Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.291
Filtrar
1.
BMJ Open ; 12(11): e063454, 2022 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-36410816

RESUMO

INTRODUCTION: The increasing number of older adults with multiple complex care needs has placed increased pressure on healthcare systems internationally to reorientate healthcare delivery. For many older adults, their first point of contact with the health service is with their general practitioner (GP) and GP participation with integrated care models is the foundation of a population-based approach. A knowledge gap remains in relation to the effectiveness of GP participation in community-based integrated health and social care approaches for older adults. This systematic review aims to examine the effectiveness of multidisciplinary-integrated care for community-dwelling older adults with GP participation. METHODS AND ANALYSIS: This systematic review will include randomised controlled trials (RCTs), quasi and cluster RCTs focusing on integrated care interventions for community-dwelling older adults by multidisciplinary teams including health and social care professionals and GPs. The databases PUBMED, EMBASE, CINAHL, Central Register of Controlled Trials in the Cochrane Library and MEDLINE will be searched. The primary outcome measure will be functional status. Secondary outcomes will include: primary healthcare utilisation, secondary healthcare utilisation, participant satisfaction with care, health-related quality of life, nursing home admission and mortality. The methodological quality of the studies will be assessed using the Cochrane Risk of Bias Tool V.2. The elements of care integration will be mapped in the individual studies using the Rainbow Model of Integrated Care taxonomy. A meta-analysis will be completed, depending on the uniformity of the data. Grading of Recommendations, Assessment, Development and Evaluation will be used to assess the certainty of evidence. ETHICS AND DISSEMINATION: Formal ethical approval is not required as all data included are anonymous secondary data. Scientific outputs will be presented at relevant conferences and in collaboration with our public and patient involvement stakeholder panel of older adults at the Ageing Research Centre at the University of Limerick. PROSPERO REGISTRATION NUMBER: CRD42022309744.


Assuntos
Prestação Integrada de Cuidados de Saúde , Estudos Interdisciplinares , Integração Comunitária , Vida Independente , Serviços de Saúde , Revisões Sistemáticas como Assunto , Metanálise como Assunto
2.
Eur J Psychotraumatol ; 13(2): 2127475, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36212117

RESUMO

Background: The professional approach of sexual assault victims has changed since the 1970s: from a fragmented model to a centralised 'gate management model', where multiple disciplines offer collaborative services at one central location. Like other countries across the globe, the Netherlands took steps towards an integrated, multi-agency support framework for victims of sexual assault. Objective: The objective of this paper was threefold: (1) to describe the development of the multidisciplinary Sexual Assault Centres (SAC) in the Netherlands, (2) to assess the characteristics of victims who attended the SAC, and the services they used (3) to analyse Strengths, Weaknesses, Opportunities, and Threats of the current framework (SWOT). Method: The development of the national network of SAC was described. Data on victims presenting at the SACs were routinely collected between 1st January 2016 and 31st December 2020. This data from the sixteen sites was combined and analysed. Also, a SWOT analysis of the SAC was performed. Results: The SAC was established between 2012 and 2018. From 2016 through 2020 almost 16,000 victims of sexual assault contacted one of the 16 SACs. The data show a steady increase in yearly cases, with a consistently high use of medical and psychological services. The SAC has several strengths, such as its accessibility, and opportunities, such as increasing media attention, that underline its quality and relevance. However, the SAC's inability to reach certain minority groups and the current financial structure are its main weakness and threat. Conclusions: Despite the growing number of victims attending the SAC and the increasing awareness of the benefits of an immediate multidisciplinary response to sexual assault, there are still deficiencies in the SAC. The SAC continues to work on these deficiencies in order to optimise efficient and effective care for all victims of sexual assault.


Antecedente: El abordaje profesional a las víctimas de agresiones sexuales ha cambiado desde la década de 1970, desde un modelo fragmentado hacia un modelo centralizado de 'administración de compuertas'. En este modelo, diferentes disciplinas ofrecen servicios de forma colaborativa en un solo lugar. Así como en muchos países del mundo, los Países Bajos han dado pasos hacia un modelo de soporte integrado y multisectorial para las víctimas de agresiones sexuales.Objetivo: El objetivo de este artículo es triple: (1) describir el desarrollo de los centros multidisciplinarios para el abordaje de las agresiones sexuales (CMAAS) en los Países Bajos, (2) evaluar las características de las víctimas que acuden a los CMAAS,y los servicios que utilizan y, (3) analizar las fortalezas, oportunidades, debilidades y amenazas (FODA) de los servicios brindados en el modelo actual.Métodos: Se describe el desarrollo de la red nacional de CMAAS. La información de las víctimas que acudieron a los CMAAS se recolectó de forma rutinaria entre el 1 de enero del 2016 y el 31 de diciembre del 2020. Se combinó y analizó la información de dieciséis centros. Asimismo, se realizó un análisis FODA de los CMAAS.Resultados: Los CMAAS se implementaron entre 2012 y 2018. Desde el 2016 hasta el 2020, casi 16 000 víctimas de agresiones sexuales se contactaron con alguno de los dieciséis CAAMS. La información recolectada muestra un incremento constante en el número de casos anuales, consistente con un alto uso de los servicios médicos y psicológicos. Los CAAMS tuvieron varias fortalezas, tales como su accesibilidad, y oportunidades, tales como la atención de los medios de comunicación que resaltan su calidad e importancia. No obstante, la incapacidad de los CAAMS de alcanzar ciertos grupos minoritarios y la estructura financiera actual fueron su principal debilidad y amenaza, respectivamente.Conclusiones: A pesar de un número creciente de víctimas que acuden a los CAAMS y a un incremento en la sensibilización de los beneficios de una respuesta inmediata y multidisciplinaria frente a la agresión sexual, aún hay deficiencias en los CAAMS. Estos continúan trabajando para superar estas deficiencias, de modo que se pueda optimizar un cuidado eficiente y efectivo para todas las víctimas de agresión sexual.


Assuntos
Vítimas de Crime , Delitos Sexuais , Humanos , Estudos Interdisciplinares , Países Baixos/epidemiologia
3.
Biochem Mol Biol Educ ; 50(6): 649-660, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36189918

RESUMO

While biomedical and life science research have embraced interdisciplinarity as the means to solving pressing 21st century complex challenges, interdisciplinarity in undergraduate education has been more difficult to implement. As a consequence, disciplinary rather than interdisciplinary capstones have become ubiquitous. Disciplinary capstones are valuable for students because they enable them to integrate knowledge and skills within the discipline, but they are also limiting because the integration is within rather than across disciplines. In contrast to a capstone, which involves a single discipline, interdisciplinary capstones require two or more disciplines to combine and integrate across disciplinary boundaries. Interdisciplinarity, where two of more disciplines come together, is difficult to implement in the biomedical and life science curricula because student majors and finances are administered in ways, which reinforce institutional organization of schools and faculties and prevent collaboration. Here in this "idea to explore" we provide an interdisciplinary capstone model where students enroll in disciplinary courses, but then these disciplinary courses and students collaborate on interdisciplinary real-world problems. This interdisciplinary capstone model was implemented across two diverse and large biomedical and life science schools within two faculties in a research intensive, metropolitan university. This approach allows for integration of the biomedical, social and ethical perspectives required when solving problems in the real world, such as COVID-19. Interdisciplinary learning also better prepares students for higher degree research and future careers. Overcoming disciplinary curriculum silos and faculty barriers is critical if we are to meet expectations of acquiring interdisciplinarity as a key competency.


Assuntos
Disciplinas das Ciências Biológicas , COVID-19 , Humanos , Estudos Interdisciplinares , Currículo , Docentes
4.
Rev. logop. foniatr. audiol. (Ed. impr.) ; 42(4): 161-167, Oct-Dic. 2022. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-211635

RESUMO

Los problemas de alimentación ocurren en el 80% de niños que presentan algún retraso del desarrollo debido a condiciones médicas crónicas, y pueden presentarse en diferentes grados y formas. Los niños con trastornos de la deglución (TD) pueden manifestar síntomas en todo momento de la alimentación. Objetivo: Diagnosticar e intervenir TD y/o trastornos de conducta alimentaria (TCA) en niños con patología médica crónica compleja, derivados a un equipo interdisciplinario, durante el año 2017, en un hospital de alta complejidad. Material y métodos: Estudio analítico, prospectivo y longitudinal con intervención de un equipo interdisciplinario. Se realizó evaluación clínica fonoaudiológica de la deglución, ofreciendo pautas de estimulación y modificación de consistencias. Resultados: Se evaluaron 139 pacientes de entre 2meses y 3años; el 38% eran mujeres, y el 77% con soporte nutricional enteral (SNE). El 73% presentaron TD exclusivamente o asociado a un TCA. El 38% que ingresaron con SNE lograron el destete (sin diferencia significativa entre los que tenían o no TD [p=0,85] y los que tenían o no traqueotomía [p=0,88]), y del grupo que no logró el destete, un 54% aumentaron el aporte por vía oral. Se observó una diferencia estadísticamente significativa en el destete de los pacientes que concurrieron al espacio de la clínica con respecto a los que no (p=0,016) y un mayor tiempo de intervención entre quienes lograron el destete y quienes no: 5,2±3,1 vs 3,45±3,1meses (p=0,0099). El 70% continuqron seguimiento por el fonoaudiólogo. Conclusión: En niños con condiciones médicas complejas es esencial el trabajo interdisciplinario y especializado en esta temática. En los casos de TD, la intervención fonoaudiológica se asume como fundamental para la detección precoz y el correcto abordaje de la disfagia.(AU)


Children with swallowing disorders (SD) may manifest symptoms at all times during feeding. This clinical entity can present itself in different grades and forms. Objective: To diagnose and intervene in SD and/or eating behavior (EB) in children with complex chronic medical conditions referred to an interdisciplinary team, during 2017, in a high complexity hospital. Material and methods: Analytical, prospective and longitudinal study with the intervention of an interdisciplinary team. Clinical phonoaudiological evaluation of swallowing was performed, offering guidelines for stimulation and consistency modification. Results: 139 patients, between 2 month and 3 years old, 38% women, 77% with enteral nutritional support (ENS) were evaluated, 73% presented SD exclusively or associated with an EB. The 38% who entered with ENS achieved weaning (without significant difference between those who had or not SD, P=.85, and those who had or not tracheotomy, P=.88), and of the group that did not achieve weaning, oral contribution increased in 54% of cases. A statistically significant difference was observed in weaning of patients who attended the interdisciplinary space with respect to those who did not (P=.016) and longer intervention time between those who achieved weaning and those who did not, 5.2±3.1 vs 3.45±3.1 months (P=.0099). And 70% off patients continued follow with the speech therapist. Conclusion: Interdisciplinary and specialized work in this subject is essential in children with complex medical conditions. In cases of SD, speech therapy intervention, it is assumed as essential for early detection and correct approach to dysphagia.


Assuntos
Humanos , Masculino , Feminino , Criança , Transtornos de Deglutição , 24439 , Insuficiência de Crescimento , Comportamento Alimentar , Fonoaudiologia , Estudos Interdisciplinares , Estudos Longitudinais , Estudos Prospectivos , Saúde da Criança
5.
BMJ Open ; 12(9): e057481, 2022 09 19.
Artigo em Inglês | MEDLINE | ID: mdl-36123091

RESUMO

INTRODUCTION: The current manuscript presents a protocol for a systematic review and meta-analysis of the evidence regarding the determinants of responsiveness to multidisciplinary management of chronic pain, with pain intensity, pain-related interference, physical functioning and health-related quality of life as the main outcomes, with consideration to multiple secondary outcomes. METHODS AND ANALYSIS: To identify relevant studies, the Ovid MEDLINE, PubMed, Ovid PsycINFO, EBSCO CINAHL and Scopus databases will be searched for all studies exploring factors associated with responsiveness to multidisciplinary pain management from study inception to the present. Cohorts, case-control studies and randomised controlled trials will be included. Independent screening for eligible studies will be completed by a total of four researchers using defined criteria. Data extraction will be executed by two researchers. Study heterogeneity will be estimated using the I2 index. A meta-analysis will be performed using random effects models. Publication bias will be evaluated by means of funnel plots and Egger's test. ETHICS AND DISSEMINATION: The proposed study does not involve collection of primary data. Therefore, no ethical approval is required. The results of the systematic review and meta-analysis will be presented in a peer-reviewed journal and at conferences. PROSPERO REGISTRATION NUMBER: CRD42021236424.


Assuntos
Manejo da Dor , Qualidade de Vida , Humanos , Estudos Interdisciplinares , Metanálise como Assunto , Manejo da Dor/métodos , Revisões Sistemáticas como Assunto
6.
Annu Int Conf IEEE Eng Med Biol Soc ; 2022: 3299-3302, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-36086117

RESUMO

Healthcare Innovation ideas originating from biomedical engineering departments are rarely based on a deep understanding of a problem, but are often based on coming up with an engineering solution that does not meet an Unmet Clinical Need, is too complicated, bulky, costly, and does not consider global developments. For an impactful innovation design it is essential however to properly understand the clinical issues, forward project the effect of exponential technologies and other global developments. Health and healthcare are in need of disruptive ideas for preventive, predictive, personalised solutions that engage the individuals to pave the way towards real healthcare. We have adapted a novel meta-methodology for dedicated use with health related applications and have used it validating start-up ideas and also during a semester long lecture/seminar classroom setup with amazing results. Clinical Relevance - This novel health dedicated meta-methodology is dependent on interdisciplinary team and innovation work and heavily relies on a good understanding of the current clinical processes and needs as well as on a future projection of global health delivery developments. The clinical perspective is essential and meaning- and impactful innovation can only be developed validating desirability feasibility and viability which needs clinical- engineering/technical-as well as economic expertise.


Assuntos
Bioengenharia , Engenharia Biomédica , Engenharia Biomédica/educação , Atenção à Saúde , Engenharia , Humanos , Estudos Interdisciplinares
7.
Stud Health Technol Inform ; 297: 271-279, 2022 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-36073404

RESUMO

It is more than thirty years since the Italian Law introduced the Plans for the Removal of Architectural Barriers (PEBAs). However, their implementation by municipalities is still limited, and accessibility is often understood as the result of the elimination of single physical obstacles, rather than the development of interconnected systems of urban spaces and collective equipment that are usable and inclusive according to Universal Design (UD) criteria. Since 2018, the Italian Friuli Venezia Giulia Autonomous Region has started a collaboration with the Universities of Trieste and Udine, in order to bring UD at the core of the implementation of the Regional Law no. 10/2018. This Law introduced significant innovations: the disposal of regional funds to support local administrations when drafting PEBAs; the delivery of a software application to facilitate the drawing of these plans; the establishment of a reference center in charge of training, information and consultancy activities on accessibility at a regional level (CRIBA); the delivery of a regional observatory for mapping and continuous monitoring of accessibility conditions and the implementation of PEBAs. The paper presents: i) an overview of the interdisciplinary work carried out by the Universities with the Region and CRIBA; ii) a focus on Universities' research activities and the current state of the collaboration process; iii) reflections on further research and its operational outcomes.


Assuntos
Acessibilidade Arquitetônica , Design Universal , Estudos Interdisciplinares , Itália
8.
Stud Health Technol Inform ; 298: 51-55, 2022 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-36073455

RESUMO

Health data science is an emerging discipline that bridges computer science, statistics and health domain knowledge. This consists of taking advantage of the large volume of data, often complex, to extract information to improve decision-making. We have created a Master's degree in Health Data Science to meet the growing need for data scientists in companies and institutions. The training offers, over two years, courses covering computer science, mathematics and statistics, health and biology. With more than 60 professors and lecturers, a total of 835 hours of classes (not including the mandatory 5 months of internship per year), this curriculum has enrolled a total of 53 students today. The feedback from the students and alumni allowed us identifying new needs in terms of training, which may help us to adapt the program for the coming academic years. In particular, we will offer an additional module covering data management, from the edition of the clinical report form to the implementation of a data warehouse with an ETL process. Git and application lifecycle management will be included in programming courses or multidisciplinary projects.


Assuntos
Ciência de Dados , Internato e Residência , Currículo , Humanos , Estudos Interdisciplinares , Estudantes
9.
Stud Health Technol Inform ; 298: 61-65, 2022 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-36073457

RESUMO

For the success of digital applications, especially AI applications, it is essential that both developers and medical professionals are enabled to understand each other's perspective. For this reason, a new concept for an interdisciplinary complex practical course was developed for the master's program in computer science at a German university, based on online learning nuggets and a hackathon on site. The core of the concept is a real-world medical application task: extracting ECG patient data from a smartwatch to support primary care physicians in making decisions regarding an action. The concept was developed based on the so-called constructive alignment concept. An initial application of the concept showed that it was rated as very positive in terms of learning experience and working atmosphere.


Assuntos
Educação à Distância , Dispositivos Eletrônicos Vestíveis , Tomada de Decisões , Humanos , Estudos Interdisciplinares , Aprendizagem
12.
Cogn Sci ; 46(8): e13179, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35938812

RESUMO

We propose a novel characterization of the core of cognitive science as the study of how agents perform tasks, where agents and tasks are both broadly construed. We motivate the focus on agents and tasks through a discussion of their prevalence in cognitive science, their utility in identifying topics close to and distant from cognitive science, and their applicability to prominent issues in the field. We argue that our proposal clearly and succinctly highlights the distinctive characteristics of cognitive science and simultaneously motivates its interdisciplinary approach without losing sight of its roots in the study of information processing and cognitive representations.


Assuntos
Ciência Cognitiva , Estudos Interdisciplinares , Cognição , Humanos
13.
Torture ; 32(1,2): 105-107, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35950424

RESUMO

The author introduces new ideas - in this case the multidisciplinary treatment of torture sur-vivors - may be understood as the benevo-lent work of altruistic people. It is indeed, but it requires hard work, toughness and cut-through leadership. The formulation of ideas and some of the unexpected troubles in one of the early periods at The Rehabilitation Center for Torture Victimes is portrayed from a personal angle.


Assuntos
Tortura , Altruísmo , Humanos , Estudos Interdisciplinares , Liderança , Centros de Reabilitação
14.
BMC Med Educ ; 22(1): 649, 2022 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-36038868

RESUMO

BACKGROUND: Effective teamwork in interdisciplinary healthcare teams is necessary for patient safety. Psychological safety is a key component of effective teamwork. The baseline psychological safety on pediatric inpatient healthcare teams is unknown. The purpose of this study is to determine the baseline psychological safety between pediatric nurses and residents and examine the impact of an interdisciplinary nighttime simulation curriculum. METHODS: A convergent, multistage mixed methods approach was used. An interprofessional simulation curriculum was implemented fall 2020 to spring 2021. Qualitative focus group data and quantitative survey data on team psychological safety were collected and compared, both pre- and post-intervention and across nurses and residents. Thematic analysis of the qualitative data was conducted, and themes integrated with survey findings. RESULTS: Data were collected from 30 nurses and 37 residents pre-intervention and 32 and 38 post-intervention, respectively. Residents and nurses negatively rated psychological safety (pre-intervention mean = 3.40 [SD = 0.72]; post-intervention mean = 3.35 [SD = 0.81]). At both times psychological safety was rated significantly lower for residents (pre-intervention mean = 3.11 [SD = 0.76], post-intervention mean = 2.98 [SD = 0.84]) than nurses (pre-intervention mean = 3.76 [SD = 0.45], post-intervention mean = 3.79 [SD = 0.50]), all P < .001. Qualitative analysis identified six integrated themes: (1) influence of existing relationships on future interactions, (2) unsatisfactory manner and frequency of communication, (3) unsatisfactory resolution of disagreements (4) overwhelming resident workload impairs collaboration, (5) interpersonal disrespect disrupts teamwork, and (6) interprofessional simulation was useful but not sufficient for culture improvement. CONCLUSION: Resident-nurse team psychological safety ratings were not positive. While interprofessional simulation curriculum shows promise, additional efforts are needed to improve psychological safety among residents and nurses.


Assuntos
Currículo , Equipe de Assistência ao Paciente , Criança , Simulação por Computador , Humanos , Estudos Interdisciplinares , Relações Interprofissionais , Segurança do Paciente
15.
BMC Med Ethics ; 23(1): 88, 2022 08 28.
Artigo em Inglês | MEDLINE | ID: mdl-36031621

RESUMO

BACKGROUND: At the start of 2021, oncologists lacked the necessary scientific knowledge to adapt their clinical practices optimally when faced with cancer patients refusing or reluctant to be vaccinated against COVID-19, despite the marked vulnerability of these patients to severe, and even fatal forms of this new viral infectious disease. Oncologists at Foch Hospital were confronted with this phenomenon, which was observed worldwide, in both the general population and the population of cancer patients. METHODS: Between April and November 2021, the Ethics and Oncology Departments of Foch Hospital decided to investigate this subject, through an empirical and interdisciplinary study in bioethics. Our scientific objective was to try to identify and resolve the principal bio-ethical issues, with a view to improving clinical practices in oncology during future major pandemics of this kind, from a highly specific bio-ethical standpoint (= quality of life/survival). We used a mainly qualitative methodological approach based on questionnaires and interviews. RESULTS: In April 2021, 29 cancer patients refused or were reluctant to be vaccinated (5.6%; 29/522). Seventeen of these patients said that making vaccination mandatory would have helped them to accept vaccination. In October 2021, only 10 cancer patients continued to maintain their refusal (1.9%; 10/522). One of the main reasons for the decrease in refusals was probably the introduction of the "pass sanitaire" (health pass) in July 2021, which rendered vaccination indispensable for many activities. However, even this was not sufficient to convince these 10 cancer patients. CONCLUSION: We identified a key bio-ethical issue, which we then tried to resolve: vaccination policy. We characterized a major tension between "the recommendation of anti-COVID-19 vaccination" (a new clinical practice) and "free will" (a moral value), and the duty to "protect each other" (a moral standard). Mandatory vaccination, at least in France, could resolve this tension, with positive effects on quality of life (i.e. happiness), or survival, in cancer patients initially refusing or reluctant to be vaccinated, but only if collective and individual scales are clearly distinguished.


Assuntos
Bioética , COVID-19 , Neoplasias , Humanos , Estudos Interdisciplinares , Políticas , Qualidade de Vida , Vacinação
17.
PLoS One ; 17(8): e0271998, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35947579

RESUMO

Bibliographic properties of more than 75 million scholarly articles, are examined and trends in overall research productivity are analysed as a function of research field (over the period of 1970-2020) and author gender (over the period of 2006-2020). Potential disruptive effects of the Covid-19 pandemic are also investigated. Over the last decade (2010-2020), the annual number of publications have invariably increased every year with the largest relative increase in a single year happening in 2019 (more than 6% relative growth). But this momentum was interrupted in 2020. Trends show that Environmental Sciences and Engineering Environmental have been the fastest growing research fields. The disruption in patterns of scholarly publication due to the Covid-19 pandemic was unevenly distributed across fields, with Computer Science, Engineering and Social Science enduring the most notable declines. The overall trends of male and female productivity indicate that, in terms of absolute number of publications, the gender gap does not seem to be closing in any country. The trends in absolute gap between male and female authors is either parallel (e.g., Canada, Australia, England, USA) or widening (e.g., majority of countries, particularly Middle Eastern countries). In terms of the ratio of female to male productivity, however, the gap is narrowing almost invariably, though at markedly different rates across countries. While some countries are nearing a ratio of .7 and are well on track for a 0.9 female to male productivity ratio, our estimates show that certain countries (particularly across the Middle East) will not reach such targets within the next 100 years. Without interventional policies, a significant gap will continue to exist in such countries. The decrease or increase in research productivity during the first year of the pandemic, in contrast to trends established before 2020, was generally parallel for male and female authors. There has been no substantial gender difference in the disruption due to the pandemic. However, opposite trends were found in a few cases. It was observed that, in some countries (e.g., The Netherlands, The United States and Germany), male productivity has been more negatively affected by the pandemic. Overall, female research productivity seems to have been more resilient to the disruptive effect of Covid-19 pandemic, although the momentum of female researchers has been negatively affected in a comparable manner to that of males.


Assuntos
COVID-19 , COVID-19/epidemiologia , Eficiência , Engenharia , Feminino , Humanos , Estudos Interdisciplinares , Masculino , Pandemias , Estados Unidos
18.
PLoS One ; 17(8): e0272280, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35951620

RESUMO

The progress of science increasingly relies on machine learning (ML) and machines work alongside humans in various domains of science. This study investigates the team structure of ML-related projects and analyzes the contribution of ML to scientific knowledge production under different team structure, drawing on bibliometric analyses of 25,000 scientific publications in various disciplines. Our regression analyses suggest that (1) interdisciplinary collaboration between domain scientists and computer scientists as well as the engagement of interdisciplinary individuals who have expertise in both domain and computer sciences are common in ML-related projects; (2) the engagement of interdisciplinary individuals seem more important in achieving high impact and novel discoveries, especially when a project employs computational and domain approaches interdependently; and (3) the contribution of ML and its implication to team structure depend on the depth of ML.


Assuntos
Bibliometria , Estudos Interdisciplinares , Humanos
19.
Rev Med Suisse ; 18(791): 1486-1491, 2022 Aug 17.
Artigo em Francês | MEDLINE | ID: mdl-35975767

RESUMO

Cardiorespiratory arrest, stroke and severe trauma have serious consequences if untreated with strict procedures in a timely manner. This temporal imperative implies the implementation of a succession of actions coordinated by healthcare providers with diverse expertise, and operating according to known, mastered and trained standards of care. Simple and clear communication principles ensure the consistency and fluidity of these actions. Competent and inclusive leadership promotes the achievement of set objectives and allows the team to adapt to demanding or unforeseen situations. Interdisciplinarity as it is practiced in the emergency setting for critical pathways such as those mentioned, then takes on its full meaning.


L'arrêt cardiorespiratoire, l'accident vasculaire cérébral et le traumatisé grave sont grevés de lourdes conséquences s'ils ne sont pas traités avec des procédures strictes dans des délais adéquats. Cet impératif temporel implique la mise en œuvre d'une succession d'actions coordonnées par des intervenants à l'expertise diverse et opérant selon des standards de soins connus, maîtrisés et entraînés. Des principes de communication simples et clairs assurent la cohérence et la fluidité de ces actions. Un leadership, compétent et inclusif, favorise l'atteinte des objectifs fixés et permet l'adaptation de l'équipe aux situations exigeantes ou imprévues. L'interdisciplinarité telle qu'elle est pratiquée pour ces filières de soins critiques prend alors tout son sens.


Assuntos
Cuidados Críticos , Medicina de Emergência , Comunicação , Humanos , Estudos Interdisciplinares , Liderança , Equipe de Assistência ao Paciente
20.
Rev Med Suisse ; 18(791): 1504-1506, 2022 Aug 17.
Artigo em Francês | MEDLINE | ID: mdl-35975771

RESUMO

Multidisciplinary prehospital medicine is more than ever a challenging field of practice, with increasingly complex and polymorbid patients and numerous caregivers' participation. Throughout a clinical case, this paper offers a review of different tools currently in development (point of care ultrasonography, digital patient file) in order to improve solutions and outcomes for patients.


Travailler en interdisciplinarité dans le préhospitalier n'a jamais été aussi important, face à des patients de plus en plus complexes et polymorbides, et dont la prise en charge dépend de nombreux acteurs du système de santé. Au travers d'une vignette clinique, cet article propose des pistes de développement d'outils (ultrason point of care, dossier électronique du patient) permettant une prise en charge ambulatoire interprofessionnelle plus efficiente.


Assuntos
Cuidadores , Serviços Médicos de Emergência , Humanos , Estudos Interdisciplinares , Sistemas Automatizados de Assistência Junto ao Leito , Ultrassonografia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...