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Across cultures, weddings have historically represented some of the most important and extravagant celebrations. This is the first comprehensive study of marriage rituals in the Eastern Mediterranean world of Byzantine Christianity. Using a large corpus of unedited liturgical manuscripts as well as other evidence from jewelry and law to visual representations and theological treatises, Gabriel Radle reconstructs the ceremonies used by the Byzantines to formalize the marriage process, from betrothal to rites of consummation. He showcases the meanings behind rituals of kinship formation and sexual relations and explores how the practice of Byzantine Christianity crossed fluid borders between the church and the domestic sphere. The book situates the development of Byzantine Christian marriage traditions alongside those of other religious communities and, in placing liturgical manuscripts at the heart of this study, paves new methodological paths for the use of ritual sources in the writing of Byzantine history.
Organizations and managers often implement workplace training programs aimed at fostering collaboration, belonging, and respect among employees. However, the effectiveness of these programs can be undermined when they are framed in ways that only resonate with some participants while alienating others. We propose that moral reframing can enhance the success of such initiatives by aligning messaging with a broader range of moral perspectives. Drawing on moral foundations theory, we identify five key dimensions, care, fairness, loyalty, authority, and purity, that shape how individuals interpret and respond to workplace training efforts. Although many programs emphasize care and fairness, individuals who prioritize loyalty, authority, and purity may perceive them differently, leading to disengagement, skepticism, or resistance. We argue that strategically framing training initiatives across multiple moral frameworks can foster greater engagement, buy-in, and overall effectiveness. Additionally, we offer practical recommendations for organizations to implement moral reframing strategies, ensuring that training efforts resonate with a wider audience and contribute to a more cohesive and productive workplace.
Chapter 2 identifies and describes several methodological considerations in participatory research with adolescents, for example the issue of power sharing. Language is explored as a tool but also a potential barrier for engagement over time. Adolescents can have different roles and levels of involvement. The research setting and the characteristics of the research team are also explored.
The success of clinical research studies depends on effective recruitment and retention of study participants, yet only a small fraction of patients engage in research studies, even in academic health systems. Increasing awareness of research opportunities and facilitating connections with clinical research study teams would help to improve the success of research programs. In this Special Communications, we describe the creation and evolution of and tools used for the My Research Partners Concierge Service (MRPcs) of an academic health system. The MRPcs provides a centralized point of contact or hub for patients and community members, as well as clinical research organizations and academic partners, who have research-related questions or interests. The MRPcs helps to connect the users of the service with relevant research study teams, personnel, or resources to facilitate their engagement in a clinical research program. Our experience with the MRPcs informs our recommendation that peer institutions organize similar research service hubs for their clinical research programs to help increase awareness of and participation in clinical research by the public and to help increase the success of research programs at fulfilling their ultimate goal of improving the health of their population.
Who is the public? For a scholar, the public is anyone outside of one’s discipline. This is true within academia or without, but cross-disciplinarity as an individual means of academic scholarship tends not to be an explicit part of conversations about how to practice public humanities. This essay critically reflects on how we think about cross-disciplinary scholarship in relationship to public writing and centers mobility as a core tenet of both.
Betrothal was originally an independent rite that solemnized a promise to marry and also had legal and canonical ramifications in Byzantium. This chapter analyzes the ritual gestures employed in betrothal across the Eastern Mediterranean world, such as the exchange of rings or other gifts. It also discusses the ecclesiastical prayers recited at Byzantine betrothals and what they reveal about theological perceptions of marriage, as well as family roles and domestic practices.
The history of Sino-American relations during World War II can offer a window onto understanding the contemporary relations between the two countries. By way of a conclusion, the chapter offers three main “lessons” from the volume that point toward a new perspective on this critical relationship: 1. We must pay attention to grassroots interactions, 2. Drawing on Chinese sources is critical in understanding relations, 3. We must question our assumptions about the other side.
Community advisory boards (CABs) are a promising approach for strengthening patient and partner voices in community health center (CHC) evidence-based decision-making. This paper aims to describe how CHCs used CABs during the COVID-19 pandemic to improve the reach of testing among populations experiencing health disparities and identify transferable lessons for future implementation.
Methods:
This mixed methods study integrates brief quantitative surveys of community engagement (N = 20) and one-on-one qualitative interviews (N = 13) of staff and community partners engaged in CHC CABs with a cost analysis and qualitative feedback from CHC staff participating in an online learning community (N = 17).
Results:
Community partners and staff engaged in the CHC CABs reported high ratings of engagement, with all mean ratings of community engagement principles above a 4 (“very good” or “often”) out of 5. Qualitative findings provided a more in-depth understanding of experiences serving on the CHC CAB and highlighted how engagement principles such as trust and mutual respect were reflected in CAB practices. We developed a CHC CAB toolkit with strategies for governance and prioritization, cost estimates to ensure sustainment, guidance on integrating quality improvement expertise, testimonies from community members on the benefits of joining, and template agendas and facilitator training to ensure meeting success.
Conclusion:
In alignment with the Translational Science Benefits Model, this study expands research impact through comprehensive mixed methods measurement of community engagement and by transforming findings into an action-orientated guide for CHCs to implement CABs to guide evidence-based decision-making for community and public health impact.
This chapter explores the challenges faced by individuals with dementia and their caregivers in communication. It focuses on the potential of personalized communication applications on tablet computers to support interactions. While various communication aids have proven valuable in addressing dementia-related communication issues, digital tools like tablet computers are relatively new in this context. The analysis centers on two key aspects of interaction: caregivers’ use of questions and the management of communication support devices. Results reveal that questioning individuals with dementia can be both challenging and rewarding. The chapter emphasizes the importance of awareness regarding potential issues with certain types of questions and the readiness to address difficulties in interaction. Regarding the management of digital applications, the study suggests that aligning with the associations of the person with dementia and being responsive to their contributions may enhance conversation development. The findings underscore the significance of prioritizing conversation over facts and being attuned to the person with dementia’s conversational trajectory to promote their active participation and engagement. Overall, understanding how the management of communication support influences outcomes may enhance the effectiveness of such tools in facilitating meaningful conversations with individuals with dementia.
This review article explores the role of land-grant Extension amidst an escalating epistemic crisis, where misinformation and the contestation of knowledge severely impact public trust and policymaking. We delve into the historical mission of land-grant institutions to democratize education and extend knowledge through Cooperative Extension Services, highlighting their unique position to address contemporary challenges of information disorder and declining public confidence in higher education. Land-grant universities can reaffirm their relevance and leadership in disseminating reliable information by reasserting their foundational principles of unbiased, objective scholarship and deep engagement with diverse stakeholders. This reaffirmation comes at a critical time when societal trust in science and academia is waning, necessitating a recommitment to community engagement and producing knowledge for the public good. The article underscores the necessity for these institutions to adapt to the changing information landscape by fostering stakeholder-engaged scholarship and enhancing accessibility, thus reinforcing their vital role in upholding the integrity of public discourse and policy.
Early intervention in psychosis (EIP) services improve outcomes for young people, but approximately 30% disengage.
Aims
To test whether a new motivational engagement intervention would prolong engagement and whether it was cost-effective.
Method
We conducted a multicentre, single-blind, parallel-group, cluster randomised controlled trial involving 20 EIP teams at five UK National Health Service (NHS) sites. Teams were randomised using permuted blocks stratified by NHS trust. Participants were all young people (aged 14–35 years) presenting with a first episode of psychosis between May 2019 and July 2020 (N = 1027). We compared the novel Early Youth Engagement (EYE-2) intervention plus standardised EIP (sEIP) with sEIP alone. The primary outcome was time to disengagement over 12–26 months. Economic outcomes were mental health costs, societal costs and socio-occupational outcomes over 12 months. Assessors were masked to treatment allocation for primary disengagement and cost-effectiveness outcomes. Analysis followed intention-to-treat principles. The trial was registered at ISRCTN51629746.
Results
Disengagement was low at 15.9% overall in standardised stand-alone services. The adjusted hazard ratio for EYE-2 + sEIP (n = 652) versus sEIP alone (n = 375) was 1.07 (95% CI 0.76–1.49; P = 0.713). The health economic evaluation indicated lower mental healthcare costs linked to reductions in unplanned mental healthcare with no compromise of clinical outcomes, as well as some evidence for lower societal costs and more days in education, training, employment and stable accommodation in the EYE-2 group.
Conclusions
We found no evidence that EYE-2 increased time to disengagement, but there was some evidence for its cost-effectiveness. This is the largest study to date reporting positive engagement, health and cost outcomes in a total EIP population sample. Limitations included high loss to follow-up for secondary outcomes and low completion of societal and socio-occupational data. COVID-19 affected fidelity and implementation. Future engagement research should target engagement to those in greatest need, including in-patients and those with socio-occupational goals.
For a book that attempts to explain how to understand visuals in life sciences, it seems prudent to first explain what we mean by “visual,” even if it may seem quite a common word.
In everyday conversation, “visual” is often used as an adjective and means “relating to seeing or sight,” as in “visual impression” or “visual effect.” In the context of this book, “visual” is used similarly as an adjective, but in addition, and more often, it is used as a noun. As a noun, it refers to the variety of images used in life science communication. For example, photographs are a type of visual commonly used in life science communication, and so are drawings.
Illustrations are a visual staple in life science communication. Despite being commonplace, they are in many ways a blackbox. They mask the creative – and scientific – decisions that go into making them. They present an end product that says, as it were, “this is how you look through life to its essence.” The use of precise lines and explicit shapes helps to convey this scientific authority. In contemporary illustrations, pseudo-details such as colors and dimensions further prove that “this is what life looks like.”
Micrographs, like the little (pun intended) cousin of photographs, are considered by some as an objective portrayal of nature. Why, they are photographs of the microscopic world invisible to the naked human eye. As such, what you see is what you get, and what you get is nature unveiled.
Particularly because the microscopic world is invisible to us in everyday life, we find it even more urgent to behold that world. We assume that if and when we see, we will automatically understand. If and when we observe microorganisms in their smallest components, we will be able to “get” them and conquer them.
Contemporary life sciences are big data sciences. The human genome, for example, contains about three billion DNA base pairs and an estimated 20,000 protein-coding genes. Public health data, as another example, are endlessly enormous and encompass electronic medical records, health monitoring data, environmental data, and more. When it comes to analyzing and presenting these big data, interactive online visuals – maps, graphs, three-dimensional models, even computer games – have inherent advantages. They are dynamic and easily updated. They support user interaction and allow users to create displays that make sense to them. Being “hands-on” also makes these visual displays more interesting. As computer visualization technologies continue to advance, we are guaranteed to see faster, more fluid, more ingenious interactive displays.
As we have seen throughout this book, standalone visuals like photographs and illustrations are promising ways to communicate science to the public – and they carry their fair share of misconceptions and complications. These promises – as well as challenges – are multiplied in infographics.
The word “infographic” comes from the phrase “information graphic.” Originally, the term referred to the production of graphics for print media such as newspapers and magazines. Today it refers to a unique multimodal genre that combines data visualizations (i.e., graphs such as lines, pies, bars, and pictographs), illustrations (such as icons and drawings), photographs, and small amounts of text. When designed for online use, infographics can also have interactive components. For example, putting the mouse cursor somewhere on the infographic may reveal a small pop-up window with additional information. Some infographics are also animated: bars in a bar chart may grow, colors may change, or characters may move. This is often achieved by using animated GIF files that display a sequence of static images in a repeating loop, which creates the illusion of motion.
Graphs – such as line graphs or bar graphs – convey numerical data. They are commonly used in life science communication as well as other communication contexts, such as when conveying stock market data, crime statistics, or real estate trends. The prevalence of these graphs doesn’t mean, as some may assume, that they are always easy to understand. Depending on design choices, some graphs will be able to shed light on important numerical data for public understanding of science, while others are likely to confuse or leave readers with a heightened conviction that science is an inaccessible enterprise.
Photographs are often considered an “easy” and accessible type of scientific visual. After all, they are commonplace in everyday life and not exclusive to scientific research. Everyone takes photographs and knows what photographs are. As long as one can physically see, one (so it is thought) can get what a photograph is about. Unfortunately, when it comes to life science photographs, much of this is misconception. This chapter explains why.
Adolescence is a critical developmental period marked by significant changes, increasing the risk of mental health problems such as anxiety and depression. Understanding how youth engage with mental health resources is essential. This study explored the role of interpersonal relationships—including peer-to-peer, adult-youth, parent, teacher and mentor relationships, and interactions with mental health professionals—in shaping youth mental health engagement and identified factors influencing these relationships. Using a phenomenological qualitative design, youth researchers (YRs) and youth advisors (YAs) were engaged throughout the research process. Semi-structured interviews were conducted with South African youth aged 14–24 years. The study highlighted the significance of peer relationships, particularly relatability, as key in youth mental health support. Family relationships had a mixed role, with factors like lack of mental health literacy, age differences, and cultural norms hindering effective communication and support. By understanding the dynamics of these relationships, this study emphasizes the need for targeted interventions that harness social support. Enhancing the quality of relationships and promoting positive social bonds can protect against mental health problems. Addressing gaps in support by recognizing and supporting peer-to-peer engagement is essential. Findings provide valuable insights for designing strategies to promote mental well-being among youth, particularly in resource-constrained settings.