A Scoping Review of Toolkits Addressing Ethical Issues in Health Registry and Clinical Research Enrollment Among African Americans With CKD.

BackgroundSexually transmitted infections (STIs) remain a major public health concern among college students, particularly at Historically Black Colleges and Universities (HBCUs), where structural barriers may limit access to routine screening. Community-based partnerships represent a promising strategy to expand sexual health services and address persistent inequities.PurposeThis study evaluated the impact of an on-site STI screening program delivered through a partnership with a local community-based organization (CBO) on screening utilization, provider efficiency, and student satisfaction within an HBCU consortium.MethodsA retrospective chart review was conducted among students aged 17years and older who received STI screening between August 2022 and April 2025. The intervention provided free testing for chlamydia, gonorrhea, HIV, and syphilis through a CBO operating 3days per week within the student health center. Appointments were scheduled online, by phone, or via walk-in. Data included screening volumes, demographic characteristics, provider visit patterns, and satisfaction survey responses. Descriptive statistics compared outcomes before and after implementation.ResultsSTI screening volumes increased from 1692 during the pre-implementation period (August 2022-September 2023) to 1817 and 1950 during the first (October 2023-April 2024) and second (August 2024-April 2025) post-implementation periods, respectively. Shifting asymptomatic screening to the CBO increased provider capacity for non-STI primary care visits.ConclusionIntegrating a CBO into campus health services expanded access to STI screening, optimized provider workflow, and maintained high-quality, student-centered care. This partnership model offers a scalable, equity-focused approach for strengthening sexual health services at HBCUs and other minority-serving institutions.

Development of a Viable Tissue Acquisition Laboratory Core: A Generalizable Partnership Model to Advance Groundbreaking Human Biology.

Type 1 diabetes intervention clusters in resource-limited settings: a systematic review and economic evaluation.

Obstructive Sleep Apnea (OSA), one of the most common sleep disorders, is associated with a large amount of morbidity to both the heart and metabolic function. Continuous Positive Airway Pressure (CPAP) remains the gold standard treatment for patients with OSA. In contrast, Dental treatments such as Mandibular Advancement Devices (MADs) are considered well-established alternatives for certain patients. Since General Practitioners (GPs) often initiate the diagnostic and therapeutic management of these patients, the extent of their understanding of dental and craniofacial management options remains unclear. An electronic cross-sectional survey was conducted among licensed Medical Practitioners from both the Allopathic and AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa-Rigpa, and Homeopathy) streams. A 15-question questionnaire was used to assess four domains: (1) Aetiology, (2) Diagnosis, (3) Treatment, and (4) Referral Practices. Responses ("Agree," "Disagree," "Not aware") were recorded and converted to a binary system for analysis, where Agree equals 1 and Disagree/Not aware equals 0. Descriptive statistics and Chi-square tests will help analyse the variation between domains at a statistically significant level (p < 0.05). Diagnostic awareness was moderate, with 57.6% identifying polysomnography (PSG) as the gold standard test. There was a deficiency in knowledge on the available treatment options: only half of them recognized MADs as efficient. The composite scoring provided a moderate knowledge score (6.72 ± 3.08) and significantly lower mean awareness score (1.79 ± 0.73). There was great heterogeneity between domains (χ2 = 127.31, df = 36, p = 0.0001) as familiarity with dental and craniofacial and referral-related aspects of OSA care was inconsistent. GPs showed a greater level of awareness of general diagnostic concepts compared to craniofacial risk factors, oral appliance therapy, or interdisciplinary referral pathways. Specific educational programs and organized medical-dental partnership models should be established in order to enhance integrated management of OSA.

The purpose of this scoping review was to compile reported outcomes in relation to service-learning in veterinary medicine and identify underrepresented areas that warrant further initiative to support a more intentional model of community partnership. The Bramer et al method was utilized in this scoping review across 3 bibliographic databases to obtain a comprehensive literature search, yielding 715 eligible publications for screening. The screening process was charted with the use of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. All citations were initially double-screened, with conflicts resolved by a third reviewer; in the final stages, fulltext screening was conducted by 2 reviewers. Only models of veterinary service-learning publications were included in the review, excluding all those in which education of veterinary students was not the primary population. Results yielded 36 studies for review that all documented student-centered outcomes, with only 12 mentioning community partners. Six core themes were noted across the studies evaluated, including skill building, shaping of career motivations and identity, mentorship as a support structure, and development of empathy and social justice orientation. While community engagement models in veterinary medicine are mutually beneficial by design, with clear benefits to experiential learning, there has been a lack of exploration past an internal institutionalized focus with limited representation of community perspective. A clearer understanding of community outcomes in service-learning programs is critical in supporting an equitable program design that offers a more meaningful and ethical clinical practice model while, in parallel, meeting the needs of the populations they aim to serve.

To expand the tripartite mission to advance health equity, academic medical centers (AMCs) need to look outside their walls. In 2018, Stanford's primary care division launched the Community Partnership Program (CPP) between their AMC and local safety-net community health centers (CHCs) to support the goals of meaningful community engagement and addressing local clinic capacity needs. The CPP embeds Stanford physician faculty in local CHCs through service agreements. This study aimed to characterize the experiences of CHC leaders and faculty involved in the CPP to better understand barriers and facilitators to program implementation and assess its success as a community-responsive partnership. Stanford's CPP faculty (n = 9/15) and representative CHC leadership (n = 9/11) from five partner CHCs participated in the study. The National Academy of Medicine's Assessing Community Engagement Conceptual Model guided an explanatory mixed methods study: cross-sectional survey followed by semi-structured interviews. A modified Enage for Equity Community Engagement Survey identified high- and low-scoring variables (Likert scale:1-strongly disagree/never to 5-strongly agree/always). Qualitative assessment explored facilitators and barriers to program implementation and success. Overwhelmingly, both CHC leaders and faculty (n = 18) highlighted the CPP's positive role in making their work meaningful (4.78 (0.5)) and trusting the partners they work with (4.50 (0.5)). Sufficient time (3.61 (1.0)) and financial support (3.33 (1.4)) to engage in the CPP were the lowest scoring variables. Qualitative results highlighted the importance of communication, trust, and institutional buy-in, the value of community-academic bridges, increased access to clinical care, development of community-aligned solutions, and the partnership's positive impact on well-being. A model of community-academic partnership with primary care faculty embedded in safety-net CHCs can be successful from both AMC and CHC perspectives. These findings offer pragmatic lessons that can support other AMCs in building their own capacity for equity-focused collaboration grounded in community-engaged principles.

ABSTRACT Purpose This study examines a three-year university-community partnership in Kashima City in Japan, where students served as intercultural bridges through student-led regional tourism promotion, demonstrating how service-learning generates community value while developing intercultural competencies. Design/methodology/approach This longitudinal case study employed collaborative action research (FY2021–2023), involving 58 students (33 Japanese, 25 international from 13 countries across six continents). Data sources included surveys (n = 34, 89% response), stakeholder interviews (n = 6), observations and international partner surveys (n = 24). Findings Through student-led initiatives, participants produced 12 promotional videos (from less than 1 minute to 3–5 minutes long) across three years and 16 bilingual posters, deployed in regional marketing. 100% of the Japanese students and 52% of the international students gained intercultural competence; 82% expressed willingness to continue promoting Kashima – an ambassador effect representing sustained advocacy. Structural challenges emerged: coordination burdens on volunteer staff, misaligned incentives and reliance on individual champions. Game-theoretic analysis suggests governance design can counteract suboptimal collaboration. Research limitations/implications As a single-case study, findings are not statistically generalisable, though the three-year longitudinal design provides transferable insights for resource-constrained regions. Practical implications Sustainable partnerships require institutional reforms (formal evaluation integration, dedicated liaisons, formalised agreements) beyond individual goodwill. Originality/value This study contributes to service-learning literature by demonstrating how student-led intercultural tourism initiatives can generate sustained community impacts in shrinking regions. Situated in Japan’s demographic crisis facing hundreds of municipalities, this research documents both achievements and structural challenges, offering a replicable model for university-community partnerships in resource-constrained contexts.

A multilevel longitudinal study of patient-physician communication in later life proactive health behaviors.

The Building Oncology Workforce (BOW) program was established to enhance participation of students from underrepresented backgrounds in cancer research. Developed through a strategic collaboration between the Lineberger Comprehensive Cancer Center and North Carolina Central University, the program exposes underrepresented undergraduate STEM students to mentored research, clinical trials, cancer science, and professional development, aiming to build a diverse oncology workforce and increase clinical trial participation among underserved populations. We conducted a qualitative evaluation of five interns and five mentors after the first summer of BOW internship. Data were gathered through focus groups (interns) and interviews (mentors) pre and post internship. Expectations, curriculum perceptions, and gender/racial concordance were explored. Audio recordings were transcribed and coded using Atlas.ti software. A universal codebook was used for intercoder reliability, with further thematic analysis conducted via Code-Document and Code Co-Occurrence methods. Ten participants (5 interns, 5 mentors) were included in the analysis. Common codes emerged of concerns, content missing from curriculum, exposure, gender and racial concordance/discordance, and need for clarity. Pre-program revealed the value of structured mentoring, early exposure to cancer research, and professional development in fostering students' confidence and career interest in cancer-related fields. Mentors emphasized the importance of bi-directional learning and culturally responsive mentorship. Post-program interns reported increased clarity about career pathways, stronger research skills, and a greater sense of belonging in academic and clinical research environments. The BOW program demonstrates that immersive, mentored research experiences tailored to underrepresented students can significantly enhance engagement in cancer research careers. This model of inter-institutional strategic partnership and intentional curriculum design can help address diversity gaps in the biomedical workforce.

The adult intensive care unit is a complex, high-acuity environment where critically ill patients frequently cannot communicate their needs, values, or preferences due to altered consciousness, sedation, or neurological impairment. This Discussion paper develops an epistemological framework for family-centered care in adult intensive care units, emphasizing the integration of diverse knowledge forms, empirical, personal, ethical, aesthetic, and emancipatory into clinical decision-making for unconscious patients. It highlights families as essential epistemic authorities who provide unique insights into patients' values, preferences, and identities, complementing biomedical knowledge. The framework addresses epistemic injustices that marginalize family knowledge, advocating for culturally sensitive, collaborative approaches that fuse clinical expertise with familial narratives. Practical strategies such as structured communication protocols and narrative integration are discussed to enhance family involvement. The discussion paper underscores epistemic humility, recognizing the limits of both clinical and family knowledge in the face of prognostic uncertainty. By promoting dialogue and shared understanding, this pluralistic approach aims to improve ethical clarity and patient-centered outcomes in ICU care, fostering a partnership model where families and clinicians co-construct meaning and care decisions.

The process and effects of funding withdrawal in fragile systems: A case of three International non-governmental organisations’ exits from Tsholotsho district hospital, Zimbabwe

Military-civilian partnerships are increasingly recognized as necessary to sustain surgical readiness for expeditionary combat casualty care. Because military installations are geographically fixed and may have limited high-acuity case volume, medical readiness depends in part on access to civilian clinical environments. Under a training affiliate agreement, Keesler Medical Center (KMC) general surgeons were integrated into the trauma service at Memorial Hospital at Gulfport (MH), a civilian Level 2 trauma center. Non-elective general surgery cases at MH and KMC were compared during calendar year 2025. In addition, trauma activation data from MH were analyzed to characterize day-of-week patterns and the temporal distribution of high-acuity trauma, using blood product administration as a proxy for severity. Weekly clustering was evaluated using chi-square goodness-of-fit testing, and late-week comparisons were assessed using Fisher's exact testing. MH generated significantly greater non-elective surgical exposure per weekend call period than KMC (P < .001 using both parametric and non-parametric comparisons). Trauma activations were not evenly distributed across the week (P = .030), with higher volumes observed during mid- to late-week periods. High-acuity trauma demonstrated a similar directional late-week pattern but did not reach statistical significance. Integration of military surgeons into a civilian trauma center substantially increased exposure to non-elective and high-acuity surgical care while simultaneously supporting community trauma coverage. These findings suggest that surgical readiness is influenced not only by site-level volume but by exposure density and temporal structure, supporting military-civilian partnership models that deliberately align personnel with high-yield clinical windows.

Summary:Global disparities in access to craniofacial surgery remain profound, particularly in low- and middle-income countries, where delayed or absent surgical intervention can lead to severe functional impairment, psychosocial distress, and preventable mortality. These inequities stem from a complex interplay of limited surgical infrastructure, workforce shortages, financial barriers, and inadequate public awareness. This article outlines a framework for ethical, sustainable, and effective collaboration in global craniofacial surgery. We first characterized the scope of surgical need in low- and middle-income countries and examined the systemic obstacles to timely, safe, and affordable care. Through a review of current initiatives and models of global surgical partnership, we identified key areas of opportunity: (1) investment in local training and retention of surgical providers; (2) integration of craniofacial care within the national health systems; (3) reduction of out-of-pocket costs through policy reform and philanthropic support; and (4) culturally tailored efforts to improve health literacy and early diagnosis. We emphasized the importance of bidirectional knowledge exchange, long-term partnerships, and the avoidance of vertical, short-term interventions that fail to build local capacity. Ethical global engagement must move beyond charity-based paradigms to embrace principles of mutual respect, capacity-building, and long-term partnerships. By adopting strategies that are context-sensitive and locally led, the global craniofacial surgery field can foster resilient systems of care and reduce the burden of untreated surgical conditions in underserved regions.

Purpose This paper examines two unconventional leadership partnerships in under-resourced contexts: Portland's district–university Future Principals Program and Pune's NGO-led School Leadership Academy. It compares how partnerships, adult-learning design, and equity commitments build practice-ready pipelines responsive to local needs, and distills lessons for flexible, culturally situated alternatives to traditional preparation. Design/methodology/approach I use a comparative case analysis. The paper centers (1) partner roles and governance/finance, (2) andragogy (job-embedded projects, coaching cohort problem-solving) and (3) translation of equity into instructional and organizational decisions. Context – district constraints, public–private partnership (PPP) conditions and licensure – guides transferability, highlighting design choices that link university expertise to school problems or rely on NGO agility when university capacity is limited. Findings Despite differing structures, both models emphasize practice-anchored learning, coached leadership work and cohort supports, centering culturally responsive, equity-oriented leadership and yielding early placements. Scalability hinges on governance/financing, the university's role, candidate profiles and pacing. Lessons: define “school” and “university” flexibly, design financing up front, and align preparation with local cultural–political contexts in high-need settings. Originality/value The study extends partnership discourse beyond conventional university-centric programs, offering a pragmatic template that travels across public, district and PPP ecosystems. By specifying shared design logics and contextual contingencies, it shows how systems can prototype credible, equity-anchored leadership pathways quickly – without sacrificing rigor or cultural fit – thereby strengthening local capacity where traditional pipelines are misaligned or absent.

Abstract Beyond the financial return on investment metrics that dominate public discourse, institutions need evidence systems aligned with their core mission: student learning. This study reports on a pilot implementation of a longitudinal learning evidence ecosystem designed to track developmental gains across the undergraduate experience. Leveraging a campus-wide data collection infrastructure with response rates exceeding 95%, we examined information literacy development using matched assessments from students’ first and final years. Findings revealed modest but statistically significant gains, consistent with national benchmarks. More notably, students who entered the Honors College in their first semester demonstrated significantly stronger sophomore-year performance than later entrants, suggesting that early, structured academic engagement can yield disproportionate developmental benefits. Our collaborative model brings together assessment practitioners and academic leaders with curricular authority—such as the Dean of the Honors College—enabling exploratory, institutionally relevant assessment research. The findings illustrate how institutions can design learning evidence ecosystems that go beyond compliance, support evidence-informed decision-making, and offer a deeper understanding of educational value. We conclude with design principles for implementing similar models in other institutional contexts.

The integration of artificial intelligence (AI) into clinical decision support (CDS) holds promise for proactive, personalized, and precision care. However, current understanding of how to establish trustworthy human-AI partnerships is in its infancy, despite its critical importance for implementing AI in healthcare. We present the Asthma-Guidance and Prediction System (A-GPS) as a case study of a practice-integrated AI platform that demonstrates how trustworthy, generalizable and sustainable AI can be developed, evaluated, and implemented in real-world asthma care. We describe major challenges and solutions based on our real-world experience during the process and offer the practical framework, approaches, tools and workflow for implementing trustworthy, generalizable and sustainable AI in frontline practices.While A-GPS is an asthma-specific AI tool, it was built on top of a disease-agnostic electronic health record (EHR)-integrated clinical decision support (CDS) platform based on an Application Programming Interface (API)-first backbone of reusable services. It was designed to reduce chart-review/processing burden and enable proactive, guideline-concordant asthma management by synthesizing fragmented longitudinal multimodal data into a clinical decision-relevant summary at the point of care. A-GPS platform integrates multiple natural language processing (NLP) algorithms to leverage free texts info in EHRs, machine learning model to offer risk stratification, and remote patient monitoring (RPM) approaches to capture real-time data from patients, enabling remote asthma (chronic disease) care. The platform has been deployed via Substitutable Medical Applications and Reusable Technologies-on-Fast Healthcare Interoperability Resources (SMART-on-FHIR) to ensure in-workflow delivery and maintainable governance making it flexible and interoperable across different EHRs systems and different chronic diseases.The translational maturity of A-GPS as an AI-powered CDS tool for pediatric asthma was demonstrated and sustained through engagement and co-design with diverse community and care team partners, including adult and pediatric Community Advisory Board, pediatric patients and their parents, clinicians (primary care providers and specialists), nurses, schedulers, as well as bioethicists and regulatory experts. Moreover, the tool was evaluated in two randomized clinical trial (RCT)s. The first trial showed a 67% reduction in clinicians’ EHR review time, high clinician satisfaction, potential healthcare cost savings, fairness in model performance, and no adverse events. Trustworthiness was further assessed and supported through fairness evaluation by participant socioeconomic status (SES) using the HOUsing-based SocioEconomic Status (HOUSES) index, human-centered user interface/user experience (UI/UX) analysis, clinician workflow optimization, transparent governance practices, and best practices for regulatory science. The A-GPS experience operationalizes a reproducible, lifecycle-governed framework for generating decision-grade evidence on safety, effectiveness, usability, fairness, and workflow integration, directly addressing the translational gap between AI model development and trustworthy, sustainable deployment in real-world clinical environments. These efforts led to national recognitions, including invitation to the inaugural American Medical Informatics Association (AMIA) AI Showcase, and AI evaluation use case for a national health AI coalition. The second RCT evaluated the feasibility of integrating a remote patient monitoring (RPM) device (home spirometry) into the A-GPS platform, with a published RCT protocol that serves as a framework for RCT for evaluating AI models under the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) guidelines for RCTs that evaluate AI tools, offering the practical framework, approaches, tools, and workflow for trustworthy, generalizable and sustainable AI tools in asthma care.This work illustrates how team science, community engagement, implementation science, and learning health system principles can be operationalized to establish a human-AI partnership model to advance translational science and clinical care, with the goal of improving health for all.

Purpose This study aims to investigate the impact of fiscal, monetary, regulatory and institutional reforms on the structure, finance and performance of public–private partnership (PPP) projects in Nigeria’s construction sector. Design/methodology/approach A quantitative research design was used in which a survey instrument (structured questionnaire) was used to collect data from construction practitioners who had experience in PPP projects. The data was analyzed using descriptive statistics and exploratory factor analysis (EFA). The EFA was used to extract the underlying reform dimensions that influence the performance of PPP projects. Findings Five reform dimensions emerged from the analysis: institutional and regulatory reform capacity, PPP performance and reform outcomes, macroeconomic and financial risk exposure, investment climate and economic stability and fiscal sustainability. It was found that while reforms are expected to improve transparency and private sector involvement, they are generally considered to be ineffective in reality because of macroeconomic instability and poor institutional enforcement. This is in line with the existing PPP literature that highlights the importance of institutions’ strength, macroeconomic stability and fiscal credibility for the success of PPPs. Practical implications Policymakers should ensure that economic reform policies are aligned with the strengthening of institutional reform capacity and fiscal credibility to improve the robustness of PPP models. Originality/value To the best of the authors’ knowledge, this is one of the pioneering studies that have investigated empirically the reform dynamics of economic reforms that affect the structure and performance of PPP projects in Nigeria’s construction sector.

ABSTRACT Legal assistance within family mediation can make the process more accessible and equitable for vulnerable clients who need support, advice and advocacy, including those who have experienced abuse. The 2024 Review of Australia’s Family Relationships Services Program recommended an expanded role for services delivered in partnership between family mediation providers and legal assistance providers. This paper describes and evaluates a legally assisted family dispute resolution (LAFDR) service provided by Sunshine Family Relationship Centre in Melbourne, in partnership with community legal centres. Mixed methods including a survey (n = 54) and interviews (n = 14) were used to obtain client perspectives on the model. Practitioners (n = 5) were also interviewed. A high proportion of parents in the sample reported experiencing abuse from their former partners. Nearly 80% of clients reached full or partial parenting agreements in LAFDR. A majority were satisfied with the process and outcomes, but mothers were significantly more satisfied than fathers with both. Lawyer assistance added considerable value to the FDR process for clients, enhancing feelings of safety and confidence in participation and negotiation. Dedicated funding is required to support the viability and sustainability of community sector partnership models.

The paper offers a multidimensional analysis of the legal model of social partnership, viewed as a fundamental institution of the social rule-of-law state. The author understands as an imperative-dispositive construct in which public-law regulation guaranteed by the state is systematically combined with private-law dispositivity realized through the autonomy of will of the social partners. The study examines in detail the internal architecture of this model, including its normative and doctrinal foundations as enshrined in the Constitution of the Russian Federation and labor legislation. Particular attention is paid to the systemic interaction of its key elements: the tripartite structure of subjects, with the state performing a threefold role as guarantor, arbitrator, and employer; the hierarchically organized levels of implementation, including the federal, interregional, regional, sectoral, territorial, and local levels; and the legal forms of dialogue, among which collective bargaining regulation occupies the dominant place. The paper identifies and analyzes systemic dysfunctions of the model, such as the formalization of negotiation procedures, the limited effectiveness of sanctioning mechanisms, the spread of practices of «pseudo-partnership», and the fragmented inclusion of small and medium-sized businesses. In a comparative legal perspective, the Russian model is differentiated from the German model, with its primacy of sectoral tariff agreements, and from the Anglo-Saxon model, which relies on decentralized bipartism and pressure-based methods. In conclusion, the author substantiates a strategic vector for the constitutionalization of social partnership, which presupposes not a revision but a qualitative evolution of the institution through ensuring the direct effect of constitutional principles, implementing standards of social responsibility in national legislation, and fostering a genuine legal culture of social dialogue as a condition for sustainable development and social peace within the framework of achieving the national development goals of the Russian Federation.