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Making every contact count: recognising obesity in paediatric and young adult cardiology.
No full textIntroduction: With increased survival, children with CHD are reaching adulthood, however, obesity amongst this cohort is an emerging problem. Making every contact count encourages clinicians to utilise contact to elicit behaviour change. The aim of this work was to identify whether the body habitus of children classified as obese was addressed during a clinical review. Methods: A retrospective observational cohort study was completed using a cardiology outpatient dataset from 2010 to 2019. Inclusion criteria are all children with a body mass index z score classified as obese (≥ 2 z scores). Individual electronic patient records were reviewed to identify long-term anthropometric measures including (i) recognition of body habitus, (ii) prescription of physical activity or dietary intervention, and (iii) referral to a weight management programme or dietitian. Results: From the cohort of 95 patients, 285 "obese clinical encounters"were identified, at the time of a cardiology clinic attendance. Of those, obesity was acknowledged in 25 clinic letters (8.65%), but only 8 used the correct terms "obese"or "obesity"(2.77%). Action to tackle obesity was recorded in 9.3% of cases with a direct referral to a dietitian being made on 3 occasions (1.04%). Conclusions: Body habitus is not being routinely addressed by cardiologists caring for paediatric and young adult cardiac patients. This study has recognised an alarmingly high incidence of missed opportunities to make every contact count, to manage those with obesity and associated risk factors.</p
The West needs to appreciate how the protest movement in Belarus has been shaped by the Soviet past:Policy paper
No full textExecutive Summary- Belarus’ geopolitical position as Russia’s close ally on the borders of the EU means that the West has a vested interest in ensuring a democratic outcome for the crisis that has gripped the country for over six months.- While economic sanctions are a highly effective mechanism of putting pressure on the Lukashenka regime, they need to be complemented by efforts to support civil society based on a nuanced understanding of prevalent social and political attitudes.- Belarus has a complex relationship with its Soviet past, which underpins many of the current attitudes, and failure to take this into account when devising engagement strategies risks alienating broader sections of society
The Politics of Unity in Dance:The Affective Persistence of Somatic Collectivity in Post-Fordism
No full textThe research of the last ten years in the field of dance has resulted in a number of works that make it necessary to theorize the radical potential of dance as a platform for political activity in the context of global, social and economic crises. The author, as a practitioner, teacher and theorist of dance and performance, working at a British university, is interested in exploring the possibilities of somatics in order to counter the utilitarian inclusion of somatic principles in the context of neoliberalism in post-Fordism conditions. The present study is built on the basis of the previous theoretical justifications by the author of the article of the practice of working together with various interdisciplinary points of view, including philosophical, political and performative. In the article, somatics acts as a common term to facilitate discussion of practices, related to contemporary dance art, including protests, dance walks, flash mobs and choreographic studies of performative participation. Although these practices are not widely recognized as somatic practices, they nonetheless operate at the somatic level and indicate the ever-changing relationship between the individual, the collective, and the social environment. The author seeks to theorize somatics as a critical and political practice of collective forms of being and cooperation. In the article, based on examples of collective embodiment (dance performance), the author emphasizes the politicization of somatic practices, since it is associated with the ideas of affect, ethics and time. It is assumed that the embodied expressions of collectivity in the form of politicized somatics can develop a valid tactic to counteract what can be called a mimetic phenomenon between dance practices and capitalism. In addition, it should be noted that the situation was only aggravated by the COVID 19 pandemic
Pain memories – a new concept to consider in the management of chronic pain in people with haemophilia
No full textOvertourism and tourism education:A strategy for sustainable tourism futures
No full textSince 2017, the term ‘overtourism’ has become the buzzword for destinations suffering the strain of tourism. It is a critical issue for the 21st century and beyond, and to date has only been examined from a tourism industry perspective. This book takes a different stand by investigating overtourism from a tourism education perspective.The recent global COVID-19 pandemic was expected to halt travel and, arguably, overtourism. However, industry experts and researchers share the opinion that instead of declining, overtourism is simply experiencing a shift, with a swarm of ‘second home’ and domestic travel that is likely to engulf many tourism destinations. Against this backdrop, the issue of overtourism remains relevant and studies on ways to cultivate responsible consumer mindsets to deal with overtourism and other sustainability issues in the tourism industry are called for. This book focuses on education as a transformative and strategic tool to tackle overtourism and related negative impacts. It presents original research on the topics of overtourism, education, and sustainability, and puts forward a range of practical and transformative tourism education strategies to mitigate overtourism and to promote the sustainable development of destinations.This book will be of great interest to upper-level students, researchers, and academics in tourism, development studies, cultural studies, and sustainability, as well as professionals in the field of tourism management
Alexa, <i>she's</i> not human but… Unveiling the drivers of consumers' trust in voice‐based artificial intelligence
No full textWith the development of deep connections between humans and Artificial Intelligence voice‐based assistants (VAs), human and machine relationships have transformed. For relationships to work it is essential for trust to be established. Although the capabilities of VAs offer retailers and consumers enhanced opportunities, building trust with machines is inherently challenging. In this paper, we propose integrating Human–Computer Interaction Theories and Para‐Social Relationship Theory to develop insight into how trust and attitudes toward VAs are established. By adopting a mixed‐method approach, first, we quantitatively examine the proposed model using Covariance‐Based Structural Equation Modeling on 466 respondents; based on the findings of this study, a second qualitative study is employed to reveal four main themes. Findings show that while functional elements drive users' attitude toward using VAs, the social attributes, being social presence and social cognition, are the unique antecedents for developing trust. Additionally, the research illustrates a peculiar dynamic between privacy and trust and it shows how users distinguish two different sources of trustworthiness in their interactions with VAs, identifying the brand producers as the data collector. Taken together, these results reinforce the idea that individuals interact with VAs treating them as social entities and employing human social rules, thus supporting the adoption of a para‐social perspective
