https://bura.brunel.ac.uk/handle/2438/8608 2026-10-08T14:40:24Z 2026-10-08T14:40:24Z Al Mohajer, Mayar Slusky, David Nix, David E Allel, Kasim Shay, Sabra Nicodemo, Catia https://bura.brunel.ac.uk/handle/2438/33944 2026-10-06T02:00:14Z 2026-07-23T00:00:00Z

Title: Neighborhood Deprivation, Antibiotic Prescribing Concordance, and 30-Day Outcomes After Emergency Department Encounters in Older Adults Authors: Al Mohajer, Mayar; Slusky, David; Nix, David E; Allel, Kasim; Shay, Sabra; Nicodemo, Catia Abstract: Background: Older adults evaluated in emergency departments (EDs) frequently receive antibiotics, but the relationships among neighborhood deprivation, antibiotic decision concordance, and downstream outcomes remain incompletely defined. Methods: We conducted a retrospective cohort study of 1 365 957 ED encounters among adults aged ≥65 years at 119 CommonSpirit Health facilities across 15 US states (2015–2024). Census-tract Social Deprivation Index (SDI) was standardized for modeling. Indication-level concordance, overuse, and underuse were based on antibiotics administered during the index ED encounter and an encounter-level diagnosis-tier framework. Outcomes were length of stay (LOS), 30-day ED revisit, mortality, Clostridioides difficile infection (CDI), and desirability of outcome ranking (DOOR). Results: Associations between higher SDI and outcomes were statistically detectable but small in absolute magnitude. Guideline-concordant management was associated with shorter LOS, better DOOR, and lower revisit, mortality, and CDI risks; overuse was consistently associated with worse outcomes, whereas underuse showed mixed associations. Concordance mediated only a small share of SDI-associated outcome differences. Sensitivity analyses using a 4-level DOOR outcome, modified Poisson relative risks, and study-period stratification supported the principal interpretation. Conclusions: Neighborhood deprivation had small absolute associations with short-term outcomes. Indication-level concordance and avoidance of overuse were associated with more substantial outcome differences but explained little of the deprivation-associated variation. Description: Supplementary data are available online at: https://academic.oup.com/ofid/article/13/7/ofag455/8740361#supplementary-data .

2026-07-23T00:00:00Z Azar, Goudarz Batsakis, Georgios Drogendijk, Rian Sousa, Carlos MP https://bura.brunel.ac.uk/handle/2438/33913 2026-10-01T02:00:16Z 2026-07-17T00:00:00Z

Title: Is the glass half full or half empty? Underestimating versus overestimating institutional distance and the importance of managerial cognition Authors: Azar, Goudarz; Batsakis, Georgios; Drogendijk, Rian; Sousa, Carlos MP Abstract: This study draws on a microfoundational view of international business to examine how managerial misperceptions of institutional distance, specifically, the underestimation and overestimation of formal and informal institutional differences between home and host markets, shape expansion strategies, in particular, location choice. Further, using the cognitive appraisal theory as a lens, it examines the moderating role of managerial cognitive styles, focusing on how traits, e.g., sensing versus intuiting and judging versus perceiving, influence these managerial misperceptions and their impact on foreign location choice. Using data from a vignette experiment with 208 international managers, the findings reveal that misperceptions of institutional distance can significantly skew managers’ perceptions of a foreign location, with cognitive traits playing a crucial role in mitigating these biases. By exploring the role managerial cognition plays in international strategic decision-making, this research contributes to understanding the microfoundational underpinnings of foreign location choice and provides practical implications for achieving managerial decision objectivity in complex institutional environments. Description: Data availability: Data will be made available on request.

2026-07-17T00:00:00Z Dey, Adrija Rodrigues Silva, Caroline Wild, Jessica Shannon, Erin https://bura.brunel.ac.uk/handle/2438/33902 2026-09-24T02:00:40Z 2026-01-31T00:00:00Z

Title: Sexual and Gender-Based Violence in Higher Education in Brazil Authors: Dey, Adrija; Rodrigues Silva, Caroline; Wild, Jessica; Shannon, Erin Abstract: This report presents the findings from fieldwork conducted in Brazil as part of a four-country study, FemIDEAS: Transforming Theory, Policy, and Practice to Decolonise Sexual and Gender-Based Violence in Higher Education. The FemIDEAS project investigates sexual and gender-based violence (SGBV) within higher education (HE) institutions to deepen our understanding of the issue and to develop more effective approaches to prevention, response, and support for those who experience it. The study is grounded in decolonial, intersectional, feminist, and abolitionist principles, and is centred on the experiences and needs of victim survivors. Across the project, we are conducting interviews and analysing policies, procedures, and activism in four countries: Argentina, Brazil, Nigeria, and South Africa. Brazil was the third country we visited as part of this study. Description: This report forms part of the FemIDEAS project (see: https://femideas.com/about/).

2026-01-31T00:00:00Z Adams, Helen Gini, Giovanna Dawson, Richard Fowler, Hayley Jenkins, Katie Jones, Stephen Krishnamoorthy, Shruthi Pant, Raghav Paterson, Shona Toney, Jaime Yule, Emma Witton, Rosie Wolstenholme, Ruth https://bura.brunel.ac.uk/handle/2438/33896 2026-09-23T02:00:33Z 2026-09-21T00:00:00Z

Title: Adaptation as a catalyst for social change Authors: Adams, Helen; Gini, Giovanna; Dawson, Richard; Fowler, Hayley; Jenkins, Katie; Jones, Stephen; Krishnamoorthy, Shruthi; Pant, Raghav; Paterson, Shona; Toney, Jaime; Yule, Emma; Witton, Rosie; Wolstenholme, Ruth Abstract: Adaptation to climate change is currently characterised by ever-increasing costs to maintain the status quo with respect to climate hazards. This gap is worsened by the fiscal austerity that characterises the current political and economic situation in many countries. These cuts reduce societal resilience through neglected public infrastructure, services and civic spaces generating vulnerability to shocks and an everyday lack of opportunity. Here we argue that without addressing economic austerity, the viability of current approaches to adaptation are severely compromised. Thus, engaging with, and shifting, societal values, norms and objectives in decision-making will be central to a more cost-effective and orderly form of adaptation. This requires amplifying the political voice of communities who often lack the power to effect change. In this framing, adaptation goes beyond (but still includes) responding to hazard, placing greater emphasis on investment in people and advancing their wellbeing. Adaptation becomes a political force driving social change and challenging the logic of economic austerity.

2026-09-21T00:00:00Z