Now showing items 1-20 of 7627

    • Improvement of water quality for mass anopheline rearing: Dynamics of larval tray bacterial communities under different water treatments revealed by 16S ribosomal RNA amplicon sequencing

      Akpodiete, Nwamaka O.; Carlos, Bianca; Voges, Kamila; Nunes, Bruno Tinoco; Souza-Neto, Jayme Augustus; Noulin, Florian; Tonge, Daniel; Zuharah, Wan Fatma; Tripet, Frédéric; University of Chester; São Paulo State University; Universidade Federal do Rio de Janeiro; Thermo Fisher Scientific; Kansas State University; PoloGGB; Keele University; Universiti Sains Malaysia; Swiss Tropical and Public Health Institute; University of Basel (Oxford University Press, 2025-05-05)
      BACKGROUND: Immature anophelines inhabit aquatic environments with diverse physicochemical properties and microorganisms. In insectary settings, ammonia accumulation in larval rearing trays can lead to high larval mortality. Bacterial communities in these trays may influence ammonia levels through nitrification and denitrification. While symbiotic bacteria are known to be crucial for nutrition, digestion, reproduction, and immune responses in anophelines, the microbial communities specifically associated with Anopheles coluzzii larvae have not been characterised. METHODS AND RESULTS: Building on a study examining ammonia-capturing zeolite and water changes for rearing Anopheles coluzzii, this research characterised the bacterial communities using 16S rRNA gene sequencing to identify species linked to larval survival and phenotypic quality. Functional filters were applied to identify bacteria related to ammonia nitrification and their impact on larval development. qPCR was used to validate the sequencing data for the ten most significant bacteria. Water changes significantly reduced bacterial diversity and abundance, improving adult mosquito development and quality. In contrast, untreated trays showed a higher abundance of potentially harmful bacteria, adversely affecting development. Applying zeolite increased nitrifying bacteria presence, benefiting mosquito growth while lowering toxic bacteria levels-trends confirmed by qPCR. CONCLUSIONS: This study offers insights into the bacterial communities in mosquito larval-rearing water, highlighting species that could enhance ammonia nitrification and overall rearing success.
    • Professional learning in physical education

      Jones, Luke; University of Chester (Taylor & Francis, 2025-05-09)
      Professional learning in physical education is typically experienced as a coaching course where the predetermined content is delivered to teachers in short, one-off sessions. This approach can have value, but greater interest is now being shown in more transformative approaches to professional learning that are based on sustained collaboration with peers within the context of the teacher’s classroom. This paper examines three such approaches: Practitioner enquiry, lesson study, and the teacher research group. More specifically, it shares findings from relevant empirical studies, particularly the author’s own research, to understand the potential values of these approaches and identify the features that provide support for teachers and lead to progress in students’ learning.
    • Massive declines and local recoveries: First range-wide assessment spotlights ending egg-taking as key to the survival of the Macrocephalon maleo (Maleo)

      Summers, Marcy; Geary, Matthew; Tasirin, Johny S; Djuni, Nurlin; Summers, Landon J; Kresno, Pandji A; Laya, Agustian; Sawuwu, Stallin M; Bawotong, Adrianus; Abas, Wiranto; et al. (Oxford University Press, 2025-05-03)
      The communally nesting, Critically Endangered Macrocephalon maleo (Maleo) is an iconic species endemic to Sulawesi, Indonesia, yet despite decades of legal protection its populations have declined sharply across its range. We performed the first-ever range-wide field survey of Maleo nesting grounds, visiting 122 known and identifying 58 previously unrecorded sites, collecting physical and biological data and interviewing local informants at each. We added information from the literature for another 48 abandoned sites, documenting a total of 228 historic and current nesting grounds. We then constructed a profile of historic and current populations and area of occupancy (AOO) units across Sulawesi. Between 1980 and 2019, 55% of active nesting grounds became inactive, and all but one of the 94 sites that remained active in 2019 had fewer birds. In 2019, 83% of all nesting grounds active in 1980 were either completely abandoned or just barely active, hosting no more than 2 pairs day–1 at peak season. However, conservation efforts have also produced significant recoveries and discoveries. Our survey increased the range of described landscape types where Maleo nest from 2 to 4, and documented Maleo nesting in previously unrecorded places, including artificially created sandy areas. As the Maleo’s maximum travel distance beyond nesting grounds is unknown, we applied a cost-based approach using possible maximum travel distances of 25, 40, and 50 km to define AOO “Units” that represent a set of separate range-wide subpopulations defined by each maximum travel distance. Between 1980 and 2019, the overall AOO declined by 37%, 26%, and 19% at maximum travel distances of 25, 40, and 50 km, respectively; the number of active nesting grounds in each isolated unit declined by 58%, 78%, and 80%, respectively; and fragmentation (i.e., the total number of units) increased by 5%, 100%, and 125%, respectively. In some areas, Maleo may be changing their behavior in response to egg predation by humans. Ending egg-taking has now clearly been shown to produce Maleo increases in multiple locations and is crucial to range-wide recovery of the species.
    • “It’s just not something we do at school”. Adolescent boys’ understanding, perceptions, and experiences of muscular fitness activity

      Cox, Ashley; Fairclough, Stuart J.; Noonan, Robert J.; Edge Hill University; University of Liverpool (MDPI, 2021-05-05)
      BACKGROUND: English youth typically do not sufficiently engage in the types and intensities of physical activity that develop muscular fitness. The aim of this study was to use a combination of qualitative techniques to explore adolescent boys' understanding, perceptions, and experiences of physical activity and the role muscular fitness plays within boys' physically active lifestyles. METHODS: Focus group interviews with a write, draw, show, and tell activity were conducted with 32 adolescent boys aged 14-16 years from 3 secondary schools. Three separate sources of data (frequency counts, verbatim transcripts, and visual data) were generated and were pooled together and triangulated. Data were analysed deductively, first using the Youth Physical Activity Promotion model as a thematic framework, and then inductively. RESULTS: Physical activity was frequently associated with organised sport, and most boys were unaware of current UK physical activity guidelines. Co-participation was frequently reported as a reinforcing factor to physical activity. CONCLUSIONS: There was a perceived lack of opportunity to participate in muscular fitness activities, particularly in school, and knowledge of how to conduct muscular fitness activities was limited. The contribution of physical education was highlighted as being key to facilitating exposure to muscular fitness activities.
    • The influence of adolescent sport participation on Body Mass Index tracking and the association between Body Mass Index and self-esteem over a three-year period

      Noonan, Robert J.; University of Bolton; University of Liverpool (MDPI, 2022-11-24)
      This study aimed to (1) investigate gender-specific characteristics associated with low sport participation among UK adolescents, and (2) assess gender-specific BMI tracking, and gender-specific associations between BMI and self-esteem based on different levels of adolescent sport participation. Participants were 9046 (4523 female) UK adolescents. At 11- and 14 years self-esteem was self-reported and BMI was calculated from objectively measured height and weight. At 11- years sport participation was parent-reported. Gender-specific sport participation quartile cut-off values categorised boys and girls separately into four graded groups. Gender-specific χ<sup>2</sup> and independent samples t tests assessed differences in measured variables between the lowest (Q1) and highest (Q4) sport participation quartiles. Adjusted linear regression analyses examined BMI tracking and associations between BMI and self-esteem scores. Gender-specific analyses were conducted separately for sport participation quartiles. Compared to Q4 boys and girls, Q1 boys and girls were more likely to be non-White, low family income, have overweight/obesity at 11 years and report lower self-esteem at 11 years and 14 years. BMI at 11 years was positively associated with BMI at 14 years for boys and girls across sport participation quartiles. BMI at 11 years was inversely associated with self-esteem scores at 11 years for Q1 and Q2 boys, and Q1 and Q4 girls. BMI at 11 years was inversely associated with self-esteem scores at 14 years for Q1, Q3 and Q4 boys, and Q1, Q2, Q3 and Q4 girls. Gender and sport participation influence BMI tracking and the BMI and self-esteem association among adolescents.
    • The feasibility and acceptability of an online CPD programme to enhance PE teachers’ knowledge of muscular fitness activity

      Cox, Ashley; Noonan, Robert J.; Fairclough, Stuart J.; Edge Hill University; University of Liverpool; University of Bolton (MDPI, 2022-09-25)
      Schools provide an opportunity to enhance muscular fitness of English youth during physical education (PE). Continued professional development (CPD) among teachers may improve muscular fitness activity delivery in schools. This study sought to assess the feasibility and acceptability of an online CPD programme to enhance PE teachers' knowledge of muscular fitness activity. METHODS: Co-production of an online CPD platform was undertaken with five secondary school PE teachers. A quasi-experimental pre-post control group design for the CPD was adopted (CPD group <i>n</i> = 76, control <i>n</i> = 32). Upon CPD completion feedback was solicited for qualitative analysis. RESULTS: Pre-and-post CPD knowledge quiz data were available from 65 participants (55.4% male). The median knowledge quiz change score was significantly higher in the CPD group than in the wait list control group (CPD score vs. control score; U =37, z = -5.96, <i>p</i> &lt; 0.01). Three primary themes reflecting factors associated with the acceptability and feasibility were (1) practical application, (2) support and resources, and (3) knowledge and confidence. CONCLUSIONS: Co-production of an online CPD programme can improve knowledge and affect practice. PE teachers that completed the CPD reported the online platform was beneficial to overcoming the limitations of face-to-face CPD such as time and financial constraints and suggested the content covered was beneficial and appropriate to their teaching. Future work is required to establish links between teachers' learning following CPD, the translation into PE practice and student MF outcomes.
    • Prevalence of perceived discrimination and associations with mental health inequalities in the UK during 2019–2020: A cross-sectional study

      Maletta, Rosanna May; Daly, Michael; Goodwin, Laura; Noonan, Rob; Putra, I Gusti Ngurah Edi; Robinson, Eric; University of Liverpool; Maynooth University; Lancaster University (Elsevier, 2023-02-06)
      Experiencing discrimination is associated with poorer mental health and the demographic patterning of discrimination may explain social inequalities in mental health. The present research examined prevalence of perceived discrimination in the UK and associations with social inequalities in mental health. Data were taken from the UK Household Longitudinal Study (n = 32,003). Population subgroups (sex, age, ethnicity, health, religiousness, income, education, and occupation), perceived personal discrimination (personal experience) and perceived belonging to a discriminated group (identified as belonging to a group discriminated against in this country), and probable mental health problems (GHQ-12 assessed, cut off 4+) were reported on in 2019/2020. Nineteen percent of participants perceived personal discrimination in the last year, 9% perceived belonging to a discriminated group, and 22% had probable mental health problems. There were significant inequalities in both perceived discrimination and mental health. Being a younger adult, of mixed ethnicity, having health problems, having a university degree, and being unemployed increased risk of mental health problems and these associations were partially explained by perceived discrimination being more common among these groups. Perceived discrimination is common among UK adults, but prevalence differs by population subgroup. Perceived discrimination may contribute to social inequalities in mental health.
    • The Physical Behaviour Intensity Spectrum and Body Mass Index in school-aged youth: A compositional analysis of pooled individual participant data

      Fairclough, Stuart J.; Hurter, Liezel; Dumuid, Dorothea; Gába, Ales; Rowlands, Alex V.; del Pozo Cruz, Borja; Cox, Ashley; Crotti, Matteo; Foweather, Lawrence; Graves, Lee E. F.; et al. (MDPI, 2022-07-19)
      We examined the compositional associations between the intensity spectrum derived from incremental acceleration intensity bands and the body mass index (BMI) z-score in youth, and investigated the estimated differences in BMI z-score following time reallocations between intensity bands. School-aged youth from 63 schools wore wrist accelerometers, and data of 1453 participants (57.5% girls) were analysed. Nine acceleration intensity bands (range: 0−50 mg to ≥700 mg) were used to generate time-use compositions. Multivariate regression assessed the associations between intensity band compositions and BMI z-scores. Compositional isotemporal substitution estimated the differences in BMI z-score following time reallocations between intensity bands. The ≥700 mg intensity bandwas strongly and inversely associated with BMI z-score (p < 0.001). The estimated differences in BMI z-score when 5 min were reallocated to and from the ≥700 mg band and reallocated equally among the remaining bands were −0.28 and 0.44, respectively (boys), and −0.39 and 1.06, respectively (girls). The time in the ≥700 mg intensity band was significantly associated with BMI z-score, irrespective of sex. When even modest durations of time in this band were reallocated, the asymmetrical estimated differences in BMI z-score were clinically meaningful. The findings highlight the utility of the full physical activity intensity spectrum over a priori-determined absolute intensity cut-point approaches.
    • Changes in the prevalence of perceived discrimination and associations with probable mental health problems in the UK from 2015 to 2020: A repeated cross-sectional analysis of the UK Household Longitudinal Study

      Maletta, Rosanna May; Daly, Michael; Goodwin, Laura; Noonan, Rob; Putra, I Gusti Ngurah Edi; Robinson, Eric; University of Liverpool; Maynooth University; Lancaster University; University of Bolton (Elsevier, 2024-04-02)
      Background: Significant social and political changes occurred in the UK between 2015 and 2020. Few studies have examined population level trends in experiencing discrimination and mental health problems during this period. Aims: To determine prevalence trends in perceived discrimination and probable mental health problems amongst UK adults during 2015-2020. Method: Repeated cross-sectional data from the UK Household Longitudinal Study was used to estimate nationally representative trends in perceived discrimination and probable mental health problems (GHQ-12; 4+ threshold) among adults between 2015/2016-2019/2020 (25,756 observations). Weighted logistic regression models with post-estimation margins commands determined changes between survey waves controlling for sociodemographic characteristics. Mediation models explored whether changes in perceived discrimination prevalence trends explained trends in probable mental health problems. Results: From 2015/2016 to 2019/2020 perceived discrimination and probable mental health problems increased significantly by 6·1% (95% CI: 3·4-8·8, <i>p</i> &lt;·001) and 4·5% (95% CI: 1·3-7·7, <i>p</i> = ·006), respectively. These changes did not tend to reliably differ by sociodemographic grouping. Increased prevalence of probable mental health problems from 2015/2016 to 2019/2020 was partially explained (15·2% of association mediated) by the increase in perceived discrimination observed during the same time period. Conclusions: Amongst UK adults, the prevalence of perceived discrimination and probable mental health problems increased between 2015/2016 to 2019/2020. Increases in perceived discrimination partially explained increases in probable mental health problems. National measures designed to reduce both discrimination and mental health problems have potential to make substantial improvements to public health and should be prioritised in the UK.
    • Side preferences in human dyads when walking: the influence of country, threat, handedness, and sex

      Rodway, Paul; Schepman, Astrid; University of Chester (Taylor & Francis, 2025-05-08)
      In several species, lateral position preferences have been observed in pair mates, mother–infant dyads, and during agonistic interactions. This research examined side preferences in human dyads in an observational study and survey. We observed 1236 male–female pairs walking in the UK and found a bias for males to walk on the right side of the pair, which did not depend on hand-holding, or walking during daylight or darkness. The survey measured side preferences in 798 participants (398 left-handed, 411 right-handed), from the UK (402) and USA (396). Participants chose a side to walk when walking with their partner, or alone, in various threatening/non-threatening scenes. Threat did not influence preference in walking couples, but males, when passing a threatening stranger, preferred the best combat side for their handedness. Country and handedness also influenced preferences. Left-handers preferred the left side and right-handers preferred the right side, and USA participants exhibited a more rightward preference than UK participants. The pattern of preference for each country was equivalent, showing independent influences of handedness and cultural learning. Overall, the results suggest that males and females prefer the side that allows their dominant hand to be on the outside of the dyad.
    • Adolescent time use and mental health: a cross-sectional, compositional analysis in the Millennium Cohort Study

      Atkin, Andrew J.; Dainty, Jack R.; Dumuid, Dorothea; Kontostoli, Elli; Shepstone, Lee; Tyler, Richard; Noonan, Robert; Richardson, Cassandra; Fairclough, Stuart J.; University of East Anglia; University of South Australia; Edge Hill University; University of Liverpool; University of Winchester (BMJ Publishing Group, 2021-10-05)
      OBJECTIVE: To examine the association of 24-hour time-use compositions with mental health in a large, geographically diverse sample of UK adolescents. DESIGN: Cross-sectional, secondary data analysis. SETTING: Millennium Cohort Study (sixth survey), a UK-based prospective birth cohort. PARTICIPANTS: Data were available from 4642 adolescents aged 14 years. Analytical samples for weekday and weekend analyses were n=3485 and n=3468, respectively (45% boys, 85% white ethnicity). PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome measures were the Strengths and Difficulties Questionnaire (SDQ, socioemotional behaviour), Mood and Feelings Questionnaire (MFQ, depressive symptoms) and Rosenberg Self-Esteem Scale (RSE, self-esteem). Behavioural exposure data were derived from 24-hour time-use diaries. RESULTS: On weekdays, participants spent approximately 54% of their time in sleep, 3% in physical activity, 9% in school-related activities, 6% in hobbies, 11% using electronic media and 16% in domestic activities. Predicted differences in SDQ, MFQ and RSE were statistically significant for all models (weekday and weekend) that simulated the addition or removal of 15 min physical activity, with an increase in activity being associated with improved mental health and vice versa. Predicted differences in RSE were also significant for simulated changes in electronic media use; an increase in electronic media use was associated with reduced self-esteem. CONCLUSION: Small but consistent associations were observed between physical activity, electronic media use and selected markers of mental health. Findings support the delivery of physical activity interventions to promote mental health during adolescence, without the need to specifically target or protect time spent in other activities.
    • Reference values for wrist-worn accelerometer physical activity metrics in England children and adolescents

      Fairclough, Stuart J.; Rowlands, Alex V.; del Pozo Cruz, Borja; Crotti, Matteo; Foweather, Lawrence; Graves, Lee E. F.; Hurter, Liezel; Jones, Owen; MacDonald, Mhairi; McCann, Deborah A.; et al. (BioMed Central, 2023-03-25)
      Background: Over the last decade use of raw acceleration metrics to assess physical activity has increased. Metrics such as Euclidean Norm Minus One (ENMO), and Mean Amplitude Deviation (MAD) can be used to generate metrics which describe physical activity volume (average acceleration), intensity distribution (intensity gradient), and intensity of the most active periods (MX metrics) of the day. Presently, relatively little comparative data for these metrics exists in youth. To address this need, this study presents age- and sex-specific reference percentile values in England youth and compares physical activity volume and intensity profiles by age and sex. Methods: Wrist-worn accelerometer data from 10 studies involving youth aged 5 to 15 y were pooled. Weekday and weekend waking hours were first calculated for youth in school Years (Y) 1&2, Y4&5, Y6&7, and Y8&9 to determine waking hours durations by age-groups and day types. A valid waking hours day was defined as accelerometer wear for ≥ 600 min·d−1 and participants with ≥ 3 valid weekdays and ≥ 1 valid weekend day were included. Mean ENMO- and MAD-generated average acceleration, intensity gradient, and MX metrics were calculated and summarised as weighted week averages. Sex-specific smoothed percentile curves were generated for each metric using Generalized Additive Models for Location Scale and Shape. Linear mixed models examined age and sex differences. Results: The analytical sample included 1250 participants. Physical activity peaked between ages 6.5–10.5 y, depending on metric. For all metrics the highest activity levels occurred in less active participants (3rd-50th percentile) and girls, 0.5 to 1.5 y earlier than more active peers, and boys, respectively. Irrespective of metric, boys were more active than girls (p < .001) and physical activity was lowest in the Y8&9 group, particularly when compared to the Y1&2 group (p < .001). Conclusions: Percentile reference values for average acceleration, intensity gradient, and MX metrics have utility in describing age- and sex-specific values for physical activity volume and intensity in youth. There is a need to generate nationally-representative wrist-acceleration population-referenced norms for these metrics to further facilitate health-related physical activity research and promotion.
    • Strong convergence for efficient full discretization of the stochastic Allen-Cahn equation with multiplicative noise

      Qi, Xiao; Wang, Lihua; Yan, Yubin; Jianghan University; University of Chester (Elsevier, 2025-04-25)
      In this paper, we study the strong convergence of the full discretization based on a semi-implicit tamed approach in time and the finite element method with truncated noise in space for the stochastic Allen-Cahn equation driven by multiplicative noise. The proposed fully discrete scheme is efficient thanks to its low computational complexity and mean-square unconditional stability. The low regularity of the solution due to the multiplicative infinite-dimensional driving noise and the non-global Lipschitz difficulty intruduced by the cubic nonlinear drift term make the strong convergence analysis of the fully discrete solution considerably complicated. By constructing an appropriate auxiliary procedure, the full discretization error can be cleverly decomposed, and the spatio-temporal strong convergence order is successfully derived under certain weak assumptions. Numerical experiments are finally reported to validate the theoretical result.
    • An ethnographic study of multidisciplinary collaboration: the role of psychological safety at a high secure forensic inpatient hospital in Germany

      Theunissen-Schuiten, Lettie; University of Chester (Emerald, 2025-05-06)
      Purpose: This study aims to provide an in-depth understanding of staff perspectives of enablers and barriers to multidisciplinary team (MDT) collaboration and the role of psychological safety (PS) within a high secure forensic inpatient hospital. Design/methodology/approach: A qualitative ethnographic design was adopted. Data were sourced for thematic analysis from 10 observations of treatment meetings, 13 in-depth interviews, and informal conversations among 49 professionals belonging to seven professions, between March 2017 and June 2018. Findings: Four central themes were discovered: a shared approach to care, informal relationships, leadership–power–hierarchy, and PS – influenced by all and influencing all. The absence of a shared approach to care, informal relationships, inclusive leadership, construction of meetings, perceived equality between professions, and feelings of belonging and value to the MDT exert the greatest influence on PS and MDT collaboration. Practical implications: Leaders and knowledgeable staff are advised to: - adopt an inclusive leadership style, - give meeting ownership and chairing to professions low in the hierarchy – design a multidisciplinary concept of treatment with informal relationships, and establish clear roles/responsibilities that enhance equality, value, and belonging to promote PS and diminish perceived power distance between professions. Originality/value: MDT collaboration that aims to socially construct knowledge and share information about patients through communication in meetings is not possible without first consciously creating a safe organisational culture and local context that enables staff to overcome the perceived power distance between professions.
    • Reclaiming work design in the age of automation: A call to human-centric strategy

      Murphy, Liam; University of Chester (Emerald, 2025-05-06)
      Purpose: This paper revisits work design theory in light of rapid advancements in workplace automation, arguing that traditional models are no longer sufficient for addressing the complexities introduced by digital automation technologies (DAT). It aims to reposition work design as a central strategic concern for organisations navigating technological change. Design/methodology/approach: The paper adopts a narrative review, drawing from contemporary academic literature and recent empirical studies, to offer reflective commentary grounded in current research. Findings: Despite increasing attention to automation’s impact on job displacement, there remains a limited focus on how work design can respond to negative outcomes and promote employee engagement, innovation, and retention. Originality/value: This paper offers a timely call to action for HR leaders and work design researchers. It urges a shift away from purely technical implementations of automation toward more human-centred, strategically designed work environments. The piece contributes original value by framing work design as both a challenge and an opportunity in the digital economy.
    • "This disease has made me lose the belief I had in myself": qualitative analysis of experiences among buruli ulcer disease patients in Nigeria using the socioecological model of health

      Azubuike, Precious Chidozie; Onyekachi, Ebuka Light; Enyam, Michael Obule; Nwadiche, Miracle; Ogbonna, Chimankpam Kingsley; Timothy, Promise Nmesomachi; Uchegbu, Eberechukwu Ruth; Abuo, James; Akinreni, Temidayo; University of Calabar; University of Chester; Louisiana State University; Ebonyi State University; University of Uyo; Federal University of Technology; Ruprecht-Karls Universität Heidelberg (Springer Nature, 2025-05-02)
      Introduction: Buruli Ulcer Disease is a debilitating neglected tropical disease caused by “Mycobacterium ulcerans”, predominantly affecting marginalized populations in tropical and subtropical regions, including Nigeria. Previous studies have reported a prevalence rate of 61.3% for the disease, highlighting its significant burden on affected communities. Much of the existing research has focused on the biomedical aspects of BUD, often neglecting the sociocultural and environmental dimensions crucial to patient experiences and outcomes. This study utilizes the socioecological model of health to explore the complex interplay of individual, interpersonal, community, and societal factors shaping the experiences of buruli ulcer disease patients in Nigeria. Methods: Our qualitative study was conducted among people living with buruli ulcer disease in Enugu state. Data collection involved only one Focus Group Discussion with eight discussants due to the sensitive nature of the topic, and six Key Informant Interviews, encompassing a diverse group of buruli ulcer disease patients. The WHO Quality of Life-BREF was adapted for data collection, which was conducted by a trained team. Data were analyzed using content analysis to inductively code themes and identify overarching categories, supported by NVivo (version 12). Results: Our findings reveal the diverse experiences of patients across various levels of socioecological model. At the individual level: participants reported significant physical and psychological challenges, including persistent pain, discomfort, disfigurement, and the emotional toll of stigmatization. Interpersonal level: experiences of social rejection, loss of social roles, and abandonment by family members were reported. These interpersonal challenges were exacerbated by the stigma surrounding the disease, leading to strained relationships and a sense of isolation within their social circles. At the organizational level: some individuals experienced compassion and assistance, others faced social isolation, discrimination, and exclusion due to misconceptions. Broader community level included limited awareness, which resulted in a lack of resources and formal support systems. Conclusion: BUD patients in Nigeria endure considerable negative psychosocial experiences, particularly at the interpersonal and community levels. Enhancing community awareness and support is crucial to mitigating these impacts. Further research should explore family-level psychosocial experiences and other contributing factors to provide a more comprehensive understanding and inform effective intervention strategies.
    • Theodicy and Hope in Hans Frei's Theology

      Fulford, Ben; Collins, Drew; Fulford, Ben (Wipf and Stock, 2026)
      Susan Neiman has argued that the problem of evil in modern European philosophy concerns the absence of intelligibility, meaning and justice that threatens the trust in the world we need to understand it and act in it. In light of Frei's reading of H. Richard Niebuhr's theology as theodicy in similar terms, we may read Frei’s own Christological understanding of providence as a kind of theodicy, at once sombre, hopeful and restrained, with a practical, political force.
    • PhyBaSE: A Bayesian structural equation model approach to causal inference in phylogenetic comparative analyses

      von Hardenberg, Achaz; Gonzalez‐Voyer, Alejandro; University of Chester; University of Pavia; Universidad Nacional Autónoma de México (WileyBritish Ecological Society, 2025-04-29)
      One of the main limitations of phylogenetic comparative analyses is that associations between traits can only be interpreted as correlations. Here, we present a novel Bayesian structural equation model (PhyBaSE) which allows us to disentangle direct from indirect relationships among variables to propose potential causal hypotheses while accounting for phylogenetic non‐independence. Compared with the existing maximum‐likelihood based approach, PhyBaSE models are more flexible, allowing the inclusion of trait and phylogenetic uncertainty, as well as non‐continuous variables. To facilitate the application of the method, we provide worked examples, data and code. We exemplify the method both with simulated as well as empirical data. Our analyses with simulated data indicate that PhyBaSE models have higher power than classic Phylogenetic Path Analysis to discriminate between competing models. As an example of PhyBaSE using empirical data, we revisit different hypotheses proposed to explain the relationship between relative brain size and group size in Bovids. Our results challenge the previously supported social brain hypothesis and provide support for an allometric effect of body size on social group size and an effect of brain size on life span, as predicted by the cognitive buffer hypothesis. The flexibility of PhyBaSE models will allow researchers to explore more complex hypotheses on the evolution of behavioural, ecological and life history traits at a macroevolutionary level and how these are linked to anthropogenic drivers of biodiversity loss and extinction, taking full advantage of the increasing number of publicly available species‐specific datasets.
    • Potential for behaviour change among Kenyan type 2 diabetes service users and to understand behaviour change from healthcare professionals’ perspectives

      Fallows, Stephen; Waithaka, Eve N. (University of Chester, 2024)
      Introduction: The rising type two diabetes mellitus (T2DM) prevalence is largely due to unhealthy dietary practices, lack of physical activity, economic development, urbanisation, and an ageing population. Management of T2DM involves pharmacological treatment and or lifestyle behaviour changes focusing on diet and physical activity behaviour modifications. Diet and physical activity behaviour modifications are crucial in T2DM management. However, behaviour change is complex and challenging and more so in diet and physical activity behaviours as these are influenced by a myriad of behavioural, social, emotional and environmental, neuroendocrine and genetic factors. Behaviour change thus remains one of the most significant public health concerns. Underpinning this research study is the continued challenge with behaviour change among T2DM service users that leads to development of T2DM related complications and even death. The purpose of this study was therefore to examine the likelihood to change behaviour so as to avoid T2DM related complications and to explore whether being in receipt of the recommended care services had any influence on likelihood to change behaviour. This is particularly important because numerous interventions have been carried out but while change may be initially noted, the positive behaviour is in many cases not sustained over time. The main impact of this study to provide an understanding on the influences of behaviour change as influenced by the health belief model and to explore hinderances to access to the diabetes recommended care services. Methods: The study utilised a mixed-method approach to gain an in-depth comprehension of the topic. The target population for the study comprised of T2DM service users at the Thika Level 5 Hospital diabetes comprehensive clinic and healthcare professionals directly involved in T2DM management. Through power calculations, a sample size of 346 service users was determined. Forty three healthcare professionals were also included in the study as key informants. The inclusion criterion for the diabetes clinic service users was persons diagnosed with type two diabetes and aged 20-70. The inclusion criterion for the healthcare professionals was those who directly worked with service users with regards to behaviour change. Purposive sampling was used in selecting the participants for the study. The exclusion criterion for the service users was those who had type one diabetes or were aged below 20 or above 70 years. For the healthcare professionals, those not directly involved with type two diabetes service users behaviour change (diet and physical activity) were not included in the study. Questionnaires were used to collect quantitative data from the service users. Semi-structured individual interviews were used to collect data from the healthcare professionals. Quantitative data was coded and entered into the Statistical Package for Social Sciences, Version 28.0, for analysis. Qualitative data was entered into Nvivo 13 for thematic analysis. Findings: Behaviour change among healthcare professionals and T2DM service users is based on four constructs of the health belief model: susceptibility to complications, intention to exercise, perceived benefits of exercise and health eating and healthy eating intentions (likened to cues to action). Different factors that affect T2DM management are categorised into predisposing factors, reinforcing factors and enabling factors. Management processes of T2DM should include primary targets to prevent T2DM, primary targets towards promoting behaviour change, actions engaged in the management of T2DM, multi-sectorial approaches and actions by other sectors. Conclusion: According to the study, behaviour change is perceived differently among healthcare professionals and service users. The study therefore recommends that tailored messages should be delivered to different categories of patients so as to enhance behaviour change. The health belief model should be adopted in crafting the messages so as to so as to effectively address complications (perceived susceptibility and severity) associated with T2DM, perceived barriers, perceived benefits, and self-efficacy for behaviour change to be effective. A “one size fits all” approach is not recommended when coming up with interventions towards behaviour change. Further, the study also concludes that policy makers in the Kenyan health system should consider predisposing factors, reinforcing factors and enabling factors towards T2DM management policy making. Since T2DM management involves different targets, the Kenyan health system should engage different stakeholders. A “one size fits all” approach is therefore not appropriate towards T2DM management.