Diagnostic Communication in the Memory Clinic: a Conversation Analytic Perspective

Objectives: Whether and how patients should be told their dementia diagnosis, has been an area of much debate. While there is now recognition that early diagnosis is important for dementia care little research has looked at how dementia-related diagnostic information is actually verbally communicated. The limited previous research suggests that the absence of explicit terminology (e.g., use of the term Alzheimer's) is problematic. This paper interrogates this assumption through a conversation analysis of British naturalistic memory clinic interaction. Method: This paper is based on video-recordings of communication within a UK memory clinic. Appointments with 29 patients and accompanying persons were recorded, and the corpus was repeatedly listened to, in conjunction with the transcripts in order to identify the segments of talk where there was an action hearable as diagnostic delivery, that is where the clinician is evaluating the patient's condition. Results: Using a conversation analytic approach this analysis suggests that diagnostic communication, which is sensitive and responsive to the patient and their carers, is not predicated on the presence or absence of particular lexical choices. There is inherent complexity regarding dementia diagnosis, especially in the ‘early stages’, which is produced through and reflected in diagnostic talk in clinical encounters. Conclusion: In the context of continuity of dementia care, diagnostic information is communicated in a way that conforms to intersubjective norms of minimizing catastrophic reactions in medical communication, and is sensitive to problems associated with ‘insight’ in terms of delivery and receipt or non-receipt of diagnosis

Newsletter Networks in the Feminist History and Archives Movement

This article examines how networks have been critical to the construction of feminist histories. The author examines the publication Matrices: A Lesbian/Feminist Research Newsletter (1977–1996), to argue that a feminist network mode can be traced through the examination of small-scale print newsletters that draw on the language and function of networks. Publications such as Matrices emerge into wide production and circulation in the 1970s alongside feminist community archives, and newsletters and archives work together as interconnected social movement technologies. Newsletters enabled activist-researchers writing feminist histories to share difficult-to-access information, resources, and primary sources via photocopying and other modes of print reproduction.  Looking from the present, the author examines how network thinking has been a feature of feminist activism and knowledge production since before the Internet, suggesting that publications such as Matrices are part of a longer history of networked communications media in feminist contexts

Deficiências minerais em plantas de bertalha ( Basella alba, L.)

Basella alba is used as a major food on the Amazon region, north Brazil for its high mineral and vitamins content. The purpose of the present work was: a) obtain a clear picture of the macronutrient deficiency; b) growth of the plants in function of (1); c) analyptical levels found in the leaves. Young Basella alba plants (bertalha in Portuguese) were cultivated in pots containing fine pure quartz and irrigated by percolation with different nutrient solutions lacking one of the element at the time. Clear cut symptoms were obtained for all macronutrients. Only the omission of nitrogen and potassium affect the dry matter production of plants. The range in dry matter for unhealthy and healthy leaves were: N% = 1.25--3-55; P% = 0.17-0.36; K% = 0.46-3.55; Ca% = 0,62-1.78; Mg% = 0.37-0.80; S% = 0.19-0.13.Plantas de bertalha (Basella alba, L.) INPA-1 foram cultivadas em casa de vegetação em quartzo moído, irrigadas com soluções nutritivas conforme SARRUGE (1975) e submetidas aos seguintes tratamentos: completo, omissão de N, omissão de P, omissão de K, omissão de Ca, omissão de Mg e omissão de S, com o objetivo de: (a) obter sintomas de deficiência dos ma cronutrientes; (b) analisar o crescimento das plantas através da produção de matéria seca; (c) determinar a concentração dos macronutrientes nas folhas e caules das plantas cultivadas nos diversos tratamentos. Os sintomas visuais de deficiência foram identificados e descritos. As plantas foram coletadas e separadas em raiz, caule, folhas e determinaram-se os teores dos macronutrientes minerais neste material. Os resultados obtidos mostram: - os sintomas visuais de deficiência são bem definidos e de fácil caracterização para todos os nutrientes; - só foi possível detectar efeito na produção de matéria seca das folhas e caules para omissão de nitrogênio e para omissão de potássio nos caules; - os níveis de deficiência e adequação obtidos nas folhas foram respectivamente: N% = 1,25 e 2,63; P% = 0,17 e 0,36; K% = 0,46 e 3,55; Ca% = 0,62e 1,78; Mg% = 0,37 e 0,80; s%= 0,19 e 0,23. - os níveis de deficiência e adequação obtidos nos caules foram respectivamente: N% = 0,67 e 0,98; P% = 0,13 e 0,31; K% = 0,73 e 2,67; Ca% = 0,11 e 0,64; Mg% = 0,08 e 0,20; S% = 0,15 e 0,20

Deficiências de kacronutrientes e de boro em seringueira (Hevea brasiliensis L.)

In order to obtain: a) a clear picture of the deficiencies symptoms of N, P, K, Ca, Mg, S and B; b) the lack of the elements on the dry matter production; c) concentration of the macro and micronutrients on the leaves, stems and roots. Young rubber plants (Hevea brasiliensis L.), were cultivated in nutrients solutions, in which one the following elements were omitted at once: N, P, K, Ca, Mg, S and B. Clear out symptoms were obtained for all macronutrients and boron. The growth rate of the rubber plants were drastically affected by lack of N, K followed by other nutrients. The omission of P from the nutrient solution did not affected the growth of the plants. The levels detected by chemical analysis of the leaves from with symptoms of deficiency and without symptoms of deficiency plants were: N% = 1.94 and 3.40: P% =0.14 and 0.25; K% = 0.79 and 2.22; Ca% = 0.59 and 1.28; Mg% = 0.26 and 0.50; S% = 0.10 and 0.10; B ppm = 31-3 and 171.8.Plantas de seringueira (Hevea brasiliensis L.) foram cultivadas em casa de vegetação, em quartzo moído, irrigado com soluções nutritivas, e submetidas aos seguintes tratamentos: completo, omissão de N, omissão de P, omissão de Ca, omissão de Mg, omissão de S e omissão de B, com o objetivo de: (a) obter sintomas de deficiências de macronutrientes e de boro; (b) analisar o crescimento das plantas através da produção de matéria seca; (c) determinar a concentração de macro e micronutrientes nas folhas, caule e raízes das plantas cultivadas nos diversos tratamentos. Os sintomas visuais de deficiência foram identificados e descritos. As plantas foram coletadas e separadas em raiz, caule e folhas, e determinaram-se os teores de macro e micronutrientes . Os resultados mostraram: - foram identificados sintomas de deficiências para todos os tratamentos com omissão de nutrientes (N, P, K, Ca, Mg, S e B); - a omissão de N, K, Mg ou B da solução nutritiva diminuiu o crescimento das plantas; - as concentrações dos elementos nas folhas de plantas com sintomas e sem sintomas de deficiência foram, respectivamente: N% = 1,94 e 3,40; P% = 0,14 e 0,25; K% = 0,79 e 2,22; Ca% = 0,59e 1,28; Mg% = 0,26 e 0,50; S% = 0,10 e 0,10; Bppm = 31 ,3 e 171,8

The evolution of language: a comparative review

For many years the evolution of language has been seen as a disreputable topic, mired in fanciful "just so stories" about language origins. However, in the last decade a new synthesis of modern linguistics, cognitive neuroscience and neo-Darwinian evolutionary theory has begun to make important contributions to our understanding of the biology and evolution of language. I review some of this recent progress, focusing on the value of the comparative method, which uses data from animal species to draw inferences about language evolution. Discussing speech first, I show how data concerning a wide variety of species, from monkeys to birds, can increase our understanding of the anatomical and neural mechanisms underlying human spoken language, and how bird and whale song provide insights into the ultimate evolutionary function of language. I discuss the ‘‘descended larynx’ ’ of humans, a peculiar adaptation for speech that has received much attention in the past, which despite earlier claims is not uniquely human. Then I will turn to the neural mechanisms underlying spoken language, pointing out the difficulties animals apparently experience in perceiving hierarchical structure in sounds, and stressing the importance of vocal imitation in the evolution of a spoken language. Turning to ultimate function, I suggest that communication among kin (especially between parents and offspring) played a crucial but neglected role in driving language evolution. Finally, I briefly discuss phylogeny, discussing hypotheses that offer plausible routes to human language from a non-linguistic chimp-like ancestor. I conclude that comparative data from living animals will be key to developing a richer, more interdisciplinary understanding of our most distinctively human trait: language

Mineral nutrition of vegetable crops: XXV - Mineral nutrition of new zealand spinach plant (Tetragonia expansa Murr.)

The present work was carried out in order to study: a - the effect of omission and presence of the macronutrients and boron on the growth of the plants; b - deficiency symptoms of macronutrients, as well of boron; c - the effect of the deficiency of each nutrient on the chemical composition of the plants. Young spinach plants were grown in pots containing pure quartz sand. Several times a day the plants were irrigated by percolation with nutrient solutions. The treatments were: complete solution and deficient solution, in which each one of the macronutrients was omitted as well boron. Soon as the malnutrition symptoms appered, the plants were harvested and analysed chemically. - symptoms of malnutrition are easily observed for N, K, Ca and B. - symptoms of malnutrition for P, S and Mg are not easily identified. - the nutrient content, in dry matter, in deficient leaves and healthy leaves is:O trabalho teve como objetivo estudar alguns aspectos da nutrição mineral do espinafre (Tetragonia expansa Murr.) no que concerne: 1 - Efeitos da omissão dos macronutrientes e do boro, na obtenção de um quadro sintomatológico; 2 - Efeitos das carências na produção de matéria seca e composição química da planta. Mudas com trinta dias de idade foram transplantadas para soluções nutritivas carentes nos macronutrientes e/ou em boro. A coleta das plantas foi realizada quando os sintomas de deficiência se tornaram evidentes. No material seco procedeu-se a análise química. Os dados mostram que: 1 - os sintomas visuais de deficiência de N, K, Ca e B apresentam-se bem definidos; sendo que os de P, Mg e S são de difícil caracterização ; 2 - os teores dos nutrientes em plantas sadias e deficientes são

Size Doesn't Matter: Towards a More Inclusive Philosophy of Biology

notes: As the primary author, O’Malley drafted the paper, and gathered and analysed data (scientific papers and talks). Conceptual analysis was conducted by both authors.publication-status: Publishedtypes: ArticlePhilosophers of biology, along with everyone else, generally perceive life to fall into two broad categories, the microbes and macrobes, and then pay most of their attention to the latter. ‘Macrobe’ is the word we propose for larger life forms, and we use it as part of an argument for microbial equality. We suggest that taking more notice of microbes – the dominant life form on the planet, both now and throughout evolutionary history – will transform some of the philosophy of biology’s standard ideas on ontology, evolution, taxonomy and biodiversity. We set out a number of recent developments in microbiology – including biofilm formation, chemotaxis, quorum sensing and gene transfer – that highlight microbial capacities for cooperation and communication and break down conventional thinking that microbes are solely or primarily single-celled organisms. These insights also bring new perspectives to the levels of selection debate, as well as to discussions of the evolution and nature of multicellularity, and to neo-Darwinian understandings of evolutionary mechanisms. We show how these revisions lead to further complications for microbial classification and the philosophies of systematics and biodiversity. Incorporating microbial insights into the philosophy of biology will challenge many of its assumptions, but also give greater scope and depth to its investigations