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Clinical audit in general surgery has been characterised by the early use of information technology to assist in the gathering of useful clinical data. Such an approach allows the study of accurate information on workload patterns and complication rates to influence the direction which audit takes and to direct the enthusiasm of the group towards locally relevant factors, modification of which can yield early benefits to patients. Audit of general surgery should cover a broad view of all aspects of the provision of surgical care, because deficiencies in the service affect access to care, the process and outcome of care as well as the need for more effective use of limited resources. The benefits to the patient of clinical audit and its inherent educational value are already apparent.

Dwelling retrofit strategies generally concentrate on measures to reduce energy use and carbon emissions. However, climate change projections predict increases in both the frequency and severity of extreme weather events, including heat waves. It is predicted that by the 2040s severe heat waves similar to the European one in August 2003 may be expected to occur every year. Future guidance therefore needs to combine mitigation with adaptation in order to provide safe and comfortable dwellings, whilst also reducing heating energy use, within the available retrofit budget. The paper aims to discuss these issues.

The research presented here used dynamic thermal simulation (EnergyPlus) to model a range of passive interventions on selected dwelling types to predict the effect on both dwelling overheating during a heat wave and annual space heating energy use. The interventions include modifications and additions to solar control, insulation and ventilation.

Results demonstrate the effectiveness of interventions that reduce solar heat gains, with external shutters fitted to windows being the most effective single intervention in many cases. Solar reflective coatings also reduce overheating but lead to increased winter heating energy use, whilst wall insulation reduces heating energy use but can, in some cases, lead to increased overheating. The choice of wall insulation type is shown to be very important, with external insulation consistently performing better than internal for overheating reduction. The modelling further demonstrates that combined interventions can significantly reduce or in many cases eliminate overheating. Overheating exposure was found to vary significantly (up to a factor of ten times) between dwelling types. It can be significantly greater for residents who have to stay at home during the daytime, such as the elderly or infirm, and different interventions are sometimes more suitable in these cases.

An innovative modelling methodology integrating overheating reduction, heating energy use and intervention cost has been developed and implemented for adapting UK dwellings to future heat waves. Other innovations include an automated approach for large volumes of simulations (over 180,000); a unique graphical interpretation method for presenting single and combined intervention results; and a user-friendly, interactive retrofit toolkit, which is available online for public access and free of charge.

Microfoundations of institutions are central to constructing place – the interplay of location, meaning, and material form. Since only a few institutional studies bring materiality to the fore to examine the processes of place-making, how material forms interact with people to institutionalize or de-institutionalize the meaning of place remains a black box. Through an inductive and historical study of Boston’s North End neighborhood, the authors show how material practices shaped place-making and institutionalized, or de-institutionalized, the meaning of the North End. When material practices symbolically encoded meanings of diverse audiences into the church, it created resonance and enabled the building’s meanings to withstand environmental change and become institutionalized as part of the North End’s meaning as a place. In contrast, when the material practices restricted meaning to a specific audience, it limited resonance when the environment changed, was more likely to be demolished and, thus, erased rather than institutionalized into the meaning of the North End as a place.

Organizational researchers studying well-being – as well as organizations themselves – often place much of the burden on employees to manage and preserve their own well-being. Missing from this discussion is how – from a human resources management (HRM) perspective – organizations and managers can directly and positively shape the well-being of their employees. The authors use this review to paint a picture of what organizations could be like if they valued people holistically and embraced the full experience of employees’ lives to promote well-being at work. In so doing, the authors tackle five challenges that managers may have to help their employees navigate, but to date have received more limited empirical and theoretical attention from an HRM perspective: (1) recovery at work; (2) women’s health; (3) concealable stigmas; (4) caregiving; and (5) coping with socio-environmental jolts. In each section, the authors highlight how past research has treated managerial or organizational support on these topics, and pave the way for where research needs to advance from an HRM perspective. The authors conclude with ideas for tackling these issues methodologically and analytically, highlighting ways to recruit and support more vulnerable samples that are encapsulated within these topics, as well as analytic approaches to study employee experiences more holistically. In sum, this review represents a call for organizations to now – more than ever – build thriving organizations.