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Guillermo del Toro's Multiple Masculinities: Review
No full textReview of:
This video essay traces the thematic and aesthetic links between Guillermo del Toro’s The Devil’s Backbone (2001), Pan’s Labyrinth (2006), The Shape of Water (2017), and Pinocchio (2022), showing that the through-line spanning a twenty-year period involves a critique of the relationship between militarism, masculinity, and violence
CSP2023: 326 The relationship between physical and psychological symptoms in Parkinson's Disease: A systematic review and meta-regression analysis
No full textPurpose: It is widely recognized that individuals with Parkinson’s Disease (PD) can experience both physical and psychological symptoms such as tremor, muscle stiffness, anxiety, depression, and apathy. However, the relationship between physical and psychological symptoms is poorly understood and appears to be rarely acknowledged in current literature. Considering any potential relationship between physical and psychological symptoms should improve our understanding of the condition and may translate to improved symptom management and outcomes for patients. The primary aim of this review was to examine available literature reporting outcomes for both physical function and measures of anxiety and/or depression in individuals with PD, with the secondary aim of completing meta-regression analysis to quantify possible relationships, where appropriate.
Methods: The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Systematic searches of four databases (MEDLINE, CINAHL, AMED, and APA PsychInfo) were completed, identifying studies published before 22/10/2021 (PROSPERO CRD42021281392). Studies were screened against pre-defined inclusion and exclusion criteria, with included studies reporting objective findings from physical and psychological assessments commonly used in clinical and research settings. Abstract and full-text screening was completed in two stages by two reviewers independently. Quality and risk of bias was assessed using the EPHPP Quality Assessment Tool for Quantitative Studies. Disagreements were resolved through discussion and, if necessary, by a third reviewer. Quantitative baseline measures for the pre-defined physical and psychological outcome measures were extracted and meta regression analysis of the relationship between variables completed using R.
Results: Of 1,175 studies retrieved, 40 were selected for analysis with only one study assessing the relationship between physical and psychological outcomes within their cohort. 27 studies were also eligible for meta-regression analysis - a total sample of 1,211 participants. Meta-regression analysis of 5 combinations of paired physical and psychological outcomes showed a significant moderating effect of symptoms of depression (Beck Depression Index) on mobility (Timed-Up-and-Go Test) (Coefficient = 0.3675, 95% CI 0.0901 to 0.6450, P = 0.0123) and balance (Berg Balance Score) scores (Coefficient = -1.2518, 95% CI -1.7687 to -0.7349, P = 0.0002).
Conclusion(s): Although physical and psychological outcomes of interest were used in all included studies, only one examined their relationship. Our meta-regression analysis suggests that symptoms of depression may influence measures of mobility and balance. Specifically, as the severity of symptoms of depression increase, performance on measures of mobility and balance worsen.
Impact: Clinicians and researchers should be aware of both the physical and psychological symptoms of PD and consider the potential for these to be inter-related. Further work is required to formally assess the relationship between the physical and psychological symptoms of PD and monitor this over time.
Keywords: Parkinson's Disease, Mental Health, Symptom Interactio
Agritourism in Africa
No full textThis insightful, timely and multi-faceted book offers significant insight into the role and complex dynamics of agritourism in Africa. Logically structured, data-led and richly illustrated throughout, chapters provide theoretical, policy and practical implications on the successes and challenges of achieving sustainable agritourism destinations, with an emphasis on technology, that not only grows African economies, but offers work opportunities, increased social empowerment and diversity. Based on empirical research, the volume covers a wide range of topics relating to agritourism in Africa, elucidated through inclusion of case studies and examples from around the continent, including Ghana, Angola and Nigeria. Topics covered include discussion of the features required for a successful agritourism business, the impact of social media and digital marketing on new agritourism destinations. This volume will be of pivotal interest to students, researchers and scholars of Tourism, African Studies and Development Studies
Occupational support following arthroplasty of the lower limb (OPAL): trial protocol for a UK-wide phase III randomised controlled trial
Get PDFBackground In the UK, one in four patients are in work at the time of their hip or knee replacement surgery. These patients receive little support about their return to work (RTW). There is a need for an occupational support intervention that encourages safe and sustained RTW which can be integrated into National Health Service practice. We developed a two-arm intervention trial, based on a feasibility study, to assess whether an occupational support intervention (the OPAL (Occupational support for Patients undergoing Arthroplasty of the Lower limb) intervention) is effective in supporting a reduced time to full, sustained RTW compared with usual care in patients undergoing hip and knee replacement.Methods and analysis This is a multicentre, individually randomised controlled superiority trial comparing the OPAL intervention to usual care. 742 working adults listed for elective primary hip or knee replacement, who intend to RTW, will be randomised to the OPAL intervention or usual care. The intervention comprises: (1) multimedia information resources; and (2) support from a designated RTW coordinator. The primary outcome is time until ‘full’ sustained RTW without sick leave for a consecutive 4-week period. Secondary outcomes are: time to any RTW, measures of functional recovery, number of ‘sick days’ between surgery and ‘full’ sustained RTW and the use of workplace modifications to facilitate their return. A health economic evaluation and a mixed methods process evaluation will assess cost-effectiveness and the implementation, fidelity and acceptability of the intervention, respectively. Outcomes will be collected at baseline, 3, 6, 9 and 12-month follow-up time points, as well as a monthly RTW questionnaire.Ethics and dissemination Dissemination will focus on supporting the wider adoption and implementation of the intervention (if effective) and will target groups for whom the results will be relevant. This trial was approved by West Midlands—Edgbaston REC 23/WM/0013.Trial registration number ISRCTN13694911
Service children and barriers to higher education in the United Kingdom: How can service children be better supported in accessing university?
No full textChildren from military families are underrepresented within Higher Education institutions in the United Kingdom despite achieving the necessary grades to attend. The paper builds upon existing quantitative research that has sought to numerically document the lack of progression of service children into Higher Education and employs a qualitative methodology implemented through semi-structured interviews and thematic data analysis to unpack the lived experience of service children. Emergent themes from the study document how a lack of pastoral support offered to service children within the education system causes many to lack the reflexive insight needed to make informed choices about what careers to pursue post-18. It is suggested that this lack of reflexivity needs to be rectified if service children are to feel confident applying to university, something we argue should be addressed by implementing a pastoral support system for service children in schools
Horrifying Children: Hauntology and the Legacy of Children's Television
No full textHorrifying Children examines weird and eerie children's television and literature via critical analysis, memoir and autoethnography.
here has been an explosion of interest in the impact of children's television and literature of the late twentieth century. In particular, the 1970s, '80s and '90s are seen as decades that shaped a great deal of the contemporary cultural landscape. Television of this period dominated the world of childhood entertainment, drawing freely upon literature and popular culture, like the Garbage Pail Kids and Stranger Things, and much of it continues to resonate powerfully with the generation of cultural producers (fiction writers, screenwriters, directors, musicians and artists) that grew up watching the weird, the eerie and the horrific: the essence of 21st-century Hauntology. In these terms this book is not about children's television as it exists now, but rather as it features as a facet of memory in the 21st century.
As such it is the legacy of these television programmes that is at the core of Horrifying Children. The 'haunting' of adults by what we have seen on the screen is crucial to the study. This collection directly addresses that which 'scared us' in the past insomuch as there is a correlation between individual and collective cultural memory, with some chapters providing an opportunity for situating existing explorations and understandings of Gothic and Horror TV within a hauntological and experiential framework
Paths from knowledge and theory development to impact
No full textThe pathways to knowledge and theory development are important but should not become dead ends. It is also vital to create pathways from knowledge and theory development to improve the lived world of tourism. This article explores this impact side of research. It uses a rich dataset that records the impact of academics in UK universities. Its method is critical thematic analysis. It analyses the relationship between research and impact, the types and extent of impact, and its drivers. Additionally, the critical analysis digs beneath the surface of the data to move from the “what is” to discuss the “what is overlooked” and the “what could be”. This leads to the envisioning of better pathways from research to impact
The impact of sustainable lean practice on project timelines and performance on construction sites in the UK: a review of existing literature to decipher broader dimensions
No full textThis research paper presents a comprehensive review of existing literature on the impact of sustainable lean practice on project timelines and performance within the UK construction sector. This review, drawing from a variety of
academic sources, attempts to decipher broader dimensions surrounding the implementation of sustainable lean
practices in construction projects. The implementation of lean practices in the construction industry has gained
significant attention in recent years due to its potential to improve project timelines and performance. This paper
examines and evaluates the impact of lean practices on construction project management, focusing on how these
practices influence timelines and overall project performance. Additionally, case studies and empirical evidence are reviewed on previous research articles to assess the efficiency of lean methodologies in different construction settings. The findings suggest that lean principles and strategies such as waste reduction, continuous improvement, and value stream mapping can lead to streamlined processes, reduced lead times, and enhanced project performance
