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A scoping review of sexual and reproductive health recommendations in the context of migration to Europe
No full textIn recent years, growing instability and conflict around the world have continued to fuel outward migration, including migration to the EU/EEA. Many migrants hail from countries and regions with a higher burden of STIs-including HIV-and are exposed to enhanced risks of sexual and gender-based violence leading to sexual health issues during their journeys. This scoping review aims to identify existing sexual health recommendations for non-European migrants in the EU/EEA and identify gaps in their implementation. Sexual health recommendations formulated in relation to the migrant population in peer- reviewed journals or by expert consensus, between 2010 and 2021, were included. A keyword search was used to retrieve relevant publications on PubMed, ScienceDirect, the Cochrane Library databases, WHO and ECDC websites. The search strategy employed was charted in a dedicated Prisma Chart. Overall, 180 publications were retrieved. Based on the abstract and after eliminating duplicates, 33 publications were included for full-text reading. The references of these publications were screened. In total, 19 publications met the inclusion criteria. Evidence-based sexual health recommendations target only newly arrived migrants and migrant children (at arrival and during stay in the country). Screening practices are mostly informed by the country of origin and related prevalence, which remains a limitation; challenges faced during migration should also be considered. Implementation and compliance with these recommendations remain uncertain, as sexual health is not funded and addressed in a uniform manner across Europe.N/
Restructuring priorities: Rethinking economic growth for a more active future
Get PDF© 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.Physical inactivity is among the most formidable public health challenges of our time. The World Health Organization recently revealed that physical inactivity is on the rise and predicted that globally, there will be around 500 million new cases of preventable non-communicable diseases between 2020 and 2030 if physical inactivity levels remain as they are. But why? What’s driving this formidable public health challenge? In this commentary article, I illustrate how the continual pursuit of economic growth is a key driver underpinning physical inactivity at the population level. I contend that if the priority really is to address physical inactivity at the population level, then the metrics we use to define social progress will need recalibrating.Unfunde
Inducing plant resistance against insects using exogenous bioactive chemicals: Key advances and future perspectives
No full textThis edited book is not available on ChesterRep.To access this edited book click on the DOI or the URL in the Additional Links sectionResearch Topics unify the most influential researchers, the latest key findings and historical advances in a research areaUnfunde
The relationship between facilitating emotional cues and medical students’ clinical communication performance in qualifying exams
Get PDFA cross-sectional study design explored the relationship between medical students' Objective Structured Clinical Examination (OSCE) clinical communication ratings and their responsiveness to simulated patient (SP) verbal emotional cues in their qualifying OSCE. Data were collected from two cohorts of fourth-year medical students (n = 37), and responses to patient cues that facilitated further disclosure or related discussion - known as provide space responses - from two OSCE communication stations were measured by coding video footage with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The 37 medical students were representative of the larger cohort (n = 508) in terms of age. A significant positive correlation with a medium effect was found between OSCE clinical communication ratings and provide space responses. OSCE clinical communication ratings could differentiate between students who adopted patient-centred facilitative behaviours and those who did not.Unfunde
Evaluating the severity of trust to Identity-Management-as-a-Service
No full textThis conference paper is not available on ChesterRepThe benefits of a c loud service have been well documented as reduced cost in both staff and computing infrastructure, rapid deployment, and scalabilit y and location independence. Despite all these benefits, Identity-management-as- a-Service's (IdMaaS) is struggling to gain a market presence due to an array of factors one of which is trust. In IdMaaS, trust may either be borne within the relationships amongst the actors (relying party, identity manager, identity owner, or end user) or may be actor specific. This paper will focus on trust between the identity owner and the identi ty manager within the context of third party identity management. A great effort in identifying trust issues by other researchers is acknowledged, however they did not go to the ext ent of measuring th e severity of t rust specifically related to I dMaaS. Our research shows that availability of the identity management system and security of identities are more critical concerns when compared to the cost of managing identities and fear of vendor lock-in. Above all, the research revealed that trust in IdMaaS is less than 40% at a 95% level of con fidence. Establishing the severity of tru st and its trusting factors is a more valuable input to the refinement of the IdMaaS approach. The success of IdMaaS will add to the domain of anything-as-a-service (XaaS) at the same time opening up an additional entrepreneurial avenue.Unfunde
Leading evidence-based practice: nurse managers’ strategies for knowledge utilisation in acute care settings
Get PDFThe version of record of this article, first published in [BMC Nursing], is available online at Publisher’s website: http://dx.doi.org/10.1186/s12912-025-02912-5BACKGROUND: The implementation of evidence-based practice (EBP) in nursing is essential for improving patient care outcomes, yet systemic barriers, leadership challenges, and resource limitations continue to hinder its integration into clinical practice. Nurse managers (NMs) play a crucial role in bridging the gap between policy directives and frontline implementation, yet the dynamic interplay between leadership strategies, knowledge utilisation, and organisational barriers remains underexplored, particularly in resource-constrained settings. This study examines how NMs navigate these challenges to sustain EBP adoption in acute care environments. METHODS: This collective case study employed a longitudinal qualitative design across two acute care settings in the UK. Data were collected over eight months through semi-structured interviews with NMs, nonparticipant observations, and document analysis of clinical guidelines and internal reports. A thematic analysis approach was used to synthesise findings and provide a nuanced understanding of leadership strategies and systemic factors influencing EBP adoption. FINDINGS: Six interconnected themes emerged: (1) Adaptive leadership strategies, where NMs employ a hybrid of directive and collaborative leadership approaches to drive EBP; (2) Overcoming organisational and resource barriers, including staff shortages, financial constraints, and competing priorities; (3) Knowledge utilisation and learning networks, highlighting the role of informal mentorship, structured CPD, and peer learning in sustaining EBP; (4) Digital transformation and EBP, examining the benefits and challenges of integrating digital tools and addressing IT literacy gaps; (5) Patient-centred adaptations, exploring how NMs balance evidence-based interventions with patient preferences and cultural considerations; and (6) Emotional and psychological support, underscoring the importance of managing staff resistance and mitigating change fatigue. CONCLUSION: Findings of this study emphasise the pivotal role of NMs in driving EBP implementation through adaptive leadership, strategic resource management, and fostering learning networks. Addressing organisational barriers requires multi-level interventions that integrate leadership actions with systemic enablers to promote sustainable, evidence-informed nursing practice. Findings provide critical insights for healthcare policymakers, hospital administrators, and educators in enhancing EBP uptake within resource-limited settings.Unfunde
Gut microbiota and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): Emerging pathogenic mechanisms and therapeutic Implications
Get PDF© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Non-alcoholic fatty liver disease (NAFLD), recently redefined as metabolic dysfunction-associated steatotic liver disease (MASLD), is the most common cause of chronic liver disease worldwide. Characterized by excessive hepatic fat accumulation, this disease encompasses a spectrum from simple steatosis to more severe forms, including steatohepatitis, fibrosis, and cirrhosis. Emerging evidence highlights the pivotal role of gut dysbiosis in the pathogenesis of MASLD. Dysbiosis disrupts the gut–liver axis, an intricate communication network that regulates metabolic, immune, and barrier functions. Alterations in gut microbiota composition, increased gut permeability, and translocation of pro-inflammatory metabolites/factors have been shown to trigger liver inflammatory and fibrotic cascades, exacerbating hepatic inflammation and injury. Recent studies have identified microbiome signatures associated with MASLD, offering promise as non-invasive diagnostic biomarkers and paving the way for new potential therapeutic strategies targeting gut dysbiosis. This review explores the crucial role of the gut microbiota in MASLD pathogenesis and highlights the need for further targeted research in this field to validate microbial biomarkers and optimize therapeutic strategies. Comprehensive understanding of the gut–liver axis may enable innovative diagnostic and therapeutic approaches, transforming the clinical management of MASLD.Unfunde
Violence against Muslims: Conquered, not fully colonized, in the Making of the Muslim “Other” in the Central African Republic
Get PDF© The Author(s), 2025. Published by Cambridge University Press on behalf of African Studies AssociationMuslims in the Central African Republic have experienced extreme violence for more than a decade. Through ethnographic fieldwork and archival research, this article shows how the foundations for contemporary violence were created through colonial and postcolonial state-making. The civilizing mission of republican colonialism set Muslims apart. Lifestyle and mobility were never fully colonized; escape depicted difference. Nationalist liberation mythologies render Muslim citizenship as foreign, precarious, and subject to ongoing contestation. Pentecostalism, a lateral liberation philosophy presented as patriotism, provides power to anti-Muslim discourse. Violence against Muslims is situated in an accumulated “pastness” of state-making and struggle in Central African historiography.Unfunde
A Protocol Guide for an Environmental Management System Audit
No full textThis book is not available on ChesterRepUnfunde
The effect of a brief intervention video on gambling advertising resistance: Results of a randomized, on‐line experimental study
Get PDF© 2024 The Author(s). Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.BACKGROUND AND AIMS: Gambling advertising is nowadays prevalent in multiple jurisdictions and can take multiple forms, such as TV adverts and social media promotions. However, few independently designed interventions for gambling advertising have been empirically tested. We aimed to measure the effectiveness of an inoculative intervention video for gambling advertising, which was developed based on previous interventions for alcohol and tobacco, and which used input from academics and experts by experience.
DESIGN: Between‐participants randomised online experiment. Setting: UK. Participants: UK‐based gamblers aged 18–29 years (n = 1200) were recruited via Prolific.
INTERVENTION: Participants either saw a novel inoculative intervention video (7.2 mins) aimed at increasing resistance against gambling advertising strategies (n = 595) or a neutral control video (7.2 mins) on healthy eating (n = 605).
MEASUREMENTS: Participants completed pre‐ and post‐test measures of gambling advertising scepticism and persuasion knowledge immediately before and after video exposure. They also answered the Problem Gambling Severity Index (PGSI) and reported their past‐month engagement with gambling promotional offers. A random subset of participants (n = 797) recompleted these measures at one‐month follow‐up.
FINDINGS: The intervention group's post‐test scores were statistically significantly higher than control for scepticism [estimated marginal means (EMM) = 40.32 vs. EMM = 34.72; P < 0.001, 95% confidence interval (CI) = 4.90–6.29, ηp2 = 0.17] and persuasion knowledge (EMM = 20.77 vs. EMM = 16.71; P < 0.001, 95%CI = 3.61–4.50, ηp2 = 0.21). One‐month follow‐up scores also remained statistically significantly higher in the intervention group compared with control for both scepticism (EMM = 38.26 vs. EMM = 34.73; P < 0.001, 95%CI = 2.70–4.36, ηp2 = 0.08) and persuasion knowledge (EMM = 18.63 vs. EMM = 17.21; P < 0.001, 95%CI = 0.88–1.95, ηp2 = 0.03). Within the intervention group, 21% of participants had stopped engaging with gambling promotional offers at one‐month follow‐up, reflective of a statistically significant reduction compared with control (EMM = 0.48 vs. EMM = 0.87; P < 0.001, 95%CI = −0.53 to −0.26, ηp2 = 0.04). Overall, the control group showed no statistically significant changes in any of their scores throughout the study period.
CONCLUSIONS: An inoculative intervention video appears to increase young gamblers' resistance to gambling advertising and reduce their self‐reported engagement with promotional offers.This study was funded through an exploratory research grant awarded to J.T. (PI) and P.N. (CI) by the Academic Forum for the Study of Gambling and Gambling Research Exchange Ontario
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