Mobility Practices Research Articles

Early mobilization of patients with subarachnoid haemorrhage: a national survey of french intensive care units.

To describe French intensive care unit practices regarding the mobilization of patients with subarachnoid haemorrhage. A cross-sectional nationwide survey study. Intensivists and physiotherapists or nurses from French intensive care units managing patients with subarachnoid haemorrhage. An online questionnaire survey was distributed through the Neurocritical Care and Neuro Anesthesiology French Speaking Society. The response rate was 89%. Of these, 90% did not have a mobilization protocol for patients with subarachnoid haemorrhage. Sixteen percent of departments prohibited all forms of motor physiotherapy for a predefined period. Nineteen percent systematically prohibited out-of-bed mobilization, regardless of the severity of subarachnoid haemorrhage and in the absence of any complication, for a predefined period. The main factors that would delay or interrupt physiotherapy prescription were intracranial hypertension (79%), currently treated vasospasm (59%), and suspicion of vasospasm (44%). Ninety-one percent of the centres identified at least one complication that could be associated with standing upright. These mainly included decreased cerebral perfusion (71%), dislodged external ventricular or lumbar derivations (68%), and haemodynamic instability (65%). Mobilization of patients with subarachnoid haemorrhage is heterogeneous among French neuro-intensive care units and several barriers preclude improvement of mobilization practices. Interventional studies assessing mobilization practices, as well as education and training of staff, are crucial to ensure the proper management of patients with subarachnoid haemorrhage and to improve outcomes.

Early Mobilization in Pediatric Critical Care: Exploring the Gap Between Theory and Practice in Saudi Arabia.

BACKGROUND Because of advancements in critical care, Pediatric Intensive Care Units (PICUs) have experienced improved survival rates. However, PICU-acquired frailty and cognitive deficits continue to be issues. In PICUs, early mobilization is emerging as a useful technique. The present study assesses early mobilization awareness, opinions, and practices among pediatric critical care providers in Saudi Arabia. MATERIAL AND METHODS From July 2020 to February 2021, a survey was undertaken in Saudi Arabia, targeting 110 physicians, 200 nurses, 30 respiratory therapists, and 20 physiotherapists. It concentrated on emergency medicine practices, operational issues, initiation time, rehabilitation modalities, and PICU staff strain. RESULTS The results showed that 64.7% of the 266 respondents were nurses, usually working in 5- to 15-bed ICUs providing medical and surgical treatment. Early mobilization was evaluated as highly significant by 40.6% of the respondents. Equipment constraints (63.5%), patient medical instability (67.3%), endotracheal intubation complications (65.4%), and personnel limits (56.4%) were major challenges. Non-physicians cited space constraints 38.9% of the time, whereas physicians cited safety concerns 47.4% of the time. Respiratory physiotherapy and passive range-of-motion exercises were the most used rehabilitation techniques (77.8%). Only 38.7% of patients with ICU-acquired weakness were referred for outpatient therapy. CONCLUSIONS The study emphasizes the importance of early mobilization in Saudi Arabian pediatric critical care while also recognizing considerable limitations. Addressing these difficulties necessitates a multidisciplinary, strategic approach. Future research should strive to standardize practices to enhance patient outcomes and develop standards in pediatric critical care.

Participatory Policy Packaging for Transport Backcasting: A Pathway for Reducing CO2 Emissions from Transport in Malta

Significant emission reductions are needed in the transport sector to reach climate change mitigation objectives. Backcasting, a type of scenario-analysis approach, is a useful tool for the analysis of possible alternative transport futures and strategies to arrive at these futures when the business-as-usual projection is no longer sustainable. The backcasting approach consists of establishing desirable futures and examining the pathways by which those futures can be reached. This paper focuses on the policy packaging phase of a transport backcasting study carried out in the context of Malta as a case study. The aim of this paper is to contribute to the existing literature on transport and climate change using the case of Malta, which presents a context of high dependency on private cars and difficulty in transitioning to sustainable mobility. This paper tests the usefulness of a practice-based approach to transport backcasting. The results of this backcasting framework are a set of climate policies that target different elements of mobility practices and suggest that interventions for sustainable mobility should go beyond transport and target other spheres of social life. Collaboration between stakeholders and participation of citizens during the backcasting process was key to making the policy design process more participatory. Results of this study show how new approaches can open possibilities for a transition towards more sustainable mobility and contribute to widening the knowledge in the field of transport backcasting studies.

Si(gh)ting the City: An Uber View of Calcutta

In this article, I take a socio-material approach to highlight the changes in the legibility of the built environment due to digital interfacing and the subsequent fragmentation of urban space. Using Uber as an example, I demonstrate how app-reliant mobility practices, reflexive of the changing mobility values in the city of Calcutta, manifest certain “temporal spaces”—quasi-virtual spaces of the online/digital-offline/material continuum—that imbricate the physicality of the city with the digital traces that Uber accrues about a particular location and the data about the rhythms of the individual users within that space. The investigation uses screenshots of Uber pick-up points to conceptualize legibility in the context of temporal spaces and how this changing legibility alters the kinaesthetic quality of Calcutta. Siting the argument in postrepresentationalist thought—one that does not assume an ontological distinction between representations and the referent—this article offers a posthumanist account of spatial performativity that considers the everyday entanglements of human actors, social practices, networked technologies, algorithms, and interfaces that render “legible” the urban space.

Tourist mobility: sociological theory and implementation practices

The article analyzes the connection between the sociology of tourism and the general sociological theory of mobility, which leads to an understanding of modern tourist mobility not as a process of revealing the will of individuals to learn about different cultures, but as a system of social constructions that exist in the form of tourism practices and are focused on maximizing profits for global tour operators. The methodology. The method of the propositional analysis is aimed at identifying logically based semantic units with the aim of selecting and synthesizing reliable knowledge expressed in texts written on issues of sociology of tourism and the general sociological theory of mobility. Scientific novelty is in clarifying the concept of tourist mobility and tourist practices; in revealing that they are largely the result of commercially oriented social construction carried out in the interests of global tour operators; in demonstrating that commercial and non-commercial tourist mobility entail incompatible social consequences. Conclusions. The article is devoted to current problems of modern sociology of tourism in its connection with the general theory of mobility (one of the founders of which was the British sociologist John Urry) that complemented the “old” theory of social mobility by the doctrine of the movement of people, goods, capital, information, etc. in geographical space. Now society has come to be understood as a mobile structure consisting of many mobile practices (including tourism) that can be aimed at either developing essential strength of people or control over their consciousness and behavior.

A Psycho-Social Exploration of Cross-Border Mobilities. A Mixed-Method among Franco-Luxembourgish Commuters

The application of the psycho-social paradigm of social representations in geographical studies is rather recent. However, this approach is considered to complement the work conducted in social geography where non-directive interview methods are often used. The main hypothesis of this paper is that mobility practice is not only influenced by the accessibility to transport infrastructures, but also structured by social representations about mobility, housing, and job. Based on a corpus of semi-structured interviews with 69 Franco-Luxembourgish cross-border commuters, the Multiple Correspondence Analysis (MCA) is employed to explore relations between different types of social representations and mobility practice. This mixed method allows to integrate both quantitative statistical data and qualitative discursive data. It is concluded that social representations can be envisaged as a theoretical approach to understanding mobility practice, and that the daily mobility practice is socially structured depending on various social representations of individuals which are also shaped by their social positions or social trajectories. Challenges related to the use of mixed methods in the research are also addressed in the methodological discussion.

Pathways to more resource-intensive consumption through convenient bundles and complexes of food, mobility and housing practices

In contemporary society, it is widely acknowledged that current patterns of consumption are fundamentally unsustainable because a large percentage of emissions comes from consumption related to food, mobility and housing practices. However, current debates and existing research on the need to change daily practices to address climate change tend to focus on single consumption activities, thereby paying too little attention to how practices are embedded in daily routines connected to a multitude of other practices. Instead of considering consumption activities related to food, mobility and housing as separate from one another, we examined how they connect and overlap with each other in the everyday lives of young Danes and what implications this might have for the ability to transition to less resource-intensive consumption. We do so through an analysis of data from interviews, mobilities mapping and photo diaries with 20 households, for a total of 30 young Danes (age 25–35) who are in the process of moving to new housing. With an outset in theories of practice, the article shows how the relations between the householders’ routines concerning food, mobility and housing become interwoven and embedded in bundles and complexes of practices characterised by conveniencisation. We argue that the conveniencisation in the case of bundles and complexes among food, mobility and housing practices create pathways towards more resource-intensive consumption as an implication due to the ‘stickiness’ of co-dependence in complexes and even looser interdependence in the bundling of food, mobility and housing practices in everyday lives.

Urban form and daily mobility on the outskirts of Constantine (Algeria): Case of the new town of Ali Mendjeli

This article presents the results of research into the impact of urban form on mobility practices in the outskirts of Constantine, which has experienced spectacular urban growth in recent years. Like other Algerian cities, Ali Mendjeli is one of the most unusual urban forms to have arisen from the saturation of the mother city, and has undergone rapid urban expansion, marked by the concentration of major facilities and services. This has led to several urban dysfunctions, reflected in longer distances travelled, strong growth in the number of journeys and increased use of the car, resulting in saturation of the road network and the inefficiency of public transport, which can no longer cope with high demand, and the emergence of informal transport. In fact, the household travel survey carried out in 2020/2021 revealed that the distance between home and work increases with distance from the town center, with a correlation coefficient of R? = 0.78. In addition, the urban layout of Ali Mendjeli is difficult to navigate on foot, with the private car the most dominant modal share, and public transport is still in deficit due to the poor quality of its offer.

Perceived Barriers of Clinical Roles Towards Intensive Care Unit Mobility.

Background: There is overwhelming evidence of improved patient outcomes as a result of early mobilization in the intensive care unit (ICU). However, several barriers of ICU mobility remain understated with reference to clinical roles. The purpose of this study is to investigate the perceived barriers of early mobility of critically ill patients among ICU healthcare providers. Methods: In this cross-sectional study, the Mobilization Attitudes and Beliefs Survey (PMABS-ICU) was administered to ICU healthcare providers using an online survey. The study investigated barriers related to knowledge, attitudes, and behaviors regarding ICU mobility practices. These barriers were compared among different ICU clinical roles. Results: The survey yielded a total number of 214 healthcare providers with 41% female and 59% male. Respiratory therapists reported the highest perceived barriers to ICU mobility (M 39, IQR 36, 43) % compared to physical therapists (who reported the lowest barriers), occupational therapists, nurses, and physicians (p ≤ 0.05). ICU healthcare providers' behavior towards ICU mobility such as perceived benefits and safety is ranked as the primary barrier (M 49, IQR 42, 52) %. Professional experience did not significantly vary among all groups. Conclusion: Our findings highlight that ICU healthcare providers' perceptions, including both potential benefits and safety concerns regarding mobility, are significant barriers to implement mobility practices. ICU mobility barriers should be tackled by providing education and training. A focused effort to include RTs and nurses could advance interdisciplinary ICU mobility practice and reduce associated barriers.

A multi-proxy approach to reconstruct chronology, human mobility, and funerary practices at the Late Bronze-Early Iron Age urnfield of San Valentino (San Vito al Tagliamento, Italy).

The site of San Valentino in San Vito al Tagliamento is one of the main urnfield cemeteries in northeastern Italy. Archaeological excavations carried out in the seventies brought to light a cremation cemetery consisting of mainly urn graves with pottery and metal artefacts as grave goods. These materials suggest that the individuals buried in San Valentino were not an isolated local community but had intense contacts with other north-Adriatic communities, in particular with the neighbouring Veneto area, as suggested by the close similarity of the biconical vessels with those recovered in the graves of Este. This paper provides the first osteological study of a preserved sample of individuals buried at San Valentino and uses an innovative multi-proxy approach to refine the chronology of the site through radiocarbon dating of bone apatite, investigate human mobility using strontium isotopes on calcined human remains, and reconstruct the funerary practices by combining FTIR-ATR data with carbon and oxygen isotope ratios on cremated bones. The results date the cemetery to the end of the Late Bronze Age and the Early Iron Age, with a sporadic occupation in the fourth century BC. Strontium isotopes and concentrations show the analysed individuals buried at San Valentino were a local community that exploited nearby food resources. Interestingly, variations in cremation conditions were detected between San Valentino and the contemporary sites of Velzeke, Blicquy, Grand Bois, and Herstal, located in Belgium, by using FTIR-ATR and carbon and oxygen isotope data. This multi-proxy approach applied to the study of cremated human remains can open new research possibilities, being potentially extendable to the study of many pre- and proto-historic and historic communities that practised cremation.

The impact of consumers' sustainable electric-word-of-mouth in purchasing sustainable mobility: An analysis from online review comments of e-commerce

The traditional transport sector is under pressure to change its structure to be more sustainable and eco-friendly in light of the rising global issues regarding environmental pollution and climate change. However, the widespread adoption of sustainable mobility practices, fundamental to improving the sustainability of the transport sector, is still in its early stages. This highlights a substantial gap between the potential benefits of sustainable mobility and current application. Consumer choices in sustainable mobility options, influenced by factors including perceptions and preferences, are significant for shaping the future direction of environmental sustainability within the sector. Understanding these behaviors is essential for the broader acceptance of sustainable mobility. This study investigates consumers' purchasing decisions through gross sentiment and sustainable electronic word-of-mouth, which emphasizes consumer behavior in conveying messages related to sustainability on online platforms, and further evaluates the impact of the main components with an ablation study. The analysis of the 27,025 review comments revealed two important factors of the peripheral route that influence consumers' purchases: rating scores and the number of review comments, with indirect effects on overall sentiment and sustainability-related opinions. Based on the findings of this study, several academic implications, as well as practical cornerstones, are examined.

(Two) Wheels on the Bus: Road User Perceptions of a Bike Bus and How This Links to Addressing Global Health Challenges.

Excessive car use hampers progress toward tackling global health challenges, including climate and sustainability issues, and is linked to lower physical activity. Local communities have been developing solutions through bike buses. This paper, one of the first on bike buses, explores how a bike bus is perceived by other road and place users. An interdisciplinary survey instrument with dialogic-style questions was distributed on flyers to road and place users on 1 bike bus route including when the bike bus was passing. Responses were thematically analyzed using analytic framing to identify themes and subthemes. This paper focuses on 2 domains related to physical activity's link to the global health challenges of climate change and sustainability issues of excess car traffic: climate actions and community-level activism. Overall, 172 responses were received from 542 distributed flyers (31.8%). The climate actions domain identified a bike bus as a solution that creates a transport mode shift, reduces emissions, and improves air quality. Themes associated with community-level activism domain include perception that a bike bus is a form of activism or a protest and that it is a disruption to the status quo on the roads. Our findings indicate that this active mobility practice goes beyond the utility of getting children to school and being a way to promote physical activity. A bike bus is seen as local community action that could create a transport mode shift, draw attention to road space allocation, and help tackle global health challenges.

The use of GNSS technology in smartphones to collect sensitive data on human mobility practices: Ethical challenges and potential solutions.

The advent of mobile smartphones and similar technology has opened new opportunities for studying human mobility within psychology and companion disciplines such as human geography, demography, and sociology. This article examines how such research raises novel ethical concerns. To do so, we outline two research projects: one based in Northern Ireland (The Belfast Mobility Project) and the other in Chile (The Norm-Contact Mobility Project), drawing concrete examples of the ethical challenges encountered throughout both projects, which used global navigational satellite systems as a tool for data collection. We discuss new threats to participant confidentiality and anonymity, problems of "unanticipated" data collection and exploitation, emerging difficulties in achieving properly informed consent, and concerns regarding the representation of vulnerable populations with limited access to smartphones and a legitimate fear of surveillance. We also reflect on the different measures we took to tackle these challenges and discuss the importance of implementing wider changes in the protocols associated with basic ethical research principles. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Development of an early mobilization practice for critically ill patients in intensive care units: a Delphi method study.

To develop a comprehensive and evidence-based early rehabilitation framework for critically ill patients, aiming to establish a systematic and scientifically grounded rehabilitation system. A Delphi survey study was conducted, involving two rounds of consultations with 24 experts from critical care medicine, nursing, respiratory therapy, and rehabilitation medicine. Based on evidence from the literature, a draft rehabilitation system was created and evaluated using a Likert 5-point scale. Entries were refined based on expert feedback, with criteria for inclusion being a mean score ≥4, a coefficient of variation <0.25, and agreement (percentage of ratings as "very important" or "important" and "very operative" or "strong operability") ≥75%. Entries were modified or deleted according to expert suggestions. The survey achieved recall rates of 95.8% (23/24) and 86.9% (20/23) in the first and second rounds, respectively. The experts' judgment basis, familiarity, and authority coefficients were 0.96, 0.94, and 0.95, respectively. Following the initial round, 20 questionnaire entries were amended, 14 new entries were added, and 1 was deleted. The second round of Delphi consultations resulted in an early rehabilitation system consisting of 5 primary indicators, 21 secondary indicators, and 56 tertiary indicators, totaling 82 entries. This study established the first Chinese early rehabilitation system for critically ill patients based on the scientific Delphi method. It provides a structured framework that can serve as a reference for early rehabilitation practices in settings for critically ill patients.

Traffic pollution as a privilege: An intersectional approach to environmental justice and transport emissions

The growing concern over air pollution and community health, demands a comprehensive understanding of the political nature of transport-related emissions. This paper approaches how structures of power influence travel behaviour and, consequently, how they shape emissions from mobility in Barcelona. To comprehend how the intersection of gender, age, and migration background influences air pollution, we use a travel survey to build a set of models that are known to theoretically engage with intersectionality studies. Results show that identities tied to structures of power promote a greater contribution to air pollution than other mechanisms. That is, middle-aged European-born men have the most NOx-intensive mobility practices. In contrast, people that embody intersectional experiences of oppression such as misogyny, racism, or ageism, have lower emission levels. Considering these results, we argue that policies which acknowledge the unequal distribution of responsibilities present an opportunity to reduce emissions from transportation, while guaranteeing fairness and advancing environmental justice.

Mobile Marketing in the Art Industry

The rising prevalence of mobile devices has transformed consumer behaviors and created new opportunities for audience engagement through mobile marketing in the art world. However, there has been limited research on implementing effective mobile strategies for art professionals. This study aimed to systematically review mobile techniques over the past five years based on academic literature and industry reports. It analyzed key mobile marketing campaigns from prominent art institutions focusing on approaches like apps, augmented reality, and location-based services. The literature revealed several important findings about mobile marketing effectiveness. According to Pew Research Center data from 2019, 81% of Americans now own smartphones frequently used for internet access, demonstrating widespread mobile access. Studies of apps found those displaying artist portfolios and enabling ticket purchases had high audience engagement. Augmented reality apps providing interactive experiences attracted more first-time museum visitors than non-users. Location services increased nearby gallery foot traffic up to 35% by capitalizing on proximity. Case studies indicate mobile strategies can significantly boost participation when integrated across digital and physical channels through profiles, ticketing, content, and location promotion to spur visits. As a result, mobile technologies may help arts institutions connect with broader demographics in novel ways. However, usability and data privacy must be addressed. The review concluded that mobile techniques are highly impactful for boosting audience involvement, working best as an omni-channel approach across platforms and interactivity. Adopting established mobile marketing best practices is essential for arts professionals and organizations to thrive in today’s digital landscape and engage wider audiences.

THE POTENTIAL OF DAIYAH (WOMAN RELIGIOUS PREACHERS) TO HARNESS THE POWER OF RELIGIOUS PREACHING ON SOCIAL MEDIA

This article explores the evolving landscape of religious preaching in the digital age, focusing on women religious preachers. In today's world, religious discourse increasingly unfolds on various social media platforms, and the internet has become an integral part of daily life. Social media, once primarily a virtual social network, has now assumed a significant role in various aspects of society. Women religious preachers have taken center stage on social media platforms. They employ diverse communication styles and cover various topics, all aiming to promote good and prevent evil under Islamic values. This research employs qualitative methods and focuses on five prominent female daiyahs active on various social media platforms. We conducted an extensive online survey to assess their impact, audience engagement, and user preferences. Social media analytics tools were used to gather insights into reach, engagement, and emerging trends related to their content. Content analysis was conducted to unveil recurring themes, messaging strategies, and overall influence on their audience. Importantly, these women are engaging in religious discourse and shaping their Islamic identities through their distinct preaching styles. It discusses the adaptability of media technology in the Indonesian context, where global mobile phone practices have been localized and Islamized. This article sheds light on the profound impact of social media on religious preaching and underscores the crucial role of women religious preachers in this evolving landscape. It provides insights into their diverse activities and contributions to religious discourse in the digital age.

Integration of a dental hygienist into the interprofessional long-term care team.

To address poor oral health of residents in long-term care homes (LTCH), this study explored the process of integrating an educational resource and a dental hygienist on the interprofessional care team. This convergent mixed-methods study took place at a 472-bed LTCH in Toronto, Canada from February to August 2018. Nurses employed at the LTCH participated in the study. During the study period, a dental hygienist was integrated into an interprofessional LTCH team. Nurses completed an online eLearning module about using the Oral Health Assessment Tool (OHAT) when referring residents' oral health concerns to a. Pre/post knowledge quizzes, module feedback and satisfaction surveys were administered. A retrospective chart review examined OHAT use and compared nurse and dental hygienist oral health assessments. Two cycles of semi-structured interviews with five nurses explored experiences with the eLearning module, OHAT and integration of the dental hygienist into the team. Nurses scored well on the knowledge quizzes and reported comfort in using the OHAT to refer oral concerns to a dental hygienist; however, actual use was minimal. oral health issues were under-reported by nurses on the Resident Assessment Instrument-Minimum Data Set (RAI-MDS); the dental hygienist reported significantly more debris, teeth lost and carious teeth (all P < 0.0001). Qualitative analysis indicated that the nurses valued dental hygienist integration into the team. Using knowledge mobilisation practices, a new oral health referral tool was developed. This study highlights the feasibility and desirability of an oral health eLearning module, practical assessment tools and participation of a dental hygienist on the LTCH interprofessional care team.

Early and targeted mobilization after surgical interventions

Early mobilization, which still has no standard definition, is an important component of enhanced recovery after all surgical interventions. By providing early and targeted mobilization, many postsurgical complications can be prevented, and the recovery period and hospital stay can be shortened. However, there are many obstacles reported by both healthcare team members and patients in the achievement of early and targeted mobilization. In addition, there is currently no strong evidence to guide clinical practice in this context. The establishment of mobilization programs specific to surgical patients in healthcare institutions, informing patients about the mobilization process in the preoperative period, determining step goals, promoting motivation, monitoring the number of steps, and encouraging patients to keep a mobilization diary are among the practices that can be implemented to ensure early and targeted mobilization. It is also underlined that early mobilization involves multidisciplinary teamwork. As healthcare professionals, nurses are an important member of the multidisciplinary team in the implementation of early and targeted mobilization programs to maintain the quality of care after surgery. This review aimed to highlight the roles and responsibilities of surgical nurses in early and targeted mobilization practices after surgery and the importance of early and targeted mobilization and discuss the barriers encountered in achieving early and targeted mobilization and the recommendations of current guidelines on this subject.

Formation of the Future Tourism Specialists’ Cultural Experience in the Conditions of the Digital Society

Abstract. The integration of Ukraine into the international tourism space requires the training of future specialists in the field of tourism who are ready to work in the conditions of a digital society on the basis of intercultural dialogue. In this context, the problem of forming their cultural experience on the ground of intercultural communicative interaction with observance of network principles is actualized. The purpose of the article is to study new forms of culture of the electronic type, to analyse the possibilities of introducing digital technologies in the process of forming the cultural experience of future specialists in the sphere of tourism. Research methods were used to achieve the defined goal: system-structural method; abstract-logical; statistical methods; modelling method. Results. Deep structural transformations in the tourism industry are accelerating the pace of transformations of individual and collective cultural practices in which computer visualization is used. It is about the introduction of innovative forms of digital transformation, new Internet technologies, and the construction of cultural practices of spatial mobility into the process of forming the future tourism specialists` cultural experience. Cultural experience involves the creation of effective ways of interacting with the audience using digital means and the implementation of them in the process of professional training. As a result, the hierarchy of values of modern travel in virtual space is changing; new configurations of tourism with elements of digital culture are being formed. The personalization of tourist behaviour models for future specialists in the field of tourism is realized thanks to electronic resources, elements of remote technologies, multimedia equipment that function in the educational environment (MOODLE). Conclusions. The formation of the future tourism specialists` cultural experience in the conditions of the digital society takes place under the conditions of virtual reality of the 21st century, which changes the models of tourist behaviour, makes corrections in individual and collective cultural tourism practices.