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The range and reach of qualitative research in neurosurgery: A scoping review
Full text linkFollowing calls for more qualitative research in neurosurgery, this scoping review aimed to describe the range and reach of qualitative studies relevant to the field of neurosurgery and the patients and families affected by neurosurgical conditions. A systematic search was conducted in September 2024 across six databases: Medline via Ebsco; Embase via OVID; PsycINFO via Ebsco; Scopus; Web of Science Core Collection; and Global Health via Ebsco. Eligibility criteria were based on Population, Concept, and Context. The search identified 18,809 hits for screening with 812 included in the final analysis. Seven themes were identified from a content analysis of study aims: 1 Perspectives of living with a neurosurgical condition; 2 Family perspectives; 3 Perceptions of neurosurgery; 4 Perceptions of general healthcare care; 5 Decision making; 6 Advancing neurosurgery; and, 7 Understanding neurosurgical conditions. Traumatology was identified as the most researched sub-specialty (43.2%) yet few studies were led explicitly by a neurosurgeon (1.6%) or those with a neurosurgical affiliation (10.5%). Lead authors were predominantly from high income countries (93.7%), as were most multi-author teams (86.6%). There was a trend towards increasing publication over time; however, only 8.4% of papers were published in neurosurgical specific journals. The data set had an average Field Weighted Citation Impact of 0.96 and Field Weighted Views Impact of 1.11, 18.9% were cited in policy documents in 15 countries. This scoping review provides a comprehensive picture of the current qualitative research base in neurosurgery and suggests ways to improve the conduct and reporting of such studies in the future. Addressing these challenges is crucial if qualitative research is to advance the neurosurgical evidence base in a rigorous way
“It’s just misunderstood kids”. School exclusion, SEND and the reproduction of inequality
Full text linkAs young people from marginalised groups continue to be over-represented in the school exclusion statistics in England, this article explores the ways that school-excluded young people describe their experiences and the structural inequalities that school exclusion both represents and perpetuates. Drawing on interviews with young people who have experienced exclusion from school, this article highlights themes of individual blame and marginalisation. The relationship between SEND support and disciplinary systems is noted as a current challenge, leading to some young people being excluded for their behaviour before their needs related to their marginalised identities have been met. To conclude, more monitoring of who is being subjected to disciplinary sanctions in school is recommended, alongside a call for a more empathic approach to education
Shoreline change assessment in rapidly urbanizing coastal megacities using geospatial techniques
Full text linkCoastal megacities face significant threats from various climate-induced hazards, including cyclones, storm surges, rising sea levels, coastal landslides, and floods. In recent decades, rapid urbanization and a range of anthropogenic pressures have exacerbated the vulnerability of these coastal regions. To assess the current level of coastal vulnerability, we focused on two Asian coastal megacities: Shenzhen and Shanghai. Using the Digital Shoreline Analysis System (DSAS) to evaluate coastal erosion vulnerability and shoreline changes from 1990 to 2022, we employed Shoreline Change Envelope (SCE) and Net Shoreline Movement (NSM) to measure the distance of shoreline change, while the rate of shoreline change was calculated with the End Point Rate (EPR). To simplify the DSAS analysis and highlight significant findings, Shenzhen's coastline was divided into two sections: The western coast (C1) and the eastern coastline (C2). The SCE results indicated a noteworthy seaward shoreline shift of 4.5 km in section C1 from 1990 to 2010, while section C2 experienced a significant alteration, extending 2.5 km seaward during the same period. In contrast, Shanghai exhibited a remarkable shoreline change, extending 6.5 km seaward between 1990 and 2010. NSM analysis revealed that within region C2, the maximum recorded erosion from 1990 to 2022 was 920 m, with the furthest observed accretion reaching 2,483 m. Additionally, results indicated that in section C1, the lowest shoreline change rate was −11.9 m/year, illustrating erosion, while Shanghai's minimum shoreline change rate was −3.04 m/year, also indicating a trend of erosion. The findings from this study, combined with the vulnerability maps, will aid policymakers and decision-makers in developing strategies to enhance the quality of life for coastal communities
Community-based digital mental health interventions for traumatic brain injury patients: A scoping review
Full text linkTraumatic brain injury (TBI) is a leading cause of long-term disability, often accompanied by mental health issues such as depression and anxiety. Digital mental health interventions (DMHIs) present promising opportunities for improving the management of these issues, offering solutions such as remote monitoring and outcome tracking through ecological momentary assessment. This scoping review aims to explore the current landscape of DMHIs and the use of patient-reported outcome measures (PROMs) in post-TBI populations. A systematic search across six databases identified 23 relevant studies, predominantly from high-income countries. Almost half of retrieved studies focused on mild TBI populations, with limited evidence reporting DMHI use exclusively in moderate or severe cases. The findings highlight the benefits of DMHIs, including real-time data collection, enhanced patient engagement, and the potential to improve care accessibility. However, challenges such as technology literacy, low response rates, and inconsistent measures of clinical efficacy were noted. Most interventions utilised asynchronous methods of communication, such as smartphone applications and SMS, with PROMs used to track emotional, behavioural, and psychological outcomes. A number of gaps were identified, including the need for more research in moderate and severe TBI cases, better integration into existing healthcare infrastructure, and standardisation of outcome measures. This review underscores the potential of DMHIs to enhance mental health care in TBI patients, while calling for more robust, user-centred designs and longer-term studies to ensure sustainability and effectiveness. Further, this review advocates for more interdisciplinary collaboration in the design and deployment of DMHIs, and the application of a systems-based approach to better integrate digital mental health technologies into TBI care pathways, with full consideration of people, systems, design, and risk. Future research should address these gaps to optimise post-injury care and outcomes for TBI patients when digital mental health solutions are implemented
Reusable and closed-loop recyclable underwater adhesives via printable multi-dynamic networks
Full text linkSustainable underwater adhesives have attracted wide attention in fields such as marine exploration and biomedicine. The development of recyclable underwater adhesives that can achieve strong and durable adhesion to various substrates is a daunting challenge. Herein, a series of recyclable underwater adhesives are developed through synergistic engineering of molecular design and multiple dynamic cross-linking networks. The selected well-designed adhesives exhibit excellent underwater adhesion on a variety of substrates, achieving a maximum adhesion strength up to 3.31 MPa. By integrating dynamic covalent and non-covalent cross-links, the adhesive demonstrates rapid self-healing, on-demand reversible adhesion/desorption, and consistent adhesion performance over more than 30 reuse cycles. Moreover, dynamic disulfide bonds impart dual closed-loop recyclability to the adhesive: chemical recycling achieves up to 89.6% monomer recovery, while physical recycling through melt reprocessing allows for effective reuse of adhesive waste. Furthermore, these adhesives exhibit 3D printability, thereby underscoring their great potential for creating customizable underwater adhesives. This study offers new insights into the development of recyclable underwater adhesives that combine strong, repeatable adhesion and desorption with 3D printing capabilities, paving the way for their broader adoption in practical applications
IOT-enabled fog-based secure aggregation in smart grids supporting data analytics
Full text linkThe Internet of Things (IoT) has transformed multiple industries, providing significant potential for automation, efficiency, and enhanced decision-making. The incorporation of IoT and data analytics in smart grid represents a groundbreaking opportunity for the energy sector, delivering substantial advantages in efficiency, sustainability, and cus-tomer empowerment. This integration enables smart grids to autonomously monitor energy flows and adjust to fluctuations in energy demand and supply in a flexible and real-time fashion. Statistical analytics, as a fundamental component of data analytics, provides the necessary tools and techniques to uncover patterns, trends, and insights within datasets. Nevertheless, it is crucial to address privacy and security issues to fully maximize the potential of data analytics in smart grids. This paper makes several sig-nificant contributions to the literature on secure, privacy-aware aggregation schemes in smart grids. First, we introduce a Fog-enabled Secure Data Analytics Operations (FESDAO) scheme which offers a distributed architecture incorporating robust security features such as secure aggregation, authentication, fault tolerance and resilience against insider threats. The scheme achieves privacy during data aggregation through a modified Boneh-Goh-Nissim cryptographic scheme along with other mechanisms. Second, FESDAO also supports statistical analytics on metering data at the cloud control center and fog node levels. FESDAO ensures reliable aggregation and accurate data analytical re-sults, even in scenarios where smart meters fail to report data, thereby preserving both analytical operation computation accuracy and latency. We further provide comprehen-sive security analyses to demonstrate that the proposed approach effectively supports data privacy, source authentication, fault tolerance, and resilience against false data injection and replay attacks. Lastly, we offer thorough performance evaluations to illustrate the efficiency of the suggested scheme in comparison to current state-of-the-art schemes, considering encryption, computation, aggregation, decryption, and communication costs. Moreover, a detailed security analysis has been conducted to verify the scheme’s re-sistance against insider collusion attacks, replay attack, and false data injection (FDI) attack
A model of competency-based motives, knowledge sharing, and exploitation capabilities to improve performance efficiency in public sector mergers: A case of the UAE
No full textThis study investigates the intricate dynamics of public sector mergers, with a focus on the United Arab Emirates. It examines the interplay between competence-based merger motives, knowledge sharing practices, exploitation capabilities, and performance efficiency in the context of these mergers. The research adopts a quantitative approach, utilizing Partial Least Squares Structural Equation Modelling (PLS-SEM) to analyze data collected from employees involved in recent public sector mergers in the UAE. The population targeted for this study consisted of employees involved in recent public sector mergers within the United Arab Emirates, specifically focusing on three major entities: the Abu Dhabi Executive Office (ADEO), the Abu Dhabi Development Holding Company (ADDHC), and the Department of Economy (DoE). These organizations were selected due to their significant roles in public sector mergers and their diverse range of functions, offering a comprehensive view of the merger process within the UAE's public sector. The total population from these entities was estimated to be approximately 5,000 employees, spanning various levels from operational staff to top management. This diverse group provided a rich source for examining the impact of mergers on employees with different roles and experiences. The study aimed to capture a wide range of perspectives to understand the nuances of competency-based merger motives, knowledge sharing, and exploitation capabilities in the context of public sector mergers. For the purpose of this research, a substantial sample size was targeted to ensure that the findings were robust and representative. The study achieved a final sample size of 362 respondents, which offered a meaningful cross-section of the population. These respondents participated in a survey that sought to gather data on their experiences and perceptions regarding the merger process, the role of knowledge sharing, and the impacts on performance efficiency and exploitation capabilities. Key findings reveal a significant positive relationship between competence-based merger motives and knowledge sharing, indicating that strategic focus on leveraging competencies is crucial for fostering a culture conducive to knowledge sharing. The study also uncovers a significant impact of knowledge sharing on exploitation capabilities, highlighting its role as a pivotal mechanism in utilizing combined resources and capabilities post-merger. However, an unexpected finding is the lack of a direct significant relationship between exploitation capabilities and performance efficiency, suggesting more complex underlying mechanisms. The study contributes to the theoretical understanding of mergers by extending the Resource-Based View (RBV) and Knowledge-Based View (KBV) in the context of public sector mergers. Practically, it offers insights for policymakers and organizational leaders, emphasizing the importance of strategic planning focused on competencies, fostering knowledge sharing, and developing exploitation capabilities for successful merger outcomes. The findings have broad implications for managing public sector mergers, proposing that effective integration and enhanced performance can be achieved through a competence-focused approach, robust knowledge sharing practices, and the strategic development of exploitation capabilities. This research provides a foundation for future studies and offers a comprehensive guide for practitioners involved in public sector mergers, paving the way for more effective and efficient organizational consolidations
Flipped learning to enhance self-efficacy and training satisfaction in pressure injury management: a commentary
Full text linkCommentary on: Chao, W.Y. and Liao, W. C.Liao, W. C. (2025). Long-Term Effects of Flipped Learning on Nurses’ Self-Efficacy and Satisfaction in Pressure Injury Management: A Multi-Center Quasi-Experimental Study. 85, 104 368. https://doi.org/10.1016/j.nepr.2025.104368.
Implications for practice and research
► Nursing education should integrate multimedia resources and
flipped learning methods to enhance self- efficacy in pressure injury
management.
► Future research should assess clinical practice improvement,
validate findings across diverse cultural contexts and identify
reinforcement strategies for sustained educational impact
Chief Complaint Orientated Cognitive Behavioural Therapy for Psychosis in Conditions of High Security: An Organisational Case Analysis.
Full text linkIntroduction.
Chief complaint orientated CBTp (C-Co) is a high secure (HS), context specific variant of individual Cognitive Behavioural Therapy for psychosis (CBTp) developed from the researcher’s academic studies and own experience of psychosis. This research analysed the impact of C-Co on typically non-adherent, treatment resistant HS patients and on non-accredited C-Co nurse practitioners.
Methods.
A feminist facet-based methodological framework was adopted. A multi-component organisational case analysis of routinely gathered data, comprising eight discrete, innovative, award-winning research studies, was used to determine C-Co impact. A reflexive autoethnography of the researcher’s first psychiatric assessment provided transparency. Modality fidelity and praxis competency were assessed to attribute causality. Descriptive single case analysis (n=1) provided an in-depth description of C-Co application. Group game development was used to consolidate and explore patient and practitioner experiences (n=15). A thematic analysis of supervision transcripts researched C-Co impact on practitioners (n=6). An exploratory, quasi-experimental, statistical analysis of repeat measures data was used to determine C-Co impact on patients (n=11). Descriptive analysis and statistics were used to determine dissemination strategy impact (n=22). Finally, a summative synthesis via triangulation was used to determine component convergent validity.
Results.
A high level of component convergent validity was achieved. C-Co had a positive and transient negative impact on patients and a positive and negative impact on practitioners. Component result dissemination resulted in national and international peer reviewed publications, conference presentations, awards, and collaborations.
Conclusions.
Although results may not be generalisable beyond the research samples, the research makes a significant and original contribution to professional practice and knowledge. C-Co is the only adapted, systematically deployed, individual HS CBTp approach, nationally and internationally, with proven efficacy with non-adherent, treatment resistant HS patients. This challenges HS medical model dominance, the hegemony of practitioner accreditation, and the norms of HS research methods. The deployment of C-Co across multiple HS sites and the further dissemination of component results are recommended
Shelley’s arboreal poetics of place and Wordsworth’s ‘woodland state’
Full text linkWilliam Wordsworth, deemed the ‘Poet of Nature’ by Percy Bysshe Shelley, is well known for his affinity with trees. This essay directs attention to Shelley’s arboreal poetics of place through Wordsworthian allusions in 'Alastor' and related compositions. Shelley’s trees branch throughout his various forms of composition, from the drawings of trees in his manuscript notebooks, to rhetorical figures within his poems and descriptions of trees observed in letters. Contrary to Shelley’s apparent rejection of Wordsworth in the Preface to 'Alastor', the ‘woodland state’ of a related poem, ‘Verses Written on Receiving a Celandine in a Letter from England’, underscores the persisting importance of Wordsworth’s place in Shelley’s arboreal poetics