3,204 results
Search Results
2. Analysis of the quality of the recovered paper from commingled collection systems.
- Author
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Miranda, Ruben, Monte, M. Concepcion, and Blanco, Angeles
- Subjects
RECYCLABLE material ,HOUSEHOLDS ,INDUSTRIAL costs ,NEWSPRINT mills ,PAPER ,PRODUCT quality - Abstract
Abstract: The need to increase the recovery rates of recyclables from households, reducing at the same time the collection costs, has favoured the spreading of commingled collection systems. This study presents a thorough analysis of the quality of a secondary source of recovered paper of a Spanish newsprint mill, imported from the United Kingdom, where these systems are widely practiced. The results show that the quality of recovered paper from commingled systems is very far from the quality obtained with selective systems: the unusable material content vary from 1% to 29% (11.9% on average) compared to less than 1%. Larger materials recovery facilities (MRFs), less oversaturated and with advanced sorting techniques, have demonstrated to be able to render better qualities, the unusable material content varying from 0.3% to 16.6% (8.1% on average). However, the quality is still far from contamination levels typically found with selective systems, especially in terms of non-paper components. This fact limits significantly the use of this recovered paper for graphic paper production where the major potential for an extended use of recovered paper in papermaking lies. Furthermore, there is a discussion on the cost efficiency of these systems and how the legislation and private or public initiatives are affecting the spreading of these systems, especially in the United States and the United Kingdom. [Copyright &y& Elsevier]
- Published
- 2013
- Full Text
- View/download PDF
3. Scientific evidence, expert entrepreneurship, and ecosystem narratives in the UK Natural Environment White Paper.
- Author
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Lawton, Ricky N. and Rudd, Murray A.
- Subjects
ENTREPRENEURSHIP ,ECOSYSTEM services ,CONSERVATION of natural resources ,ENVIRONMENTAL policy - Abstract
The Natural Environment White Paper represents the most important conservation policy shift in the United Kingdom (UK) in twenty years. It formalises the ecosystem approach within national policy objectives and emphasises the economic value of ecosystem services. By analysing the use of various evidence sources, the involvement of science entrepreneurs, and the development of policy narratives, our goal was to understand factors that influenced adoption of an ecosystem service framework in the UK. We interviewed 48 policy actors and found that centrally-sponsored synthesis reports with entrepreneurial authors provided the most influential expert-based knowledge in the development of the White Paper . More recently published reports had greater influence, yet the window of opportunity for scientific evidence having policy impact was greater in the problem-setting stages of policy development. The interaction between teams preparing syntheses and expert entrepreneurs helped influence the construction of strategic policy narratives. Those narratives increased the impact of scientific evidence by communicating and framing key policy-salient messages, and brokering between broad ecosystem-based and environmental economics narratives. The combination of ecological and economics evidence was particularly salient in the UK case due to the context of continued biodiversity loss and the acceptability of valuation narratives within central government. Our findings suggest that evidence impact varies at different stages of the policy process, and that this is driven by the interplay of contextual factors like policy timing, personal influence, and the competition between different sets of actors and narratives. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
4. Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper.
- Author
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Froggatt, Katherine A., Moore, Danni Collingridge, Van den Block, Lieve, Ling, Julie, and Payne, Sheila A.
- Subjects
- *
DEATH , *LONG-term health care , *MEDICAL care , *MEDICAL quality control , *NURSING care facilities , *PALLIATIVE treatment , *QUALITY assurance , *QUALITY of life , *SURVEYS , *ADULT education workshops - Abstract
The number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of palliative care interventions in LTCFs. The PACE study mapped palliative care in LTCFs in Europe, evaluated quality of end-of-life care and quality of dying in a cross-sectional study of deceased residents of LTCFs in 6 countries, and undertook a cluster-randomized control trial that evaluated the impact of the PACE Steps to Success intervention in 7 countries. Working with the European Association for Palliative Care, a white paper was written that outlined recommendations for the implementation of interventions to improve palliative and end-of-life care for all older adults with serious illness, regardless of diagnosis, living in LTCFs. The goal of the article is to present these key domains and recommendations. Transparent expert consultation. International experts in LTCFs. Eighteen (of 20 invited) international experts from 15 countries participated in a 1-day face-to-face Transparent Expert Consultation (TEC) workshop in Bern, Switzerland, and 21 (of 28 invited) completed a follow-up online survey. The TEC study used (1) a face-to-face workshop to discuss a scoping review and initial recommendations and (2) an online survey. Thirty recommendations about implementing palliative care for older people in LTCFs were refined during the TEC workshop and, of these, 20 were selected following the survey. These 20 recommendations cover domains at micro (within organizations), meso (across organizations), and macro (at national or regional) levels addressed in 3 phases: establishing conditions for action, embedding in everyday practice, and sustaining ongoing change. We developed a framework of 20 recommendations to guide implementation of improvements in palliative care in LTCFs. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
5. Implications of identifying the recently defined members of the Staphylococcus aureus complex S. argenteus and S. schweitzeri: a position paper of members of the ESCMID Study Group for Staphylococci and Staphylococcal Diseases (ESGS).
- Author
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Becker, K., Schaumburg, F., Kearns, A., Larsen, A.R., Lindsay, J.A., Skov, R.L., and Westh, H.
- Subjects
- *
STAPHYLOCOCCUS aureus , *STAPHYLOCOCCAL diseases , *STAPHYLOCOCCUS , *METHICILLIN-resistant staphylococcus aureus , *INFECTION prevention - Abstract
Staphylococcus argenteus and Staphylococcus schweitzeri, previously known as divergent Staphylococcus aureus clonal lineages, have been recently established as novel, difficult-to-delimit, coagulase-positive species within the S. aureus complex. Methicillin-resistant strains of S. argenteus are known from Australia and the UK. Knowledge of their epidemiology, medical significance and transmission risk is limited and partly contradictory, hampering definitive recommendations. There is mounting evidence that the pathogenicity of S. argenteus is similar to that of 'classical' S. aureus , while as yet no S. schweitzeri infections have been reported. To provide decision support on whether and how to distinguish and report both species. PubMed, searched for S. argenteus and S. schweitzeri. This position paper reviews the main characteristics of both species and draws conclusions for microbiological diagnostics and surveillance as well as infection prevention and control measures. We propose not distinguishing within the S. aureus complex for routine reporting purposes until there is evidence that pathogenicity or clinical outcome differ markedly between the different species. Primarily for research purposes, suitably equipped laboratories are encouraged to differentiate between S. argenteus and S. schweitzeri. Caution is urged if these novel species are explicitly reported. In such cases, a specific comment should be added (i.e. 'member of the S.aureus complex') to prevent confusion with less- or non-pathogenic staphylococci. Prioritizing aspects of patient safety, methicillin-resistant isolates should be handled as recommended for methicillin-resistant Staphylococcus aureus (MRSA). In these cases, the clinician responsible should be directly contacted and informed by the diagnosing microbiological laboratory, as they would be for MRSA. Research is warranted to clarify the epidemiology, clinical impact and implications for infection control of such isolates. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
6. Paper 2: Conceptualizing the Transition from Advanced to Consultant Practitioner: Role Clarity, Self-perception, and Adjustment.
- Author
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Hardy, Maryann and Nightingale, Julie
- Subjects
VOCATIONAL guidance ,ADAPTABILITY (Personality) ,INTERVIEWING ,LONGITUDINAL method ,RESEARCH methodology ,SELF-perception ,QUALITATIVE research ,OCCUPATIONAL roles ,RADIOLOGIC technologists ,PSYCHOLOGY - Abstract
Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
7. Critically appraised paper: A home-based standing frame program may improve motor function in people with progressive multiple sclerosis [commentary].
- Author
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Backus, Deborah
- Subjects
HOME care services ,MULTIPLE sclerosis - Abstract
The article inform the number of enrolled participants and the percentage of those that desired to continue the intervention post-trial (70%) suggest that people with progressive multiple sclerosis are receptive to this intervention. Topic include participants were required to manoeuvre into the standing frame or need assistance from one person, limiting feasibility of this intervention for people with impairment or without an able-bodied caregiver to assist them.
- Published
- 2021
- Full Text
- View/download PDF
8. How small daily choices play a huge role in climate change: The disposable paper cup environmental bane.
- Author
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Foteinis, Spyros
- Subjects
- *
CLIMATE change , *WASTE paper , *PAPER recycling , *PLASTIC scrap , *SUSTAINABILITY , *PLASTIC marine debris - Abstract
Disposable paper cups comprise typical single-use plastic items, as they are lined internally with a thin plastic coating for waterproofing. They are consumed at a staggering rate worldwide, with the UK alone consuming around 7 million cups daily, thus annually producing around 30,000 tonnes of paper cup waste. Contrary to popular belief, less than 1 in 400 paper cups is currently recycled in the UK, which is in stark contrast to the waste hierarchy and the European Commission's ambitious Circular Economy Action Plan. Paper cups typically end up in landfill sites or even improperly disposed of, contributing to (micro)plastic waste and potentially polluting the world's oceans. The implications of the latter are not fully known yet and cannot be quantified by existing life cycle impact assessment methods. By employing the life cycle assessment methodology, UK's annual carbon footprint from paper cup consumption was found to be 75 kt of carbon dioxide equivalents, which is similar to that of manufacturing 11,500 mid-size passenger cars. Globally, their environmental footprint was found to be comparable to that of some 1.5 M average European inhabitants, indicating the nature and extent of the single-use plastics problem, which paper cups are just a typical example of. Paper cup recycling could reduce this environmental footprint by up to 40%, whereas switching to reusable cups appears to be more environmentally sustainable, achieving a threefold reduction in carbon emissions, which at global scale is more than twice Malta's annual carbon footprint. Results indicate that consumerism along with small daily choices, such as using reusable cups or bags instead of their disposable counterparts, could play a huge role in climate change. At policy level, no concrete measures to curb the superfluous consumption of paper cups, as well as of other single-use plastic items that are becoming increasingly ubiquitous, have materialised. Furthermore, it appears that decision- and policy-makers tend to step in to curtail wasteful and polluting practices only when environmental problems have started to generate widespread concern, instead of undertaking preventative policy measures. Image 1 • The environmental sustainability of disposable paper cups was examined. • 75 kt CO 2eq are emitted annually in the UK and 7.5 Mt CO 2eq globally. • Switching to reusable cups axes carbon emissions by threefold. • Robust LCIA methods should be introduced to account for (micro)plastic pollution. • Existing policy on single use plastics appears to be too little too late. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
9. Parenting in youth sport: A position paper on parenting expertise.
- Author
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Harwood, Chris G. and Knight, Camilla J.
- Subjects
- *
SPORTS events , *ABILITY , *ADOLESCENCE , *CHILD development , *EMOTIONS , *INFORMATION storage & retrieval systems , *PSYCHOLOGY information storage & retrieval systems , *INTELLECT , *INTERPERSONAL relations , *PARENTING , *ROLE models , *SELF-management (Psychology) , *SPORTS , *SPORTS psychology , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *PROFESSIONAL practice , *SOCIAL support , *SPORTS participation , *ATHLETIC associations , *DESCRIPTIVE statistics , *PSYCHOLOGY - Abstract
Objectives In line with the aims of this special issue, the purpose of this paper is to forward a position on the concept of sport parenting expertise through the presentation of six key postulates. Design Literature review and position statement. Method By adopting methods associated with an academic position paper, a statement is presented that we believe encapsulates sport parenting expertise. Six key postulates of parenting expertise, formulated from critically reviewing and interpreting relevant literature, are then presented. Results We propose that sport parenting expertise is dependent on the degree to which parents demonstrate a range of competencies; namely that parents, (a) select appropriate sporting opportunities and provide necessary types of support, (b) understand and apply appropriate parenting styles, (c) manage the emotional demands of competitions, (d) foster healthy relationships with significant others, (e) manage organizational and developmental demands associated with sport participation, and, (f) adapt their involvement to different stages of their child's athletic career. Conclusion Expertise in sport parenting requires parents to develop knowledge and utilize a range of intrapersonal, interpersonal, and organizational skills in order to support their child, manage themselves, and operate effectively in the wider youth sport environment. Recommendations for applied researchers to further investigate these postulates and substantiate the components of sport parenting expertise are offered. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
10. Critically appraised paper: A 12-week pedometer-based intervention, delivered in primary care, produces long-term gains in physical activity [commentary].
- Author
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Lowe, Anna
- Subjects
GAIT in humans ,PATIENT aftercare ,PRIMARY health care ,WALKING ,PEDOMETERS ,RANDOMIZED controlled trials ,EXERCISE intensity ,PHYSICAL activity - Abstract
The article focuses on a 12-week pedometer-based intervention, delivered in primary care, produces long-term gains in physical activity. It mentions study illuminate the potential of pragmatic, pedometer-based interventions to impact on activity levels over more extended time frames; and also mentions the natural overlap between rehabilitation and physical activity presents an opportunity for physiotherapists to respond to major public health issue.
- Published
- 2019
- Full Text
- View/download PDF
11. Critically appraised paper: A 12-week pedometer-based intervention, delivered in primary care, produces long-term gains in physical activity [synopsis].
- Author
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Hill, Kylie
- Subjects
GAIT in humans ,PATIENT aftercare ,PRIMARY health care ,WALKING ,PEDOMETERS ,RANDOMIZED controlled trials ,EXERCISE intensity ,PHYSICAL activity - Abstract
The article focuses on a 12-week pedometer-based intervention, delivered in primary care, produces long-term gains in physical activity. It mentions the multi-component intervention included a pedometer, keeping a step-count diary, 12 weeks of goal setting, and a handbook that included behaviour change techniques; and also mentions participants in the control group were provided with a pedometer and instructions with no further support.
- Published
- 2019
- Full Text
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12. Letter to the editor concerning the paper "The rise and fall of the UK's spandrel pane," by Law and Kanellopoulos.
- Author
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Babrauskas, Vytenis and Corbett, Glenn
- Subjects
- *
TALL buildings , *FACADES - Published
- 2021
- Full Text
- View/download PDF
13. Reply to: Letter to the Editor concerning the paper "The rise and fall of the UK's spandrel panel" by Law and Kanellopoulos.
- Author
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Law, Angus
- Subjects
- UNITED Kingdom
- Published
- 2021
- Full Text
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14. THE TOILET PAPER: FEMININITY, CLASS AND MIS-RECOGNITION.
- Author
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Skeggs, Beverley
- Subjects
- *
FEMININITY , *FEMINISM - Abstract
Focuses on a study which discussed the meaning of femininity, with emphasis on its theory and practice in Great Britain. Economistic metaphors on capital, according to Bourdieu; Definition of the femininity process; Criticisms made by critics about feminism.
- Published
- 2001
- Full Text
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15. PMD2 Concept Paper: A Medtech Roadmap: New Routes to Market Access in the UK NHS.
- Author
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Stevenson, A. and Gildea, L.
- Subjects
- *
ROAD maps - Published
- 2020
- Full Text
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16. Comparing implicit communication via longitudinal driving dynamics: A cross-cultural study in Germany and the UK.
- Author
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Ehrhardt, Sofie, Merat, Natasha, Daly, Michael, Solernou Crusat, Albert, and Deml, Barbara
- Subjects
- *
CROSS-cultural studies , *AUTOMOBILE driving simulators , *DRIVERS' licenses , *AUTONOMOUS vehicles , *TRAFFIC flow , *ACCELERATION (Mechanics) , *IMPLICIT learning , *DISTRACTION - Abstract
• Drivers on slip roads want vehicles on the target lane to decelerate. • Drivers in target lanes rate the behaviour of vehicles on slip roads ambiguously. • AVs are rated identically or even more positively than MVs with identical behaviour. • No different safety distance is kept from automated vehicles. • Results show that cross-border traffic between Germany and UK with AVs is feasible. • Intercultural aspects must still be considered in the development of AVs. To ensure safe and uninterrupted traffic flow, (semi-)automated vehicles must be capable of providing comprehensible and agreeable implicit communication cues to human drivers. This driving simulator study investigated the assessment of implicit communication at a motorway slip road through longitudinal driving dynamics (acceleration, deceleration, and maintaining speed). The second aim of the study was to determine whether expectations of automated vehicles are different from those of human drivers. And thirdly, we investigated whether these findings are country-specific or can be (partially) generalised to other countries. The perception of three means of communication in connection with the presence of a labelling as an automated vehicle (eHMI) was examined in two samples in Germany and England. 27 participants drove from a slip road onto the motorway and interacted with another vehicle. After a stretch on the motorway, they passed a second slip road on which there was a vehicle merging onto the participants lane. This was repeated six times to test all variables. After each situation, the perceived cooperativity and criticality was recorded, as well as the time headway (THW) to the other vehicle. This paper presents the findings from the UK sample and compares them with the German results, which were previously published. Results show, that when the cooperating vehicles are on the slip road, participants from both countries prefer this vehicle to decelerate. However, when participants themselves are on the slip road, expectations for vehicles on the target lane are ambiguous in the UK sample. Except for one aspect (perceived cooperativity of decelerating vehicles on the slip road), the perception of automated vehicles is similar to those of manual drivers. Also, UK participants do not maintain a different safety distance from these vehicles, while this is the case in the German sample. This paper contributes valuable insights into the cross-cultural evaluation of driving dynamics, shedding light on implications for the development and acceptance of automated vehicles. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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17. Liberating the NHS? A commentary on the Lansley White Paper, “Equity and Excellence”
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Asthana, Sheena
- Subjects
- *
HEALTH care reform , *QUALITY assurance - Abstract
Abstract: In July 2010, the new Coalition Government unveiled its plans to make major changes to the English National Health Service (NHS). This paper, which provides a commentary on the NHS White Paper, Equity and Excellence: Liberating the NHS, casts doubt upon the extent to which the proposals will bring about the fundamental reform that the Government intends, not least because both the British public and GP commissioners (who are expected to play a central role in transforming the NHS) appear to have a limited appetite for radical market reform. The paper also identifies a number of unintended risks, including the large transitional costs and organisational turbulence resulting from further NHS reorganisation; and the fact that key aspects of the White Paper proposals could result in significant financial instability. Given the real world limitations to translating a rhetoric of localism and democratic legitimacy into reality and a lack of hard evidence about the benefits of market reform, the Government would be well advised to take a more cautious approach to health policy formulation and implementation and to ensure that any further changes to the NHS are based on evidence, piloting and evaluation. [Copyright &y& Elsevier]
- Published
- 2011
- Full Text
- View/download PDF
18. Reasons for non-participation in a kerbside recycling scheme.
- Author
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McDonald, Seonaidh and Oates, Caroline
- Subjects
PAPER recycling ,WASTE recycling - Abstract
In this article potential barriers to recycling are explored within a UK community of approximately 8000 households that are piloting a kerbside paper recycling scheme. All 1690 non-users of the scheme were surveyed for their decisions not to participate. A 43% response rate was generated from the survey and the reasons given by householders were coded into 12 categories. The main reasons for non-participation included insufficient paper and lack of space in which to locate the recycling bin. 62% of the non-participants reported that they were recycling paper using other facilities such as local bring schemes and charity collections. Strategies to increase participation in the kerbside scheme are suggested. [Copyright &y& Elsevier]
- Published
- 2003
- Full Text
- View/download PDF
19. Hydrogen supply chain and refuelling network design: assessment of alternative scenarios for the long-haul road freight in the UK.
- Author
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Raeesi, Ramin, Searle, Christa, Balta-Ozkan, Nazmiye, Marsiliani, Laura, Tian, Mi, and Greening, Philip
- Subjects
- *
SUPPLY chains , *FUELING , *HYDROGEN , *PHYSICAL distribution of goods , *ALTERNATIVE fuels , *FREIGHT & freightage , *HYDROGEN as fuel , *WATER distribution - Abstract
Shifting from fossil fuels to clean alternative fuel options such as hydrogen is an essential step in decarbonising the road freight transport sector and facilitating an efficient transition towards zero-emissions goods distribution of the future. Designing an economically viable and competitive Hydrogen Supply Chain (HSC) to support and accelerate the widespread adoption of hydrogen powered Heavy Goods Vehicles (H 2 -HGVs) is, however, significantly hindered by the lack of the infrastructure required for producing, storing, transporting and distributing the required hydrogen. This paper focuses on a bespoke design of a hydrogen supply chain and distribution network for the long-haul road freight transportation in the UK and develops an improved end-to-end and spatially-explicit optimisation tool to perform scenario analysis and provide important first-hand managerial and policy making insights. The proposed methodology improves over existing grid-based methodologies by incorporating spatially-explicit locations of Hydrogen Refuelling Stations (HRSs) and allowing further flexibility and accuracy. Another distinctive feature of the method and the analyses carried out in the paper pertains to the inclusion of bulk geographically agnostic, as well as geological underground hydrogen storage options, and reporting on significant cost saving opportunities. Finally, the curve for H 2 -HGVs penetration levels, safety stock period decisions, and the transport mode capacity against hydrogen levelized cost at pump have been generated as important policy making tools to provide decision support and insights into cost, resilience and reliability of the HSC. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
20. Digital transformation and business intelligence for a SME: systems thinking action research using PrOH modelling.
- Author
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Panchal, Gajanan, Clegg, Ben, Koupaei, Ehsan Eslamian, Masi, Donato, and Collis, Iain
- Subjects
DIGITAL transformation ,SYSTEMS theory ,BUSINESS intelligence ,ACTION research ,SMALL business ,DIGITAL technology - Abstract
This paper discusses the digital transformation journey of a small and medium enterprise (SME) based in the UK. With the proposed digital transformation archetype, the paper highlights the improvement in various key performance indices (KPIs) for the case SME. The core KPIs and operational KPIs show improvement through the technology adoption as part of the digital manufacturing initiative. While embracing technology, such as Industry 4.0, it is important to highlight the importance of the change and other benefits of technological changes. The paper uses socio-technological system principles to achieve a successful transition. An action research approach and a specific soft system thinking methodology known as Process-Oriented Holonic (PrOH) modeling were used in this paper. A digital twin architecture is presented in the paper that showcases the use of integrated technologies for a digital manufacturing roadmap. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
21. Resilience in knowledge management – the case of natural analogues in radioactive waste management.
- Author
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Reijonen, H.M., Alexander, W.R., and Norris, S.
- Subjects
- *
RADIOACTIVE wastes , *RADIOACTIVE waste disposal , *KNOWLEDGE management , *RADIOACTIVE waste management , *DATA integrity , *WASTE management - Abstract
In the field of radioactive waste management, particularly the geological disposal of higher activity radioactive waste, support for the longevity of engineering solutions in the repository is partly based on studies of natural systems, especially geological examples, often referred to as natural analogues (NA). Since the radioactive waste can be hazardous over hundreds of thousands of years, the long-term safety has to be assessed to very far future, e.g. up to 1 Ma from now. NA studies cover and exceed the time spans of interest. Despite of the long-acknowledged importance of NAs in the safety case for the geological disposal of radioactive waste, there is a lack of guidance and strategic planning to incorporate this information to the safety cases that assess the overall safety of the repositories – this leads to a certain lack of resilience. This paper presents the work undertaken to develop a strategy for utilising natural analogues (NAs) in Nuclear Waste Services (NWS), UK, geological disposal facility (GDF) programme. The work is largely based on the extensive review of the strategic use of NAs in the international context, lessons learnt from various past programmes and by considering how the strategy could look like in the current framework of the UK's GDF programme. The strategy presented aims to support this programme. The main message is that NA information and projects can and should be handled through the same procedures as any research utilising existing and upcoming NWS protocols. This means that NAs need to be a part of knowledge management, rather than, for example, a stagnant database. Including NAs as part of the data screening allows the knowledge base to be updated according to needs arising from the changes in the GDF programme when moving from generic stage towards more site and design specific phases. It is foreseen that key to the best utilisation of NA information is to include it in the NWS' digital safety case, making the information and the related methodology transparent. This paper refers to NWS' GDF siting programme as at September 2023. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
22. Policy on new workforce roles: A discussion paper
- Author
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Bridges, Jackie and Meyer, Julienne
- Subjects
- *
LABOR supply , *LABOR policy , *PUBLIC sector - Abstract
Abstract: Addressing workforce issues has increasingly become a central feature of the organisation and management of public sector services internationally. The introduction of new work roles to public services is one approach advocated in response to recruitment and retention difficulties with professional staff and to increasingly complex services. This paper aims to critically examine UK''s new roles policy in a health care context and explore its wider relevance by drawing on findings from an action research Ph.D. study aimed at exploring one such new role. This deliberately flexible role was held by individuals without a recognised qualification but study findings illustrate that, over the time, the role came to include the complex discharge planning work with patients previously carried out by registered nurses (RNs). The analysis presented highlights shortcomings in current new roles policy including the unacknowledged influence of competing policy goals; the erroneous assumption that defining who does what is clear-cut in practice; the lack of longer-term review of new roles; and the incompatibility between role flexibility and needs for role clarity. Policy makers, managers and practitioners are urged to acknowledge the subtleties and complexities of new work roles in the public sector highlighted by this study. [Copyright &y& Elsevier]
- Published
- 2007
- Full Text
- View/download PDF
23. Active debris removal: A review and case study on LEOPARD Phase 0-A mission.
- Author
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Poozhiyil, Mithun, Nair, Manu H., Rai, Mini C., Hall, Alexander, Meringolo, Connor, Shilton, Mark, Kay, Steven, Forte, Danilo, Sweeting, Martin, Antoniou, Nikki, and Irwin, Victoria
- Subjects
- *
SPACE debris , *SPACE robotics , *MULTIBODY systems , *DIGITAL divide , *SPACE vehicles - Abstract
The growing number of space debris is alarming as it threatens space-borne services. Hence, there is an increasing demand to remove space debris to ensure sustainability and protect valuable orbital assets. Over the past few years, the research community, agencies and industries have studied many passive and active debris removal methods. However, the current technology readiness for space debris removal is still low. This paper first presents a comparative study of various space debris removal technologies to address the knowledge gap and quantify the challenges. This paper reviews the current state-of-the-art space technologies relevant to Active Debris Removal (ADR) missions. Detailed trade-off analysis is then presented based on the Low Earth Orbit Pursuit for Active Removal of Debris (LEOPARD) Phase 0-A study; this study is part of the United Kingdom (UK) Space Agency's Active Debris Removal programme. The ADR mission scenario considered in this paper comprises a chaser spacecraft equipped with recommended technologies to capture non-cooperative targets safely. The final capture technology for the LEOPARD mission consists of an active robotic manipulator and a passive net capture mechanism. An analysis of the coupled-body dynamics of the chaser spacecraft carrying the robot manipulator and the targeted debris is carried out in simulation using SimscapeTM. The chaser spacecraft comprises Airbus's Versatile In-Space and Planetary Arm (VISPA) mounted on a base spacecraft from Surrey Satellite Technology Ltd. (SSTL); the targeted debris is SSTL's Tactical Operational Satellite (TOPSAT). The simulation results show dynamic changes in the chaser robot and the target satellite while performing non-cooperative capture. The simulation study accounted for various operational scenarios where the target is stationary or in motion. Further, for different modes of operation, the worst-case end-effector capture force limits were determined using open-loop control to execute a safe capture. Overall, the results presented in the paper advance the current state-of-the-art of robotic ADR and offer a significant leap in designing close-range motion and force control for stabilising the coupled multi-body system during capture and post-capture phases. In summary, this paper pinpoints the technological gaps, identifies barriers to realising ADR missions and offers solutions to catalyse technology maturity for protecting the space ecosystem. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
24. Liver transplantation for isolated unresectable colorectal liver metastases - Protocol for a service evaluation in the United Kingdom - UKCoMET study.
- Author
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Menon, Krishna, Vijayashanker, Aarathi, Murphy, Jamie, Line, Pål-Dag, Isaac, John, Adair, Anya, Prasad, Raj, and Thorburn, Douglas
- Subjects
- *
COLORECTAL liver metastasis , *LIVER transplantation , *COLORECTAL cancer , *ONCOLOGIC surgery , *CANCER patients - Abstract
Liver transplantation (LT) for unresectable colorectal liver metastases (CRCLM) demonstrates good overall survival for selected patients in contemporary studies, with 5-year survival of 80%. A Fixed Term Working Group (FTWG), set up by NHS Blood and Transplant (NHSBT) Liver Advisory Group (LAG), advised whether CRCLM should be considered for LT in United Kingdom. Their recommendation was that LT may be undertaken for isolated and unresectable CRCLM using strict selection criteria as a national clinical service evaluation. Opinions were sought from colorectal cancer/LT patient representatives, experts in colorectal cancer surgery/oncology, LT surgery, hepatology, hepatobiliary radiology, pathology, and nuclear medicine, and appropriate patient selection criteria, referral and transplant listing pathways were identified. This paper summarises selection criteria for LT in United Kingdom for isolated and unresectable CRCLM patients, and highlights referral framework and pre-transplant assessment criteria. Finally, oncology-specific outcome measures to be utilised for assessing applicability of LT are described. This service evaluation represents a significant development for colorectal cancer patients in United Kingdom and a meaningful step forward in the field of transplant oncology. This paper details the protocol for the pilot study, scheduled to begin in the fourth quarter of 2022 in United Kingdom. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
25. Osteotomy versus unicompartmental arthroplasty: an algorithm for anteromedial knee osteoarthritis.
- Author
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Vipulendran, Karuniyan, Yasen, Sam, and Murray, James
- Subjects
KNEE osteoarthritis ,OSTEOTOMY ,ARTHROPLASTY ,TREATMENT effectiveness ,PRESUMPTIONS (Law) ,FUNCTIONAL assessment ,DECISION making in clinical medicine ,KNEE surgery ,ALGORITHMS - Abstract
Knee arthritis occupies a significant proportion of the musculoskeletal burden in the UK. Total knee arthroplasty currently comprises the mainstay of treatment. There has been a shift towards treating isolated unicompartmental osteoarthritis with bone-preserving surgical techniques, in the form of realignment osteotomy or unicompartmental arthroplasty. There are significant data regarding the survivorship of unicompartmental knee arthroplasty from the National Joint Registry data. Similar registry data are not available for osteotomy surgery yet, but the evidence suggests that unicompartmental knee arthroplasty has greater survivorship. Osteotomies can, however, deliver higher functional return. For both techniques to succeed, it is imperative that rigorous surgical decision-making, with regards to patient selection, should be followed. This paper discusses the basis for these principles and their importance in delivering optimal care. Often, these two surgical techniques are promoted as being mutually exclusive; this paper argues that, in fact, they are part of a complementary algorithm that can deliver the best outcome to the appropriately selected patient. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
26. Re-appraising 'in-process' benefits of strategic infrastructure improvements: Capturing the unexpected socio-economic impacts for lagging regions.
- Author
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Munday, Max, Reynolds, Laura, and Roberts, Annette
- Subjects
- *
REGIONAL development , *COST benefit analysis , *LABOR market , *INFRASTRUCTURE (Economics) - Abstract
The paper explores the scope of transportation infrastructure appraisal approaches for capturing in-process (during design/development and construction) socio-economic impacts. In-process socio-economic impacts are explored through the case of a major road infrastructure improvement programme in South Wales, United Kingdom. The study posits that monitoring in-process benefits can provide a more holistic understanding of impacts to better inform appraisal approaches, addressing concerns over existing appraisal transparency and accountability. Advancing monitoring and appraisal in this way means that more unexpected socio-economic outcomes for regional economies can be understood. These impacts are illustrated through the labour market, skills and wider supply side legacy benefits resulting from direct project activity. The paper reveals the potential outcomes of capturing these in-process socio-economic benefits when supporting local economies in lagging regions. • Infrastructure construction (in-process) development benefits are often overlooked. • In-process outcomes contribute to longer-term regional development gains. • Monitoring allows labour market gains and supply side legacies to be advanced. • In process socio-economic outcomes are valuable for lagging regions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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27. The role of transport infrastructure in economic growth: Empirical evidence in the UK.
- Author
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Zhang, Yijia and Cheng, Lu
- Subjects
- *
INFRASTRUCTURE (Economics) , *ECONOMIC expansion , *VECTOR error-correction models , *INFRASTRUCTURE funds , *ECONOMIC development , *SUSTAINABLE development - Abstract
Since 2015, the United Kingdom (UK) has increased its investment in transportation infrastructure to compensate for years of underinvestment in comparison with peer countries. It is of critical importance to evaluate the effect of these recent investments, as well as historical ones, on economic development, both theoretically and empirically, to provide guidance on future infrastructure investment. However, few research looks into such policy adjustment on economic growth in the UK. To fill this gap, this paper investigates the relationship between transport infrastructure development and economic growth in the UK from different time spans. Principal component analysis (PCA) is used to construct a comprehensive measure of transport infrastructure development. This paper then applies Vector Error Correction Model (VECM) to investigate both long-run and short-run relationships between transport infrastructure development and economic growth from 1970 to 2017 in the UK. Empirical results suggest that transportation infrastructure has a long-run promotive effect on economic development. However, in the short run, this effect turns out to be significantly negative. The analysis of this paper indicates differentiated roles that the UK's transport infrastructure played in economic growth, which should be considered in future policy design of achieving economic sustainability in the UK. • This paper investigates the relationship between transport infrastructure development and economic growth in the UK. • Transportation infrastructure has a long-run promotive effect on economic development. • In the short run, transportation infrastructure fails to promote economic development. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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28. National fingermark visualisation collaborative exercise 2020.
- Author
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Vassell, Shannon and Bandey, Helen
- Subjects
FORENSIC sciences ,HUMAN fingerprints ,PRODUCTION planning ,LABORATORIES - Abstract
• A national collaborative exercise carried out in 2020 within the UK. • The exercise investigated fingermark visualisation on wrapping paper. • Variation in the approach to this exercise was expected due to its complex nature. • Key learning points and lessons learnt were identified. In 2020, the Defence Science and Technology Laboratory organised and ran what is believed to be the first UK national collaborative exercise of its kind in the field of fingermark visualisation, on behalf of the Forensic Science Regulator. Laboratories were provided with a piece of wrapping paper, a challenging item for fingermark visualisation due to its semi-porous characteristics, both from a planning and processing perspective, and asked to treat it as a major crime exhibit. Due to the complexity of the substrate, variation in approach was anticipated. 23 laboratories from 21 organisations completed the exercise. In general, laboratories performed well, providing assurance to the Forensic Science Regulator regarding their ability to visualise fingermarks. Key learning points were identified around decision-making, planning and implementation of fingermark visualisation processes – all of which assist in raising the level of understanding around the likely success of fingermark visualisation. Lessons learnt, along with the overall findings, were shared and discussed in a workshop held in summer 2021. The exercise provided a useful insight into the current operational practices of participating laboratories. Areas of good practice were identified as well as the areas within the laboratories' approach that could be altered or adapted. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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- View/download PDF
29. The potential impact of the new 'Right to Repair' rules on electrical and electronic equipment waste: A case study of the UK.
- Author
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Nagase, Yoko and Uehara, Takuro
- Subjects
- *
ELECTRONIC waste , *RIGHT to repair movement , *ELECTRONIC equipment , *SYSTEM dynamics - Abstract
[Display omitted] • Insights into the waste electrical and electronic equipment (WEEE) management. • Developed a generic system dynamics model simulating the stock and flow of WEEE. • Applied the model to eleven WEEE categories in the United Kingdom. • Sensitivity and backcasting scenario analyses of landfilled WEEE targets. • Identified enhancing collection rates as the best way to reduce landfilled WEEE. Every year an estimated two million tonnes of waste electrical and electronic equipment (WEEE) are discarded by householders and companies in the United Kingdom (UK). While the UK has left the European Union (EU), its waste-related policies still mirror those of the EU, including the WEEE-related policies. Motivated by the recent introduction the so-called 'Right to Repair' policy for electrical and electronic equipment (EEE) across the EU and UK, this paper aims to demonstrate that, depending on the commitment and behavioural changes by the consumers and the government, the future of the WEEE management of the UK will vary. To this end, focusing on landfilled WEEE reduction we develop a generic system dynamics model and apply it to eleven WEEE categories. They depict the flow of EEE and WEEE representing the interaction among the stakeholders (e.g., consumers and producers of EEE) and relevant government regulations of the UK. Our four scenario analyses find that longer use of EEE and better WEEE collection seem to be effective in reducing landfilled WEEE, while more reuse and more recycling and recovery have negligible impacts, despite excluding the additional generation of landfilled WEEE as a result of recycling and recovery. Comparing with the business-as-usual scenario, one year longer EEE use and 10% more of WEEE collection could at maximum reduce landfilled WEEE by 14.05% of monitoring and control instruments and 93.93% of display equipment respectively. Backcasting scenario analyses reveal that significant efforts are required to reduce the targeted amounts. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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30. Towards a unified theory of domestic hydrogen acceptance: An integrative, comparative review.
- Author
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Gordon, Joel A., Balta-Ozkan, Nazmiye, and Nabavi, Seyed Ali
- Subjects
- *
EMISSIONS (Air pollution) , *LITERATURE reviews , *HYDROGEN , *TECHNOLOGY transfer , *DOMESTIC fiction - Abstract
Hydrogen energy technologies are envisioned to play a critical supporting role in global decarbonisation. While low-carbon hydrogen is primarily targeted for reducing industrial emissions, alongside decarbonising parts of the transport sector, environmental benefits could also be achieved in the residential context. Presently, gas-dependent countries such as Japan and the United Kingdom are assessing the feasibility of deploying hydrogen home appliances, as part of their national energy strategies. However, prospects for the transition will hinge on consumer acceptance, alongside an array of other socio-technical factors. To support potential ambitions for large-scale and sustained technology diffusion, this study advances a Unified Theory of Domestic Hydrogen Acceptance. Through an integrative, comparative literature review targeting hydrogen and domestic energy studies, the paper proposes a novel Domestic Hydrogen Acceptance Model (DHAM), which accounts for the cognitive and emotional dimensions of human perceptions. Through this dual interplay, the proposed framework can increase the predictive power of hydrogen acceptance models. [Display omitted] • A unified theory of domestic hydrogen acceptance is proposed. • Researchers should integrate multiple acceptance constructs into survey studies. • Comprehensive perceived risks, costs, and benefits predict attitudes toward hydrogen. • Cognitive and emotional processes influence perceptions of hydrogen homes. • Community-level factors should be incorporated into hydrogen acceptance research. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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31. In Context: Lessons About Adolescent Unipolar Depression From the Improving Mood With Psychoanalytic and Cognitive Therapies Trial.
- Author
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Loades, Maria E., Midgley, Nick, Herring, Georgia T., O'Keeffe, Sally, Reynolds, Shirley, and Goodyer, Ian M.
- Subjects
- *
COGNITIVE therapy , *MENTAL depression , *DEPRESSION in adolescence , *PSYCHOTHERAPY , *BEHAVIOR therapy , *IRRITABILITY (Psychology) - Abstract
This paper summarizes the results of the Improving Mood with Psychoanalytic and Cognitive Therapies (IMPACT) study and its implications for psychological treatment of adolescents with moderate to severe unipolar major depression. IMPACT was a pragmatic, superiority, randomized controlled trial conducted in the United Kingdom, which compared the clinical and cost-effectiveness of short-term psychoanalytic therapy (STPP), cognitive−behavioral therapy (CBT), and a brief psychosocial intervention (BPI) in reducing depression symptoms in 465 adolescents with unipolar major depression, aged 11 to 17 years. Although this was a clinically heterogeneous group of adolescents, some symptoms (eg, sleep and concentration difficulties, irritability/anger) were common and disabling. The trial reported no significant difference among the 3 treatments in reducing depression symptoms. One year after treatment, 84% of participants showed improvement in depressive symptoms (<50% of baseline symptoms) and improved psychosocial functioning, achieving this through different symptom reduction trajectories. Although participants attended fewer treatment sessions than planned, the 3 treatments were delivered with fidelity to their respective models. Ending treatment without therapist agreement occurred in 37% of cases. This was not associated with outcomes by treatment group. Adolescents emphasized the importance of the therapeutic relationship in all 3 treatments. Results suggest that although most adolescents respond to time-limited, structured psychological therapy, subgroups of depressed adolescents are likely to need additional treatment or support. These include adolescents who live in complex circumstances and/or who believe that their needs are not met in therapy, some who stop treatment early, and the 16% to 18% of adolescents who do not respond to treatment. Improving Mood and Preventing Relapse With Psychoanalytic Psychotherapy and Cognitive Behaviour Therapy; https://www.isrctn.com ; ISRCTN83033550. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
32. Narrow passage interactions: A UK-based exploratory survey study to identify factors affecting driver decision-making.
- Author
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Youssef, Peter, Plant, Katherine L., and Waterson, Ben
- Subjects
- *
DECISION making , *MOTOR vehicle driving , *AUTONOMOUS vehicles , *DISTRACTION - Abstract
• There has been a limited scope of investigation of the contextual factors affecting driver decision-making during narrow passage interactions. • The study found that the likelihood of giving way may alter due to characteristics of the interaction partners, including their vehicle type. • It was also found that factors, external to the direct interaction partners, may affect the likelihood of giving way, such as the presence of vehicles beyond the direct interaction partners. • This paper validates previous communication findings in a UK context. Narrow passage interactions have received increased attention from academics seeking to create behavioural models of the interaction and those looking to define how autonomous vehicles (AVs) should interact with their human counterparts in a composite road system. Despite this increased attention, many factors remain unexplored in the narrow passage literature, with the literature also encompassing few driving culture contexts. To this end, this study employs an explorative survey to identify additional factors that affect driver decision-making during narrow passage interactions, as well as driver perceptions of different communications in a UK context. The study's 243 participants were presented with a range of different narrow passage scenarios and asked to indicate how likely they were to give way/yield to a vehicle approaching the narrow passage from the opposite direction. In addition, they also completed the Multidimensional Driving Style Inventory to identify their driving styles and asked to identify which signals they look for from their interaction partner during narrow passage interactions, as well as the meaning of those signals. The results of the study show that situational characteristics such as the vehicle type being interacted with, being in a rush and being followed by vehicles alter the likelihood of drivers giving way at narrow passages, whilst a person's driving style can also indicate how likely someone is to give way to another vehicle. These results highlight the factors that are considered by drivers, increasing our understanding of the factors that need to be incorporated in driver behaviour models and in AV development. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
33. A thematic exploration of patient and radiation therapist solutions to improve comfort during radiotherapy: A qualitative study.
- Author
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Goldsworthy, Simon, Latour, Jos M., Palmer, Shea, McNair, Helen A., and Cramp, Mary
- Subjects
HUMAN comfort ,ATTITUDES of medical personnel ,RESEARCH methodology ,INTERVIEWING ,THERAPEUTIC immobilization ,PATIENTS' attitudes ,QUALITATIVE research ,SOUND recordings ,HEALTH ,INFORMATION resources ,COMMUNICATION ,RADIOTHERAPY ,JUDGMENT sampling ,THEMATIC analysis ,PSYCHOLOGICAL adaptation ,PATIENT education ,PATIENT positioning ,ALLIED health personnel - Abstract
Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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34. International publication trends in Lean Agile Management research: a bibliometric analysis.
- Author
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Ito, Julia Yumi, Silveira, Franciane Freitas, Munhoz, Igor Polezi, and Akkari, Alessandra Cristina Santos
- Subjects
LEAN management ,BIBLIOMETRICS ,SOFTWARE measurement ,COMPUTER software development ,INDUSTRIAL management ,SECONDARY analysis - Abstract
Challenged by complex problems and the speed of technological, social, and environmental change, the joint approach of Lean Management and the Agile Mindset has been explored in business as a management model. This paper aimed to carry out a bibliometric analysis of Lean Agile Management, pointing out trends in scientific research. To this end, an exploratory and descriptive study was developed, with a quantitative approach and based on secondary data from the Web of Science and Scopus, between 1994 and 2022. Bibliometric indicators pointed to 1808 different papers in 897 sources, with 18 citations per paper, and higher scientific productivity of U.S. (276), India (221), and UK (191), with production peaks in 2018 and 2021, suggesting the diffusion and contemporaneity of the research topic. The laws of bibliometrics were not met for this research subject, and dense networks of collaboration and co-citation among researchers were identified, mainly in four application domains, including supply chain, manufacturing, sustainability, and software development as corroborated by the word network. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
35. Changing interventions in farm animal health and welfare: A governmentality approach to the case of lameness.
- Author
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Holloway, Lewis, Mahon, Niamh, Clark, Beth, and Proctor, Amy
- Subjects
ANIMAL welfare ,DOMESTIC animals ,ANIMAL health ,GOVERNMENTALITY ,AGRICULTURE ,POWER (Social sciences) ,SHEEP breeds ,HOLSTEIN-Friesian cattle - Abstract
Lameness is a significant health and welfare issue in farmed animals. This paper uses a governmentality approach, which focuses on how a problem is made governable, to examine an emerging 'ecology of devices' introduced to intervene in, and attempt to reduce, on-farm incidence of lameness. These devices are associated with advisers who work with farmers on-farm; they enact lameness as a governable entity, are tools to assess the existence of lameness against established norms, and prescribe actions to be taken in response to evidence of lameness. In doing this they subjectify farmers and advisers into seeing and responding to lameness in particular ways. Using concepts of governmentality alongside other perspectives on the power relations and the simplifications and complexities involved in interventions in animal health and farm practice, the paper draws on in-depth research with advisers including vets and other paraprofessionals who work with farmers, and their cows and sheep. It explores how this set of devices introduces particular techniques and practices in lameness management, and produces farmer and adviser subjectivities. It then explores some of the problematics of this mode of governing lameness, including analysis of the limitations and unintended consequences of attempts to simplify lameness management. The paper concludes by arguing that its approach is valuable in analysing ongoing intensification of interventions in farming practices and in understanding the limits of such interventions and the unanticipated divergences from expected conduct. • A governmentality approach to livestock lameness provides valuable insight into recent attempts to reduce its prevalence and severity on farms. • The government of lameness produces farmer and adviser subjectivities linked to new tools and devices aiming to reduce the incidence of lameness. • The government of lameness is limited by complexities linked with attempts to simplify interventions and deviation from expected practices. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
36. Trans in Arcadia: Transgender lives in the countryside and expanding Philo's 'rural others' beyond the cis.
- Author
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Warburton, Mimi
- Subjects
RURAL women ,CONVERSION therapy ,TRANSGENDER people ,LANDSCAPES ,TRANSGENDER rights ,COMMON sense ,TRANSPHOBIA ,CURIOSITY - Abstract
This paper argues that Chris Philo's original 1992 call to recover the geographies of 'rural others', and the subsequent focus on marginalised lives that has emerged in rural studies in the three decades since, has yet to lead to a significant body of work on rural trans people. Whilst the straight white middle-aged male perspective dominating rural studies—Philo's 'Mr Average'—has been interrogated on almost every other score, his likely cisgender identity has not. With the current prominence of the 'gender-critical' movement, and the recent decision by the UK government not to ban trans conversion therapy, transphobia in the UK is at fever pitch. Arguments against transgender rights typically claim that anti-trans beliefs are 'common sense' and held by most 'average people'. UK polls indeed show that those most likely to be transphobic are male, over 50, and probably white—Philo's 'Mr Average' indeed. This suggests that transphobia is most rife in places where 'Mr Average' is concentrated, such as rural areas. So what happens when a trans person not only lives in the English countryside, but publicly transitions there? This paper tells the story of a woman named Valerie as seen through the eyes of the 'Mr and Mrs Averages' that otherwise populate her village community, using it both to critique the sweeping assumptions about 'common sense' that anti-trans activists rely on, and to demonstrate why rural studies, having explored marginalised lives for over 30 years, should now extend that curiosity and courtesy to trans people too. • Rural studies should embrace transgender people as it has many other marginalised peoples and stories. • Transgender studies and rural studies, despite seeming unrelated, make natural academic allies. • Anti-trans activists often claim that most 'average people' are transphobic; speaking to 'average people' may dispel this. • Assumptions that people in rural areas are automatically less accepting of trans people should be interrogated. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
37. Testing for COVID-19 during an outbreak within a large UK prison: an evaluation of mass testing to inform outbreak control.
- Author
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Blackmore, Claire, Czachorowski, Maciej, Farrington, Elizabeth, O'Moore, Éamonn, and Plugge, Emma
- Subjects
- *
COVID-19 pandemic , *COVID-19 testing , *POLYMERASE chain reaction , *PRISONS - Abstract
• Systematic mass testing in closed settings provides information on infection rates. • Test positivity was 11.6%, with only one-quarter reporting symptoms. • The prison wing handling new admissions reported the second-lowest positivity rate. • Testing uptake was higher in residents than in staff members. • Mass testing is a valuable tool to bring outbreaks under control quickly. The aim of this paper was to describe the results of mass asymptomatic testing for COVID-19 in a male prison in England following the declaration of an outbreak. It provides novel data on the implementation of a mass testing regime within a prison during the pandemic. The paper is an observational evaluation of the mass testing conducted for 6 months following the declaration of a COVID-19 outbreak within a prison. It investigated the incidence of positive cases in both staff and residents using polymerase chain reaction testing. Data from October 2020 until March 2021 was included. A total of 2170 tests were performed by 851 residents and 182 staff members; uptake was 48.3% for people living in prison and 30.4% for staff. Overall test positivity was 11.6% (14.3% for residents, 3.0% for staff), with around one-quarter of these reporting symptoms. The prison wing handling new admissions reported the second-lowest positivity rate (9.4%) of the eight wings. Mass testing for COVID-19 over a short space of time can lead to rapid identification of additional cases, particularly asymptomatic cases. Testing that relies on residents and staff reporting symptoms will underestimate the true extent of transmission and will likely lead to a prolonged outbreak. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
38. Preliminary investigations using Recover Latent Fingerprint Technology on unfired ammunition and fired cartridge cases.
- Author
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Exall, A., Goddard, I., and Bandey, H
- Subjects
FORENSIC fingerprinting ,CARTRIDGES (Ammunition) ,HUMAN fingerprints ,FLUORESCENT dyes ,AMMUNITION - Abstract
• Recover LFT was compared against Superglue Fuming and Basic Yellow 40 Dye Staining. • Three pseudo-operational trials were conducted using non-groomed natural marks. • Brass and nickel unfired ammunition and fired cartridge cases were investigated. • Results highlight the difficulty with visualising fingermarks on this evidence type. • Recover LFT produced results no worse than currently implemented processes. Previous studies have identified the potential benefit of the disulfur dinitride (S₂N₂) process to operationally relevant substrates. However, the majority of this work was conducted on prototype equipment that had substantial differences to the commercialised system (Recover Latent Fingerprint Technology (LFT)) in terms of design and chemical delivery. This paper evaluates the performance of Recover LFT on a problematic exhibit encountered within a fingerprint enhancement laboratory: unfired and fired ammunition. Three pseudo-operational experiments involving non-groomed, naturally handled fingermarks were conducted on the most commonly encountered types of ammunition used in crime in the United Kingdom (UK). In addition, Recover LFT was compared against Superglue Fuming followed by Basic Yellow 40 (BY40) Fluorescent Dye Staining (a commonly used alternative) to ascertain if the process provides added benefit to fingermark recovery rates. The results show that fingermark visualisation on small calibre cartridge cases remains difficult with few marks achieving enough ridge detail for comparison. However, this paper also shows that the novel Recover LFT process, which is still in its infancy and requiring optimisation, is no worse than currently implemented visualisation processes and is therefore worth further investigation. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
39. Post-mortem computed tomography in the investigation of conflict and terrorist related deaths: UK military experience of developing a multidisciplinary service.
- Author
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Gibb, I., Delaney, R., Murphy, D., and Hunt, N.
- Subjects
- *
FORENSIC pathologists , *SAFETY appliances , *COMPUTED tomography , *COLLABORATIVE learning , *TERRORISTS , *RADIOLOGISTS - Abstract
This paper discusses the introduction, development and utility of post-mortem imaging relating specifically to conflict-related and terrorist-related deaths and considers the use of computed tomography (CT) in the investigations. We demonstrate how a multi-disciplinary approach involving direct communication between forensic pathologist and radiologist can maximise evidential yield, reduce the need for unnecessary dissection and further our understanding of such injuries. This summarises our shared experience of hundreds of cases, each having been individually discussed and reviewed, and has helped shape our understanding of conflict injury as well as contributing to the development of mitigation strategies and adaptations to protective equipment. A series of clinical cases are presented to demonstrate some of the strengths and weaknesses of the process. • Development of post-mortem CT in forensic radiology by UK military. • Collaborative learning and working between radiology, pathology and police. • What the forensic pathologist and police want from CT. • What radiology can answer from a pragmatic PMCT study. • Strengths and weaknesses of the technique through case scenarios. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
40. Assessing the pressure losses during hydrogen transport in the current natural gas infrastructure using numerical modelling.
- Author
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Thawani, B., Hazael, R., and Critchley, R.
- Subjects
- *
GAS distribution , *HYDROGEN , *STEEL pipe , *NATURAL gas , *TURBULENT flow - Abstract
The UK government aims to transition its modern natural gas infrastructure towards Hydrogen by 2035. Since hydrogen is a much lighter gas than methane, it is important to understand the change in parameters when transporting it. While most modern work in this topic looks at the transport of hydrogen-methane mixtures, this work focuses on pure hydrogen transport. The aim of this paper is to highlight the change in gas distribution parameters when natural gas is replaced by hydrogen in the existing infrastructure. This study uses analytical models and computational models to compare the flow of hydrogen and methane in a pipe based on pressure loss. The Darcy-Weisbach and Colebrook-White equations were used for the analytical models, and the k- ε model was used for the computational approach. The variables considered in the comparison were the pipe material (X52 Steel and MDPE) and pipe diameters (0.01m–1m). It was observed that hydrogen had to be transported 250–270% the velocity of methane to replicate flow for a fixed length of pipe. Furthermore, it was noted that MDPE pipes has 2–31% lower pressure losses compared to X52 steel for all diameters when transporting hydrogen at a high velocity. Lastly, it was noted that the analytical model and computational model were in agreement with 1–5% error in their findings. [Display omitted] • Hydrogen is expected to replace methane by 2035 for domestic heating applications. • Analytical and computational models were used to compare flow of hydrogen and methane. • Hydrogen velocity must be up to 2.7 times faster than methane to replicate flow. • MDPE pipes showed lower pressure losses than steel pipes due to reduced roughness. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
41. Quo vadis, foot & ankle research? A review.
- Author
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Krause, Fabian, Herrera, Mario, Walcher, Matthias, Mahadevan, Devendra, and Michels, Frederick
- Subjects
- *
FOOT surgery , *ANKLE surgery , *BIOMECHANICS , *HUMAN abnormalities - Abstract
Over the last two decades, there has been a growing emphasis on the publication quality in Foot & Ankle research. A level-of-evidence rating system for clinical scientific papers has been proposed by the Centre for Evidence-based medicine in Oxford, United Kingdom. As opposed to other subspecialities, foot & ankle surgery deals with a wide variety of clinical problems and surgical solutions, which in turn leads to a generally low number of patients available for study groups. However, level III and IV studies still have a valuable place in orthopaedic research, given the challenges in running high-level studies.The measurement of outcomes in medicine from the patients' perspective (PROMS:(patient reported outcome measures) has grown almost exponentially in all surgical specialties including foot & ankle surgery. There are many PROMs available to foot & ankle surgeons, but there is little consensus on which assessment is most appropriate for a given procedure or diagnosis. Their use in research and clinical practice offers many advantages in clinical practice and research, however, besides the advantages there are also some downsides. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
42. 'Friendly' and 'noisy surveillance' through MapMyRun during the COVID-19 pandemic.
- Author
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Fletcher, Olivia
- Subjects
COVID-19 pandemic ,PERFORMANCE management ,PHYSICAL activity ,VIRTUAL communities ,SOCIAL accounting ,STAY-at-home orders - Abstract
This paper considers the nature of social surveillance through the physical activity tracking app MapMyRun and examines how this was experienced during the COVID-19 pandemic during the UK and USA summer 2020 lockdowns. In contributing to debates in digital geographies around the entanglements of the fleshy and digital body, the paper responds to calls for research to recognise the increasing sociality of self-tracking (Couture, 2021), specifically considering how, during the COVID-19 pandemic, these apps offered a form of connection during a time of isolation. Using data from email and video interviews, I argue that whilst a Foucauldian account of surveillance can be used as a point of departure, it is limited in accounting for the social aspects of self-tracking. I therefore propose that applying Robinson's (2000) concept of 'noisy surveillance' to self-tracking is useful for understanding the messiness of surveillance in terms of the complications and noisiness involved in interactions in digital spaces, as well as the opportunities for performance management online particularly during lockdown. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
43. Towards a 100% hydrogen domestic gas network: Regulatory and commercial barriers to the first demonstrator project in the United Kingdom.
- Author
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Smith, Connor, Mouli-Castillo, Julien, van der Horst, Dan, Haszeldine, Stuart, and Lane, Matthew
- Subjects
- *
NATURAL gas , *HYDROGEN as fuel , *GAS distribution , *HYDROGEN , *INFORMATION asymmetry , *PILOT projects , *GASES - Abstract
In the debate on the decarbonisation of heat, renewable electricity tends to play a much more dominant role than green gases, despite the potential advantages of gas in terms of utilising existing transportation networks and end-use appliances. Informed comparisons are hampered by information asymmetry; the renewable electricity has seen a huge grid level deployment whereas low-carbon hydrogen or bio-methane have been limited to some small, stand-alone trials. This paper explores the regulatory and commercial challenges of implementing the first UK neighbourhood level 100% low-carbon hydrogen demonstration project. We draw on existing literature and action research to identify the key practical barriers currently hindering the ability of strategically important actors to accelerate the substitution of natural gas with low carbon hydrogen in local gas networks. This paper adds much needed contextual depth to existing generic and theoretical understandings of low-carbon hydrogen for heat transition feasibility. The learnings from pilot projects, about the exclusion of hydrogen calorific value from the Local Distribution Zone calorific value calculation, Special Purpose Vehicle companies, holding of liability and future costs to consumers, need to be quickly transferred into resilient operational practice, or gas repurposing projects will continue to be less desirable than electrification using existing regulations, and with more rapid delivery. • This paper explores barriers for the first UK 100% hydrogen distribution project. • Learnings from pilot projects need to be transferred into UK operational practice. • Existing regulations present barriers to gas distribution innovation projects. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
44. Searching for pure gold: The impact of ethical gold sourcing certification programmes in the UK and Switzerland.
- Author
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Oakley, Peter
- Subjects
GOLD mining ,GOLD ,FAIR trade goods ,LUXURIES ,MARKET share - Abstract
This paper explains the history of the first ethical gold certification programme: Fairtrade and Fairmined Gold, launched in February 2011, and its two successors. By presenting an overview of the key events that occurred in the UK and Switzerland relating to these three leading certification schemes, it outlines the trajectory and relevance of ethical gold in both countries up to the present day. This material is then used to explain why ethical gold certification has survived but remained peripheral to gold jewellery manufacturing in the UK throughout the past decade, whilst growing in relevance and institutional support in Switzerland over the same period. The paper also considers the overall impact of ethical gold certification programmes on global gold supply chains since their inception and concludes by reflecting on the extent to which these schemes have benefitted artisanal and small-scale gold mining communities around the globe. • The first ethical gold certification programme, Fairtrade and Fairmined Gold, was launched in 2011. • Despite claims Fairtrade and Fairmined Gold would take a significant market share, ethical gold has remained a niche product. • The viability of using ethical gold in branded luxury goods was proved by the launch of the L.U.C Tourbillon Fairmined watch. • The support of the Swiss Better Gold Association has pushed cumulative exports of Fairmined Gold into tonnages. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
45. Waitlist management in child and adolescent mental health care: A scoping review.
- Author
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Eichstedt, Julie A., Turcotte, Kara, Golden, Grace, Arbuthnott, Alexis E., Chen, Samantha, Collins, Kerry A., Mowat, Stephanie, and Reid, Graham J.
- Subjects
- *
HEALTH services accessibility , *MEDICAL information storage & retrieval systems , *OUTPATIENT services in hospitals , *MENTAL health services , *CHILD health services , *CINAHL database , *DESCRIPTIVE statistics , *SYSTEMATIC reviews , *MEDLINE , *LITERATURE reviews , *ONLINE information services , *COMPARATIVE studies , *PSYCHOLOGY information storage & retrieval systems ,MEDICAL care for teenagers - Abstract
• Many mental health disorders first emerge during early childhood or adolescence. • Wait times for children's mental health services have been an international and widespread problem. • Long wait times prolong the emotional distress of children and/or adolescents and their caregivers which can exacerbate mental health difficulties. • The majority of research in this area has been conducted in the United Kingdom and Canada and focus on one waitlist strategy. • Common strategies include alternative service delivery models, increasing system capacity, and improving intake and assessment processes. Background: Although many mental health disorders first emerge during early childhood or adolescence, there is a significant gap between demand and availability of mental health resources, leading to long waitlists for services. Objective: The objective of this scoping review was to identify and characterize the research literature related to the range of waitlist management strategies that have been implemented in outpatient child and adolescent mental health care. Methods: Electronic databases reviewed included: Medline (Ovid), Embase (Ovid), PubMed, PsychINFO, SCOPUS, CINAHL, and ISI Web of Science. Grey literature databases included: OpenGrey, Conference Papers Index, and Proquest Digital Dissertations. Articles were screened by two reviewers in two steps: first by title and abstract, then full text level. Data were extracted using an a-priori developed data extraction framework, which was piloted and modified iteratively. Results: A total of 119 papers related to waitlist interventions in child and adolescent mental health were reviewed. Of these 119 papers, 11% were reviews, summary, or theoretical papers; 8% used a randomized control trial design and 2.5% were trial protocols. Most studies used less rigorous designs, such as uncontrolled before-and- after designs. The large majority focused on just one waitlist strategy each. The most commonly used approaches included: prioritization/triage and initial assessment; brief consultation and advice or brief therapy approaches; group-based models; interim services; increasing capacity; and strategies to decrease non-attendance. Most studies were conducted in the United Kingdom or Canada. Discussion: While mental health systems are complex, most studies examining waitlist initiatives explored the implementation of single initiatives. It is unlikely that a single waitlist strategy can be effective in managing wait times for children's mental health. Rather, consistent and systemic approaches to address wait times that consider the impact of the reduction approach on the patient, the program, and the community are needed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
46. Citizen and specialist co-design of energy policy: The case of home energy decarbonization in the UK.
- Author
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Willis, Rebecca, Ainscough, Jacob, Bryant, Peter, Goold, Liz, Livermore, Mara, and Tosal, Caroline
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ENERGY policy ,PARTICIPATORY design ,CARBON dioxide mitigation ,CARBON emissions ,CITIZENS - Abstract
The design of energy and climate policy is usually seen as an 'expert' domain, relying on technical tools such as economic analysis. However, policy requires the support of politicians and citizens alike, through the democratic process. Many policies, such as reducing carbon emissions from homes and transport, also affect people's lives directly. It is thus necessary to supplement technical analysis with methods that allow an exploration of people's views, values and behaviours. One such method is codesign, whereby groups of citizens work with policy analysts to develop strategies informed by the lived experience of citizens, as well as the specialist knowledge of analysts. There is a history of co-design approaches in public services such as healthcare, but there have been few attempts to co-design public policy measures. This paper reports on a Citizens' Panel, a representative group of people working with specialists to create co-designed policy recommendations for reducing carbon emissions from homes. The process revealed that policy co-design can provide detailed, viable proposals. In this case, panellists emphasised the necessity of leadership and support from government; tailored, consistent information; targeted regulation; and financial incentives. Finally, the wider potential role for policy co-design for energy and climate is addressed. • Co-design processes are widely used but rarely applied to the design of energy and climate policy. • Co-design processes can embed citizen perspectives in policy design. • The paper reports on an experimental panel on home energy decarbonisation. • Co-design can ensure that policies are effective and will gain support of politicians and publics. • Changes to cultures of policymaking are needed to embed such approaches. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
47. Who should deliver agri-environmental public goods in the UK? New land managers and their future role as public good providers.
- Author
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Kam, Hermann and Potter, Clive
- Subjects
PUBLIC goods ,COMMON good ,DELIVERY of goods ,CAPITAL investments ,AGRICULTURAL policy ,EMINENT domain - Abstract
Agri-environmental policies in the UK stand on the threshold of significant change, with wide acceptance that radical changes are needed to ensure a better delivery of public goods in future. The UK's departure from the EU presents an opportunity to fully realise the "Public Money for Public Goods" principle in the new suite of Environmental Land Management schemes. A likely priority will be the delivery of conservation goals at a landscape scale, which will require the recruitment of a broader range of actors and institutions than at present, including an emerging group of what we call in this paper 'new land managers'. Understanding the changing dynamics of rural land occupancy, and the characteristics and motivations of these new land managers, will be essential in the future for the effective delivery of these public schemes. Data on land market trends is nevertheless patchy and poorly researched. For this paper, we drew on a survey of land agents in England, all of whom were members of the Central Association for Agricultural Valuers (CAAV), in order to gather information and reflections on contemporary land markets. A key finding is that agricultural policy reform and retrenchment is seen by many of these experts as a significant driver of future change. Taken together with other interacting factors such as the overall tax burden on businesses and the economic and personal situation of farmers and their succession status, many of our respondents predicted significant structural change, with more land coming on to the market for resale. At the same time, increasing demand for land from "lifestyle/non-farming landholders" and the growing presence of people entering the market interested in enroling land for carbon sequestration and natural capital improvements, will mean a shift in the types of individuals and organisations holding land. Those holding and managing land in coming years are likely to comprise an ever more diverse and fragmented community of land owners and occupiers The task for policymakers then, is to deliver a suite of interventions specifically tailored to the various types of landholders in order to engage them effectively into public goods delivery under ELMs. • Traditional focus of UK agri-environmental policies is on main occupation farmers. • Emphasis on landscape scale delivery requires broader set of public good providers. • Knowledge gaps in rural land occupancy mean that successful recruitment is limited. • Findings reported here indicate a continued diversification of landholder types. • A suite of interventions tailored to the broadening landholders types will be key. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
48. Monitoring of non-indigenous marine species for legislative and policy goals in the UK.
- Author
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Wood, Louisa E., Clarke, Stacey A., Murphy, Debbie, Davison, Phil I., Thrush, Mark A., Bass, David, Birchenough, Silvana N.R., Peeler, Edmund J., and Tidbury, Hannah J.
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INTRODUCED species ,ASPIRATORS ,SEAWATER ,ECOLOGICAL impact ,BIOLOGICAL invasions ,POLITICAL change - Abstract
Globally, the ecological and socio-economic impacts of non-indigenous species (NIS) are increasingly recognised, prompting the development of international policies and legislation that aim to reduce these impacts. Monitoring programmes are required to assess compliance with legislation and progress towards management targets. However, monitoring programmes often need to fulfil the requirements of several legislative drivers, as well as adapt to changing political circumstances and environmental targets, and thereby face design and implementation challenges. In this paper, we summarise the current legislative drivers for monitoring of non-indigenous marine species and provide a review of existing monitoring in UK waters. This paper also discusses aspirations for NIS monitoring, outlines progress, and provides recommendations to address remaining gaps. While the focus is on the drivers for NIS monitoring in UK marine waters, the key messages, in particular recommendations for future improvements, are applicable on a global scale. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
49. 'My doctor just called me a good girl and I died a bit inside': From everyday misogyny to obstetric violence in UK fertility and maternity services.
- Author
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von Benzon, Nadia, Hickman-Dunne, Jo, and Whittle, Rebecca
- Subjects
- *
MATERNAL health services , *CHILDBIRTH , *VIOLENCE , *FERTILITY - Abstract
This paper begins with the common phrase 'good girl' as a lens through which to explore the insidious nature of patronising and paternalistic language on women's agency in obstetric care. Here we see how misogynistic language is both violence against women in its own right, and serves to create a context in which more extreme obstetric violence can be precipitated. Based on thematic analysis of discussion on Mumsnet, and on contributions to a research-focused Facebook group, this paper illustrates the complexity of recognising and refuting misogyny as a female patient as well as the damage that can occur from a cultural context in which this language is normalised. Here, words both boast a materiality through the environments they reify, and become transient and slippery, with semiotic uncertainty. • Use of misogynistic language in obstetric and fertility care is widespread. • This language may be difficult to identify and address. • Language that positions women as incompetent creates a context in which violence may occur during childbirth. • Experiences of obstetric violence are common even in the UK, amongst well-educated women. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
50. The role of funding in the 'performative decarbonisation' of transport in England.
- Author
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Verlinghieri, Ersilia, Haines-Doran, Thomas, Marsden, Greg, and Schwanen, Tim
- Subjects
- *
CARBON dioxide mitigation , *CLIMATE change , *GOVERNMENT policy on climate change , *PRIVATE sector , *LOCAL government - Abstract
The scale of the decarbonisation challenge and the short timeframes over which action is required demand urgent action. This paper is set within the surface transport sector, now the largest sector of emissions with the slowest pace of change in many advanced liberal economies. It focuses on the strategies and actions of local government which is recognised to be a central player in catalysing change. Our evidence is derived from the actions of two UK local areas which claim to be at the forefront of the decarbonisation challenge. The paper focuses on the role of funding and financial mechanisms in addressing the climate crisis. In the face of an established pattern of austerity and hollowing out of local government we explore how deep transformation is being envisaged. We find a recursive set of issues which derive from a dependence on funding from outwith. This dependence means that despite comprehensive overarching strategies and goals the funding available is the core of the strategy. This means that the nature of the funds, such as the requirement for experimentation, innovation or private sector leverage, defines direction. In turn, and to maintain success in attracting funds, there is an emphasis on presenting 'premium spaces of ambition' with little evidence of attention to broader systemic change. This duality is openly recognised. This paper advances a wider point that greater emphasis should be placed on the 'financialisation' of climate policy and the reality rather than the rhetoric of change. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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