Climate policy uncertainty and ESG performance of energy firms: The moderating effect of cloud computing technology

This study examines the impact of climate policy uncertainty (CPU) on the environmental, social, and governance (ESG) performance of energy firms, as well as the moderating role of cloud computing technology (CCT). Building on an integrated theoretical framework that combines resource dependence and dynamic capability perspectives, we conceptualize CPU as a dual-pressure that constrains both risk and resource access. Our findings show that CPU deteriorates ESG performance by increasing external risks and limiting resource access. However, energy firms with higher CCT adoption exhibit greater resilience to CPU, sustaining ESG investments in the face of CPU. Additional heterogeneity analyses indicate that the negative impact of CPU on ESG performance is especially acute among non-state-owned, smaller, and less resource-rich energy firms. This study extends existing theory by integrating resource dependence and dynamic capability perspectives into a unified framework. The findings underscore the strategic importance of CCT in maintaining ESG performance amid policy uncertainty, providing practical guidance for managers and policymakers

“I Like the Olympics, but I’m here not just for the Olympics”: Sex tourism, destination image and the dark side of mega-event tourism in Rio De Janeiro

The Olympic Games are a major tourism attraction and are used by host cities and destinations to try and positively affect destination image and drive tourism attractiveness. Olympic tourists travel to enjoy the sport and carnival of the event, but some also seek to engage in sex tourism. This study draws on interviews with 10 heterosexual male sex tourists during the 2016 Rio Olympics in order to investigate the relationships between the Olympic Games, destination image, and sex tourism. Findings reveal that the limonoid atmosphere of the event provides an appealing atmosphere for sex tourists to engage in sexual encounters with sex workers and local women. The image of Rio as a destination was important in this, as it was seen as a relaxed and fun destination and Brazilian women as beautiful and sexually available. Issues of power between the mainly white sex tourists from the Global North and more economically vulnerable local women in destinations in the Global South were identified and recommendations offered for how Olympic and host destination stakeholders can better protect those most vulnerable to sexual exploitation during mega-event hosting, such as working with other related organisations to educate tourists and protect local women

Application of the systemic lessons learned knowledge model to learning in complex projects: How project practitioners are shaping their learning

Learning in projects is frequently emphasized in practice and the literature for knowledge creation, yet there is limited research on how project practitioners articulate learning particularly in complex projects. This study applies the Systemic Lessons Learned Knowledge model to investigate how project practitioners conceptualize learning in complex projects. The research method consisted of narrative inquiry which is considered insightful and useful in acquiring data through storytelling. The research establishes how beyond the alignment of the people and system elements (learning, culture, social, technology, process, and infrastructure), an awareness of complex project attributes can positively influence project practitioners’ learning capability. This study also identifies and discusses the enablers and challenges of transferring lessons learned into knowledge

A ‘major breakthrough’, yet potentially ‘entirely ineffective’? Experts’ opinions about the ‘total ban’ on unhealthy food marketing online in the UK’s Health and Care Act (2022)

The UK’s Health and Care Act (2022; paused until 2025) includes a globally novel ban on paid-for online advertising of food and beverage products high in saturated fat, salt and sugar (HFSS), to address growing concerns about the scale of digital marketing and its impact in particular on children’s food and beverage preferences, purchases and consumption. This study aimed to understand the potential impact of the novel ban (as proposed in 2020) on specified forms of online HFSS advertising, through the lens of interdisciplinary expertise. We conducted semi-structured interviews via videoconference with eight purposively selected UK and global digital marketing, food and privacy experts. We identified deductive and inductive themes addressing the policy’s scope, design, implementation, monitoring and enforcement through iterative, consensual thematic analyses. Experts felt this novel ‘breakthrough’ policy has potential to substantially impact global marketing by establishing the principle of no HFSS advertising online to consumers of all ages, but they also identified substantive limitations that could potentially render it ‘entirely ineffective’, for example, the exclusion of common forms of digital marketing, especially brand marketing and marketing integrated within entertainment content; virtual/augmented reality, and ‘advertainment’ as particularly likely spaces for rapid growth of digital food marketing; and technical digital media issues that raise significant barriers to effective monitoring and compliance. Experts recommended well-defined regulations with strong enforcement mechanisms. These findings contribute insights for effective design and implementation of global initiatives to limit online HFSS food marketing, including the need for government regulations in place of voluntary industry restrictions

A Pilot Randomized Controlled Trial Testing the Feasibility and Acceptability of Helping Ease Anxiety and Depression after Stroke (HEADS: UP): An Online Mindfulness-Based Intervention for Stroke Survivors

Objectives The purpose of this study was to assess feasibility and acceptability of a stroke-specific mindfulness-based intervention called Helping Ease Anxiety and Depression after Stroke (HEADS: UP). Method This study was a mixed-methods pilot randomized controlled trial comparing HEADS: UP to treatment as usual (TAU). HEADS: UP is a 9-week mindfulness intervention for stroke survivors. UK (United Kingdon)-based stroke survivors were recruited and attended HEADS: UP Online. Psychological functioning outcomes measures and other data were collected online at pre-intervention (Week 0), post-intervention (Week 9), and follow-up (months 3 and 6). Participants were randomized 1:1 to either HEADS: UP or TAU. Results Sixty-two participants completed baseline questionnaires and were randomized to HEADS: UP (n = 30) or TAU (n = 32). Retention rates were as follows: HEADS: UP (n = 25, 83.30%) versus TAU (n = 25, 78.10%) at post-intervention, HEADS: UP (n = 24, 80%) versus TAU (n = 26, 81.30%) at 3-month follow-up, and HEADS: UP (n = 20, 66.70%) versus TAU (n = 25, 78.10%) at 6-month follow-up. The mean age for HEADS: UP was 56.0 years versus 56.80 for TAU. The HEADS: UP group was 30% male, while the TAU group was 56% male. Depression Anxiety Stress Scales (DASS)-21 total mean score for HEADS: UP improved in the direction of expected effect (baseline 46.20, SD (standard deviation) = 24.00; post-intervention 24.00, SD = 16.10) indicating recovery versus no reliable change for TAU (baseline 36.10, SD = 18.70; post-intervention 31.60, SD = 20.40). HEADS: UP and TAU scores continued to improve over time. Between-group effect sizes (Cohen’s d) at post-intervention were large for BAI (Beck Anxiety Inventory) (d = 0.91), DASS-21 total (d = 0.89), and BDI (Beck Depression Inventory)-II (d = 0.86), highlighting the potential of HEADS: UP for improving depression and anxiety symptoms. At the six-month follow-up, the attrition rate was higher in the HEADS: UP group (33.30%) compared with TAU (21.90%). Conclusions HEADS: UP is feasible and acceptable and has potential to improve depression and anxiety symptoms for stroke survivors. Preregistration ClinicalTrials.gov: NCT04985838

Post-concussion symptom burden and dynamics: Insights from a digital health intervention and machine learning

Individuals who sustain a concussion can experience a range of symptoms which can significantly impact their quality of life and functional outcome. This study aims to understand the nature and recovery trajectories of post-concussion symptomatology by applying an unsupervised machine learning approach to data captured from a digital health intervention (HeadOn). As part of the 35-day program, patients complete a daily symptom diary which rates 8 post-concussion symptoms. Symptom data were analysed using K-means clustering to categorize patients based on their symptom profiles. During the study period, a total of 758 symptom diaries were completed by 84 patients, equating to 6064 individual symptom ratings. Fatigue, sleep disturbance and difficulty concentrating were the most prevalent symptoms reported. A decline in symptom burden was observed over the 35-day period, with physical and emotional symptoms showing early rates of recovery. In a correlation matrix, there were strong positive correlations between low mood and irritability (r = 0.84), and poor memory and difficulty concentrating (r = 0.83). K-means cluster analysis identified three distinct patient clusters based on symptom severity. Cluster 0 (n = 24) had a low symptom burden profile across all the post-concussion symptoms. Cluster 1 (n = 35) had moderate symptom burden but with pronounced fatigue. Cluster 2 (n = 25) had a high symptom burden profile across all the post-concussion symptoms. Reflecting the severity of the clusters, there was a significant relationship between the symptom clusters for both the Rivermead (p = 0.05) and PHQ-9 (p = 0.003) questionnaires at 6-weeks follow-up. By leveraging digital ecological momentary assessments, a rich dataset of daily symptom ratings was captured allowing for the identification of symptom severity clusters. These findings underscore the potential of digital technology and machine learning to enhance our understanding of post-concussion symptomatology and offer a scalable solution to support patients with their recovery

Head Acceleration Event Exposure During Elite Men’s and Women’s Rugby Union Training

Objectives The aim of this study was to describe the incidence and magnitude of head acceleration events (HAEs) during elite men’s and women’s rugby union training for different contact training levels and drill types. Method Data were collected during the 2022–23 and 2023–24 seasons from 203 men and 125 women from 13 clubs using instrumented mouthguards (iMGs) during in-season training. One author reviewed the training videos to identify the contact level and drill type. HAE incidence was calculated per player minute. Results For men’s forwards and backs, only 4.7% and 5.8% of HAEs were ≥ 25 g and ≥ 1.5 Krad/s2, and 3.4% and 4.4% for women’s forwards and backs, respectively. The incidence of ≥ 5 g and ≥ 0.4 Krad/s2 was highest during full-contact training for men’s forwards (0.20/min) and backs (0.16/min) and women’s forwards (0.10/min). HAE incidence was 2–3 times higher during repetition-based compared with game-based training drills for men’s forwards (0.25/min vs 0.09/min) and backs (0.22/min vs 0.09/min) and women’s forwards (0.09/min vs 0.04/min) and backs (0.08/min vs 0.03/min). HAE incidences were halved when repetition-based training drills used pads compared with no pads for men’s forwards (0.21/min vs 0.44/min) and backs (0.17/min vs 0.30/min), and women’s forwards (0.06/min vs 0.14/min) and backs (0.06/min vs 0.10/min). Conclusion The average HAE incidence (~ 13–20% of weekly HAEs) and magnitude during an in-season training week is very low compared with matches. Opportunities to materially reduce HAE exposure in training are likely more limited than previously assumed. Future research on HAE load and injury, and understanding players’ specific weekly training exposure, may inform effective individual player management

‘We need to give it more attention’. Educators’, students’, and social work apprentices’ experiences of teaching and learning child-centred recordkeeping

Maintaining records about children and families who are the subject of social work intervention is a routinized aspect of everyday practice and has been recognized as vital in protecting children from harm and promoting their wellbeing. There is evidence that the fast-paced nature of statutory social work, as well as bureau cratic demands and difficulties with writing, can inhibit workers’ capacity to keep child-centered records, with inadequate record keeping having serious implications for protecting children from harm in the present and meeting their potential memory and identity needs in the future. This paper presents evidence from social work educators, as well as undergraduate, postgraduate, and apprentice social work students about their experiences of teaching and learning skills for child-centered case recording while at university and on placement. We highlight the interaction of university and practice learning, identifying key barriers to the complex task of maintaining child-centered records and outlining evidence from learners that there is a case for the prioritization of teaching skills for writing for practice within the university environment. We conclude by making recommendations as to how skills for child-centered recordkeeping could be more effectively taught, assessed, and embedded in pre-qualifying social work education

Disparity in Anterior Cruciate Ligament injury management: A case series review across six National Health Service Trusts

Background Effective management of anterior cruciate ligament (ACL) injuries requires a comprehensive approach, from initial assessment, through treatment, rehabilitation, and discharge, however no gold standard care pathway exists to help guide clinicians. This case series provides an overview of current ACL injury management processes in six National Health Service (NHS) Trusts. Methods This study utilised a retrospective case series design within six NHS Trusts in the Yorkshire region of the United Kingdom. Using a standard operating procedure, each Trust selected ten consecutive ACL injured patients (≥ 16 years), managed either surgically or non-surgically. Data relating to the patient injury journey, patient and injury characteristics, key pathway events, rehabilitation management, outcome measures, and discharge, were collected. Data was anonymised and analysed using descriptive statistics. Results Reviews covered 55 patients, median age 25.5 years, (41 males, 14 females). Median time to specialist assessment from injury was 12 days (Interquartile Range [IQR] 6 to 20 days), with 43 patients managed operatively, and 12 non operatively. The median number of physiotherapy sessions was 21 (IQR 9 to 29.5), with outcome measures being variably used across Trusts. Trusts using patient reported outcome measures (PROMS) consistently with their patients provided more physiotherapy appointments (34.5 and 27) and achieved higher return to sport (RTS) rates. Time from injury to discharge varied with a median of 421 (IQR 249 to 546) days. Discharge criteria were applied inconsistently across Trusts, with 31% of cases not using specific criteria. However, Trusts using standardised discharge criteria showed better RTS outcomes, with 27 (61%) patients successfully returning to sport. Conclusions This case series review highlighted some good practice in initial ACL management across six NHS Trusts in the Yorkshire region. However, from time to MRI diagnosis to discharge, substantial variation in care is observed. Whether treated operatively or non-operatively, for patients aiming to RTS, this was achieved with greater consistency when more physiotherapy appointments were undertaken, outcome measures and PROMs were used, and specific discharge criteria was utilised. Future larger pathway investigation studies incorporating causative and predictive analysis studies on a national scale are required to determine whether similar trends are observed in a wider ACL injured population, which could help to improve national pathways for patients and clinicians working towards ensuring more positive and standardised patient-related ACL injury outcomes

Making sense of metal in the United Kingdom and the future of metal music studies: A case study of Wytch Hazel and Arð

Heavy metal in the United Kingdom, as in many countries around the world, is thriving and has become a respectable form of popular culture, and its fans and musicians are seen everywhere. The same position of respectability has been gained by academics and the once-mocked subject field of metal music studies. In this article, I try to map metal in the United Kingdom today through a case study of Wytch Hazel and Arð, two bands located in the north of England. I will argue that metal in the United Kingdom is still a space for resistance to the commodification of the mainstream and the construction of imaginary, imagined communities. I will then argue that the future of metal music studies depends on whether metal itself continues to thrive as a place of polyvalent identities, as well as whether academics can negotiate their own epistemological and ontological uncertainties in the marketplace of higher education