Rural Sense: Value, Heritage, and Sensory Landscapes: Developing a Design-oriented Approach to Mapping for Healthier Landscapes

Landscape design needs a novel value system centred on human experience of the landscape rather than simply on economic value. Design-oriented research allows us to shift the focus from mechanistic paradigms towards new sense-making approaches that value both the sensual and the cognitive in human experience. To move in this direction, we investigate cultural and natural aspects of sensory experience in rural landscapes, arguing that: (1) rural (non-urban) regions offer diverse sensory experiences for optimising human health; and (2) spatial interconnectedness between rural and urban areas means that healthy rural regions are critical for urban development. Our key argument is that many rural landscapes contain intrinsically valuable traditional practices that create multisensory experiences with untapped benefits for human wellbeing, particularly in the auditory and olfactory realms, and thus a mapping system that accounts for sensory experience is required

Rural Sense: Value, Heritage, and Sensory Landscapes: Developing a Design-oriented Approach to Mapping for Healthier Landscapes

Landscape design needs a novel value system centred on human experience of the landscape rather than simply on economic value. Design-oriented research allows us to shift the focus from mechanistic paradigms towards new sensemaking approaches that value both the sensual and the cognitive in human experience. To move in this direction, we investigate cultural and natural aspects of sensory experience in rural landscapes, arguing that: (1) rural (non-urban) regions offer diverse sensory experiences for optimising human health; and (2) spatial interconnectedness between rural and urban areas means that healthy rural regions are critical for urban development. Our key argument is that many rural landscapes contain intrinsically valuable traditional practices that create multisensory experiences with untapped benefits for human well-being, particularly in the auditory and olfactory realms, and thus a mapping system that accounts for sensory experience is required

Retinal Detachment with Vitreous Hemorrhage Causing Acute Angle Closure Glaucoma

A 90-year-old female with past medical history of trigeminal neuralgia presented with a four-day history of a left-sided headache, nausea, vomiting, and vision loss in her left eye and one month of intermittent flashes of light in her left eye. Her left eye was diffusely injected with a cloudy cornea and fixed, mid-dilated, and non-reactive pupil. The vision in her, right eye was 20/200 with an intraocular pressure (IOP) of 16 mm Hg; her left eye was no light perception (NLP) with an IOP of 56 mm Hg. She was started on dorzolamide, brimonidine, and latanoprost eye drops. A bedside ultrasound performed by an emergency medicine physician demonstrated evidence of vitreous hemorrhage and concern for retinal detachment. Slit lamp examination performed by ophthalmologist demonstrated the left anterior chamber to be flat with a bulging iris and detached retina. Consequently, the patient was diagnosed with acute angle closure glaucoma secondary to increasing posterior chamber pressures. Given concern for altered mental status, the patient received a CT head in association with an inpatient MRI for headache refractory to home carbamazepine dosing regimen. Both imaging modalities corroborated the ultrasound\u27s findings. In addition to the IOP-lowering medications, atropine, traditionally contraindicated in primary acute angle closure glaucoma, was added. Given her age, length of symptoms, and lack of light perception at presentation, her vision was deemed unsalvageable. Her pain was controlled with oral opioids and she was discharged with outpatient ophthalmology follow-up. At time of discharge, the IOP in her left eye was 49 mm Hg.https://scholarlycommons.henryford.com/merf2020caserpt/1007/thumbnail.jp

Loess in eastern equatorial Pangea archives a dusty atmosphere and possible upland glaciation

Carboniferous–Permian strata in basins within the Central Pangean Mountains in France archive regional paleoequatorial climate during a unique interval in geological history (Pangea assembly, ice-age collapse, megamonsoon inception). The voluminous (∼1.5 km) succession of exclusively fine-grained red beds that comprises the Permian Salagou Formation (Lodève Basin, France) has long been interpreted to record either lacustrine or fluvial deposition, primarily based on a local emphasis of subaqueous features in the upper ∼25% of the section. In contrast, data presented here indicate that the lower-middle Salagou Formation is dominated by up to 15-m-thick beds of internally massive red mudstone with abundant pedogenic features (microscale) and no evidence of channeling. Up-section, limited occurrences of ripple and hummocky cross-stratification, and mudcracks record the intermittent influence of shallow water, but with no channeling nor units with grain sizes exceeding coarse silt. These data suggest that the most parsimonious interpretation for the Salagou Formation involves eolian transport of the sediment and ultimate deposition as loess in shallow, ephemeral lacustrine environments. Provenance analyses of the Salagou Formation indicate coarse-grained protoliths and, together with geochemical proxies (chemical index of alteration [CIA] and τNa) that correspond respectively to a low degree of chemical weathering and a mean annual temperature of ∼4 °C, suggest that silt generation in this case is most consistent with cold-weathering (glacial and associated periglacial) processes in the Variscan highlands. Together with previous studies that detailed voluminous Permian loess in western equatorial Pangea, this work shows a globally unique distribution of dust at low latitudes that can be linked either directly to glaciated alpine terranes or to reworked and deflated deposits of other types (e.g., fluvial outwash) where fine-grained material was originally generated from glacial grinding in alpine systems. These results further support a revised model for early Permian climate, in which extratropical ice sheets coexisted with a semiarid tropics that may have hosted significant ice at moderate elevation

Western Region Health & Wellness Programming Efforts: Qualitative Results from a Three-Part Listening Session

The purpose of this project was to understand the programming efforts and experiences of Extension professionals in the Western Region of the United States. The Health and Wellness Working Group team held a series of listening sessions with a closed cohort of Extension professionals, hoping to learn from each other while also building the foundation for future collaborations and conversations about health and wellness programing in the western region. The objectives were to understand: (1) the state of health and wellness work in the western region, including the gaps and challenges, (2) the programs that currently exist and ways that collaborations happen across Extension, (3) strategies for moving health and wellness programming forward across the western region

Evaluation of personalized treatment goals on engagement of SMI patients with an mHealth app

Mobile health (mhealth) tools are regularly used in a wide range of mental health domains to assess and monitor patients, potentially increasing patient engagement. Recent studies demonstrated that tailored approaches provide better results than generic approaches.However, the effectiveness of tailoring has not yet been investigated empirically for patients with severe mental illnesses (SMIs). It also remains unclear how personalized goals, which are critical from a treatment point of view, impact engagement. Therefore, we designed a novel mHealth tool to increase SMI patient engagement with their personal goals which we evaluated empirically. We designed a two-period, two-arm within-subject crossover study in which 4 participants were exposed to personalized and non-personalized behavioral goals. Contrary to expectations, personalized behavioral goals did not have a significant impact on engagement levels. When considering our participant feedback and also in the context of flow theory, we rationalized that our goal personalization strategy was too static for SMI patients. Therefore, in our future work, we will investigate dynamic strategies that adapt goal difficulty over time

Ice-crystal traces imply ephemeral freezing in early Permian equatorial Pangea

Delicate impressions in lacustrine strata of the lower Permian (lower Cisuralian) Usclas Formation record ephemeral freezing in equatorial Pangea. These sediments accumulated in the paleoequatorial and intramontane Lodève Basin (southern Massif Central, France) during peak icehouse conditions of the Late Paleozoic Ice Age. Experimental replication of these features supports the interpretation that they are ice-crystal molds. Evidence for films of ice in marginal-lacustrine sediment at such low latitudes and inferred low to moderate altitudes (1–2 km) calls for a reevaluation of climate conditions in eastern equatorial Pangea. Ephemeral freezing implies either cold tropical temperatures (~5 °C cooler than the Last Glacial Maximum) and/or lapse rates that exceeded those of the Last Glacial Maximum. Extreme continentality of the Lodève Basin would have amplified seasonality, albeit the climatic forcing(s) necessary to have promoted cold temperatures in equatorial Pangea remain enigmatic