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This paper brings together key ideas from across economic and social theory to expand geographical understandings of crisis at the personal scale. Drawing on ethnographic research with families in Greater Manchester, UK, together with literatures on the geographies of crises and conjunctures, I argue that economic crises, such as austerity, can be revealing of the fragilities within familial and personal relationships and as such constitute a very personal crisis. In times of austerity and economic crisis, questions are raised about how people imagine themselves, and the relationships, spaces, and times in which they situate their lives - previously, presently, and prospectively. I advance conceptualisations of the ways austerity and economic crisis \"play out\" to illustrate how everyday life is punctuated and disrupted by crises and conjunctures of various types. Personal conditions of austerity are knotted within personal inventories of important life experiences, relational comparators, and memories, of social, emotional, or financial hardship, which resonate strongly. Furthermore, I identify the way in which crises are woven within imaginarles of the future, personal biographies, and lifecourse trajectories, whereby economic crises and austerity can be felt as life crises. Providing added depth to current geographical literature focused on the personal scale, in this paper economic crises and austerity are shown to be personally affective, having lasting impacts on social relationships. Ultimately, I make the case for how an economic crisis is almost always and inevitable felt as a personal crisis; a vital conjuncture, the crescendo of circumstance, opening up the sores of memories and creating new ones, compromising familial and financial fragility.

Skin cancer represents a significant public health concern, and consistent sunscreen use reduces risk. With social media emerging as a dominant source of health information, unconventional video formats have gained increased prominence. Despite these shifts in health promotion practice, limited research has examined how digital message formats influence health-related beliefs. The objective of this study is to examine how different social media-based message formats (amateur video, professional video, written text, and control) and participant characteristics affect perceptions of skin cancer risk, sunscreen efficacy, and intentions to wear sunscreen to prevent skin cancer. A national sample of white US adults (  = 538) were assigned to one of four digital message conditions in an online randomized controlled experiment. Participants completed a fully automated Qualtrics-based survey grounded in the Extended Parallel Process Model (EPPM). EPPM variables, audience perceptions of the message, confidence in identifying signs of skin cancer, and behavioral intentions to wear sunscreen were evaluated through a series of one-way analyses of variance (ANOVAs). Standard multiple regression analysis was used to assess associations between message assignment, demographic characteristics, and EPPM variables. Both amateur and professionally produced video formats significantly increased participants' beliefs in sunscreen's effectiveness compared to the control condition. The only significant audience perception differences were higher engagement and lower boredom ratings in the professional video condition compared to the amateur video and text-only conditions. Demographic variables including sex, generation, skin sensitivity, and education were significantly associated with differences in perceived threat and efficacy. Findings indicate that both amateur and professional video-based social media messages can effectively promote sun safety. Public health campaigns aiming to reduce skin cancer risk may be strengthened by incorporating varied digital message formats and tailoring content to key demographic characteristics of the target audience.

Cold air drainage is common in mountains, and leads to large, fine-scale differences in diurnal temperature range (DTR). DTR is hypothesized to drive plant community assembly, because areas with high DTR can be exposed to both extreme high and extreme low temperatures in the same day. We established networks of temperature and relative humidity sensors along DTR gradients in two montane forest basins, and conducted plant surveys around each sensor (n = 45). We studied the seasonal stability of DTR and its effects on fine-scale variation in plant community composition, and used topographic metrics to create spatial models of DTR. We found that mean DTR was stable throughout the year, although it was more variable around the mean (i.e. the standard deviation was higher) in winter months. It achieved both time series stability and distinguishability in less than 100 d, and was most strongly associated with daily minimum vapor pressure deficit. DTR measured in situ was the only variable that explained more than 50% of the within-basin variation in species composition for both basins, but among basins coarser-scale variables (actual evapotranspiration, topographic wetness index (TWI), and climatic water deficit) performed better. DTR had a small, negative effect on species richness. Our simple model of DTR explained 64% of the variation, using only TWI and elevation as predictors. These findings illustrate how at broad scales, average temperature and moisture conditions drive the regional species pool, but fine scale distribution of plant species within a basin is driven by microclimate. Accounting for fine-scale topoclimatic processes will lead to better models that capture abiotic gradients, allowing for improved representation of complex ecological processes in earth systems models. Future studies should account for microclimate, especially DTR, when designing experiments, as uneven sampling across microclimates will introduce bias into community observations.

Following on the heels of the USA Gymnastic abuse scandal involving team doctor Larry Nassar, the NWSL story was another example of alleged systemic abuse by male coaches in womens sports. Scope of Yates Report and Methodology Within days of The Athletic's story, on October 2, 2021, the US Soccer Federation, which managed the NWSL from 2013 until 2020, hired Sally Q. Yates, the former Deputy Attorney General, to perform an internal investigation into the allegations of abusive behavior and sexual misconduct in US womens pro soccer. Ltd, Acritas Diversity Report: Uncovering the Positive Impacts of a Fully Diverse Legal Team (2016), https://bit.ly/3D7YfdD. The Yates team spawned multiple generations, with some team members practicing law for 30 years or more, while others were first-year associates and law clerks.

Interest in partnering with faith-based organizations (FBOs) to address health disparities has grown in recent years. Yet relatively little is known about these types of partnerships. As part of an evaluation of the Institute for Faith and Public Health Collaborations, representatives of 34 faith-health teams (n = 61) completed semi-structured interviews. Interviews were tape recorded, transcribed, and coded by two members of the evaluation team to identify themes. Major facilitators to faith-health collaborative work were passion and commitment, importance of FBOs in communities, favorable political climate, support from community and faith leaders, diversity of teams, and mutual trust and respect. Barriers unique to faith and health collaboration included discomfort with FBOs, distrust of either health agencies or FBOs, diversity within faith communities, different agendas, separation of church and state, and the lack of a common language. Findings suggest that faith-health partnerships face unique challenges but are capable of aligning resources to address health disparities.

Deaf and hard-of-hearing individuals who use a signed language experience persistent inequities in healthcare access, communication, and outcomes. Although federal accessibility policies mandate effective communication, implementation remains inconsistent and signing Deaf patients continue to report barriers that compromise safety, autonomy, and trust. Existing literature documents communication breakdowns but offers limited qualitative insight into how institutional structures, administrative practices, and policy implementation processes shape Deaf patients' healthcare experiences across the continuum of care. This qualitative descriptive study examined healthcare experiences of culturally Deaf signing adults in the United States using a socioecological analytic framework. Participants were recruited through Deaf-oriented social media groups in Utah. Eligible participants were adults aged 18 years or older who self-identified as culturally Deaf and were proficient in American Sign Language (ASL). Data were collected through ASL-interpreted focus groups and individual interviews. Transcripts were verified for accuracy and analyzed using iterative deductive and inductive thematic analysis in NVivo with attention to institutional and policy-level influences on healthcare access. Participants described a healthcare system in which effective communication access was inconsistent and frequently required Deaf patients to self-advocate for accommodations. Findings clustered into three interrelated domains: (1) influencing factors, including policy ambiguity, economic constraints, patient knowledge, and advocacy burden; (2) institutional barriers, including capacity limitations, technological and environmental constraints, personnel knowledge and attitudes, restrictive interpreter contracting practices, fragmented scheduling and record-keeping systems, unclear roles and responsibilities, and compliance-oriented institutional culture; and (3) effects on Deaf patients' lives. Healthcare-specific effects included reduced autonomy, compromised privacy, delayed or inadequate care, healthcare avoidance, trust erosion, and poorer health outcomes. Broader impacts included emotional and mental stress, financial strain, relationship burden, and reliance on litigation or geographic avoidance to secure accessible care. Despite longstanding accessibility mandates, signing Deaf patients continue to experience structurally produced inequities driven by inconsistent institutional implementation. Communication access functions as a core patient safety and equity mechanism rather than a discretionary accommodation. Achieving healthcare equity for Deaf patients requires system-level reforms that embed accessibility into institutional infrastructure, diversify interpreter contracting, strengthen workforce preparation, and establish accountability mechanisms that move healthcare organizations beyond minimal compliance toward structural equity. Not applicable.

Objective: The Institute for Public Health and Faith Collaborations sought to cultivate boundary leadership to strengthen collaboration across religious and health sectors to address health disparities. This article presents findings from an evaluation of the Institute and its impact on participating teams of faith and public health leaders. Methods: Self-administered surveys were completed by participating team members (n=243) immediately post-Institute. Semistructured telephone interviews were conducted with at least one health and one faith leader per team six to eight months after the Institute. Results: Significant self-reported improvement occurred for all short-term outcomes assessed, with the largest increases in describing organizational frames and why they are important for community change, and understanding the role of boundary leaders in community systems change. Six months after the Institute, participants spoke of inspiration, team building, and understanding their own leadership strengths as important outcomes. Leadership growth centered on functioning in groups, making a change in their work, a renewed faith in self, and a renewed focus on applying themselves to faith/health work. Top team accomplishments included planning or implementing a program or event, or solidifying or sustaining a collaborative structure. The majority felt they were moving in the right direction to reduce health disparities, but had not yet made an impact. Conclusions: Results suggest the Institute played a role in helping to align faith and health assets in many of the participating teams.

Background: Fluoroscopy is a vital imaging technique in orthopaedic surgery, particularly with the growing adoption of minimally invasive surgery (MIS). Because of their increased reliance on intraoperative imaging, MIS techniques may necessitate greater use of fluoroscopy and radiation compared with open procedures; therefore, the use of modern mini C-arm systems is recommended to mitigate radiation exposure. Although MIS offers significant benefits, its use also raises concerns regarding radiation exposure for both patients and surgical staff. This study evaluated radiation dose and fluoroscopy time comparing 2 common procedures used to treat insertional Achilles tendinitis: the percutaneous Zadek osteotomy (ZO) and the open midline Achilles tendon splitting Haglund resection (HR). We hypothesized that the percutaneous ZO would be associated with increased radiation dose and fluoroscopy time in comparison to the open HR but would be below the recommended occupational exposure limits. Methods: A retrospective review was conducted of all patients who underwent a percutaneous ZO or an open HR between January 2021 and July 2025. All procedures were performed by one of 2 fellowship-trained foot and ankle surgeons at a single academic institution. Radiation exposure was assessed using total radiation dose (mGy) and total fluoroscopy time (minutes). Results: A total of 139 patients met inclusion criteria. Sixty patients underwent a percutaneous ZO, whereas 79 underwent an open HR. The percutaneous ZO cohort demonstrated a mean fluoroscopy time of 2.83 ± 1.64 (range, 0.70-7.17) minutes and an average radiation dose of 3.25 ± 2.06 (range, 0.55-8.07) mGy. Meanwhile an average fluoroscopy time of 0.42 ± 0.19 (range, 0.03-0.90) minutes was observed in the open HR cohort, which had a mean radiation dose of 0.38 ± 0.20 (range, 0.02-1.17) mGy. The percutaneous ZO cohort demonstrated a significantly higher radiation dose (P < .001) and fluoroscopy time (P < .001). Conclusion: The percutaneous ZO was associated with a significantly higher radiation dose than the open HR; however, despite being statistically significant, this may not be clinically relevant. As surgeons receive only 0.50% of the dose, approximately 1225 percutaneous ZO procedures would be required to exceed annual safety limits. These findings suggest that radiation exposure during the percutaneous ZO technique remains well below the International Commission on Radiological Protection’s annual occupational limit of 20.00 mSv. Consistent with the ALARA principle, low-dose mini C-arm settings and protective equipment help minimize radiation exposure to patients and surgical staff. Level of Evidence: Level III, retrospective comparative study.