HIV Care by Early-Career Family Physicians

Background and Objectives: Antiretroviral treatment has transformed human immunodeficiency virus (HIV) infection into a chronic disease. Prior research demonstrated a discrepancy between preparation to provide HIV care and current provision among recent residency graduates. Our study aimed to describe characteristics related to preparedness and provision of HIV care, and to identify the associations between physician and practice characteristics with current provision of HIV care among those prepared. Methods: We obtained data from the 2016 through 2019 American Board of Family Medicine (ABFM) National Family Medicine Graduate Survey. Our main outcome was self-reported provision of HIV care. Bivariate statistics compared differences in personal and practice characteristics with self-reported preparation for HIV care, then among those prepared, provision of HIV care. We used logistic regression to determine associations between HIV care, among those prepared, with practice and personal characteristics. Results: The response rate was 68.7% and our final sample size was 6,740 respondents. Only 25% of respondents reported preparedness in residency, and 44% of them reported current provision. Among those prepared, female gender (OR=0.604; 95% CI, 0.494-0.739) was associated with lower odds of practicing HIV care. Those working in high HIV prevalence areas (OR=1.718; 95% CI, 1.259-2.344) and in Northeast census region (OR=1.557; 95% CI, 1.137-2.132) had higher odds of providing HIV care. Conclusions: Fewer than half of those prepared in residency reported currently providing HIV care. Working in a high HIV prevalence area was associated with higher odds of providing HIV care, which suggests early-career family physicians are responding to community needs.

Could Assistive Technology Provision Models Help Pave the Way for More Environmentally Sustainable Models of Product Design, Manufacture and Service in a Post-COVID World?

From multiple studies conducted through the FCDO AT2030 Programme, as well as key literature, we examine whether Assistive Technology (AT) provision models could look towards more sustainable approaches, and by doing this benefit not only the environment, but also address the problems that the current provision systems have. We show the intrinsic links between disability inclusion and the climate crisis, and the particular vulnerability people with disabilities face in its wake. In particular, we discuss how localised circular models of production could be beneficial, facilitating context driven solutions and much needed service elements such as repair and maintenance. Key discussion areas include systems approaches, digital fabrication, repair and reuse, and material recovery. Finally, we look at what needs be done in order to enable these approaches to be implemented. In conclusion, we find that there are distinct parallels between what AT provision models require to improve equitable reliable access, and strategies that could reduce environmental impact and bring economic benefit to local communities. This could allow future AT ecosystems to be key demonstrators of circular models, however further exploration of these ideas is required to make sense of the correct next steps. What is key in all respects, moving forward, is aligning AT provision with sustainability interventions.

CURRENT PROVISION OF INHERITANCE LEGISLATION

В статье рассматривается значение, особенности и проблемы современного института наследования по закону гражданского права России. The article examines the meaning, features and problems of the modern institution of inheritance under the law of civil law in Russia.

Secure bicycle parking: downtown Toronto office buildings

Road congestion, urban intensification, environmental degradation and health concerns among other factors have led to an increase in cycling rates in Toronto. This increase in the cycling modal share, and a public policy environment that wishes to facilitate additional cycling, has in turn caused an increase in demand for associated facilities including secure bicycle parking. This paper examines the current provision of secure bicycle parking in downtown Toronto office towers and formulates a best practices standard to inform and encourage a more widespread adoption for a diverse range of office building size, location, and construction date. Many office buildings in downtown Toronto were built prior to the creation of zoning for bicycle parking, thus this paper focuses its recommendations on the implementation of future secure bicycle parking in the downtown core.

Secure bicycle parking: downtown Toronto office buildings

Road congestion, urban intensification, environmental degradation and health concerns among other factors have led to an increase in cycling rates in Toronto. This increase in the cycling modal share, and a public policy environment that wishes to facilitate additional cycling, has in turn caused an increase in demand for associated facilities including secure bicycle parking. This paper examines the current provision of secure bicycle parking in downtown Toronto office towers and formulates a best practices standard to inform and encourage a more widespread adoption for a diverse range of office building size, location, and construction date. Many office buildings in downtown Toronto were built prior to the creation of zoning for bicycle parking, thus this paper focuses its recommendations on the implementation of future secure bicycle parking in the downtown core.

The Food Industry’s Provision of Allergen Information to Consumers: A study exploring the provision of allergen information to consumers for non-prepacked food

This study explored the current provision of information on allergenic ingredients by food businesses to consumers for non-prepacked food, and how this has changed since legislative changes came into force in 2014. The study also provides a new baseline on information provided for food prepacked for direct sale (PPDS).

Suicide prevention across the UK criminal justice system: an overview of current provision and future directions

Purpose This paper aims to provide an overview of current suicide prevention across the UK criminal justice system (CJS). It considers shortcomings in current provision and how improvements could be made by drawing on international practice. Recommendations for practice going forward and suggestions for future research are made based on the literature. Design/methodology/approach This paper provides an overview of suicide prevention research to date. Relevant literature was identified through a basic journal article search, including terms such as “probation”, “criminal justice system”, “suicide”, “suicide prevention”, “UK” and “suicide theory”. Findings This paper highlights opportunities to improve practice based on the current evidence base, making several recommendations and suggestions for practice, including improving multi-agency cooperation through clearer distribution of responsibilities, simplifying data sharing and investing in trauma-focussed suicide training for staff. Practical implications This paper considers how research and psychological theory has informed suicide prevention practice in the UK. Limitations and challenges in applying theory to practice are explored, in the context of research with frontline staff who use such policies. This review proposes potential improvements to suicide prevention implementation to reduce suicide across the wider CJS. Originality/value This article represents an overview of the existing literature as well as possible future ideas for policy. It is therefore a piece that represents the viewpoint of all involved authors.