Regulation in research ethics: a scarecrow for physicians?

2021 ◽  
pp. 147775092098357
Author(s):  
T Haaser ◽  
D Berdaï ◽  
S Marty ◽  
V Berger ◽  
E Augier ◽  
...  
Keyword(s):  
Research Ethics ◽  
Research Process ◽  
University Hospital ◽  
Medical Community ◽  
Clinical Practices ◽  
The Past ◽  
Institutional Review ◽  
General Data ◽  
Research Initiatives ◽  
The University

Background Regulations on research ethics in France have evolved considerably over the past four years: the implementation of the Jardé law and of the General Data Protection Regulations have changed the landscape of research ethics for research involving or not involving human persons. In a context of creation of an Institutional Review Board at the University of Bordeaux, France, we sought to explore research ethics practices and perceptions in the medical community of our University Hospital. Methods A short questionnaire was sent to all physicians of the University Hospital of Bordeaux. The questionnaire included closed questions and main topics were: physicians’ education in research ethics, ethics practices concerning researches non implying human persons, and physicians’ perceptions about current regulations. Results 86 questionnaires were sent back (response rate: 24.2%). If a majority of physicians have validated Good Clinical Practices (GCPs) trainings (76%), there was a low rate of specific training on fundamental references in research ethics and a high proportion of responders do not consider themselves as educated in research ethics after completion of GCPs (56%). Regulations on research ethics have many implications on medical research, especially by inducing changes in protocols in order to alleviate ethical requirements (57%). Malpractices were acknowledged like false mention of positive opinion from an ethics committee (21%). If If a majority of responders considers regulations as a positive answer to research ethics, a large majority considers it as a constraint and a complexification of research process. For 58%, regulations in research ethics are perceived as a hindrance for research initiatives. Conclusion Because of their impact on research process, regulations seem to constitute a scarecrow for physicians. Lack of training, bad representations and questionable practices (or even malpractices) highlight the need to improve education and to propose concrete guidance for medical researchers.

scholarly journals Original Article. Demographic Changes in the Population of Bulgaria as Challenges for Anaesthesiologists

2016 ◽  
Vol 9 (2) ◽  
pp. 130-133
Author(s):  
Vladimir R. Radev ◽  
Radko N. Radev ◽  
Daniela A. Arabadzhieva ◽  
Vladin I. Petrov ◽  
Nikolay H. Kolev
Keyword(s):  
Population Decline ◽  
University Hospital ◽  
Annual Number ◽  
Multidisciplinary Teams ◽  
The Past ◽  
Statistical Institute ◽  
Age Related ◽  
Physical Classification ◽  
The University ◽  
Organ Changes

Summary In the past two decades, the demographic crisis in Bulgaria has been widely debated. According to the National Statistical Institute (NSI), the proportion of people aged 65 and over is increasing, despite the general population decline in the country. To investigate whether the age structure of patients operated on has changed during the past 10 years and assess the need to reorganize the training of anesthetists,aretrospective study in the anesthesia electronic database of the University Hospital in Rouse was carried out. The data of anesthesia performed by anesthesiologists in 2005, 2010 and 2015 in patients aged 65 and over were summarized. The distribution of these patients by ASA Physical Classification System and frequency of complications during anesthesia were analyzed. The average annual number of anaesthesias for the three years was almost unchanged and amounted to about 5500. The proportion of patients aged 65 and over increased from 30.54%in 2005 to 35.72%in 2010, and 37.81%in 2015. The distribution of patients in according to the ASA Classification changed significantly: the percentage of patients ASAI-IIdropped from 36.19%in 2005 to 11.85%in 2015. The patients in the ASA III-IVgroups for the three analyzed years was 41.86%, 58.66%and 65.30%, respectively, and this was mainly due to the increase in the ASAIVpatients. It is necessary to build multidisciplinary teams and prepare specialized protocols for behavior in geriatric patients. It is imperative that anesthesiologists possess specialized knowledge about age-related organ changes and their effects on anesthesia.

scholarly journals Ethics in Research

Management ◽  
2013 ◽  
Author(s):  
Edward Wray-Bliss
Keyword(s):  
Research Ethics ◽  
Business School ◽  
Ethical Issues ◽  
Significant Proportion ◽  
Research Process ◽  
Ethical Review ◽  
Management Research ◽  
Research Practices ◽  
Organization Studies ◽  
Institutional Review

When compared to a number of other areas of the social sciences—sociology and anthropology being perhaps the best examples—discussions and debates around research ethics in the field of management are quite limited, both in number and scope. This is likely the consequence of a number of interrelated factors. It may speak to issues of the constitution of management faculty, the frequent separation of the business school from other parts of the university, or the historic construction of what is considered to be the role of the business school and management research in society. For whatever other reasons it has occurred, one of the factors must be the relatively homogenous nature of the field of management and organization studies—a field dominated by positivist research and a broadly functionalist, managerial orientation. In any field of inquiry largely constituted by conventional epistemological and ontological approaches, assumptions about “normal science” emerge and the impetus to question and debate, or indeed to defend, the ethics of normalized research practices is diminished. For many, the field of research ethics in management remains a formal process of compliance, requiring little discussion or reflection; it is a process of following a predefined code and satisfying the ethical review committee or institutional review board of one’s institution. Understood thus, ethics in management research is seen as something akin to a hurdle to be overcome by requisite form filling at the start of a research project. This is a limited—and limiting—understanding of ethical issues in management research. As the contributions cited in this bibliography attest, issues of ethics span the entire research process—from conception, through execution, to publication, and beyond. Assumptions regarding the purpose and value of research constitute an ethical warrant, legitimizing the very conduct of research in the first place. Additionally, the constitution of the management academy itself and its process of publication, citation, and review raises a number of ethical issues and concerns. Finally, management scholarship that draws on explicitly critical theoretical traditions and nonpositivist or antipositivist research approaches has heightened the questioning of conventional research practices and assumptions—generating critiques and some defenses of research ethics in management. This article maps out a significant proportion of the work and resources in the management academy that engage with such issues and debates.

scholarly journals COMEPA (COVID-19 Medicina Policlinico Palermo): a study in hospitalized patients

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
The COMEPA group
Keyword(s):  
Internal Medicine ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Prognostic Factors ◽  
Clinical Practice ◽  
Medical Records ◽  
University Hospital ◽  
Efficacy And Safety ◽  
The Past ◽  
The University

Coronavirus disease 2019 (COVID-19) has dramatically changed our lives. In the past months, hospitals were saturated of patients; therefore, it is still important to have simple and standardized prognostic factors and to evaluate the efficacy and safety of medications commonly used for COVID-19. We aimed to collect data of the patients hospitalized in Internal Medicine and Geriatrics Wards at the University Hospital (Policlinico) ‘P. Giaccone’ in Palermo, Italy (COMEPA, COVID-19 Medicina Policlinico Palermo), with the main purpose of finding prognostic tools that can be easily used in clinical practice in order to identify patients hospitalized for/with COVID-19 at higher risk of negative outcomes, such as mortality, transfer to Intensive Care Unit (ICU) and institutionalization, as well as evaluating the efficacy/safety of medications commonly used for COVID-19. For reaching these aims, the medical records of approximately 600 patients will be recorded, having data on several parameters and including as outcomes mortality, ICU placement, institutionalization. With the COMEPA study, we therefore plan to update current literature, giving new data on prognostic factors and on the efficacy/safety of some medications used for COVID-19.

scholarly journals Rethinking models of architectural research: we don’t do objects

2009 ◽  
Vol 6 (2) ◽  
Author(s):  
Jim Stevens ◽  
Philip Plowright ◽  
Anirban Adhya
Keyword(s):  
Research Process ◽  
Critical Research ◽  
Practice Model ◽  
The Past ◽  
Building Typology ◽  
Architectural Research ◽  
The University ◽  
Professional Capacity ◽  
Research Centres ◽  
Philosophical Structure

Historically, an argument can be made that architectural research was produced internal to firms and manufacturers as proprietary objects or sets of data. The concept of disciplines and professions reinforced the separation of open-sourced knowledge and the application of that knowledge in a commercial context. However, design has rapidly changed from an object-solution profession and is now faced with finding solutions to complex problems within complex systems. The past practice model of client, architect, and final product seems an ill-fit in this new context. The question is how to integrate a critical research process into a professional capacity in which that architectural research needs an inherent and immediate value to be performed or pursued. The SYNCH Research Group [synchRG] was formed in response to this question. Although research consortiums, design initiatives and research centres exist within many schools of architecture, most operate as a department or extensions of a school of architecture. SynchRG operates in neither private practice nor as a division of the university. Organized as a diverse and fluid association of faculty, students, professionals, and consultants, the synchRG group is focused on a designmethodology and philosophical structure rather than a client, site, building, typology, or object. The focus on idiosyncratic or aesthetic solutions to singular problems is set aside in order to provide acollaborative intellectual space for professional based explorations. The paper will examine synchRG’s response to current architectural research challenges and illustrate its unique structure as a possible model to be replicated. A dialogue will be initiated on a model for practice aligned with both academia and industry.

scholarly journals A brief synthesis of corrections, including retractions, of the Hungarian literature

2020 ◽  
Author(s):  
Jaime A. Teixeira da Silva
Keyword(s):  
European Union ◽  
Research Ethics ◽  
Peer Review ◽  
The State ◽  
The European Union ◽  
Hungarian Literature ◽  
The Past ◽  
The Uk ◽  
The University ◽  
The Eu

Hungary is geographically central in the European Union (EU). Being linguistically and culturally distinct, Hungary is ideally positioned and somewhat unique, being surrounded by seven other nations. In academics, the challenges facing Hungarian scholars are no different than other scholars in the EU, or globally. In the past few years, research ethics has become more stringent, in part as a result of fortified post-publication peer review. This letter provides one perspective about the state of Hungarian research and academia relative to other EU nations through the prism of research ethics, and in the form of literature corrections, including retractions. Using the Retraction Watch database, 24 retractions, corrections or expressions of concern were observed. One third of those emerged from the University of Debrecen. Five of the corrections were in Elsevier journals, followed by four in Springer Nature journals. Compared with the remaining 26 EU nations, excluding the UK (i.e., considering Brexit), Hungary ranks 17th in terms of number of corrections (range: Malta = 2; Germany = 751). These numbers suggest either that research ethics may be more stringent in Hungary, or that the Hungarian literature has not been sufficiently scrutinized through post-publication peer review.

Time Perspective among Patients Diagnosed with Neurotic and Personality Disorders − an Exploratory, Clinical Study

2021 ◽  
pp. 1-20
Author(s):  
Joanna Mostowik ◽  
Krzysztof Rutkowski ◽  
Tadeusz Ostrowski ◽  
Michał Mielimąka
Keyword(s):  
General Population ◽  
Personality Disorders ◽  
Time Perspective ◽  
University Hospital ◽  
The Past ◽  
Behavioural Syndromes ◽  
Balanced Time Perspective ◽  
Icd 10 ◽  
The University ◽  
Distinct Features

Abstract (1) An assessment of the structure of time perspective (TP) in a group of patients with neurotic and personality disorders (ICD-10: F4x, F60.x, F61) treated with group psychotherapy. (2) An analysis of the differences between the structure of TP in patients and the general population in order to expand the understanding of the relations between TP and mental health. Data were collected from 49 patients at the University Hospital Day Centre for the Treatment of Neurotic Disorders and Behavioural Syndromes. The measurement of TP was performed with the Zimbardo Time Perspective Inventory. A licensed psychiatrist conducted the diagnosis of neurotic and personality disorders, with additional data obtained from the Symptom Checklist KO ‘O’ and the Neurotic Personality Questionnaire KON-2006. The statistical analysis revealed significant differences in the structure of TP between patients and the general population. Among patients, the intensity of the past experienced negatively was significantly higher, and subsequently, the degree of the past experienced positively was lower. Patients remain in the negative past and concentrate much more on the pain and the worrying memories. They give much less attention to what was and what is valuable and pleasant in their life. Results of this research reveal distinct features of the structure of TP in the studied group. Findings underline the clinical relevance of TP at various stages of therapy. Restoring a balanced time perspective could be regarded as a tenable goal for psychotherapy and perhaps an innovative indicator of the treatment’s effectiveness.

Epidemiology of Clostridium difficile infection: results of a hospital-based study in Krakow, Poland

2015 ◽  
Vol 143 (15) ◽  
pp. 3235-3243 ◽  
Author(s):  
J. CZEPIEL ◽  
J. KĘDZIERSKA ◽  
G. BIESIADA ◽  
M. BIRCZYŃSKA ◽  
W. PERUCKI ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Fold Increase ◽  
Time Span ◽  
University Hospital ◽  
Posterior Stabilization ◽  
The Past ◽  
Risk Of Mortality ◽  
Crude Mortality ◽  
Medical Wards ◽  
The University

SUMMARYOver the past two decades Clostridium difficile infection (CDI) has appeared as a major public health threat. We performed a retrospective study based on the records of patients hospitalized for CDI at the University Hospital in Krakow, Poland, between 2008 and 2014. In the study period, CDI occurred in 1009 individuals. There were 790 (78%) individuals who developed infection only once, whereas 219 (22%) developed infection more than once. The percentage of deaths within 14 days of CDI confirmation was 2·4%, with a mean age of 74·2 ± 15·9 years. Crude mortality was 12·9% in medical wards, 5·6% for surgical wards and 27·7% in the ICU setting. The time span between diagnosis and death was 5·1 days on average. Between 2008 and 2012 a 6·5-fold increase of CDI frequency with a posterior stabilization and even reduction in 2013 and 2014 was observed. According to the data analysed, 2/3 patients in our population developed CDI during their hospitalization even though they were admitted for different reasons. Medical wards pose a significantly higher risk of CDI than the surgical ones. Age is a risk factor for CDI recurrence. In the case of patients who died, death occurred shortly after diagnosis. The first CDI episode poses much higher risk of mortality than the consecutive ones.

scholarly journals Instructional Coaching for Implementing Visible Learning: A Model for Translating Research into Practice

2019 ◽  
Vol 9 (2) ◽  
pp. 101 ◽  
Author(s):  
Jim Knight
Keyword(s):  
Professional Development ◽  
Instructional Coaching ◽  
University Of Kansas ◽  
Educational Innovations ◽  
Instructional Coaches ◽  
The Past ◽  
Research Findings ◽  
Foundational Research ◽  
Research Initiatives ◽  
The University

Visible Learning has been one of the most influential research initiatives conducted in education in the past few decades, and at the same time, instructional coaching is becoming one of the most popular forms of professional development. This paper considers how the implementation of Visible Learning may be supported through instructional coaches by: (a) offering a brief summary of the central tenants of Visible Learning; (b) summarizing the foundational research on instructional coaching conducted at the Kansas Coaching Project at The University of Kansas Center for Research on Learning; (c) describing what those findings reveal about effective instructional coaching practices; and (d) pointing out how the research findings suggest that instructional coaching should be used to support the implementation of Visible Learning or any other educational innovations.

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