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Introduction: There are over 43,000 occupational therapists across the United Kingdom, with mental health occupational therapists being acknowledged as a main workforce of OT services. However, staff shortages are occurring, and urgent action is needed to retain this important workforce. Methods: The systematic literature search was conducted in the CINAHL, PsycINFO and Scopus databases to identify research literature published since 2008. Due to the heterogeneity of the included studies, a narrative synthesis was utilized. Results: A total of 20 studies (21 papers) were included in the review. Five thematic factors – well-being at work, organizational work environment factors, job resources, supervision and staffing, along with various subtheme factors emerged from the synthesis. The findings suggest that retaining mental health occupational therapists is a complex issue, affected by many factors. The study emphasizes the triangular relationship among three aspects of well-being (job satisfaction, professional identity and burnout) at work and introduces the concept of a 'Retention Ecosystem'. This illustrates how subtheme factors interconnect and influence the retention of mental health occupational therapists. Conclusion: The retention of mental health occupational therapists is revealed to be a multifaceted challenge. There is a need for developing more targeted, meaningful and holistic strategies for retaining the current mental health occupational therapist workforce. [ABSTRACT FROM AUTHOR]

The paper builds on recent flexitarianism scholarship by approaching this heterogeneous dietary category as a socio-cultural and political economic, rather than just a psychological phenomenon. It does this by drawing on Edmund Harris's conceptualization of alternative food provisioning activities and subject-making as a "politics of the possible." The paper addresses the following questions: does flexitarianism and the making of flexitarian subjectivities represent a "politics of the possible" and if so how; what are the limits of these politics and how might these limits be overcome? Empirically, the paper undertakes a qualitative analysis of UK national print news media coverage of flexitarianism and semi-structured interviews with self-identified flexitarians. Data from these two sources are interwoven in the discussion of themes that provide some evidence in support of flexitarianism as a politics of the possible, but which also draw attention to the limits of these politics. The paper concludes that only by addressing these limits can a full and critical assessment be made of flexitarianism's contribution to a food system less dependent on animal-based foods. [ABSTRACT FROM AUTHOR]

This study unveils the establishment of the United Kingdom-Netherlands Decomposition Experimental Research (UNDER) working group, marking a pioneering initiative in practical Forensic Taphonomy within the UK. Our primary objective was to craft a cohesive multidisciplinary framework, designed to ethically orchestrate, execute, and assess human decomposition. Concurrently, we aimed to amass data through human burials, fostering collaboration among diverse forensic experts across Europe. The compilation of data collected over the year, elucidates the comprehensive utilisation of cadavers through a multifaceted scientific methodology. This paper discusses the triumphs, challenges, and innovative solutions encountered during this undertaking, providing a blueprint for forthcoming European research in Forensic Taphonomy. Our efforts support the comparability of longitudinal studies and give strategies to address the challenges posed by the scarcity and diversity of human donors in forensic science. Moreover, we propose the adoption of a dynamic scientific research management framework, which includes thorough identification, measurement, analysis, and application of solutions. Emphasis is also placed on adeptly managing business processes to ensure sustained relevance in both research and other stakeholders. [ABSTRACT FROM AUTHOR]

Teenage pregnancy has major implications for the mother and child, their wider family, and at a societal and population level. Although teenage pregnancy rates have fallen substantially over the last 30 years, they remain higher in the UK relative to other countries in Western Europe, and a high proportion of teenage pregnancies are unplanned. Teenage pregnancy is associated with major health inequalities, including lower maternal socioeconomic status and education. Furthermore, there is a lack of guidance to inform the antenatal management of teenage mothers to optimize both short- and long-term outcomes for mother and child. This review article outlines the latest trends in teenage pregnancy in the UK, the risks of teenage pregnancy for the mother, fetus and child, and presents proposed antenatal management strategies to optimize outcomes of teenage pregnancies. [ABSTRACT FROM AUTHOR]

Manufacturing and construction (M&C) companies cause significant environmental impacts and are under pressure to act. Despite research analysing the relationship between environmental impact mitigation (EIM) and economic performance (EP), findings remain inconclusive. Acknowledging the longevity of the M&C sector, and the uptake of ISO 14001 in UK companies, there is a lack of research analysing this relationship. Research has predominantly used dichotomous measurements for EIM, yet this fails to consider the substantiveness of the approach. This paper develops a multifaceted scoring system to measure the substantiveness of a company's approach to EIM. Using a sample of 58 UK-based publicly-listed M&C companies, the measurement analyses how a substantive approach to EIM affects EP. Correlational tests showed a medium, positive relationship. This implies companies may not need to choose between EIM and profit. The findings and the multifaceted measurement developed have implications for research, stakeholders, and high-level leadership teams. [ABSTRACT FROM AUTHOR]

The European Union Clinical Trials Regulation (EU CTR) provides new regulatory requirements for the preparation and submission of clinical trial documents. The United Kingdom Drug Information Association Medical Writing (UK DIA MW) Committee, with members from across the pharmaceutical industry, have reviewed the EU CTR and in this report, provide expert guidance on writing documents for submission in the EU CTR Clinical Trials Information System (CTIS) portal. Medical writers should be aware that the Investigator's Brochure containing the Reference Safety Information (RSI) must align with the annual safety report, and the RSI format must comply closely with the EU CTR. For clinical study protocols, medical writers should prepare a single integrated EU protocol that receives consolidated approvals from all participating EU member states, with different versions of a protocol for different EU member states no longer permitted. This report also provides details of experiences and recommendations on protocol synopses from the UK DIA MW Committee. In addition, plain language summaries are new EU CTR documents required for each study presenting summaries of clinical trial results for laypersons. Some of these documents will be published in the publicly accessible CTIS portal which has created concerns amongst many companies who are keen to protect commercially confidential information (CCI). Medical writers may help reduce CCI through lean writing, but specifically identifying CCI may require specialist legal evaluation. This report by the UK DIA MW Committee highlights the key processes for medical writers to ensure compliance with the EU CTR when preparing documents for submission to the CTIS portal. [ABSTRACT FROM AUTHOR]

Background: MAGnetic Expansion Control (MAGEC) rods can prevent repeated lengthening operations for scoliosis patients. However, there have been several Field Safety Notices issued, including a worldwide product recall due to actuator endcap separation. We aimed to review adverse events reported to the Food and Drug Administration (FDA) regarding MAGEC rods, focusing on MAGEC X. Methods: Reports submitted to the Manufacturer and User Facility Device Experience database in relation to MAGEC devices were accessed and analysed using R Statistical Software. Exclusion criteria included duplicate and literature review reports (n = 54). Free-text data were analysed using inductive content analysis. Results: 1016 adverse events were reported to 11/30/2023. 99.0% (1006) were submitted by the manufacturer. Reports primarily arose from the UK (465, 45.8%) or US (421, 41.4%). From free-text data the most frequent adverse events were distraction mechanism failure (573), device wear (272), and actuator seal damage (180). Rod fracture (n = 48) was not significantly associated with rod diameter (≤ 5.0 mm or > 5.0 mm), p = 0.736. 234 reports referenced MAGEC X devices; actuator endcap separation was identified in 41.9% (99). Other events include failure of distraction (63), surface damage (31), and rod fracture (15). On 06/30/2020 MAGEC X2 received FDA approval. Twenty reports reference devices manufactured after this date, seven describe distraction mechanism failure; notably there are no reports of endcap separation. Conclusion: These data represent the largest series of adverse events reported for MAGEC rods, including significant new data regarding MAGEC X. As well as endcap separation, failure of distraction, surface damage, and rod fracture were reported. [ABSTRACT FROM AUTHOR]

Introduction: Social prescribing is a process of helping people to access non-medical activities to promote well-being. For occupational therapists, this is not new, although the social prescribing agenda is creating new roles around these approaches. This study aimed to explore how occupational therapists were involved in social prescribing in the United Kingdom and how they would like to contribute to future developments. Method: Semistructured interviews were carried out with 19 occupational therapists who identified they were involved in social prescribing activities. Findings: Thematic analysis led to two over-arching themes: (1) position and identity; and (2) making it work. Conclusion: Participants perceived similarity with social prescribing, leading to difficulty in positioning occupational therapy alongside this role, emotional responses and identity challenge. Points of distinction between the roles were articulated, including occupational therapy being more medical, having oversight of more complex needs and having more senior roles within teams. To manage workflow, occupational therapists delegate to social prescribing workers, although there is a lack of clarity about competence and varying involvement in supervision. Part of desired future involvement included clearer workflow, occupational therapy involvement in supervision and service development and creating legitimacy for both roles to address social determinants of health. [ABSTRACT FROM AUTHOR]

This article assesses how and why the National Health Service (NHS) has remained at the forefront of British politics and society for 75 years amid significant economic pressures, organizational strain, shifting ideological trends, ongoing reforms, and an unprecedented public health emergency. The postwar "years of consensus" evolved into alleged decline and ostensible neglect during the 1980s, while New Labour sought to rejuvenate this core public service after 1997, featuring investment and often controversial reforms that challenged the party's social democratic values. Amid the New Labour era, NHS powers filtered down to devolved administrations, while from 2008 retrenchment and austerity ensued, fueled by global recession. Austerity eventually subsided, yet from early 2020 the NHS swiftly faced the extreme conditions of the globalized Covid-19 pandemic. The service continues to face challenges regarding its longer-term viability, and this article analyzes this scenario, within the context of the NHS's 75-year historical legacy, its contemporary status, comparative international trends, and likely future evolution. [ABSTRACT FROM AUTHOR]

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Background: Sexual health is an essential component of health and well-being across the life course. However, sexual health research often focuses on young adults and excludes those aged 45 years and older. We organized a national crowdsourcing open call and co-creation events to identify recommendations to improve sexual health service provision for middle-aged and older adults in the United Kingdom (UK). Methods: We conducted a crowdsourcing open call and seven co-creation events consisting of workshop-style meetings and one-to-one in-depth interviews. Open call submissions and qualitative data from the co-creation events were analyzed using a thematic approach. A social-ecological framework was used to code deductively, but new codes were allowed to emerge. Thematic categories were organized to describe factors influencing the accessibility and inclusivity of sexual health services for middle-aged and older adults. Results: We received 22 submissions in total; of those, 35% of participants reported a disability, 40% of individuals were aged 45–65 years, and 6% of submissions came from individuals that identified as gay/lesbian. Five key themes highlighted that improving sexual health services for adults aged 45 years and over requires a multi-leveled approach: increase sexual health education, enhance patient and provider relationships, utilize community-led sexual health promotion efforts and delivery of reliable sexual health information, improve inclusive sexual health services, and break down sexual health taboos against adults aged 45+ years. Conclusions: Our data suggest that middle-aged and older adults can co-create compelling strategies to enhance sexual health services for middle-aged and older adults in the UK. Further implementation research is needed to pilot these strategies. Sexual health research and community engagement projects often focus on youth and neglect middle-aged and older adults. This research demonstrates that crowdsourcing open calls and co-creation activities focused on sexual health are feasible among middle-aged and older adults, including those with disabilities. Key findings from this study suggest that improving sexual health services for middle-aged and older adults must be addressed at various levels of healthcare service delivery. This article belongs to the collection: Sexual health among older adults: A multi-disciplinary collection. [ABSTRACT FROM AUTHOR]

Background: Sexual health service engagement is important for the healthy sexual development of young people. Further, as later adolescence and early adulthood are critical periods for relationship development, sexual health needs may vary across this period and be associated with relationship status. Methods: A total of 468 participants, aged 16–25 years (mean age: 19.7 years) and living in the United Kingdom, completed an anonymous, online survey about their sexual health service use. To explore how relationship status is associated with engagement for five different sexual health services, we conducted chi-squared and multivariable logistic regression analyses. Results: In general, engagement with sexual health services was low: 28.2% reported accessing free condoms, 21.4% reported STI testing, and 9.4% had used relationship advice services. Among women only, 57.2% had accessed services to start the pill and 19.6% had done so for pregnancy testing. Among all participants, those in relationships were more likely to have accessed sexual health services for free condoms (aOR: 1.71, 95% CI: 1.13, 2.59). Among female participants, those in relationships were more likely to have accessed sexual health services to start the pill (aOR: 2.21, 95% CI: 1.45, 3.36) and for pregnancy testing (aOR: 3.86, 95% CI: 2.20, 6.78). There were no differences by relationship status for accessing sexual health services for STI testing or relationship advice. Conclusions: Health care providers and relationship and sexual education providers should encourage all young people to engage with sexual health services, while also recognising that sexual health needs are likely to vary depending on relationship status. Sexual health service engagement among young people is important and needs may vary depending on relationship status. We explored use of five different sexual health services and found that, in general, engagement was low and those in relationships were more likely to have used services for free condoms, to start the pill, and for pregnancy testing. Healthcare and relationship and sexual education providers should encourage all young people to engage with sexual health services, whatever their relationship status. [ABSTRACT FROM AUTHOR]

The transition from primary to secondary school is a stressful period for autistic individuals. However, less is known about parental experiences of the school transition, and its impact on the family. This study explored mothers' perspectives on the psychological impact of the transition to secondary school for their autistic children and their families. Using Interpretative Phenomenological Analysis, semi-structured interviews were analysed to explore the experiences of eight mothers of autistic children at the end of their child's first year in secondary school. The analysis revealed two superordinate themes: lack of available support and detrimental psychological impact on the family. Mothers reported the negative impact the transition had on themselves, their child, and the wider family. The importance of pre- and ongoing transition support was highlighted to reduce the concerns of children and their parents throughout the transition process. The findings highlighted the need for autism-specific individualized guidance, as well as considering the potential for transition issues to impact on siblings. [ABSTRACT FROM AUTHOR]

There are an increasing number of people being diagnosed with dementia. Dementia is a life-limiting condition for which there is currently no effective treatment or cure to alter its progressive course. UK dementia policy has tended to focus on living well with dementia and less so on dying well with dementia, and there is a consistent difficulty in recognising when a person with dementia enters the end-of-life phase. The disease trajectory of dementia is noted as being unpredictable, especially when compared to those of other terminal conditions and, in addition, when there are other life-threatening conditions comorbid to the dementia. This paper uses two anonymised case studies that consider dying with and dying from dementia respectively, and offers rationales to support better recognition of dying for quality end-of-life care [ABSTRACT FROM AUTHOR]

An incomplete, but large hollow bone is identified as pterosaurian on account of its pneumatic nature, thin bone wall, palaeohistology and the characteristic surface texture of the peridermal bone. Despite being incomplete it is tentatively identified as a ?left ulna, and is remarkable for its size. Coming from the lower Middle Jurassic Lincolnshire Limestone Formation of Rutland, eastern England, this is the first record anywhere in the World of a Bajocian pterosaur, and probably the first pterosaur recorded from Rutland. It is most likely from Discites to Laeviuscula zones part of the lower Bajocian succession, and represents one of the largest Jurassic pterosaurs yet recorded, with a wingspan tentatively estimated at between 3.5 and 4.0 m. The taxonomic identity of the new specimen is uncertain, but it is likely allied to the Pterodactyloidea on account of its size, although presently it remains Pterosauria fam. et gen., et sp. indet. [ABSTRACT FROM AUTHOR]

As part of the adoption process in the UK, adoption medical advisors, often community paediatricians, meet prospective adoptive parents to share health information about the child and discuss potential implications for the future. As well as physical health, mental health needs to be addressed especially if there is possible mental illness in the birth parents. However, there is often lack of precise, reliable information available for the birth parents posing a challenge to the counselling process. This article discusses the challenges in addressing the issue of mental health in birth parents and how to approach conversations involving genetic risk when counselling prospective adoptive parents. [ABSTRACT FROM AUTHOR]

In pursuit of sustainable tourism, it is vital to measure and track any progress towards this desired outcome. Over the past 30 years, academic research upon sustainable tourism has been developed substantially, focusing on the balance of economic, environment and social-cultural elements, yet the techniques used are frequently based upon an overly simplified perspective. This research focused upon Gen Z (those born after 1997) and consists of three studies: Study 1: Mapping the domain of sustainable tourism using concept mapping with 28 Malaysian participants and 82 statements derived from indicator frameworks. Study 2: Scale item refinement using exploratory factor analysis from 231 Malaysian Gen Z within the normative [importance] domain. Finally, Study 3: Confirmation and application using confirmatory composite analysis evaluated the derived measurement instrument cross-nationally between 177 Malaysian and 182 British Gen Z in both the normative domain and the descriptive [applied] domain. The results of the study produce a seventeen-item instrument comprising four factors: Social, Cultural, Environmental Protection and Destination Management. These results support contemporary theoretical perspectives with only small variations, but this better reflects the dynamics of the tourist industry. [ABSTRACT FROM AUTHOR]

Mosquitoes (Diptera: Culicidae) and the pathogens they transmit represent a threat to human and animal health. Low-cost and effective surveillance methods are necessary to enable sustainable monitoring of mosquito distributions, diversity, and human interactions. This study examined the use of iNaturalist, an online, community-populated biodiversity recording database, for passive mosquito surveillance in the United Kingdom (UK) and Ireland, countries under threat from the introduction of invasive mosquitoes and emerging mosquito-borne diseases. The Mozzie Monitors UK & Ireland iNaturalist project was established to collate mosquito observations in these countries. Data were compared with existing long-term mosquito UK datasets to assess representativeness of seasonal and distribution trends in citizen scientist-recorded observations. The project collected 738 observations with the majority recorded 2020-2022. Records were primarily associated with urban areas, with the most common species Culex pipiens and Culiseta annulata significantly more likely to be observed in urban areas than other species. Analysis of images uploaded to the iNaturalist project also provided insights into human-biting behavior. Our analyses indicate that iNaturalist provides species composition, seasonal occurrence, and distribution figures consistent with existing datasets and is therefore a useful surveillance tool for recording information on human interactions with mosquitoes and monitoring species of concern. [ABSTRACT FROM AUTHOR]

Telford Taylor was not a career military intelligence officer, but his short career in military intelligence during World War Two had an outsized impact on the development of American interservice as well as Anglo-American signals intelligence. Near the end of the war, Taylor put forth a visionary proposal to harness wartime lessons learned against Germany and Japan in order to prepare for postwar collaboration against likely rivals, particularly the Soviets. While his British interlocutors were amenable to such a project, the US Navy was not. [ABSTRACT FROM AUTHOR]

Objective – This study explored current and future trends in librarianship within the U.K. library and information profession, intending to highlight the most critical for future evidence based research. Research outcomes should resonate across the wider sector and be an indicative stepping stone to collaborative research endeavours by members of the profession at a time when funding is tight, and staff availability is in short supply. Methods – A qualitative Delphi consensus method was chosen for the research, adapted from Paul’s (2008) modified Delphi card-sorting model. Contributions from conference programs and 31 individual experts from the U.K. library and information profession contributed to the generation of current themes and trends impacting their library environments. Data were analyzed by the experts in an incremental manner following the adapted methodology, and consensus was achieved through the process. Results – The findings of the research indicated that there were five significant trends and areas of concern which are impacting our libraries at all levels. These naturally include pressing current concerns such as the impact of artificial intelligence (AI), critical librarianship, and censorship/book banning. Library spaces remain a significant issue for the wider sector. Conclusion – The adapted modified Delphi card-sorting method with three distinct sections to the research proved especially valuable in a study where there were many different approaches to librarianship. The use of conference data to seed the initial set of themes has been shown to be unusual and rarely used in this way before. The process of achieving and reaching consensus illustrated the need for the profession as a whole to work more closely together. The outcome of the consensus research should now be taken forward collaboratively by the library profession, with space and training given to staff across all sectors and grades to engage in evidence based research for the benefit of all. [ABSTRACT FROM AUTHOR]

The nature of third-party liability for breach of confidence has frequently been described as "unsettled". One aspect of uncertainty within the case law is whether such liability should be considered "accessorial" or "primary". This article suggests that a priori categorisations of third-party liability as universally accessorial or primary should be avoided. Instead, the article advocates for a "circumstance-dependent" approach to be taken. It argues that distinctions should be drawn between recipient and participant liability. For participant liability, liability will necessarily be accessorial. However, for recipient liability, it will depend on the circumstance said to put a third party on notice of the information's confidentiality. The article observes that the treatment of liability as accessorial or primary may have significant remedial consequences, including whether: split elections between compensation and an account of profits can be made against multiple wrongdoers; liability can be treated as joint and several; and third parties can be bound to arbitration agreements. [ABSTRACT FROM AUTHOR]

The relatively recent introduction of unexplained wealth orders ('UWOs') in the United Kingdom has provided an opportunity to reflect on their more long-standing operation across Australian jurisdictions. In this article, whilst acknowledging the promise of UWOs, we identify some key limitations of the UK and Australian models of unexplained wealth regimes and suggest potential means of strengthening the performance of unexplained wealth laws in both countries, using lessons learned from our analysis of UK UWOs. We also address issues of principle which have proved to be problematic, and conclude that UWO processes can and should be refined to bolster both their protections for individual rights and their practical effectiveness, and that improvements in each area need not be mutually exclusive. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to comprehensively outline the methodological approaches used in published research comparing the vaccine effectiveness (VE) of coronavirus disease 2019 (COVID-19) vaccines. Methods: A systematic search was conducted on June 13, 2024, to identify comparative studies evaluating the effectiveness of mRNA versus non-mRNA and monovalent versus bivalent COVID-19 vaccines. We screened titles, abstracts, and full texts, collecting data on publication year, country, sample size, study population composition, study design, VE estimates, outcomes, and covariates. Studies that reported relative VE (rVE) were analyzed separately from those that did not. Results: We identified 25 articles comparing rVE between mRNA and non-mRNA COVID-19 vaccines, as well as between monovalent and bivalent formulations. Among the studies assessing VE by vaccine type, 126 did not provide rVE estimates. Comparative VE studies frequently employed retrospective cohort designs. Among the definitions of rVE used, the most common were hazard ratio and absolute VE, calculated as (1-odds ratio)×100. Studies were most frequently conducted in the United Kingdom and the United States, and the most common outcome was infection. Most targeted the general population and assessed the VE of mRNA vaccines using the AstraZeneca vaccine as a reference. A small proportion, 7.3% (n=11), did not adjust for any variables. Only 3 studies (2.0%) adjusted for all core confounding variables recommended by the World Health Organization. Conclusion: Few comparative studies of COVID-19 vaccines have incorporated rVE methodologies. Reporting rVE and employing a consistent set of covariates can broaden our understanding of COVID-19 vaccines. [ABSTRACT FROM AUTHOR]

Introduction: The novel Confirm Rx™ implantable cardiac monitor (ICM) with SharpSense™ technology incorporates a new P‐wave discriminator designed to improve AF detection. This study aimed to evaluate the diagnostic performance of the Confirm Rx™ ICM in detecting AF episodes of varying durations. Methods: We conducted a multicenter retrospective analysis of consecutive patients implanted with a Confirm Rx™ ICM (v1.2) across nine UK hospitals, all with documented AF lasting at least 6 min. Electrocardiograms (ECGs) were manually adjudicated by cardiologists. To account for intra‐ and inter‐reviewer variability, a random sample of 10% of ECGs underwent additional review. Disagreements were resolved by a third reviewer. Diagnostic performance was determined by calculating the gross and patient‐averaged positive predictive value (PPV) for AF episodes of different duration. The source of false positive (FP) detection was also categorized. Results: Overall, 16,230 individual ECGs from 232 patients were included. The median AF episode duration was 14 min. R‐wave amplitude remained stable during follow‐up (0.52 ± 0.27 mV [initial] vs. 0.54 ± 0.29 mV [end of follow‐up], p =.10). The gross and patient‐averaged PPV were 75.0% and 67.0%, respectively. Diagnostic performance (gross) increased with progressively longer AF episodes: 88.0% for ≥1 h, 97.3% for 6 h, and 100% for 24 h. The main source of FP during tachycardia was T‐wave oversensing (54.2%), while in non‐tachycardic episodes it was predominantly ectopy (71.2%). The AF burden precision was excellent (93.3%). Conclusion: The Confirm Rx™ ICM diagnostic performance was modest for all AF episodes (75%), with accuracy increasing for longer AF episodes. [ABSTRACT FROM AUTHOR]

Falls in the elderly come at a high cost, both to the NHS and to the health and confidence of the person who has fallen. Hospital-based trials in 2021 started to explore potential links between caffeine and falls associated with going to the toilet, given caffeine's diuretic effect. In 2023, following positive trial outcomes, the project spread to social care, where a 35% reduction in falls associated with going to the toilet was seen when decaffeinated products were introduced as standard in eight care homes for the elderly. This article explores the Decaf Project and potential benefits of decaffeination in wider community settings, including for elderly people living in their own homes. It examines ways in which community nurses can support those in their care to understand potential benefits of decaffeination. [ABSTRACT FROM AUTHOR]

Introduction: Professional identity is a multifaceted conceptual term combining behaviours, knowledge, skills, values, beliefs, contextual and socio-cultural factors with personal and group identity. The historical underpinning of occupational therapy is partly attributed to the difficulties occupational therapists face articulating their unique identity and the profession being misunderstood by others. Little is known about how occupational therapists working in community physical health settings experience their professional identity. Method: Interpretative phenomenological analysis was used to understand how five occupational therapists interpreted and made sense of their experiences of professional identity working in community UK physical health settings. Interviews were carried out following social media recruitment and analysed using interpretative phenomenological analysis guidance. Findings: Participants identified that their professional identity was forged through experiences over time developing skills, confidence and their inner understanding of who they were as an occupational therapists. Maintaining a secure professional identity was attributed to building their community of practice and creating a sense of belonging. Conclusion: Professional identity was forged through time and experience of 'doing', 'being' and 'becoming' occupational therapists. Building a community of practice and creating a sense of 'belonging' were key components of how these occupational therapists working in community physical health roles sustained their professional identity. [ABSTRACT FROM AUTHOR]

Introduction: Occupational therapists require research and evaluation skills to deliver evidence-based care, making research education integral to their training. We aimed to develop a student and staff-informed strategy to further embed research into the occupational therapy programmes and enhance the research culture at a United Kingdom Higher Education Institution. Method: We used group concept mapping to gather ideas from students and staff on how to embed research and improve research culture within the occupational therapy programmes at a United Kingdom Higher Education Institution. Participants generated, sorted and rated ideas for importance and success. We analysed the data to create a concept map and identified rating values for the themed clusters and their ideas. Results: The concept map contained four themed clusters of ideas: Wider research community, Integration of research into the core programme, Advanced research support and capacity building and Research awareness. Successes and improvement targets were identified within each cluster. Conclusion: Group concept mapping provided a structured and comprehensive method to develop a strategy for embedding research and fostering a research culture in occupational therapy programmes at a higher education institution. The four-themed concept map and identified priority targets serve as a foundation for implementing the strategy and improving research integration in occupational therapy education. [ABSTRACT FROM AUTHOR]

Studies have suggested that universal basic income (UBI) has the capacity to have substantial health benefits across the population at national level. Multiple impact pathways have recently been theorized and there are calls for trials to explore these pathways empirically. However, very limited research has taken place at local levels to explore potential context-specific effects, or how these effects could play out in economic, social, and behavioral changes. In order to examine these effects and to think through potential issues and unintended consequences, we brought together citizen engagement groups in Jarrow, South Tyneside, in the northeast of England to explore local people's expectations and positions on the development of UBI policies and pilots prior to their implementation. We found that people's expectations regarding the potential beneficial health impacts of UBI on their communities mapped strongly onto academically theorized impact pathways. They also extended understanding of these pathways in meaningful ways. Our findings add to the literature about UBI and health and provide important insights for the future development of empirical, health focused, UBI research. [ABSTRACT FROM AUTHOR]

The 1947 United Kingdom-New Zealand double taxation agreement was New Zealand's first comprehensive double tax treaty and one of the United Kingdom's earliest tax treaties. Initiated by the United Kingdom only two years after the landmark negotiation of the 1945 United States-United Kingdom treaty, the agreement largely reflected its contemporary tax policy toward its Dominions. It was concluded before the OECD produced the first version of its influential model treaty in 1963, and its drafting was influenced by other United Kingdom treaties. Although rudimentary compared to modern tax treaties, the agreement contained most of the provisions found in standard double tax agreements, albeit in an embryonic form. This article examines the provisions of the 1947 treaty and compares them to the articles of the OECD Model Convention, the basis for almost all modern double tax treaties. The 1947 treaty was a significant moment in the development of New Zealand's network of double tax treaties and is also a reminder of New Zealand's close ties to the United Kingdom at the time. [ABSTRACT FROM AUTHOR]

General dental practitioners form a vital part of the multidisciplinary team for cleft lip and palate management and their role in treatment and prevention is key to ensuring successful outcomes. This article highlights key dental aspects to be aware of when treating this cohort of patients and summarizes the input of other medical specialties involved in care from birth to adulthood. CPD/Clinical Relevance: Knowledge of the pathway for patients born with cleft lip and palate is fundamental for GDPs. [ABSTRACT FROM AUTHOR]

It is estimated that 17% of the UK population experiences food insecurity, with increasing evidence to suggest a direct link with oral health. As such, dental professionals should be prepared to tailor their advice accordingly to support. At time of writing, there is a paucity of information available about food insecurity and oral health, and methods of support for the dental profession. Therefore, this article provides an overview of the concepts of poverty and food insecurity, and their impact on oral health, as well as presenting actionable suggestions for ways in which the dental team can identify and signpost those needing support. CPD/Clinical Relevance: Awareness of the relationship between dental caries and food insecurity is important to be able to provide tailored advice to patients. [ABSTRACT FROM AUTHOR]

• Retrograde calculations in the UK do not provide a 99.7% confidence interval. • Back calculations should only be permitted 2 h after cessation of drinking. • A elimination range of 8–29 mg% provides coverage at the 99.7 % confidence level. • Emphasis in expert reports on most likely elimination range should be removed. Retrograde extrapolations, known as back calculations are widely used in forensic toxicology to estimate the blood alcohol concentration of an individual at some prior time. In the UK guidelines have been issued by the United Kingdom and Ireland Association of Forensic Toxicologists) and the Organization of Scientific Area Committees (OSAC) for Forensic Science. However, these guidelines are not fully agreed and open to interpretation. Alcohol elimination rates have been discussed in numerous publications since Widmark's original data was published. The current guidance from UKIAFT, is to report the most likely back calculated result together with a range of results based on the 95% confidence limit elimination rates (9 to 29 mg/100 mL/hour). The Divisional Court, upheld by the House of Lords, ruled that in order to convict someone for being over the prescribed limit on the basis of any back calculation, the case must be proven beyond reasonable doubt. A 99.73% confidence interval increased to 3 standard deviations at the lower end would provide a greater factual basis for the court and cover a larger proportion of the population, this can be achieved by increasing the elimination range to 8 to 29 mg/100 mL/hour. Retrograde extrapolations also rely on the subject being post absorptive at the prior time. In the UK, back calculations are valid if the subject has not eaten or consumed alcohol within one hour of the back calculation time. Where the subject has eaten prior to the back calculation, experts are instructed to consider whether the back calculation is applicable. In Germany and the United States back calculations are not permitted to a time within 2 h after last drink consumed. The 2 h limit would better meet the highest standard of 'beyond reasonable doubt' burden of proof, and should be used. These proposed changes would decrease the uncertainty associated with retrograde calculations carried out by UK toxicologists. [ABSTRACT FROM AUTHOR]

Inequalities in maternal and perinatal outcomes related to ethnicity and socioeconomic deprivation are widening. Being of Black and Asian ethnicity independently increases the risk of maternal mortality and severe morbidity, as does living in the most deprived areas. Since a higher proportion of women of Asian and Black ethnicity live in the most deprived areas, this effect is compounded. Individual risks, such as obesity, are influenced by health and cultural beliefs and behaviour, social networks and norms, the environments in which we live, and access to and experience of healthcare, which are all intertwined with ethnicity and socioeconomic status. Clinicians can listen to women's and communities needs around ethnicity, race, and social determinants of health. Clinicians can also identify and use networks of community support and promote awareness within their practice and teams. Institutions can employ and retain diverse teams, measure health equity of services and develop an anti-discriminatory institutional culture. [ABSTRACT FROM AUTHOR]

The article discusses the background and clinical implications of coronary computed (CT) tomography angiography (CCTA) and CT-based fractional flow reserve (CT-FFR). Topics covered include the practice of CCTA and CT-FFR, samples of CCTA and CT-FFR protocols and case studies involving CCTA and CT-FFR. It also cited the clinical relevance of CCTA and CT-FFR and the clinical effect of the PLATFORM trial on CT-FFR.

Background: Despite global efforts to improve paediatric clinical trials, significant delays continue in paediatric drug approvals. Collaboration between research networks is needed to address these delays. This paper is a first step to promote interoperability between paediatric networks from different jurisdictions by comparing drivers for, and content of, metrics about clinical trial conduct. Methods: Three paediatric networks, Institute for Advanced Clinical Trials for Children, the Maternal Infant Child and Youth Research Network and conect4children, have each developed metrics to address delays and create efficiencies. We identified the methodology by which each network identified metrics, described the metrics of each network, and mapped consistency to come to consensus about core metrics that networks could share. Results: Metric selection was driven by site quality improvement in one network (11 metrics), by network performance in one network (13 metrics), and by both in one network (five metrics). The domains of metrics were research capacity/capability, site identification/feasibility, trial start-up, and recruitment/enrolment. The network driven by site quality improvement did not have indicators for capacity/capability or identification/feasibility. Fifteen metrics for trial start up and conduct were identified. Metrics related to site approvals were found in all three networks. The themes for metrics can inform the development of 'shared' metrics. Conclusion: We found disparity in drivers, methodology and metrics. Tackling this disparity will result in a unified approach to addressing delays in paediatric drug approvals. Collaborative work to define inter-operable metrics globally is outlined. [ABSTRACT FROM AUTHOR]

• Relations among hedgerow structure, biodiversity & ecosystem services are unclear. • We performed a systematic review including 89 studies from Central Europe and UK from 1974 to 2022. • Arthropods & birds, were most often, earthworms & bats least often studied. • Structural diversity, layering & woody vegetation promoted biodiversity. • Connectivity, density & structural complexity improved ecosystem service provision. Agricultural intensification decreases the heterogeneity of the landscape and leads to a decline in hedgerows. As hedgerows provide important habitats for many taxa, this contributes to the loss of biodiversity in agroecosystems. However, the extent to which hedgerows, and in particular their habitat quality in terms of structural characteristics, also influence biodiversity-based ecosystem services is poorly studied. Here, we conducted a systematic review of the Scopus and other literature databases focusing on Central European and UK studies examining (1) the influence of hedgerow habitat quality on the biodiversity of arthropods, earthworms, birds, bats and small mammals and (2) the relationship between selected hedgerow parameters, animal taxa, and ecosystem services such as pollination, seed dispersal, pest and disease control and soil quality regulation. A total of 2260 studies (cut-off date: 13 September 2022) published between 1974 and 2022 were found. After sorting based on inclusion criteria related to the research focus, 89 studies remained for evaluation. Arthropods, birds, and small mammals were studied most frequently, earthworms and bats least frequently. The selected studies showed that structural diversity, layering, woody biomass and density were strongly positively correlated with animal species diversity, while hedgerow length, width and age showed less relevant relationships. Hedgerow connectivity, density, structural diversity, and layering were strongly positive associated with the provision of ecosystem services. We conclude that the structural diversity of hedgerows needs to be increased if their impact on biodiversity and ecosystem service provision is to be improved. It is therefore recommended that hedgerow management measures should specifically consider the ecological importance of the structural diversity of hedgerows. [ABSTRACT FROM AUTHOR]

Using the seven resilience strategies identified in the previous paper entitled "Stockpiling as Resilience," this study offers an update on the previous study 1 year later with interviews with the same households. The first paper was the result of interviews with 19 households held between April and May 2020 across the UK, and explored how these households managed lack of access to food during the COVID-19 lockdowns. This paper presents the same participants' experiences following the UK lockdowns in the context of the sharp rise in the cost-of-living in the UK Taken together, both phases of interviews bring into clear relief the influences affecting the UK food system, one characterized by increasing inaccessibility of food. This follow-up paper establishes that four of seven resilience strategies are still actively used, whereas three have become unnecessary. Two further themes are made salient in the interview data: weight management and convenience. Overall, this paper acts as a preliminary investigation into strategies that households are likely to utilize in the coming months and years in the context of the cost-of-living crisis. [ABSTRACT FROM AUTHOR]

Levels of food insecurity (FI) and the need for food support have increased dramatically since the COVID-19 pandemic and the cost-of-living crisis. These crises also enabled substantial innovation in food support provision, including a move away from more traditional food bank models toward social supermarkets (SSM). These are characterized as not-for-profit social enterprises that sell mostly food, at low or symbolic prices to those living near or in poverty. In this article we provide a timely empirical account of SSMs and the experiences and perspectives of their members, focusing on three key themes: access, dignity, and choice. We use a mixed-methods approach based on questionnaires (n = 111) and interviews (n = 25) with SSMs members, engaging with local priorities and perspectives in the active co-creation of the research. Our findings demonstrate that SSM's provision is more inclusive and mindful of the diversity and agency of their members, doing away with pre-conceived ideas of food support recipients as passive citizens. While not a panacea, we argue that SSMs offer an alternative model for providing food support and one that could be replicated broadly or used side-by-side with food banks. [ABSTRACT FROM AUTHOR]

The process of screening aims to reduce the burden of disease. In pregnancy this is relevant to both the mother and her baby. There are national screening programmes for infectious disease, haemoglobinopathy and fetal anomalies, all of which have the potential to reduce the life-long burden of disease in the newborn. But screening extends beyond these programmes and when risk factors are identified, interventions might be instigated to reduce the impact of disease on pregnancy outcomes. This article reviews screening in its broadest sense. It describes the various screening opportunities and considers the actions that can be taken to optimize the health of the mother and her baby. The process of screening continues throughout pregnancy, in the same way that risks evolve as pregnancy progresses. [ABSTRACT FROM AUTHOR]

In 2001, HBO and the BBC released Conspiracy, a critically acclaimed dramatization of the Wannsee Conference, where Nazi officials discussed coordinating the Final Solution in January 1942. Written by Loring Mandel, Conspiracy is noted for its strict adherence to the historical record as well as its chamber play atmosphere. However, HBO originally planned Conspiracy as the first half of a two-part feature. Its unproduced second half, Complicity, would have depicted Allied indifference to the Holocaust, the plight of Jewish refugees, and the rise of Adolf Eichmann. This article discusses the origins, pre-production history, and cancellation of Complicity. Grounded in archival documents – screenplay drafts, meeting minutes, research files, as well as oral history interviews, this presentation will trace Complicity's beginnings as a story about Jewish efforts to inform the UK and US governments about the Holocaust and its transition to a dramatization of the April 1943 Bermuda Conference, which is most notable for its failure to meaningfully address the 1940s refugee crisis. Complicity is a fascinating example of 'shadow quality TV'. [ABSTRACT FROM AUTHOR]

The cerebral palsies (CP) have a UK prevalence of 1–2/1000. 60–80% of children with CP have upper-limb involvement. Physical movement difficulties including tone abnormalities, weakness and secondary musculoskeletal function are associated with sensory, cognitive difficulties and medical co-morbidities. Understanding the underlying pathophysiology of CP and structured multidisciplinary assessment in the context of the International Classification of Functioning, Disability and Health (ICF) can guide management to improve activity and participation for children with CP. A range of therapy, medical and surgical interventions may be offered to a child and their family. The selection of treatment options should be focused on individualized and realistic goals. Clear outcomes should be evaluated. This review aims to summarize a structured approach to assessment and management of upper limb function in CP; and is illustrated by case examples. [ABSTRACT FROM AUTHOR]

Copyright of Cuadernos de Historia Contemporanea is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper investigates cultural expertise as a theoretical framework guiding the use of social sciences knowledge as expertise to assess evidence in dispute resolution and rights determination in the United Kingdom, France, and Italy. With a focus on legal pluralism, the study examines whether cultural expertise can effectively reconcile multiple sources of law with state laws, thereby mitigating concerns about legal pluralism undermining the authority of state laws. The first part of the paper highlights challenges associated with recognizing multiple legal sources without a comprehensive understanding of cultural expertise, also including the objections raised against accommodating legal pluralism in diverse societies. In the second part, the paper reviews three potential models for cultural expertise: independent cultural experts with established experience and reputation, experts appointed by decision-making or investigative authorities, and a hybrid system combining both types of expertise. The analysis is informed by global legal pluralism, considering social inequalities and power dynamics as crucial factors in understanding the plurality of law. Drawing upon the perspectives of legal pluralists attentive to social inequalities, the paper concludes by exploring the potential of cultural expertise within the framework of new global legal pluralism. It argues that cultural expertise, when effectively applied, can facilitate the identification of ways in which state and non-state laws can address and alleviate inequalities. By bridging the gap between culture and law, cultural expertise holds promise for contributing to a more equitable and inclusive legal system. [ABSTRACT FROM AUTHOR]

Copyright of Selcuk University Social Sciences Institute Journal is the property of Selcuk University Social Sciences Institute Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)