A scoping review to map public-facing websites for non-traumatic wrist disorders with quality evaluation

Introduction Public-facing resources for non-traumatic wrist disorders (NTWD) exist, but care recipients and healthcare professionals alike are uncertain where to access the most useful resources and have raised concerns over the quality of information provided. Previous studies involving stakeholders highlight a need for quality evaluation of these resources. The aim of this study was to identify website resources accessible to UK-based online health seekers and explore their content through quality assessment. Methods A scoping review of public-facing websites was conducted in accordance with Joanna Briggs Institute guidelines and PRISMA-ScR checklist. An a-priori search strategy was performed of publicly accessible websites using lay terms were entered into a simple Google search. The DISCERN tool was used to appraise the quality of health information with additional data charted to pre-determined criteria. Results The 82 websites meeting inclusion criteria scored an average of 2/5 DISCERN. Nine funding categories existed with private service websites were the most common. 18 different diagnoses were found with twenty different management interventions were recommended. Conclusion Considerable variation was found in the quality of websites providing information which people with NTWD are likely to access. Quality and trustworthiness of website information on NTWD are not the preserve of any sector or organisation and we identified potential for improvements across the board.</p

Dying matters – innovating spaces to foster end-of-life discussions with applied theatre.

Increasing evidence highlights the benefits and importance of discussing End-of-Life (EoL), yet many people struggle to talk openly about death and dying. This practice-based report details the development of Dying Matters, an applied theatre performance designed to encourage EoL conversations with loved ones. The combination of lived experience monologues and reflection activities appeared to provide an inspiring and supportive experience. The team observed many attendees actively taking moments during the performance to ponder and write their response to EoL preferences prompts. Further application of this work is recommended to engage a broader community and to enhance healthcare professional training

The Rights of Nature: A call for a policy of mutually assured flourishing

The new Labour government faces numerous, interconnected crises along economic, social and environmental nexuses. Policies intended to address issues such as the costof-living, healthcare and housing crises are receiving particular attention. Parties have presented narratives around the ecological crisis, such as a significant expansion of renewable energy and reduction of carbon emissions; these are vital, necessary starting points. However, the current discourse is shallow and fails to grapple with the root causes of an operating system that is ultimately self-terminating. We contend that a truly sustainable and regenerative social-ecological transformation must transcend the status quo and fundamentally shift our ontology (ways of being and relating). In this article, we explore and advocate for a Rights of Nature (RoN) policy. This would not only involve innovative legal and governance mechanisms to ascribe legal agency to more-than-human actants and incorporate them into infrastructures; it would also support the transition of ontological shifts towards relationships of interdependence and stewardship with the more-than-human world. Here, we review the literature on the Rights of Nature, especially highlighting the River Dôn Project (RDP) as a key case study. We explore the necessity of transdisciplinary collaboration and thinking and explore how the UK could demonstrate alternative RoN realities. We conclude by arguing that projects such as the RDP and broader Rights of Nature must be a critical focus of the new Labour government, to ensure our mutually assured flourishing with nature, rather than our mutually assured destruction

Memory, heritage, and the post steel city: Mediating the transformation of Sheffield since 1990

This chapter examines the stakeholders involved in the mediation of Sheffield’s transition to a post Steel City from 1990 onward, considering three key case studies. The first focuses on the city’s Lower Don Valley, which was the site of the World Student Games in 1991. The urban planning company Sheffield Development Corporation (SDC), chaired by industrialist Hugh Sykes, had overseen the regeneration of Sheffield’s East End. Sykes was incredibly influential in crafting a vision of rebirth for Sheffield that centred on the introduction of retail and leisure. The SDC was a private company that had to collaborate with council leaders and departments, such as the Department for Education and Economic Development (DEED). The latter was crucial in selling the new vision of Sheffield being crafted by Sykes and the SDC in the early 1990s, using the World Student Games as an opportunity to show Sheffield’s new global confidence. The second case study focuses on the Sheffield One urban planning company in the early 2000s, a company in which Hugh Sykes was again influential, alongside public relations strategists. Sheffield One was focused on redeveloping the city centre, overseeing the completion of the Heart of the City regeneration programme and masterminding a new publicity campaign to convince both citizens and businesses of the potential for a New Retail Quarter. The final case study focuses on the new co-operative movements and independent businesses in the city in the 2010s that have taken on the role of urban regeneration. Specific attention is given to the project Leah’s Yard and the way in which it has embraced previous attempts to rebrand Sheffield, but doing so through the mythmaking process of memory, heritage, and independent craft making. The chapter makes use of sources held at the Sheffield City Archives, focusing on the records of the World Student Games, the Sheffield Development Corporation, and the Sheffield One partnership, alongside new promotional material for the Heart of the City II regeneration programme and the Leah’s Yard development. It primarily focuses on public relations material, as well as visual evidence (photographs and film footage), to consider the ways in which Sheffield’s transition to the post Steel City, and ultimately its deindustrialisation, was mediated to both the city’s citizens and to businesses and professionals outside of Sheffield in an attempt to convince them to relocate to the city. In doing so, the aim is to foreground the paradoxical nature of this process in which those ‘doing’ the mediating were simultaneously drawing upon Sheffield’s steel industry heritage, while also persistently searching for a new future and identity

Do healthcare professionals work around safety standards, and should we be worried? A scoping review.

Background Healthcare staff adapt to challenges faced when delivering healthcare by using workarounds. Sometimes, safety standards, the very things used to routinely mitigate risk in healthcare, are the obstacles that staff work around. While workarounds have negative connotations, there is an argument that, in some circumstances, they contribute to the delivery of safe care. Objectives In this scoping review, we explore the circumstances and perceived implications of safety standard workarounds (SSWAs) conducted in the delivery of frontline care. Method We searched MEDLINE, CINAHL, PsycINFO and Web of Science for articles reporting on the circumstances and perceived implications of SSWAs in healthcare. Data charting was undertaken by two researchers. A narrative synthesis was developed to produce a summary of findings. Results We included 27 papers in the review, which reported on workarounds of 21 safety standards. Over half of the papers (59%) described working around standards related to medicine safety. As medication standards featured frequently in papers, SSWAs were reported to be performed by registered nurses in 67% of papers, doctors in 41% of papers and pharmacists in 19% of papers. Organisational causes were the most prominent reason for workarounds. Papers reported on the perceived impact of SSWAs for care quality. At times SSWAs were being used to support the delivery of person-centred, timely, efficient and effective care. Implications of SSWAs for safety were diverse. Some papers reported SSWAs had both positive and negative implications for safety simultaneously. SSWAs were reported to be beneficial for patients more often than they were detrimental. Conclusion SSWAs are used frequently during the delivery of everyday care, particularly during medication-related processes. These workarounds are often used to balance different risks and, in some circumstances, to achieve safe care

Gendered Barriers to Accessing Jobs in the Formal Sector: A Study of Women Street Vendors in Delhi, India

Occupational segregation by gender deserves particular attention because it excludes women from most livelihood options(Anker, 1997). This research presents a holistic picture of gendered occupational segregation that collectively studies life cycle concepts of transitions, trajectories, life events, and turning points, along with the life cycle parameters of age, education level and marital status to understand barriers women face in exercising their agency to access jobs in the formal sector. Analysis of 105 semi-structured interviews with vendors in Delhi highlights the role of patriarchal norms in public and private spheres in structuring women’s entry into street vending. Key issues to access jobs in the formal sector include the patriarchal norms, stigmatisation, and societal expectations that limit women’s access to education, their ability to work, and the type of work they engage in, thus creating segmentation in the labour market. This study concludes that the structural conditions lead to transitions, life events, and turning points in women’s lives, determining their access to employment in the formal or informal sector

Separation of mycolic acid isomers by cyclic ion mobility‐mass spectrometry

Rationale: Mycobacterial species contain high concentrations of mycolic acids in their cell wall. Mycobacteria can pose a threat to both human health and the environment. Mass spectrometry lipidomic characterization can identify bacterial species and suggest targets for microbiological interventions. Due to the complex structures of mycolic acids and the possibility of isobaric isomers, multiple levels of separation are required for complete characterization. In this study, cyclic ion mobility (cIM) mass spectrometry (MS) was used for the analysis, separation and fragmentation of mycolic acids isomers from the bacterial species Gordonia amarae and Mycobacterium bovis . Methods: Mycolic acid isomers were interrogated from cultured G. amarae biomass and commercially available M. bovis mycolic acid extracts. These were infused into a cIM‐enabled quadrupole time‐of‐flight MS. Ions of interest were non‐simultaneously selected with the quadrupole and passed around the cyclic ion mobility device multiple times. Fragment ion analysis was then performed for the resolved isomers of the quadrupole‐selected ions. Results: Repeated passes of the cIM device successfully resolved otherwise overlapping MA isomers, allowing isomer isolation and producing an ion‐specific post‐mobility fragmentation spectrum without isomeric interference. Conclusions: Mycolic acids (MA) isomers from G. amarae and M. bovis were resolved, resulting in a high mobility resolution and low interference fragmentation analysis. These revealed varying patterns of MA isomers in the two species: G. amarae's most abundant ion of each set of MA has 1–2 conformations, while the MA + 2 m/z the most abundant ion of each set has 3–6 conformations. These were resolved after 70 passes of the cyclic device. M. bovis' most abundant ion of each keto‐MA set has 2 conformations, while the keto‐MA + 2 m/z has 1–2 conformations. These were resolved after 75 passes.</p

Valuing the contribution of sport volunteering to subjective wellbeing: evidence from eight European countries

Introduction: Volunteering is a prominent and integral aspect of the activities undertaken by sports clubs in Europe. However, even with its growing importance, quantifying the monetary worth of this nonmarket activity, in terms of wellbeing, can present certain difficulties. Traditional approaches to valuing volunteering (i.e., replacement and opportunity cost approaches) do not fully capture the value of volunteering to individuals, as they do not consider the intangible benefits that individuals may derive from their participation. Methods: This research provides added value to the monetisation of volunteering in sport by applying the wellbeing valuation approach (WVA) for the first time to a cross-sectional data in eight European countries. A double instrumental variable approach was developed to correct for unobservable variables that may influence the pairs: income and subjective wellbeing (SWB), and volunteering and SWB. This allows to estimate the causal impact of volunteering and income on SWB more accurately and assign a reasonable monetary value to this non-market activity. Results: The results, based on a sample size of 1,091, show an income compensation for a volunteer, devoting on average 8.7 hours during a four-week period of €16 to €50 per hour, equivalent to between € 1,700 and € 5,200 per year, depending on the nationality of the volunteer. Discussion: With these estimations insights into the value of volunteering in sports are provided, contributing to a better understanding of how this activity can be valued and supported. By recognising and accurately valuing the contributions of volunteers, sport organizations and policymakers can develop more effective strategies for promoting and supporting volunteering in sports