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Worry and rumination (Perseverative Cognition, PC) have been associated with health behaviours, but the underlying mechanisms are unknown. Given the role of physiological experiences on perceived behavioural control (PBC) and emotion regulation on intention-health behaviour relationships, we tested whether: PC prospectively predicts poorer health behaviours; PC moderates the relationship(s) between intentions/PBC and health behaviour, as well as whether the relationship between PC and health behaviour is mediated by intentions and PBC. In a prospective design, 650 participants (mean age = 38.21 years; 49% female) completed baseline measures of intentions, PBC and PC (worry and rumination) and 590 (mean age = 38.68 years; 50% female) completed follow-up (Time 2) measures of health behaviours (physical activity, sleep, sedentary activity, unhealthy snacking) 1-week later. Worry and rumination (at T1) predicted poorer sleep quality. Worry, but not rumination, moderated PBC-physical activity frequency relations. Consistent with mediation, the indirect paths from both worry and rumination, through PBC, to sleep quality and total sleep time were significant. PC is associated with poorer sleep quality and PBC can play a mediating role in such relationships. Future research should further consider the role that PBC plays in PC-health behaviour relations. [ABSTRACT FROM AUTHOR]

Background: Oral health of people with severe mental illness (SMI) remains an important public health issue, despite evidence pointing suboptimal dental health outcomes in this population. Aims: We test the hypotheses that individuals with SMI have lower contact with dental services and higher levels of fillings and extractions. We also examine effect modification by age-group. Methods: We used linked administrative data from general practitioner (GP), hospital and dental records to examine dental service use and treatments (extractions, fillings, crowns and x-rays) among the Northern Ireland hospital population between January 2015 and November 2019 (N = 798,564). Results: After adjusting for available socio-demographic characteristics, analysis indicated lower levels of dental service use (OR = 0.80, 95% CI = 0.77, 0.84), including lower likelihood of fillings (OR = 0.81, 0.77, 0.84) and x-rays (OR = 0.77, 0.74, 0.81), but higher levels of extractions (OR = 1.23, 1.18, 1.29) among patients with SMI. We also found effect modification by age-group, with older individuals with SMI less likely to have each of the four dental treatments. Conclusions: We suggest that in the general area of physical healthcare for people with SMI, oral healthcare is neglected. There is a need for improved understanding of the barriers to routine care and treatment, and development of psychoeducational interventions. [ABSTRACT FROM AUTHOR]

The impact of Covid-19 on surgical patients worldwide has been substantial. In the United Kingdom (UK) and the Republic of Ireland (RoI), the first wave of the pandemic occurred in March 2020. The aims of this study were to: (1) evaluate the volume of neurosurgical operative activity levels, Covid-19 infection rate and mortality rate in April 2020 with a retrospective cross-sectional cohort study conducted across 16 UK and RoI neurosurgical centres, and (2) compare patient outcomes in a single institution in April–June 2020 with a comparative cohort in 2019. Across the UK and RoI, 818 patients were included. There were 594 emergency and 224 elective operations. The incidence rate of Covid-19 infection was 2.6% (21/818). The overall mortality rate in patients with a Covid-19 infection was 28.6% (6/21). In the single centre cohort analysis, an overall reduction in neurosurgical operative activity by 65% was observed between 2020 (n = 304) and 2019 (n = 868). The current and future impact on UK neurosurgical operative activity has implications for service delivery and neurosurgical training. [ABSTRACT FROM AUTHOR]

Cemeteries in the UK and Ireland are typically viewed as a final 'place of rest' for the deceased where their remains will not be disturbed. This sense is at least in some part created by the norm of in-perpetuity grave rights in these countries. Yet while 'in-perpetuity' suggests fixity, it is defined and managed in varying ways in different settings, including an ultimate fixed term for some graves and cemeteries. Over decades, in-perpetuity cemeteries and cemetery policies adapt to and reflect changes in cultural trends, national and local politics, cemetery management, planning, regeneration, and other pressures on land, as well as the changes that occur in the natural environment in which they are situated. In this article, we explore the rhythms and temporalities of cemeteries characterised by in-perpetuity grave rights, by looking at how the tensions between perpetuity and change are perceived, experienced, and managed by burial service staff and varied communities who use them. In-perpetuity grave rights impact the management of cemeteries, their material form, and how they are used. A focus on the temporalities and rhythms of cemeteries in the UK and Ireland enables a reconsideration of the concepts of perpetuity and change in death and remembrance. [ABSTRACT FROM AUTHOR]

The history of humanitarianism in the nineteenth century, and more specifically of the lifeboat movement, has so far paid limited attention to the role of rank-and-file, working-class volunteers and the ways in which they interacted with the broader moral framework of humanitarian causes. In order to contribute to this history, this article looks at social conflicts between lifeboat crews and local committees as related in inspection reports of the Royal National Lifeboat Institution. It argues that these conflicts hinge on the double nature of lifeboat work as both labour and moral duty, the incommensurability of these two aspects and the ways in which different social actors interpret them. It frames these tensions under the concept of moral economy and argues that the practical implementation of the humanitarian imperative of lifesaving at sea is partly a result of tensions and negotiations of mutual monetary and non-monetary obligations of the various actors at play at station level. [ABSTRACT FROM AUTHOR]

There is an urgent need to develop an international competency and capability framework to support standardization of education and roles in advanced practice physiotherapy (APP). This need arose due to the rapid growth of the APP model of care, implemented out of necessity in the absence of agreement as to the competencies and capabilities or formal education required for the roles. This study explores the views and perceptions of practitioners and key stakeholders on a draft competency and capability framework for advanced practice physiotherapists. The purpose of this study was to: 1) gather feedback from key stakeholders (advanced practice physiotherapists, researchers, and leaders) on a draft competency and capability framework and 2) use that feedback to revise and improve the draft framework. Qualitative study using a series of four multi-national online focus groups. Thematic analysis was conducted according to Braun and Clarke. Sixteen participants from the United Kingdom, Ireland, Canada, Australia, and New Zealand participated in the study. Five themes were generated after data analysis: clinical expert, experienced communicator, strong leader, collaborator, and knowledge creator). A modified competency and capability framework was developed based on feedback from the focus groups and input from subject matter experts (SMEs). This study provides a modified core competency and capability framework comprising 24 competencies grouped under six domains. This study is a step toward international standardization of advanced practice physiotherapy based on a commonly agreed framework for the education and training of advanced practice physiotherapists. [ABSTRACT FROM AUTHOR]

Traditionally, psychotherapy supervision takes place as a conversation between the supervisor and a supervisee, but it has been argued that using an array of creative techniques can enhance the supervisory process. However, there has been limited empirical research in this area. This study explored the perspectives of supervisors when using creative techniques in psychotherapy supervision. Using grounded theory procedures, 13 experienced psychotherapy supervisors were interviewed in the United Kingdom and Ireland, and "Attaining Sight" of the supervision issue emerged as a main concern for supervisors. "Revealing the Unknown" was the framework that explained how participants dealt with this concern by using creative techniques in supervision. When the supervision issue was seen more clearly, it helped supervisors cope with their own discomfort and foster a more favorable supervisory encounter. In this article, the implications of using creative techniques in supervision are discussed. [ABSTRACT FROM AUTHOR]

Home-school partnership has often been lauded as a key contributor in raising educational attainment. However, the level of partnership experienced by parents who use English as an Additional Language (EAL) can be limited by poor English-language proficiency and other unique challenges. This paper is concerned with a systematic review and analysis of the evidence of home-school partnership for learners with EAL in primary schools. It identifies international research trends, and gaps in research in the United Kingdom and Ireland. The analysis demonstrates that there is a dearth of literature pertaining to home-school partnership interventions in the United Kingdom and Ireland. It also identifies a global necessity for interventions aimed at instigating attitudinal change among teachers and systemic institutional change. [ABSTRACT FROM AUTHOR]

Women working in sports media contend with unwanted attention during their careers, extending beyond evaluations of their knowledge to encompass judgements of their appearances and emotional management. Using Banet-Weiser's framework of popular feminism, within the 'economies of visibility', this research explores the experiences and strategies of women in sports media as they navigate increased -visibility. Working as a researcher-insider, the first author conducted semi--structured interviews with seven women working in sports media (early career to 35 years' experience), working in the UK and/or Ireland, across TV, radio, print and/or online formats. Collaborative reflexive thematic analysis by both authors resulted in the construction of two themes around 'heightened visibility' (including a subtheme of standing out) and 'blending in'. The findings indicate that while women are increasingly visible in the industry, the gender dynamics and conditions of the sports media workplace have not progressed to the same extent. [ABSTRACT FROM AUTHOR]

Whilst research attention on the mental wellbeing of farmers is growing, there are few studies focused on young farmers. Our research set out to better understand the factors affecting young farmer mental wellbeing and help-seeking behaviour. We draw insights from a combined study in Ireland and the UK, supplemented by separate studies by the same author team in both places. Through the use of young farmer interviews and surveys, as well as interviews of those who support young farmers with their mental wellbeing, we identify a mixed picture of mental wellbeing and a plethora of factors affecting it. Though many of these factors have been identified in the wider literature, the impact of socialisation and time off the farm, and sexism/misogyny affecting young female farmers, were specifically identified in our study. In some cases, young farmers were considered to be better at speaking about mental wellbeing than their older counterparts, but our study indicated that some people in this demographic fail to seek assistance because of stigma, stoicism, and possible lack of confidentiality. Improving the accessibility of mental wellbeing services, as well as normalising conversations on the subject and providing support in informal social settings, were identified as key recommendations. [ABSTRACT FROM AUTHOR]

This study used a framework grounded in social representations theory to investigate cross-cultural variation and consistency in the discursive construction of the COVID-19 pandemic by the mass media, in the week following WHO’s declaration of a global pandemic in March 2020. News reports from media outlets in the United Kingdom and China were sourced, with articles from the most popular media sources selected for analysis. Four discourses were identified to be the most prominent representations present throughout these accounts: war; other illnesses; a general emergency; an unknown situation. The findings demonstrated consistency with past research, highlighting how the sociogenesis of social representations in the case of the COVID-19 pandemic followed a similar pattern to other novel infectious disease outbreaks. Consistency between UK and Chinese media accounts was identifiable throughout the construction of these discourses; however, variation was detectable regarding use of culturally relevant anchors for existing illness representations, along with Chinese media accounts constructing images of a comparatively optimistic local situation, whilst depicting the rest of the world as in the midst of a global emergency. Future research has the potential to build on these findings by going beyond media representations to explore actual lay population beliefs, attitudes, and opinions, considering how they compare to the representations portrayed in mass-mediated news reports. [ABSTRACT FROM AUTHOR]

Mental illness-related stigma does not only emanate from the public but also within families of persons with mental illnesses. Familial mental illness stigma implies family members perpetuating stigma against their loved ones with mental illnesses. The aim of this review was to analyze the empirical literature on experiences of familial mental illness stigma in four countries. Using seven databases, we reviewed 133 empirical studies with 26 meeting the inclusion criteria. Each of the 26 studies spoke to various forms of familial mental illness stigma that potentially impact the self-esteem and self-worth of the affected person. Findings from this review show the existence of familial mental illness stigma in high-income countries, highlighting the need for evidence-based policies to safeguard affected persons at the family level. Close relatives stigmatizing their loved ones due to mental illnesses have contributed to the concealment of mental illness diagnoses within families, which often results in poor prognoses. Family members' understanding of mental illnesses is key in confronting the stigma associated with mental disorders in our communities, but this is contingent on continuous comprehensive familial program and education. Constant social support from community services and family members is essential in the recovery of persons with mental illnesses. This underscores the need for a stigma-free environment at all levels of society to ensure all-inclusiveness which calls for a comprehensive strategy that targets policy changes, public education, and media representations of mental health-related problems. [ABSTRACT FROM AUTHOR]

The dramatic growth in health expenditures is an important health policy concern worldwide. Therefore, understanding the factors that increase health expenditures provides policy makers with evidence for decision-making. We aim to examine long-term effects of carbon dioxide emission, urbanization rate and GDP per capita on health expenditures. This study investigates the effect of carbon dioxide emission, urban population, and GDP per capita on health expenditure for 21 OECD countries over the period 1992–2018. Panel ARDL Approach and Gengenbach, Urbain and Westerlund Panel Co-integration Test have been used in the article. Test results indicate the long-run relationship among health expenditure and carbon dioxide emission, urban population, and GDP per capita. Effect of carbon dioxide emission (CO2), urban population, and GDP per capita is significant and positive on health expenditure. Rapid economic growths of OECD countries recently and environmental pollution have increased health expenditures in the long term. [ABSTRACT FROM AUTHOR]

We examine the communicative value of extended auditor reports in the United Kingdom (UK), where ISA 700 (UK and Ireland) requires auditors to disclose the risks of material misstatement that had the greatest effect on the audit - key audit matters (KAM). By using methods from computational linguistics, we find that different proxies for communicative value (i.e., readability, evaluative content, visual aids, and specificity) improve in post-ISA 700 periods. Cross-sectional tests show that the improvement differs across audit firms and audit clients as well as KAM disclosure characteristics. Finally, broadly consistent with concurrent studies, we find no evidence that several proxies for communicative value are informative to investors. However, we find initial evidence that a more specific description of KAM is significantly and positively associated with capital market reactions, suggesting that investors value precise information. Overall, this study directly responds to the call for more research on how KAM are worded. [ABSTRACT FROM AUTHOR]

Continuing professional development (CPD) is a substantial, but hitherto largely unappreciated component of lifelong learning and education (LLL/LLE). CPD encourages analysis of the LLL/LLE of those with high education in early years. It draws attention to the influence of particular organisations, professional associations and regulatory bodies, not only as suppliers of LLL/LLE, but also as facilitators of perpetual cycles of learning and in so doing connect lifelong learning with individual identities as professionals. This study highlights the importance of bringing a sociological perspective into understanding participation in LLL/LLE through consideration of a wider range of stakeholders. Data is presented on these organisations' CPD policies from a large-scale survey carried out in the UK triennially between 2003 and 2018, in addition to interviews, focus groups and other surveys of employees of these organisations in the UK, as well as in Australia, Canada and Ireland reported in many publications. The development path of CPD and the changes this has led to for the exercise of professionals' lifelong learning and for the functioning of these organisations themselves is analysed. CPD policies and programmes are portrayed as a structured system distinct from university continuing education and training. [ABSTRACT FROM AUTHOR]

There is a limited understanding about how an association with those that download Child Sexual Abuse Material (CSAM), a highly stigmatized crime, impacts the lives of their innocent family members. Non-offending family members are often considered a valuable protective resource for offender desistance and in safeguarding children from abuse. Therefore, the present study aimed to explore the lived experiences of female family members of CSAM offenders in Ireland and the United Kingdom to both identify and target areas for intervention thus ameliorating their ability to protect. A qualitative research design was adopted, and data analyzed via reflexive thematic analysis. Fifteen individuals self-selected for participation and interviews resulted in the identification of three key themes: Shattered Worldview, The Injured Self; Contamination by Association. The analysis highlighted how non-offending family members experienced considerable shame, trauma, and stigma with consequences that reached into every aspect of their lives. The findings are discussed in the context of the limited available literature along with research implications and recommendations for both policy and practice. [ABSTRACT FROM AUTHOR]

Homelessness is growing internationally, and resources to guide occupational therapy practice in this area are needed. To identify competencies needed for occupational therapists to support individuals during and following homelessness. We conducted a three-round Delphi study with occupational therapy practitioners and researchers with expertise in homelessness. Of 35 potential participants, n = 16 participated in Round I, n = 20 participated in Round II, and n = 18 participated in Round III. Participants included occupational therapists and researchers in Canada, United States, Brazil, UK, Ireland and New Zealand. Consensus was achieved on a total of 93 competencies in 10 categories after 15 were eliminated in Rounds II and III. The categories with the greatest number of competencies included occupational knowledge (n = 18), followed by psychosocial competencies (n = 16). This study represents the first to identify the competencies needed for occupational therapists working in the area of homelessness. Practitioners and educators are encouraged to view the identified competencies as a guide for the professional development of occupational therapists in this context. Stakeholders consulted for this study were able to communicate in English and situated in middle to high-income countries. As such, the competencies identified in this study only apply to these sociocultural contexts. [ABSTRACT FROM AUTHOR]

This research explores two questions: how do young people imagine futures shaped by climate change and our collective response to the climate crisis, and what is the impact on young people of creatively engaging with the future? The participatory action research method of digital storytelling was adapted to explore climate futures, with thematic, visual and narrative analysis of the resulting videos. Young people articulated positive, negative and more complicated visions of the future, including counterfactuals, discontinuities, and living with loss and change. They also described a process of positive reappraisal over the course of the speculative digital storytelling workshops, with emotions about the future shifting from being predominantly negative to a more balanced spectrum including acceptance, curiosity and hope. [ABSTRACT FROM AUTHOR]

This article explores self-destructive behaviours in early modern Britain and Ireland through the phenomenon of pin-swallowing, as depicted in cases of bewitchment and possession. It argues that the involvement of witches and demons enabled the expression of self-destructive feelings without condemnation for such thoughts and actions. As supernatural belief was increasingly located within the mind of the individual in the eighteenth century, people were deprived of this outlet. The suicidal connotations of pins and their supernatural cause also sheds light on the different explanations which men and women were able to ascribe such impulses and behaviours. [ABSTRACT FROM AUTHOR]

Brexit constitutes an unprecedented crisis for the European Union and its member states. Three affected parties – the United Kingdom, the EU and Ireland – worked hard to protect their interests, making the negotiations difficult, especially regarding the Irish land border. While the key interests of the negotiating partners are clear, it is less known how and to what extent these interests were communicated by the political representatives of the three countries. We approach Brexit as a critical juncture and base our work on the framing literature. We use a unique dataset including political speeches made by EU Commission members and the UK and Irish government officials during a period from January 2016 until January 2020, relying on the innovative automated text analysis approach of keyword-assisted topic modelling. Beyond insisting on their interests, communication reflects the socio-political context. We find indications that speeches reflect the flow of the negotiations. Finally, our analysis reveals topics that largely flew under the media radar, such as research and protection. [ABSTRACT FROM AUTHOR]

Objective: Research has just begun to identify American college students who study abroad as a group at-risk for sexual violence victimization. The purpose of the current study was to examine the context of these incidents. Participants: We utilized a large longitudinal sample of 2,428 United States college students studying abroad for between 4 and 21 weeks in 12 different foreign countries. Methods: We estimated descriptive statistics and logistic regression models to assess prevalence and correlates of sexual victimization abroad, as well as effect size comparisons to quantify changes in drinking abroad. Results: Over one-fifth of students experienced sexual violence while abroad, including sexual assault and verbal coercion. Women, younger students, those who experienced sexual violence prior, and heavier drinkers had the greatest odds of sexual violence victimization abroad. Conclusions: Findings point to the need for evidence-based programming to reduce sexual violence risk among American college students studying in foreign countries. [ABSTRACT FROM AUTHOR]

Objective: To determine the current practice in genetic testing for patients with apparently sporadic motor neurone disease/amyotrophic lateral sclerosis (MND/ALS) and asymptomatic at-risk relatives of familial MND/ALS patients seen in specialized care centers in the UK. Methods: An online survey with 10 questions distributed to specialist healthcare professionals with a role in requesting genetic testing working at MND/ALS care centers. Results: Considerable variation in practice was found. Almost 30% of respondents reported some discomfort in discussing genetic testing with MND/ALS patients and a majority (77%) did not think that all patients with apparently sporadic disease should be routinely offered genetic testing at present. Particular concerns were identified in relation to testing asymptomatic at-risk individuals and the majority view was that clinical genetics services should have a role in supporting genetic testing in MND/ALS, especially in asymptomatic individuals at-risk of carrying pathogenic variants. Conclusions: Variation in practice in genetic testing among MND/ALS clinics may be driven by differences in experience and perceived competence, compounded by the increasing complexity of the genetic underpinnings of MND/ALS. Clear and accessible guidelines for referral pathways between MND/ALS clinics and clinical genetics may be the best way to standardize and improve current practice, ensuring that patients and relatives receive optimal and geographically equitable support. [ABSTRACT FROM AUTHOR]

The aims of this study were to describe how and why adults with CP living in the UK and Ireland accessed and used physiotherapy services; to describe the type of physiotherapy accessed and satisfaction with physiotherapy services and to examine the associations between relevant factors. A cross-sectional semi-structured online survey was employed. Participants were adults with CP aged 18 and above living in the UK and Ireland; able to complete an online questionnaire in English independently or with technical or physical assistance. Data were collected from April 2019 to February 2020. Participants (n = 162) were aged 18–74 years. The majority were female (75%) and lived in the UK (83%). Ninety percent of participants reported a need for physiotherapy but only 35% received physiotherapy services. The most common reason for visiting physiotherapy was mobility decline (62%). Satisfaction with the availability and quality of physiotherapy services were 21% and 27%, respectively. Adults with scoliosis and mobility decline were less likely to report that they received the physiotherapy they needed. Adults with CP did not receive the physiotherapy services that they perceived they needed. There is a need to develop physiotherapy services in collaboration with people living with CP. Adults with cerebral palsy (CP) needed physiotherapy services, but were not receiving the physiotherapy services that they perceive they needed. Adults were not satisfied with the availability or quality of physiotherapy services received. Adults with scoliosis and mobility decline were less likely to report that they received the physiotherapy they needed. There is a need to develop physiotherapy services from a life-span perspective for adults living with CP. [ABSTRACT FROM AUTHOR]

This is the 85th annual report of the British Trust for Ornithology's Ringing Scheme, incorporating the report of the Nest Record Scheme and covering work carried out and data processed in 2021. In 2021, 105 Constant Effort Sites submitted data for the year. Long-term (1984–2020) declines in abundance were observed for five migrant, one partial migrant and five resident species, while long-term increases in abundance were recorded for two short-distance migrants and seven resident species. Ten species are exhibiting significant long-term declines in productivity, while only Chaffinch Fringilla coelebs shows a significant long-term increase. Long-term trends in survival indicate increases for 12 species and declines for seven. Short-term trends, which compare the current year to the five-year mean for 2016–20, show that the abundance of seven species increased significantly in 2021, with one species, Treecreeper Certhia familiaris, being recorded in higher numbers than in any previous year of CES monitoring. Significant decreases in abundance were recorded for four species. Productivity decreased significantly for seven migrant and 11 resident species in 2021, with six species recording their lowest breeding success since CES monitoring began; no species recorded a significant short-term increase. Significant changes in survival rate were observed for two species in 2021 compared to the five-year mean, with Song Thrush Turdus philomelos increasing and Chaffinch both declining and recording its lowest survival rate ever. The Garden CES trial continued in 2021, with 60 sites submitting data. The new winter ringing project also continued in 2021, with submissions received from 126 sites. The number of Retrapping Adults for Survival projects that were able to run and submit data in 2021 was 192, with data from one more project submitted too late to be included in this report and another four active projects unable to operate. In total, 60 species were monitored, with Starling Sturnus vulgaris (21 projects), House Sparrow Passer domesticus (20 projects), Pied Flycatcher Ficedula hypoleuca (19 projects), Reed Warbler Acrocephalus scirpaceus (nine projects) and Sand Martin Riparia riparia (nine projects) the species most studied. A total of 900 131 birds were ringed during the year, comprising 146 458 nestlings, 438 342 first-year birds, 291 127 adults (birds in their second calendar year or older) and 24 204 birds whose age could not be determined. In addition, there were 210 147 recaptures of ringed birds at or near the ringing site. In total, 42 328 recoveries (birds found dead, recaptured or resighted at least 5 km from the place of ringing) of BTO-ringed birds were reported in 2021. The Appendix highlights a selection of recoveries that have extended our knowledge of movements, as well as longevity records established during the year. A total of 41 096 NRS submissions were received in 2021. Mean laying dates for 2021 were significantly later than the average for 13 species and only one species significantly advanced its laying date. Five species displayed a significant change in fledglings per breeding attempt, with two recording increased productivity and three reduced productivity. Permits or licences to disturb breeding birds on Schedule 1 of the Wildlife and Countryside Act 1981 (as amended) were prepared and issued to 602 ringers and nest recorders in 2021. During 2021, 2588 marking endorsements, 868 sampling endorsements and 214 trapping endorsements were issued in the UK and overseas. [ABSTRACT FROM AUTHOR]

Scientific and public health knowledge must be communicated efficiently to the public during a health crisis to allow communities to prepare, respond and recover. Public briefings and national campaigns are important components of this communication, and sign language interpreting may be an element of this process. This paper examines the experiences of sign language interpreters during the COVID-19 crisis in Ireland and the UK, and explores their role in providing access to scientific and public health information for the Deaf or hard of hearing (DHH) community. Findings are based on interviews conducted in the first half of 2020 with 16 Irish Sign Language (ISL) or British Sign Language (BSL) interpreters or science communicators, 11 of whom had direct experience of interpreting during COVID-19 briefings. These interviews constitute authentic accounts of sign language interpreters working during a global health crisis. Interviews were qualitatively analysed to discuss how specialised competence and scientific understanding factored into participants' experiences and to derive lessons to inform future crises. [ABSTRACT FROM AUTHOR]

Disagreement exists within the UK and Ireland regarding how Longitudinal Integrated Clerkships should be defined, and the relevance of international definitions. In this modified, online Delphi study, we presented the UK and Ireland experts in Longitudinal Integrated Clerkships with statements drawn from international definitions, published LIC literature, and the research team's experience in this area and asked them to rate their level of agreement with these statements for inclusion in a bi-national consensus definition. We undertook three rounds of the study to try and elicit consensus, making adaptations to statement wording following rounds 1 and 2 to capture participants' qualitative free text-comments, following the third and final round, nine statements were accepted by our panel, and constitute our proposed definition of Longitudinal Integrated Clerkships within the UK and Ireland. This definitional statement corresponds with some international literature but offers important distinctions, which account for the unique context of healthcare (particularly primary care) within the UK and Ireland (for example, the lack of time-based criteria within the definition). This definition should allow UK and Irish researchers to communicate more clearly with one another regarding the benefits of LICs and longitudinal learning and offers cross-national collaborative opportunities in LIC design, delivery and evaluation. [ABSTRACT FROM AUTHOR]

While Ireland and Northern Ireland barely featured during the 2016 referendum campaign, they have been central to Brexit negotiations. For some, Ireland's prominence in talks represents core EU values of solidarity and peace. For others, Ireland has been 'used' as a bargaining chip to 'frustrate Brexit'. In contrast, this paper shows how conflicting policy styles had an impact on the outcome of Brexit negotiations on the border in Ireland. Drawing on the literatures on Brexit negotiations, British policy style, and new intergovernmentalism, it shows that Ireland pursued a deliberative approach, contributing to its negotiating success. This is contrasted with three, relatively ineffectual, British approaches to Ireland, 'lack of engagement', 'magical thinking', and 'delayed deliberation'. The paper draws on original interviews conducted with Irish politicians during negotiations, and interviews with senior British political figures contained in the UK in a Changing Europe Witness Archive. [ABSTRACT FROM AUTHOR]

This paper reports on a study (commissioned by central government) of a specialist social work service provided by local government agencies (local authorities) in Ireland. The service originated in the 1960s, was designed to meet the accommodation related needs of Travellers, an indigenous, Irish, ethnic group, who have faced centuries of social exclusion and discrimination. The paper begins with an account of the economic and social problems faced by Travellers and then the few available Irish and UK publications. It then reports on qualitative findings drawn from interviews with social workers, Travellers and other key stakeholders. The idiom 'betwixt and between' is used to characterise the social work role. Respondents aspired to forms of social action and advocacy roles but were sometimes viewed with suspicion by Traveller activists. Local authority structures were overly focused on non-social work functions where social work expertise was rarely acknowledged or utilised. This partly explains why social workers faced challenges in upholding their professional values, regulatory obligations and continuous professional development. The authors conclude by arguing for a more clearly defined, human-rights based social work role, referencing lessons that can be drawn from the wider European literature. [ABSTRACT FROM AUTHOR]

Mentorship has long since been acknowledged as an integral part of Neurosurgical training. The authors sought to evaluate the state of mentorship in Neurosurgical training in the United Kingdom (UK). A 28-point questionnaire was sent to all neurosurgical trainees in the UK and Ireland via the British Neurosurgical Trainee's Association (BNTA), comprising 180 trainees. There were 75 responses (180 trainees on the mailing list, 42% response rate). Despite all respondents reporting it to be at least somewhat important to have a mentor, 16% felt they had no mentors. The mean number of mentors was 2.91 with 72% of respondents having more than 1 mentor. In terms of the content of mentorship relationships, 63% were comfortable discussing career related topics with their mentor to a high or very high degree but only 29% felt comfortable discussing their general wellbeing. With regards to allocated educational supervisors, 43% thought this person to be a 'low' or 'very low' source of mentorship. The three most important traits of the ideal mentor as reported by respondents were: someone chosen by them (48%), working in the same hospital (44%) and having received formal mentorship training (36%). The current perception of mentorship in Neurosurgery from the surveyed trainees is mixed. A healthy majority of trainees benefit from mentorship of some kind, whilst a significant minority feel underserved. The surveyed trainees feel mentorship is slanted more towards clinical and professional aspects of development than it is towards personal ones. Suggestions for future insight would be an evaluation of senior registrar and consultant sentiments towards mentorship, whilst exploration into more flexible models for establishing mentoring relationships may help to address the heavy importance of trainee choice which is voiced by this survey's results. [ABSTRACT FROM AUTHOR]

In this paper, we report on the outcomes of a survey of students across 12 higher education institutions in Ireland and the UK. Participants were asked to give their views on what tutors should do and not do when they are providing Mathematics Learning Support to students. We present the categories that emerged from an analysis of student responses, including tutor behaviour, teaching methods, content knowledge and management items. We discuss the implications that these responses have for tutor selection and training, how they relate to mathematical pedagogy and we consider the high expectations that students appear to have for tutors, who are providing this supplemental support. [ABSTRACT FROM AUTHOR]

COVID19 is inherently geographical in its impact on society. Not only has it deepened pre-existing inequalities and further isolated groups that rely on physical spaces, such as LGBTQ people, the pandemic required a restructuring of multiple forms of time–space relations including activism. Using interview and questionnaires responses from early 2021, we explore the impact of COVID19 on the activities of those expressing concerns about, and opposition to, socio-legal changes related to sexualities and genders in Canada, Great Britian and Ireland. Participants' perceptions of the effects of COVID19 regimes (lockdowns and restrictions) highlight four key trends. First, the biggest group of questionnaire respondents understood their views/activities as unchanging. Second, some participants noted a disengagement with sexual and gender politics. Third, those who were activists before/during COVID19 noted challenges in continuing their activities online with the loss of face-to-face interactions, and how they negotiated new spatialities. Finally, for some participants COVID19 regimes meant either newly engaging in, or increasing their pre-pandemic, activism with time to 'research' and to develop their activities. Further work is needed to investigate if our findings are similar to other groups engaged in other forms of activism and the longitudinal effects and implications of COVID19 geographies on activism. [ABSTRACT FROM AUTHOR]

Reviewing the historiography of education provides insights into both the past and present of this growing area of research across the UK and Ireland. In the nineteenth century research reveals a close association with national identities. These were often Whig histories that celebrated the present and emphasised the progressive nature of educational development, sometimes characterised by an 'acts and facts' approach. From the 1960s, it is possible to identify a series of revisionist histories, which diversified further in the coming decades and morphed into the familiar patterns that we can identify today: theoretical and conceptual complexity; a concern with inequalities; an eclectic and widening interest in primary sources; a focus on schooling but moving beyond it, for instance to childhood, welfare and literacy; and a (re)discovery of new topics such as the emotions, senses and identities. [ABSTRACT FROM AUTHOR]

Background: Mental health is a global health priority, and pharmacists have a valuable role in improving outcomes in all sectors of practice. This study sought to explore pharmacy students' views on teaching and learning of mental health and future practice. Methods: An anonymous online questionnaire was distributed to pharmacy students in the UK and Ireland in February 2020 via the Qualtrics™ platform and 232 students responded. The questionnaire was originally intended to explore the provision of Mental Health First Aid (MHFA) teaching and the quantitative analysis has been previously reported. Students were invited to comment on their views about MHFA. The open-ended question: 'Do you have any other comments about mental health teaching and learning in the MPharm degree?' was also included. The rich free-text data were analysed, and themes identified. Results: Three major themes were identified: (i) Mental Health is important; (ii) Pharmacist roles and (iii) So, Teach me. A fourth theme, Stigma, crosscut all the themes. Conclusions: Pharmacy students appreciate the importance of mental health care. The majority recognise the role of the pharmacist in providing person-centred care and the potential to enhance this role. Students are keen to learn more, and acquire the confidence and skills to contribute in the future. They would like an integrated approach and have more opportunities to learn from patients. Addressing stigma is an important consideration for educators. [ABSTRACT FROM AUTHOR]

Altruism is consistently identified as the dominant motive for body donation. Over 12 months, 843 people who requested body donation information packs also completed research questionnaires that included open-ended questions about their motives. Abductive analysis suggested two distinct sets of altruistic motives: those seeking benefits for medical professionals and patient groups ("medical altruism") and those seeking benefits for friends and family ("intimate altruism"). Either could facilitate or impede body donation. Altruism may not be best understood as a unitary motive invariably promoting body donation. Rather, it is a characteristic of various motives, each of which seek benefits for specific beneficiaries. [ABSTRACT FROM AUTHOR]

Background: Gay, bisexual and other men who have sex with men (GBMSM) are at far greater risk of experiencing poor mental health (MH) than wider society. This disparity was exacerbated by additional 'unique to sexual minority status' COVID-19 stressors. Objective: This sequential, mixed-methods study examined remote MH help-seeking among GBMSM in the U.K. and Ireland during the first COVID-19 lockdown. Methods and Results: Quantitative survey data (n = 1368), analysed with logistic regression, suggested GBMSM experiencing moderate-to-severe anxiety and those with a past MH diagnosis were most likely to seek MH support. Thematic analysis of qualitative interview (n = 18) data identified multiple barriers and enablers to GBMSM seeking remote MH help, with the help primarily sought from GBMSM-facing organisations and generic online resources. Finally, the behaviour change wheel was used to generate theoretically informed recommendations to promote MH help-seeking among GBMSM in Scotland. Implications: We discuss how applying these recommendations in the short, medium and long term will begin to address GBMSM's MH needs, post COVID-19. [ABSTRACT FROM AUTHOR]

The post-medieval fieldwork entries for 2021 follow the structure introduced into the fieldwork section of I PMA i in 2008. Although an effort has been made to create a fair representation of the variety of fieldwork undertaken across Britain and Ireland, this compilation only covers those submissions received; any gaps may represent a lack of submissions rather than an absence of fieldwork carried out in the area. [Extracted from the article]

Patterns of finds of continental coinage appear to vary considerably, related to fluctuations in trading relationships and economics, with finds of Venetian coinage and the Low Countries most common.[39] A mid-12th-century I petit denier i struck at Ypres (Belgium) from Temple Bruer with Temple High Grange (Lincolnshire; LIN-6D2321; Fig 2j) is of an earlier date than the main Low Countries incursions (mid-late 13th century) and the first PAS-recorded example from outside southern England. Evidence from graves shows that such copies were often pierced for suspension, playing the same role in burials as official coins - eg as pendants at Lechlade (Gloucestershire) and Ipswich (Suffolk), and unmodified at Carisbrooke Castle (Isle of Wight), where it was placed in the mouth of the deceased.[9] Other plated imitations with piercings have been recorded by the PAS.[10] PHOTO (COLOR): Fig 1 Early medieval coins. Two pennies of Offa of Mercia (757-96), non-portrait types belonging to the "Light Coinage" (c 784-92), extend the distribution of Mercian coinage into SW England with finds from Tarrant Hinton (Dorset; DOR-A6A573; Fig 1f) - the first from Dorset - and Chitterne (Wiltshire; SUR-7F7364; Fig 1g). I General Editor: i NEIL CHRISTIE I Portable Antiquities Scheme Report edited by: i JOHN NAYLOR[1] I Medieval Britain and Ireland compiled and edited by: i TIZIANA VITALI I and i PATRICK GLEESON I with i TOMÁS Ó CARRAGÁIN This section of the journal comprises two core sets of reports linked to work in 2021: finds and analyses relating to the Portable Antiquities Scheme (PAS) and related research reports; and site-specific discoveries and reports in medieval Britain and Ireland (MB&I), with a selection of highlighted projects. [Extracted from the article]

Causeway Construction Three distinct phases of causeway construction were identified (see Figs. This section comprises a selection of highlighted projects or discoveries made across Britain and Ireland in 2021, with illustrated overviews of results, finds and contexts. On the balance of the evidence, this building formed the gatehouse opening into the inner precinct of the abbey that contained the conventual buildings and the graveyard. Salvage recording assigned a 13th- to 15th-century occupation date to the remains of a manor house, several isolated rectangular buildings of unknown function, and an extensive limestone-cobbled yard.[5] Manor Excavations The causeway, revealed by open-area excavation in 2021,[6] was probably related to the 13th- to 14th-century manor (Fig 1). [Extracted from the article]

The present study sets the psychological type profile and temperament of 190 Catholic priests serving in England, Wales, and Ireland alongside the profile of 1,298 Catholic priests reported by Ruppart in 1985. In the current study 68% of priests preferred introversion, 61% preferred sensing, 53% preferred feeling, and 84% preferred judging, confirming the findings of other recent studies of Catholic priests in Australia and Italy of a trend towards introversion, sensing, and judging, and away from feeling. In the current study 55% presented as Epimethean Temperament (SJ) and 21% as Apollonian Temperament (NF), also confirming other recent studies that report a move toward the SJ temperament and away from the NF temperament. The implications of these findings are discussed for the expression and experience of ministry within the Catholic Church. [ABSTRACT FROM AUTHOR]

In narratives around insurgencies, terrorism, and other forms of political violence, the media—and policymakers—frequently portray women as victims or unintelligent pawns of men. But these violent women get more media attention than their male counterparts because they are a shocking departure from gendered expectations of nurturing, peaceful women. However, even such narratives of deviance can reinforce societal stereotypes about women by emphasizing that they are emotional but not political, easily manipulated, often deranged, or simply unintelligent. Using in-depth interviews in Ireland and the United Kingdom with practitioners in counter terrorism (CT) and countering violent extremism (CVE), this paper argues that a failure to ask meaningful questions about women's roles in extremist violence has reinforced gender stereotypes, leading to disengagement and deradicalization practices that ignore or downplay women's importance in fostering violence. [ABSTRACT FROM AUTHOR]

Visual perceptual deficits are frequently underdiagnosed in stroke survivors compared to sensory vision deficits or visual neglect. To better understand this imparity, we evaluated current practice for screening post-stroke visual perceptual deficits. We conducted a survey targeted at professionals working with stroke survivors involved in screening visual perceptual deficits across the United Kingdom and the Republic of Ireland. Forty orthoptists and 174 occupational therapists responded to the survey. Visual perceptual deficit screening was primarily conducted by occupational therapists (94%), with 75∼100% of stroke survivors screened per month. Respondents lacked consensus on whether several common post-stroke visual deficits were perceptual or not. During the screening, respondents primarily relied on self-reports and observation (94%), while assessment batteries (58%) and screening tools were underutilised (56%) and selected inappropriately (66%). Respondents reported lack of training in visual perception screening (20%) and physical/cognitive condition of stroke survivors (19%) as extremely challenging during screening. Visual perceptual deficits are screened post-stroke at a similar rate to sensory vision or visual neglect. Underdiagnosis of visual perceptual deficits may stem from both reliance on subjective and non-standardised screening approaches, and conflicting definitions of visual perception held among clinicians. We recommend increased training provision and use of brief performance-based screening tools. Lack of agreement among clinicians on what constitutes as visual perceptual or sensory vision deficits may prove problematic, as precise and exact language is often required for clinical decision-making (e.g., referrals). Biases for more familiar visual (perceptual) deficits held among clinicians during the screening process may lead to other visual deficits being missed. To avoid problems being missed, clinicians should aim to use standardised assessments rather than stroke survivor self-report and observations of function when screening for visual perceptual difficulties. [ABSTRACT FROM AUTHOR]

This paper examines how, when and where personal names are produced as 'migrant names'. Drawing on 21 interviews with young Irish and Latvian migrants in the UK, I demonstrate how mundane stories, linguistic details, and repertoires about migrant names are embodied, mobile, relational, and produce everyday social distinctions. Empirical analysis unpacks changes in naming stories throughout participants' multiple migration trajectories in Ireland, Latvia, the UK and beyond. I argue for a geographically sensitive take on migrant names because they are produced as such through recognisable repertoires of displacement and then re-emplaced in certain spaces and times. The paper makes three main original contributions. The first is to interdisciplinary literatures on names, specifically on the significance of temporal and spatial contexts and the relationalities underpinning the production of migrant names. Second, it brings to geographies of identities novel understandings of ethnic and national power relations in naming practices, including an emphasis on the process of ambiguous whiteness. Finally, I contribute much-needed methodological propositions on how to pseudonymise names in migration research. [ABSTRACT FROM AUTHOR]

To perform a multi-institutional investigation of incidence and outcomes of urethral trauma sustained during attempted catheterization. A prospective, multi-center study was conducted over a designated 3-4 month period, incorporating seven academic hospitals across the UK and Ireland. Cases of urethral trauma arising from attempted catheterization were recorded. Variables included sites of injury, management strategies and short-term clinical outcomes. The catheterization injury rate was calculated based on the estimated total number of catheterizations occurring in each center per month. Anonymised data were collated, evaluated and described. Sixty-six urethral catheterization injuries were identified (7 centers; mean 3.43 months). The mean injury rate was 6.2 ± 3.8 per 1000 catheterizations (3.18–14.42/1000). All injured patients were male, mean age 76.1 ± 13.1 years. Urethral catheterization injuries occurred in multiple hospital/community settings, most commonly Emergency Departments (36%) and medical/surgical wards (30%). Urological intervention was required in 94.7% (54/57), with suprapubic catheterization required in 12.3% (n = 7). More than half of patients (55.56%) were discharged with an urethral catheter, fully or partially attributable to the urethral catheter injury. At least one further healthcare encounter on account of the injury was required for 90% of patients post-discharge. This is the largest study of its kind and confirms that iatrogenic urethral trauma is a recurring medical error seen universally across institutions, healthcare systems and countries. In addition, urethral catheter injury results in significant patient morbidity with a substantial financial burden to healthcare services. Future innovation to improve the safety of urinary catheterization is warranted. [ABSTRACT FROM AUTHOR]

Fifty years since Dr Tudor-Hart's publication of the 'Inverse Care Law', all-cause mortality rates and COVID-19 mortality rates are higher in more deprived areas. Part of the solution is to increase access and availability to healthcare in underserved and deprived areas. This paper examined how socio-economically representative the undergraduate general practice placements are in Northern Ireland (NI). A quantitative study of general practices involved in undergraduate medical placements through Queen's University Belfast, comparing practice lists by deprivation indices, examining both blanket deprivation and deprivation quintile trends for teaching and non-teaching practices. Deprivation data for 135 teaching practices were compared against the 323 NI practices. Teaching practices had fewer patients living in the most deprived quintiles compared with non-teaching practices. Fewer practices with blanket deprivation were involved in undergraduate medical education, 32% compared with 42% without blanket deprivation. Practices in areas of blanket deprivation were under-represented as teaching practices, 10%, compared to 14% of NI general practices that met this criterion. Practices with blanket deprivation were under-represented as teaching practices. Exposure to general practice in deprived areas is an essential step to improving future workforce recruitment and ultimately to closing the health inequalities gap. Ensuring practices in high-need areas are proportionately represented in undergraduate placements is one way to direct action in addressing the 'Inverse Care Law'. This study is limited to NI and further work is required to compare institutions across the UK and Ireland. [ABSTRACT FROM AUTHOR]

Livestock cause many fatal and non-fatal agricultural accidents. It is crucial to understand how farmers perceive and manage different risks associated with livestock handling to devise better solutions for accident reduction. The current study investigated farmers' perception and management of four types of livestock handling risks related to self, animal, environment, and equipment. Additionally, farmers' and agricultural stakeholders' perspectives were compared. Two samples comprising 56 farmers and 55 stakeholders from the UK and Ireland completed the online study. Participants were presented with eight short livestock handling vignettes, two per risk type, and were asked to decide whether they would proceed with the task, to report their reasoning, and to detail their risk management strategies. Likert-scale responses across scenarios were compared. Thematic analysis was used to identify qualitative data patterns. Stress and fatigue were perceived as low risk by both samples based on quantitative and qualitative results. The thematic analysis revealed that risk was evaluated in terms of broader aspects, including animal welfare and duty. Participants reported the use of cognitive non-technical skills when mitigating risks associated with handling livestock alone. By changing safety messages to capture farmer priorities, agricultural organisations could encourage risk avoidance, especially in situations involving stress or fatigue. Furthermore, the cognitive non-technical skills identified could be trained within existing courses for farmers. [ABSTRACT FROM AUTHOR]

This study evaluates a range of scenarios to reduce soluble reactive phosphorus (SRP) losses using the surface runoff phosphorus transport model (Surphos) to simulate the application of liquid manure (slurry) to grassland catchments. Surphos was applied using data from two contrasting sites in the Republic of Ireland and Northern Ireland. It explored scenarios that investigated changes to the timing of slurry applications, based both on policy (i.e. a "closed" period where regulations prohibit any slurry spreading) and on climate-based restrictions, where soil moisture and antecedent rainfall were important factors. The observed data showed a considerable spatial variability in runoff at both sites, which resulted in a corresponding variable range of SRP losses predicted by the model. However, at both sites the model results showed that maintaining a closed period led to a greater reduction in SRP losses than opening this period up to slurry applications under climate-based restrictions. [ABSTRACT FROM AUTHOR]

During the last eight years, over 8000 academic faculty and professional services women working in the United Kingdom and the Republic of Ireland have participated in a women-only leadership in higher education programme called Aurora. The organization that designed and delivers the programme (Advance HE) sees it as an important force for change in the sector. However, the potential for meaningful change in traditionally male domains through greater representation of women may be undermined by organizations that remain gendered. To address these issues this article outlines findings from a longitudinal, mixed-methods study on women working in higher education (HE), drawing on data from 1094 research participants. Women completed online surveys at different time points before and after participation in Aurora, with a smaller sample of participants taking part in in-depth interviews and diaries. Analysis of these data shows that the leadership programme is perceived to have a significant impact on some behaviours and attitudes of women and this impact does not on the whole diminish over time. This research is important as it is the first longitudinal study of its kind that includes both professional services and academic women. The findings will be of interest to higher education institutions (HEIs) globally that wish to develop organizational contexts in which women go on to lead. [ABSTRACT FROM AUTHOR]

Migraine and chronic migraine are caused by a combination of modifiable and non-modifiable genetic, social, behavioral and environmental risk factors. Further research of possible modifiable risk factors for this headache disorder is merited, given its role as one of the leading causes of years lived with disability per year. The first aim of this online cross-sectional study was to investigate the psychosocial risk factors that predicted chronic migraine and severe migraine-related disability in 507 Irish and UK participants, focusing specifically on childhood maltreatment, attachment and tendency to dissociate, or experience depressed mood and/or anxiety. Additionally, this study aimed to examine variables that mediated the relationships between these psychosocial risk factors and migraine chronicity or severe migraine-related disability. Adjusted binary logistic regression revealed that shutdown dissociation (Odds Ratio [OR] 4.57, 95% Confidence Interval [CI] 2.66–7.85) and severe physical abuse (OR 4.30, 95% CI 1.44–12.83 had significant odds of predicting migraine chronicity, while depression (OR 3.28, 95% CI 1.86–5.77) significantly predicted severe migraine-related disability. Mediation analyses indicated that shutdown dissociation mediated the relationship between seven predictor variables and both chronicity and severe disability including possible predisposing factors emotional abuse, physical neglect, avoidant attachment and anxious attachment. These findings suggest that early life stressors (such as childhood trauma and avoidant attachment style), shutdown dissociation and depression may impact on migraine trajectory. To investigate whether these psychosocial factors are risk factors for migraine chronicity or disability, prospective research should be conducted in this area to account for fluctuations in migraine chronicity over time. [ABSTRACT FROM AUTHOR]

Hyponatraemia is a common complication of aneurysmal subarachnoid haemorrhage (SAH). We aimed to determine current neurosurgical practice for the identification, investigation and management of hyponatraemia after SAH. An online questionnaire was completed by UK and Irish neurosurgical trainees and consultant collaborators in the Sodium after Subarachnoid Haemorrhage (SaSH) audit. Between August 2019 and June 2020, 43 responses were received from 31 of 32 UK and Ireland adult neurosurgical units (NSUs). All units reported routine measurement of serum sodium either daily or every other day. Most NSUs reported routine investigation of hyponatraemia after SAH with paired serum and urinary osmolalities (94%), urinary sodium (84%), daily fluid balance (84%), but few measured glucose (19%), morning cortisol (13%), or performed a short Synacthen test (3%). Management of hyponatraemia was variable, with units reporting use of oral sodium supplementation (77%), fluid restriction (58%), hypertonic saline (55%), and fludrocortisone (19%). Reported assessment of serum sodium after SAH was consistent between units, whereas management of hyponatraemia varied. This may reflect the lack of a specific evidence-base to inform practice. [ABSTRACT FROM AUTHOR]