scholarly journals Drug pollution and pharmacotherapy in psychiatry: A “platypus” in the room

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Unax Lertxundi ◽  
Rafael Hernández ◽  
Juan Medrano ◽  
Gorka Orive
Keyword(s):  
Healthcare Professionals ◽  
Daily Practice ◽  
New Era ◽  
Pharmaceuticals In The Environment ◽  
The Web ◽  
Neuroendocrine Systems

Abstract Preoccupation about potential deleterious effects of pharmaceuticals in the environment is growing fast. Psychiatric pharmaceuticals have received particular attention because of their increasing use and their potential impacts on many living beings due to their effects on phylogenetically highly conserved neuroendocrine systems. Recent studies that have shown that many pharmaceuticals (including psychotropics) bioaccumulate through the web food have raised this concern into new heights. As professionals working in the field of psychiatry and academia, we believe we are about to enter a new era with regard to pharmacotherapy. We estimate drug pollution will have a major impact on our daily practice in a way we are just starting to imagine. So far, this problem has largely been ignored by healthcare professionals, who are the ones prescribing and dispensing pharmaceuticals. We are convinced that increasing awareness among these professionals will be a key element to effectively fight against drug pollution.

Moral case deliberation

2017 ◽  
Vol 18 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Daniel Y B Tan ◽  
Bastiaan C ter Meulen ◽  
Albert Molewijk ◽  
Guy Widdershoven
Keyword(s):  
Support Services ◽  
Healthcare Professionals ◽  
Ethical Dilemmas ◽  
Daily Practice ◽  
Moral Case Deliberation ◽  
Ethics Support ◽  
Moral Case ◽  
Moral Damage ◽  
Dilemma Method

Ethical dilemmas in general are characterised by a choice between two mutually excluding options neither of which is satisfactory, because there always will be a form of moral damage. Within the context of medicine several ethics support services have been developed to support healthcare professionals in dealing with ethical dilemmas, including moral case deliberation. In this article, we describe how moral case deliberation works in daily practice, illustrated with a case example from the neurology ward. The article is meant as an introduction to moral case deliberation according to the dilemma method. We show its relevance to the clinic and the context needed to put it into practice.

Intelligent Semantics Approaches for Adaptive Web

2018 ◽  
pp. 201-220
Author(s):  
Anu Sharma ◽  
Aarti Singh
Keyword(s):  
Semantic Web ◽  
Intelligent Agents ◽  
Software Agents ◽  
User Profile ◽  
Content Management ◽  
Web Personalization ◽  
New Era ◽  
Work Done ◽  
The Web

Intelligent semantic approaches (i.e., semantic web and software agents) are very useful technologies for adding meaning to the web. Adaptive web is a new era of web targeting to provide customized and personalized view of contents and services to its users. Integration of these two technologies can further add to reasoning and intelligence in recommendation process. This chapter explores the existing work done in the area of applying intelligent approaches to web personalization and highlighting ample scope for application of intelligent agents in this domain for solving many existing issues like personalized content management, user profile learning, modelling, and adaptive interactions with users.

Semantic Web Adaptation

2011 ◽  
pp. 78-88
Author(s):  
Alexander Mikroyannidis ◽  
Babis Theodoulidis
Keyword(s):  
Semantic Web ◽  
Web Sites ◽  
Web Usage Mining ◽  
New Era ◽  
Automatic Reasoning ◽  
Web Usage ◽  
User Friendly ◽  
Unstructured Information ◽  
The Web ◽  
The Way

The rate of growth in the amount of information available in the World Wide Web has not been followed by similar advances in the way this information is organized and exploited. Web adaptation seeks to address this issue by transforming the topology of a Web site to help users in their browsing tasks. In this sense, Web usage mining techniques have been employed for years to study how the Web is used in order to make Web sites more user-friendly. The Semantic Web is an ambitious initiative aiming to transform the Web to a well-organized source of information. In particular, apart from the unstructured information of today’s Web, the Semantic Web will contain machine-processable metadata organized in ontologies. This will enhance the way we search the Web and can even allow for automatic reasoning on Web data with the use of software agents. Semantic Web adaptation brings traditional Web adaptation techniques into the new era of the Semantic Web. The idea is to enable the Semantic Web to be constantly aligned to the users’ preferences. In order to achieve this, Web usage mining and text mining methodologies are employed for the semi-automatic construction and evolution of Web ontologies. This usage-driven evolution of Web ontologies, in parallel with Web topologies evolution, can bring the Semantic Web closer to the users’ expectations.

Supporting the Interconnection of Communities of Practice

2010 ◽  
Vol 5 (2) ◽  
pp. 37-57 ◽  
Author(s):  
Élise Lavoué ◽  
Sébastien George
Keyword(s):  
Communities Of Practice ◽  
General Model ◽  
Daily Practice ◽  
Local Communities ◽  
Target Platform ◽  
The Web

In this paper, a general model for the Interconnection of Communities of Practice (ICP) is proposed. This model creates links between local Communities of Practice (CoPs) and global Communities of Practice on the Web. To hit the target platform specifications to support an ICP are first of all proposed, soon after the TE-Cap 2 (Tutoring Experience Capitalisation) platform for an ICP of tutors is made up to support people working on it. This platform allows the capitalisation of tutors’ contextualised knowledge by making it easily retrievable from all the tutors in their daily practice. At last a descriptive investigation over a four-month period and forty-two users registered on the platform is conducted. Results presented in this paper concern the usability of the platform and the relevance of the model with regard to tutors’ needs.

scholarly journals Changes in Teacher Training within the TPACK Model Framework: A Systematic Review

2019 ◽  
Vol 11 (7) ◽  
pp. 1870 ◽  
Author(s):  
Javier Rodríguez Moreno ◽  
Miriam Agreda Montoro ◽  
Ana Ortiz Colón
Keyword(s):  
Teacher Training ◽  
Content Knowledge ◽  
Web Of Science ◽  
Scientific Literature ◽  
Empirical Studies ◽  
Daily Practice ◽  
High Impact ◽  
Model Framework ◽  
Documentary Analysis ◽  
The Web

The TPACK model represents a high-impact advance in teacher training regarding their technological, pedagogical and content knowledge. This research presents an analysis of several publications in international databases that address the matter of the TPACK model. Accordingly, a review of the scientific literature applying the documentation as a systematization method was performed. The present study analyses 37 contributions, published between 2014 and 2017, indexed in the Web of Science (WOS) and Scopus databases, with TPACK and TPCK as the applied descriptors. Thus, the documentary analysis was based on four different criteria: public, topic, main results, and methodological design. Results show that all the reviewed publications are mainly focused on studies of basic and higher education where case studies, quantitative empirical studies, and mixed studies are predominant. Consequently, regarding the studies analyzed, there is a lack of longitudinal studies showing the teachers’ actions when applying TPACK in their daily practice.

scholarly journals The Rise of Digital Health and Potential Implications for Pharmacy Practice

2017 ◽  
Vol 64 (1) ◽  
pp. 32-40
Author(s):  
Mickayla Clark ◽  
Thomas Clark ◽  
Afeefa Bhatti ◽  
Timothy Aungst
Keyword(s):  
Medication Adherence ◽  
Healthcare Professionals ◽  
Digital Health ◽  
Pharmacy Practice ◽  
Daily Practice ◽  
Comfort Levels ◽  
Technological Advances ◽  
Integration Of Technology ◽  
To Come ◽  
The Way

The rise of technology in healthcare has led to dramatic changes in approaches to patient care by healthcare professionals. The realm of digital health has created new opportunities for pharmacists to engage patients in clinical practice. Pharmacies and industry are increasingly integrating these innovations into their businesses and practice. This article highlights areas of digital health for pharmacists to be aware of, in particular regarding areas of medication adherence and disease management. Technology plays a massive role in our individual lives; it has morphed the human experience in ways that were simply unimaginable 50 years ago. We use technology in nearly every facet of our lives. From detecting an appropriate intensity with which to brush our teeth to counting calories lost through the course of a day, technology has made a major impact on individual health. The integration of technology into our everyday lives has changed the way we communicate, how we capture and share our lives with others, how we seek answers, and how we experience life overall. Given this change in the way people operate, it is important that pharmacists adapt to these trends and incorporate technology into daily practice. The incorporation of mobile devices and technology into healthcare has been coined as mobile health (mHealth), which falls under the broader spectrum of digital health.1 –4 Digital health focuses on the integration of mobile tools (e.g., smartphones), wearable devices, and telehealth to help personalize the treatment of patients through the widespread adoption of wireless technology. The idea of involving pharmacists in mHealth has been a topic of recent interest, due in large part to the potential ramifications for the profession.4 Today, patients are using the Internet to research their health questions and help guide their personal health choices, and some of the information they find can be misleading and unreliable. It is of the utmost importance that healthcare professionals ensure there are credible sources for patients to research their questions. As pharmacists, we can research and recommend tools to patients to help solve problems related to drug information, medication adherence, and access, which includes the recent rise of novel technological devices. All of our patients will have different comfort levels with technology; despite this spectrum, there is a place for everyone to feel comfortable using digital health tools. However, there are recent technological advances coming to the field, which are already providing a benefit to patients, ranging from mobile applications to wearable technologies to ingestible medications that notify providers of patient medication adherence. We seek to help pharmacists understand the different areas of digital health, which may have substantial influence on the realm of pharmacy practice in the years to come by addressing current and upcoming digital health developments.

scholarly journals Perceptions of Compensation Strategies for Gait Impairments in Parkinson’s Disease: A Survey Among 320 Healthcare Professionals

2020 ◽  
Vol 10 (4) ◽  
pp. 1775-1778
Author(s):  
Anouk Tosserams ◽  
Maarten J. Nijkrake ◽  
Ingrid H.W.M. Sturkenboom ◽  
Bastiaan R. Bloem ◽  
Jorik Nonnekes
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Clinical Practice ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Daily Practice ◽  
Clinical Implications ◽  
Knowledge Gap ◽  
Gait Impairments ◽  
Specific Expertise

Compensation strategies are an essential part of managing gait impairments in people with Parkinson’s disease (PD). We conducted an online survey among 320 healthcare professionals with specific expertise in PD management, to evaluate their knowledge of compensation strategies for gait impairments in people with PD, and whether they applied these in daily practice. Only 35% of professionals was aware of all categories of compensation strategies. Importantly, just 23% actually applied all seven available categories of strategies when treating people with PD in clinical practice. We discuss the clinical implications, and provide recommendations to overcome this knowledge gap.

scholarly journals Positive experiences of healthcare professionals with a mainstreaming approach of germline genetic testing for women with ovarian cancer

2021 ◽  
Author(s):  
Kyra Bokkers ◽  
Ronald P. Zweemer ◽  
Marco J. Koudijs ◽  
Sanne Stehouwer ◽  
Mary E. Velthuizen ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Genetic Testing ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Participation Rate ◽  
Daily Practice ◽  
Subspecialty Training ◽  
Training Module ◽  
Perceived Knowledge ◽  
Pathogenic Variants

AbstractAccording to current guidelines, all women with epithelial ovarian cancer are eligible for genetic testing for BRCA germline pathogenic variants. Unfortunately, not all affected women are tested. We evaluated the acceptability and feasibility for non-genetic healthcare professionals to incorporate germline genetic testing into their daily practice. We developed and implemented a mainstreaming pathway, including a training module, in collaboration with various healthcare professionals and patient organizations. Healthcare professionals from 4 different hospitals were invited to participate. After completing the training module, gynecologic oncologists, gynecologists with a subspecialty training in oncology, and nurse specialists discussed and ordered genetic testing themselves. They received a questionnaire before completing the training module and 6 months after working according to the new pathway. We assessed healthcare professionals’ attitudes, perceived knowledge, and self-efficacy, along with the feasibility of this new mainstream workflow in clinical practice, and evaluated the use and content of the training module. The participation rate for completing the training module was 90% (N = 19/21). At baseline and after 6 months, healthcare professionals had a positive attitude, high perceived knowledge and high self-efficacy toward discussing and ordering genetic testing. Knowledge had increased significantly after 6 months. The training module was rated with an average of 8.1 out of 10 and was considered useful. The majority of healthcare professionals (9/15) was able to discuss a genetic test in five to 10 min. After completion of a training module, non-genetic healthcare professionals feel motivated and competent to discuss and order genetic testing themselves.

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