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From 'harmful sexual behaviour' to 'harmful sexual culture': addressing school-related sexual and gender-based violence among young people in England through 'post-digital sexual citizenship'
Sexual and gender-based violence (SGBV) in schools in England is a pressing concern, especially since the ‘Everyone’s Invited’ movement laid bare the extent of the problem across the country. This article analyses the national policy context, asserting that SGBV is a systemic problem rooted in young people’s school and online peer cultures that requires transformative solutions, involving active youth participation. We introduce and explore the utility of the concept of postdigital sexual citizenship. We contrast this approach with the prevailing behavioural science ‘nudge’ philosophy of government policy making and societal discussions on youth sexuality and rights currently shaping Relationships and Sex Education (RSE) discourse and policy in England. Challenging adult-centric, top-down methods and instead empowering young people as post-digital sexual citizens entitled to comprehensive RSE is vital. While our focus is on England, the arguments apply globally to jurisdictions tackling SGBV in schools
Heterogeneous energy harvesting techniques for smart home IoT acceleration
Energy harvesting and Internet of Things (IoT) technology is being integrated with home appliances. IoT devices could harvest energy from alternative energy sources to convert the available energy from home appliances into electrical energy. Smart home energy management systems face isolated scheduling horizons and unreliable inputs. In this research, an IoT Heterogeneous Energy Harvesting (IHEH) technique has been proposed for residential home energy management to operate the smart home appliances which consists of four layers, namely, the Energy Harvesting Layer (EHL), the Control and Sensing Layer (CSL), the Application Layer (AL), and the Information Processing Layer (IPL). The proposed technique keeps track of the distribution of several types of energy, including thermal, piezoelectric, and light energy. The overall efficiency of the proposed method is 90% per day. The proposed IHEH technique yields more power and increases the lifetime of batteries
Safeguarding adults within institutional settings: a narrative overview of the literature focused on the care of people with mental ill-health and learning difficulties
Purpose: Institutional abuse is a worldwide phenomenon with the UK also subject to several high-profile abuse scandals perpetuated on people with learning disabilities and/or mental health conditions living within institutional settings. This study aims to provide a broad perspective of safeguarding practices within institutional care to inform practice and service development in this area. Design/methodology/approach: A narrative overview was undertaken of a range of empirical evidence, discussion papers, enquiry reports, reports from regulatory bodies and professional guidance to explore safeguarding practices within institutional care for individuals with learning disabilities and/or mental health conditions. Findings: A range of literature was identified that exposed and explored abuse in this context. Three key themes were identified: failings within institutional care; safeguarding issues and concerns; and good practice within institutional care. Whilst guidance is available, standards are explicit and protocols facilitate improvement potential in this area, a consistent message was that statutory recommendations for reform have not been effective. Originality/value: This paper provides an important resource for practitioners and service providers involved in institutional care. An accessible overview of both the empirical evidence and grey literature on adult safeguarding within institutional settings is provided, along with a range of standards and resources that specify practice in these settings
Influence of antenatal education on birth outcomes:a systematic review focusing on primiparous women
The primary objective of prenatal education programs is to furnish expectant mothers with the necessary knowledge for childbirth and early parenting. Despite the extensive implementation of these programs, the efficacy of these interventions remains unclear. This systematic review endeavored to consolidate the extant evidence pertaining to the effects of prenatal education on birth outcomes and experiences. Fourteen studies, comprising various study designs executed across diverse countries, were incorporated in this review. The outcomes assessed in these studies encompassed fear and anxiety, pain, delivery mode, interventions, postpartum depression, and self-efficacy. Additionally, the risk of bias and study limitations were also summarized. The results manifested that prenatal education was effective in diminishing the fear and anxiety associated with childbirth and enhancing self-efficacy in the majority of the studies. Moreover, several studies found that engaging in prenatal education augmented the preference for unmedicated vaginal birth. However, the effects of prenatal education on postpartum outcomes were less consistent. The primary constraints of the included studies were their minute sample sizes and brief follow-up periods. Nonetheless, the existing evidence proposes that prenatal education is beneficial for first-time mothers in terms of alleviating anxiety and augmenting agency during delivery. Prenatal education can equip pregnant individuals with the necessary knowledge and skills to navigate the perinatal period successfully. Further research is requisite to identify the optimal practices for diverse populations on a global scale
Identifying the number of steps required for familiarisation to athletic footwear in healthy older adults
Introduction: Research on athletic footwear familiarisation within an older population is sparse. This is problematic because unfamiliar footwear may act as a new perturbation and modify older adults’ walking gait and stability. In addition, while athletic footwear has been suggested to enhance older adults’ comfort and support during activities of daily living, the necessary period for familiarisation with athletic footwear is unknown. Therefore, this study aimed to identify the number of steps required for older adults to be familiarised with athletic footwear of different midsole thicknesses. Methods: Twenty-six healthy and physically active community-dwelling older adults, 21 females (71.1 ± 4.5 years; 164.5 ± 5.3 cm; 68.4 ± 11.4 kg) and five males (70.6 ± 2.3 years; 175.2 ± 7.8 cm; 72.8 ± 9.7 kg) completed a walking-based protocol. Participants walked two trials of 200 steps at their habitual speed on a 10 m track of an optical measurement system in three footwear conditions: 1) New Balance® REVlite 890v6 (thick midsole); 2) New Balance® REVlite 1400v5 (moderate midsole); and 3) New Balance® Minimus 20v7 (thin midsole). Gait speed (m.s-1) and walking time (min) were analysed for each participant over the 400 steps. Number of required familiarisation steps were established over three analysis phases, consisting of steady state gait assessment, averaging and analysis of blocks of 40 steps, and sequentially comparing these steps with a pre-determined threshold. Footwear familiarisation was assumed when the mean gait speed fell within an acceptable level (± 2 SD from 320 to 360 step values) and subsequently maintained. Results: Most participants were familiarised with all three footwear conditions (thick n= 18; moderate and thin n= 20) after walking 80 steps. For all participants, the moderate midsole had the shortest familiarisation period (160 steps). The highest number of familiarisation steps were found in the thick (320 steps) and thin midsoles (240 steps) for some participants. Conclusion: A minimum of 320 familiarisation steps is recommended to account for both individual differences and midsole thicknesses. Implementing this walking-based footwear familiarisation protocol would improve validity of future studies, ensuring they analyse footwear effects rather than familiarisation with the footwear
Exploring healthcare professional’s engagements and experiences towards people who use new psychoactive substances in different addiction and mental healthcare services
Purpose New psychoactive substance (NPS) use in mental health and addiction health-care services is a common co-morbidity. This paper aims to explore the survey responses with health-care professional’s (HCPs) engagements and experiences towards people who use NPS in five health-care services.Design/methodology/approachA theoretically adapted online survey design explored the engagements and experiences of participants towards people who use NPS across (n = 3) community and (n = 2) rehabilitation mental health and addiction health-care services consisting of (n = 1,027) service users.FindingsA total of 92 participants (of 120 participants) completed the survey and 28 did not. Most (56.33%) reported neutral to poor experiences and engagements and a lack of NPS-related policies, procedures and educational training. Participants (99%) recognised the harmful effects of NPSs and (87%) requested clinical assessment procedures. The participants are unable to identify and manage acute intoxication by NPS, lack knowledge of NPS adverse effects and requested NPS-specific training on drug legislation.Research limitations/implicationsThe sample may not be representative with the broader UK population. The study’s methods are comparable to similar research surrounding NPS in health-care services. Similar studies may advance the findings. Practical implicationsThe implications for practice include NPS awareness trainings, educational updates through seminars and conferences. Participants requested clearer NPS assessment, referral and management processes. Several policy-making and procedural opportunities exist to ensure a better health outcome for people who use NPS.Originality/valueTo the best of the authors’ knowledge, this is the first theoretically adapted survey to explore participant’s engagements and experiences with people who use NPS in addiction and mental health settings
The acceptability of alcohol screening and brief intervention for older adults in community venues
Evidence supports the effectiveness of alcohol brief interventions (ABI) in health-care settings but the acceptability of conducting ABIs in wider community venues such as supermarkets, hospital atriums and train stations remains unclear. This study examines the acceptability of conducting ABIs for older adults in community settings. ABIs were conducted in community venues in five sites across the United Kingdom as part of the Drink Wise, Age Well program. ABIs used the Alcohol Use Disorders Identification Test-Consumption to measure alcohol use, with personalised feedback delivered in relation to alcohol intake. Data on age, gender, ethnicity, alcohol use and intention to change drinking was collected. Qualitative interviews to explore the acceptability of delivering ABIs within community venues were conducted with a sub-set of ABI recipients (n = 16) and practitioners (n = 12). Data were analysed using Framework Analysis. A total of 3999 people received an ABI. Fifty-eight percent of ABI recipients were female. The largest age group was 50-54 years (28%). Almost 80% (n = 3180) of ABI recipients were drinking at hazardous levels. Of hazardous drinkers that were asked (n = 2726), 40% reported intentions to change their drinking. Qualitative analysis indicted that ABIs conducted in community venues were acceptable and considered to be valuable in raising awareness of alcohol-related risks. Community venues represent a promising context to engage older people in alcohol intervention, with the potential to lead to reductions in alcohol consumption
Reflexive participant collaboration: researching ‘with’ adult migrant learners of English
This article explores a method of collecting in-situ data created by adult migrants attending English language classes to investigate the interindividual variance of vulnerability within this population. The study encourages reflexivity to evaluate and redress the power relationships present both in the research process and the daily lives of the migrants, whilst also building trust between the researcher and participants. I argue that weekly text message data, generated by participants and arranged as graphs for online interviews, empowers participants to take ownership of their research contribution and encourages deeper reflections to share the stories behind the messages
Children's health in London and Luton (CHILL) cohort: a 12-month natural experimental study of the effects of the Ultra Low Emission Zone on children's travel to school
Background: The Ultra-Low Emission Zone (ULEZ), introduced in Central London in April 2019, aims to enhance air quality and improve public health. The Children's Health in London and Luton (CHILL) study evaluates the impact of the ULEZ on children's health. This analysis focuses on the one-year impacts on the shift towards active travel to school. Methods: CHILL is a prospective parallel cohort study of ethnically diverse children, aged 6–9 years attending 84 primary schools within or with catchment areas encompassing London’s ULEZ (intervention) and Luton (non-intervention area). Baseline (2018/19) and one-year follow-up (2019/20) data were collected at school visits from 1992 (58%) children who reported their mode of travel to school ‘today’ (day of assessment). Multilevel logistic regressions were performed to analyse associations between the introduction of the ULEZ and the likelihood of switching from inactive to active travel modes, and vice-versa. Interactions between intervention group status and pre-specified effect modifiers were also explored. Results: Among children who took inactive modes at baseline, 42% of children in London and 20% of children in Luton switched to active modes. For children taking active modes at baseline, 5% of children in London and 21% of children in Luton switched to inactive modes. Relative to the children in Luton, children in London were more likely to have switched from inactive to active modes (OR 3.64, 95% CI 1.21–10.92). Children in the intervention group were also less likely to switch from active to inactive modes (OR 0.11, 0.05–0.24). Moderator analyses showed that children living further from school were more likely to switch from inactive to active modes (OR 6.06,1.87–19.68) compared to those living closer (OR 1.43, 0.27–7.54). Conclusions: Implementation of clean air zones can increase uptake of active travel to school and was particularly associated with more sustainable and active travel in children living further from school.</p
The mediating impact of organizational innovation on the relationship between fintech innovations and sustainability performance
The paper explores the impact of digital payment systems, blockchain technology, and AI/machine learning on innovation and sustainability in financial organizations. As part of the analysis, the study has adopted an explanatory research design and has used SmartPLS in order to analyze the data collected from 230 professionals of different fields through a structured questionnaire. The results show positive effects of digital payment systems and blockchain technology on organizations’ innovations with the impact of digital payments being the most pronounced. Empirical results suggest that these technologies are important to improve sustainability performance, depending on measures of internal consistency and discriminant validity among the proposed constructs. Al, also machine learning, has the highest relevance with environmental sustainability, thereby underlining the importance and work of such measures. Based on the Resource-Based View (RBV) theory, the study also explains the need for the organization to assimilate these innovations to enhance the organizational operations, customer satisfaction, and compliance with the laws. The study highlights fintech’s potential to address environmental issues and enhance societal goals, but geographical limitations may obstruct its transportability