Pemban Farmer Agency in Adapting to Climate Change

As a result of climate change, agricultural societies will be challenged by a variety of altered conditions, including increased severe weather events, saltwater intrusion, pest and disease outbreaks, and higher temperatures. The island of Pemba, in the Zanzibar archipelago, is home to many small-scale agriculturalists. During this study, I interviewed Pemban farmers in the districts of Wete and Micheweni about their awareness of the impacts of climate change and the mitigation strategies that they have implemented. The results from Pemba were compared to relevant academic literature regarding climate change to explore whether disparities exist between models of climate change in the region and the lived experience of farmers

Embodied Energy Geographies: An Exploration of Fracked Landscapes in the Ohio River Valley

Methane gas production has boomed across the United States as a result of the development of fracking technology and its associated infrastructures, including pipelines. This production has provoked resistance over a litany of environmental and social concerns at both global and local scales. These concerns are compounded by a history of extractive economies and degradation in the Marcellus shale region of Appalachia and the Ohio River Valley. To date, there has been limited research at the intersection of extractive industry and emotional geography, especially around pipelines. This research draws on feminist, emotional, and energy geographies and uses semi-structured interviews and body mapping focus groups to investigate the ways in which place-based identity, sense of place, and place attachment have been impacted by the oil and gas buildout, and how these impacts are emotionally embodied. Participants in this research spoke to the ways in which pipelines, compressor stations, gas wells, and other fracked gas infrastructures have significantly impacted their relationships to their homes, communities, and selves. They described the physical and psychological impacts from the industrial buildout, including health impacts and emotional upheaval, which could feel inescapable and uncontrollable. Participants invoked concepts of energy landscapes and energy terrains to discuss multiple scales and sites of impact from industry buildout, and understood the linked geographies of the home, landscape, and self through embodied emotions. These findings highlight that fracked gas infrastructures have the affectual, emotional capacity to disrupt place attachment and place identity for impacted residents, manifested through embodied emotions. This thesis addresses the conceptual gap at the intersection of energy and emotional geographies through a focus on the embodied experiences of the self, home, and landscape in relation to the oil and gas buildout in the Ohio River Valley. This thesis has broad implications for decision-making processes around extreme energy production through an illustration of the lived experiences of fenceline communities

“Don\u27t frack with us!” An Analysis of Two Anti-Pipeline Movements

This study seeks to compare grassroots organizing efforts against two different fracked gas pipelines. Rooting my analysis in the theory of social movements, I focus on the role of the ideological grounding of the resistance movements, the composition of resistance coalitions formed, and the tactics and strategies employed in opposition to these pipelines. I find that a broad-based coalition with a focus on relationship-building is important to the success of the movement. Additionally, I determine that the presence and involvement of small, medium, and large nonprofits as well as the use of direct action strongly contribute to the success of anti-pipeline movements. These insights are useful for those working to build successful resistance movements against the fossil fuel and extractive industries. This investigation adds to our understanding of grassroots movements, environmental justice praxis, and left politics in practice

The prevalence of sarcopenia in fallers and those at risk of falls in a secondary care falls unit as measured by bioimpedance analysis

Objectives: Sarcopenia is characterised by loss of skeletal muscle mass and strength with adverse outcomes: physical disability, poor quality of life and death. Low muscle mass and strength are risk factors for falls, although there are few data available on the prevalence of sarcopenia in fallers. This study aimed to determine prevalence of sarcopenia in older people referred to a falls clinic. Methods: Consecutive patients referred to a secondary care falls unit were recruited. Sarcopenia was diagnosed using the European Working Group on Sarcopenia definition (low muscle mass and function) and cut-off points. Bio-impedance measured appendicular skeletal muscle mass. Gait speed and grip strength were functional measures. Results: Fifty-eight patients were recruited. Mean (SD) grip strength for women and men respectively were 17.9 (4.9) and 29.9(8.7) kg, mean (SD) gait speeds were 0.61(0.18) and 0.72 (0.4) m/s, mean (SD) appendicular skeletal muscle index in women and men were 6.98(1.0) and 7.85 (1.0) kg/m2 (p=0.018). Prevalence of sarcopenia was 9.8% (95% CI=1.6%-18%). Conclusions: Sarcopenia, as measured by bio-impedance is not uncommon in older people accessing a secondary care falls clinic. Bio-impedance was simple to perform, although further validation against gold standard methods is needed. As nutritional and exercise interventions for sarcopenia are available, simple methods for diagnosing sarcopenia in fallers should be considered

Precursors to social and communication difficulties in infants at-risk for autism: gaze following and attentional engagement

Whilst joint attention (JA) impairments in autism have been widely studied, little is known about the early development of gaze following, a precursor to establishing JA. We employed eye-tracking to record gaze following longitudinally in infants with and without a family history of autism spectrum disorder (ASD) at 7 and 13 months. No group difference was found between at-risk and low-risk infants in gaze following behaviour at either age. However, despite following gaze successfully at 13 months, at-risk infants with later emerging socio-communication difficulties (both those with ASD and atypical development at 36 months of age) allocated less attention to the congruent object compared to typically developing at-risk siblings and low-risk controls. The findings suggest that the subtle emergence of difficulties in JA in infancy may be related to ASD and other atypical outcomes

Developmental pathways to autism: a review of prospective studies of infants at risk

Autism Spectrum Disorders (ASDs) are neurodevelopmental disorders characterized by impairments in social interaction and communication, and the presence of restrictive and repetitive behaviors. Symptoms of ASD likely emerge from a complex interaction between pre-existing neurodevelopmental vulnerabilities and the child's environment, modified by compensatory skills and protective factors. Prospective studies of infants at high familial risk for ASD (who have an older sibling with a diagnosis) are beginning to characterize these developmental pathways to the emergence of clinical symptoms. Here, we review the range of behavioral and neurocognitive markers for later ASD that have been identified in high-risk infants in the first years of life. We discuss theoretical implications of emerging patterns, and identify key directions for future work, including potential resolutions to several methodological challenges for the field. Mapping how ASD unfolds from birth is critical to our understanding of the developmental mechanisms underlying this disorder. A more nuanced understanding of developmental pathways to ASD will help us not only to identify children who need early intervention, but also to improve the range of interventions available to them

Integrating plant physiology into simulation of fire behavior and effects

Wildfires are a global crisis, but current fire models fail to capture vegetation response to changing climate. With drought and elevated temperature increasing the importance of vegetation dynamics to fire behavior, and the advent of next generation models capable of capturing increasingly complex physical processes, we provide a renewed focus on representation of woody vegetation in fire models. Currently, the most advanced representations of fire behavior and biophysical fire effects are found in distinct classes of fine-scale models and do not capture variation in live fuel (i.e. living plant) properties. We demonstrate that plant water and carbon dynamics, which influence combustion and heat transfer into the plant and often dictate plant survival, provide the mechanistic linkage between fire behavior and effects. Our conceptual framework linking remotely sensed estimates of plant water and carbon to fine-scale models of fire behavior and effects could be a critical first step toward improving the fidelity of the coarse scale models that are now relied upon for global fire forecasting. This process-based approach will be essential to capturing the influence of physiological responses to drought and warming on live fuel conditions, strengthening the science needed to guide fire managers in an uncertain future

Promoting activity, independence and stability in early dementia and milk cognitive impairment (PrAISED): randomised controlled trial

Objective To determine the effectiveness of an exercise and functional activity therapy intervention in adults with early dementia or mild cognitive impairment compared with usual care. Design Randomised controlled trial. Setting Participants’ homes and communities at five sites in the United Kingdom. Participants 365 adults with early dementia or mild cognitive impairment who were living at home, and family members or carers. Intervention The intervention, Promoting activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED), was a specially designed, dementia specific, rehabilitation programme focusing on strength, balance, physical activity, and performance of activities of daily living, which was tailored and progressive and addressed risk and the psychological needs of people with dementia. Up to 50 therapy sessions were provided over 12 months. The control group received usual care plus a falls risk assessment. Procedures were adapted during the covid-19 pandemic. Main outcome measures The primary outcome was score on the carer (informant) reported disability assessment for dementia scale 12 months after randomisation. Secondary outcomes were self-reported activities of daily living, physical activity, quality of life, balance, functional mobility, fear of falling, frailty, cognition, mood, carer strain, service use at 12 months, and falls between months 4 and 15. Results 365 patient participants were randomised, 183 to intervention and 182 to control. The median age of participants was 80 years (range 65-95), median Montreal cognitive assessment score was 20 out of 30 (range 13-26), and 58% (n=210) were men. Intervention participants received a median of 31 therapy sessions (interquartile range 22-40) and reported completing a mean 121 minutes of PrAISED exercise each week. Primary outcome data were available for 149 intervention and 141 control participants. Scores on the disability assessment for dementia scale did not differ between groups: adjusted mean difference −1.3, 95% confidence interval −5.2 to 2.6; Cohen’s d effect size −0.06, 95% confidence interval −0.26 to 0.15; P=0.51). Upper 95% confidence intervals excluded small to moderate effects on any of the range of outcome measures. Between months 4 and 15 the intervention group experienced 79 falls and the control group 200 falls (adjusted incidence rate ratio 0.78, 95% confidence interval 0.5 to 1.3; P=0.3). Conclusion The intensive PrAISED programme of exercise and functional activity training did not improve activities of daily living, physical activity, or quality of life; reduce falls; or improve any other secondary health status outcomes, despite good uptake. Future research should consider alternative approaches to maintaining ability and wellbeing in people with dementia