scholarly journals The Defeat Depression Campaign

1997 ◽  
Vol 21 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Ann Macaskill ◽  
Norman Macaskill ◽  
A. Nicol
Keyword(s):  
Clinical Practice ◽  
Royal College ◽  
Questionnaire Survey ◽  
Clinical Management ◽  
The Public ◽  
Health Practitioners ◽  
The Impact

The Royal College of Psychiatrists launched a five year campaign in 1992 to better inform health practitioners and the public about depression. A questionnaire survey of Sheffield general practitoners (GPs) to assess the impact of the Defeat Depression Campaign on their knowledge and clinical management of depression was carried out in May 1994, half way through the campaign. Overall, 75% of GPs who responded indicated that the Defeat Depression Campaign had had little or no impact on their clinical practice. It would appear that at its mid-point the Defeat Depression Campaign failed to achieve its main goals in relation to educating GPs about depression and its management.

The acceptance of spelling variants as symbols of Croatian spelling changes (1994–2013)

2021 ◽  
Vol 24 (1) ◽  
pp. 110-148
Author(s):  
Tomislav Stojanov
Keyword(s):  
Questionnaire Survey ◽  
Native Speakers ◽  
First Year ◽  
Educational Setting ◽  
The Public ◽  
Study Programme ◽  
Spelling Variant ◽  
The Media ◽  
Technical Study ◽  
The Impact

Abstract This paper discusses the impact of several spelling changes in Croatian on the level of the literacy of native speakers. Since 1986, there have been five official recommendations for usage that pertain to five different orthographic manuals. This research focuses on three spelling points with considerable identity-related repercussions among the public and the media, which are sometimes named the spelling symbols of Croatian. A questionnaire-survey comprised of 36 tests was completed among 1063 students on a technical study programme each year for eight consecutive academic years. Eight generations of first-year undergraduates, who do not study language in an educational setting, have accepted the new spellings, contingent on a frequency principle. The more frequent a spelling variant occurs, the less the chance that the new spelling variant is accepted, and vice versa. Given the lack of established and enduring spelling norms, combined with ideological oppositions between the old and new spelling forms, students have been guided mainly by their capacity to write the most common form.

A SURVEY OF PSYCHIATRISTS COMPLETING A COGNITIVE BEHAVIOURAL PSYCHOTHERAPY DIPLOMA COURSE

2003 ◽  
Vol 31 (4) ◽  
pp. 467-471 ◽  
Author(s):  
Alastair M. Hull ◽  
John Swan
Keyword(s):  
United Kingdom ◽  
Clinical Practice ◽  
Royal College ◽  
Questionnaire Survey ◽  
Postal Questionnaire ◽  
Time Constraints ◽  
Further Training ◽  
The United Kingdom ◽  
Cognitive Behavioural

There is widespread support for training in Cognitive Behavioural Psychotherapy (CBP) amongst psychiatrists and from the Royal College of Psychiatrists. One possible way to gain such training is to undertake a diploma or certificate course, a growing number of which exist in the United Kingdom. We report on a postal questionnaire survey of psychiatrists who have completed a CBP diploma course. Psychiatrists described the course as altering their clinical practice and found the skills learned, the format of multidisciplinary learning and of supervision all useful and helpful. However, individuals who undertook a CBP diploma were concerned about their ability to apply these skills and undergo further training, given the time constraints within busy consultant jobs.

Patient and Public Involvement in Clinical Practice Guidelines

2011 ◽  
Vol 31 (6) ◽  
pp. E45-E74 ◽  
Author(s):  
France Légaré ◽  
Antoine Boivin ◽  
Trudy van der Weijden ◽  
Christine Pakenham ◽  
Jako Burgers ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Public Involvement ◽  
The United States ◽  
Patient And Public Involvement ◽  
Bibliographic Databases ◽  
The Public ◽  
The Impact

Background. The role of patient and public involvement programs (PPIPs) in developing and implementing clinical practice guidelines (CPGs) has generated great interest. Purpose. The authors sought to identify key components of PPIPs used in developing and implementing CPGs. Data sources. The authors searched bibliographic databases and contacted relevant organizations. Study selection. In total, 2161 articles and reports were retrieved on PPIPs in the development and implementation of CPGs. Of these, 71 qualified for inclusion in the review. Data extraction. Reviewers independently extracted data on key components of PPIPs and barriers and facilitators to their operation. Data synthesis. Over half of the studies were published after 2002, and more than half originated from the United States, the United Kingdom, Australia, and Germany. CPGs that involved patients and the public addressed a variety of health problems, especially mental health and cancer. The most frequently cited objective for using PPIPs in developing CPGs was to incorporate patients’ values or perspectives in CPG recommendations. Patients and their families and caregivers were the parties most often involved. Methods used to recruit PPIP participants included soliciting through patient/public organizations, sending invitations, and receiving referrals and recruits from clinicians. Patients and the public most often participated by taking part in a CPG working group, workshop, meeting, seminar, literature review, or consultation such as a focus group, individual interview, or survey. Patients and the public principally helped formulate recommendations and revise drafts. Limitations. The authors did not contact the authors of the studies. Conclusion. This literature review provides an extensive knowledge base for making PPIPs more effective when developing and implementing CPGs. More research is needed to assess the impact of PPIPs and resources they require.

Conflicts of interest (COI) among the UpToDate oncology management authors.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13573-e13573
Author(s):  
Madhuri Chengappa ◽  
Aakash Desai ◽  
Ronald S. Go ◽  
Thejaswi K. Poonacha
Keyword(s):  
Clinical Practice ◽  
Clinical Management ◽  
Expert Witness ◽  
Conflicts Of Interest ◽  
Utilization Distribution ◽  
Potential Conflict ◽  
Advisory Boards ◽  
Clinical Resource ◽  
Management Recommendations ◽  
The Impact

e13573 Background: UpToDate is an evidence based clinical resource designed to provide current clinical information. It is a widely used clinical practice tool providing evidenced based recommendations for diagnosis, management, and therapy. The extent of COI among the UpToDate authors has not been well studied. Our study evaluated the extent of COI of UpToDate authors involved in medical management recommendations for the 10 most common cancers in United States. Methods: We examined the latest November 2020 version of the UpToDate clinical management recommendations for 10 most common cancers. Using disclosure lists, we catalogued COIs for participants in each work group. The categories included: Category I- Grant/Research/Clinical Trial Support; Category II- Consultant/Scientific Advisory Boards/Expert witness; Category III- Speakers Bureau; Category IV- Equity Ownership/Stock Options/Patent holder/Employment/Other Financial Interest; and Category V- Spouse/Domestic Partner/Dependent Potential Conflict. We cataloged the companies/institutions involved in each disclosure. An “episode” describes 1 instance of participation of an individual in 1 company in 1 category for each cancer section. Results: There was a total of 207 authors including section and deputy editors of oncology management section. All authors completed their COI disclosures (100%). 128 (62%) of a total of 207 individuals reported COIs. A total of 1343 episodes were disclosed. We found that each author had an average of 10.49 episodes overall. Authors involved in Category I, II, III, IV & V were 6.3%, 13.5%, 3.2%, 4.7% and 1.6% respectively. 29.36% authors were involved both in Category I and II. A total of 672 company affiliations were associated with COI disclosure. AstraZeneca (6.10%), Merck (4.31%) and Novartis (2.68%) were the companies most frequently reported. The guideline with the maximum episodes (223) was prostate cancer. Conclusions: COIs are prevalent among authors of UpToDate clinical management recommendations. More than ½ of the participants disclosed at least 1 COI, but there appears to be a substantial number of experienced experts without COIs. Further research studies are necessary to determine the impact of these COIs on clinical practice patterns and resource utilization. Distribution of COI and total episodes.[Table: see text]

scholarly journals Pharmacogenomics, CYP2D6, and Tamoxifen: A Survey of the Reasons Sustaining European Clinical Practice Paradigms

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 344
Author(s):  
Reis ◽  
Carvalho ◽  
Fernandes
Keyword(s):  
Breast Cancer ◽  
Clinical Practice ◽  
Clinical Management ◽  
Hospital Setting ◽  
Economic Factors ◽  
Breast Cancer Patients ◽  
Survey Analysis ◽  
Management Board ◽  
The Impact ◽  
Clinical Bias

Tamoxifen is a drug that is often used in the clinical management of breast cancer. CYP2D6 is a key metabolizing enzyme that is involved in the conversion of tamoxifen to its active drug metabolites. CYP2D6 has several alleles that metabolize tamoxifen and other drugs at different rates that can alter therapeutic impact, a characteristic that renders it one of the most studied enzymes in the field of pharmacogenetics. Background and objectives: Portugal has no implemented measures based on pharmacogenomics analysis prior to therapy that might function as a cultural sample control when analyzing the individual and economic factors present in clinical practice paradigms. Therefore, we aim to investigate the impact of CYP2D6 genotyping of the tamoxifen metabolizing enzymes in the clinical management of breast cancer patients. Materials and Methods: Qualitative/quantitative studies regarding the impact of pharmacogenomics in breast cancer; personal interviews in different Portuguese laboratories within hospital setting using a survey. Analysis of data through interviews to management board and/or decision makers from major oncological centers. Results: Reasons for common adoption of pharmacogenomics practice are contradictory and based both in economic factors and cultural/clinical bias. Conclusions: This research study identifies specific cultural and/or clinical bias that act as obstacles to pharmacogenomic implementation and proposes viable courses of action that might bring about change in cultural/medical habits.

scholarly journals The impact of the National Institute of Clinical Excellence guidance on the use of electroconvulsive therapy in England

2009 ◽  
Vol 22 (1) ◽  
pp. 164-166 ◽  
Author(s):  
Ajit Shah
Keyword(s):  
Clinical Practice ◽  
Electroconvulsive Therapy ◽  
Royal College ◽  
Clinical Excellence ◽  
Depressive Illness ◽  
Review Group ◽  
The Impact ◽  
Technical Appraisal

Electroconvulsive therapy (ECT) has been reported to have efficacy in the treatment of depressive illness, mania and catatonia (U.K. ECT Review Group, 2003; National Institute for Clinical Excellence, 2003; Scott, 2004). The Royal College of Psychiatrists in the U.K. continues to support the use of ECT within the framework of its guidance on the use of ECT (Scott, 2004) and has developed an ECT accreditation service for clincal services that use ECT. In May 2003, the National Institute of Clinical Excellence (NICE) issued a technical appraisal on the use of ECT in England (NICE, 2003). This is essentially guidance on the use of ECT which clinicians are required to follow in their clinical practice.

Translating Principles of Speech Science to Clinical Practice: Current and Future Trends in Craniofacial Disorders

2008 ◽  
Vol 18 (1) ◽  
pp. 31-40 ◽  
Author(s):  
David J. Zajac
Keyword(s):  
Clinical Practice ◽  
Speech Intelligibility ◽  
Current Practice ◽  
Computer Assisted ◽  
Behavioral Management ◽  
Single Word ◽  
Future Directions ◽  
Speech Science ◽  
The Impact ◽  
Opinion Article

Abstract The purpose of this opinion article is to review the impact of the principles and technology of speech science on clinical practice in the area of craniofacial disorders. Current practice relative to (a) speech aerodynamic assessment, (b) computer-assisted single-word speech intelligibility testing, and (c) behavioral management of hypernasal resonance are reviewed. Future directions and/or refinement of each area are also identified. It is suggested that both challenging and rewarding times are in store for clinical researchers in craniofacial disorders.

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