This paper introduces regulatory components influencing city soundscapes in Europe and the UK, illustrating the abatement approach taken within noise policy, demonstrating the importance of individual experience in assessing the soundscapes of urban environments and identifying a terminology to facilitate an introduction of soundscapes into the planning process. Drawing on work from soundscape ecology, a way is demonstrated to coalesce these divergent positions. Reviewing interviews undertaken in Clerkenwell, the paper demonstrates that it is not simply noise levels that are important to people in an urban area. Context, source, distance, temporariness and control over noise, are all relevant to whether people would want to see a particular sound eliminated from their soundscape. Using Schafer's terminology 'keynote sounds', 'soundmarks' and 'sound signals', a rationale is proposed through which experienced soundscapes may be articulated, challenging the strategy of noise abatement which could produce a conformity of soundscape that homogenises place and dissolves local uniqueness.

Background Information and communication technology are playing a major role in ensuring continuity of healthcare services during the COVID-19 pandemic. The pandemic has also disrupted healthcare quality improvement (QI) training and education for healthcare professionals and there is a need to rethink the way QI training and education is delivered. The purpose of this rapid evidence review is to quickly, but comprehensively collate studies to identify what works and what does not in delivering QI training and education using distance learning modalities. Methods Three healthcare databases were searched along with grey literature sources for studies published between 2015 and 2020. Studies with QI training programmes or courses targeting healthcare professionals and students with at least one component of the programme being delivered online were included. Results A total of 19 studies were included in the review. Most studies had a mixed methods design and used blended learning methods, combining online and in-person delivery modes. Most of the included studies reported achieving desired outcomes, including improved QI knowledge, skills and attitudes of participants and improved clinical outcomes for patients. Some benefits of online QI training delivery include fewer required resources, reduced need for on-site instructors, increased programme reach, and more control and flexibility over learning time for participants. Some limitations of online delivery modes include limited learning and networking opportunities, functional and technical problems and long lead time for content adaptation and customisation. Discussion The review highlights that distance learning approaches to QI help in overcoming barriers to traditional QI training. Some important considerations for those looking to adapt traditional programmes to virtual environments include balancing virtual and non-virtual methods, using suitable technological solutions, customising coaching support, and using multiple criteria for programme evaluation. Conclusion Virtual QI and training of healthcare professionals and students is a viable, efficient, and effective alternative to traditional QI education that will play a vital role in building their competence and confidence to improve the healthcare system in post-COVID environment.

Social cues, such as eye gaze and pointing fingers, can increase the prioritisation of specific locations for cognitive processing. A previous study using a manual reaching task showed that, although both gaze and pointing cues altered target prioritisation (reaction times [RTs]), only pointing cues affected action execution (trajectory deviations). These differential effects of gaze and pointing cues on action execution could be because the gaze cue was conveyed through a disembodied head; hence, the model lacked the potential for a body part (i.e., hands) to interact with the target. In the present study, the image of a male gaze model, whose gaze direction coincided with two potential target locations, was centrally presented. The model either had his arms and hands extended underneath the potential target locations, indicating the potential to act on the targets (Experiment 1), or had his arms crossed in front of his chest, indicating the absence of potential to act (Experiment 2). Participants reached to a target that followed a nonpredictive gaze cue at one of three stimulus onset asynchronies. RTs and reach trajectories of the movements to cued and uncued targets were analysed. RTs showed a facilitation effect for both experiments, whereas trajectory analysis revealed facilitatory and inhibitory effects, but only in Experiment 1 when the model could potentially act on the targets. The results of this study suggested that when the gaze model had the potential to interact with the cued target location, the model's gaze affected not only target prioritisation but also movement execution.

Background: Environmental improvement is a priority for urban sustainability and health and achieving it requires transformative change in cities. An approach to achieving such change is to bring together researchers, decision-makers, and public groups in the creation of research and use of scientific evidence. Methods: This article describes the development of a programme theory for Complex Urban Systems for Sustainability and Health (CUSSH), a four-year Wellcome-funded research collaboration which aims to improve capacity to guide transformational health and environmental changes in cities. Results: Drawing on ideas about complex systems, programme evaluation, and transdisciplinary learning, we describe how the programme is understood to “work” in terms of its anticipated processes and resulting changes. The programme theory describes a chain of outputs that ultimately leads to improvement in city sustainability and health (described in an ‘action model’), and the kinds of changes that we expect CUSSH should lead to in people, processes, policies, practices, and research (described in a ‘change model’). Conclusions: Our paper adds to a growing body of research on the process of developing a comprehensive understanding of a transdisciplinary, multiagency, multi-context programme. The programme theory was developed collaboratively over two years. It involved a participatory process to ensure that a broad range of perspectives were included, to contribute to shared understanding across a multidisciplinary team. Examining our approach allowed an appreciation of the benefits and challenges of developing a programme theory for a complex, transdisciplinary research collaboration. Benefits included the development of teamworking and shared understanding and the use of programme theory in guiding evaluation. Challenges included changing membership within a large group, reaching agreement on what the theory would be ‘about’, and the inherent unpredictability of complex initiatives.

The recent promotion of city centre living within UK policy has led to commensurate interest in the quality of the urban environment, particularly the impact and influence that environmental quality has on quality of life and urban sustainability. This paper presents an overview of a study into environmental quality, looking at the environmental conditions and the opinions and experiences of people who live in three of the UK's major cities; London, Sheffield and Manchester. Environmental quality is both subjective and objective in its nature, and it is this combination that is of particular interest to this study. An innovative multi-method approach, combining qualitative and quantitative data collection techniques, has been developed and employed. Environmental monitoring (indoor and outdoor air quality and noise levels) was undertaken alongside participant lead photo-surveys, sound-walks and semistructured interviews with city centre residents. The case studies provide a detailed insight into the components that influence environmental quality; both perceived and measured. The collection and analysis of data has led to the production of 'local environmental quality maps' -spatial representations of local and expert knowledge on urban environmental factors. These maps offer a way to feed different perspectives on environmental issues to decision makers for future policy development. The findings of this study help to understand the influence environmental quality has on quality of life, this in turn can aid urban policy, planning and design. The wider implications of this study to the concept of urban sustainability are also discussed.