The use of non-pharmacological interventions for dementia behaviours in care homes: findings from four in-depth, ethnographic case studies

Background: antipsychotic medications have been used to manage behavioural and psychological symptoms of dementia (BPSD). Due to the potential risks associated with these medications for people with dementia, non-pharmacological interventions (NPIs) have been recommended as safer alternatives. However, it is unknown if, or how, these interventions are used in care homes to help people experiencing BPSD. Aim: to explore the use of NPIs in care homes to manage BPSD. Methods: In-depth, ethnographic case studies were conducted in four care homes; in total, they included interviews with 40 care-home staff and 384 hours of participant observations. Findings: NPIs, some of which are the focus of efficacy research, were used in care homes but predominantly as activities to improve the quality of life of all residents and not identified by staff as meeting individual needs in order to prevent or manage specific behaviours. Socially relevant activities such as offering a cup of tea were used to address behaviours in the moment. Residents with high levels of need experienced barriers to inclusion in the activities. Conclusions: there is a gap between rhetoric and practice with most NPIs in care homes used as social activities rather than as targeted interventions. If NPIs are to become viable alternatives to antipsychotic medications in care homes, further work is needed to embed them into usual care practices and routines. Training for care-home staff could also enable residents with high needs to gain better access to suitable activities

Enhancing Aerodynamic Performance of Vertical Stabilizers through Leading Edge Modifications: A CFD Analysis

This research paper presents a meticulous investigation that was conducted by the authors for the effects of variable length V-shaped leading-edge morphing on drag reduction in NACA 0012 vertical stabilizers. This study aimed at enhancing the aerodynamic performance of these critical aircraft components under transonic conditions. Employing computational fluid dynamics (CFD) analysis, the researchers explored the potential of V-shaped leading- edge morphing in improving the overall aerodynamic efficiency. Through systematic simulations and rigorous analysis, the researchers were able to provide valuable insights into the effects of different leading-edge lengths and angles of attack on drag coefficients and lift performance. While the outcomes did not yield a significant reduction in drag, this research significantly contributes to the ongoing exploration of innovative techniques in aerodynamics for mitigating drag penalties in vertical stabilizers

Design Management Program Application for Internet Access in STMIK Jakarta Pusyanet

A medium used for the general course requires management to continuity ofoperations, not much different from the means of Internet access that is intended forstudents STMIK Jakarta. By using application programs created with Visual Basiclanguage, management of user identities, the use and timing of each user requests alist of all of them are stored in the database using Microsoft Access

Characteristics of Cognitive Behavioral Therapy for Older Adults Living in Residential Care: Protocol for a Systematic Review

Background: The prevalence rates of depressive and anxiety disorders are high in residential aged care settings. Older adults in such settings might be prone to these disorders because of losses associated with transitioning to residential care, uncertainty about the future, as well as a decline in personal autonomy, health, and cognition. Cognitive behavioral therapy (CBT) is efficacious in treating late-life depression and anxiety. However, there remains a dearth of studies examining CBT in residential settings compared with community settings. Typically, older adults living in residential settings have higher care needs than those living in the community. To date, no systematic reviews have been conducted on the content and the delivery characteristics of CBT for older adults living in residential aged care settings. Objective: The objective of this paper is to describe the systematic review protocol on the characteristics of CBT for depression and/or anxiety for older adults living in residential aged care settings. Methods: This protocol was developed in compliance with the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Studies that fulfill the inclusion criteria will be identified by systematically searching relevant electronic databases, reference lists, and citation indexes. In addition, the PRISMA flowchart will be used to record the selection process. A pilot-tested data collection form will be used to extract and record data from the included studies. Two reviewers will be involved in screening the titles and abstracts of retrieved records, screening the full text of potentially relevant reports, and extracting data. Then, the delivery and content characteristics of different CBT programs of the included studies, where available, will be summarized in a table. Furthermore, the Downs and Black checklist will be used to assess the methodological quality of the included studies. Results: Systematic searches will commence in May 2018, and data extraction is expected to commence in July 2018. Data analyses and writing will happen in October 2018. Conclusions: In this section, the limitations of the systematic review will be outlined. Clinical implications for treating late-life depression and/or anxiety, and implications for residential care facilities will be discussed

Time as a Dimension of Byzantine Identity

The notion of identity (tautotes) was discussed, often in contrast to its opposite “otherness” (heterotes), not only during Classical Antiquity but also by Christian and Byzantine authors since Late Antiquity. Fundamental manifestations of every dimension of Byzantine identity – and in particular of collective identity – are language (including culture), religious (and political) commitment, space and time; these phenomena are deeply rooted in human consciousness. This paper deals with the relation between identity and time (temporality). This relation is analysed on the basis of key terms like aion, kairos and chronos and the relations among them; the individualization of temporality becomes manifest in combinations of the mentioned terms with adjectives like emos or hemeteros. Not surprisingly, Byzantine authors – referring to passages in the Old and the New Testament – dealt mainly with eschatological (cosmic) time in relation to individual and collective identity, whereas the interest in the historical dimension of time was limited to authors of a small educated class

Physics 422 Spring 2023 Syllabus

Spring 2023 course syllabus for Physics 422, Biophysics, at the City College of New Yor

Agriculture on Both Sides of the City Walls: The Vegetable Supply of Constantinople According to the Geoponika

The supply of everyday food for the great mass of the population of the Byzantine Empire changed over the period of more than a millennium, though slowly. It depended on the geological and climatic conditions of agriculture, which – within a territory extending over up to roughly 1.5 million km2 in the Middle Byzantine period – differed from region to region. Constantinople, from the fourth to the fifteenth century the capital of the Byzantine Empire, and subsequently until the early twentieth century that of the Ottoman Empire, was a special case: it was a megalopolis. Constantinople could not rely on its hinterland alone and therefore had to develop a system of logistics, in which transportation depended among other factors on the durability of the foodstuffs. Fresh or preserved (salted) vegetables, pulses, olives, and fruits constituted an important proportion of everyday food not only during Lent, but throughout the year (though many fresh vegetables and fruits were only available seasonally). Chapter 12.1 of the Geoponika, a tenth-century collection of agricultural lore, provides “Information about what is sown and what is planted out (or replanted) month by month in the latitude of Constantinople” (title). The contents of this source and its significance for our knowledge of farming in and near Constantinople are discussed in this paper.The supply of everyday food for the great mass of the population of the Byzantine Empire changed over the period of more than a millennium, though slowly. It depended on the geological and climatic conditions of agriculture, which – within a territory extending over up to roughly 1.5 million km2 in the Middle Byzantine period – differed from region to region. Constantinople, from the fourth to the fifteenth century the capital of the Byzantine Empire, and subsequently until the early twentieth century that of the Ottoman Empire, was a special case: it was a megalopolis. Constantinople could not rely on its hinterland alone and therefore had to develop a system of logistics, in which transportation depended among other factors on the durability of the foodstuffs. Fresh or preserved (salted) vegetables, pulses, olives, and fruits constituted an important proportion of everyday food not only during Lent, but throughout the year (though many fresh vegetables and fruits were only available seasonally). Chapter 12.1 of the Geoponika, a tenth-century collection of agricultural lore, provides “Information about what is sown and what is planted out (or replanted) month by month in the latitude of Constantinople” (title). The contents of this source and its significance for our knowledge of farming in and near Constantinople are discussed in this paper