UK Countries Research Articles

ORTHOPOD: PREDICTING INJURY PROPORTIONALITY FROM NECK OF FEMUR FRACTURES

AbstractObjectivesThe need to accurately forecast the injury burden has never been higher. With an aging, ever expanding trauma population and less than half of the beds available compared to 1990, the National Health Service (NHS) is stretched to breaking point1,2. Resultantly, we aimed to determine whether it is possible to predict the proportionality of injuries treated operatively within orthopaedic departments based on their number of Neck of Femur fracture (NOF) patients reported both in our study and the National Hip Fracture Database (NHFD).MethodsWe utilised the ORthopaedic trauma hospital outcomes - Patient operative delays (ORTHOPOD) dataset of 22,585 trauma patients across the four countries of the United Kingdom (UK) admitted to 83 hospitals between 22/08/22 – 16/10/22. This dataset had two arms: arm one was assessing the caseload and theatre capacity, arm two assessed the patient, injury and management demographics.ResultsOur results complied with the data reported to the NHFD in over 80% of cases for both the 2022 and five-year average reported numbers. More operations were performed for elderly hip fractures alone than for the combined totals of the next four most common fractures: ankle, distal radius, tibial shaft and forearm (6387 vs 5922). Conversely, 10 out of the 13 fracture types were not encountered by at least one hospital and 93% of hospitals encountered less than 2 fractures of a certain type.60% of trauma is treated within Trauma Units (TUs) however, per unit, Major Trauma Centres (MTCs) treat approximately 43% more patients. Similarly, 11 out of the 14 fracture types examined presented more frequently to a MTC however 3 of the most common fractures had a preponderance for TUs (elderly hip, distal radius and forearm fractures). After excluding NOF, lower limb fractures accounted for approximately 57% of fractures in all countries and ankle and distal radius fracture combined comprised more than 50% in 74% of regions. There were few outliers across the study regarding number of fractures treated by a hospital with tibial shaft fractures demonstrating the highest number of outliers with 4.ConclusionsThe number of hip fractures seen on average by an individual unit remains relatively consistent as does the regional variation of any given fracture; resultantly, it is possible to predict injury proportionality based off a unit's hip fracture numbers. This powerful tool could transform both resource allocation and recruitment.Declaration of Interest(b) declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported:I declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.

COVID-19 lockdowns and working women's mental health: Does motherhood and size of workplace matter? A comparative analysis using understanding society

The COVID-19 pandemic had detrimental and unequal repercussions on mental health. To date there is little evidence exploring how motherhood and workplace size moderates this relationship for working women. This study aimed to estimate changes in working women's mental health at the start of each UK lockdown and estimate the effect of motherhood and workplace size on mental health. We used Understanding Society data from women in paid employment, who participated in at least: one pre-COVID-19 Wave (9 or 10/11) and one COVID-19 lockdown wave (Lockdown 1: April 2020, Lockdown 2: November 2020, Lockdown 3: January 2021). Primary outcome was probable psychological distress (i.e., score≥4 in the General Health Questionnaire-12 (GHQ-12)). In Model 1, exposure was motherhood (binary), interacting with a variable that split time in the pre-pandemic and lockdown periods. In Model 2, workplace size (Micro:1–24, Medium: 25–199, Large: More than 200 employees) was added as an exposure (3-way interaction) to investigate moderation effects. We fitted mixed–effects logistic regression models, adjusting for age, ethnicity, UK country of residence, cohabitation, educational qualifications, working hours, furlough, subjective financial difficulty and previous health condition. In the adjusted Model 1, pre-pandemic, odds of GHQ-12 caseness were lower for mothers compared to non-mothers (OR:0.89 95%CI:0.77,1.03). However post-pandemic compared to pre-pandemic, odds for mothers were higher than non-mothers, especially during lockdown 3 (Non-mothers: OR:1.93 95%CI:1.69,2.20; Mothers: OR:2.87 95%CI:2.36,3.49). In Model 2, workplace size did not modify the relationship. Pre-pandemic, there was no difference in the odds of GHQ-12 caseness by workplace size; however, the differences observed in Lockdown 3 between non-mothers and mothers, are mainly attributed to differences in medium-sized enterprises (Non-mothers: OR:1.95 95%CI:1.53,2.48; Mothers: OR:3.56 95%CI:2.54,4.99). Future policies should be designed to facilitate the working lives of mothers, but especially for medium-sized enterprises as extreme uncertainty appears to affect these employees more.

Policies, Guidelines, and Practices Supporting Women's Menstruation, Menstrual Disorders and Menopause at Work: A Critical Global Scoping Review.

(1) Objectives: This paper presents a scoping review of global evidence relating to interventions (i.e., policies, practices, guidelines, and legislation) aimed at supporting women to manage menstruation, menstrual disorders, and menopause at work. (2) Methods: Databases including Medline (Ebsco), CINAHL (Ebsco), Scopus, Web of Science, APA PsychInfo (Ebsco), Humanities International Complete (Ebsco), Academic Search Premier (Ebsco), HeinOnline and OSH Update, and Google Scholar were searched in May 2022. (3) Results: Of 1181 unique articles screened, 66 articles are included. Less half of the articles (42%, 28/66) presented/reviewed an intervention related to women's workplace health. A total of 55 out of the 66 articles are set across 13 countries with the remaining 12 articles described as multi-country studies or reviews. Half of the articles presenting/reviewing an intervention were grey literature, with several undertaken in UK and EU member countries. Interventions focusing on supporting women with menopause at work were the most common (43%, 12/28), followed by menstruation (25%, 7/28) and menstrual disorders (7%, 2/28). Across the reviewed articles, recommendations were categorised as adjustments to the physical work environment, information and training needs, and policy and processes. Few articles explicitly presented or affirmed a design-process and/or evaluation tied to their intervention. In lieu of design-process, this review categorises the rationales driving the development of an intervention as: pronatalist, economic rationalism, gendered occupational health concern, cultural shift towards gender equity objectives, and efforts to reduced shame and stigma. (4) Conclusions: There is a growing body of evidence aimed at understanding women's experiences of managing their menstrual and reproductive health in the workplace and how this impacts their work/career trajectories. However, little research is explicitly concerned with exploring or understanding interventions, including their design or evaluation. Most articles report menopause guidelines and are typically confined to the UK and EU-member countries. Despite the prevalence of menstrual disorders (e.g., endometriosis and polycystic ovarian syndrome (PCOS)) there is limited literature focused on how women might be supported to manage symptoms associated with these conditions at work. Accordingly, future policies should consider how women can be better supported to manage menstruation and menstrual disorders at work and recognise the importance of co-design during policy development and post-intervention evaluation. Further research needs to be undertaken on the impact of workplace policies on both employers and employees.

Social security cuts and life expectancy: a longitudinal analysis of local authorities in England, Scotland and Wales

BackgroundThe UK Government’s ‘welfare reform’ programme included reductions to social security payments, phased in over the financial years 2011/2012–2015/2016. Previous studies of social security cuts and health outcomes have been...

Phylogenetic relationship and virulence composition of Escherichia coli O26:H11 cattle and human strain collections in Scotland; 2002-2020.

O26 is the commonest non-O157 Shiga toxin (stx)-producing Escherichia coli serogroup reported in human infections worldwide. Ruminants, particularly cattle, are the primary reservoir source for human infection. In this study, we compared the whole genomes and virulence profiles of O26:H11 strains (n = 99) isolated from Scottish cattle with strains from human infections (n = 96) held by the Scottish Escherichia coli O157/STEC Reference Laboratory, isolated between 2002 and 2020. Bovine strains were from two national cross-sectional cattle surveys conducted between 2002-2004 and 2014-2015. A maximum likelihood phylogeny was constructed from a core-genome alignment with the O26:H11 strain 11368 reference genome. Genomes were screened against a panel of 2,710 virulence genes using the Virulence Finder Database. All stx-positive bovine O26:H11 strains belonged to the ST21 lineage and were grouped into three main clades. Bovine and human source strains were interspersed, and the stx subtype was relatively clade-specific. Highly pathogenic stx2a-only ST21 strains were identified in two herds sampled in the second cattle survey and in human clinical infections from 2010 onwards. The closest pairwise distance was 9 single-nucleotide polymorphisms (SNPs) between Scottish bovine and human strains and 69 SNPs between the two cattle surveys. Bovine O26:H11 was compared to public EnteroBase ST29 complex genomes and found to have the greatest commonality with O26:H11 strains from the rest of the UK, followed by France, Italy, and Belgium. Virulence profiles of stx-positive bovine and human strains were similar but more conserved for the stx2a subtype. O26:H11 stx-negative ST29 (n = 17) and ST396 strains (n = 5) were isolated from 19 cattle herds; all were eae-positive, and 10 of these herds yielded strains positive for ehxA, espK, and Z2098, gene markers suggestive of enterohaemorrhagic potential. There was a significant association (p < 0.001) between nucleotide sequence percent identity and stx status for the bacteriophage insertion site genes yecE for stx2 and yehV for stx1. Acquired antimicrobial resistance genes were identified in silico in 12.1% of bovine and 17.7% of human O26:H11 strains, with sul2, tet, aph(3″), and aph(6″) being most common. This study describes the diversity among Scottish bovine O26:H11 strains and investigates their relationship to human STEC infections.

The impact of overweight on employment outcomes: a review of the evidence

Abstract Background Overweight has been recognised as a significant public health issue. Several hypotheses have been posed to explain the impact of overweight on employment outcomes, including the role of productivity, labour supply, and discrimination. In this review, we provide a systematic synthesis of the evidence on the causal impact of overweight on labour market outcomes worldwide. Methods We searched Econ Lit, Medline, and Web of Science databases for relevant studies from 1st Jan 2010 to 20th Jan 2023. Studies were included if they were either longitudinal analysis, pooled cross-sectional or cross-sectional studies if they used Mendelian Randomisation methodology and have been published since 2010. Only those studies with measures of overweight and employment outcomes were included. Results The number of potentially relevant studies constituted 4,321 hits. A total of 59 studies met the inclusion criteria and were qualitatively reviewed by the authors. Most of the included studies were carried out in the USA (N = 18), followed by the UK (N = 9), Germany (N = 6), Finland (N = 4), and non-EU countries (N = 22). Evidence from the included studies suggests that the overweight effect differs by gender, ethnicity, country, and time period. White women with obesity in the USA, the UK, Germany, Canada, and in the EU (multi-country analyses) are more likely to experience overweight/obesity related labour market penalties such as reduced likelihood of employment, and when employed they also face lower wages compared to non-overweight counterparts. For men there is no evidence of an effect of overweight on employment outcomes or the magnitude of the effect is much smaller or even positive in some cases. Conclusions This review has shown that despite ample research on the impact of overweight on employment status and wages, robust causal evidence on the effects of weight status on employment outcomes remains scarce and relies significantly on strong statistical and theoretical assumptions. Key messages • The first study to evaluate the evidence base and the methodology of studies that assessed the economic consequences of overweight. • There is a need for better identification approaches and more recent datasets, especially from low-income countries.

Ensuring health and wellbeing of Ukrainian refugees in the UK: the role of initial health assessments and local authority involvement

Abstract Since the beginning of the crisis in Ukraine, local authorities in the UK have facilitated the resettlement of over 150,000 Ukrainian refugees (as of February 2023) to the country. In this presentation, Anna Deal will discuss a UK case study based on her recent research working closely with local authorities in London to conduct a health and wellbeing needs assessment, exploring the situation facing Ukrainians and other key nationality groups on arrival. This presentation will focus on identified health and social needs of Ukrainians and current healthcare provision, including initial health assessments and catch-up vaccination delivery, for Ukrainians on arrival and how this varies under different local authorities. It will conclude by summarising key challenges faced in delivery of services and recommendations and implications for improving service delivery, both in the UK and other European countries hosting Ukrainian refugees.

A comparison of excess deaths by UK country and region during the first year of the COVID-19 pandemic.

We compare the impact of the first two waves of the COVID-19 pandemic on risk of age-standardized mortality by sex, UK country, and English region. Each wave is defined as lasting 26 weeks and are consecutive beginning in 2020 week 11. The expected rate is estimated from 2015 to 2019 mean and the projected mortality trend from the same period are used to estimate excess mortality. By both measures, excess mortality was highest and lowest in regions of England, London and the South-West, respectively. Excess mortality was consistently higher for males than females.

An examination of flood resilience in London Borough of Southwark

This paper examines the flooding resilience of the London Borough of Southwark, and the extent to which resilience concepts are incorporated into local flooding management practices. With climate change causing shifts in the global pattern of flood events combined with rapid urban population growth, the importance of cultivating urban resilience is widely recognized by researchers and practitioners alike. This study develops a Flood Resilience Index (FRI) inspired by the CORFU project, based on natural, physical, economic, social, and institutional attributes of the borough. Secondary data from the Legatum Institute Prosperity Index and the Thriving Places Index were used to allow for replicability and comparison with the rest of the UK. Results derived from the FRI revealed that Southwark's low levels of flooding resilience stem from a combination of natural vulnerabilities, compounded by urban challenges including housing poverty, lack of green space, and limited social capital. By locating the gaps in flood resilience and cross-examining these gaps in light of Southwark Council's flooding management strategy, this study contributes to the understanding of urban flood resilience and provides a framework for evaluating resilience in other urban areas.

The safe haven, hedging, and diversification properties of oil, gold, and cryptocurrency for the G7 equity markets: Evidence from the pre- and post-COVID-19 periods

This study investigates the safe haven, hedging, and diversification properties of oil, gold, and two cryptocurrencies, including Bitcoin and Ethereum, for equity investments in the G7 economies under different market conditions. Daily data covering the pre- and post-COVID-19 periods were employed, using the linear and nonlinear Generalized Autoregressive Conditional Heteroskedasticity models. The empirical evidence supports gold as an undisputable diversifier for equity investments in the G7 equity markets under all market conditions. Cryptocurrencies have a valuable safe-haven potential, particularly during the COVID-19 crisis. Furthermore, the suitability of the optimal hedge asset depends on market conditions and individual countries, where the traditional assets present the best hedge in the normal conditions, compared to the modern assets. However, in the stress periods, Bitcoin presents the best hedge for the stocks of the G7 European and the UK countries, although Ethereum is the optimal hedge for the U.S. and Canada. In contrast, oil exhibits a superiority in hedging Japanese equities during all market conditions.

Unravelling transmission of Mycobacterium avium subspecies paratuberculosis to dairy calves: results of a lifelong longitudinal study.

Johne's disease (JD) is a chronic disease of ruminants endemic in the UK and other countries and responsible for large economic losses for the dairy sector. JD is caused by Mycobacterium avium subspecies paratuberculosis (MAP), which typically infects calves that remain latently infected during a long period, making early detection of infection challenging. Cow to calf transmission can occur in-utero, via milk/colostrum or faecal-orally. Understanding of the different transmission routes to calves is important in informing control recommendations. Our aim in this longitudinal study was to measure the association between the transmission routes via the dam and the environment on a calf subsequently testing serologically positive for MAP. The study population comprised of 439 UK dairy calves from 6 herds enrolled between 2012 and 2013. These calves were followed up from birth until 2023. At birth individual calf data was captured. During follow-up, individuals entering the milking herd were quarterly tested for the presence of MAP antibodies using milk ELISA. Cox regression models were used to measure the association between exposure from the dam (in-utero and/or colostrum) or from the environment (long time in dirty yard) and time to first detection of MAP infection. An association between calves born to positive dams and probability of having a MAP positivetestresultremainedafter excluding potential MAP transmission via colostrum(Hazardratio:2.24;95% CI:1.14-4.41). Calves unlikely to be infected with MAP via the in-utero or colostrum route, had 3.68 (95% CI: 3.68 1.45-9.33) higher hazard of a positive test result when they stayed longer in a dirty calving area. The effect of the dam infection status on transmission to calves precedes the dam's seroconversion and persists after excluding the potential role of transmission via colostrum. The association betweentime spent in a dirty calving area and probability of a MAP positive test resulthighlights the role of environmental contamination as a source of infection in addition to the dam.

Reducing unplanned hospital admissions from care homes: a systematic review

Background Care homes predominantly care for older people with complex health and care needs, who are at high risk of unplanned hospital admissions. While often necessary, such admissions can be distressing and provide an opportunity cost as well as a financial cost. Objectives Our objective was to update a 2014 evidence review of interventions to reduce unplanned admissions of care home residents. We carried out a systematic review of interventions used in the UK and other high-income countries by synthesising evidence of effects of these interventions on hospital admissions; feasibility and acceptability; costs and value for money; and factors affecting applicability of international evidence to UK settings. Data sources We searched the following databases in December 2021 for studies published since 2014: Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews; Cumulative Index to Nursing and Allied Health Literature; Health Management Information Consortium; Medline; PsycINFO; Science and Social Sciences Citation Indexes; Social Care Online; and Social Service Abstracts. ‘Grey’ literature (January 2022) and citations were searched and reference lists were checked. Methods We included studies of any design reporting interventions delivered in care homes (with or without nursing) or hospitals to reduce unplanned hospital admissions. A taxonomy of interventions was developed from an initial scoping search. Outcomes of interest included measures of effect on unplanned admissions among care home residents; barriers/facilitators to implementation in a UK setting and acceptability to care home residents, their families and staff. Study selection, data extraction and risk of bias assessment were performed by two independent reviewers. We used published frameworks to extract data on intervention characteristics, implementation barriers/facilitators and applicability of international evidence. We performed a narrative synthesis grouped by intervention type and setting. Overall strength of evidence for admission reduction was assessed using a framework based on study design, study numbers and direction of effect. Results We included 124 publications/reports (30 from the UK). Integrated care and quality improvement programmes providing additional support to care homes (e.g. the English Care Homes Vanguard initiatives and hospital-based services in Australia) appeared to reduce unplanned admissions relative to usual care. Simpler training and staff development initiatives showed mixed results, as did interventions aimed at tackling specific problems (e.g. medication review). Advance care planning was key to the success of most quality improvement programmes but do-not-hospitalise orders were problematic. Qualitative research identified tensions affecting decision-making involving paramedics, care home staff and residents/family carers. The best way to reduce end-of-life admissions through access to palliative care was unclear in the face of inconsistent and generally low-quality evidence. Conclusions Effective implementation of interventions at various stages of residents’ care pathways may reduce unplanned admissions. Most interventions are complex and require adaptation to local contexts. Work at the interface between health and social care is key to successful implementation. Limitations Much of the evidence identified was of low quality because of factors such as uncontrolled study designs and small sample size. Meta-analysis was not possible. Future work We identified a need for improved economic evidence and the evaluation of integrated care models of the type delivered by hospital-based teams. Researchers should carefully consider what is realistic in terms of study design and data collection given the current context of extreme pressure on care homes. Study registration This study is registered as PROSPERO database CRD42021289418. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (award number NIHR133884) and will be published in full in Health and Social Care Delivery Research; Vol. 11, No. 18. See the NIHR Journals Library website for further project information.

Italian cultural and creative industries following the Great Recession: an exploration of the local determinants of growth

ABSTRACT The cultural and creative industries (CCIs) have variously been seen as a stimulus for urban and regional development. They were also one of the few sectors in the UK and European Union countries to weather the storm of the 2008 Great Recession. Starting from the curiosity aroused by these premises, and given the paucity of studies on Italian CCIs, we analyse the growth trend of the sector following the economic shock of the Great Recession to ascertain whether this trend also held for Italy. We use data from the Aida-Bureau van Dijk database on more than 181,000 enterprises for the period 2010–18. Information on the number of employees from the cultural and creative enterprises is collected for 18 NACE Rev. 2 sectors, with the aim of disentangling the contribution of each subsector to the growth of the industry. While information is available at the firm level, we use NUTS-3-level information. Using a system generalised method of moments (GMM-SYS) approach, and controlling for some socio-economic characteristics, we examine the determinants of the growth of CCIs in the post-shock period, ultimately contributing to the underexplored debate on the resilience of the sector in Italy and accounting for its macro-regional and peripherality effects.

On the concept of internationalisation: Towards a socially just research collaboration between the UK and MENA countries

This paper argues for a wider range of critical perspectives to be bought to bear on the phenomenon of internationalisation. We suggest the role of internationalisation research should be to promoting reciprocity and respect for global knowledges. It was developed as a discussion piece for the Re-Knox Conference in Cairo (August 2022). It is based on a process of independent and co-reflexivity regarding three of the authors research projects. It conveys and illustrates three principles regarding theory and method that we found valuable for understanding how research that builds a more sustainable, equitable and cooperative form of higher education could be developed. The goal is to unpick and transform the destructive, exploitative, and negative relationships that are embedded in internationalisation for all parties involved

Importance of Red Rice (Deep Water Rice) Production and Its Potential of Export from Dhemaji District of Assam

Red kernelled rice is gaining importance in recent years due to its higher nutritive content as well as health advantages. It is rich in fibre, iron, Vitamin B1 &amp; B2, zinc and calcium. Because of its importance and a good potential for export the present study was undertaken in Dhemaji district of Assam with the objective to find out the economics of production and scope of marketing of red kernelled rice. From the investigation it was found that red kernelled rice is cultivated in deep water areas of the district and 40% of the total rice area is under red kernelled rice. The production very low with an average production of 21q/ha. The benefit cost ratio was found to be 1.29 and only two marketing channels existed in the district. A company viz. Nature Bio Foods Ltd. (NBFL) was the main company which procured all the production of red kernelled rice from the producers in Dhemaji district which has its Office at Gogamukh. About 10000tons of red rice is being exported outside the district every year to other states and even other countries like USA, UK and European countries. The price spread was found to be high though there are few intermediaries in the marketing channel. From the investigation it can be concluded that there is much scope of increasing the area, production and productivity of red kernelled rice in the district provided processing centers are set up in the district so that the farmers can get a better price for their produce.

Social Justice, Globalization and Fate of Marginalized Communities of India: Some Observations

"First globalization" is a phrase used by economists to describe the world's first major period of globalization of trade and finance, which took place between 1870 and 1914. The "second globalization" began in 1944 and ended in 1971. This led to the third ERA of globalization, which began in 1989 and continues today. Globalization has benefitted western countries like US, France, UK, Germany and Asian countries namely Japan, South Korea, Taiwan, Malaysia, Singapore, Hong Kong, Thailand, and China. All over the world it has given mixed benefits to the people. For the educated, skilled, urbanites it has given many benefits. The people who are placed in the upper strata of society are chief beneficiaries of globalization. On the other hand the disadvantaged sections of Indian society comprising of SCs, STs, minorities, poor, unskilled labors are the losers of benefits of globalization. The present paper examines the impact of globalization on marginal communities of India.

Paws for thought? Developing dog projects for older people in prison

PurposeThis study aims to assess the nature and scope of dog-based programmes in prisons, assessing critically the potential opportunities, benefits, challenges and risks of developing innovative dog-based programmes for older prisoners in England and Wales. This paper outlines the potential benefits and challenges of developing dog-based programmes for older prisoners and sets out next steps for future research and practice.Design/methodology/approachThis study is based on a scoping review of published research literature on prison dog programmes (PDPs) in the USA, the UK and other countries, with particular reference to older people in prison, followed by semi-structured interviews with six members of an expert advisory group. The literature review and data from the qualitative interviews were analysed thematically.FindingsThere is a substantial body of published research literature which supports PDPs as having identifiable positive impacts for people and also dogs, and also published research which highlights the benefits to older people of dog ownership or participation in dog-based activities. However, much of this research is small-scale and qualitative, and it has been argued that there is a lack of a quantitative evidence base. This research concludes that findings from the literature review and the semi-structured interviews support further research and the creation of pilot projects to develop dog-based projects for older people in prison.Research limitations/implicationsThis study was small-scale, and the findings need to be approached with caution. The literature review searched a small number of databases and filtered out articles published in languages other than English, and the review of the grey literature focused on reports from the UK. The number of experts interviewed was small and there was no direct consultation with older people in prison nor with older people with recent personal lived experience of imprisonment and community resettlement. A more extensive future study would benefit from a more extensive literature review, a larger group of participants and the inclusion of service users, prison managers and government policymakers, subject to the appropriate ethical and security approvals. At the time the research took place, ongoing COVID-19 restrictions on prison research meant that research with current prisoners and prison managers would not have been approved by the HMPPS NRC.Practical implicationsThis research provides a research-based justification for future dog projects for older prisoners, leading potentially to improved well-being for older people in prison.Originality/valueThis study brings together the published research literature on PDPs with the research literature on the needs and experiences of older people in prison for the first time, and identifies potential directions for future research.

Does ‘Being Your Own Boss’ raise your chance of becoming someone else’s Boss?

&lt;p class="MsoNormal" style="text-align: justify;"&gt;Self-employment is often associated with entrepreneurship and regarded as a driver of innovation, job creation and economic growth. As such, many countries have policies to promote and support self-employment. One mechanism for self-employment to drive job growth is for sole traders to become an employer through hiring employees. However, there are few studies that investigate if solo self-employment helps the transitions into employership. Using the Understanding Society data, this study shows that in the UK labour market solo self-employment does not work as a &amp;lsquo;steppingstone&amp;rsquo; to employership. This raises the question why self-employment should be promoted through public policy as in the UK and many other developed countries.&lt;/p&gt;

Wellbeing in the city: Young adults' sense of loneliness and social connection in deprived urban neighbourhoods

Neighbourhood characteristics can facilitate or hinder the development of social ties, thereby influencing the loneliness of those who live in them. Most research to date has focused upon how either older adults (65+) or youth (under 19 years old) view and experience their neighbourhood, paying little attention to young adults (aged 16–24). Young adults are the loneliest age-group within the UK and other Western countries. Their loneliness is associated with living in deprived communities (e.g., areas experiencing social-economic inequalities), feeling a strong sense of disconnection from their neighbourhoods and having little trust in others within these spaces. Therefore, this study utilises social representations theory to explore how young adults (18–24 years old) from London's four most deprived boroughs view and experience their neighbourhood using a systematic, qualitative methodology. In particular, the concept of dialogical antimonies, known as themata are used. A purposive sample of forty-eight participants was asked to write and/or draw where they felt loneliest and where they felt most socially connected in their neighbourhoods. These associations were then explored via an open-ended, exploratory interview. This revealed that the experience of neighbourhood was structured around four themata: 1) having no one to talk to/being disconnected from others vs. being with family or friends, 2) feeling bored/having nothing to do vs. having shared interests, goals or activities, 3) being in an unfamiliar environment vs. seeing familiar faces/having a sense of community, 4) busy vs. peaceful environment. On this basis, suggestions and implications for the design of wellbeing-enhancing neighbourhoods are discussed.

Blended diets for tube-fed children and young people: a rapid review update

BackgroundMany children and young people with complex health and care needs use enteral feeding tubes to optimise their nutritional intake in the UK and other countries. Blended diets as an...