 32-year-old woman had ovarian cortex cryopreserved 10 years previously before commencing high-dose chemotherapy and undergoing a haematopoietic stem cell transplant for recurrent adult Wilms tumour, which resulted in POI. She underwent laparoscopic orthotopic transplantation of cryopreserved ovarian cortex to the original site of biopsy on the left ovary. She ovulated at 15 and 29 weeks post-re-implantation with AMH detectable, then rising, from 21 weeks, and conceived naturally following the second ovulation. The pregnancy was uncomplicated and a healthy male infant was born by elective Caesarean section at 36(+4) weeks gestation. This is the first report of ovarian cortex re-implantation in the UK. Despite the patient receiving low-risk chemotherapy prior to cryopreservation and the prolonged tissue storage duration, the re-implantation resulted in rapid restoration of ovarian function and natural conception with successful pregnancy

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