19116 research outputs found
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How Should Doctors Learn Wellbeing? Perspectives from Early-Career General Practitioners Across Europe
No full text(1) Background: The evolving demands of general practice have increased stress, workload, and fatigue among patients and doctors. In 2022, the European Young Family Doctors Movement (EYFDM) identified wellbeing as a key competency for future GPs. This study primarily explored the perspectives of early-career GPs on integrating wellbeing in general practice training. (2) Methods: A concurrent mixed-methods approach combined a quantitative survey with a town hall discussion at the EYFDM workshop during WONCA Europe 2023 in Brussels. The meeting included brainstorming, subgroup discussions, and synthesis of findings. Subgroup discussions among young GPs and GP trainees were recorded, analyzed using content analysis, and validated through two rounds of stakeholder consultation. (3) Results: Participants advocated for mandatory wellbeing-focused timeslots during training with flexible, self-selected learning activities. Proposals included a toolbox with individual, group, and supervised options. A cultural shift towards prioritizing wellbeing as part of professional development was unanimously supported. Senior GP involvement was seen as crucial for driving this change, alongside wellbeing training for coaches and role models. (4) Conclusions: GP trainees across Europe emphasize the need for greater focus on wellbeing in training, supported by a generational cultural shift. Voluntary, diverse learning activities (toolbox) and role-modeling activities with experienced GPs may support wellbeing to be embedded as a core competency in general practice
Customer-to-customer (C2C) interactions in Islamic banking: a conceptual framework for service co-creation in financial services
No full textPurpose This paper develops a conceptual framework to theorise consumer-to-consumer (C2C) interactions in Islamic banking, integrating Service-Dominant Logic and Transformative Service Research within an institutional logics perspective to highlight how peer dynamics co-create, disrupt and legitimise financial value in religiously and culturally complex service ecosystems. Design/methodology/approach This study conducts a critical review of consumer literature on service co-creation, financial decision-making and Islamic banking to develop a conceptual framework for C2C interactions in financial services. Findings This paper conceptualises C2C interactions in Islamic banking as shaped by five institutional drivers – religious norms, community ties, digital platforms, market incentives and regulatory environments, each exhibiting both protagonist (enabling) and antagonist (disruptive) tendencies. Mechanisms such as social validation, informal education and interpretive guidance influence how trust is built, Sharia compliance is assessed and financial inclusion is achieved. The framework positions Islamic banking as a contested service ecosystem where value is co-created, challenged and negotiated through peer-led dynamics. Research limitations/implications As a conceptual paper, empirical validation is needed through quantitative studies and cross-market comparative analyses. Practical implications Islamic banks should integrate peer-driven financial literacy programmes, enhance digital peer validation mechanisms and collaborate with religious scholars to improve customer engagement and trust. C2C interactions play a vital role in financial inclusion, particularly for underserved communities, migrant workers and women in conservative societies, where access to formal banking services may be limited. Leveraging these peer networks can help bridge financial literacy gaps and foster greater participation in ethical banking. Originality/value This study extends S-D Logic to peer-driven service experiences, bridges TSR with financial inclusion and redefines trust in Islamic banking, offering new insights for service marketing and digital financial ecosystems
Higher education management in developing countries: a bibliometric review
No full textPurpose This study aims to investigate scholarly works on higher education management from emerging economies. It investigates how higher education management has evolved in emerging economies. Design/methodology/approach This study is quantitative, and the authors retrieved the metadata from the Web of Science, an extensive pool of interdisciplinary peer-reviewed literary databases for bibliometric analysis. Findings The results show the strengths, weaknesses and prospects of higher education institutions (HEIs) in developing countries based on the scholarly output in various journals. Research limitations/implications Though the study contributed to the knowledge and expansion of literature in HEIs research, it was only limited to the Web of Science database. Practical implications Policymakers and practitioners who want to improve the efficiency and viability of HEIs in developing countries can find a helpful guide in the form of a framework for higher education management in developing countries. Social implications It is important to note that the bibliometric impact of higher education management in developing countries might vary depending on various factors, including the quality and relevance of the research, the level of funding and resources available for research and the level of international collaboration, among others. Originality/value This study provides a comprehensive overview of the research landscape in higher education management in developing countries by identifying the most influential authors, institutions and countries and the key research topics and trends. This information can be helpful for researchers, policymakers and practitioners who seek to understand the state of research in the field and identify gaps in knowledge
Exploring the carbon footprint of different modes of coaching delivery: A first step towards an environmental impact assessment of coaching
No full textPurpose: The purpose of this study is to use environmental impact assessment methods to explore the carbon footprint of different modes of coaching delivery and through this exploratory study to encourage coaching psychologists to deepen their understanding of the topic and the wider impact of their work.Design: We used a recognised scenarios approach, EIA, to examine different modes of coaching delivery to estimate the carbon impact of different modes.Finding: Our findings reveal differences in carbon impact from different modes of delivery. The lowest carbon impact is coaching delivered for face to face on-site coaching and digital coaching, and increases with physical distance travelled, varying with the mode of travel used and increasing with more energy intensive technologies, such as AI and VR.Research Limitations: The study employed an economic EIA methodology which was dependent on assumptions. We note personal circumstances will vary from the specific example used in this paper with assumptions based on USA data. Further, in some cases the calculations were limited by the use of estimates, but our hope is to generate greater awareness of the environmental impact of the delivery of all services, and that coaching also creates a carbon footprint which varies by mode of delivery.Practical Implications: This study is a first step towards exploring EIA. It argues that coaching psychologists should consider their carbon footprints while organisations should extend environmental considerations to services including L&D.Social Implications: The planet is facing an ecological crisis from global warming. Current organisational and individual practices result in individuals enjoying the benefits of carbon production, while passing the costs of these to future generations.Originality: Few papers have attempted to examine the environmental impact of workplace practices. The paper seeks to encourage consideration of this issue as part of the organization procurement of coaching and other professional services
The Secret Lives of Open Clusters: a Multiwavelength Examination of Three Open Clusters
No full textStar clusters are well known for their dynamical interactions, an outcome of their high stellar densities; in this paper we use multiwavelength observations to search for the unique outcomes of these interactions in three nearby Galactic open clusters: IC 2602 (30 Myr), NGC 2632 (750 Myr) and M67 (4 Gyr). We compared X-ray observations from all-sky surveys like eROSITA, plus archival observations from Chandra X-ray Observatory, survey radio observations from ASKAP’s Evolutionary Map of the Universe survey plus archival VLA observations, in conjunction with new cluster catalogs with Gaia. From X-ray, we found 77 X-ray sources likely associated with IC 2602, 31 X-ray sources in NGC 2632, and 31 near M67’s central regions. We were further able to classify these X-ray sources based on their optical variability and any radio emission. Three IC 2602 X-ray sources had radio counterparts, which are likely all chromospherically active binary stars. We also identified luminous radio and X-ray variability from a spectroscopic triple system in M67,WOCS 3012/S1077, which is either consistent with a quiescent black hole binary, or due to an active binary stellar system. A recent population study of optical variables by Anderson & Hunt 2025 shows that the population of optical variables in open clusters clearly changes over cluster age; this pilot study gives evidence that the X-ray population also changes with time, and demonstrates the need for a broader multiwavelength study of Galactic open clusters
Corrigendum to “Effects of non-uniform temperature field, mean flow, and noise on nonlinear thermoacoustic instabilities” [Journal of Sound and Vibration 624 (2026) 119498]
No full textDefining a theoretical framework for a quality referral at the primary-secondary care interface: a systematic scoping review with qualitative content analysis
Full text linkReferral from primary to secondary care is a crucial component of a GP's role, yet the quality of referrals varies widely. Inadequate referral information can delay patient care, compromise outcomes, and strain healthcare resources. There is currently no universally accepted framework for what constitutes a quality referral. To define a theoretical framework for high-quality referrals between primary and secondary care, and to identify key components of effective referral practice. A systematic scoping review using a systematic search of EMBASE, CINAHL, and Medline databases was conducted between July 1999 and August 2024. A qualitative content analysis describing the quality of GP referrals was conducted following PRISMA-ScR guidelines. Eligible studies included English-language publications with referral quality as a primary outcome, covering referrals from primary to secondary care. Studies were analysed inductively using qualitative content analysis to identify key attributes of effective referrals, which were grouped into overarching themes. The search yielded 3461 studies; 54 were included in analysis. Four themes were identified: patient clinical characteristics (comprehensive history, relevant investigations, physical examination findings); clinical reasoning (clear referral question, structured template use, guideline adherence, appropriate urgency classification); patient factors (patient understanding, preferences, and flow of information); and system barriers (time constraints, educational needs). A quality improvement checklist based on these findings was developed. Referral letters must balance detail and usability, taking a pragmatic approach to ensure clinical reasoning, relevant history and patient involvement are communicated clearly, while avoiding unnecessary administrative burden. [Abstract copyright: Copyright © 2025, The Authors.
Weakly nonlinear dynamics of a thin aerogel coating governed by Rajagopal’s continuum model
No full textThis paper addresses a dynamic problem for a thin aerogel layer with one face fixed and a time-harmonic vertical displacement prescribed on the opposite face. The constitutive relations rely on Rajagopal’s nonlinear implicit model. To validate the material parameters, we conduct uniaxial compression experiments on organic–inorganic hybrid silica aerogels, confirming the predictive capability of the proposed model. A weakly nonlinear asymptotic analysis is conducted and the associated two-term approximate solution is obtained, for both the one-dimensional problem for transverse displacement and the plane-strain problem. Comparisons with numerical solutions are performed, highlighting the importance of the nonlinear corrector. The integrated approach involving asymptotic analysis, numerical investigations, and experimental characterization advances the understanding of the dynamic behaviour of aerogels and paves the way for the design of aerogel-based insulation applications
Brief individual psychological intervention for people with probable personality disorder: a multicentre, researcher-masked, randomised, controlled superiority trial in England.
No full textLong-term psychological treatments are recommended for people with personality disorder. Brief interventions are increasingly delivered but are of uncertain benefit. We aimed to investigate the effectiveness of a brief individual psychological intervention for people with probable personality disorder over a 12-month period. The Structured Psychological Support (SPS) study was a multicentre, researcher-masked, randomised controlled superiority trial, conducted in seven mental health Trusts in England: Avon and Wiltshire Mental Health Partnership National Health Service (NHS) Trust, Central and North West London NHS Foundation Trust, Coventry and Warwickshire Partnership NHS Trust, Derbyshire Healthcare NHS Foundation Trust, Lincolnshire Partnership NHS Foundation Trust, Mersey Care NHS Foundation Trust, and Oxford Health NHS Foundation Trust. Participants were aged 18 years or older and had probable personality disorder identified by meeting a threshold of 4 or more on the Standardised Assessment of Personality Abbreviated Scale. We excluded those who: did not consent; had a co-existing psychotic disorder; or were already receiving psychological treatment. We assessed whether participants met criteria for borderline personality disorder using the Structured Clinical Interview for Axis II Personality Disorders and whether they had co-existing complex post-traumatic stress disorder using the International Trauma Questionnaire. We randomly assigned participants to up to ten sessions of SPS plus treatment-as-usual or enhanced treatment-as-usual (allocation ratio 1·15:1), using an independent remote system. Researchers assessing outcomes were masked to group allocation. SPS comprises up to ten individual sessions of personalised psychological support, which includes psychoeducation and psychological skills derived from evidence-based treatments (dialectical behaviour therapy and mentalisation-based treatment). Sessions were usually delivered on a fortnightly basis by staff with previous experience of working with people with personality disorder. The primary outcome was social functioning at 12 months measured using the Work and Social Adjustment Scale (WSAS). Data were analysed using multilevel mixed effects general linear regression on an intention-to-treat basis. We used multiple imputation to address missing outcomes. We undertook a parallel health economic evaluation, which included cost-effectiveness and cost-utility analyses. People with lived experience were involved in the design of the research and in the writing process. The trial was prospectively registered (ISRCTN13918289) and is now complete. Between Feb 7, 2023, and Jan 31, 2024, 569 potential participants were referred for study inclusion, 34 were deemed ineligible, 56 declined to participate, and 127 were not approached. 352 potential participants provided consent, of whom 16 were deemed ineligible or withdrew. 336 participants were randomly assigned to either SPS (n=180) or treatment-as-usual (n=156). 251 (75%) participants were female, 75 (22%) were male, and ten (3%) were non-binary or other. The mean age was 34·8 years (SD 13·2; range 18-68) and 281 (84%) participants were White. 152 (84%) participants in the SPS group and 132 (85%) in the control group completed the 12-month follow-up. There was no difference between groups for the primary outcome of WSAS score (standardised coefficient 0·12 [95% CI -2·14 to 2·38]; p=0·92). The probability that SPS is cost-effective was 0·34-0·39. There were 36 serious adverse events affecting 17 participants in the SPS group and 16 in the treatment-as-usual group. None were judged to be related to study procedures. Two study participants died during the 12-month follow period, both in the SPS group. We found no difference in social functioning over the course of 1 year among people offered a brief psychological intervention, and no evidence of cost-effectiveness. These data highlight the importance of improving access to longer-term evidence-based psychological treatment programmes for people with personality disorder. National Institute for Health and Care Research. [Abstract copyright: Copyright © 2026 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.
Heterocyclic‐Fused Squaramides: Anionophores With Antimicrobial Activity
No full textAntimicrobial resistance is regarded as one of the foremost public health risks of the 21st century, highlighting the need for new antimicrobial agents and chemical tools to interrogate their biological activity. Artificial transmembrane anion transporters have emerged as promising supramolecular scaffolds in this context, having demonstrated membrane activity in mammalian systems and showing growing potential in antimicrobial research. Here, we report a series of heterocycle‐fused squaramide anionophores capable of binding and transporting chloride. Several members of this series display measurable antimicrobial activity, alongside evidence of intracellular chloride modulation in bacterial cells. Taken together, these findings indicate that membrane localisation and anion transport are important contributing factors to the observed antimicrobial effects, and support further investigation of squaramide‐based anionophores as membrane‐active chemical biology tools