Identity work is widely regarded as a process through which people strive to establish, maintain or restore a coherent and consistent sense of self. In the face of potential disruptions of, or threats to, their identities, people seek to salvage their sense of self by resolving tensions and restoring consistency. In contrast to the current identity work literature, this research indicates that identity work is not always about seeking resolution and moving on, but sometimes about continuing struggles which do not achieve a secure sense of self. This article seeks to elaborate the understanding of unresolved identity work by exploring three contexts of the everyday practice of indie musicians. An analysis of how they struggle to construct acceptable versions of their selves as songwriter, bandleader and front(wo)man allows us to develop the conceptualization of self-questioning (as opposed to self-affirmative, resolution-oriented) identity work.

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Over 35 years the modus operandi of 'account planning' has changed significantly while the rationale has remained the same: to temper intuition with analysis. The aim of this study was to define those changes, investigate possible causes and predict future developments. Scotland was chosen as the fieldwork location. The findings are based on face-to-face interviews in mid-2001 in 24 large and small advertising agencies. This sample included all but four of the Scottish total. The respondents were individuals who either had a specific account planning remit or were senior managers who considered it to be one of their responsibilities. Analysis of transcripts of the interviews suggested four key factors determining how the principle is converted into practice and four distinct models of the account planner's role in the process. It also found that the expected 'conflict' between creative teams and those responsible for strategic planning was in fact seen as productive 'tension' and that pragmatic collaboration was feasible. However, there was conflict with the parallel discipline of media planning. Two future scenarios are discussed and the conclusion drawn that the discipline needs to pay as much attention to planning survival strategies for itself as it does to planning campaign strategies for its clients. The findings and conclusions of a small-scale study are not necessarily generalizable, even based on a virtual census, but do offer a new perspective on a literature that generally deals with practice among large agencies in a handful of world 'capitals' of the discipline

We contribute to the literature on the production of knowledge through engaged management and organisational research. We explore how relational practices in management and organisational research may interpenetrate and change one another, thereby potentially producing new knowledge. We demonstrate the importance of the disruptive qualities of arresting moments in this process. We present data from within ongoing engaged management and organisational research at an arts festival involving related music, management and research practices, during which two arresting moments arose: one in our own core research practice, the other in related music and management practices. We found arresting moments were preceded by increasingly intense divisions between practices, when practitioners experienced increasingly entrenched views and heightened emotions. Arresting moments sometimes followed, producing an empathetic connection between practitioners, so that they could suddenly see situations from a new perspective. In this way, arresting moments could produce opportunities for (self-) reflexivity and the possibility of reconstructing knowing in relational practices.

S treptococcus pneumoniae (pneumococcus) causes a spectrum of disease ranging from mild respiratory infections to severe disease, including meningitis, sepsis, and pneumonia (1). Invasive pneumococcal disease (IPD) occurs when pneumococcus invades normally sterile sites. Pneumococcus is transmitted person-to-person primarily through respiratory droplets and is a leading cause of vaccine-preventable illness and death (2). Pneumococcal colonization is a precursor to disease but does not always result in disease (3). Pneumococcal conjugate vaccine (PCV) is highly effective in preventing pneumonia in adults (4), and pneumococcal disease incidence has declined since the introduction of PCV (5). IPD outbreaks are rare but can occur in settings with close personto-person contact, such as homeless shelters ( 6) and healthcare facilities, in which underlying conditions can increase disease risk (7).On September 19, 2018, the Alabama Department of Public Health (Montgomery, AL) was notifi ed of an IPD case after identifi cation of S. pneumoniae in a blood culture from an ill patient incarcerated at a state prison. On September 24, a second case of IPD was reported in another inmate who received a diagnosis of meningitis and sepsis and died that morning. We investigated this outbreak to determine its extent, identify cases among staff and inmates, and recommend prophylactic measures to reduce spread. The StudyAt the time of the outbreak, facility A, a medium-security state prison, housed 1,276 male inmates across 6 dormitories (original capacity 650 inmates; 2018 reported capacity of 1,650 inmates) (8,9). Each dormitory contained multiple large rooms with 4-6 rows of beds for 190-255 inmates. Group activities allowed mixing of inmates from different dorms until the outbreak was recognized; activities were suspended around September 26. A clinic within facility A with a 52-member staff, including 2 nurse practitioners and a physician, provided services to inmates through self or employee referral.A suspected case was defi ned as respiratory or meningeal symptoms consistent with pneumococcal disease in an incarcerated person or a person in prolonged or close contact with anyone incarcerated at facility A during September 1-October 10, 2018 (Appendix, https://wwwnc.cdc.gov/EID/ article/27/7/20-3678-App1.pdf). Probable cases were defi ned as suspected cases with radiographicconfi rmed pneumonia, clinical sepsis, or cerebrospinal fl uid analysis suggestive of bacterial meningitis with unknown etiology. Confi rmed cases were