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Purpose: The traditional understanding of how coaches plan for sporting performance is rooted in the assumption that coaches create periodized plans underpinned by physiological principles, thereby providing scientific credibility to their work. In contrast, there remains a paucity of literature exploring how coaches understand or think about their planning practices. The purpose of this study was to generate new knowledge regarding what information coaches actually consider within their planning processes and how they actually approach the task of planning. Method: Using rigorous, in-depth interviews, this study examined athletics coaches' understandings of their everyday planning practices, in an attempt to contribute to narrowing the gap between academic research and real-world application. Twenty-eight highly experienced, high-performance track-and-field coaches based in England (female, n = 1; male, n = 27) were recruited. The coaches were from the throwing disciplines (n = 10) and endurance running (n = 18). Coaches were interviewed about their planning process, using a maximum of 3 semistructured interviews per coach, spaced across a full athletics season. In total, this generated 68 hours of data. Results: The analysis demonstrated that, while the participant coaches utilized the principles of periodization, their planning activities were not limited to this issue. The findings highlighted how the coaches conceptualized successful athletic performance in a holistic way; that is, planning is multifaceted in nature. Conclusion: This study presents a holistic picture of the complexity of coaches' planning, detailing the considerable time and attention given to planning for athletes' psychological, personal, and social development, to enhance athlete performance and development. [ABSTRACT FROM AUTHOR]

Purpose: To determine whether menstrual-cycle symptoms are associated with sleep in elite female athletes. Methods: Sleep was assessed for a minimum of 25 nights (range = 25–31) using activity monitoring and sleep diaries. Menstrual-cycle symptoms were collected over the same duration in 12 elite female professional soccer players. Generalized estimating equations were used to examine the relationship between the day of the menstrual cycle (from day 1) and total menstrual-cycle symptoms on sleep characteristics. Results: There was a significant relationship between sleep duration and the day of the menstrual cycle (P =.042) and total symptoms reported that day (P <.001), with sleep duration increasing by 21 minutes for every symptom reported. There was a negative day × symptom interaction on sleep duration (P =.004), indicating that with increased symptoms, the day of the menstrual cycle had a smaller relationship with sleep duration. Sleep efficiency (P =.950), wake after sleep onset (P =.217), and subjective sleep quality (P =.080) were not related to the day of the menstrual cycle. The total symptoms reported had no relationship with sleep efficiency (P =.220), subjective sleep quality (P =.502), or sleep latency (P =.740) but did significantly relate to wake after sleep onset (P <.001), with a significant day × symptom interaction (P <.001). Conclusions: Sleep duration increased from day 1 of the menstrual cycle and was associated with the number of menstrual-cycle symptoms reported. All other sleep metrics remained unchanged; however, total symptoms reported were related to wake after sleep onset. Monitoring and managing menstrual-cycle symptoms should be encouraged due to a potential relationship with sleep characteristics. [ABSTRACT FROM AUTHOR]

People living with dementia have the same right to well-being as anyone else, including physical activity. Yet, physical activity levels among people with dementia are lower than in the general population, and while the physical activity health benefits are well established, little is known about how people living with dementia experience physical activity. To explore these physical activity experiences, we visited six community settings in one English county and conducted informal interviews with 18 people who were either living with dementia and community dwelling (n = 4), caring for or who had cared for someone with dementia (n = 10), or providing a support service for people living with dementia and their carers (n = 4). Findings highlight both the challenges and facilitators presented by organized groups, service provider skills and qualities, and environmental factors. Additionally, these factors were influential in shaping the physical activity experience of people living with dementia. The findings may be relevant for people providing or planning support services, commissioners, policymakers, and researchers. [ABSTRACT FROM AUTHOR]

Dementia-friendly communities (DFCs) are a policy-endorsed approach to community engagement in England that promotes social inclusion to enable people affected by dementia to live well. Research suggests that physical activity is beneficial in encouraging social connection and improving health. A mixed method sequential study design in England involving a national survey (n = 31) and semistructured interviews (n = 65) in three DFCs was carried out. The aim was to understand how DFCs enable people affected by dementia to participate in physical activities. An evaluation framework for DFCs was used to organize and interpret the data, and analysis was informed by the inclusive (social) citizen lens. Findings showed that DFCs offered a range of adapted dementia-inclusive and dementia-specific activities; however, people were not routinely offered information at time of diagnosis. Local authorities (councils) were key to enable access to information and infrastructure change to support sustainable inclusion within their local community. [ABSTRACT FROM AUTHOR]

Background: Integrated curriculum interventions have been suggested as an effective means to increase physical activity (PA) and health. The feasibility of such approaches in children living in deprivation is unknown. This study sought to pilot an integrated curriculum pedometer intervention in children living in deprivation on school-based PA, body fatness, resting blood pressure, motor skills, and well-being. Methods: Using a pilot cluster randomized intervention design, children (6–7 y old, n = 64) from 2 schools in central England undertook: (1) 10-week integrated curriculum intervention or (2) control (regular school-based activity). School-based PA, body fatness, resting blood pressure, motor skills, and well-being were assessed preintervention and postintervention. Results: For the intervention group, PA was higher on school days when children had physical education lessons or there were physically active integrated curriculum activities. Body fatness significantly decreased, and well-being and perceived physical competence increased, pre–post for the intervention group compared with the control group. Accelerometer-derived PA, motor skills, and resting blood pressure were not significantly different pre–post for intervention or control groups. Conclusions: A 10-week integrated curriculum PA intervention is feasible to conduct and can positively impact aspects of health in 6- to 7-year-old children in England. [ABSTRACT FROM AUTHOR]

William Leybourn (1626 – 1716) was a printer, author, teacher, surveyor, and mathematician. The occupation of “printer” is often associated with passivity: a simple artisan whose sole focus is to bring books to sale and therefore a stranger to the knowledge contained within the books. This paper seeks to revisit this view, showing that William Leybourn was the exact opposite of a passive printer. He introduced to the English public the works of crucial protagonists of the European scientific community (including the works of Galileo Galilei), promoted debates among scholars and natural philosophers, and presented complex topics previously reserved for academic disputations in a manner accessible to a more general audience. Employing both traditional historical research and tools in Digital Humanities, the paper discusses Leybourn’s works as an example of a conceptually and methodologically novel approach to the study of intellectual networks. This bottom-up approach recenters traditionally peripheral figures, such as Leybourn, and reveals crucial social, economic, and political aspects of early modern European cultural and intellectual debates.

BackgroundProject Orbis is a global initiative that aims to streamline regulatory review processes across international regulators in the USA, Canada, Australia, UK, Israel, Brazil, Singapore, and Switzerland to bring promising cancer drugs to patients earlier. We explored the clinical benefit, time to regulatory approval and health technology assessment recommendations, reimbursement outcomes, and monthly treatment prices of cancer drugs reviewed through this initiative.MethodsFor this retrospective, comparative analysis, we identified cancer drug approvals reviewed through Project Orbis in the USA, Canada, and the UK between May 1, 2019, and Nov 1, 2023. Approvals of cancer drugs reviewed Project Orbis were extracted from the Food and Drug Administration (FDA) Oncology Centre of Excellence and all other FDA approvals from the Drugs@FDA database. The co-primary outcomes were time of regulatory review, time from regulatory approval to health technology assessment recommendation (England, Scotland, and Canada), reimbursement outcomes, clinical benefit (defined as median gains in progression-free survival and overall survival) between cancer drug approvals reviewed by Project Orbis and other FDA approval processes, and monthly treatment prices. The Wilcoxon rank-sum and Fisher's Exact tests were used to examine statistical significance between approvals reviewed through Project Orbis and other FDA approvals during the same period.FindingsBetween May 1, 2019 and Nov 1, 2023, 81 (33%) of 244 cancer drugs approved by the FDA were reviewed through Project Orbis. The median overall survival gains were 4·1 months (IQR 3·3-5·1) compared with 2·7 months (2·1-3·9) for other FDA approvals. Similarly, progression-free survival gains were 2·6 months (IQR 1·7-4·9) for Project Orbis compared with 2·6 months (0·6-5·1) for other FDA approvals. Neither overall survival (p=0·11) nor progression-free survival (p=0·44) gains were significantly different between the two cohorts of approvals. Of the 14 UK Medicines and Healthcare products Regulatory Agency (MHRA) approvals reviewed by the Scottish Medicines Consortium (SMC), the agency gave positive recommendations for all 14 (100%). Of the 15 MHRA approvals reviewed by the National Institute for Health and Care Excellence (NICE), the agency gave positive recommendations for six (40%). Of the 49 approvals reviewed by the Canadian Agency for Drugs and Technologies in Health (CADTH), the agency conditionally recommended 44 (90%). The time between regulatory approval to NICE recommendation increased from a median of 137 days (IQR 102-172) in 2021 to 302 days (184-483) in 2023, SMC recommendation increased from 185 days (in 2021 for one drug only) to 368 days (IQR 313-476) in 2023, and CADTH decision increased from 97 days (in 2020 for one drug only) to 202 days (IQR 153-304) in 2023. The median monthly price of approvals reviewed through Project Orbis was US$20 000 per month (IQR 13 000-37 000).InterpretationClinical outcomes of Project Orbis were no different than other FDA approvals during the same time, and access, after a successful health technology assessment, was considerably delayed or absent, raising questions about whether Project Orbis participation translates into faster patient access to medicines with high clinical benefit and sustainable costs. Although future challenges might benefit from regulatory harmonisation, the advantages are currently unclear.FundingNone.

BACKGROUND: Interest in modifiable risk factors (MRFs) for dementia is high, given the personal, social, and economic impact of the disorder, especially in ageing societies such as the United Kingdom. Exploring the population attributable fraction (PAF) of dementia attributable to MRFs and how this may have changed over time remains unclear. Unravelling the temporal dynamics of MRFs is crucial for informing the development of evidence-based and effective public health policies. This investigation examined the temporal trajectories of MRFs for dementia in England. METHODS: We used data from the English Longitudinal Study of Ageing, a panel study over eight waves collected between 2004 and 2019 (76,904 interviews in total). We calculated the PAFs for twelve MRFs (including six early- to mid-life factors and six late-life factors), as recommended by the Lancet Commission, and the individual weighted PAFs (IW-PAFs) for each risk factor. Temporal trends were analysed to understand the changes in the overall PAF and IW-PAF over the study period. Subgroup analyses were conducted by sex and socioeconomic status (SES). RESULTS: The overall PAF for dementia MRFs changed from 46.73% in 2004/2005 to 36.79% in 2018/2019, though this trend was not statistically significant. During 2004-2019, hypertension, with an average IW-PAF of 8.21%, was the primary modifiable determinant of dementia, followed by obesity (6.16%), social isolation (5.61%), hearing loss (4.81%), depression (4.72%), low education (4.63%), physical inactivity (3.26%), diabetes mellitus (2.49%), smoking (2.0%), excessive alcohol consumption (1.16%), air pollution (0.42%), and traumatic brain injury (TBI) (0.26%). During 2004-2019, only IW-PAFs of low education, social isolation, and smoking showed significant decreasing trends, while IW-PAFs of other factors either did not change significantly or increased (including TBI, diabetes mellitus, and air pollution). Upon sex-specific disaggregation, a higher overall PAF for MRFs was found among women, predominantly associated with later-life risk factors, most notably social isolation, depression, and physical inactivity. Additionally, hearing loss, classified as an early- to mid-life factor, played a supplementary role in the identified sex disparity. A comparable discrepancy was evident upon PAF evaluation by SES, with lower income groups experiencing a higher dementia risk, largely tied to later-life factors such as social isolation, physical inactivity, depression, and smoking. Early- to mid-life factors, in particular, low education and obesity, were also observed to contribute to the SES-associated divergence in dementia risk. Temporal PAF and IW-PAF trends, stratified by sex and SES, revealed that MRF PAF gaps across sex or SES categories have persisted or increased. CONCLUSIONS: In England, there was little change over time in the proportion of dementia attributable to known modifiable risk factors. The observed trends underscore the continuing relevance of these risk factors and the need for targeted public health strategies to address them.

Purpose: Whole-of-school approaches to physical activity (PA) promotion are recommended internationally, but there remains little descriptive research detailing the implementation of such approaches, especially at the secondary level. The purpose of this case study, which drew upon a social-ecological perspective, was to examine a whole-of-school approach used by one secondary school in England. Method: Participants (N = 30) included three members of the school's senior leadership team, eight teachers, 15 students, and four parents. Data were collected during 5 months using open-ended questionnaires that all participants completed, 14 staff interviews with staff, three focus groups with students, six observations, and attendance records from various PA opportunities. Results: Thematic analysis identified five key PA opportunities and uncovered four themes in relation to these opportunities: Student Autonomy, Support from Leadership, New School, and Physical Education Time. Discussion/Conclusion: This study highlights the importance of targeting multiple levels of influence when implementing whole-of-school PA programming. [ABSTRACT FROM AUTHOR]

Although guilt is often considered the most prevalent emotional outcome of work–family conflict (WFC), most work–family research focuses on family‐related guilt stemming from work interference with family, rather than job‐related guilt stemming from family interference with work (FIW). In addition, there is little understanding of how different employee social groups experience the implications of FIW in their daily lives. To address these research gaps, this study explores the relationship between daily FIW and job‐related guilt, and its subsequent impact on job satisfaction. It also investigates variation in these relationships by (1) gender and (2) the intersection of gender and ethnicity. Bayesian multilevel structural equation modeling using data from 5‐day diary surveys from 210 solicitors in Britain shows daily FIW is associated with higher job‐related guilt and subsequently lower job satisfaction. The relationship is stronger for women than men in general, but is also stronger for South Asian women than white British women (and men), and for South Asian men than white British men. This suggests that studies focusing on single social group characteristics (e.g., gender) are likely to obscure intersectional effects that might produce significant within‐group variation. The findings also highlight the importance of integrating workplace inequality arguments into theorization of WFC. [ABSTRACT FROM AUTHOR]

The UK’s ratification of Convention for the Safeguarding of the Intangible Cultural Heritage in March 2024 signals a formal commitment to engage with the concept of intangible cultural heritage (ICH). This article investigates how this commitment could reshape built heritage practices in the UK through fostering a more integrated relationship between the tangible and intangible qualities of heritage. It argues that prioritising this interface is essential for contemporary built heritage management, ensuring the diverse cultural values embedded in the historic environment are represented. After examining the broader UK context, the article narrows focus to England, where Historic England’s guidance and initiatives demonstrate how shifts in policy and practice could materialise in response to the convention. The article concludes by proposing three key opportunity areas that could emerge from emphasising the tangible–intangible relationship: 1) evolving understandings of heritage, community and participation; 2) recognising the mutual influence of ICH and physical heritage; and 3) strengthening place-based cultural practices. These opportunities offer a timely pathway for the UK to become a thought leader in heritage management by aligning conservation practices with evolving cultural values and community involvement, thus setting a new benchmark for built heritage management in a Western European context. [ABSTRACT FROM AUTHOR]

Background: Research to date suggests that physical activity (PA) can buffer menopausal symptoms and support well-being, but there is limited evidence on the link between PA and menopausal symptoms in the United Kingdom, and no study has assessed how PA affects well-being through menopausal symptoms and three psychosomatic factors (i.e. depression, anxiety and stress). Objectives: This study investigated whether PA affects well-being through menopausal symptoms and psychosomatic factors. This study focuses on how PA influences working women with menopause. Design: A cross-sectional design based on the STROBE (i.e. Strengthening the Reporting of Observational Studies in Epidemiology) checklist was adopted. Methods: The participants were 324 working women in England. An online self-reported questionnaire was utilised to gather data through Qualtrics. The data were analysed with path analysis through structural equation modelling, and sensitivity analyses were performed to avoid or reduce statistical bias. Results: PA had a negative effect on menopausal symptoms (β = −0.21; p < 0.001) but a positive effect on well-being (β = 0.19; p < 0.001). Menopausal symptoms had a negative indirect effect on well-being, but PA had a positive indirect effect on well-being through menopausal symptoms and the three psychosomatic factors. Conclusion: PA was positively associated with well-being but negatively associated with menopausal symptoms. Menopausal symptoms may lower well-being through anxiety, depression and stress, but PA can be associated with better well-being through depression, anxiety and stress. Plain language summary: The influence of physical activity on well-being through menopausal symptoms, depression, anxiety, and stress Why was the study done? Studies have assessed the potential influence of physical activity on menopausal symptoms among women, but no study in the United Kingdom has examined this relationship. Although the positive effect of physical activity on well-being is well researched and documented, no study has explored how it is mediated by menopausal symptoms and psychosomatic factors (i.e. stress, anxiety, and depression). Evaluation of this potential mediation is needed to improve stakeholders' understanding of the best ways to manage menopause at work. What did the researchers do? The researchers designed an online survey and used Qualtrics to distribute it among 324 working women with menopause in England. They used the appropriate statistical analysis technique to ascertain how the effect of physical activity on well-being is mediated by menopausal symptoms and the psychosomatic factors. What did the researchers find? Women who reported higher physical activity experienced fewer menopausal symptoms. Women with higher physical activity reported better well-being through fewer menopausal symptoms and lower stress, anxiety, and depression. Physical activity may help to improve well-being among working menopausal women by lowering menopausal symptoms, stress, anxiety, and depression. What do the findings mean? Working women can maintain well-being and experience less menopausal symptoms, stress, anxiety, and depression if they participate in physical activities. Organizations can manage menopause by rolling out workplace programmes encouraging employees to regularly participate in physical activities. [ABSTRACT FROM AUTHOR]

Background: Suprasorb Liquacel Pro (standard test dressing) and Suprasorb Liquacel Ag (test dressing with silver nanoparticles) are absorptive gelling-fibre dressings designed to manage wound exudate levels and promote moist wound healing, with the latter having additional antimicrobial properties. Aims: To assess the impact of the test dressing on healing, exudate levels and signs of infection. Methods: Patients with moderately-to-highly exuding hard-to-heal wounds of any type were dressed with the standard test dressing or the test dressing with silver nanoparticles if they showed covert or overt signs of local infection. Comparative data were collected at baseline and 4-week conclusion. Adverse events and patient and professional opinions were also reported and collated. Findings: There were 19 patients with lower-limb wounds of various types present for a mean of 26 months. At baseline, most wounds were deteriorating or static (68%), while at conclusion most were improving or healed (84%), with additional indicators of improved healing. The number of patients with moderate-to-high exudate levels decreased from 84% to 53%. The 15 patients using the test dressing with silver nanoparticles saw reductions in covert signs of infection from 93% to 80%, overt signs of infection from 33% to 13% and antibiotic use from 13% to 7%. Conclusions: On average, the test dressings were effective in managing and reducing the barriers to healing, including high exudate, infection and biofilm, and in restarting stalled healing. [ABSTRACT FROM AUTHOR]

The process of referral, assessment, and diagnosis of attention deficit hyperactivity disorder (ADHD) within the UK is often protracted. Given that parents are frequently the instigators of the diagnostic process, understanding the experience of parents is important. Drawing on findings from a longitudinal study, this article explores how the parental experience of the ADHD diagnostic journey includes three significant and distinct forms of 'illness work'. Twenty‐one semi‐structured serial interviews were conducted over a 2‐year period with seven parents of children on the ADHD diagnostic journey in North East England. We present three significant forms of parental illness work: (1) The 'diagnostic quest', parental work recognising and fighting for their children's needs and selfhood, seeking diagnosis and engaging with systems, (2) 'self‐biographical illness work', the personal parental biographical response to the diagnostic journey and (3) 'child biographical illness work and recontextualizing the child', parental biographical adjustment and recontextualisation of their children. We advance Rasmussen et al.'s (2021) model by demonstrating its usefulness in understanding how parents with a personal ADHD diagnosis experience biographical disruption or cohesion in response to their children's diagnosis. That a child's diagnosis leads parents with ADHD to experience a self‐biographical cohesive or disruptive response is a unique and significant finding. [ABSTRACT FROM AUTHOR]

The politics of recognition in Ireland related to inequalities of Catholics leading its census of 1861 to cross tabulate occupations and religion. The unique sociological value of these Irish statistics has never been recognised. As a social laboratory at the time, what was permitted in Ireland was debarred on grounds of privacy in England and Wales. Whereas colonisation necessitated a politics of recognition of religion in Ireland, in England, and Wales, it was not be included in the census until 2001. Much resistance related to the wish to reduce religion to a matter of ethnicity. This ambition rendered linking religion with occupation unthinkable in terms of its divisive outcomes on ideals for inclusion and multi-culturalism. Thus, by default, the innovations of the Irish 1861 census were exceptional in ways that rendered the census of England and Wales regressive in what it could include. [ABSTRACT FROM AUTHOR]

Background and Objectives English and Welsh laws require "contemporaneous" consent to sexual relations, often precluding "non-capacituos" people living with advanced dementia from these human interactions. Research Design and Methods The views of people living with dementia, carers, professionals, and over-55s were explored on implications of current laws on sexuality in dementia. Thirty-five participants from England were recruited through purposive selective sampling. Audio-taped semistructured interviews were transcribed and thematically analyzed with each stakeholder group coded separately. Results Common themes across stakeholders were (i) law reform needed due to their hammer-like effect ignoring the individual; (ii) dissonant theme of needing the law for protection; (iii) negative impact of denied intimacy on individuals and partners; (iv) support for Advance Decisions on Intimacy with caveats; (v) less support for involvement of Court of Protection and Powers of Attorney; (vi) call for review of capacity concept with support for an assent model. People living with dementia described shame and stigma associated with policing of their sexuality and perception of being singled out for protection and intrusion into their lives. For informal carers (mostly wives), the theme of "what about me" emerged, demonstrating that for the long-term partnered, this is a couple's issue. Discussion and Implications Practical implications of this study include need to address ageism and ableism; human rights education for society and professionals; starting point of presumed capacity for sexual relations with consensus on how and when this should be rebutted; and care homes' certification requirements should incorporate assessment of the relationship health of their residents. [ABSTRACT FROM AUTHOR]

This research introduces an adaptive control algorithm designed to determine gait phase in real-time using an inertial measurement unit (IMU) affixed to the shank. Focusing on detecting specific gait events, primarily initial contact (IC) and toe-off (TO), the algorithm utilizes dynamic thresholds and ratios that facilitate accurate event determination adaptively across a range of walking speeds. Built-in safety checks further ensure precision and minimize false detections. We validated the algorithm with eight participants walking at varying speeds. The algorithm demonstrated promising results in detecting IC and TO events with mean lead of 8.95 ms and 4.42 ms and detection success rate of 100% and 99.72%, respectively. These results are consistent with benchmarks from established algorithms (Hanlon and Anderson, 2009, “Real-Time Gait Event Detection Using Wearable Sensors,” Gait Posture, 30(4), pp. 523–527; Maqbool et al., 2017, “A Real-Time Gait Event Detection for Lower Limb Prosthesis Control and Evaluation,” IEEE Trans. Neural Syst. Rehabil. Eng.: Publ. IEEE Eng. Med. Biol. Soc., 25(9), pp. 1500–1509). Moreover, the algorithm's self-adaptive nature ensures it can be used in scenarios of varying movement, offering a promising solution for real-time gait phase detection. [ABSTRACT FROM AUTHOR]

The study aimed to illustrate how contact (from match‐event data) and head acceleration event (HAE) (from instrumented mouthguard [iMG]) data can be combined to inform match limits within rugby. Match‐event data from one rugby union and rugby league season, including all competitive matches involving players from the English Premiership and Super League, were used. Playing exposure was summarised as full game equivalents (FGE; total minutes played/80). Expected contact and HAE exposures at arbitrary thresholds were estimated using match‐event and iMG data. Generalised linear models were used to identify differences in contact and HAE exposure per FGE. For 30 FGEs, forwards had greater contact than backs in rugby union (n = 1272 vs. 618) and league (n = 1569 vs. 706). As HAE magnitude increased, the differences between positional groups decreased (e.g., rugby union; n = 34 and 22 HAE >40 g for forwards and backs playing 30 FGEs). Currently, only a relatively small proportion of rugby union (2.5%) and league (7.3%) players exceeded 25 FGEs. Estimating contact and HAEs per FGE allows policymakers to prospectively plan and model estimated overall and position‐specific loads over a season and longer term. Reducing FGE limits by a small amount would currently only affect contact and HAE exposure for a small proportion of players who complete the most minutes. This may be beneficial for this cohort but is not an effective HAE and contact exposure reduction strategy at a population level, which requires individual player management. Given the positional differences, FGE limits should exist to manage appropriate HAE and contact exposure. Highlights: Estimating contact events and head acceleration events (HAEs) per full game equivalents (FGE, i.e., 80 minutes) allows policymakers to prospectively plan and model estimated overall and position‐specific loads over a season and longer term.Through retrospectively analysing FGE exposure, the findings demonstrate that only a small proportion of rugby players would be affected by a feasible reduction in FGE limits, but the difference in contact and HAE exposure for these players could be significant over the duration of a playing career.Per FGE in both rugby codes, forwards have a greater expected contact and head acceleration event exposure than backs, and thus any implemented FGE limits should at least be position group‐specific and ideally incorporate individual player management. [ABSTRACT FROM AUTHOR]

Objective: Young adults are at risk for hearing loss caused by exposure to loud music. Intervention at this stage provides opportunities to support lifelong hearing protection use. This study explores attitudes related to hearing, hearing loss, and hearing protection among university students. Design: Qualitative interview design, supplemented by quantitative questionnaire data. Study sample: 18 university students, aged 18–24 years. Results: Students were uncertain about mechanisms of noise-induced hearing loss, did not feel vulnerable to permanent hearing damage from loud music, were unconvinced of hearing protection efficacy, and reported barriers to hearing protection use. Students emphasised the positive effects of loud music and reported an increased likelihood of using hearing protection were it used by peers. Music students appeared more aware of the negative effects of loud music exposure. Students reported conflicting attitudes regarding government regulation of hearing protection use. Conclusion: Young adults require education about hearing protection from multiple, credible sources and need to understand the mechanisms behind noise-induced hearing loss in a way that makes it of high personal relevance. [ABSTRACT FROM AUTHOR]

Objectives The objective of this study is to examine differences in socioeconomic gradients (i.e. education, income, and wealth) in frailty by gender in the United States and England. Methods We used harmonized data from the Health and Retirement Study and the English Longitudinal Study of Ageing in 2016. Frailty status was determined from measured and self-reported signs and symptoms in 5 domains: unintentional weight loss, exhaustion, low physical activity, slow walking speed, and weakness. Respondents were classified as robust (no signs or symptoms of frailty), prefrail (signs or symptoms in 1–2 domains), or frail (signs or symptoms in 3 or more domains). Gender-stratified multinomial logistic regression models were used to assess the relationship between educational attainment, household income, and household wealth with the risk of frailty and prefrailty, with and without covariates. We also calculated the slope index of inequalities on the predicted probabilities of frailty by income and wealth quintiles. Results We found socioeconomic gradients in prefrailty and frailty by education, income, and wealth. Furthermore, the educational gradient in frailty was significantly steeper for U.S. women compared to English women, and the income gradient was steeper for U.S. men and women compared to English men and women. The between-country differences were not accounted for by adjusting for race/ethnicity and behavioral factors. Discussion Socioeconomic gradients in prefrailty and frailty differ by country setting and gender, suggesting contextual factors such as cultural norms, healthcare access and quality, and economic policy may contribute to the effect of different measures of socioeconomic status on prefrailty and frailty risk. [ABSTRACT FROM AUTHOR]

Background: The Universal Infant Free School Meal (UIFSM) policy was introduced in 2014/15 in England and Scotland for schoolchildren aged 4–7 years, leading to an increase in school meal uptake. UK school meals are known to be healthier and less industrially processed than food brought from home (packed lunches). However, the impact of the UIFSM policy on the quantity of ultra-processed food (UPF) consumed at school during lunchtime is unknown. This study aimed to evaluate the impact of the UIFSM policy on lunchtime intakes of UPF in English and Scottish schoolchildren. Methods: Data from the UK National Diet and Nutrition Survey (2008–2019) were used to conduct a difference-in-difference (DID) natural experiment. Outcomes included school meal uptake and the average intake of UPF (% of total lunch in grams (%g) and % total lunch in Kcal (%Kcal)) during school lunchtime. The change in the outcomes before and after the introduction of UIFSM (September 2014 in England, January 2015 in Scotland) in the intervention group (4–7 years, n = 835) was compared to the change in an unexposed control group (8–11 years, n = 783), using linear regression. Inverse probability weights were used to balance characteristics between intervention and control groups. Results: Before UIFSM, school meal uptake and consumption of UPFs were similar in the intervention and control groups. The DID model showed that after UIFSM, school meal uptake rose by 25%-points (pp) (95% CI 14.2, 35.9) and consumption of UPFs (%g) decreased by 6.8pp (95% CI -12.5,-1.0). Analyses indicated this was driven by increases in minimally processed dairy and eggs, and starchy foods, and decreases in ultra-processed salty snacks, bread and drinks. The differences were larger in the lowest-income children (-19.3 UPF(%g); 95% CI -30.4,-8.2) compared to middle- and high-income children. Analyses using UPF %Kcal had similar conclusions. Conclusions: This study builds on previous evidence suggesting that UIFSM had a positive impact on dietary patterns, showing that it reduced consumption of UPFs at school lunchtime, with the greatest impact for children from the lowest-income households. Universal free school meals could be an important policy for long term equitable improvements in children's diet. [ABSTRACT FROM AUTHOR]

Background/Aims: Feedback plays a pivotal role in learning, but traditional written feedback often lack engagement and specificity, hindering learners' ability to effectively apply feedback. In midwifery education, the need for innovative feedback delivery mechanisms is pronounced. The aim of this study was to evaluate the integration of digital health technologies in feedback delivery in a midwifery programme. Methods: A novel communication strategy was implemented in a midwifery programme in northwest England, where the benefits, challenges and future implications of leveraging digital health technologies for assessment feedback were assessed. Results: Preferences were mixed, with 45.1% of learners favouring written feedback. Verbal feedback was perceived as more personal and motivating, and valued for its nuance, tone and ability to clarify complex points, although written feedback provided clearer, detailed information for future reference. Less experienced markers struggled with verbal feedback, while more experienced markers appreciated the quicker, more refreshing process. All markers found feedback templates helpful for ensuring equitable feedback. Conclusions: This study scrutinised the significance of rethinking feedback delivery in midwifery education and indicates that digital health technologies present promising opportunities for reshaping the feedback landscape. Implications for practice: Developing student confidence and competence in digital literacy remains a significant challenge. Higher education institutions can collaborate with healthcare providers to offer training in digital health technologies, helping midwives adapt to modern clinical environments. [ABSTRACT FROM AUTHOR]

The Labour manifesto in this year's election implied a radical restructuring of the UK state, the way in which England is governed and in relations across the United Kingdom. The aim of making English devolution the ‘default option’ is set against fifty years of unsuccessful and partial devolution initiatives which have failed to reverse the accretion of power in the central UK state. Centralisation can be seen as the consequence of an Anglocentric constitutionalism which vests power in the centre, underpins England's fragmented departmental governance and where accountability mechanisms flow to HM Treasury. Labour's success will reflect its willingness to challenge these constitutional assumptions, which are deeply embedded in the culture, practice and structures of Westminster and Whitehall. Successful devolution will require breaking the chains of accountability that tie local spending decisions to the centre and placing devolved English local government on a stronger constitutional basis. [ABSTRACT FROM AUTHOR]

This article contributes to understanding the transformative potential of institutions, such as the National Health Service in England (NHS), to engage those they serve, nurturing their aspirations and capabilities to support human flourishing. In pursuing a "fully engaged" scenario as described by Derek Wanless in Securing our Future Health (2002), an argument is made for nurturing the capabilities to aspire, voice and realise aspirations. The fully engaged scenario aspires towards higher levels of public engagement in relation to individual and community health and wellbeing; more efficient use of resources; overall improvements in health outcomes and a reduction in health inequalities. The discussion offers a critical evaluation of the recent emergence of a personalised care approach in the NHS in England, and specifically the role of Health and Wellbeing Coaches, in supporting this endeavour. Core capability and aspiration concepts are explicated to develop a conceptual framework to appraise the transformational potential of personalised care approaches in the NHS in England. The ensuing analysis is especially relevant as the recently elected Labour government prepares for a new ten-year plan for NHS reformation. [ABSTRACT FROM AUTHOR]

This article details the findings of a qualitative interview study with 30 Religious Education [RE] teachers, working in state-funded, non-faith secondary schools in England. Salient findings included participants' almost unanimous agreement about the role of RE in developing character, virtue literacy, and moral, intellectual and performance virtues. Whilst there was general agreement that RE contributes to educating moral virtues, participants differed concerning whether moral virtues were a) both a subject aim and a taught element, b) either of these respective positions, or c) an implicit by-product of RE lessons. There was no indication of this disagreement being due to participants' personal characteristics, suggesting that further guidance is necessary to clarify the role of RE vis-à-vis moral development. These findings mark a distinctive contribution to the literature on the role of RE, at a time when Ofsted is considering character education amongst the requirements of schools that are judged as good or outstanding. Plain Language Summary: This article provides a better understanding of how RE teachers think their subject contributes to pupils' character development, in non-faith, state-funded schools in England. The article does this through initially establishing that there has been a close historical connection between the teaching of religions and the teaching of morality in the English education system. This ongoing connection provides the groundwork for a study, consisting of an interview schedule, with 30 RE teachers who work in non-faith, state-funded secondary schools in England. The analysis revealed that almost all the RE teachers thought RE could contribute to pupils' character development and virtue literacy, in addition to moral, intellectual and performance virtues. When asked specifically whether RE could contribute to the development of pupils' moral virtues, the teachers mostly agreed but were divided as to how it did so. These findings are interesting because they provide a richer insight into how RE teachers, who work in non-faith, state-funded secondary schools, perceive their role as character educators. The findings are most relevant to teachers and policymakers, interested into how RE can contribute to pupils' character development, at a time when Ofsted has an increased focus on character education in schools. The authors suggest that further non-statutory guidance would be helpful to clarify the role of RE to pupils' character and moral development. [ABSTRACT FROM AUTHOR]

Burgess et al. (2016) emphasized the importance of parental support in youth sports as they provide financial, informational, and emotional support to the youth-athlete. Parents also play a "significant role in shaping youth sport experiences" (Sheridan et al., 2014, p. 198). Research around parental support has been conducted in sports such as tennis, gymnastics, and football. The aim of the present study was to examine the parents' perspective of parental support in female youth golf, exploring how they support their female youth golfers, and if the support changes through their child's development. Twenty-two semi structured interviews were conducted with parents (14 fathers, 10 mothers) of high-performance female golfers in the specializing or investment stages of Côté's (1999) DMSP. Participants were recruited from six countries (England, Ireland, Scotland, New Zealand, Australia, Canada). Using thematic analysis (Braun & Clarke, 2012) six higher order themes were identified, namely, parental support: emotional, practical, technical, financial, organizational, and reflective support. The results align with the grounded theory of parental support (Burke et al., 2023a) providing an insight into the parents' perspective of providing support aligning with informational, emotional, and instrumental support of the theory. Furthermore, the current research presented novel findings regarding reflective support that parents provide. Findings highlighted that parental support changed depending on temporal differences (place in the golf season) and their daughter's development. The present research reinforces the need to provide support programs for parents based on their needs, rather than programs designed from a governing body or coaches perspective. Lay summary: Parents perspective of parental support and associated temporal changes were explored in female youth golf. Six themes of support were identified: emotional, practical, technical, financial, organizational, and reflective support. Changes in parental support were dependent on their daughter's development (level of maturity or level of play) and the time of year differences. IMPLICATIONS FOR PRACTICE: Sport psychologists can build upon the current findings when assisting the development of youth athletes, by involving the parent in managing emotions for their child-athlete but also providing some help for how parents may manage their own emotions to avoid having a negative impact on their youth athlete. Findings can be applied by practitioners, governing bodies, and sporting organizations to develop and implement suitable assistance for parents based on the needs of parents and to assist with the changes in support that occur when supporting their youth athlete. [ABSTRACT FROM AUTHOR]