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The reintegration of ex-child soldiers remains a primary challenge for post-conflict nations. Very few studies have attempted to provide a structural description of ex-child soldiers' reintegration experiences. This article reports three structural themes uncovered from a phenomenological inquiry into the lives of 34 ex-child soldiers in Liberia: poor administration at the program and government levels, constrained opportunities, and social marginalization. The findings support the need to strengthen and hold accountable reintegration structures geared toward ex-child soldiers' well-being as they transition to civilian living. [ABSTRACT FROM AUTHOR]

Abstract Background Culturally and Linguistically Diverse (CALD) groups within high‐income countries are at risk of being left behind by the COVID‐19 vaccination rollout. They face both access and attitudinal barriers, including low trust in government and health authorities. Objective To explore perceptions and attitudes towards COVID‐19 vaccination, as well as facilitators, barriers and strategies to promote uptake among CALD residents of Western Australia (WA), where there were almost no COVID‐19 cases for 2 years. Design and Participants Perth, WA's capital, was chosen as the state's study site because most of the state's CALD population lives there. Eleven semistructured in‐depth interviews and three focus groups (with 37 participants) were conducted with CALD residents between August and October 2021. Thematic analysis was conducted, informed by the ‘Capability’, ‘Opportunity’, ‘Motivation’, ‘Behaviour’ model. Results CALD participants faced barriers including a lack of knowledge about COVID‐19 and the vaccines, low self‐rated English proficiency and education levels, misinformation, passive government communication strategies and limited access to vaccine clinics/providers. They were, however, motivated to vaccinate by the imminent opening of state and international borders, trust in government and healthcare authorities, travel intentions and the desire to protect themselves and others. Conclusions Despite high levels of trust and significant desire for vaccines among CALD communities in Perth, current strategies were not meeting their needs and the community remains at risk from COVID‐19. Tailored intervention strategies are required to provide knowledge, address misinformation and facilitate access to ensure uptake of COVID‐19 vaccines—including for additional doses—amongst CALD communities. Governments should work with trusted CALD community members to disseminate tailored COVID‐19 vaccine information and adequately translated resources. Patient or Public Contribution The Wesfarmers Centre of Vaccines and Infectious Diseases Community Reference Group at Telethon Kids Institute consulted on this project in September 2020; Ishar Multicultural Women's Health Services consulted on and facilitated the focus groups.

Objective: Emergency interim guidance from the British Society for Gastroenterology (BSG) states that a no-biopsy strategy is possible to diagnose coeliac disease (CD) in adults with elevated transglutaminase IgA antibody (TGA-IgA) levels. We aimed to determine if the suggested TGA-IgA ≥10× ULN is safe and robust in making the diagnosis in adult patients in Scotland. We also aimed to establish if any important co-diagnoses would be missed if no biopsy was performed., Method: All positive coeliac serology results for patients aged >15 years in Scotland in 2016 (Grampian 2019) were accessed. Data were collected on demographics, TGA-IgA titres, D1 sampling, histology and macroscopic findings at upper and lower gastrointestinal (GI) endoscopy., Results: 1037/1429 patients with positive serology proceeded to biopsy, of which 796/1037 (76.8%) were diagnosed as CD. A total of 320/322 (99.37%) patients with TGA-IgA ≥10× ULN were diagnosed as CD giving the cut-off a positive predictive value of 99.38%. No significant co-pathology was found at endoscopy in these patients., Conclusion: Our results show that a no-biopsy strategy using a cut-off of TGA-IgA ≥10× ULN is safe to diagnose CD and that no important pathology would be missed. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2020 and BSG COVID-19 interim guidelines are applicable to adult patients in Scotland., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)