Cardiff University's cuts risk deepening the crisis in our healthcare organisations.

, Professor of Nursing and Head of School for Nursing and Midwifery, Buckinghamshire New University (Barry.hill@bucks.ac.

Surge capacity and practice management challenges of Canadian family physicians during COVID-19: a qualitative study.

Background: Planning for surge capacity, that is, the ability of a health service to expand beyond normal capacity and meet an increased demand for clinical care, is an essential component of public health emergency preparedness. During the COVID-19 pandemic, family physicians (FPs) were called upon to provide surge capacity in settings such as hospital units and emergency departments while also maintaining their primary care responsibilities. Most research reports on projection models, hospital settings, or the use of virtual care, with limited focus on the firsthand experiences of FPs in this role.

A comparison of Project Servator and routine stop and search outcomes in the city of London.

Project Servator is a strategic method of policing designed to deter, detect and disrupt a wide range of criminal activity including terrorism. This paper is the first empirical study to evaluate the stop and search aspect of Servator deployments. We compare the outcomes of 3488 routine stop and searches and 510 Servator stop and searches to determine whether the stop and search tactics used in this initiative produce more positive outcomes than routine stop and searches.

A distinct immunophenotype in children carrying the Blautia enterotype: The Generation R study.

Objective: Studies in mouse models and human adults have shown that the intestinal microbiota composition can affect peripheral immune cells. We here examined whether the gut microbiota compositions affect B and T-cell subsets in children.

Methods: The intestinal microbiota was characterized from stool samples of 344 10-year-old children from the Generation R Study by performing 16S rRNA sequencing.

Risk of What and Why? Disaggregating Pathways to Extremist Behaviours in Individuals Susceptible to Violent Extremism.

Best practice in violent extremist risk assessment and management recommends adopting a Structured Professional Judgement (SPJ) approach. The SPJ approach identifies relevant, evidence-based risk and protective factors and requires experts to articulate hypotheses about a) what the person might do (risk of what), and b) how they've come to engage in the concerning behaviour (and why) (Logan 2021) to inform who, needs to do what, and when. Whilst the field continues to move towards adopting an SPJ approach, there remains a gap between what is known empirically and what is needed in practice.

Beyond binary: Analyzing closed-source data to compare specific roles and behaviors within violent and nonviolent terrorist involvement.

Increasingly, studies compare risk and protective factors for involvement in violent and nonviolent terrorist behaviors. This exploratory study investigates whether this distinction is sufficient, or whether it should be disaggregated further into more granular terrorist roles and behaviors. Using data on 404 referrals to a UK countering violent extremism Prevent hub specializing in mental health and associated needs, we compare violent and nonviolent referrals, and then more specific behaviors (vulnerability, proactive extremism, foreign fighting, and violence planning).

A Qualitative Analysis of the Functions of Primary Care Nurses in COVID-19 Vaccination.

Aim: To describe vaccination roles of primary care nurses during the COVID-19 pandemic in Canada.

Design: This analysis was part of a larger mixed-methods case study.

Methods: We conducted semi-structured qualitative interviews from May 2022 to January 2023 with primary care nurses across four provinces: British Columbia, Ontario, Newfoundland and Labrador, and Nova Scotia.

System-Based Interventions to Address Physician Burnout: A Qualitative Study of Canadian Family Physicians' Experiences During the COVID-19 Pandemic.

Background: Medical professionals experienced high rates of burnout and moral distress during the COVID-19 pandemic. In Canada, burnout has been linked to a growing number of family physicians (FPs) leaving the workforce, increasing the number of patients without access to a regular doctor. This study explores the different factors that impacted FPs' experience with burnout and moral distress during the pandemic, with the goal of identifying system-based interventions aimed at supporting FP well-being and improving retention.

Homologous but not heterologous COVID-19 vaccine booster elicits IgG4+ B-cells and enhanced Omicron subvariant binding.

Booster vaccinations are recommended to improve protection against severe disease from SARS-CoV-2 infection. With primary vaccinations involving various adenoviral vector and mRNA-based formulations, it remains unclear if these differentially affect the immune response to booster doses. We examined the effects of homologous (mRNA/mRNA) and heterologous (adenoviral vector/mRNA) vaccination on antibody and memory B cell (Bmem) responses against ancestral and Omicron subvariants.

Health professionals implicit bias of patients with low socioeconomic status (SES) and its effects on clinical decision-making: a scoping review.

Objectives: Research indicates that people with lower socioeconomic status (SES) receive inferior healthcare and experience poorer health outcomes compared with those with higher SES, in part due to health professional (HP) bias. We conducted a scoping review of the impact of HP bias about SES on clinical decision-making and its effect on the care of adults with lower SES.

Design: JBI scoping review methods were used to perform a systematic comprehensive search for literature.

Adapting care provision in family practice during the COVID-19 pandemic: a qualitative study exploring the impact of primary care reforms in four Canadian regions.

Background: Over the past two decades, Canadian provinces and territories have introduced a series of primary care reforms in an attempt to improve access to and quality of primary care services, resulting in diverse organizational structures and practice models. We examine the impact of these reforms on family physicians' (FPs) ability to adapt their roles during the COVID-19 pandemic, including the provision of routine primary care.

Methods: As part of a larger case study, we conducted semi-structured qualitative interviews with FPs in four Canadian regions: British Columbia, Newfoundland and Labrador, Nova Scotia, and Ontario.

Importance of patient and public involvement in doctoral research involving people living with dementia.

Background: There is increasing recognition of the need to include patients and the public in the research process. There is extensive literature about patient and public involvement (PPI) in research, but fewer articles report on PPI in doctoral research.

Aim: To reflect on establishing an advisory group for a doctoral study, exploring the opportunities and challenges associated with including patients with dementia in the research process.

"Family doctors are also people": a qualitative analysis of how family physicians managed competing personal and professional responsibilities during the COVID-19 pandemic.

Background: Family physicians (FPs) fill an essential role in public health emergencies yet have frequently been neglected in pandemic response plans. This exclusion harms FPs in their clinical roles and has unintended consequences in the management of concurrent personal responsibilities, many of which were amplified by the pandemic. The objective of our study was to explore the experiences of FPs during the first year of the COVID-19 pandemic to better understand how they managed their competing professional and personal priorities.

"Technology has allowed us to do a lot more but it's not necessarily the panacea for everybody": Family physician perspectives on virtual care during the COVID-19 pandemic and beyond.

Introduction: Early in the COVID-19 pandemic, Canadian primary care practices rapidly adapted to provide care virtually. Most family physicians lacked prior training or expertise with virtual care. In the absence of formal guidance, they made individual decisions about in-person versus remote care based on clinical judgement, their longitudinal relationships with patients, and personal risk assessments.

Distinct patterns of incidental exposure to and active selection of radicalizing information indicate varying levels of support for violent extremism.

Exposure to radicalizing information has been associated with support for violent extremism. It is, however, unclear whether specific information use behavior, namely, a distinct pattern of incidental exposure (IE) to and active selection (AS) of radicalizing content, indicates stronger violent extremist attitudes and radical action intentions. Drawing on a representative general population sample (N = 1509) and applying latent class analysis, we addressed this gap in the literature.

The use of creative case studies to explore non-verbal and non-ambulant children and young people's well-being.

Background And Purpose: The aim of this paper is to describe and critically analyse creative research methods, exploring how these can offer ways to enable non-verbal and non-ambulant children and young people with cerebral palsy, to express their views about their well-being. The context of this research explored their choices for recreational activities, seeking to understand how their level of participation impacted upon their well-being.

Methods: A qualitative comparative case study design was chosen comprising of two interviews, using photographs and diaries to elicit discussion, supported by observations.

A novel Monash Pouch diet in patients with an ileoanal pouch is tolerable and has favorable metabolic luminal effects.

Aims: To evaluate a whole-food diet strategy (the Monash Pouch diet [MPD]) designed based on the interacting roles dietary factors play with pouch health. Specifically, its tolerability and acceptability, whether it achieved its dietary and metabolic goals, and the effects on symptoms and inflammation were examined.

Methods: In a 6-week open-label trial, patients with ileoanal pouches educated on the MPD were assessed regarding diet tolerability and acceptance, food intake (7-day food diaries), pouch-related symptoms (clinical pouchitis disease activity index), and, in 24-h fecal samples, calprotectin, fermentative biomarkers, and volatile organic compounds (VOC).

Arrests and convictions but not sentence length deter terrorism in 28 European Union member states.

While countries differ in how they handle terrorism, criminal justice systems in Europe and elsewhere treat terrorism similar to other crime, with police, prosecutors, judges, courts and penal systems carrying out similar functions of investigations, apprehension, charging, convicting and overseeing punishments, respectively. We address a dearth of research on potential deterrent effects against terrorism by analysing data on terrorism offending, arrests, charges, convictions and sentencing over 16 years in 28 European Union member states. Applying both count and dynamic panel data models across multiple specifications, we find that increased probability of apprehension and punishment demonstrate an inverse relationship with terrorism offending, while the rate of charged individuals is associated with a small increase in terrorism.

The Impact of a 24-h Low and High Fermentable Oligo- Di- Mono-Saccharides and Polyol (FODMAP) Diet on Plasma Bacterial Profile in Response to Exertional-Heat Stress.

Exertional-heat stress (EHS) compromises intestinal epithelial integrity, potentially leading to the translocation of pathogenic agents into circulation. This study aimed to explore the impact of EHS on the systemic circulatory bacterial profile and to determine the impact of a short-term low (LFOD) and high (HFOD) fermentable oligo- di- mono-saccharide and polyol dietary intervention before EHS on this profile. Using a double-blind randomized cross-over design, thirteen endurance runners ( = 8 males, = 5 females), with a history of exercise-associated gastrointestinal symptoms (Ex-GIS), consumed a 24 h LFOD and HFOD before 2 h running at 60% V.

The Impact of Public Holidays on Insurgent Attacks: The Case of Thailand.

This paper analyzes Malay-Muslim insurgents' attacks in the three southern provinces of Thailand between the years of 2010-2021 and identifies the role of public holidays on the level of violence. The existing literature suggests terrorists consider holidays during attack planning. However, there is a lack of agreement on the effect direction.

Detection of changes in regional colonic fermentation in response to supplementing a low FODMAP diet with dietary fibres by hydrogen concentrations, but not by luminal pH.

Background: Carbohydrate fermentation plays a pivotal role in maintaining colonic health with excessive proximal and deficient distal fermentation being detrimental.

Aims: To utilise telemetric gas- and pH-sensing capsule technologies for defining patterns of regional fermentation following dietary manipulations, alongside conventional techniques of measuring fermentation.

Methods: In a double-blind crossover trial, 20 patients with irritable bowel syndrome were fed low FODMAP diets that included no extra fibre (total fibre content 24 g/day), or additional poorly fermented fibre, alone (33 g/day) or with fermentable fibre (45 g/day) for 2 weeks.

An analysis of policies supporting the roles of family physicians in four regions in Canada during the COVID-19 pandemic.

Policy supports are needed to ensure that Family Physicians (FPs) can carry out pandemic-related roles. We conducted a document analysis in four regions in Canada to identify regulation, expenditure, and public ownership policies during the COVID-19 pandemic to support FP pandemic roles. Policies supported FP roles in five areas: FP leadership, Infection Prevention and Control (IPAC), provision of primary care services, COVID-19 vaccination, and redeployment.

Strengthening the integration of primary care in pandemic response plans: a qualitative interview study of Canadian family physicians.

Background: As the first point of contact in health care, primary care providers play an integral role in pandemic response. Despite this, primary care has been overlooked in previous pandemic plans, with a lack of emphasis on ways in which the unique characteristics of family practice could be leveraged to create a more effective response.

Aim: To explore family physicians' perceptions of the integration of primary care in the COVID-19 pandemic response.

A kaleidoscope of well-being to authentically represent the voices of children and young people with complex cerebral palsy: a case study series.

Purpose: This paper authentically represents the voices of non-verbal children with cerebral palsy using a case study design. Policy suggests that children should have the right to play and leisure opportunities, however non-verbal children with cerebral palsy have fewer choices. Additionally, children with communication, learning and mobility limitations are usually excluded from research.