Editorial for special issue: Advances in sedentary behavior research and translation

Sedentary behaviour—essentially low energy sitting time in waking hours—has emerged as an important topic in public health over the past decade or so. Although Morris and colleagues [1] analysed health outcomes of active versus seated occupations over 60 years ago, it was not until studies of TV viewing in children in the 1980s [2] that researchers started to recognise “too much sitting” as a potentially important health behaviour. Even then the rapid rise in the study of sedentary behaviour was not so evident until the early 2000s [3]–[5]. Studies on screen viewing (TV and computers), sitting at work and school, and sitting in cars have all emerged over this period, as well as a general recognition that high levels of sitting may have detrimental effects on health, and possibly be independent of levels of moderate-to-vigorous physical activity (MVPA). In the past 10–15 years there has been an exponential increase in papers addressing sedentary behaviour from the perspective of sitting, noting that many exercise physiologists still use the word 'sedentary' incorrectly by referring to those not meeting a criterion level of “sufficient” physical activity

Protocol for the effective feedback to improve primary care prescribing safety (EFIPPS) study : a cluster randomised controlled trial using ePrescribing data

High-risk prescribing in primary care is common and causes considerable harm. Feedback interventions to improve care are attractive because they are relatively cheap to widely implement. There is good evidence that feedback has small to moderate effects, but the most recent Cochrane review called for more high-quality, large trials that explicitly test different forms of feedback. The study is a three-arm cluster-randomised trial with general practices being randomised and outcomes measured at patient level. 262 practices in three Scottish Health Board areas have been randomised (94% of all possible practices). The two active arms receive different forms of prescribing safety data feedback, with rates of high-risk prescribing compared with a ‘usual care’ arm. Sample size estimation used baseline data from participating practices. With 85 practices randomised to each arm, then there is 93% power to detect a 25% difference in the percentage of high-risk prescribing (from 6.1% to 4.5%) between the usual care arm and each intervention arm. The primary outcome is a composite of six high-risk prescribing measures (antipsychotic prescribing to people aged ≥75 years; non-steroidal anti-inflammatory drug (NSAID) prescribing to people aged ≥75 without gastroprotection; NSAID prescribing to people prescribed aspirin/clopidogrel without gastroprotection; NSAID prescribing to people prescribed an ACE inhibitor/angiotensin receptor blocker and a diuretic; NSAID prescription to people prescribed an oral anticoagulant without gastroprotection; aspirin/clopidogrel prescription to people prescribed an oral anticoagulant without gastroprotection). The primary analysis will use multilevel modelling to account for repeated measurement of outcomes in patients clustered within practices. The study was reviewed and approved by the NHS Tayside Committee on Medical Research Ethics B (11/ES/0001). The study will be disseminated via a final report to the funder with a publicly available research summary, and peer reviewed publications

Highly active iridium(I) complexes for the selective hydrogenation of carbon-carbon multiple bonds

New iridium(I) complexes, bearing a bulky NHC/phosphine ligand combination, have been established as extremely efficient hydrogenation catalysts that can be used at low catalyst loadings, and are compatible with functional groups which are often sensitive to more routinely employed hydrogenation methods

Human alteration of natural light cycles: causes and ecological consequences.

Artificial light at night is profoundly altering natural light cycles, particularly as perceived by many organisms, over extensive areas of the globe. This alteration comprises the introduction of light at night at places and times at which it has not previously occurred, and with different spectral signatures. Given the long geological periods for which light cycles have previously been consistent, this constitutes a novel environmental pressure, and one for which there is evidence for biological effects that span from molecular to community level. Here we provide a synthesis of understanding of the form and extent of this alteration, some of the key consequences for terrestrial and aquatic ecosystems, interactions and synergies with other anthropogenic pressures on the environment, major uncertainties, and future prospects and management options. This constitutes a compelling example of the need for a thoroughly interdisciplinary approach to understanding and managing the impact of one particular anthropogenic pressure. The former requires insights that span molecular biology to ecosystem ecology, and the latter contributions of biologists, policy makers and engineers.The research leading to this paper has received funding from the European Research Council under the European Union’s Seventh Framework Programme (FP7/2007–2013)/ERC grant agreement no. 268504 to K. J. G

Habitat preferences of hazel dormice Muscardinus avellanarius and the effects of tree-felling on their movement

This is the final version of the article. Available from the publisher via the DOI in this record.Modern management of multifunctional woodlands must address many and various demands, including for recreation, timber production and the conservation of biodiversity. The responses of individuals and populations of protected species to woodland management and habitat change are often not well understood. Using radio-tracking and LiDAR, we investigated the short-term habitat preferences of hazel dormice Muscardinus avellanarius, and their ranging and resting behaviours before and after small-scale tree felling, following a before-after control-impact design. Mean dormouse home range size was 0.51 Ha (±0.07 SE, n = 16) and did not vary between sexes or among sites, though heavier animals had smaller ranges. Dormice preferred mid-height woodland habitat (5–10 m tall), with low proportions of high forest (over 10 m tall), for both ranging and resting sites. Ranging habitats were often located on woodland edges and relatively dense vegetation. Dormice preferentially used yew, rowan and hazel during ranging. There was no difference in the distances travelled by dormice before and after felling, but dormice in areas where trees had been felled showed less evidence of a shift in ranging area than those in unfelled areas. Although the limited response of dormice to tree felling activities has the potential to be associated with increased mortality and/or limited dispersal of individual dormice, the requirements of dormice for mid-successional and edge habitats that arise after tree removal means that a dynamic optimum of felling and regeneration is essential for conservation of dormouse populations.CEDG’s work was supported by a PhD studentship funded by The Forestry Commission and the Natural Environment Research Council

Skewed contributions of individual trees to indirect nature experiences

This is the author accepted manuscript. Final version available from Elsevier via the DOI in this record.Exposure to nature is associated with a broad range of benefits to human health. Whilst there has been exploration of how these experiences vary amongst people, the converse – how different individual organisms contribute to human nature experiences – has largely been overlooked. The most common way that people experience nature occurs indirectly, when they are in a room with a natural view. Here, we estimate variation in how individual trees provide indirect nature experiences in an urban human population. As a proxy for its contribution towards indirect nature experiences, within an extended urban area in southern England, UK (n = 612,920) we calculated the number of buildings with line of sight to each tree. We then modelled each tree’s contribution towards these experiences against potential predictors, namely tree height, land ownership, social deprivation, while controlling for human population density. We demonstrate that a small number of trees contribute disproportionately towards indirect nature experiences, with individual trees in socio-economically deprived high density housing falling within the viewscape of significantly more buildings. Further, trees in private gardens were generally more important for providing indirect nature experiences than those in public green spaces. This novel study demonstrates the skewed contribution of different organisms to human population indirect nature experiences. This approach can be applied more broadly to understand how individual organisms provide indirect, incidental and intentional nature experiences. Understanding the ecology behind human nature experiences is an important step towards linking urban design and policy for maximising the health benefits from nature.Natural Environment Research Council (NERC

Blended Learning: How do you optimise undergraduate student engagement?

Background: Blended learning is a combination of online and face-to-face learning and is increasingly of interest for use in undergraduate medical education. It has been used to teach clinical post-graduate students pharmacology but needs evaluation for its use in teaching pharmacology to undergraduate medical students, which represent a different group of students with different learning needs. Methods: An existing BSc-level module on neuropharmacology was redesigned using the Blended Learning Design Tool (BLEnDT), a tool which uses learning domains (psychomotor, cognitive and affective) to classify learning outcomes into those taught best by self-directed learning (online) or by collaborative learning (face-to-face). Two online courses were developed, one on Neurotransmitters and the other on Neurodegenerative Conditions. These were supported with face-to-face tutorials. Undergraduate students’ engagement with blended learning was explored by the means of three focus groups, the data from which were analysed thematically. Results: Five major themes emerged from the data 1) Purpose and Acceptability 2) Structure, Focus and Consolidation 3) Preparation and workload 4) Engagement with e-learning component 5) Future Medical Education. Conclusion: Blended learning was acceptable and of interest to undergraduate students learning this subject. They expressed a desire for more blended learning in their courses, but only if it was highly structured, of high quality and supported by tutorials. Students identified that the ’blend’ was beneficial rather than purely online learning