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Abstract Introduction Community health workers (CHWs) help bridge the cultural gap between health services and the communities they serve. CHWs work with physicians, nurses and social workers, but little is known about their collaboration with pharmacists. This scoping review aims to describe the interprofessional collaboration between CHWs and pharmacists, the types of interventions they deliver and CHWs’ and pharmacists’ specific roles within these interventions. Method The scientific literature published in PubMed, Embase, MEDLINE, Scopus, Web of Science, PsycInfo, CINAHL and the grey literature were searched. Inclusion criteria were that the research (i) involved pharmacists and CHWs working collaboratively and (ii) included an intervention, service or program. One researcher screened all articles, and two reviewers screened 6% of articles (20/340) assessed for eligibility, using the software Covidence. After the discrepancies were resolved, data from the included articles were extracted using a customized template for data extraction and synthesized narratively. Results Eighteen studies met the inclusion criteria. Most were conducted in the USA (14/18) and were published since 2020 (12/18). Most interventions involved medication reviews, support for medication adherence, disease prevention or addressing the social determinants of health. Pharmacists had primarily clinical roles (i.e., medication reconciliation and patient education), while the CHWs’ roles consisted of collecting patient information, supporting patient self-management, bridging the cultural gap by translating information in the patient’s language and ensuring patient follow-up. The collaborative practice occurred via interprofessional referral, ranging from the CHW facilitating the link between the patient and the pharmacist, and information sharing between the CHW and the pharmacist, to an interprofessional collaborative practice where CHWs and pharmacists delivered the intervention together. Conclusion While CHWs and pharmacists had independent roles as part of the interventions, they also collaborated at various levels to deliver services to patients. CHWs have an important role to play in bridging the cultural gap between the patient and the pharmacist, in improving patient referral so that more patients can benefit from pharmaceutical services, and in identifying patients’ social determinants of health. CHWs and pharmacists can work synergistically and collaboratively to tailor an intervention to the patient’s needs, which can improve and optimize pharmaceutical services, and may ultimately positively impact health outcomes.

Allan Bennett was one of the first British people to be ordained as a Buddhist monk (bhikkhu) in Asia, taking the name Ananda Metteyya. He was a liminal figure who stretched across different nineteenth and early twentieth-century contexts. He was well-educated but experienced poverty and chronic illness. He was able to live in colonial Ceylon and Burma because of British imperialism but mercilessly critiqued the failings of Britain’s imperial ambitions. Before gaining higher ordination (upasampadā), he was a Theosophist and a ceremonial magician within the Order of the Golden Dawn, becoming a close friend of Aleister Crowley, and he never gave up the yogic practices he learnt from a Hindu teacher in Ceylon. For Buddhists in Ceylon, he became a symbol of the developing confidence of Buddhism under imperialism, but for some Westerners, he was a dubious figure and a ‘sham’ monk. For yet others in the West, he remained essentially a magician and a master of esotericism. After his death he was claimed and appropriated both by occultists, followers of Crowley, and by Asian and Western Buddhists. Allan Bennett/Ananda Metteyya preferred to refer to himself as Ananda M, even after he disrobed toward the end of his life. He was a prolific and fluent writer, convinced that the West could only be saved from its consumerism, individualism, and violence through Buddhism. Both from Yangon and after he returned to Britain in 1914, he sought to communicate the teaching of the Buddha in ways Westerners might be able to understand. His representation of Buddhism combined sensitivity to lived Buddhism in Asia and a conviction that the Buddha’s teaching was compatible with the contemporary science of his day. He drew from the Pāli canon and commentaries such as the Visuddhimagga but did not fall into the orientalist trap of seeing texts as the sole bearer of meaning within Buddhism. One of his main priorities was to contest misconceptions of Buddhism, for example that it was pessimistic (an accusation beloved by Christian missionaries), essentially esoteric (a view advocated by some Theosophists) or unsuitable for the activist West. In contradistinction to these views, he argued that Buddhism was rational, devotional, ethical, and centred on the practice of compassion. He defended devotion as a legitimate response to the self-sacrifice of the Buddha and resisted modernist reductions of the Buddha’s life and significance. This article contextualizes Allan Bennett/Ananda Metteyya within the spiritual seekership of the late nineteenth century. Its main focus is Ananda Metteyya’s representation of Buddhism and the factors that conditioned it, together with his role in the early transmission of Buddhism to the West.

Introduction The objective of this parallel group, randomised controlled trial is to evaluate a community health navigator (CHN) intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes. Unplanned hospital readmissions are costly for the health system and negatively impact patients.Methods and analysis Patients are randomised post hospital discharge to the CHN intervention or usual care. A comparison of outcomes between intervention and control groups will use multivariate regression techniques that adjust for age, sex and any independent variables that are significantly different between the two groups, using multiple imputation for missing values. Time-to-event analysis will examine the relationship between seeing a CHN following discharge from the index hospitalisation and reduced rehospitalisations in the subsequent 60 days and 6 months. Secondary outcomes include medication adherence, health literacy, quality of life, experience of healthcare and health service use (including the cost of care). We will also conduct a qualitative assessment of the implementation of the navigator role from the viewpoint of stakeholders including patients, health professionals and the navigators themselves.Ethics approval Ethics approval was obtained from the Research Ethics and Governance Office, Sydney Local Health District, on 21 January 2022 (Protocol no. X21-0438 and 2021/ETH12171). The findings of the trial will be disseminated through peer-reviewed journals and national and international conference presentations. Data will be deposited in an institutional data repository at the end of the trial. This is subject to Ethics Committee approval, and the metadata will be made available on request.Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN 12622000659707).Article Summary The objective of this trial is to evaluate a CHN intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes.

Abstract The COVID-19 pandemic has affected all domains of human life, including the economic and social fabric of societies. One of the central strategies for managing public health throughout the pandemic has been through persuasive messaging and collective behaviour change. To help scholars better understand the social and moral psychology behind public health behaviour, we present a dataset comprising of 51,404 individuals from 69 countries. This dataset was collected for the International Collaboration on Social & Moral Psychology of COVID-19 project (ICSMP COVID-19). This social science survey invited participants around the world to complete a series of moral and psychological measures and public health attitudes about COVID-19 during an early phase of the COVID-19 pandemic (between April and June 2020). The survey included seven broad categories of questions: COVID-19 beliefs and compliance behaviours; identity and social attitudes; ideology; health and well-being; moral beliefs and motivation; personality traits; and demographic variables. We report both raw and cleaned data, along with all survey materials, data visualisations, and psychometric evaluations of key variables.

Abstract Background Patients from culturally and linguistically diverse (CALD) backgrounds often face difficulties in accessing health and social care services. This study explored the feasibility and acceptability of involving community health workers (CHWs) as bilingual community navigators (BCNs) in general practice setting, to help patients from CALD backgrounds access health and social care services in Australia. Methods This research was conducted in two general practices in Sydney where most patients are from specific CALD backgrounds (Chinese in one practice and Samoan in other). Three CHWs trained as BCNs were placed in these practices to help patients access health and social care service. A mixed-method design was followed to explore the feasibility and acceptability of this intervention including analysis of a record of services provided by BCNs and post-intervention qualitative interviews with patients, practice staff and BCNs exploring the feasibility and acceptability of the BCNs’ role. The record was analyzed using descriptive statistics and interviews were audio-recorded, transcribed, and thematically analyzed. Results BCNs served a total of 95 patients, providing help with referral to other services (52.6%), information about appointments (46.3%), local resources (12.6%) or available social benefits (23.2%). Most patients received one service from BCNs with the average duration of appointments being half an hour. Overall, BCNs fitted in well within the practices and patients as well as staff of participating practices accepted them well. Their role was facilitated by patients’ felt need for and acceptance of BCNs’ services, recruitment of BCNs from the patient community, as well as BCNs’ training and motivation for their role. Major barriers for patients to access BCNs’ services included lack of awareness of the BCNs’ roles among some patients and practice staff, unavailability of information about local culture specific services, and inadequate time and health system knowledge by BCNs. Limited funding support and the short timeframe of the project were major limitations of the project. Conclusion BCNs’ placement in general practice was feasible and acceptable to patients and staff in these practices. This first step needs to be followed by accredited training, development of the workforce and establishing systems for supervision in order to sustain the program. Future research is needed on the extension of the intrevention to other practices and culture groups.

Background Pregnancy is a major life event unique to women and leads to significant hemodynamic, hormonal, and metabolic changes. The purpose of this study was to use the DHS (Dallas Heart Study), a multiethnic population‐based cohort study of Dallas county adults, to evaluate the association between number of live births and cardiac magnetic resonance imaging and ECG parameters later in life. Methods and Results Women were included if they had data on self‐reported live births and ECG or cardiac magnetic resonance imaging measurements. The 3014 women were stratified by number of live births: 0, 1, 2, 3, 4, and ≥5. Higher number of live births was associated with larger left ventricular (LV) end‐diastolic volume (β, 1.31±0.41; P

There have been increasing losses from freshwater flooding associated with United States (US) landfalling hurricanes in recent years. This study analyses the relationship between sea surface temperature anomalies (SSTA), wind and translation speed and North Atlantic tropical cyclone precipitation (TCP) for the period 1998-2017. Based on our statistical analysis of observation data, for a 1 °C SST increase in the main development region (MDR), there is a 6% increase (not statistically significant) in the TCP rate (mmhr ^−1 ) over the Atlantic, which rises to over 40% over land (US states) and appears linked not only to the Clausius-Clapeyron relationship but also to the increase in tropical cyclone (TC) intensity associated with increasing SSTA. Total annual TCP is significantly correlated with the SST in the MDR. Over the Atlantic there is an increase of 116% and over land there is an increase of 140% in total TCP for a 1 °C rise in SST in the MDR. Again, this is linked to the increase in windspeed and the number of TC tracks which also rises with positive SSTAs in the MDR. Our analysis of landfalling TC tracks for nine US states provides a systematic review and highlights how TCP varies by US state. The highest number of landfalls per year are found in Florida, North Carolina and Texas. The median tropical cyclone translation speed is 20.3kmhr ^−1 , although this falls to 16.5 kmhr ^−1 over land and there is a latitudinal dependence on translation speed. Overall, we find a different TCP response to rising SST over the ocean and land, with the response over land over four times more than the Clausius-Clapeyron rate. The links between SSTA in the MDR and both TCP rate and annual total TCP provide useful insights for seasonal to decadal US flood prediction from TCs.

OBJECTIVE The engagement of community partners, including patients, is increasingly recognized as important in developing medical education curricula. Structured methodology for partner engagement in curriculum development is lacking in the existing literature. This article describes a structured approach to engaging community partners to provide input on revising a curriculum for pediatric residents about pregnancy options counseling with adolescents. METHODS We used the five-step Method for Program Adaptation through Community Engagement: (1) development of a panel of community partners including patients and professionals, (2) and (3) partner evaluation of the existing curriculum and recommendations for revisions, (4) summarization of partner feedback, and (5) development of the revised curriculum. We surveyed partners about their perceived impact on the revision and satisfaction with the process. RESULTS Seventeen partners participated. Five experienced adolescent pregnancy, while the remaining 12 included healthcare and social service professionals. All partners provided multiple recommendations, generating 124 discrete recommendations. Twenty recommendations were suggested by multiple individuals. The authors reviewed all recommendations by category during consensus meetings and determined which recommendations would be incorporated into the revised curriculum to meet stated learning objectives. We implemented 14 of these 20 recommendations, including adding a values clarification exercise, information about mental health crisis resources, and more detail about adoption. We also incorporated 15 individual recommendations pertaining to curriculum clarity. Recommendations from professionals and patients were similar. Fourteen out of 17 participants completed the survey at the close of the project. All respondents understood their roles, were satisfied with their degree of engagement, and felt that their expectations for participation were met or exceeded. CONCLUSIONS This study describes a methodology for a formal process to engage community partners in curriculum development and revision processes. Such methodology can ensure that medical education curricula are optimally attuned to the needs of key community members and integrate the patient’s voice.