This week Notan Dutta, from our collaborating research organisation CIPRB (Centre for Injury Prevention and Research Bangladesh) presented a poster on ‘Identifying the strengths and challenges from the perspective of primary caregivers of drowning prevention interventions in Bangladesh’ at the 15th World Conference on Injury Prevention & Safety Promotion (Safety 2024). One of the co-authors of this poster presentation is Bournemouth University’s PhD student Md. ShafkatHossain. Shafkat also attended the conference in India. Shafkat was in Delhi funded by Bloomberg Philanthropies as part of its Emerging Leaders in Drowning Prevention programme. This initiative brings together a cohort of younger leaders to join national and international efforts to raise awareness and strengthen solutions and political commitment towards drowning.
Our research into drowning prevention of under two-year old children in rural Bangladesh is funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information about our ongoing collaborative research in Bangladesh, please see the NIHR website. This is an interdisciplinary project between Bournemouth University, CIPRB, the RNLI (Royal National Lifeboat Institute), the University of the West of England, the University of the West of England, and Design Without Borders (DWB) in Uganda.
Prof. Edwin van Teijlingen & Dr. Mavis Bengtsson
Centre for Midwifery & Women’s Health
Reference:
Dutta N, Hossain S, Morshed G, et al. (2024) 197 Identifying the strengths and challenges from the perspective of primary caregivers of drowning prevention interventions in Bangladesh,Injury Prevention30:A39-A40.
AHRC, the Arts and Humanities Research Council, is excited to invite applications from across the arts and humanities communities, representing different career stages, sectors, and disciplines, to join their Advisory Board.
Supporting AHRC’s vision
As an expert support and advisory body, the Advisory Board’s pragmatic advice reflects both the arts and humanities research communities’ perspectives and the needs and challenges facing arts and humanities research, innovation and practice. It supports the development of strategic partnerships that facilitates the delivery of AHRC’s vision and balances the strategic needs of both our research community and AHRC’s position as a strategic funder.
As a member of AHRC’s Advisory Board, you will also be committed to championing the work of AHRC across the wider research community, building connections and being adaptable. You will value a diversity of opinion across board members and staff and challenge us to ensure the shape of our portfolio delivers maximum return on investment.
Key areas of advice
Over the past two years, AHRC have worked closely with their Advisory Board and benefited from their key contributions in several key areas of work, for example:
in the development of our future doctoral provision
in establishing and enacting our equality, diversity and inclusion (EDI) action plan
in the transformation of our responsive mode grants schemes
Closing date for applications: 12 September 2024
Please do reach out to AHRC directly, or get in touch with RDS if you would like to discuss the opportunity further.
The University of Huddersfield recently hosted the 2nd annual meeting for theGlobal Consortium for Public Health Research (GCPHR), with the theme ‘Research Priority in Nepal’. A lovely write-up of the even just appeared online (click hereto read this). Among its invited international delegates were Dr. Pramod Regmi (Centre for Wellbeing & Long-Term Health) and Prof. Edwin van Teijlingen (Centre for Midwifery & Women’s Health). GCPHR is led by Prof Padam Simkhada, Professor of Global Health and Associate Dean (International) of the School of Human & Health Sciences at the University of Huddersfield as well as Visiting Professor in the Faculty of Health & Social Sciences at Bournemouth University. This interdisciplinary event was funded by funded by the University of Huddersfield’s PVC International’s International collaborative fund(ICF).
After the event BU’s Dr. Pramod Regmi reminded us that: “It is important to meet up in person, especially for larger international and interdisciplinary research projects. There is only so much you can do online in meeting.” There is a great advantage of online meetings by Zoom, Teams or Google Meet, especially when working with countries like Nepal. Not least of course in reducing our global carbon footprint. Of course, such meeting help academics to build and maintain research contacts across the globe, but it is not the same as sitting in the same room with someone and share ideas over coffee.
Mapping projects related to mass atrocities and human rights violations are prevalent across the globe. Despite their often well-intentioned origins, there has been minimal practical research and subsequent output focused on what constitutes effective mapping. Furthermore, there is a lack of guidance on how to balance the pursuit of justice with the need to protect victims and affected communities. This raised an essential question:where, when and under what circumstances should mapping of mass graves be avoided or kept secret so that protection is not jeopardised?
In 2022, Professor Melanie Klinkner and Dr Ellie Smith secured Leverhulme funding to address this critical question. As of August 30th, 2024, the project’s output has been completed and is now available as an open-access resource for global use. The output is accessible both online and in a physical format, consisting of a comprehensive workbook accompanied by a set of removable tools designed to guide practitioners through the mapping process. These tools include:
Mapping Process Flowchart: The flowchart illustrates the life cycle of a mass grave, highlighting the key stages and considerations at each step, all guided by the protection of rights.
Mapping Decision Tree: Accompanying the flowchart, the decision tree highlights concerns and necessary actions that must be addressed before progressing with mapping at each stage.
Risk Register: This element assists in decision-making processes by enabling logging and evaluations of risks and subsequent mitigation strategies.
Upon completion of the research Dr Ellie Smith outlines that:
“Mapping mass graves in an open-source format has the potential to provide longer-term protection of the site, as well as a means of countering revisionism, but is not without risks. The aim of our MaGMap tools is to enable anyone involved in mass grave mapping to do so in a way that is safe for survivors, witnesses and the families of victims, and preserves the integrity of the site as a crime scene”.
For Professor Melanie Klinkner the finalisation of these resources means that:
“Theoretical, transferable foundations have been laid to inform continued research and current mapping of atrocity practices. In fact, much of what we have learned during the course of the project now guides our own approach to building a regularised global mass grave map. This is significant: it will enable us to fully appraise the scale and magnitude of mass graves across the world in a rights-compliant and safe manner”.
Professor Sine McDougall co-authors this article for The Conversation about whether beauty matters in housing policy and what makes a beautiful building…
Is there such a thing as an objectively beautiful building? Here’s the science
Some people assume that there’s a type of beauty that everyone can agree on. But did early humans really admire slender bodies the way we do today? After all, fashions come and go – there’s been plenty of fads throughout history that we find hard to understand today.
The UK’s deputy prime minister, Angela Rayner, recently suggested “beautiful” needs to be removed from the government’s housing policy on the grounds it is too subjective. She said in an interview that “beautiful means nothing really, it means one thing to one person and another thing to another”.
She isn’t alone. Many people support the notion, first stated by the Irish novellist Margeret Wolfe Hungerford, that “beauty is in the eye of the beholder”.
But is this true? The current state of our knowledge on aesthetics, and specifically what we consider beautiful, is a mosaic of empirical discoveries. For over 150 years, psychologists have run carefully controlled experiments to determine whether an attribute, such as a particular colour, shape or melody is beautiful.
Some rules have emerged, but none are universal: for instance, the golden rectangle ratio in geometry, which denotes a rectangle with the height to width being 1:1.6. Although considered beautiful by some in objects such as buildings or windows, these dimensions are an uncommon choice for bathroom tiles or books.
Research has shown that our experiences of finding things visually appealing are an integral, and often unconscious, part of the way we perceive objects in the world around us. It takes approximately 50 milliseconds, the blink of an eye, to reliably decide whether or not we think an object is beautiful.
Familiarity is an important factor. When something is seen or heard often, it is easier for our nervous system (our vision and hearing) to process it. And this ease can be misattributed as beauty. This also explains how trends in beauty emerge – if we keep seeing and celebrating a certain type of face, it becomes familiar.
Beauty comes about in different ways, and whether something is considered beautiful can depend on attributes of the person doing the looking, such as their prior experiences, expertise and attitudes; whether it hangs in a museum or along a hospital corridor; as well as attributes of the object itself, such as its shape, colour, proportions or size.
Beauty can therefore arise from good design. When people deal with an easy-to-use object or interface, they like it more than hard-to-use counterparts. Easy-to-use objects often have visual characteristics such as clear balance, clarity and good contrast.
Does beauty matter in housing policy?
Discussions about beauty are a healthy state of affairs, until they start coming into discussions about housing policy.
A beautiful building can bring joy and contentment in everyday life. Beautiful, well-designed homes can significantly enhance the mental health of the inhabitants.
Attractive, well-built surroundings can reduce stress, increase feelings of happiness, and contribute to a sense of peace and contentment.
This may be why there’s increasing evidence that taking small doses of psychedelics in a controlled environment such as a clinic, which produce intense experiences of beauty, can help treat depression.
A beautiful building means that someone cared to do that little bit extra. This may be meaningful to the kid growing up in social housing, offering a sense of pride and belonging. Aesthetic appeal in housing and neighbourhoods may lead to civic pride, where residents take collective responsibility for maintaining and improving their environment.
Pride may lead to stronger, more vibrant communities, and idea that came to life in modern times by the “city beautiful movement” in the US (1890–1920). “Mean streets make mean people,” wrote the movement’s leading theorist, Charles Mulford Robinson.
Beauty in housing is not just about aesthetics; it often coincides with functionality. Good design considers the usability and comfort of spaces, ensuring that they are both beautiful and practical. This balance can improve the quality of life for residents by making spaces more efficient and pleasant to live in.
Beauty can also boost perseverance. When searching for information on a website, perseverance – the amount of time users keep searching for difficult to find information – increases when the website is independently rated as aesthetically pleasing.
Similarly, when dealing with an electronic device, people try for longer to make it work if they find it aesthetically pleasing.
Beauty also demands copies of itself. Historically, in art and design, thought-to-be beautiful landscapes, faces, or vases have been copied in different forms. The act of drawing, sculpting, writing about, composing about a beautiful object is to make a copy of it.
Don’t dis-invest from beauty
The subjectivity of beauty does not necessitate disinvestment from it. Beauty does mean something, even if it isn’t totally objective. Attempting to bring beauty into our everyday lives, no matter that we each have a unique perspective, as in the case of housing, would mean investing in the human experience for all.
So while beauty is to some extent subjective, artful design can play a crucial role in various aspects of our lives, from psychological well-being to social cohesion and even economic value. Industry giants such as Ikea and Apple have been reaping the benefits of applying this knowledge to their business model for decades.
Why build beautiful homes in the first place? Having the human experience in mind when building houses and neighbourhoods, remembering the immense impact that something well designed and decorated can have is a worthwhile investment in humanity.
If removing the term beautiful from housing policy helps build more homes, then that’s great. But, when it comes to actually building them – whether the term “beautiful” occurs in policy or not – it is certainly worth to consider investing in beauty.
Adigwe GA, Alloh F, Smith P, Tribe R, Regmi P. Assessment of Health-Related Quality of Life of Stroke Survivors in Southeast Communities in Nigeria. International Journal of Environmental Research and Public Health. 2024; 21(9):1116. https://doi.org/10.3390/ijerph21091116
Congratulations to Ph.D. student Joanne Rack on the publication today of her paper ‘Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services’ [1]. Joanne doing a Clinical Doctorate in the Centre for Midwifery & Women’s Health (CMWH) focusing on personalised care for women of advanced maternal age. Her doctoral study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU]. Her PhD is supervised and supported by Profs. Vanora Hundley, Ann Luce and Edwin van Teijlingen at BU and Dr. Latha Vinayakarao in Poole Maternity Hospital.
Well done!
Reference:
Rack, J., Hundley, V., van Teijlingen, E., Luce, A., Vinayakarao. L. (2024) Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services, MIDIRS Midwifery Digest, 34(3): 201-204.
The BU Early Career Researcher Network (ECRN) offered funding of up to £500 to support members to organise an event to facilitate collaboration, community engagement, networking or knowledge exchange.
In this blog post, Lecturer in Psychology Dr Sarah Hambidge shares how the funding supported an event with crime agencies and police forces to discuss cyber signatures in human trafficking.
“BU ECRN Research Network Funding was awarded to Sarah Hambidge to organise and host the event “Unveiling the Digital Trail: A Tabletop Discussion on Cyber Signatures in Human Trafficking.” In partnership with Paul Wells (National Police Chiefs’ Council), Kari Davies (BU) and Terri Cole (BU), the event featured participation from The Home Office, The National Crime Agency, The College of Policing, Chief of Staff to the Anti-Slavery Commissioner, NGOs, a number of UK police forces and academics.
The event hosted two pivotal tabletop discussions. The first discussion delved into the current landscape of cyber signatures in human trafficking, highlighting the need for enhanced collaboration and data sharing. The second session focused on setting a research agenda, with each organisation committing to support ongoing and future initiatives.
Following the discussions, Sarah, Kari, and Terri announced the formation of a new Human Trafficking Research Group with Bournemouth University as the gatekeeper to create a cross-functional network that leverages each member’s expertise and resources.
In the longer term, the group will develop a comprehensive research agenda, create a resource repository, and advocate for public awareness and policy changes. Several additional organisations and police forces have requested to join the research group since the event.
Paul Wells expressed his optimism, stating: “I am excited about the potential difference that this diverse group can make, with a shared goal to reduce harm, prevent criminal exploitation, keep more victims safe, and bring offenders to justice.”
This event marked a significant step forward in developing impact against human trafficking, laying a strong foundation for future collaboration and research.”
Today BMJ Global Health posted a blog (read it here!) about our recently publish paper ‘Socio-economic experiences of female community health volunteers matter: insights from Nepal’ which appeared last month in the Open Access journal PLOS Global Public Health [1]. In Nepal, about 50,000 Female Community Health Volunteers (FCHVs) are a vital human resource for both government and non-government agencies delivering primary healthcare at community level. Their contribution to maternal and child health is recognised globally. Being an active volunteer brought some interesting issues for the FCHCs. For example, the social experience of working in one’s own village was not the same for all. While community recognition of volunteers’ work was seen as a motivator, most volunteers thought they were not given due respect by fellow community members. Too often community members mistook volunteers as paid health workers often due to their involvement in medicine distribution, a rare bi-annual activity.
Our recent paper in BMJ Global Health was highlighted in an earlier BU Research Blog (to read this click here!). This latest paper is the third one based on Dr. Sarita Panday’s PhD research conducted at the University of Sheffield [2-3]. It is the fourth Bournemouth University paper on FCHVs with last weeks publication in the Journal ofManmohan memorial Institute of Health Sciences [4]
Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2017) The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study, BMC Health Services Research17:623 be/vz9C
Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2019) Perceived barriers to accessing female community health volunteers’ services amongst ethnic minority women in Nepal: a qualitative study, PLoS ONE14(6): e0217070 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217070
Bhattarai, S., van Teijlingen, E. (2024). Nepal Needs A Two-Pronged Approach to Secure Future of Its Female Community Health Volunteers (FCHVs). Journal of Manmohan Memorial Institute of Health Sciences, 9(1), 43–48. https://doi.org/10.3126/jmmihs.v9i1.68640
The BU Early Career Researcher Network (ECRN) offered funding of up to £500 to support members to organise an event to facilitate collaboration, community engagement, networking or knowledge exchange.
In this blog post, Lecturer in Sustainability Fern Baker shares how the funding supported their event to investigate the farming community’s perceptions of voluntary carbon markets (VCMs).
“After conducting a PhD during the pandemic, which limited possible involvement with those with lived experience in my research area, namely farmers, I wanted to co-produce more research with farmers, to gain insight into the areas of importance in a real-life setting. Unfortunately, rural areas and farmers are often not included in the research development process and this workshop was an opportunity to bridge the gap and aid inclusivity. It is important to co-produce research to facilitate knowledge exchange from those at the forefront of the sector to ensure the output will have real-world impact to those involved.
Attendees at the workshop
The BU Early Career Researcher Network (ECRN) Research Networking Funding provided with the opportunity to organise, lead and facilitate my own workshop. The aim of the workshop was to investigate the farming community’s perceptions of voluntary carbon markets (VCMs). Currently, engagement with VCMs from the farming community is quite low. However, carbon offsetting is imperative for the agriculture industry to reach the National Farmers Union 2040 Net Zero objective. The aim of the workshop was to discuss and identify the main challenges, barriers and research priorities of VCMs to enhance accessibility and engagement.
Eleven farmers in Dorset attended the event and contributed their perception and experience of voluntary carbon markets. Most of the farmers had not entered the system but had negative perceptions and those with experience with VCMs felt discouraged. Huge trust issues were prevalent, as well as those involving land use conflicts and succession.
We aim to further our research into feasible VCMs for the farming community by applying for the “UKRI cross research council responsive mode pilot scheme: round 2” for up to £1.2 million in project funding to begin July 2025. Dr Rounaq Nayak and I will be working with Associate Professor Pippa Gillingham and Professor Rick Stafford on this project as biodiversity specialists, to also investigate biodiversity net gain and whether both carbon and biodiversity credits can be improved and supported for the farming community. We are also applying the information obtained from the discussions to inform a prospective PhD studentship funding application to the Perry Foundation to improve viable access to the voluntary carbon market system for the farming community. We will continue to work with farmers as a steering group during our application and research. If you would like to be involved, then please get in touch with Fern Baker at bakerf@bournemouth.ac.uk.
I would like to thank all attendees for attending and contributing to the workshop and pivotal research area. Dr Rounaq Nayak (Senior Lecturer, LES) for helping to plan and run the workshop and the activities, as well as Dr Kate Jupp as part of the BU Public Involvement in Education and Research (PIER) partnership for offering guidance on how to design and host an effective workshop. Additionally, Ellie Jones for their assistance with advertising and running of the workshop and the BU ECRN fund for making the workshop possible.”
Barcelona residents marched against tourists in July after similar protests in Venice earlier in 2024. Recently, residents of Santorini in Greece were in uproar after a Facebook post reportedly asked them to stay home and make room for the thousands of tourists expected to arrive during the peak holiday season.
These are symptoms of overtourism: a situation where visits exceed a destination’s capacity, making residents angry and tourists miserable. Local governments have proposed tourism levies or entry fees to make visits more expensive and thereby limit how many people show up. Some tourism researchers have encouraged people to holiday in rural areas or poorer countries instead, to give a boost to their economies.
However, overtourism exists in the developing world too. Here’s what it looks like.
Travel on a tourist-swamped island
Bali is a major tourist destination in the Indonesian archipelago that accounts for nearly half of international arrivals in the country. Air travel is the most reliable way to get there, although a big source of carbon emissions, which inflame a climate crisis that is expected to disproportionately harm poorer countries like Indonesia. Roughly 15 million visitors arrived in 2023 – close to their level in 2019, before the pandemic.
Bali’s tourism-dependent economy (providing 61% of regional GDP in 2019) was more or less frozen by COVID-19. Yet, for tourists who spent lockdown in cities, the pandemic also left Bali, and particularly the island’s rural parts, with a renewed lustre. Penglipuran, a traditional Balinese village in the central highlands, was attracting thousands of visitors every day in July.
Encouraging people to visit poorer areas can disadvantage residents, but in a different way to how people in Venice or Barcelona experience it. After all, roads and public transport in richer European cities are better maintained.
In rural Bali, the hilly terrain, tropical weather and poorer public transport mean residents must rely on cars and motorbikes. The resulting noise and pollution degrades the rural experience. Converting these vehicles to run on electricity would not solve the problem entirely if most power in Bali remains fossil-sourced. Nor would it cut road congestion.
Tourists want to visit lots of places in rural Bali with a reliable source of transport. The limited options have prompted many to rent cars or motorbikes, but weak traffic enforcement has allowed misbehaviour: tourists driving without shirts or helmets – or even licenses. The regional government temporarily banned motorbike rentals for foreigners in March 2023.
Despite chaotic traffic on the island, residents have found work transporting tourists informally for decades. That’s why efforts to ease congestion and travel chaos, by designing public transport for tour groups or free shuttle bus services, have met with local protests and the ire of vehicle rental businesses.
To travel or not to travel
Unbridled development squanders the mutual benefits that tourism can have for residents and visitors. Likewise, neither residents nor tourists should be prohibited from travelling, but should instead travel responsibly.
A railway transport plan that promises to connect Bali’s airport with Seminyak and Nusa Dua, the most popular areas in urban Bali, could help ease road traffic around the city centre. Local vehicle rental businesses could continue to operate in rural areas, but restrict their riders to less busy roads.
Poor destinations should be cautious about depending on tourism in the long term. The Balinese government is exploring its options in other sectors at least, such as agriculture and the digital economy.
Poorer destinations such as Bali are less well equipped than richer countries to manage the socioeconomic and environmental costs of overtourism. And ultimately, a swollen tourism sector contains the seeds of its own demise: declining environmental quality, unhappy residents and eventually, fewer tourists.
Don’t have time to read about climate change as much as you’d like?
The multiverse, the idea of different universes that exist at the same time, has been a plot device on screen and in comic books for years. The success of the recently released Deadpool & Wolverine, which has already earned US$1 billion (£778,180,000) at the box office, and the excitement around Iron Man actor Robert Downey Jr’s imminent return to the Marvel Cinematic Universe (MCU) – this time as villainous Doctor Doom – show the phenomenon is unlikely to go away anytime soon.
You could track it back to Sliding Doors (1998), which cut back and forth between two different realities, showing the ways a woman’s life diverged due to happenstance. Or you could go further still, with It’s a Wonderful Life (1946) which showed a different, darker, reality if James Stewart’s character, George, had died in childhood. Or even Dickens’ A Christmas Carol, where the Ghost of Christmas Yet To Come shows Scrooge an alternate, bleaker reality where he doesn’t change his ways.
On TV, an episode of The Twilight Zone first dealt with parallel worlds in 1963 – while, in a 1967 episode of Star Trek, Leonard Nimoy played an evil version of Spock from an alternate reality, signified mainly by his facial hair.
As Marvel fans know, Downey Jr’s familiarity as Tony Stark/Iron Man means it’s overwhelmingly likely that his new role as Doctor Doom will mean the two worlds (or multiverses) colliding in some way. But we don’t know yet how the return of Downey Jr to the MCU will lead to him playing a villain.
Perhaps in this alternate universe, Tony Stark became evil because of different choices taken in his life. Or perhaps he will be playing an entirely different character – Doctor Doom masquerading as Iron Man to shock or beguile the characters that trust him.
Doom is traditionally a Fantastic Four villain, so may first appear in that forthcoming movie. As Mark Hibbert, the author of Data and Doctor Doom (2024) suggests, it wouldn’t be out of character for Doom to “swap bodies with the original Tony Stark” and “travel backwards in time to before he died fighting Thanos”.
Doom often surrounds himself with robot doppelgangers (as seen on stage at San Diego Comic-Com, when Downey’s casting was announced), so it’s not a complete surprise that this character would look like another character.
Multiverse narratives and dark storylines
Multiverses hold the potential for infinite narrative freedom. This means gaining access to all possibilities, and alternatives to the mistakes of history – but multiverse stories seldom seem to work out that way.
The trope is found in various genres and media, from British comics such as Bryan Talbot’s Luther Arkwright saga (1978-2022), to novels including Adrian Tchaikovsky’s The Doors to Eden (2020) and Michael Moorcock’s Eternal Champion series (1962-2012), which coined the term.
Stepping into the multiverse is generally discomfiting and unnerving at best, and downright dangerous and homicidal at worst, as in Sarah Pinsker’s 2017 novella And Then There Were (N-One).
Travelling the multiverse leads to colonisation in Stephen Baxter and Terry Pratchett’s The Long Earth series (2012). It enables corporate greed and eco-violence on an unprecedented scale in M.R. Carey’s Infinity Gate (2023). As Carey’s protagonist Essien Nkanika discovers, in the multiverse, strangeness and familiarity are twisted together, producing a feeling of sickening pressure and emotional dread.
Those who visit parallel worlds usually come back traumatised and changed – sometimes even becoming the monsters they once hunted, or tried to escape.
Often the alternate world is conveyed as an uncanny experience – Sigmund Freud’s term for the familiar made strange, an effect which “arouses dread and creeping horror”. How could it not? There is the danger of meeting another version of yourself – the ultimate doppelganger.
This notion signals the collapse of the idea of a single self, when the multiverse traveller finds themselves suffering a profound sense of otherness and displacement. These parallel worlds connect to ours in discomfiting ways, showing us our own world replaced and dislocated, where familiar landscapes hide unfamiliar threats. This theme is explored in Brian Crouch’s 2016 novel Dark Matter and the 2022 TV adaptation, where a parallel world doppelganger can steal your life.
It’s unsurprising that superheroes lend themselves so well to this scenario. These characters are already divided selves, with superhero identity frequently opposing the alter ego – think powerful Superman versus weak Clark Kent, brash Spiderman versus timid Peter Parker, obsessive and proactive Batman versus idle Bruce Wayne.
Deadpool & Wolverine also comments on the phenomenon of the same actor playing different characters in the same multiverse. In the movie, Chris Evans plays two characters. This is first used for surprise, then humour, and finally to inflammatory effect.
This isn’t a new phenomenon. DC Comics got there first in 1961, when The Flash met a doppelganger from an alternative reality. On TV, Brandon Routh played both The Atom and Superman in a 2019 episode of Batwoman, that also featured multiple Clark Kents.
The cartoon series Rick and Morty (2013-present) often returns to the plot of the characters facing evil versions of themselves from other dimensions, while their domestic life features two versions of Morty’s mother now living in the same house.
The multiverse brings new twists and turns to comic book sagas on screen and in print, and allows reboots to be folded into the same narrative (as seen in Spider-Man: No Way Home, 2021) which helps a film studio, reuse, revive and advertise their back catalogue.
Since cinema-goers are currently voting with their feet for this narrative style, we should expect to see many more multiverses to come. But don’t be surprised when the consequences of visiting these parallel worlds turns increasingly dark.
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I am delighted to share that our most recent methods paper in the International Journal of Qualitative Methods entitled “Most Significant Change Approach: A Guide to Assess the Programmatic Effects” [1] is now published and is available online (click here!). This paper is co-authored by Mohan K. Sharma, Shanti P. Khanal and Edwin R.van Teijlingen.
The paper outlines the so-called ‘Most Significant Change’ (MSC) participatory technique to monitor and evaluate programmatic effects. MSC is a form of monitoring that can be applied throughout the programme cycle and it provides information to help manage the programme. Furthermore, MSC as an evaluation method, provides stories from which programmes’ overall impact can be assessed. However, MSC, as a participatory evaluation technique using qualitative approaches, is often neglected by many evaluators.
This is the latest in a series of papers describing the strengths and weaknesses of applying specific research approaches. Other recent methods papers included two on positionality [2-3], a paper on interview methods [4], reflections on conducting participatory policy analysis in Nepal [5], some considerations about the selection of study localities in health research [6], distinguishing between methods and methodology [7], the use of the appreciative inquiry methods [8], reflections on interdisciplinary research [9], and patient and public involvement in research in Bangladesh and Nepal [10].
Whilst older methods papers published Faculty of Health & Social Sciences academics include topics such as focus group discussions, working with translators, conducting pilot studies, the Delphi Method, comparative studies, and qualitative interviews [11-22].
Prof. Edwin van Teijlingen
CMWH
References:
Sharma, M.K., Khanal, S.P., van Teijlingen E. (2024) Most Significant Change Approach: A Guide to Assess the Programmatic Effects, International Journal of Qualitative Methods, https://journals.sagepub.com/doi/10.1177/16094069241272143
Gurr, H., Oliver, L., Harvey, O., Subedi, M., van Teijlingen, E. (2024) Positionality in Qualitative Research, Dhaulagiri Journal of Sociology & Anthropology 18(1): 48-54. https://doi.org/10.3126/dsaj.v18i01.67553
Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect21(1): 6-8.
Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti,SP., Karki, JK., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, SB. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22(7) https://doi.org/10.1186/s12961-023-01092-5 .
Wasti, S.P., van Teijlingen, E., Simkhada, P., Rushton, S., Balen, J., Subedi, M., Karki, J., Adhikary, P., Sapkota, S., Gautam, S., Marahatta, S., Panday, S., Bajracharya, B., Vaidya, A. for the Nepal Federal Health System Team (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health
Harvey, O., Regmi, P.R., Mahato, P., Dhakal Adhikari, S., Dhital, R., van Teijlingen E. (2023) Methods or Methodology: Terms That Are Too Often Confused. Journal of Education & Research, 13(2): 94-105. https://doi.org/10.51474/jer.v13i2.716
Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7. https://doi.org/10.18332/ejm/147444
Shanker, S., Wasti, S.P., Ireland, J., Regmi, P., Simkhada, P., van Teijlingen, E. (2021) The Interdisciplinary Team Not the Interdisciplinarist: Reflections on Interdisciplinary Research, Europasian Journal of Medical Sciences3(2): 1-5. https://doi.org/10.46405/ejms.v3i2.317
Simkhada, B., van Teijlingen, E., Nadeem, A., Green, S., Warren A. (2021) Importance of involving patients and public in health research in Bangladesh and Nepal. International Journal of Technology Assessment in Health Care 37: e10. https://doi.org/10.1017/S0266462320000811
Kirkpatrick, P., van Teijlingen E. (2009) Lost in Translation: Reflecting on a Model to Reduce Translation and Interpretation Bias, The Open Nursing Journal, 3(8): 25-32 web address: bentham.org/open/tonursj/openaccess2.htm
van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
van Teijlingen E, Pitchforth E. (2006) Focus Group Research Family Planning & Reproductive Health Care, Journal of Family Planning & Reproductive Health Care 32(1): 30-2
van Teijlingen E, Pitchforth, E., Bishop, C., Russell, E.M. (2006) Delphi method and nominal group techniques in family planning and reproductive health research, Journal of Family Planning & Reproductive Health Care 32(4): 249-252.
Pitchforth, E, van Teijlingen E, Ireland, J. (2007) Focusing the group, RCM MidwivesJournal 10(2): 78-80.
Pitchforth, E., van Teijlingen E. (2005) International Public Health Research involving interpreters: a case study approach from Bangladesh, BMC Public Health,5: 71 Web address: http://www.biomedcentral.com/content/pdf/1471-2458-5-71.pdf
Forrest Keenan, K., Teijlingen van, E., Pitchforth, E. (2005) Analysis of qualitative research data in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(1): 40-43.
Brindle S, Douglas, F, van Teijlingen E., Hundley V. (2005) Midwifery Research: Questionnaire surveys, RCM MidwivesJournal 8 (4): 156-158.
Douglas, F, van Teijlingen E, Brindle S, Hundley, V, Bruce, J., Torrance, N. (2005) Designing Questionnaires for Midwifery Research, RCM MidwivesJournal 8: 212-215.
van Teijlingen E, Sandall, J., Wrede, S., Benoit, C., DeVries, R., Bourgeault, I. (2003) Comparative studies in maternity care RCM MidwivesJournal 6: 338-40.
Our research project on kidney disease in Nepalese migrant workers funded by the Colt Foundation has been published this week by PLoS ONE. The paper ‘Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems‘ [1] is led by Bournemouth University’s Drs. Pramod Regmi and Nirmal Aryal, both based in the Centre for Wellbeing and Long-Term Health. This is one of the first qualitative papers to focus on the rising kidney health-related risks among Nepalese labour migrants in the Middle East and Malaysia.
This qualitative study explored the lifestyles and work environment of returnee Nepalese migrants who were diagnosed with kidney health problems. In-depth interviews were carried out with twelve male returnee migrants, with half having worked abroad for at least a decade. Our analysis yielded seven themes: (a) living and lifestyles; (b) work environment; (c) exposure to pollutants; (d) Chronic Kidney Disease (CKD) experience; (e) use of painkillers and healthcare; (f) medical expenses for CKD patients; and (g) pre-departure training. This study indicates that Nepalese migrants face numerous challenges, including limited access to clean water and sanitation facilities, poor diets, exposure to occupational hazards, and overuse of pain medication, all of which may contribute to an increased risk of kidney disease. An enhanced pre-departure and on-arrival orientation programme focusing on kidney health-related topics, including the necessary advocacy at the country of destination to provide access to basic services, may encourage migrants to adopt healthy lifestyles and safe working environments, as well as help educate migrants to their kidney health risks.
The is the latest in a series of academic papers related in one way of or another to kidney disease in migrant workers from Nepal [2-5].
Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
Aryal, N., Regmi, P.R., Faller, E.M,, van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia, Nepal Journal of Epidemiology9(3): 755-758. https://www.nepjol.info/index.php/NJE/article/view/25805
Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences,4:31-32. https://doi.org/10.46405/ejms.v4i0.455
In partnership with the University of the West of England (UWE) and regional organisations, we have received £1.4m to deliver the INSIGHT programme for the South West Central region.
This includes providing fully funded Master’s with Research (MRes) programmes and a range of engagement activities – such as workshops, networking opportunities and mentoring programmes to promote research careers within health and care.
Professor Carol Clark, Professor in Physiotherapy at Bournemouth University who is leading the INSIGHT programme at BU, said: “The NIHR INSIGHT programme provides an outstanding opportunity for health and care professionals to build their research skills. Embedding research into careers has the potential to improve outcomes for all the people who access health and care in England.
“We are delighted to be working alongside UWE to deliver MRes programmes for the South West Central region for the next three years, building research capacity and capability.”
Dr Adele Drew-Hill, Dean and Head of School of Health and Social Wellbeing at UWE, said: “We’re delighted to be working with Bournemouth University to deliver this innovative and engaging programme designed to enable students to explore a career in research. Our shared vision is to develop the leading regional hub for healthcare research skills development in the Southwest.”
The INSIGHT Programme funds a wide range of engagement activities and research Master’s places for current students and recent graduates within healthcare, social work and public health professions.
The £33.2m funding from the NIHR is for three years and supports institutions across 12 regions in England to deliver engagement programmes to attract people into research careers, and fully-funded Research Master’s places to train those new to research.
Professor Waljit Dhillo, Dean of NIHR Academy, said:“We know how important early exposure to research is for helping students and early career professionals develop the knowledge and skills needed to join the research workforce and build successful research careers in the future.
“I’m delighted that we can invest in our next generation of researchers in the South West Central region, and show students all of the benefits that research roles and careers have to offer.”
Today we saw the publication of our latest paper about FCHVs (Female Community Health Volunteers) in Nepal [1]. This paper is Open Access and hence freely available worldwide, to anyone with an internet access. The FCHV programme is one of the most successful parts of the health system of Nepal. This programme covers over fifty thousand FCHVs distributed across the country. These women provide unparalleled services to help across communities to improve outcomes in communicable and non-communicable diseases (NCDs) and aid health promotion and education.
Previous papers focusing on FCHVs included the recently accepted paper in PLOS Global Public Health [2], as well as two previous papers based on the Ph.D. study by Dr. Sarita Panday on FCHVs [3-4]. The latest paper is co-authored with Sankalpa Bhattarai is is working with our long-term collaborating agency Green Tara Nepal.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
References:
Bhattarai, S., & van Teijlingen, E. (2024). Nepal Needs A Two-Pronged Approach to Secure Future of Its Female Community Health Volunteers (FCHVs). Journal of Manmohan Memorial Institute of Health Sciences, 9(1), 43–48. https://doi.org/10.3126/jmmihs.v9i1.68640
Panday, S., Barnes, A., van Teijlingen, E. (2024) Exploring the motivations of female community health volunteers in primary healthcare provision in rural Nepal: a qualitative study, PLOS Global Public Health (forthcoming).
Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2017) The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study, BMC Health Services Research17:623 be/vz9C
Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2019) Perceived barriers to accessing female community health volunteers’ services amongst ethnic minority women in Nepal: a qualitative study, PLoS ONE14(6): e0217070 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217070
Just being near blue spaces (the sea, rivers and lakes) can make us feel more relaxed because water triggers our parasympathetic nervous system, helping our body rest and digest. This calming effect, which slows our heart rate and lowers blood pressure, explains why so many people find joy and solace in water-related activities.
But enjoying the water also has serious risks that can’t be ignored. In the UK, drowning is a leading cause of accidental deaths, surpassing even home fires and cycling accidents. Each year, around 400 people drown accidentally in the UK’s coastal and inland waters.
Notably, 40% of these incidents occur when people aren’t even planning to be in the water, such as when they’re caught off guard by a rising tide while walking along the coast or jumping in to rescue a dog. This is a glaring reminder that it isn’t just traditional water users who get into danger.
According to the Royal Society for the Prevention of Accidents, there are over 100,000 water rescues each year. These rescues are tragedies which leave lasting impact, with survivors (and their families) often suffering from severe injuries or post-traumatic stress disorder.
Incident report data tells us that globally, men are 80% more likely to drown than women, especially middle-aged men and teenage boys. This higher risk is attributed to men spending more time in the water and engaging in riskier behaviours like swimming alone, at night, drinking alcohol, and neglecting life jackets. Social pressures and a tendency to underestimate risks (by assuming the water looks safe when it isn’t) contribute to the higher drowning rates among men too.
My team of neuroscience and communication academics at Bournemouth University are working with the Royal National Lifeboat Institution to research how to improve water safety communications using virtual reality simulations to record brain activities when immersed in water.
By using emotional sensors in smart glasses, we’re discovering how emotional loads, like fear, are experienced during virtual reality scenarios, when falling into water unexpectedly from a boat or cliff. We’ll be demonstrating the technology at an exhibition at Bournemouth University during August 2024 to highlight the risks of being near water and to collect more data.
So far, our research has highlighted the challenges and complexities of human emotions in making safer decisions in the water and the role that instinct plays in decision making in respect to gender. Men seem to exhibit a different perception of risk and a tendency towards impulsive decision-making, whereas women tend to be more precautionary and a greater inclination towards safety and risk avoidance.
Activities also affect the risk in the water. People tend to prepare for activities like paddleboarding and kayaking with the right gear and skills. This means they are usually safer than in-water play on inflatable toys such as lilos which are often used without preparation and are also easily swept out in a strong current.
Unexpected water entry, such as being caught by tides while walking along the shore, or taking a selfie at the edge of a clifftop is even more dangerous due to the element of surprise and lack of preparation when falling into the water. This unpreparedness significantly increases the risk of drowning as well as the fact that some people who unexpectedly fall into water are usually fully clothed and may also have a fear of water too.
Drowning fatalities often occur on inland waterways because these canals, streams, lochs and lakes are much colder than the sea, deceptively calm and hide numerous dangers. For instance, the water could be unexpectedly deep, there could be hidden currents or rubbish such as broken glass or an old bicycle. The water may be polluted and be a serious threat to health or it could just be difficult to get out of because of steep and slippery banks.
Float to live
Instincts play a crucial role in how we respond to water. We could be relaxed and swimming one minute, then water conditions quickly change and a rip current can catch you off guard. Our instincts are often to swim hard against the rip current, but the best thing to do is swim parallel to the shore to escape the rip. People who aren’t experienced and educated around rip currents probably won’t know how to spot a rip current, let alone know how to get out of one safely.
On sudden entry into cold water, our bodies react automatically to heighten our alertness and adrenaline levels due to cold water shock. That makes us gasp, hold our breath and try to swim hard until the point of exhaustion. Overriding that instinct could save your life.
Swimming, sailing, even just building a sandcastle – the ocean benefits our physical and mental wellbeing. Curious about how a strong coastal connection helps drive marine conservation, scientists are diving in to investigate the power of blue health.
This article is part of a series, Vitamin Sea, exploring how the ocean can be enhanced by our interaction with it.
Whether you’re planning a refreshing dip, a leisurely stroll along the coastline or a run along a canal, it’s crucial to know how to stay safe. This knowledge can be the difference between a safe outing and a tragic accident. Research shows that following these five simple steps are highly effective. They are easy to remember and can be done by anyone, regardless of swimming ability or whether you are in freshwater or saltwater.
First, keep your head back with your ears submerged to keep your airways open. Resist the urge to panic, try to relax and breath normally. Gently move your hands paddling them as this will aid in keeping afloat. Don’t fret if your legs sink, everyone’s buoyancy is different. Finally, spread your arms and legs as this really helps maintain your stability in the water.
And if you spot someone in distress, don’t jump in to rescue them: instead, shout out the “float to live” steps and immediately call 999 to ask for the coastguard.
On the face of it, competitive distance running appears not to have changed much since the Olympic Games were revived in 1896. However, even the relative simplicity of racing from gun to tape has radically altered in recent years due to the rise of advanced running footwear known colloquially as “supershoes”.
A few years ago, the Nike Vaporfly shoe kicked off a storm of controversy in athletics. It became a focus for claims about whether it provided some athletes with an unfair advantage over those not equipped with the shoes.
In 2019, Kenyan distance runner Eliud Kipchoge wore prototype Vaporfly shoes when he became the first athlete to run the marathon distance in under two hours as part of the Ineos 1:59 challenge in Vienna. Ultimately, the shoes avoided a ban just in time for the 2020 Tokyo Olympics.
Several years on, what more do we understand about these shoes and how they work? My recent paper attempts to review and answer ten key questions about supershoes as the Paris Olympics now loom on the horizon.
First, we need to understand what supershoes are and how they differ from
traditional running footwear. Initially, supershoes used a sole that saw a combination of material called a polyamide block elastomer (known by its tradename Pebax) coupled with the use of a carbon fibre plate.
At the height of the controversy, much was made of this plate, leading to claims that they were essentially springs propelling runners along. However, scientists now understand that, generally speaking, it’s the combination of all of the soles’ components working together harmoniously that’s behind the shoes’ success.
This broad effect has helped topple a raft of world records in the marathon and half-marathon distances. The shoes have improved times by roughly 1.4-2.8% or 0.6-2.2% in the men’s and women’s marathon events respectively over the last seven to eight years.
Today, other brands such as Adidas and Saucony have their own designs and
use different components in different ways. But the harmonious principle in the sole design is inherently the same.
Teeter-totter effect
Beyond the observation that all components are working in unison, a more detailed explanation of how the shoes work remains elusive because so many different influences can contribute to athletic performance. Among factors credited with the shoes’ enhanced performance are the thickness of the midsole and what’s been termed the “teeter-totter” effect, an upwards reaction force that passively enhances the propulsive stance of the runner. There’s also evidence against both of these ideas.
However, there is now strong evidence that supershoes reduce a runners’ oxygen consumption when compared to traditional running shoes. However, the scientific community isn’t in agreement as to how that is achieved.
Most studies focus on well-trained runners so it’s plausible that a recreational runner or those of a different age could see wildly different levels of performance enhancement than the elite runners we’ll see in Paris this summer. It’s also conceivable that the placebo effect could mean that simply knowing that you are wearing an advanced shoe makes you perform better in a race, regardless of whether the shoe helps or not.
As to the shoes’ acceptability, that is ultimately decided by the sport’s stakeholders and you, the spectator. Whether they are fair or not, new technology can either prompt people to use it or provide cost barriers that reduce peoples’ participation.
Furthermore, consumers can now purchase supershoe technology themselves. Whether they really want to or are happy to do so for something that may only be effective for a few hundred miles of running before the sole materials could begin to lose their potent mechanical properties remains equally contentious.
The use of supershoes has not been unchecked or challenged. In 2020, World Athletics, the international governing body for the sport, moved to limit this technology by implementing regulations that countered what it felt was contributing to the magnitude and frequency of records being broken.
In this case, the governing body’s rules centred on limiting the sole thickness, the number and complexity of any internal rigid structures (such as the carbon fibre plates) and the prevention of shoes that were one-offs and would therefore not be accessible for the consumer to buy.
Most leading running shoe brands have now released their own supershoes. The technology will undoubtedly evolve, so perpetual vigilance will be required by the World Athletics. Ultimately, supershoes have sometimes courted controversy, but they don’t seem to be going away and will remain an important part of distance running for the foreseeable future.