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[Abstract] Results of a randomised controlled study to reduce medication-related harm in older adults after hospital discharge
No full textIntroductionMedication-related harm (MRH) is a challenge for older adults in the period following hospital discharge. NHS Discharge Medicines Service (DMS), within the Community Pharmacy Contractual Framework, aims to reduce post-discharge MRH through improved communication between hospital, community pharmacists, and patients. The aim of the study was to investigate the effectiveness of an individualised medicine management plan (MMP) plus DMS in reducing medication-related harm compared to DMS only.MethodOlder adults ≥65 years were recruited from 8 hospitals in England and randomised to intervention (MMP of patient education about medicines and discussion around medication risk plus DMS) or control (DMS only). Baseline data included patients’ clinical and social demographics and medication risk calculated using a risk-prediction tool at the point of discharge. At 8-weeks post-discharge, trained study pharmacists or doctors verified MRH via triangulation of outcome data obtained from telephone interview with study participants and/or carers, review of GP records and identifying cause of readmission if it occurred. A process evaluation assessed the acceptability of study methods by hospital pharmacists.ResultsA total of 274 patients were included (140 control, 134 intervention), mean age of 80.1 years (range 65–100), 151 (55.1%) females. In both study arms, MRH was strongly associated with hospital readmission (OR = 5.29, 95% CI: 1.57–17.77) and use of A&E services (OR = 4.21, 95% CI: 1.33–13.31). Although not statistically significant, there was a consistent trend towards reduced odds of adverse outcomes in the intervention group, OR = 0.52 (95% CI: 0.16–1.68). The process evaluation showed that the study strengths were a standardised medicine management plan, objectively assessing medications risk, and identifying opportunities for pharmacist-led interventions.ConclusionMRH after leaving hospital has a substantial impact on healthcare utilisation. The study intervention has the potential to deliver clinically important benefits through reducing MRH.</p
Search for heavy neutral leptons in decays of W bosons produced in 13 TeV pp collisions using prompt signatures in the ATLAS detector
No full textNo description supplied</p
Impact of anisotropic photon emission from sources during the epoch of reionisation
No full textNo description supplied</p
Digital Health and Society: A Research Agenda
No full textDigital transformation is widely promoted as a solution to healthcare challenges such as ageing populations, chronic diseases and pandemics. This has led to rapid advances in the field of digital health, driven primarily by the computer and health sciences, which are developing devices and interventions. However, digital transformation in healthcare is not always easy to implement. Repeated calls for digital transformation and their technology-centric solutions fail to adequately address issues of implementation, adoption and unintended consequences. What is overlooked is the factor that moderates digital transformation, namely the society in which it takes place. It is important to recognise that society and social practices are not simply passive objects that can be transformed in a linear way. Instead, they are reflexive and responsive to experimentation and intervention. Designing and manag
ing digital transformation in healthcare therefore requires an understanding of society. The Handbook of Digital Health and Society brings together leading social science perspectives– from sociology, media studies, STS, psychology, philosophy, political science and more– to explore the complex relationship between technology and society, and to shed light on the conditions under which digital transformation can be successful, ethical and deliver social value. The Handbook thus complements the dominant disciplines in the field of digital health and provides essential guidance for envisioning and developing appropriate and desirable solutions to current healthcare challenges.</p
Inventible worlds: fictioning the future in the work of Helen Mayer Harrison and Newton Harrison
No full textEMBARGOED - expected end date 19.02.2028</p
Understanding the “new” disruptive behavior at live music events: Group normative (mis)alignment and collective self‐regulation
No full text
Recent years have seen increased reports of disruptive behavior at live music events, leading many to question the capacity of audiences to regulate their behavior. This matters both for positive audience experience and for crowd safety. Whilst some previous studies have examined violence in music audiences, there is almost no research looking at the current phenomenon of varied forms of disruption, the psychological antecedents of disruptive behavior, and potential mitigations. We report three studies addressing these questions experientially, observationally, and statistically, with interviews (
n
= 27), an ethnographic field study at a live music festival (
n
performances
= 13,
n
interviews
= 44), and a pre‐registered questionnaire survey (
n
= 2,025). Results suggest that audience perceptions of disruption are sometimes contingent upon perceived group norms. Reports of disruption can occur where there is normative misalignment between disparate groups in attendance at the same event. Audience members do attempt to regulate each other's behavior, based on expectations of support, but some interventions can themselves be disruptive. We offer recommendations to venues and event organizers on how to reduce disruptive behavior, based on social identity and group norms. The results from the questionnaire survey have been certified as computationally reproducible by an independent statistician.</p
A critical anthropological evaluation of digital media based interventions for mycetoma in Sudan; the case of “Hope for a Devastating Neglected Disease” documentary film
No full textMycetoma, a disfiguring and debilitating neglected tropical disease (NTD), long languished in obscurity. Prior to 2013, limited research, ineffective treatments, and inadequate global recognition plagued the disease. However, a pivotal 2013 meeting in Geneva marked a turning point. Recognizing advocacy as a critical missing link, the Drugs for Neglected Diseases Initiative (DNDi) spearheaded efforts to raise awareness and address knowledge gaps. Scientific symposia, media coverage, and research collaborations, including the DNDi trial, paved the way for mycetoma inclusion in the 2016 WHO NTD list. This recognition spurred further global attention, research, and media engagement. This study delves into the role of digital media interventions in raising awareness and combating mycetoma neglect in Sudan. Employing an anthropological lens, we critically evaluate the production and impact of these interventions, focusing on a short promotional documentary film titled “Hope for a Devastating Neglected Disease.” produced by DNDi in collaboration with a medical research center in Sudan; Produced in 2015 and made available on the DNDi’s official YouTube channel Drugs for Neglected Diseases initiative (DNDi). Through in-depth interviews with Sudanese film-makers and a public audience, we analyze the film’s content, visual representation, and perceived effectiveness in addressing social and cultural factors contributing to mycetoma neglect. Our analysis sheds light on the complex interplay between digital media, global health initiatives, and local communities in the fight against NTDs. By critically examining the narratives and power dynamics embedded within these interventions, we contribute to a nuanced understanding of their potential and limitations in addressing public health challenges in the Global South, especially in Sudan. Our study suggests that digital media alone cannot bridge the chasm of global health disparities. Unveiling the neglect requires deeper, culturally sensitive anthropological insights to guide interventions that empower communities and truly advocate for the voiceless.</p
Understanding Gen Z consumers’ perceptions of sustainable fashion clothing: a PLS-SEM and fsQCA approach
No full textFast fashion production and consumption have undeniably contributed to environmental challenges, including climate change. At the same time, research on sustainable consumption consistently shows a gap between consumers’ pro-environmental intentions and their actual purchasing behavior. Drawing on consumer behavior theory and innovation resistance theory (IRT), this study examines the psychological barriers and functional barriers that shape the intention–behavior gap. We integrate environmental concern and sustainability knowledge with IRT to explore the impact of these drivers and barriers on Gen Z consumers. We analyse data from 684 respondents in the United States, India, and Malaysia using PLS-SEM and fsQCA. The results show that environmental concern and sustainability knowledge positively influence the intention to adopt sustainable fashion clothing (SFC), while image barriers reduce the likelihood of adoption. Although examined within the apparel sector, the study highlights mechanisms of resistance and consumer psychology that are relevant to broader sustainable consumption contexts.</p
Distributed help enhances moral judgment
No full textPeople tend to judge those who perform good deeds, such as donating money, as moral. Yet, prosocial actors are not equally appraised. In this article, we explore how moral judgment varies based on the donation distribution strategy—that is, the extent to which donors distribute resources across recipients. In seven studies (N = 1,495), we show that distributing help is considered by observers to be more moral than concentrating help on a single recipient. Furthermore, this effect is driven by observers perceiving the donors distributing their help to be more committed toward the charitable cause. We extend the generalizability of our results by showing that the effect replicates across three populations considered culturally distant along the WEIRD dimensions. The article ends with a discussion of the theoretical relevance of the findings.</p
From education for all to scholasticide: the rise and fall of the global liberal education order
No full textThis paper traces the rise and fall of the post-Cold War Liberal Order and its relationship to
education and international development , exploring the downward spiral of US hegemony from
its triumphalist incarnation in the wake of the collapse of the Soviet Union in the early 1990’s,
where talk of (educational) freedom, democracy and peace was upbeat and widespread, to its
current 2025 iteration, where democracy has decoupled from capitalism, authoritarianism is
widespread, war is prevalent, capitalism is fragmenting, and neoliberalism is failing to deliver
broad enough benefits – even in its Western heartlands. Inspired by debates in International
Relations and Political Science on the decline of US/Western hegemony and the emergence of a
multi-polar world, I explore this in relation to the global governance of education, charting, and
thinking through, the complex relationship between US-led Western hegemony, the rise of a
multi-polar world and global and national educations systems, processes and practices. Whilst
narrating over three decades of global education history, I drill down into two ‘events’: the 1990
Jomtien, Education for All meeting – which forged a pathway towards a post-Cold War
education future – and the ongoing scholasticide in Gaza, where education systems and
education actors, have been subjected to a US-funded, Western supported, Israeli-led slaughter
on a scale, and a ferocity, not seen for decades. The paper reflects on the implications, and the
connections between these two events and asks the question of what lies next for the field of
education and international development?</p