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Most UK ambulance services undertake remote assessments of 999 calls with nurses and paramedics to manage demand and reduce inappropriate hospital admissions. However, little is known about the differences in the types of cases managed by the two professions comparatively, their clinical outcomes, and the quality and safety they offer.

The retrospective descriptive study analysed data collected at Welsh Ambulance Services University NHS Trust (WAST) from prioritisation, triage, and audit tools between the 17th May 2022 to 8th November 2022. A total of 21,076 cases and 728 audits were included for review.

There was little difference in the type and frequency of the presenting complaints assessed, and clinical outcomes reached in percentage terms. Whilst paramedics had more highly compliant call audits and fewer non-compliant call audits, there was, again, little difference in percentage terms between the two, indicating positive levels of safety across the two professional groups.

There continues to be a substantial difference between UK paramedics to those in the Middle East, the United States, and some African nations, which may limit the applicability of findings. This study also looked at a six-month window from only one UK service using one type of prioritisation and triage tool. Future research could explore longer periods from multiple services using various tools. It is important to note that this study did not link outcome data with primary, secondary or tertiary care settings. Thus, it is impossible to determine if the level of care aligned closely with the final diagnosis.

The practical implications of this work include better workforce planning for agencies who have perhaps only employed one type of clinician or a reaffirmation to those who have employed both. The authors suggest that the training and education of both sets of clinicians could remain general in nature, with no overt requirement for specificity based on professional registration alone. Commissioners and stakeholders in the wider health economy should consider ensuring equitable access to alternative pathways for patients assessed by both nurses and paramedics.

It has been posited that UK nurses and paramedics are, by virtue of their consistency in education, skill set, licensure, and general experience, both able to achieve safe and effective remote outcomes in 999 settings. This study provides evidence to support that hypothesis. These results say more about the two professions' ability to work together rather than just the professions themselves. The multidisciplinary team approach is well-established in acute care settings, and is broadly considered to improve communication, coordination decision making, adherence to up-to-date treatment recommendations, and be positive for shared learning and development for younger colleagues.

Most UK services use a mix of nurses and paramedics; however, little is known about the differences in the types of cases managed by the two professions comparatively, their clinical outcomes, and the quality and safety they each offer. The most recent studies of this nature were published in 2003 and 2004 and looked only at low-acuity 999 calls when remote assessment was not even an established role for UK paramedics. This study updates the literature, identifies areas for future research, and applies to the international setting for the most part.

Purpose – To describe the use of the software platform, TechScaffold, for use in teacher education to provide pre-service and in-service teachers with decision-making heuristics to select apps based on formulation of their instructional purposes for using those apps; participate in a community designed to foster knowledge and experience about effective, purposeful uses of apps; and share project reports to illustrate the use of apps to achieve certain learning objectives.

Design – The authors draw on research related to decision-making associated with purposeful uses of apps as well as analysis of the limitations of similar instructional design tools to develop features for TechScaffold. They sought to scaffold teachers’ decision-making through users formulating open-ended responses to queries with responses matched against a database of apps identified according to platform, purpose, grade level, difficulty, and cost, as well as ways for users to participate as members of a community to share projects illustrating uses of apps. The authors also obtained feedback regarding the potential usability and value of TechScaffold.

Findings – Given research indicating the importance of scaffolding decision-making processes regarding uses of apps, feedback from users indicated that they perceive TechScaffold as a useful tool within the context of teacher education as well as for professional development in schools to foster effective decision-making associated with purposeful uses of apps.

Practical Implications – Teacher educators can employ scaffolding activities to help pre-service and in-service teachers make decisions regarding productive uses of apps through their open-ended formulation of certain purposes through use of a tool such as TechScaffold.

Purpose – In this chapter, we introduce the Internet-based field experiment (IBFE) that offers numerous advantages for bringing stratification processes “back into” the study of religion. We present preliminary results from a study of class and race discrimination using this approach.

Design/Methodology/Approach – Using names of fictitious characters, we sent e-mails to a nationally representative sample of 4,680 U.S. Christian churches asking about possible membership. The e-mails varied only in the perceived race and class of the senders. We utilize a mixed methods approach to analyze variation in the content of the church responses.

Findings – Our early findings suggest significant variation by race/class manipulation, religious denomination, and region of the country in churches’ responses as well as the length of time they took to reply, the length of the response, the warmth, religious tone, and several other dimensions.

Research limitations/Implications – This study raises new opportunities for Internet-based research on religion in a variety of social settings, but there is not yet a well-established set of “do's” and “don’ts” for how to proceed. We advocate the development of a protocol of best practices as this research method develops.

Originality/Value – This study demonstrates the opportunities and pitfalls of the IBFE and the advantages it provides for studies of stratification and religion. Ours is the first study to apply this emerging method to the study of religion and stratification.

Social movement scholars conventionally neglect high school students and settings. This elision stems in part from the fallacious assumption that high schools constitute a segment of society traditionally immune to conflict and in equal part from a failure to appreciate the political agency of high school-aged youth. When scholars do concern themselves with youth social movements, they tend to privilege large-scale, epochal protests on college campuses. In this study, however, we document a significant level of “social movement behavior” among actors who rarely see the light of scholarly print: suburban high school students.

This volume of Sociological Studies of Children and Youth showcases the timely and important work of active, early career sociologists, who are helping to define the direction of the sub-field. Their work shares basic premises and concerns, and these underlie and provide cohesion to this diverse collection of chapters. Children and youth are active agents in their own “socialization,” producing meaning and action collaboratively with their peers, and they struggle for agency and control in various social contexts – these are the themes that, both explicitly and implicitly, shape essentially all of the contributions. The underlying concern of our own introduction above, and of many of the chapters, is that the current processes and practices may stifle children's creativity and undermine their potential to collaboratively construct innovative solutions to societal problems.

Julie E. Artis, Associate Professor of Sociology at DePaul University, received her Ph.D. in Sociology from Indiana University in 1999. Her research interests include family, law, and child well-being. Her recent work has appeared in Journal of Marriage and Family, Law and Society Review, and Violence Against Women. She is currently investigating how family structure and parental resources influence child cognitive and psycho-social outcomes.

Industry loss index‐based risk transfer and management instruments such as the industry loss warranty (ILW) and other catastrophe insurance derivative products have proliferated in recent years. This article introduces an alternative measure of the ILW basis risk, specifically the conditional probability that the ILW policy does not pay out, given an actual loss sustained by the policyholder that exceeds some critical level. The author also discusses the effectiveness of upwardly oriented basis risk in reducing loss volatility. After introducing guidelines for choosing between an ILW and traditional reinsurance, the article concludes that a properly structured ILW can be an effective and innovative instrument for a large insurer or reinsurer to manage the severity and volatility of catastrophe losses, but not necessarily, for a medium‐sized or small (re)insurer. Although this article focuses on ILWs, the general methodology and conclusions presented are applicable to other index‐based risk transfer products.