Becoming intersubjective 'in medias res' of behaviours that challenge in dementia:A layered autoethnography

Behaviours that challenge in dementia, often described and diagnosed as behavioural psychological symptoms in dementia (BPSD) are experienced by over 90% of people living with dementia, and 75% of those admitted to hospital, with 43% of nurses reporting these behaviours as severely distressing to them. During behaviours that challenge moments in dementia there is an intersubjective relationship between the person living with dementia and the nurse. This can lead to both the nurse and the person living with dementia experiencing a variety of emotions. I suggest that much of the emotion that exists is created by interactions between our lived stories, which also have the potential of influencing the intersubjective experiential outcome. The study aims to make sense of my (first-person) experiences of intersubjectivity in medias res (Latin for in the midst) of behaviours that challenge in dementia, and also consider how I as a nurse can manage that intersubjective moment to achieve a positive outcome. I used layered autoethnography as my study’s methodology to gather retrospective personal and professional experiential data in moments where ‘I’ as a nurse have faced personal and professional challenges, and in doing so made relational connections between the two. To explore these connections my study was framed within a Deleuzian theory of time, where the pure past, meets the living present, creating a transient becoming future synthesis. Data was managed and analysed through rhizoanalytical methods, including Deleuzian-Guattarian rhizomatic mapping. The study established that although the ability to remain intersubjective remains for people living with dementia, interactions are often on an emotional level and not always based in the living present. It is therefore my role as a nurse to consider the story of other, whilst also evaluating self during moments of challenge by engaging in metacognitive and empathically curious nursing practice

Arbuscular mycorrhizal fungi in organic systems

Arbuscular mycorrhizal fungi (AMF) are potential contributors to plant nutrition and pathogen suppression in low input agricultural systems, although individual species of AMF vary widely in their functional attributes. Recent studies at HRI and elsewhere have suggested that in some agricultural systems inoculum of AMF is substantially lower under conventional management relative to that under organic management. Further studies have suggested that conventional management selects AMF communities with limited benefits to their plant hosts relative to those in organic systems. There is a need to investigate the generality of these findings, and their implications for the productivity of organic systems, particularly during the period following conversion to organic management. The current project was designed to pull together existing understanding of the role, and potential role, of AMF in organic systems, and to identify sites and develop methods for use in a subsequent research programme. The project had three objectives: 01 To deliver a literature review covering current knowledge of the role of AMF in conventional and organic agricultural systems. The review considered the ways in which management influences the structure and functioning of AMF communities, including their contributions under conventional and organic management, and recommendations for future research needs. 02 To establish the extent of differences in AMF inoculum between organic and conventional systems, covering a range of management practices. Paired organic and conventional fields at 12 sites from across England were selected to investigate the relationships between management, AMF communities and soil chemistry. Organic and conventionally managed soils showed no significant difference in soil chemical properties (Organic C, total N, total P, extractable P, K, Mg). However, organically managed soils had greater AMF spore numbers and root colonisation potential, and therefore higher AMF inoculum potential, than conventionally managed soil. The relative difference in AMF spore numbers between organic and conventionally managed fields increased with time since conversion. Differences in AMF inoculum potential between organic and conventionally managed fields, and between farm sites, could not be related to differences in soil chemistry. 03 To develop a method suitable for characterising AM fungus communities in soil libraries, based on 18S rRNA terminal restriction fragment length polymorphism (T-RFLP) T-RFLP was shown to provide a rapid semi-quantitative method for analysis of AMF community diversity. However it was clear that primers currently used to amplify AMF are selective and do not allow diversity of the whole AMF community to be determined. Additionally these primers amplify contaminant fungi which need to be removed from the T-RFLP profile prior to analysis. However, contaminant diversity was shown to be low. The project has identified sites and techniques which could be valuable in future research to study the role of AMF under organic management. The study has also highlighted a number of key areas in which further research is needed in order to harness AMF to improve sustainability and productivity of organic and other agricultural systems. In particular, there is a need to determine the extent to which AMF diversity varies between organic and conventional management, the rate and mechanisms by which AMF diversity increases following conversion to organic production, the relationships between AMF diversity and crop nutrition/ pathogen control, and the soil factors controlling the effectiveness of AMF inoculum

The Opportunities and Challenges of Conducting Observational Research in Care Homes: What a Researcher Brings, Does, and Leaves Behind?

Context: Observation is an increasingly popular method for care home research.However, there are challenges associated with the use of this method in this context.As researchers, what we bring, what we do, and what we leave behind when using thismethod can have a significant impact on the lives and work of people in care homes.Perspective: Drawing on the experiences of two research teams, we share realworld examples of the ethical, methodological, and practical concerns when usingthe non-participant observation method in a care home context. Four key areas forobservational research in care homes are considered: privacy and confidentiality;managing consent; observation activities and the role and skills of the researcher;and sensitivity, reflexivity, and relational aspects of observational research. We offerexamples from our work to guide researchers on: i) making a case for ethics; ii) theobservational ‘gaze’ (or focus); iii) including people who lack capacity; iv) addressingconcerns about care or practices; v) the role of the researcher; and vi) addressingobservational sensitivities.Implications: This paper highlights the opportunities and challenges of the nonparticipant observation method for care home research. In particular, we highlight theunique contextual and ‘people’ factors for researchers to consider. Our paper addressesa significant gap in the existing literature. It will be of interest to researchers worldwide, generating discussions that will support the research community to undertakeresearch that appropriately uses observational methods to address questions thatmatter for the sector and to generate high-quality evidence with the potential tobenefit those living and working in care homes

Tax base erosion and inequity from Michigan's assessment growth limit: The case of Detroit

In this paper we examine the degree to which Michigan's property value assessment growth cap has eroded the tax base and created substantial differences in effective tax rates among residential properties within the City of Detroit. While the analysis focuses on a specific city with significant tax base erosion challenges, it is relevant to other cities in Michigan and across the nation, particularly in states that impose assessment growth limits. Using quantile regression techniques, we examine how an assessment growth cap alters effective tax rate distributions within and across property value groups. Results show that the cap creates a wide range of effective tax rates across properties of similar value (horizontal inequity), and similar tax payments for properties of differing values (vertical inequity)

Property Tax Delinquency - Social Contract in Crisis: The Case of Detroit

In this paper we develop a theoretical model of the individual decision to become delinquent on one’s property tax payments. We then apply the model to the City of Detroit, Michigan, USA, where the city is in the midst of bankruptcy proceedings, and a rate of property tax delinquency of 48 percent, resulting in uncollected tax revenues of about 20 percent. We use detailed parcellevel data for Detroit to evaluate the factors that affect both the probability that a property owner is tax delinquent and, conditional upon delinquency, the magnitude of the delinquency. Our estimates show that properties that have lower value, longer police response times, are nonhomestead (non-owner occupied residential properties), have a higher statutory tax rate, have a higher assessed value relative to sales price, are owned by a financial institution or by a Detroit resident, are delinquent on water bills, and for which the probability of enforcement is low are more likely to be tax delinquent These findings can be used to inform policies targeted at improving tax compliance within the City

Statistical analysis of word-initial /k/ and /t/ produced by normal and phonologically disordered children

The acoustic characteristics of voiceless velar and alveolar stop consonants were investigated for normally articulating and phonologically disordered children using spectral moments. All the disordered children were perceived to produce It/ for /k/, with /k/ being absent from their phonetic inventories. Approximately 82% of the normally articulating children's consonants were classified correctly by discriminant function analysis, on the basis of the mean (first moment), skewness (third moment) and kurtosis (fourth moment) derived from the first 40 ms of the VOT interval. When the discriminant function developed for the normally articulating children was applied to the speech of the phonologically disordered group of children, no distinction was made between the velar and alveolar stops. Application of the model to the speech of individual children in the disordered group revealed that one child produced distinct markings to the velar-alveolar contrast. Variability measures of target /t/ and /k/ utterances indicated greater variability in this disordered child's productions compared with the normally articulating children. Phonological analysis of this child's speech after treatment, in which the velar-alveolar contrast was not treated, revealed target appropriate productions of both It/ and /k/. By contrast, the other three phonologically disordered children, for whom no acoustic distinction was found between target It/ and target /k/, did not evidence any knowledge of the contrast after treatment with other target phonemes.National Institutes of Health DC00433, RR7031K, DC00076, DC001694 (PI: Gierut)This is an Accepted Manuscript of an article published by Taylor & Francis in Clinical Linguistics & Phonetics on January 1990, available online: http://wwww.tandfonline.com/10.1080/026992000750020341

Three years of Fermi GBM Earth Occultation Monitoring: Observations of Hard X-ray/Soft Gamma-Ray Sources

The Gamma ray Burst Monitor (GBM) on board Fermi has been providing continuous data to the astronomical community since 2008 August 12. In this paper we present the results of the analysis of the first three years of these continuous data using the Earth occultation technique to monitor a catalog of 209 sources. From this catalog, we detect 99 sources, including 40 low-mass X-ray binary/neutron star systems, 31 high-mass X-ray binary neutron star systems, 12 black hole binaries, 12 active galaxies, 2 other sources, plus the Crab Nebula, and the Sun. Nine of these sources are detected in the 100-300 keV band, including seven black-hole binaries, the active galaxy Cen A, and the Crab. The Crab and Cyg X-1 are also detected in the 300-500 keV band. GBM provides complementary data to other sky-monitors below 100 keV and is the only all-sky monitor above 100 keV. Up-to-date light curves for all of the catalog sources can be found at http://heastro.phys.lsu.edu/gbm/.Comment: 24 pages, 12 figures, accepted for publication in ApJ

Transitioning to rural practice together: a rural fellowship model (in 6 Ps).

PURPOSE: Maintaining a robust healthcare workforce in underserved rural communities continues to be a challenge. To better meet healthcare needs in rural areas, training programs must develop innovative ways to foster transition to, and integration into, these communities. Mountain Area Health Education Center designed and implemented a 12-month post-residency Rural Fellowship program to enhance placement, transition, and retention in rural North Carolina. Utilizing a '6 Ps' framework, the program targeted physicians and pharmacists completing residency with the purpose of recruiting and supporting their transition into the first year of rural practice. METHOD: To better understand Rural Fellows' experiences and the immediate impact of their Fellowship year, we conducted a semi-structured interview using a narrative technique and evaluated retention rates over time. Interviews with the eight participants, which included Fellowship alumni and current Fellows, demonstrated the impact and influence of the key curricular '6 Ps' framework. RESULTS: An early retention rate of 100% and a long-term retention rate of 87%, combined with expressed clarity of curricular knowledge, skills, and attitudes related to the '6 Ps', demonstrate the potential and effectiveness of this Rural Fellowship model. Participants indicated the Rural Fellowship experience supports the transition to rural practice communities and expands their clinical skills. CONCLUSION: The Rural Fellowship program demonstrates an effective model to support early career healthcare providers as they begin practice in rural communities in western North Carolina through academic opportunities, personal growth, and professional development. Implementation of this model has demonstrated the success of a rural retention model over a 6-year period. This model has the potential to target an array of clinical providers and disciplines. We started with family medicine and have expanded to psychiatry, obstetrics, pharmacy, and nursing. This study demonstrated that this model supports clinical providers during the critical transition period from residency to practice. Targeting the most important stage of one's medical training, the commencement of professional practice, this is a scalable model for other rural-based health professions education sites where rural recruitment and retention remain a problem