620 results
Search Results
2. Reply to: Letter to the Editor concerning the paper "The rise and fall of the UK's spandrel panel" by Law and Kanellopoulos.
- Author
-
Law, Angus
- Subjects
- UNITED Kingdom
- Published
- 2021
- Full Text
- View/download PDF
3. Comparing implicit communication via longitudinal driving dynamics: A cross-cultural study in Germany and the UK.
- Author
-
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
- View/download PDF
4. Digital transformation and business intelligence for a SME: systems thinking action research using PrOH modelling.
- Author
-
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
5. Hydrogen supply chain and refuelling network design: assessment of alternative scenarios for the long-haul road freight in the UK.
- Author
-
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
6. Resilience in knowledge management – the case of natural analogues in radioactive waste management.
- Author
-
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
7. Active debris removal: A review and case study on LEOPARD Phase 0-A mission.
- Author
-
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
8. Osteotomy versus unicompartmental arthroplasty: an algorithm for anteromedial knee osteoarthritis.
- Author
-
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
9. Liver transplantation for isolated unresectable colorectal liver metastases - Protocol for a service evaluation in the United Kingdom - UKCoMET study.
- Author
-
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
10. Towards a unified theory of domestic hydrogen acceptance: An integrative, comparative review.
- Author
-
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
- Full Text
- View/download PDF
11. In Context: Lessons About Adolescent Unipolar Depression From the Improving Mood With Psychoanalytic and Cognitive Therapies Trial.
- Author
-
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
- Full Text
- View/download PDF
12. National fingermark visualisation collaborative exercise 2020.
- Author
-
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
- Full Text
- View/download PDF
13. International publication trends in Lean Agile Management research: a bibliometric analysis.
- Author
-
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
14. Re-appraising 'in-process' benefits of strategic infrastructure improvements: Capturing the unexpected socio-economic impacts for lagging regions.
- Author
-
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
- Full Text
- View/download PDF
15. The role of transport infrastructure in economic growth: Empirical evidence in the UK.
- Author
-
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
- Full Text
- View/download PDF
16. Changing interventions in farm animal health and welfare: A governmentality approach to the case of lameness.
- Author
-
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
17. Trans in Arcadia: Transgender lives in the countryside and expanding Philo's 'rural others' beyond the cis.
- Author
-
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
18. A thematic exploration of patient and radiation therapist solutions to improve comfort during radiotherapy: A qualitative study.
- Author
-
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
- Full Text
- View/download PDF
19. Narrow passage interactions: A UK-based exploratory survey study to identify factors affecting driver decision-making.
- Author
-
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
20. Post-mortem computed tomography in the investigation of conflict and terrorist related deaths: UK military experience of developing a multidisciplinary service.
- Author
-
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
21. Testing for COVID-19 during an outbreak within a large UK prison: an evaluation of mass testing to inform outbreak control.
- Author
-
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
22. Preliminary investigations using Recover Latent Fingerprint Technology on unfired ammunition and fired cartridge cases.
- Author
-
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
23. 'Friendly' and 'noisy surveillance' through MapMyRun during the COVID-19 pandemic.
- Author
-
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
24. Searching for pure gold: The impact of ethical gold sourcing certification programmes in the UK and Switzerland.
- Author
-
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
25. Agriculture, food and land: Struggles for UK post-Brexit agri-food justice.
- Author
-
Coulson, Helen and Milbourne, Paul
- Subjects
AGRICULTURAL policy ,BRITISH withdrawal from the European Union, 2016-2020 ,PUBLIC goods ,POWER (Social sciences) ,SOCIAL injustice - Abstract
• Examines the possibilities and challenges of nurturing UK agri-food justice. • Land justice is crucial to engender food system transformation. • 'Public goods' approach to agri-food policy acts as a depoliticising consensus frame. • The land-food nexus must be placed more prominently on the research agenda. • Argues for participative, inclusive agri-food praxis based on socioecological justice. This paper examines the possibilities and challenges of nurturing agri-food justice by using land as a foundational node in the context of the UK leaving the European Union – what has been termed 'Brexit'. Drawing upon the interconnected literatures of land justice and food justice, which have received sparse coverage in the UK, we develop an agri-food (in)justice lens to reveal the diverse contestations and struggles to transform the physical and political agri-food Brexit landscape in more socioecological just ways. Our research highlights the tensions and difficulties in addressing the complex social and environmental injustices bound up with UK agri-food relations, given the unequal power dynamics that permeate food and farming politics and policy. In particular, the research reveals the continued 'hidden' politics of historically-embedded land (in)justice. We therefore argue for greater focus on the multiscalar relationships between land and the intersecting contestations of agri-food labour, capital and knowledge. We end the paper by discussing the limitations of the nascent 'public goods' approach to agricultural policy under a purported 'Green Brexit' and arguing for participative and inclusive agri-food praxis based on land and food justice to cultivate more socioecologically just futures. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
26. Who should deliver agri-environmental public goods in the UK? New land managers and their future role as public good providers.
- Author
-
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
27. Monitoring of non-indigenous marine species for legislative and policy goals in the UK.
- Author
-
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.
- Subjects
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
28. Beyond 'feeding the crisis': Mobilising 'more than food aid' approaches to food poverty in the UK.
- Author
-
Milbourne, Paul
- Subjects
FOOD banks ,COVID-19 pandemic ,POVERTY ,CRISES ,COVID-19 - Abstract
Rising demand for emergency food during the last couple of decades in the UK has led to a great deal of academic interest in food aid provision, and food banking in particular. Efforts have also been made to examine food poverty and responses to it in more critical terms, which has entailed moving beyond a focus on emergency food support to engage with 'more than food aid' approaches. In this paper, I discuss how these latter approaches are beginning to be mobilised by national organisations, local authorities and place-based food partnerships in the UK. An important catalyst for this shift was the Covid-19 pandemic, which provided the crisis conditions that encouraged public and third-sector actors to think about, and act upon, food poverty in different ways. Drawing on an analysis of submissions to a Covid-19 food inquiry, place-based food initiatives implemented during the pandemic period and more recent initiatives instigated by national food support and anti-hunger groups, the paper examines how a diverse range of organisations are becoming more critical of existing (food aid) responses to food poverty and are seeking to develop more supportive local foodscapes based on a 'more than food aid' approach. The paper concludes with a discussion of the implications of this shift for future research on food poverty. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
29. Measuring and classifying the social sustainability of European banks: An analysis using interval-based composite indicators.
- Author
-
Drago, Carlo, Di Nallo, Loris, and Russotto, Maria Lucetta
- Subjects
SOCIAL sustainability ,MONTE Carlo method ,SUSTAINABILITY ,COMPOSITE construction ,BANKING industry ,DISCLOSURE - Abstract
Promoting social information disclosure can develop sustainable banking. This paper aims to evaluate the social sustainability of banks by constructing a new interval-based composite indicator using the Thomson Reuters database. In this paper, to measure the social sustainability of European banks, we propose an approach to construct interval-based composite indicators that usefully extends the construction of the composite indicator and allows us to measure the uncertainty generated by the choices made in the construction of the composite indicator. The methodological approach is based on Monte Carlo simulation and allows us to improve the information provided by the composite indicators. Thus, we measure the value of the social indicator and its subcomponents and the uncertainty of the value due to the different possible weightings. The results show that the best international ESG practices in European banks are found in French and British banks, especially in Italian ones. Finally, we analyze innovative perspectives and propose policy recommendations to support sustainable banking ecosystems in light of the increasing attention to ESG indicator disclosure and its correspondence to reality. • The best practices are found in French and U.K. banks. • Skandinavian banks face non-excellent results. • The work is a first attempt to elaborate on a specific social disclosure index. • Results are a valuable baseline to understand the actions to take. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
30. Machine learning-based modelling for geologic CO2 storage in deep saline aquifers. Case study of bunter sandstone in Southern North Sea.
- Author
-
Tillero, Edwin
- Subjects
DOMES (Architecture) ,ARTIFICIAL neural networks ,STANDARD deviations ,AQUIFERS ,CARBON emissions ,CARBON dioxide ,PETROPHYSICS - Abstract
• Trapping indices stabilization is lagged as injection period is active. • Greater CO 2 cumulative volume occurs as reservoir pressure is far from caprock fracture pressure. • Larger closures will require pressure management-based brine production to reach theoretical storage capacity. • ML-based CO 2 storage modelling preliminary de-risked saline aquifers lacking numerical models. This paper presents a machine learning (ML) model designed to speed up the appraisal of geologic CO 2 storage sites by predicting the effectiveness in trapping and accommodating CO 2 in saline aquifers. Considering the urgency of de-risking as much geologic CO 2 storage resources as possible to help with CO 2 emission reduction Paris' goal, ML-based reservoir modelling has been documented as proper tool when a faster, good approximate, and less expensive approach is needed to surrogate multiple assessments of storage sites traditionally performed by long-timeframe and multi-stage geologic CO 2 storage numerical modelling approach. In this paper, a case study is presented. It consisted of a dataset comprised of six geologic aquifer parameters (CO 2 residual saturation, horizontal permeability, vertical to horizontal permeability ratio, porosity, brine salinity, and CO 2 flow rate) and elapsed time as input data, and as output data the CO 2 trapping mechanism indices (Solubility Trapping Index, Residual Trapping Index, and Structural Trapping Index) along with the dynamic storage capacity (CO 2 injected volume). Such dataset was used to train and test the artificial neural network (ANN) model. The dataset was generated from thousands of post-processed numerical realizations at several injection periods by applying design of experiment using a synthetic aquifer model derived from the Bunter Sandstone Closure 36 aquifer numerical model, from the Southern North Sea. The ANN architecture designed in Python consisted of 3 hidden layers and 40 nodes and its performance was assessed using the coefficient of determination (R
2 ) and root mean squared error (RMSE). The ANN performance showed accuracies (R2 ) for training and testing with 96% and 95% of precision respectively. Practical application of the ANN model was successfully implemented to CO 2 storage aquifer sites selected from CO2Stored® database which lacking numerical models (Bunter Closure 3, 9, 35, and 40), obtaining at the end of 100-years injection case a Structural, Residual, and Solubility Trapping Index averaging 83%, 11%, and 6% respectively, with low variation coefficient indicating that trapping indices were predicted properly because aquifers selected for ANN model application have similar structures (dome-like shape) and reservoir properties. In addition, CO 2 injected volume predictions for 100-years injection case were ranging from 397 to 456 million ton (Mt) totalling 2.1 giga ton (Gt) of potential storage capacity which represents 70% of total theoretical volumetric capacity. These results show the significant impact to accelerate geologic CO 2 storage sites assessment by implementing ML-based modelling to preliminary de-risking groups of saline aquifers and reasonably consider them technically feasible CO 2 storage sites in UK. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
31. Publics and counter-publics of net-zero.
- Author
-
Valenzuela, Jose Maria and Lezaun, Javier
- Subjects
GOAL (Psychology) ,GOVERNMENT policy ,CARBON dioxide mitigation ,STANDARDS ,GREENWASHING (Marketing) - Abstract
The proliferation of pledges to reach net-zero emissions has revealed a wide range of understandings of what such a pledge entails. The lack of international standards to define decarbonisation pathways and the many kinds of speculative offsets available for net-zero calculations have generated a multiplication of public commitments not tethered to any specific mechanism of accountability. Many have criticised this state of affairs as a governance vacuum allowing extravagant forms of 'greenwashing,' with corporations and countries asserting ostensibly ambitious goals without adopting verifiable instruments for their delivery. This paper addresses the situation from a slightly different perspective, exploring instead how net-zero pledges create new climate publics and counter-publics. Drawing on three case studies (UK national net-zero policy, the Race to Zero campaign, and the Science Based Targets Initiative), and informed by a pragmatist understanding of 'public' and 'public formation,' we examine how the adoption of a formal but ambiguous target leads to a collective consideration of consequences, thus expanding the range of actors engaged in disputes over alternative climate futures. • Imaginations of net zero futures are unavoidably ambiguous and open to interpretation. • Setting net zero targets and delineating their consequences can enable the formation of new publics and counter publics. • This process hinges on the deployment of specific devices to imagine and deliberate on plausible futures. • The paper develops a pragmatist framework for investigating the formation of publics as a political consequence of net zero publics. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
32. Assessing the pressure losses during hydrogen transport in the current natural gas infrastructure using numerical modelling.
- Author
-
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
33. Quo vadis, foot & ankle research? A review.
- Author
-
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
34. Towards a 100% hydrogen domestic gas network: Regulatory and commercial barriers to the first demonstrator project in the United Kingdom.
- Author
-
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
35. Planning for small town reorientation: Key policy choices within external support.
- Author
-
Powe, Neil A., Connelly, Sean, and Nel, Etienne
- Subjects
SMALL cities ,URBAN planning ,IMAGINATION ,CITIES & towns ,PUBLIC support - Abstract
According to the international literature, small towns are most likely to reorient following structural change if they are rich in natural or built amenity, accessible to large urban areas and have local capacity for change. However, not all places have these characteristics. Focusing on places less blessed with these features, this paper develops a conceptualisation that extends beyond these simplistic empirical regularities/characteristics and enhances understanding of the processes underlying small town change. Drawing on two cases from both the UK and New Zealand, key drivers for small town reorientation are explored, their meaning illustrated in terms of the likelihood of reorientation of the towns' development trajectory and the key policy choices emerging are highlighted. Whilst small town reorientation is inherently unpredictable, positive forces for change are likely to occur within most small towns. Informed by the adaptive cycle model and how this links to observed case realities, the findings suggest the need for an emergent strategic approach that focuses on supporting a local rediscovery/re-imagination of potential, local adaptive processes of emergence and connectivity as it emerges. Consistent with recent research into placeleadership and place-based revival, there is a need for public support to encourage positive local activity and the development of policies that are flexible to the changing place-based opportunities/synergies that emerge. • Small town reorientation is most likely when they are rich in amenity, accessible and strong local capacity. • There is a need to conceptualise beyond these simplistic empirical regularities/characteristics, which this paper does through exploring the processes underlying small town change. • The paper explores the value of using complex adaptive systems to help explain the transitions which small towns experience. • This conception and empirical evidence supports a flexible emergent strategic approach. • Policies need to be more supportive to place-based opportunities/synergies as they emerge. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
36. '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
-
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
37. The role of funding in the 'performative decarbonisation' of transport in England.
- Author
-
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
38. The European Union and United Kingdom's deforestation-free supply chains regulations: Implications for Brazil.
- Author
-
Cesar de Oliveira, Susan E.M., Nakagawa, Louise, Lopes, Gabriela Russo, Visentin, Jaqueline C., Couto, Matheus, Silva, Daniel E., d'Albertas, Francisco, Pavani, Bruna F., Loyola, Rafael, and West, Chris
- Subjects
- *
SUPPLY chains , *FOREST degradation , *VALUE chains , *COFFEE plantations , *COMMODITY futures , *DEFORESTATION , *SERVICE animals - Abstract
This paper analyses the potential implications of the proposed European Union Deforestation Regulation (EUDR) and the recently adopted United Kingdom (UK) legislation on deforestation-free supply chains (henceforth 'the legislation') for different stakeholders in Brazil. These regulations intend to address global commodity-driven deforestation and forest degradation by ensuring that targeted commodities and products placed on (or exported from) markets are of minimal risk of being associated with - in the EU - deforestation and forest degradation or - in the UK - illegal deforestation. The paper examines potential compliance readiness in cattle, cocoa, coffee, palm oil, soybean and tropical timber supply chains in Brazil, indicating specific challenges that may arise. Through the construction of a "Compliance Likelihood Index", our research provides comparable indications to policymakers on sectors and stakeholders that may need stronger support to meet the requirements, in order to maintain Brazil's access to EU and UK markets. The paper indicates that coffee is the sector with the highest level of incentivization and smallest hurdles for compliance, while the cattle sector may face stronger challenges to rapidly adjust its production system towards a deforestation-free value chain and prove compliance. Results of our analysis also highlight the need for collaboration between the EU/UK and Brazil in order to promote alignment between domestic and demand-side legislations so that they are mutually reinforcing. Results of this exercise, which has a focus on the producer-country view of demand-side legislation, will contribute to discussions on the merits of different approaches to strengthen the governance of deforestation-risk commodity trade. [Display omitted] • Brazil's coffee sector may currently have the greatest likelihood of ready compliance. • Cattle may be the sector to which the regulations may pose the greatest challenges. • The EU and UK should focus on providing financial means and technical assistance for smallholders. • The EU and UK legislation will need to be accompanied by domestic policies and regulations in Brazil. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
39. Lung Cancer in the Non-smoker: A Patient View Focused on the Hopes and Challenges Facing the Non-smoker Population.
- Author
-
Rawlinson, J.
- Subjects
- *
LUNG tumors , *PATIENTS' attitudes - Abstract
A patient view paper focused on hopes and challenges facing the never smoker lung cancer population – from lived experience, unexpected diagnosis, treatment and subsequent immersion in lung cancer research and patient advocacy over many years, citing examples, references and events organised to explore the subject by UK research institutions. Based on lived experience, invited patient perspective conference presentations including National Cancer Research Institute (NCRI) never smoker lung cancer research strategy event opening presentation and subsequent article, includes references to relevant papers/findings and points raised during research events/group discussions, alongside personal experiences and beliefs. Discussions with clinicians, events, surveys, meetings and virtual discussions all revealed a dearth of evidence available to identify the best way to deal with this patient cohort at almost every aspect of their experience – from missed/late diagnosis, to screening potential (non-existent), mutation driven treatments (what about those ineligible?), and psychosocial/psychological aspects given their different life stage from older traditional lung cancer patients. More effort and focus are needed to better understand what is driving these cases, how best to detect them sooner and respond/refer to treatments as well as developing screening methods alongside increased public and healthcare professional awareness raising and tools to support clinicians in earlier detection. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
40. Preparing to talk: Behind-the-scenes planning between negotiators for subsequent communication with persons in crisis.
- Author
-
Stokoe, Elizabeth, Sikveland, Rein Ove, and Hamann, Magnus G.T.
- Subjects
- *
SUICIDAL behavior , *CRISIS communication , *CONVERSATION analysis , *TELECOMMUNICATION , *COMMUNICATION planning - Abstract
Police negotiators work in small units or teams. In a crisis negotiation, one of the team becomes the 'primary' negotiator and talks with the person in crisis. However, because the person in crisis may refuse to participate, and because several negotiators are co-present, there are multiple opportunities for negotiators to talk between themselves, 'behind-the-scenes'. We used conversation analysis to analyse these interstitial sequences in a corpus of audio-recorded UK suicide crisis negotiations. Our analysis focused on how negotiators talk about what, when, and how to communicate to people in crisis. We found that negotiators evaluated different communication technologies and modalities (e.g., telephone versus face-to-face) and physical locations (e.g., standing on the ground versus on a roof) in terms of their affordances for future interactions and impact on previous ones. Second, negotiators (re)formulated what and how to communicate with persons in crisis and evaluated hypothetical consequences. Third, they evaluated their progress in terms of specific (in)effective words and phrases. The analysis shows how negotiators, in contrast to individual post hoc reflection, come to share live scrutiny of their negotiation practice. Overall, the paper augments what we know about the low frequency but high-stakes activity of crisis negotiation. • The paper examines 'behind-the-scenes' communication between teams of crisis negotiators. • We analysed UK police negotiations with suicidal people in crisis. • Data were transcribed and analysed using conversation analysis. • Negotiators plan their ongoing communication in terms of precise words and phrases. • In contrast to individual post hoc reflection, negotiators evaluate practice in real time. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
41. Heterogenous responses of stock markets to covid related news and sentiments: Evidence from the 1st year of pandemic.
- Author
-
Kamal, Javed Bin and Wohar, Mark
- Subjects
COVID-19 pandemic ,COVID-19 ,STOCK exchanges ,COMMUNICABLE diseases ,MARKET volatility ,VOLATILITY (Securities) ,DEATH rate - Abstract
In this paper, we study the impact of news and sentiments related to covid-19 on United Kingdom (UK)'s stock returns from February 4, 2020 to December 7, 2020. Our results show that covid-19 daily cases exert a significant negative effect on stock returns whereas covid-19 daily deaths have a significant positive impact. These findings hold when covid-related news and sentiments indices are controlled with the 2nd wave data, and when the US policies and equity market volatilities from infectious diseases are used as controls. The magnitude of the effect of covid cases and deaths indicates that the pandemic is not very harmful to the UK stock market. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
42. The impact of crime and crime-related experiences, worries, and perceptions on travel behavior.
- Author
-
Heinen, Eva
- Subjects
- *
FEAR of crime , *CRIME , *CRIME statistics , *CRIME victims , *RISK perception , *TRAVEL safety - Abstract
• A quarter of people have experienced crime when travelling. • Only approx. 50% of the respondents indicated that crime never impacts their decision to not make a trip. • People who worry about crime are more likely to change how they travel. • The same applies for those who perceived higher levels of crime in their neighborhood. • Women were twice as likely as men to adjust their travel behavior. Although the risk of becoming a victim of crime in a transport setting is higher than in many other settings, research on how crime-related aspects impact travel has mostly focused on certain socioeconomic groups or certain modes, or by linking objective crime rates with mode choice. This limits our understanding of how crime-related aspects may impact decisions on whether, when, and how to travel. This paper aims to explore experiences with crime-related aspects in transport settings and how past experiences, together with perceptions and worry, are associated with self-reported alterations as a result of fear in travel behavior. In the absence of existing datasets, we collected primary data on experiences with crime, fear of crime, perceptions of crime, and travel behavior alterations as a result of fear of crime from 1,000 inhabitants in Great Britain. Our sample was representative in terms of gender, age, and socioeconomic groups, and revealed that experiences with crime in transport settings were common. Furthermore, we found that at least 25% of our respondents had experienced crime in any of the transport modes they used. We used ordinal regression models to test the impact of worry, crime experiences and perceptions on self-reported levels of travel behavior alteration due to fear. A previous experience of crime has impacts on travel behavior to a certain extent. For example, individuals who experienced crime while walking report an increased likelihood of not making a trip at all or altering their travel times. Having higher levels of worry is also significantly associated with an alteration in travel behavior. Women were on average more worried. They were also twice as likely as men to alter their travel behavior. However, stratified analyses by gender did not demonstrate that women were very differently impacted by experiences or worry. These findings provide insights into the extent to which travel behavior is impacted by experiences, perception, and fear of crime, as well as the existence of inequalities in this relationship. Based on our findings, we recommend including questions on social safety in travel surveys to enable additional modeling of these impacts, which may consequently help reduce inequalities. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
43. Imagining urban mobility futures in the era of autonomous vehicles—insights from participatory visioning and multi-criteria appraisal in the UK and Australia.
- Author
-
Acheampong, Ransford A., Legacy, Crystal, Kingston, Richard, and Stone, John
- Subjects
- *
URBAN transportation , *TRANSPORTATION planning , *DATA privacy , *PUBLIC transit , *BUSINESS enterprises , *AUTONOMOUS vehicles - Abstract
Autonomous Vehicles (AVs) present enormous uncertainties and challenges for future urban transport and mobility. While urban and transportation planning have significant roles to play in shaping these futures, a critical challenge is identifying and reconciling divergent values and competing visions in relation to this potentially disruptive transport technology and the associated mobility services. In this paper, we demonstrate the use of a participatory multi-criteria visioning and appraisal framework and methodology to enable stakeholders to envision, identify and interrogate essential tensions between imagined AV futures and long-term transport and mobility imperatives. Based on workshops with stakeholders at the forefront of policy and practice, and academia in Greater Manchester (UK) and Melbourne (Australia), we reveal several insights. Regarding the prospects of AVs, our participants are neither 'opponents' nor 'evangelists', but instead, manifest the contrasting attitudes and perspectives of excitement, optimism, ambivalence, scepticism and uncertainty all at the same time. In the visions outlined and appraised, our stakeholders identify AVs prospects in various use cases, such as public transport, personal and shared-use and urban freight and delivery applications, while at the same time recognising the inherent contradictions between automated driving futures outlined and imperatives such as reversing auto-mobility and creating safe and inclusive urban environments. Finally, the study brings to the fore the significant role of governance in mediating the politics and resolving contestations in critical areas including data management and privacy, cybersecurity and implementing viable business models and ownership arrangements. • Develop and apply participatory multi-criteria framework to envision and appraise automated driving futures. • Identify and interrogate essential tensions between imagined AV futures and long-term transport and mobility imperatives. • Identify AVs prospects in various use cases, such as public transport, personal and shared-use. • Inherent contradictions between automated driving, reversing auto-mobility and creating safe urban environments. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
44. Innovations towards achieving environmentally sustainable operating theatres: A systematic review.
- Author
-
Perry, Helen, Reeves, Nicola, Ansell, James, Cornish, Julie, Torkington, Jared, Morris, Daniel S., Brennan, Fiona, and Horwood, James
- Subjects
- *
WASTE minimization , *RECYCLING management , *WASTE management , *ECOLOGICAL impact , *WASTE recycling - Abstract
The NHS accounts for 5.4% of the UK's total carbon footprint, with the perioperative environment being the most resource hungry aspect of the hospital. The aim of this systematic review was to assimilate the published studies concerning the sustainability of the perioperative environment, focussing on the impact of implemented interventions. A systematic review was performed using Pubmed, OVID, Embase, Cochrane database of systematic reviews and Medline. Original manuscripts describing interventions aimed at improving operating theatre environmental sustainability were included. 675 abstracts were screened with 34 manuscripts included. Studies were divided into broad themes; recycling and waste management, waste reduction, reuse, reprocessing or life cycle analysis, energy and resource reduction and anaesthetic gases. This review summarises the interventions identified and their resulting effects on theatre sustainability. This systematic review has identified simple, yet highly effective interventions across a variety of themes that can lead to improved environmental sustainability of surgical operating theatres. Combining these interventions will likely result in a synergistic improvement to the environmental impact of surgery. • Perioperative environments use 3–6 times more energy than the hospital in general. • Paper/cardboard recycling bins in operating areas led to a 50–67% recycling rate. • Reusable items can lead to 70% reduction in waste generation. • Alcohol scrub solutions vs handwashing saves ∼930,000 L/year/hospital of water. • Dispensing propofol in 20 mL bottles instead of 50/100 mL reduces drug wastage by 90%. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
45. Achieving cardiac rehabilitation uptake targets: What is the value case for commissioners? A UK case-study.
- Author
-
Hinde, S., Harrison, A.S., Bojke, L., and Doherty, P.J.
- Subjects
- *
CARDIAC rehabilitation , *COMMISSIONERS , *GOVERNMENT policy , *MEDICAL care costs , *DECISION making - Abstract
Cardiac Rehabilitation (CR) has become an established intervention to support patient recovery after a cardiac event, with evidence supporting its effectiveness and cost-effectiveness in improving patient health and reducing future burden on healthcare systems. However, this evidence has focussed on the national value case for CR rather than at the point at which it is commissioned. This analysis uses the UK as a case-study to explore variation in current CR engagement and disassemble the value case from a commissioner perspective. Using data collected by the National Audit of CR (NACR), and an existing model of cost-effectiveness, we present details on the current level of CR uptake by commissioning region (Specialist Clinical Networks) in light of the current UK target of achieving 85% uptake. We then interrogate the value case for achieving the target at a commissioner level, highlighting the expected profile of health benefits and healthcare system costs over the long-term. Importantly we consider where this may differ from the national value case. Each commissioning region has a unique level of CR uptake and sociodemographic profile. Concurrently, the value case for commissioning CR relies on the upfront cost of the service being offset by long-term healthcare savings, and health improvements. The shift in the UK and internationally to more localised commissioning necessitates evidence of cost-effectiveness that better reflects the realities of those decision makers. This paper provides vital additional data to facilitate such commissioners to understand the value case in increasing CR uptake in line with national policy. • Many nations are aiming to increase rates of CR uptake. • Commissioning of services is complex and different from national decision making. • The challenges in reaching targets are different for each region. • It is important to consider equity when commissioning CR. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
46. Surgical simulation training for escharotomy: A novel course, improving candidate's confidence in a time critical procedure.
- Author
-
Gibson, John A.G., Gorse, Sarah Hemington, Pallister, Ian, and Cubitt, Jonathan J.
- Subjects
- *
TOURNIQUETS , *WILCOXON signed-rank test , *CONFIDENCE , *PLASTIC surgery , *LIKERT scale - Abstract
Circumferential deep burns on the limb lead to a constrictive, tourniquet-like effect causing critical limb ischaemia. The treatment, escharotomy, is a time-critical procedure that sometimes is required before the patient arrives at a burn centre. At present, no practical method of teaching this procedure is incorporated into formal educational courses. The feasibility of a comprehensive education package to teach upper limb escharotomy was assessed in a group of plastic and general surgery trainees in Wales. Small group workshops focused on the clinical presentation of patients requiring escharotomy. Participants then executed this on a custom-made high-fidelity simulation upper limb model. The articulated limb has subcutaneous silicone fat which bulges upon decompression and a finger-tip which turns pink indicating satisfactory reperfusion. A before and after five-point Likert scale was used to evaluate changes in participants' self-assessed confidence in the surgical management of escharotomy. Statistical significance between scores was assessed using the Wilcoxon signed-rank test. A total of 34 participants took part. Following completion of the course, general surgery trainees' confidence in executing the procedure increased from a median score of 1.00 "not confident at all" (IQR 1.00–2.00) to 4.00 "fairly confident" (IQR 4.00–5.00, p < 0.01). Plastic surgery trainees' confidence increased from a median score of was 3.00 "somewhat confident" (IQR 1.75–4.00) to 4.00 "fairly confident" (IQR 3.00–4.25, p < 0.01). We developed a comprehensive simulator course that has been demonstrated to improve candidate's confidence in performing escharotomy. The next stage in the course development is to confirm the results in a larger cohort. By developing this simulator course we aim to improve emergency burn care education in the UK and globally. • Escharotomy is a time critical procedure. • This paper outlines the development of a novel, high fidelity model. • It has improved confidence in a cohort of trainees with and without prior experience. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
47. Free flaps for lower limb soft tissue reconstruction – A systematic review of complications in 'Silver Trauma' patients.
- Author
-
Kaur, Anjana, Ang, Ky-Leigh, Ali, Stephen, Dobbs, Tom, Pope-Jones, Sophie, Harry, Lorraine, Whitaker, Iain, Emam, Ahmed, and Marsden, Nicholas
- Subjects
- *
FREE flaps , *COMPOUND fractures , *LEG injuries , *SILVER - Abstract
• The incidence of silver trauma and associated open lower limb fractures continues to increase. • There is an increased clinical need to consider microsurgical procedures for lower limb reconstruction in the older population. • This systematic review identified 51 free flaps and compared the complication profile of fasciocutaneous free flaps and muscle free flaps. There are 12.5 million people aged 65 years and older living in the UK. The annual incidence of open fracture is 30.7 per 10,000 person-years. In females, 42.9% of all open fractures occur in patients ≥ 65 years. Preferred Reporting for Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and the study is registered with PROSPERO (CRD42020209149). The aim was to compare the complication profiles of free fasciocutaneous flaps and free muscular flaps in patients aged over 60 years undergoing lower limb soft tissue reconstruction following an open lower limb fracture. The search strategy based on strict inclusion criteria included PubMed, Embase and Google Scholar. 15 papers were identified, including 46 patients with 10 free fasciocutaneous flaps and 41 free muscle flaps. There were 3 complications in the fasciocutaneous group (30%) and 9 complications in the muscle group (22%). There was a total of 1 secondary procedure in the fasciocutaneous group and 4 in the muscle group. There is insufficient data to provide statistical comparison between free fasciocutaneous versus free muscle flaps for lower limb reconstruction performed in those aged over 60 years. This systematic review highlights evidence for the successful use of free tissue transfer in the older population following an open fracture injury and requiring lower limb reconstruction. There is no evidence to suggest the superiority of one tissue type over the other, with the inference that well vascularised tissue is the most significant factor impacting outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
48. Effect of semi-transparent a-Si PV glazing within double-skin façades on visual and energy performances under the UK climate condition.
- Author
-
Roberts, Frank, Yang, Siliang, Du, Hu, and Yang, Rebecca
- Subjects
- *
DAYLIGHT , *ENERGY consumption of buildings , *PHOTOVOLTAIC power systems , *OFFICE environment , *BUILDING-integrated photovoltaic systems , *OFFICES , *FACADES , *AMORPHOUS silicon - Abstract
Various studies have assessed the energy performance alterations affected by the novel technology of Building-Integrated Photovoltaic in Double-Skin Facades (BIPV-DSF), while lighting performance tied to the BIPV-DSF has not received much attention. This paper provides numerical modelling to assess the effect of BIPV-DSF on both indoor visual condition and energy consumption for an office module under a typical climate in the United Kingdom. The proposed study was focused on the comparisons between a reference case (a DSF office module with both layers using clear double glazing) and a design case of the same office module with BIPV-DSF using semi-transparent Amorphous Silicon PV glazing. Results show a significant drop in maximum daylight illuminance of 73% by configuring the BIPV-DSF with reference to the regular DSF. It was also reported the resultant average and minimum daylight factors (0.65% and 0.00%) were not able to meet indoor visual comfort requirements for office environments. Furthermore, it was found that the use of BIPV-DSF resulted in a net increase of 8% in building energy consumption over the reference DSF. Therefore, it is concluded that in the present context the BIPV-DSF is not viable for a commercial installation under the UK's climate conditions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
49. Uses and abuses of farmers' emotional well-being: Policy story-lines and the politics of the rural.
- Author
-
Enticott, Gareth
- Subjects
WELL-being ,ECONOMIC uncertainty ,ANIMAL diseases ,FARMERS' attitudes ,EMOTIONAL trauma ,FARMERS ,GROUP identity - Abstract
Using the concept of policy story-lines, this paper analyses the use of accounts of farmers' emotional well-being in policy disputes about the management of animal disease. Recent research on the emotional well-being of farmers in the face of climate change, market uncertainty and animal disease has sought to objectively assess its scale and extent. Studies of the policy process, however, suggest that discourses of farmer well-being can be put to use in policy argumentation by establishing story-lines that disrupt and challenge dominant policy perspectives. Using a case study from the United Kingdom, this paper analyses the use of a social impacts of animal disease story-line, the evidence used to construct the story-line, and its use in coupling policy problems and solutions. To do this, the paper analyses 24 years of elected politicians' speeches in two different government administrations. Firstly, the paper describes how the story-line was used in response to a competing story-line of 'sound science', and defines its core rhetorical components as: universal devastation, emotional trauma, helplessness, shared suffering, and regulative stress. Secondly, the paper shows how the story-line relies on spatially situated anecdote and 'proximate experience' – direct experience or the visiting and listening to farmers – rather than formal research. Thirdly, the paper shows how the story-line was used strategically to couple specific policy solutions to the problem of farmer well-being but was also captured to justify other solutions. The paper concludes by considering the wider implications of this story-line for the politics of the rural, farmer identity and the role of social research • Investigates farmer well-being as a policy story-line in animal disease policy. • Farmer well-being is discursively constructed using rhetoric and anecdote. • Evidence is derived from 'proximate experience' rather than quantified research. • Politicians use the farmer well-being story-line to challenge dominant policy story-lines. • Academic research must develop new methods to contribute to this policy debate. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
50. Child protection and family support: Experiences in a seaside resort.
- Author
-
El-Hoss, Thomas, Thomas, Felicity, Gradinger, Felix, and Hughes, Ms Susanne
- Subjects
FAMILY support ,SEASIDE resorts ,CHILD welfare ,HOUSING stability ,CHILD support - Abstract
• Seaside resorts face socio-economic challenges which can exacerbate family crises. • Inequalities in seaside resorts can complicate delivery of family support services. • Innovative embedded research approach within Children's Social Care. • Preventative Early Help strategies need to be attuned to differing care ecologies. Effective Early Help services are key to halting rising rates of children in care in the UK. Yet despite family support and child welfare interventions being unequally distributed across the country, the role of 'place' has received limited attention in the children's social care arena. This paper examines the connections between coastal challenges, Early Help and child welfare interventions, drawing on embedded research undertaken within a Local Authority on England's coast with elevated levels of children in care. We focus on families' experiences raising children in a seaside resort area as well as professionals' perspectives on the place-based challenges faced delivering effective and accessible Early Help support. The study generated data from ethnographic observations, semi-structured interviews, and focus groups with local parents/carers (n = 57), service managers and frontline professionals (n = 14), and the Voluntary, Community, and Social Enterprise (VCSE) sector (n = 22). The findings highlight how the socio-economic challenges associated with many seaside resort areas, including housing pressures, a seasonal and low-wage economy, and the transience of the population, present difficulties for parents/carers in raising and supporting their children. For professionals delivering Early Help, high levels of housing instability, elevated inward migration, resource constraints and challenges around recruitment and retention presented challenges to delivering services. This paper recommends increased emphasis in regulation and resourcing around family support that considers the spatial and geographic dynamics that influence the incidence, structuring, and experiences of child and family welfare. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.