f(x) = (x^2+1)/(x^2-4)
f'(x) = ((x^2-4)(2x) - (x^2+1)(2x))/(x^2-4)^2
= (2x)(-5)/(x^2-4)^2
= -10x/(x^4 -8x^2 +16)
f"(x) =-10x^4 +40x^3+80x^2-160x-160/d(x-2)^4 =0
x=+/-2
where the concavity changes
the three intervals are
x<-2
-2 <x< 2
x> 2
or in interval notation
(-infinity,-2),(-2, 2), (2,infinity)
1st interval concave up,
2nd interval concave down,
3rd interval concave up
find second derivative, set=0, solve for x
or use a graphing calculator
or just plot a few points and sketch a graph
asymptotes are x=+/-2 and y=1