Community Practice Research Articles

Confluency: Development of an Interactive Mobile Art Exhibit and Resource on Water Justice in South Africa and Canada.

Water justice-equitable, reliable access to clean, sufficient water, and the knowledge and mechanisms related to its management-is a key global social justice and environmental issue. Cape Town, South Africa, is an important context to explore water justice due to its 2018 water crisis. Water scarcity intersects with other issues, including health disparities, food insecurity, and gender inequity, in turn requiring citizen engagement in water-related issues and knowledge sharing to produce sustainable, contextually relevant solutions. The arts are powerful tools for citizen engagement and knowledge sharing and translation in research, as well as social and environmental action. In this Resources, Frameworks, and Perspectives article, we outline the methods and lessons learned from developing Confluency, an arts-based exhibit and resource that aimed to generate and share knowledge on water justice issues between academics, practitioners, artists, and activists in Canada and South Africa. We detail the methods used to develop the Confluency exhibit and resource, including preparing the art exhibit framework, facilitating art workshops, designing interactive stations, and implementing the interactive art exhibit. Lessons learned are shared from implementing Confluency in diverse South African and Canadian settings. These case studies signal that the methodological approaches used in designing and implementing this exhibit and resource hold promise for providing opportunities to reflect on, and learn about, global and local water justice issues. This resource could be expanded to engage communities in research, policy, and practices regarding water justice in other diverse global settings to advance health, equity, and rights.

Mission and Future Plans for the ADPKD Centers of Excellence Program.

The Autosomal Dominant Polycystic Kidney Disease (ADPKD) Centers of Excellence Program, launched by the Polycystic Kidney Disease Foundation in 2022, aims to bridge the gap in specialized care for individuals with ADPKD. This program seeks to enhance the availability of specialized clinicians and simplify the process for patients seeking expert care. It is founded on three pillars: improving care for all individuals with ADPKD, educating and empowering the community, and advancing PKD research. The program draws inspiration from successful models in other diseases, such as cystic fibrosis and muscular dystrophy, which have demonstrated the effectiveness of standardized care centers in improving patient outcomes. Patient and clinician stakeholder interviews have identified key areas where a national program could make a significant impact, including the need for a core care team with defined referral processes, mentorship and shared care models, patient navigation services, and education around expert consensus and care guidelines. The program introduces two designations: "Center of Excellence" and "Partner Clinic" to accommodate diverse care settings and enhance patient access to specialists. The Partner Clinic designation ensures that patients in smaller community practices have access to specialized care through mentorship and guidance from experts at Centers of Excellence. The program also emphasizes the importance of specialized services, especially in underserved communities experiencing health disparities, to manage the complexities of ADPKD care. Patient focus groups have highlighted the need for care navigation services, centralized sources of knowledge, and access to local care. The program aims to address these needs by providing a structured framework for care coordination, enhancing patient self-advocacy, and improving overall outcomes for individuals with ADPKD.

Community Knowledge, Attitudes and Practices About Malaria: Insights from a Northwestern Colombian Endemic Locality.

Malaria prevention and control programs are mainly oriented to vector control, timely diagnosis and adequate treatment. Malaria transmission is influenced by several factors, including biological and social aspects. Thus, it is relevant to consider community beliefs and practices to ensure sustainable prevention and control strategies. This study aimed to determine knowledge, attitudes and practices (KAP) towards malaria in an endemic locality in northwestern Colombia. Preliminary data were collected through a focus group discussion. Subsequently, a KAP survey was administered to the community. KAP scores were associated with both sociodemographic characteristics and with previous malaria infection. Focus group data revealed knowledge gaps and the absence of or having worn-out nets. Survey results showed that participants recognized a mosquito bite as the transmission mode (72.09%), followed by dirty water (44.19%), high fever (86.05%) and headache (79.07%) as the main symptoms. Regarding attitudes, 44.19% of the people would go to the hospital in the case of having symptoms. The most recognized practices for disease prevention were the use of mosquito nets (65.12%) and fans (23.26%). The results showed that some people had misconceptions about the disease transmission mode. The analysis showed significant associations of either female gender and homemaker occupation with a good knowledge [OR = 3.74, (p = 0.04), OR = 3.55, (p = 0.04), respectively] or female with a positive attitude towards malaria control and prevention [OR = 4.80, (p = 0.04)]. These results showed that the identified gaps in KAP require increasing education among the community in addition to applying public health prevention efforts. The data may be useful in designing malaria control strategies that involve community participation.

“Other(ed)” Ocean Knowledges: Unlearning Integration in Ocean Governance for Recognitional Justice

There is an increasing call for the need to “integrate” Indigenous and local knowledge systems in ocean governance processes, on national and global scales. However, the knowledge systems, epistemes, and practices of different Indigenous and local coastal communities, whose stewardship of the planet sustains and protects marine ecosystems, pre‐date the institutionalised ocean sciences and governance with which they are meant to be integrated. The concept of integration often perpetuates othering and devaluation of various ocean knowledges that should not be subject to these problematic practices. Much of the current knowledge informing ocean governance is underpinned by colonial, military, and financial projects, in direct juxtaposition to epistemes and practices that are deeply interconnected with marine life. Writing from a marine social sciences perspective, we explore the inherent problems and limitations of integration approaches and propose reversing how we frame “knowledge” and its othering by suggesting that our scientific and governance practices are, in fact, “other” to longstanding ways of coexisting with the ocean. Without attempting to represent Indigenous knowledge systems or categorise these as unaware of scientific developments, we argue that researchers and scientists need to actively unlearn what is taught in prominent ocean sciences. By focusing on global governance through the International Seabed Authority and national ocean governance in South Africa, respectively, we explore knowledge othering and the process of unlearning what ocean governance teaches as knowledge integration to better critically consider how the ocean is, has been, and should be valued.

Psychometric appraisal of the Kurdish version of the Revised Hearing Handicap Inventory-Screening

The Revised Hearing Handicap Inventory-Screening (RHHI-S) is a robust 10-item Patient-Reported Outcome Measure (PROM) that can quantify impacts of hearing loss (HL). Employing a cross-sectional study, the psychometric properties of a cross-culturally adapted Kurdish version of RHHI-S (RHHI-S-CK) were investigated. According to the degrees of HL, 168 enrollees (64.3% male; mean-age 63.1 ± 12.6 years) were divided into three subgroups; that is, mild (n = 56; 67.9% male; mean-age 60 ± 12.5 years), moderate (n = 64; 60.9% male; mean-age 64.6 ± 12.5), & moderately-severe (n = 48; 64.6% male; mean-age 63.1 ± 12.6). The internal cohesion among the items was confirmed by Cronbach’s alpha (0.94). Confirmatory factor analysis recognised structural validity when a strong unidimensional factor was extracted. Convergent validity was verified (P-value < 0.001) via Spearman’s correlation between the scale and a subjective correlator (visual analogue scale). A large effect size (0.88) from Kruskal-Wallis & Dunn-Bonferroni post-hoc tests established the discrimination between different degrees of HL. Lastly, intraclass correlation coefficient (ICC) proved the external reliability of the adapted version of the tool (Test-retest ICC = 0.95). RHHI-S-CK is a robust PROM that can measure the impacts of HL in adults across all age ranges. Accordingly, RHHI-S-CK augmented the clinical and academic practice of the Kurdish medical community.

Macrosocial Identity in the North Caucasus in the Context of Contemporary Challenges: Comprehending Research Practices

Macrosocial identity in the regional communities of the North Caucasus is characterized by contradictions and complexity of formation processes, which is largely due to the frontier nature of the region. Recently, in the context of a sharp aggravation of the geopolitical situation, the conduct of a special military operation, the problems of the integrity and unity of the North Caucasian society as an integral part of Russia have come to the fore, updating issues of identity. The purpose of the study is to clarify, basing on the secondary analysis of data from various studies and comparison of the results of research projects, the levels of formation of different types of macrosocial identity in regional societies and establish their correlation with social practice in the regions. The study revealed inconsistency of the final data obtained by different scientists. Consideration of the social practices accumulated in regional societies made it possible, to a certain extent, to correct the assessment of the levels of formation of types of macrosocial identity in relation to a specific region of the North Caucasus. A conclusion is made, about the mosaic structure of public consciousness of the North Caucasian community and contradictory social practices that have developed in regional society. It has been defined that, under the influence of both external and internal destructive forces, identification processes acquire a risky orientation from time to time. The analytical material may be of interest to scientific teams studying identification problems, as well as for media and various institutions interested in using positive identification practices, such as cultural and edifying, organizing educational work among the population of the North Caucasus region.

Showcasing 2024 Community College Research and Practice Highlights

ABSTRACT The Community College Journal of Research and Practice (CCJRP) has published impactful and relevant research concerning community college in 2024. This article describes the scholarship published in 2024 within the journal’s scope, providing important information about the reach and metrics of the journal. In addition, publishing opportunities for scholars and professionals are noted.

“We’re an escuelita, a Little School”: Unsettling Disaster Relief Work in the Caño Martín Peña Communities of Puerto Rico

ABSTRACT Increasingly, coastal communities are subjected to disasters associated with the effects of the climate crisis. Puerto Rico, an occupied colony of the U.S. continues to endure flooding, hurricanes and earthquakes, and a protracted economic crisis. Communities and community-based organizations fulfill vital roles in disaster relief efforts. The Caño Martín Peña (CMP) communities are situated in the center of San Juan and home to over 26,000 residents. This study centers on the discourses of local leaders from the CMP communities, and their work with the Grupo de las Ocho Comunidades (G-8), a community-based nonprofit organization that fosters empowerment through literacy and ecological restoration efforts of the region. Using a critical approach, we facilitated a focus group with five leaders from the CMP communities. Qualitative analyses revealed four themes: enduring social, economic, and environmental injustice; challenging dominant narratives; importance of community organizing, collective action and caring; and social change through a “different kind of education.” Unsettling colonial approaches to disaster relief, the study concludes with implications for community practice in the context of disaster recovery.

Sustainability of Indigenous Solid Waste Management Practices in Rural Communities of South Africa

Solid waste disposal methods within indigenous communities present unique challenges and opportunities for sustainable development. However, the current knowledge on solid waste management focuses on formal waste collection systems, neglecting the practices and sustainability aspects of solid waste management in indigenous communities. Thus, it becomes imperative to undertake research studies that evaluate the sustainability of these practices as they play a pivotal role in ensuring sustainable development. The current study systematically evaluates the views and judgments associated with the sustainability aspects of indigenous waste management practices in the rural communities of South Africa using the Analytic Hierarchy Process (AHP) model. The data analysis was carried out using the AHP model. The findings of this study showed that the rural communities of Bushbuckridge Local Municipality prioritize the sustainability of the environment (weight: 0.590) over the economic (weight: 0.240) and social sustainability (weight: 0.165) based on the AHP evaluative framework. The validity of the priorities was tested through the computed degree of consistency (&lt;10%) and an eigenvalue of 5.107. Furthermore, according to the assessment in the current study, the AHP evaluative framework dominantly prioritizes the sub-criteria of environmental sustainability (composting) at a responding rate of over 70% almost across all indigenous communities except for Acornhoek (30%), Casteel (25%), and Mambumbu (24%). Likewise, the sub-criterion of social sustainability, which is associated with communal cleaning labor, was found to be of extreme importance (60%), outperforming taboos (10%) that are anchored in cultural and spiritual beliefs. With a response rate &gt; 50%, waste trading proved to be of economic efficacy. Using the AHP model to evaluate the sustainability aspects associated with indigenous solid waste management practices addresses a substantial gap in the comprehension of the role of indigenous knowledge towards sustainability in the discipline of solid waste management. However, it also offers a valuable sustainability perception that is associated with indigenous waste disposal methods that local governments and policymakers should include for consideration in integrated waste management plans. This can lead to the development of waste disposal programs that are well-coordinated and in accordance with indigenous sustainable waste management practices that advance the circular economy and promote environmental protection.

Survey of Bariatric Surgeon Calibration Tube Use in Sleeve Gastrectomy.

The study objective was to identify variations in calibration tube use during sleeve gastrectomy and understand elements of ideal calibration tube performance. A survey was distributed via email and social media to bariatric surgeons, who were asked to rate the performance of their current calibration tube and an ideal calibration tube for five technical milestones involving visualization, positioning, suction capability, and sleeve sizing. Data was analyzed using descriptive and bivariate analyses including chi-square, Mann-Whitney, and Kruskal-Wallis tests. After eliminating incorrect screening question responses, 552 of 585 responses were analyzed. Demographics included 82% practicing in the USA, 64% in community practice, performing an average of 114 (SD = 94.5) sleeves annually. Calibration tubes used were most commonly reusable (54.2%) versus disposable (27.4%), endoscope (5.3%), or other (13.2%). Ninety-six percent of calibration tube sizes were 32 to 44 French. The reusable calibration tube had the lowest mean scores in all five technical areas, while the endoscope performed the best. When comparing surgeon current to ideal calibration tube performance, the endoscope performed closest to an ideal device, with significant p-values for technical milestones (i-iv). Despite the endoscope having the highest ratings for technical performance, surgeons rated higher satisfaction using disposable calibration tubes. Significant variation exists among the size and type of calibration tubes used for sleeve gastrectomy. Calibration tubes incorporating the visualization of an endoscope with the workflow of a disposable device could bridge technical performance and satisfaction goals for surgeons.

Women's Experiences of Adult Sexual Assault, by Perpetrator Gender and Participant Sexual Orientation.

The vast majority of theoretical and empirical research assessing sexual assault (SA) focuses on man-against-woman SA (MWSA), leaving other forms such as woman-against-woman SA (WWSA) understudied. Relatively simple questions, such as the relative frequency of WWSA for women of different sexual orientations, the tactics (e.g., coercion, force), or forms (e.g., groping, vaginal penetration) employed in WWSA remain unanswered. To address these issues, 268 women (approximately one-third of each bisexual, lesbian, and heterosexual) completed an online survey reporting on whether or not they had experienced a variety of nonconsensual sexual experiences in their adult lifetime, asking specifically about perpetration by men and women. Results indicated that although SA perpetrated by men was far more common, a substantial minority of participants reported having experienced WWSA. In general, tactics and forms employed were similar, regardless of the gender of the perpetrator or the woman's sexual orientation, with two exceptions: bisexual women had experienced higher rates of MWSA, and lesbian women had experienced more SA in the form of oral sex compared to other groups. Implications for theory, empirical research, and especially community and clinical practice are discussed.

Knowledge bloats, love builds: Paul on how we are (not) to know things

Abstract Paul's epistemology was famously mapped onto his eschatology by J. Louis Martyn, but it must be mapped also onto his ecclesiology. For Paul, knowing is bound always and indissolubly to living with others. To understand how Paul would have us know things, then, we must focus not on knowledge as such, but on epistemic practices in ecclesial communities. Whereas the Corinthians’ use of wisdom and knowledge made for fragmentation and dissolution in the body of Christ (1 Cor 1–4; 8–10), Paul would have practices with knowledge instantiate communion and care for one another, as is proper for Christ's body. Integral to theological knowing is a sense of what and whom theology is for, a sense being critically explored in recent evaluations of theological education.

The Impact of Farmers' Social Lifestyles on Agricultural Sustainability in Rural Area of Turkey

This study investigates how farmers' social lifestyles influence agricultural sustainability in rural Turkey. Through data analysis from 312 producers across five provinces, we examine how participation in social activities such as religious gatherings, café meetings, and agricultural fairs shapes farming decisions and sustainability outcomes. Using logistic regression modeling, we find that social network participation significantly impacts agricultural performance and sustainability practices. Results reveal that different types of social engagement lead to distinct patterns of innovation adoption and resource management. Coffee-house and religious gatherings influence not only sales decisions but also agronomic practices, such as adopting new technologies and innovative methods. The lack of female involvement and potential pathways for their integration are also important. This research provides crucial insights for policymakers seeking to leverage existing social networks to promote sustainable agricultural practices in rural communities.

Tools shape practice shapes tools...

This article narrates a partial history of two decades of doing graphic design with free, libre and open-source tools. We follow the development of tools and practices that allowed graphic design practice to shift, such as layouts being generated by scripts, books being rendered out of webpages and editorial workflows being transformed into collaborative environments. It threads through a body of shared knowledge and modes of designing with software, focusing on sites that are key in these design practices: layout tools, open fonts and publishing platforms. As practitioners and active participants, the authors provide reflections on the entangled positions of these tools and the possibilities for engagement that they offer. By following their uptake by groups and collectives in Europe through time, we end with an analysis of the way that changes in the wider free software community and digital practice affect these still ongoing initiatives.

The Importance of Implementing Sustainable Practices in Municipalities of the Araguaia River Valley, Mato Grosso, Brazil

Objective: The present work aims to identify and analyze strategies for implementing the Sustainable Development Goals (SDGs) in municipalities in Vale do Araguaia in the state of Mato Grosso - Brazil, as well as their benefits and challenges, providing recommendations for promoting sustainable development at the local level. Theoretical Framework: The text addresses essential strategies for implementing sustainable practices in local communities, such as solid waste management, conservation of water resources, use of renewable energy and promotion of sustainable agriculture. Highlights include recycling and composting to reduce waste, water reuse systems and renewable energy, such as solar, for energy self-sufficiency. Sustainable agriculture strengthens the local economy, while conscious consumption is encouraged by educational campaigns. Community participation and government support are crucial for balancing economic development, social justice and environmental preservation. Method: This comparative case study analyzed the implementation of the Sustainable Development Goals (SDGs) in 25 municipalities in Mato Grosso, in the Araguaia river basin. Different municipal strategies and contexts were examined, using data from public sources such as the Water and Sanitation Institute and the Sustainable Cities Development Index – Brazil (IDSC-BR). The analysis was organized in a table and the average of the results made it possible to evaluate the level of sustainable development of each city. Results and Discussion: The research points out that, although the implementation of sustainable practices in municipalities is essential to achieve the Sustainable Development Goals (SDGs), the results are still below expectations. Only three municipalities achieved average rates, and none achieved satisfactory results. This reveals structural challenges, such as a lack of adequate public policies and budget limitations. The research highlights the need for greater coordination between government spheres, the private sector and civil society, in addition to more concrete and inclusive planning to promote sustainable development. Research Implications: The practical implications of this study suggest the need for greater integration between government spheres and the private sector to optimize the implementation of the SDGs in municipalities, highlighting the importance of effective public policies and investments in priority areas. Theoretically, the study offers insights into the structural challenges faced by cities, contributing to the debate on sustainable urban management and the development of policy models that can accelerate the achievement of global sustainability goals. Originality/Value: The originality of the study lies in its detailed analysis of the implementation of the SDGs in municipalities, revealing the specific structural challenges that limit their progress. The value lies in providing a practical overview of the gaps in public policies and local management, in addition to highlighting the need for greater intersectoral coordination to achieve sustainable development, offering valuable guidelines for future urban planning and sustainability policies.

Societal uses of the main water bodies inhabited by malaria vectors and implications for larval source management

BackgroundLarval source management (LSM) effectively reduces mosquito populations at their breeding sites, addressing issues like insecticide resistance that limit the effectiveness of primary interventions such as insecticide-treated nets (ITNs). Although traditionally used in urban and dry areas, recent research suggests it might also be effective in rural settings in eastern and southern Africa, where Anopheles funestus thrives in permanent water bodies that sustain year-round transmission. Targeting these habitats could enhance LSM, but it requires understanding local community practices, as mosquito breeding sites often overlap with community water resources. This study examined how communities use aquatic habitats and how these practices may impact LSM strategies, with a focus on habitats used by An. funestus.MethodsThis study was conducted in three villages in the Ulanga and Malinyi districts of southeastern Tanzania using a mixed-methods approach. Quantitative data were collected through cross-sectional surveillance, and qualitative data through unstructured interviews, focus group discussions, and field observations. Data analysis integrated both quantitative and qualitative findings to develop a comprehensive understanding of community perspectives.ResultsA survey of 931 aquatic habitats found mosquito larvae in 73% of them, with late instar An. funestus present in 23%. River streams made up 41% of the habitats, while ground pools accounted for 4%. Most habitats (90%) were used by communities, including 95% of those with An. funestus larvae, for activities such as domestic chores, agriculture, livestock rearing, brickmaking, and fishing. Focus group discussions revealed a willingness to adopt LSM, with a preference for larviciding and habitat modification over habitat removal, as the water sources were vital for daily use. Community concerns centered on the safety of larvicides for humans and animals, the environmental impact, and the need for better awareness of how LSM affects health and livelihoods.ConclusionThis study highlights community perspectives on LSM, focusing on the dual function of aquatic habitats as mosquito breeding sites and essential community water sources. This dual role presents both challenges and opportunities, suggesting that LSM strategies must balance public health needs with socio-economic realities. There was a clear preference for larviciding and habitat modification over removal, with a strong emphasis on health and environmental safety. The study emphasizes the importance of educating communities on the safety and effectiveness of LSM, and tailoring LSM strategies to fit the needs and preferences of local communities.

Survey to identify barriers and enablers to implementation of genomics in pharmacy practice across healthcare sectors in a rural community

Abstract Introduction The potential for genomics to improve patient outcomes is being harnessed via national strategy to embed genomic testing into NHS practice, and drive use of precision medicines and pharmacogenomics1. The national pharmacy genomics education and training strategic framework aims to empower the pharmacy workforce, across all sectors, to use genomics to support medicines optimisation2. Cornwall, a rural and coastal county, has areas of marked deprivation with poorer health outcomes3 and challenges in recruiting and retaining healthcare professionals. It is key that rural/coastal communities have equitable access to genomic services and expertise to avoid exacerbating pre-existing health inequalities. Aim To identify barriers and enablers to the implementation of genomics into pharmacy practice in a rural community. Methods Pharmacists and pharmacy technicians working in Cornwall were eligible to participate. An anonymised survey was compiled via Microsoft Forms of closed, multiple choice and optional open questions. Following piloting, the survey link was disseminated via email by pharmacy leaders in community pharmacy, primary and secondary care in May 2024. Responses were stored securely via NHS password protected IT systems and analysed via quantitative and thematic analysis. As this project is defined as a service evaluation, according to the UK NHS Health Research Authority, ethical approval was not required. Results Fourteen pharmacists and 7 pharmacy technicians participated, from primary and secondary care and community hospitals, with no participants from community pharmacy. Seven had received prior training in genomics (teaching sessions (n=5), webinars (n=1), podcasts (n=1), articles in journals (n=2)). One participant had received formal undergraduate training. Key barriers to the implementation of genomics included a lack of education and training (n=5), perceived cost of genomic testing (n=2), difficulty in accessing genomic services (n=1) and lack of expert panels (n=1). It was also felt that genomics services were limited to secondary/tertiary care (n=2). Respondents stated that the rural location impacted the availability of face-to-face training and resources to support training (n=17). Key enablers were the opportunity for precision prescribing (n=8), and improved patient outcomes (n=7). Genomics education and training (n=5) and resources to support training (n=11) were viewed as being pivotal to supporting the mainstreaming of genomics. Discussion and conclusion Participants were keen to further their genomics knowledge, with a preference for face-to-face training. Respondents also highlighted the need for allocated resources to support training. As emphasised in the strategic framework2, workforce upskilling is vital to the successful mainstreaming of genomics, particularly when the majority of pharmacy staff had not received any formal training. There were no participants from community pharmacy, indicating a requirement to further explore barriers and enablers in this cohort. Community pharmacy staff may be reluctant to participate if they perceive genomics to relate solely to secondary/tertiary care. Survey methodology also limited the detail that could be obtained from respondents. This provides helpful preliminary insights on barriers and enablers to genomics implementation into pharmacy practice in rural/coastal areas. Themes could be further explored via semi-structured interviews, with the aim of shaping interventions necessary to ensure equitable provision of genomics services and expertise to these communities.

The Missing Voices, an exploration of what healthcare-related research would matter to Global Ethnic Majority Women in Aberdeenshire, Scotland

Abstract Introduction In multicultural communities, such as the UK, published evidence has indicated that patients from marginalised backgrounds experience healthcare inequality and inequity with regards to accessibility and safety.1 The lack of appropriate ethnic representation in healthcare-related research, has been identified as a potential causation of some of these disparities and poorer health outcomes.2,3 The focus of this project was the marginalised communities identified by the NIHR to have poorer health outcomes, such as Global Ethnic Majority (GEM) women. Aim To explore what healthcare research matters to marginalised communities with a focus on lived and perceived experiences on access to healthcare for GEM women in Aberdeen city and Aberdeenshire, Scotland. Methods This pilot project captured real world data through an inclusive community engagement approach of reaching within rather than reaching out. A framework of 5Cs (Connect, Collaborate, Consult, Co-create and Circulate) was used to establish a diverse panel of ten GEM women. All panel members had a passion for equality and wellbeing as well as diverse lived experiences. The method used to establish the panel is presented elsewhere. Based on a review of literature, open-ended, flexible, thought-provoking questions for the discussions were developed and circulated to all panel members for approval. These questions were used to guide both in-person and virtual open discussions with aforementioned stakeholders to capture narratives and perspectives around barriers and facilitators to equitable healthcare access in the area. As the public members were research partners and not participants, no ethical approval was required as advised by a professor of pharmacy research and the school’s ethics convenor. The project had three main objectives. This submission will only report on objective three that aimed to Identify and prioritise research questions relating to equitable access to healthcare and the needs of marginalised minority ethnic communities. Results The objective was met. A list of emergent themes from the pre-panel questions and a list of panel-approved research questions were devised with a focus on access to healthcare. The emergent themes were around accessibility and equity of maternal/reproductive healthcare, lack of early screening for high-risk GEM groups and culturally appropriate approaches to mental healthcare. Solution focused recommendations included the design of an inclusive healthcare curriculum, compulsory EDI and cultural competency training for healthcare professionals who practice in diverse communities, additional screening programmes tailored to specific GEM groups based on prevalence and risk factors and the development of localised culturally appropriate and inclusive community programmes, especially for those who support new immigrants. Mistrust and lack of inclusive language were mentioned as potential barriers to participating in research. Discussion / Conclusion This pilot offered the historically under-represented and usually silent communities an equal voice within a trusting and collaborative environment. Over ten years after the enaction of the UK Equality Act (2010) inequity in healthcare access and poor outcomes are still evident. The outcomes of this small pilot study highlight that GEM-specific projects should be driven by that community.

Linguistic Insights from a Bilingual Letter: The Malati Dialect of Zoroastrian Dari in Yazd

Abstract This article presents a comprehensive analysis of a rare written example of Zoroastrian Dari (Behdini), a traditionally spoken language, featured in a bilingual letter composed in the Perso-Arabic script. The linguistic evidence indicates that the dialect of this letter is the Malati dialect of Zoroastrian Dari, primarily spoken in the Priests’ quarter of Yazd. The article provides a detailed examination of the phonological, morphological, and syntactic features. Furthermore, it explores the challenges of using the Perso-Arabic script to capture the phonetic nuances of Zoroastrian Dari and analyses the adaptations made by the writer to overcome these obstacles. Through a combined historical and linguistic approach, the article offers valuable insights into the language contact and script practices in Zoroastrian communities. This research contributes to the broader understanding of endangered languages and the complexities of multilingualism in written texts.

Recovery of culturable Streptococcus pyogenes from swabs stored at different temperatures.

Improving our understanding of superficial Streptococcus pyogenes (Strep A) carriage and transmission necessitates robust sampling methods. Here, we compared the effect of storing swab samples in fridge (+4°C) and freezer (-20°C) conditions on the recovery of laboratory-cultured S. pyogenes. Streptococcus pyogenes colony-forming units progressively declined at +4°C, but not at -20°C, over 2 weeks. Results demonstrate that freezing is preferable over refrigeration for storage and transport of skin and throat swabs to ensure that culturing accurately reflects the true results of sampling. This is particularly important in remote community research and practice when immediate incubation is not possible or batch processing is most practical, increasing the elapsed time between collection and laboratory analysis. The study suggests that temperature negatively affects S. pyogenes viability and provides a method to further investigate the role of other environmental factors affecting S. pyogenes transmission.