“I have to stay inside …”: Experiences of air pollution for people with asthma

Asthma, characterized by airway inflammation, sensitization and constriction, and leading to symptoms including cough and dyspnoea, affects millions of people globally. Air pollution is a known asthma trigger, yet how it is experienced is understudied and how individuals with asthma interact with air quality information and manage exacerbation risks is unclear. This study aimed to explore how people living with asthma in Scotland, UK, experienced and managed their asthma in relation to air pollution. We explored these issues with 36 participants using semi-structured interviews. We found that self-protection measures were influenced by place and sense of control (with the home being a “safe space”), and that the perception of clean(er) air had a liberating effect on outdoor activities. We discuss how these insights could shape air quality-related health advice in future

Uncertain world: How children’s curiosity and intolerance of uncertainty relate to their behaviour and emotion under uncertainty

Curiosity and intolerance of uncertainty (IU) are both thought to drive information seeking but may have different affective profiles; curiosity is often associated with positive affective responses to uncertainty and improved learning outcomes, whereas IU is associated with negative affective responses and anxiety. Curiosity and IU have not previously been examined together in children but may both play an important role in understanding how children respond to uncertainty. Our research aimed to examine how individual differences in parent-reported curiosity and IU were associated with behavioural and emotional responses to uncertainty. Children aged 8 to 12 (n = 133) completed a game in which they were presented with an array of buttons on the screen that, when clicked, played neutral or aversive sounds. Children pressed buttons (information seeking) and rated their emotions and worry under conditions of high and low uncertainty. Facial expressions were also monitored for affective responses. Analyses revealed that children sought more information under high uncertainty than low uncertainty trials and that more curious children reported feeling happier. Contrary to expectations, IU and curiosity were not related to the number of buttons children pressed, nor to their self-reported emotion or worry. However, exploratory analyses suggest that children who are high in IU may engage in more information seeking that reflects checking or safety-seeking than those who are low in IU. In addition, our findings suggest that there may be age-related change in the effects of IU on worry, with IU more strongly related to worry in uncertain situations for older children than younger children

"History from Marble": Church Notes and Epigraphy in Early Modern England

This essay examines a new form of historical writing that emerged in seventeenth-century England. Mixing the study of inscriptions with the examination of tombs and other church monuments, this form of history came to be known as “history from marble”. Its practitioners drew upon the methods of epigraphy pioneered by sixteenth-century Italian humanists and the genealogical and heraldic research characteristic of late sixteenth and early seventeenth-century English antiquarianism. What resulted was a distinctive (and distinctly English) early modern historical innovation. This essay traces that development through scrutiny of four landmark works in this tradition by William Camden, Hugh Holland, John Weever and Thomas Dingley. Shaped by both continental classical philology and the specifically English interest in material culture post-Reformation, these works were at once genealogical, heraldic, epigraphic and preservationist. Influenced by memories of the recent past, but also by contemporary methodological innovations, they spearheaded a transformation in English historical and antiquarian culture. In their method of studying and writing about churches and their interest in monuments and inscriptions, they also promoted, perhaps for the first time (in an English context at least), a distinctly visual sense of the past

The geographies and complexities of online networks in the off-street sex market

Exploitation and human trafficking in sex markets tend to include both online and offline spaces. Understanding the scale, complexity and geography of networks is important in policing human trafficking and online escort adverts are often used to identify organised crime in this context. This article aims to make a methodological contribution to how data relating to online networks in the sex market can be collected and analysed. Through the application of web scraping, social network analysis and principal component analysis, the digital traces of 15,016 online networks operating on an adult services website were analysed in relation to their complexity and geographical patterning. The findings suggest that structural and geographical characteristics are useful for understanding the heterogeneity of online networks. Analysing networks, as opposed to assessing escort adverts, offers a more robust approach to understanding the sex market, which is more sensitive to the continuum of experiences encapsulated therein

Cost-effectiveness of two models of pessary care for pelvic organ prolapse: Findings from the TOPSY randomised controlled trial.

Objectives Pelvic organ prolapse is the descent of one or more reproductive organs from their normal position, causing associated negative symptoms. One conservative treatment option is pessary management. The aim of this study was to investigate the cost-effectiveness of pessary self-management (SM) when compared to clinic-based care (CBC). A decision-analytic model was developed to extend the economic evaluation. Methods A randomised controlled trial with health economic evaluation. The SM group received: 30-minute self-management teaching session; information leaflet; 2-week follow-up call; and a local helpline number. The CBC group received routine outpatient pessary appointments, determined by usual practice. The primary outcome for the cost-effectiveness analysis was incremental cost per QALY, 18 months post-randomisation. Uncertainty was handled using nonparametric bootstrap analysis. In addition, a simple decision analytic model was developed using the trial data to extend the analysis over a 5-year period. Results There was no significant difference in the mean number of QALYs gained between SM and CBC (1.241 vs 1.221) but mean cost was lower for SM (£578 vs £728). The incremental net benefit estimated at a willingness to pay of £20,000 per QALY gained was £564, with an 80.8% probability of cost-effectiveness. The modelling results were consistent with the trial analysis: the incremental net benefit was estimated as £4,221 and the probability of SM being cost-effective at 5 years was 69.7%. Conclusions Results suggest that pessary self-management is likely to be cost-effective. The decision analytic model suggests this result is likely to persist over longer durations.Additional author; Ranee Thaka

Implementation of digital remote postoperative monitoring in routine practice: a qualitative study of barriers and facilitators

Introduction: Remote monitoring can strengthen postoperative care in the community and minimise the burden of complications. However, implementation requires a clear understanding of how to sustainably integrate such complex interventions into existing care pathways. This study aimed to explore perceptions of potential facilitators and barriers to the implementation of digital remote postoperative monitoring from key stakeholders and derive recommendations for an implementable service. Methods: A qualitative implementation study was conducted of digital remote postoperative wound monitoring across two UK tertiary care hospitals. All enrolled patients undergoing general surgery, and all staff involved in postoperative care were eligible. Criterion-based purposeful sampling was used to select stakeholders for semi-structured interviews on their perspectives and experiences of digital remote postoperative monitoring. A theory-informed deductive-inductive qualitative analysis was conducted; drawing on normalisation process theory (NPT) to determine facilitators for and barriers to implementation within routine care. Results: There were 28 semi-structured interviews conducted with patients (n = 14) and healthcare professionals (n = 14). Remote postoperative monitoring was perceived to fulfill an unmet need in facilitating the diagnosis and treatment of postoperative complications. Participants perceived clear benefit to both the delivery of health services, and patient outcomes and experience, but some were concerned that this may not be equally shared due to potential issues with accessibility. The COVID-19 pandemic demonstrated telemedicine services are feasible to deliver and acceptable to participants, with examples of nurse-led remote postoperative monitoring currently supported within local care pathways. However, there was a discrepancy between patients’ expectations regarding digital health to provide more personalised care, and the capacity of healthcare staff to deliver on these. Without further investment into IT infrastructure and allocation of staff, healthcare staff felt remote postoperative monitoring should be prioritised only for patients at the highest risk of complications. Conclusion: The COVID-19 pandemic has sparked the digital transformation of international health systems, yet the potential of digital health interventions has yet to be realised. The benefits to stakeholders are clear, and if health systems seek to meet governmental policy and patient expectations, there needs to be greater organisational strategy and investment to ensure appropriate deployment and adoption into routine care

Fostering teacher agency in school-based climate change education in England, UK

Drawing on conceptualisations of teacher agency through the ecological approach, and in the context of recent policy activity, we explored primary and secondary school teachers' experiences of agency in relation to climate change education in England. Data collection occurred over two distinct but related phases. Firstly, we completed a series of interviews with the same three secondary geography teachers at the outset of their careers (15 interviews during 2020–2022) which included 1 year of Initial Teacher Education and 2 years as Early Career Teachers (ECTs). Secondly, we captured the experiences of further 24 in-service science and geography teachers (with expertise beyond the ECT period) through two online workshops held in November 2022, the first for primary teachers (n = 10) and the second for secondary teachers (n = 10). Interviews were held with four teachers (two primary and two secondary) who could not attend the workshops (n = 4). Our findings underline the importance of structures (e.g. school leadership) and culture (e.g. ideas and values) in fostering teacher agency. Teachers across primary and secondary phases and at different career stages highlighted the value of curricular and extra-curricular spaces for climate change education. If all children and young people are to access effective climate change education, researchers and policy makers will need to further consider ways to ensure teachers can achieve agency, including through access to transformative professional learning which fosters agency in relation to climate change education

Effectiveness of web-based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta-analysis

Issues: Meta-analysis was conducted to examine standalone web-based persona-lised feedback interventions (PFI) delivered in non-structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender-focus, type-of-content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators. Approach: Ten databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random-effects meta-analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web-PFIs and non-active controls. Meta-regressions were applied to explore effect moderators. Key Findings: Thirty-one studies were included in the narrative synthesis, 25 of which were meta-analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short-(SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long-term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender-specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant. Implications: The meta-analysis evidences the effectiveness of web-PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short-and long-term, respectively. Conclusions: The results offer empirical evidence that supports the significant, although small, effect of web-PFI delivered remotely in universities. Futur

Gratuitous risk: danger and recklessness perception of adventure sports participants

Since the 1970’s there has been a major increase in adventure sports participation but it seems that engagement in such sports comes with a stigma: adventure sports participants are often regarded as reckless ‘daredevils’. We approach the questions about people’s perception of risk and recklessness in adventure sports by combining empirical research with philosophical analysis. First, we provide empirical evidence that suggests that laypeople tend to assess the danger of adventure sports as greater than more mundane sports and judge adventure sports participants as more reckless than participants in non-adventure sports. We contextualise these findings within existing psychological risk perception paradigms and outline new philosophical explanations of the identified pattern in laypeople’s risk perception

Do board monitoring and audit committee quality help risky firms reduce CSR controversies?

This study focuses on potential inhibiting and driving factors of corporate social responsibility (CSR) controversies including board monitoring intensity and audit committee quality with a particular focus on risky firms. We draw on agency, resource dependence, and slack financial resources theories to explain this association. Using an international sample between 2002-2019 and executing fixed-effects regression and Hayes’s moderation analysis methodology, we find that risky firms tend to commit more CSR controversies. Furthermore, CSR performance, firm complexity, and indebtedness exacerbate CSR controversies, whereas larger boards mitigate them. Moreover, while board monitoring intensity and audit committee quality do not prevent committing CSR controversies in absolute terms, they alleviate risky firms' CSR controversies tendency. The findings confirm agency theory and the monitoring function of the board in mitigating CSR controversies. In line with the resource dependence theory, audit committees’ independent members and members with different skills and expertise provide critical resources that help prevent CSR controversies.Output Status: Forthcoming/Available Onlin