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2.
Stud Health Technol Inform ; 275: 187-191, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33227766

RESUMO

This paper presents the early outcomes of the educational cooperation between two European academic associations, namely the European Federation of Medical Informatics (EFMI) and European Society of Emergency Medicine (EUSEM). Two webinars were organized in December 2019 and June 2020 to explore areas where mutual education would be beneficial for interdisciplinary cooperation to advance the digitization of emergency departments for the benefit of patients, health professionals and the health system as a whole. Preliminary findings from the analysis of these two webinars are presented and the steps for further cooperation are outlined.


Assuntos
Medicina de Emergência , Informática Médica , Humanos , Estudos Interdisciplinares , Organizações , Sociedades
3.
Actas urol. esp ; 44(9): 597-603, nov. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193101

RESUMO

OBJETIVO: Diseñar un protocolo asistencial para reiniciar la actividad quirúrgica programada en un servicio de Urología de un hospital de tercer nivel de la Comunidad de Madrid, de manera segura para nuestros pacientes y profesionales en el contexto de la epidemia por coronavirus SARS-CoV-2. MATERIAL Y MÉTODOS: Constituimos un grupo multidisciplinar que se encargó de analizar las diferentes recomendaciones de la literatura, organizaciones sanitarias nacionales e internacionales y sociedades científicas, así como de su aplicación a nuestro medio. Una vez reiniciada la cirugía programada, se está llevando a cabo un seguimiento de los pacientes intervenidos en cuanto a complicaciones relacionadas con COVID-19. RESULTADOS: Desde el reinicio de la actividad quirúrgica se han programado 19 pacientes, de los cuales 2 han sido suspendidos por presentar COVID-19, diagnosticado uno por PCR positiva para SARS-CoV-2, y otro por alteraciones analíticas y radiológicas compatibles con esta infección. En el seguimiento realizado no se han detectado complicaciones relacionadas con COVID-19, con una mediana de seguimiento de 10 días (4-14 días). CONCLUSIONES: Resultados preliminares indican que el protocolo diseñado para asegurar la correcta aplicación de medidas de prevención de transmisión de la infección por coronavirus está siendo seguro y efectivo


OBJECTIVE: Design a care protocol to restart scheduled surgical activity in a Urology service of a third level hospital in the Community of Madrid, in a safe way for our patients and professionals in the context of the SARS-CoV-2 coronavirus epidemic. MATERIAL AND METHODS: A multidisciplinary group reviewed the different recommendations of the literature, national and international health organizations and scientific societies, as well as their application to our environment. Once scheduled surgery has restarted, the patients undergoing surgery for complications related to COVID-19 are being followed up. RESULTS: Since the resumption of surgical activity, 19 patients have been scheduled, of which 2 have been suspended for presenting COVID-19, one diagnosed by positive PCR for SARS-CoV-2, and another by laboratory and imaging findings compatible with this infection. With a median follow-up of 10 days (4-14 days), no complications related to covid-19 were detected. CONCLUSIONS: Preliminary results indicate that the protocol designed to ensure the correct application of preventive measures against the transmission of coronavirus infection is being safe and effective


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/prevenção & controle , Pneumonia Viral/prevenção & controle , Pandemias , Procedimentos Cirúrgicos Urológicos/normas , Planejamento de Assistência ao Paciente/normas , Seleção de Pacientes , Unidade Hospitalar de Urologia/normas , Estudos Interdisciplinares , Protocolos Clínicos/normas
5.
Ann N Y Acad Sci ; 1481(1): 11-19, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32686095

RESUMO

Dysphagia is a complex condition with numerous causes, symptoms, and treatments. As such, patients with dysphagia commonly require a multidisciplinary approach to their evaluation and treatment. Integrated multidisciplinary clinics provide an optimal format for a collaborative approach to patient care. In this manuscript, we will discuss considerations for teams looking to build a multidisciplinary dysphagia clinic, including what professionals are typically involved, what patients benefit most from this approach, what tests are most appropriate for which symptoms, financial issues, and traversing interpersonal challenges.


Assuntos
Transtornos de Deglutição , Estudos Interdisciplinares , Equipe de Assistência ao Paciente/economia , Transtornos de Deglutição/economia , Transtornos de Deglutição/terapia , Humanos
6.
CBE Life Sci Educ ; 19(3): ar33, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32720841

RESUMO

In a world of burgeoning societal issues, future scientists must be equipped to work interdisciplinarily to address real-world problems. To train undergraduate students toward this end, practitioners must also have quality assessment tools to measure students' ability to think within an interdisciplinary system. There is, however, a dearth of instruments that accurately measure this competency. Using a theoretically and empirically based model, we developed an instrument, the Interdisciplinary Science Rubric (IDSR), to measure undergraduate students' interdisciplinary science thinking. An essay assignment was administered to 102 students across five courses at three different institutions. Students' work was scored with the newly developed rubric. Evidence of construct validity was established through novice and expert response processes via semistructured, think-aloud interviews with 29 students and four instructors to ensure the constructs and criteria within the instrument were operating as intended. Interrater reliability of essay scores was collected with the instructors of record (κ = 0.67). An expert panel of discipline-based education researchers (n = 11) were consulted to further refine the scoring metric of the rubric. Results indicate that the IDSR produces valid data to measure undergraduate students' ability to think interdisciplinarily in science.


Assuntos
Avaliação Educacional , Estudos Interdisciplinares , Ciência , Interpretação Estatística de Dados , Humanos , Estudos Interdisciplinares/estatística & dados numéricos , Reprodutibilidade dos Testes , Ciência/educação , Estudantes
7.
PLoS One ; 15(7): e0235474, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32614869

RESUMO

BACKGROUND: The ability to critically appraise health information-often referred to as critical health literacy-is recognized as a crucial component of health literacy. Yet to date, it is not clear what specific abilities are needed to adequately accomplish this task, thereby hindering both its assessment and the development and evaluation of related interventions. By systematically building on past research, this study aimed to operationally define the concept of health information appraisal competence. METHODS: We systematically searched five scholarly databases to identify the conceptualizations and operational definitions of information appraisal in different disciplines. The resulting operationalization was subsequently validated through an online consultation exercise among 85 Swiss stakeholders. RESULTS: Ninety-four publications were included in the review to the point of saturation. We extracted 646 skills, attitudes, and knowledge for health information appraisal. We then collated overlapping or duplicate statements, which produced a list of 43 unique statements belonging to six emergent themes or core competences: (1) basic competence, (2) predisposition, (3) identification competence, (4) critical evaluation competence, (5) selection competence, and (6) application competence. The consultation exercise enriched the operationalization of some of the core competences and confirmed the importance of all competences. Most skills, attitudes, and knowledge, however, were assigned low feasibility by the stakeholders. CONCLUSIONS: This study was the first attempt to systematically operationalize health information appraisal competence. From a theoretical perspective, it sheds light on an understudied, health literacy domain, thus contributing to clarity around the concept. From a practical perspective, it provides a strong theoretical basis for the development of a tool to measure health information appraisal competence. This could be used routinely as a screening tool, as an outcome measure for public health interventions, or to identify citizens who are most at risk. Furthermore, it will provide support for the development of future interventions to build health information appraisal competence in the population.


Assuntos
Letramento em Saúde , Bases de Dados Factuais , Humanos , Estudos Interdisciplinares , Avaliação de Processos e Resultados em Cuidados de Saúde , Projetos de Pesquisa , Suíça
8.
PLoS One ; 15(7): e0236272, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32716947

RESUMO

As part of an interdisciplinary research project on the Late La Tène period settlement at Basel-Gasfabrik, ceramic sherds, animal bones and archaeological sediments from different archaeological structures (one large pit, two ditches and four archaeological layers) were examined in respect of 21 taphonomic features (proxies). These proxies, in turn, were linked to different processes that can leave traces on objects or sediments: primary use, mechanical stress, heat impact, water, redeposition, exposure, covering and postdepositional processes. The different proxies were compared using a statistical procedure. Our results show significant differences between the different features with regard to taphonomic alteration. For example, ceramic sherds and animal bones from archaeological layers show severe alteration due to exposure, whilst a good and uniform preservation within the pit points to its rapid filling. Furthermore, there is evidence of middens which probably served as material depots. Our results suggest that waste was not simply seen as rubbish, but was stored as a resource. Therefore, materials could take different "paths", each of which resulted in specific taphonomic processes (alterations). The interdisciplinary approach taken in this project has provided new insight into the complex but probably clearly defined handling of various materials at Basel-Gasfabrik, thus allowing us to visualise part of the cultural biography of things.


Assuntos
Osso e Ossos/anatomia & histologia , Cerâmica , Sedimentos Geológicos/análise , Estudos Interdisciplinares , Animais , Arqueologia , Análise Fatorial , Geografia , Suíça
9.
Stud Health Technol Inform ; 272: 330-333, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32604669

RESUMO

Modern education of healthcare managers is one of key preconditions in making reforms towards increasing quality of care and making the provision of health services more cost-effective and efficient. This paper presents unique multidisciplinary approach for education of healthcare managers developed and accredited in Montenegro with elaboration results of the first year of its implementation. The results confirm the interest of experts of different profiles in multidisciplinary studies, as well as the optimality in using resources at national level in Montenegro.


Assuntos
Assistência à Saúde , Estudos Interdisciplinares , Montenegro
10.
Ter Arkh ; 92(2): 81-84, 2020 Apr 27.
Artigo em Russo | MEDLINE | ID: mdl-32598723

RESUMO

The patient E., aged 39, was described with a severe form of the irritable bowel syndrome that developed after the stress. In addition to the clinical manifestations of IBS, the patient got the somatoform disorders, which manifested itself with a large number of extraintestinal symptoms and led to a disability. According to the recommendations of the Rome Criteria IV 2016, the main medicines for the treatment of biopsychosocial model of IBS are antidepressants. The remission of the disease with a complete recovery of the patients disability was achieved by duloxetine, an antidepressant from the group of serotonin and noradrenaline reuptake inhibitors.


Assuntos
Pessoas com Deficiência , Síndrome do Intestino Irritável , Adulto , Antidepressivos , Humanos , Estudos Interdisciplinares
11.
Stud Health Technol Inform ; 270: 1113-1117, 2020 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-32570554

RESUMO

The IMIA History project book we are co-editing with colleagues from the IMIA History Working Group includes histories of early contributions to medical and healthcare informatics, as described by a sample of pioneers and experts, detailing how their own ideas developed from their work on various topics in the field at the beginnings of their contributions to the field. Its contents serve as a preliminary guide for meta-analyses of how the different contributors state their personal interdisciplinary origins from today's perspectives. In this short article we provide a brief preview of how an analysis of disciplinary characteristics from individual histories can begin to shed light on processes of interdisciplinary evolution of medical informatics in Europe.


Assuntos
Informática Médica , Assistência à Saúde , Europa (Continente) , Estudos Interdisciplinares
12.
PLoS One ; 15(6): e0234296, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32516349

RESUMO

This study aimed to determine whether family-centered multidisciplinary rounds could alleviate anxiety and uncertainty in illness and meet needs for critically ill patients' families. A family-centered multidisciplinary rounds protocol was developed identifying needs of critically ill patients' families, and family experiences were reviewed through in-depth interviews. A sequential mixed-methods study was utilized, combining survey data and semi-structured interviews in a tertiary medical intensive care unit in South Korea. A structured questionnaire assessed needs, anxiety, and uncertainty in illness for 50 participants. Interview data of 10 participants were analyzed using grounded theory. Assurance was the highest family need, followed by information need. Family needs differed according to gender, relationship to the patient, and length of intensive care unit stay. Participants reported family-centered multidisciplinary rounds provided a sense of relief, a chance to listen to medical staff, and a chance to provide medical staff with comprehensive information about patient care. Proximity needs were found to have a positive correlation with state anxiety, while comfort needs had a negative correlation with uncertainty in illness. Families reported family-centered multidisciplinary rounds were positive, useful experiences. Thus, standardization of family-centered multidisciplinary rounds is needed to meet families' various needs.


Assuntos
Ansiedade/epidemiologia , Estado Terminal , Família/psicologia , Estudos Interdisciplinares , Modelos Estatísticos , Adulto , Feminino , Humanos , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Incerteza
13.
PLoS One ; 15(6): e0233565, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32484817

RESUMO

OBJECTIVE: Lifestyle is considered as a key factor that affects one's health and quality of life, and it has become the focus of increasing research interest worldwide. Research has shown that lifestyle is an important health determinant in preventive health care. However, lifestyle is a multifaceted construct and there is limited evidence regarding lifestyle assessment, which evaluates individuals' multi-domain lifestyle factors. This study developed evaluation items for measuring the multifaceted lifestyle profile of community-dwelling older adult to prevent chronic disease and improve their health and quality of life. METHODS: Opinions from 21 experts with experience in older adults and lifestyle research were collected from December 2019 to January 2020. Three Delphi surveys were carried out, based on previous research. The first survey gathered opinions using a mix of open- and closed-ended questions regarding items of the older adults' multifaceted lifestyle profile. The second was conducted after adding and modifying several items based on the first Delphi survey. In the third survey, after the results of the second one were presented to the expert panels, final opinions from the experts were converged. RESULTS: In total, 59 items were selected as the first Delphi results; 62 items were selected as the second results after adding and modifying the values below a content validity ratio of .42; and 62 items were selected as the third Delphi results. The average content validity ratio of the final Delphi survey was .92, the stability was .18, and the consensus was .80, which were all high. CONCLUSIONS: This study verified the content validity of the evaluation items for community-dwelling older adults' multifaceted lifestyle profile. In the future, it is expected that after verifying the validity and reliability, this will be used as a standardized assessment tool in clinical environments.


Assuntos
Doença Crônica/prevenção & controle , Avaliação Geriátrica/métodos , Estilo de Vida , Qualidade de Vida , Idoso , Consenso , Técnica Delfos , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Vida Independente , Estudos Interdisciplinares , Masculino , Reprodutibilidade dos Testes , Inquéritos e Questionários/estatística & dados numéricos
14.
J Transl Med ; 18(1): 205, 2020 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-32430070

RESUMO

The COVID-19 pandemic has become the leading societal concern. The pandemic has shown that the public health concern is not only a medical problem, but also affects society as a whole; so, it has also become the leading scientific concern. We discuss in this treatise the importance of bringing the world's scientists together to find effective solutions for controlling the pandemic. By applying novel research frameworks, interdisciplinary collaboration promises to manage the pandemic's consequences and prevent recurrences of similar pandemics.


Assuntos
Pesquisa Biomédica/organização & administração , Infecções por Coronavirus/epidemiologia , Prestação Integrada de Cuidados de Saúde/organização & administração , Emergências , Necessidades e Demandas de Serviços de Saúde , Pandemias , Pneumonia Viral/epidemiologia , Betacoronavirus/patogenicidade , Pesquisa Biomédica/métodos , Infecções por Coronavirus/terapia , Infecções por Coronavirus/virologia , Prestação Integrada de Cuidados de Saúde/métodos , História do Século XXI , Humanos , Comunicação Interdisciplinar , Estudos Interdisciplinares , Pneumonia Viral/terapia , Pneumonia Viral/virologia , Saúde Pública/história , Saúde Pública/normas
15.
PLoS One ; 15(4): e0230325, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32240189

RESUMO

Is it possible to tell how interdisciplinary and out-of-the-box scientific papers are, or which papers are mainstream? Here we use the bibliographic coupling network, derived from all physics papers that were published in the Physical Review journals in the past century, to try to identify them as mainstream, out-of-the-box, or interdisciplinary. We show that the network clusters into scientific fields. The position of individual papers with respect to these clusters allows us to estimate their degree of mainstreamness or interdisciplinarity. We show that over the past decades the fraction of mainstream papers increases, the fraction of out-of-the-box decreases, and the fraction of interdisciplinary papers remains constant. Studying the rewards of papers, we find that in terms of absolute citations, both, mainstream and interdisciplinary papers are rewarded. In the long run, mainstream papers perform less than interdisciplinary ones in terms of citation rates. We conclude that to avoid a unilateral trend towards mainstreamness a new incentive scheme is necessary.


Assuntos
Bibliometria , Estudos Interdisciplinares/tendências , Publicações Periódicas como Assunto , Física/tendências , Análise por Conglomerados , Humanos , Fator de Impacto de Revistas , Reforço Social
16.
PLoS One ; 15(3): e0229003, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32160189

RESUMO

BACKGROUND: With data becoming a centerpiece of modern scientific discovery, data sharing by scientists is now a crucial element of scientific progress. This article aims to provide an in-depth examination of the practices and perceptions of data management, including data storage, data sharing, and data use and reuse by scientists around the world. METHODS: The Usability and Assessment Working Group of DataONE, an NSF-funded environmental cyberinfrastructure project, distributed a survey to a multinational and multidisciplinary sample of scientific researchers in a two-waves approach in 2017-2018. We focused our analysis on examining the differences across age groups, sub-disciplines of science, and sectors of employment. FINDINGS: Most respondents displayed what we describe as high and mediocre risk data practices by storing their data on their personal computer, departmental servers or USB drives. Respondents appeared to be satisfied with short-term storage solutions; however, only half of them are satisfied with available mechanisms for storing data beyond the life of the process. Data sharing and data reuse were viewed positively: over 85% of respondents admitted they would be willing to share their data with others and said they would use data collected by others if it could be easily accessed. A vast majority of respondents felt that the lack of access to data generated by other researchers or institutions was a major impediment to progress in science at large, yet only about a half thought that it restricted their own ability to answer scientific questions. Although attitudes towards data sharing and data use and reuse are mostly positive, practice does not always support data storage, sharing, and future reuse. Assistance through data managers or data librarians, readily available data repositories for both long-term and short-term storage, and educational programs for both awareness and to help engender good data practices are clearly needed.


Assuntos
Disseminação de Informação , Armazenamento e Recuperação da Informação/métodos , Estudos Interdisciplinares , Percepção , Pesquisadores/psicologia , Adulto , Idoso , Atitude , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
17.
Chimia (Aarau) ; 74(3): 196-198, 2020 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-32197682

RESUMO

An interdisciplinary project regarding the effect of ascorbic acid on bread dough's physico-chemical properties was proposed to bachelor students in chemistry and food sciences. Such an approach was proposed to develop both scientific and soft skills, in order to prepare students for their future working environment. Together, students deepened their knowledge regarding food science and chemistry. They were then able to plan and design experiments demonstrating the impact of gluten network formation and ascorbic acid influence onto bread dough and finished product characteristics. This way of teaching was very appreciated by students, nevertheless it highlighted the fact that the professors' investment was considerably high, and that good organization, alignment and preparation prior to the start of this project is key.


Assuntos
Tecnologia de Alimentos , Pão , Humanos , Estudos Interdisciplinares , Estudantes
18.
Glob Health Action ; 13(sup1): 1695241, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32194014

RESUMO

Background: Pharmaceutical corruption is a serious challenge in global health. Digital technologies that can detect and prevent fraud and corruption are particularly important to address barriers to access to medicines, such as medicines availability and affordability, stockouts, shortages, diversion, and infiltration of substandard and falsified medicines.Objectives: To better understand how digital technologies are used to combat corruption, increase transparency, and detect fraud in pharmaceutical procurement systems to improve population health outcomes.Methods: We conducted a multidisciplinary review of the health/medicine, engineering, and computer science literature. Our search queries included keywords associated with medicines procurement and digital technology in combination with terms associated with transparency and anti-corruption initiatives. Our definition of 'digital technology' focused on Internet-based communications, including online portals and management systems, supply chain tools, and electronic databases.Results: We extracted 37 articles for in-depth review based on our inclusion criteria focused on the utilization of digital technology to improve medicines procurement. The vast majority of articles focused on electronic data transfer and/or e-procurement systems with fewer articles discussing emerging technologies such as machine learning and blockchain distributed ledger solutions. In the context of e-procurement, slow adoption, justifying cost-savings, and need for technical standards setting were identified as key challenges for current and future utilization.Conclusions: Though there is a significant promise for digital technologies, particularly e-procurement, overall adoption of solutions that can enhance transparency, accountability and concomitantly combat corruption, is still underdeveloped. Future efforts should focus on tying cost-saving measurements with anti-corruption indicators, prioritizing centralization of e-procurement systems, establishing regulatory harmonization with standards setting, and incorporating additional anti-corruption technologies into procurement processes for improving access to medicines and to reach the overall goal of Universal Health Coverage.


Assuntos
Fraude/prevenção & controle , Saúde Global/ética , Invenções , Preparações Farmacêuticas/economia , Preparações Farmacêuticas/provisão & distribução , Cobertura Universal do Seguro de Saúde/ética , Cobertura Universal do Seguro de Saúde/organização & administração , Humanos , Estudos Interdisciplinares , Responsabilidade Social
19.
Eur. j. anat ; 24(2): 141-154, mar. 2020. tab, graf, ilus
Artigo em Inglês | IBECS | ID: ibc-191242

RESUMO

The purpose of this study was to develop an interdisciplinary activity that merged the disciplines of human gross anatomy and radiology early in the educational process of doctors and radiographers allowing students to use human cadavers to learn anatomy and medical imaging (technique and in-terpretation) through small-group problem-solving sessions. Over 10 years, 734 student doctors and radiographers were divided into small groups and assigned cadavers. Images of cadavers included x-rays, CT and MRI regional and full-body series. Students problem-solved radiographic parameters and interpreted images. Student radiographers completed a semester project labeling anatomical structures in a CT or MRI series. Student doctors used images during dissection and presented radiographic series to demonstrate understanding of anatomy, radiology and skilled use of image analysis software. Participants completed a 100-question LIKERT Scale survey. Data were ana-lyzed based on overall group, cadaver experience, and radiography experience. Students produced high-quality images for use in the laboratory andclassroom, and 95% agreed that this activity helped them to learn anatomy and radiography. Students agreed that x-rays, CT and MRI scans were 92.0%, 91.1% and 90.1% beneficial, respectively, in learning anatomy and radiology, and 90% of participants documented that this program had a positive impact in knowledge and competency development for his or her chosen career. Both radiography and medical students reported that working on interprofessional teams enhanced their knowledge of anatomy and radiology and under-scored the importance of partnerships in healthcare. This program serves as a novel model for interdisciplinary team-based-learning of human anatomy and radiology


No disponible


Assuntos
Humanos , Adulto , Anatomia/educação , Radiologia/educação , Estudos Interdisciplinares , Educação Médica , Aprendizagem Baseada em Problemas , Cadáver , Tomografia Computadorizada por Raios X , Imagem por Ressonância Magnética , Radiografia
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