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Challenge 10 of the United Nations Decade of Ocean Science for Sustainable Development (2021–2030) calls for the restoration of society's relationship with the ocean. Research suggests that the relationship people have with marine environments can influence their depth of engagement in marine citizenship action, and the important role for 'marine identity' in driving that action. Although identity is well‐researched, marine identity is a concept novel to academia and a baseline understanding is required, both to grasp the scope of the concept, and to support research into its role in transforming the human‐ocean relationship.Here, a transdisciplinary study, endorsed as a UN Ocean Decade Activity and by the EU Mission Ocean & Waters, brought together a multinational community of marine researchers and practitioners to co‐produce a baseline conceptualisation of marine identity, drawing on photovoice and deliberative methodology. This paper presents the findings of the co‐production process and offers a first introduction in the literature of the multiple variations and formations of marine identity.We find marine identity to be a complex and multidimensional concept, suffused with individual experiences and understandings of the marine environment, based on social and cultural understandings of the ocean, contemporarily and historically. We present real‐world examples of marine identity to illustrate key themes that were developed through co‐production.Policy implications: We propose marine identity as a catalyst for understanding existing multifaceted and caring relationships with the ocean, as well as the restoration of society's relationship with the ocean. Marine identity research should, therefore, be prioritised in research seeking to contribute to the UN Ocean Decade Challenge 10, as this will support integration of non‐material values of the ocean into marine planning processes and policy making, enabling effective responses to Challenge 10's emphasis on integrating traditional/cultural ways of knowing and valuing the marine environment, through diverse marine identities. We welcome research efforts that will further develop the marine identity concept and empirically investigate the relationships between marine identity, marine citizenship, and people's relationships with the ocean. Read the free Plain Language Summary for this article on the Journal blog. Read the free Plain Language Summary for this article on the Journal blog. [ABSTRACT FROM AUTHOR]

Background/aims: The value of using qualitative methods within clinical trials is widely recognised. How qualitative research is integrated within trials units to achieve this is less clear. This paper describes the process through which qualitative research has been integrated within Cardiff University's Centre for Trials Research (CTR) in Wales, UK. We highlight facilitators of, and challenges to, integration. Methods: We held group discussions on the work of the Qualitative Research Group (QRG) within CTR. The content of these discussions, materials for a presentation in CTR, and documents relating to the development of the QRG were interpreted at a workshop attended by group members. Normalisation Process Theory (NPT) was used to structure analysis. A writing group prepared a document for input from members of CTR, forming the basis of this paper. Results: Actions to integrate qualitative research comprised: its inclusion in Centre strategies; formation of a QRG with dedicated funding/roles; embedding of qualitative research within operating systems; capacity building/training; monitoring opportunities to include qualitative methods in studies; maximising the quality of qualitative research and developing methodological innovation. Facilitators of these actions included: the influence of the broader methodological landscape within trial/study design and its promotion of the value of qualitative research; and close physical proximity of CTR qualitative staff/students allowing sharing of methodological approaches. Introduction of innovative qualitative methods generated interest among other staff groups. Challenges included: pressure to under-resource qualitative components of research, preference for a statistical stance historically in some research areas and funding structures, and difficulties faced by qualitative researchers carving out individual academic profiles when working across trials/studies. Conclusions: Given that CTUs are pivotal to the design and conduct of RCTs and related study types across multiple disciplines, integrating qualitative research into trials units is crucial if its contribution is to be fully realised. We have made explicit one trials unit's experience of embedding qualitative research and present this to open dialogue on ways to operationalise and optimise qualitative research in trials. NPT provides a valuable framework with which to theorise these processes, including the importance of sense-making and legitimisation when introducing new practices within organisations. [ABSTRACT FROM AUTHOR]

The coalition literature recognizes context (geography, demographics and history) as a variable of interest, yet few coalition evaluation studies have focused on it. This study explores the association between geographic context and structures (e.g. member type) with functional characteristics (e.g. decision making or levels of conflict) in a statewide system of community health councils (coalitions). The study was part of a multiyear, statewide evaluation of New Mexico's health councils' contributions to systems-level changes. We adapted the Coalition Self-Assessment Survey (CSAS) for all county health council members and paid council coordinators. Both multilevel univariate and multivariate procedures were used to compare index scores, summaries of CSAS questions used to characterize council functions, with selected demographic variables and region. Member type was associated with decision making and policy capacity; paid staff expressed higher levels of agreement than voting members for both items. Length of membership was associated with decision making, positive leadership and shared vision. Results indicated that geographic context was significantly associated with many functional characteristics. The study highlights the idea that geographic context may influence coalition functioning. Understanding how geographic context influences coalition planning and actions may help explain differences among coalitions that on the surface share common organizational characteristics and external goals.

A Hughes,1 L Davies,1 R Hale,1 JE Gallagher21Kings College Hospital NHS Foundation Trust, 2King's College London Dental Institute, London, United KingdomBackground: The safety and protection of patients and health care workers is of paramount importance in dentistry, and this includes students in training who provide clinical care. Given the nature of dental care, adverse incidents can and do occur, exposing health care workers to body fluids and putting them at risk of infection, including contracting a blood-borne virus. The aim of this research was to analyze trends in the volume, rate, nature, management, and outcome of adverse incidents reported at one dental teaching hospital from 2005 to 2010.Methods: Descriptive analysis of trends in the volume, rate, nature, management, and outcome of adverse incidents reported at one dental teaching hospital over a six-year period was undertaken in relation to the level of outpatient and day surgery activity.Results: In total, 287 incidents were reported over a six-year period, which amounted to 0.039% of outpatient or day surgery appointments. Nearly three quarters of all the incidents (n = 208, 72%) took place during treatment or whilst clearing away after the appointment. The most frequent incidents were associated with administration of local anesthetic (n = 63, 22%), followed by burs used in dental hand pieces (n = 51, 18%).Conclusion: This research confirms that adverse incidents are a feature of dental hospitals and reports the common sources. The importance of accurate and consistent reporting of data to ensure that these issues are monitored to inform action and reduce risks to staff, students, and patients are highlighted.Keywords: risk management, blood-borne virus, dental hospital, body fluids exposure, adverse event reporting

Intermittent streams currently constitute >50% of the global river network, and the number of intermittent streams is expected to increase due to changes in land use and climate. Surface flows are known to expand and contract within the headwater channel network due to changes in the water table driven by climate, often changing seasonally. However, the underlying causes of disconnections and reconnections throughout the stream network remain poorly understood and may reflect subsurface flow capacity. We assess how 3D subsurface flowpaths control local surface flows at Gibson Jack Creek in the Rocky Mountains, Idaho, USA. Water table dynamics, hydraulic gradients, and hyporheic exchange were monitored along a 200‐m section of the stream throughout the seasonal recession in WY2018. Shallow lateral hillslope‐riparian‐stream connectivity was more frequent in transects spanning perennially flowing stream reaches than intermittent reaches. During low‐flow periods, larger losing vertical hydraulic gradients were observed in paired piezometers in intermittent reaches than in adjacent perennial reaches. Contrary to dominant conceptual models, longitudinal measurements of hydrologic exchange in both intermittent and perennial reaches were seasonally variable except for one perennial reach that showed consistent significant gains. Observed drying dynamics, as well as subsurface pathways, were highly variable even over short distances (30 m). Flow probability and subsurface flow capacity at upstream locations can be assessed with an outlet hydrograph and upstream flow measurements. Accurate characterization of subsurface storage, discharge, and connection is critical to understanding the drivers of drying cycles in intermittent streams and their likely responses to future change. Plain Language Summary: Over half of all streams occasionally dry, sometimes disconnecting sections of the stream channel from both upstream and downstream flow. These gaps in flow are assumed to occur because the stream flows underground instead of above the stream bed. We tested this idea in the Rocky Mountains, USA by studying how subsurface flows vary in three different directions below ground: laterally from the hillslope, vertically up into or down out of the stream bed, and longitudinally along the stream corridor. The stream did not dry out where hillslopes were more likely to laterally contribute flow. Water was consistently lost vertically from the stream to the groundwater, and losses were bigger in the reaches that dried. Flows longitudinally along the stream corridor varied seasonally, but were similar in both wet and dry reaches—except for one distinct spring location where water was consistently added to the stream. We also observed that stream drying patterns varied over short distances: drying patterns differed in locations only ∼30 m apart. We also found a way to predict the likelihood of drying. Future work should focus on the subsurface to measure water storage and flow rates below the stream bed. Key Points: Lateral, longitudinal, and vertical connections all affect stream drying with fewer and less stable connections in intermittent reachesLongitudinal connections were seasonally variable except for consistent large gains in one perennial reachStream drying was heterogeneous over short (30‐m) distances, but predictable from selected discharge measurements [ABSTRACT FROM AUTHOR]