Managing isolation protocols for distressed, cognitively impaired COVID-19-positive patients presented a range of new challenges to our liaison psychiatry for the elderly service. In this article we present some of the scenarios we have experienced, our own reflections on the needs of this specific group and how this has challenged us in terms of tolerating risk, prescribing off-label, collaborating with distressed colleagues, professional boundaries and being creative in non-pharmacological interventions.

Geometric vertex decomposition and liaison are two frameworks that have been used to produce similar results about similar families of algebraic varieties. In this paper, we establish an explicit connection between these approaches. In particular, we show that each geometrically vertex decomposable ideal is linked by a sequence of elementary G-biliaisons of height $1$ to an ideal of indeterminates and, conversely, that every G-biliaison of a certain type gives rise to a geometric vertex decomposition. As a consequence, we can immediately conclude that several well-known families of ideals are glicci, including Schubert determinantal ideals, defining ideals of varieties of complexes and defining ideals of graded lower bound cluster algebras.

Brain injury, resulting from stroke and traumatic brain injury, is a common occurrence in Australia, with Aboriginal people affected at a significant rate and impact felt by individuals, families and communities. Access to brain injury rehabilitation services for Aboriginal people is reported to be often limited, with very little support outside the hospital environment. Our research involving Aboriginal brain injury survivors and their families to date has revealed that people often manage ‘on their own’ following such events. Following recommendations from survivors and their families, the Healing Right Way clinical trial, currently underway in Western Australia, has created the role of Aboriginal Brain Injury Coordinator (ABIC) to assist in navigating information and services, particularly after discharge from hospital. Eight positions for this role have been instigated across metropolitan and rural regions in the state. Healing Right Way’s aim is to enhance rehabilitation services and improve quality of life for Aboriginal Australians after brain injury. The ABIC’s role is to provide education, support, liaison and advocacy services to participants and their families over a six-month period, commencing soon after the participant’s stroke or injury has occurred. This paper outlines the development of this role, the partnerships involved, experiences to date and identifies some facilitators and barriers encountered that may impact the role’s ongoing sustainability. Details of components of the planned full Process Evaluation of Healing Right Way related to the ABIC role and the partnerships surrounding it are also provided. In combination with the trial’s ultimate results, this detail will assist in future service planning and provide a model of culturally secure care for stroke and brain injury services that can also inform other sub-acute and primary care models.

Maladie mentale et équilibre précaire, conditions de détention, réalisation du projet de soin, appréhension du placement en foyer, stigmatisation : ces facettes singulières s’expriment simultanément dans la prise en soin des patients Suisses détenus sous mesure pénale à des fins de placement institutionnel. Le malade psychique incarcéré sous article 59 du Code pénal suisse (20 % des détenus) voit sa peine suspendue au profit d’une incarcération dont la fin dépend, entre autres, de l’évolution du malade sur les critères de reconnaissance de la maladie et ceux de la dangerosité liée à la pathologie. Cette activité naissante (2012) s’adresse en premier lieu aux patients les plus démunis face aux changements (psychose, retard mental), le trouble psychique induisant souvent des mises en échec du patient face aux attentes de l’univers carcéral, incontournable pour accéder à la sortie. Cet accompagnement se veut lier des univers séparés par les murs, les prisons, les hôpitaux psychiatriques et les foyers et accompagner le détenu psychique à retrouver sa place dans la société. En s’appuyant notamment sur le concept de transition décrit par Meleis, et sur la gestion de situations complexes par la méthode de case management, cette liaison accompagne autant les soignants prenant en soin que les patients écroués soumis à cette complexité. Cette activité se trouve à la croisée du monde pénal et psychiatrique, soumis aux enjeux sociétaux actuels et majeurs en Suisse, la place du patient-détenu est un questionnement perpétuel pour eux comme pour nous, soignants. L’équipe actuelle se compose d’un infirmier case-manager de liaison et d’un psychiatre responsable du secteur psychiatrique dans une prison de haute sécurité ; l’activité se porte sur une mise en sens du parcours et du vécu auprès des patients, de coordination pour la cohérence des soins d’un milieu à l’autre.

This article aims to test whether the Theta System of Reinhart (1996, 2000, 2001, 2002) can account for the puzzles associated with psychological verbs in Polish. The first puzzle, called argument linking, relates to the mapping of the Experiencer onto a subject or an object position. The second puzzle, referred to as case linking, concerns the fact that Experiencers may be marked for different cases in the same sentence position. The analysis of Object Experiencer (OE)/Subject Experiencer (SE) alternations in Polish carried out in this article demonstrates that the predictions of the Theta System about Experiencer argument linking are borne out by the Polish data. SE alternants of eventive OE verbs in Polish show unergative properties, which directly follows from the mechanisms of the Theta System. However, the Theta System faces problems when confronted with dyadic OE verbs with dative Experiencers. The model predicts that dative Experiencers are merged internally, as a part of an unaccusative structure. This prediction is untenable for Polish, because dative Experiencers of dyadic predicates show some characteristics of external arguments, and hence must merge externally. Consequently, the conclusion drawn is that the Theta System can provide solutions to some, but not all, of the argument and case-linking puzzles associated with Polish Experiencers.

This article outlines the differences in goals, methods and results that variationist researchers may encounter when exploring and/or documenting a threatened language variety, and underscores special considerations and aspects of the research program that linguists must work to control for when working with endangered varieties of Western languages. In particular, it examines questions and strategies for dealing with sparse data for longitudinal studies; fewer speakers for stratified samples; the inverse relation between linguistic fluency and age; social network constraints in small speech communities; literacy-centric exercises in oral language communities; and larger project protocols designed for stable linguistic communities. Throughout the paper, the collection and analysis of Louisiana French liaison data from 1939, 1977, and 2010 provide an application of the proposed methods.

A central problem in liaison theory is to decide whether every arithmetically Cohen–Macaulay subscheme of projective $n$-space can be linked by a finite number of arithmetically Gorenstein schemes to a complete intersection. We show that this can indeed be achieved if the given scheme is also generically Gorenstein and we allow the links to take place in an $(n+ 1)$-dimensional projective space. For example, this result applies to all reduced arithmetically Cohen–Macaulay subschemes. We also show that every union of fat points in projective 3-space can be linked in the same space to a union of simple points in finitely many steps, and hence to a complete intersection in projective 4-space.

Background: Effectiveness of educational interventions targeted at improving delirium care is limited by implementation barriers. Studying factors which shape learning needs can overcome these knowledge transfer barriers. This in-depth qualitative study explores learning needs of hospital staff relating to care needs of the confused older patients.

Methods: Fifteen research participants from across the healthcare spectrum working within an acute care setting were interviewed. Five focus groups were undertaken with patients, carers, and mental health specialists. A Grounded Theory methodology was adopted and data were analyzed thematically in parallel to collection until theoretical saturation was reached.

Results: Eight categories of practice gap emerged: ownership of the confused patient, negative attitudes, lack of understanding of how frightened the patient is in hospital, carer partnerships, person-centered care, communication, recognition of cognitive impairment and specific clinical needs (e.g. capacity assessments). Conceptually, the learning needs were found to be hierarchically related. Moreover, a vicious circle relating to the core learning needs of ownership, attitudes and patient's fear emerged. A patient with delirium may be frightened in an alien environment and then negatively labeled by staff who subsequently wish for their removal, thereby worsening the patient's fear.

Discussion: These findings reconceptualize delirium education approaches suggesting a need to focus interventions on core level practice gaps. This fresh perspective on education, away from disease-based delirium knowledge toward work-based patient, team and practice knowledge, could lead to more effective educational strategies to improve delirium care.

This study investigates the processing of resyllabified words by native English speakers at three proficiency levels in French and by native French speakers. In particular, it examines non-native listeners’ development of a parsing procedure for recognizing vowel-initial words in the context of liaison, a process that creates a misalignment of the syllable and word boundaries in French. The participants completed an eye-tracking experiment in which they identified liaison- and consonant-initial real and nonce words in auditory stimuli. The results show that the non-native listeners had little difficulty recognizing liaison-initial real words, and they recognized liaison-initial nonce words more rapidly than consonant-initial ones. By contrast, native listeners recognized consonant-initial real and nonce words more rapidly than liaison-initial ones. These results suggest that native and non-native listeners used different parsing procedures for recognizing liaison-initial words in the task, with the non-native listeners’ ability to segment liaison-initial words being phonologically abstract rather than lexical.

This paper takes a new look at ideals generated by 2×2 minors of 2×3 matrices whose entries are powers of three elements not necessarily forming a regular sequence. A special case of this is the ideals determining monomial curves in three-dimensional space, which were studied by Herzog. In the broader context studied here, these ideals are identified as Northcott ideals in the sense of Vasconcelos, and so their liaison properties are displayed. It is shown that they are set-theoretically complete intersections, revisiting the work of Bresinsky and of Valla. Even when the three elements are taken to be variables in a polynomial ring in three variables over a field, this point of view gives a larger class of ideals than just the defining ideals of monomial curves. We then characterize when the ideals in this larger class are prime, we show that they are usually radical and, using the theory of multiplicities, we give upper bounds on the number of their minimal prime ideals, one of these primes being a uniquely determined prime ideal of definition of a monomial curve. Finally, we provide examples of characteristic-dependent minimal prime and primary structures for these ideals.