scholarly journals Specialty training in family medicine in Montenegro – An evaluation of the programme by the first generation of trainees

2018 ◽  
Vol 57 (2) ◽  
pp. 96-105
Author(s):  
Marija Petek Šter ◽  
Ljiljana Cvejanov Kezunović ◽  
Milena Cojić ◽  
Davorina Petek ◽  
Igor Švab
Keyword(s):  
Family Medicine ◽  
First Generation ◽  
Structured Interview ◽  
Specialty Training ◽  
Continual Improvement ◽  
Speciality Training ◽  
Everyday Work ◽  
Positive Assessment ◽  
The Coordinator

Abstract Introduction One of the aims of health care reform in Montenegro is to strengthen primary care. An important step forward is the implementation of specialty training in family medicine (FM). The aim of this article is to evaluate the implementation of specialty training in family medicine in Montenegro, regarding the content, structure and methods, by the first generation of trainees and the coordinator of the training. Methods A questionnaire was sent by mail in July and August 2017 to all 26 eligible trainees who started specialty training in 2013. Twenty-two of the 26 trainees (84.6%) responded. The questionnaire consisted of closed and open-ended questions related to the evaluation of the training. A descriptive quantitative and qualitative analysis with predefined themes and a semi-structured interview with the coordinator were carried out. Results The process of training in FM was assessed positively by both trainees and the coordinator. The positive assessment included that the specialisation course offered modern design through modules and practice, and trainees both improved their existing knowledge and skills and acquired new ones necessary for everyday work. The coordinator emphasised the importance of the introduction of new teaching methods and formative assessment, the important role of mentors, and the involvement of Slovenian colleagues in the teaching process and supervision of the programme. Conclusions The implementation of speciality training in FM in Montenegro was successful. Several assessment methods were used that can be further developed in individual structured feedback, which could stimulate the continual improvement of trainees’ knowledge and competencies.

scholarly journals The Role of General Practice in Complex Health Care Systems

2021 ◽  
Vol 8 ◽  
Author(s):  
Katharina Schmalstieg-Bahr ◽  
Uwe Wolfgang Popert ◽  
Martin Scherer
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Health Care System ◽  
Health Care Systems ◽  
Core Values ◽  
International Studies ◽  
Specialty Training ◽  
Care Systems ◽  
Care System

According to the WHO, in a complex system, “there are so many interacting parts that it is difficult (…), to predict the behavior of the system based on knowledge of its component parts. “In countries without general practitioner (GP)-gatekeeping, the number of possible interactions and therefore the complexity increases. Patients may consult any doctor without contacting their GP. Family medicine core values, e.g., comprehensive care, and core tasks, e.g., care coordination, might be harder to implement and maintain. How are GPs perceived and how do they perceive themselves if no GP-gatekeeping exists? Does the absence of any GP-gatekeeping influence family medicine core values? A PubMed and Cochrane search was performed. The results are summarized in form of a narrative review. Four perspectives regarding the GP's role were identified. The GPs' self-perception regarding family medicine core values and tasks is independent of their function as gatekeepers, but they appreciate this role. Patient satisfaction is also independent of the health care system. Depending on the acquisition of income, specialists have different opinions of GP-gatekeeping. Policymakers want GPs to play a central role within the health care system, but do not commit to full gatekeeping. The GPs and policymakers emphasize the importance of family medicine specialty training. Further international studies are needed to determine if family medicine core values and tasks can be better accomplished by GP-gatekeeping. Specialty training should be mandatory in all countries to enable GPs to fulfill these values and tasks and to act as coordinators and/or gatekeepers.

scholarly journals A Função do Coordenador Pedagógico e sua Mediação no Espaço Escolar

2017 ◽  
Vol 18 (2) ◽  
pp. 103
Author(s):  
Edenar Souza Monteiro ◽  
Claudia Botelho da Silva
Keyword(s):  
School Environment ◽  
Teaching And Learning ◽  
Teaching Practice ◽  
Structured Interview ◽  
Research Issue ◽  
Childhood Education ◽  
Teaching Learning ◽  
Supporting Teachers ◽  
The Coordinator

Esta pesquisa teve como objetivo investigar a função do coordenador pedagógico salientando a importância da mediação no espaço escolar. O estudo realizado em uma Escola Municipal de Educação Infantil localizada em Cuiabá-MT. Participaram desta pesquisa cinco professores e um coordenador, que atuam na Educação infantil. Os instrumentos utilizados para a coleta de dados foram: pesquisa bibliográfica, observação, entrevista semiestruturada. Destarte, o problema da pesquisa se concentrou em investigar em que medida o trabalho do coordenador pedagógico, como mediador no espaço escolar, contribui para a prática docente? Os resultados apontaram que o trabalho desenvolvido pela coordenação pedagógica, permeado pela mediação e diálogo na escola, contribui para a reflexão e tomada de consciência dos professores resultando na melhoria do ensino-aprendizagem. Verificou-se, também, que o coordenador como multiplicador e mediador de conhecimentos é o profissional que transita no pedagógico subsidiando os professores que por sua vez, desenvolve a sua prática, em sala de aula, promovendo uma dinâmica de interação articuladora.Palavras-chave: Coordenador Pedagógico. Ensino e Aprendizagem. Mediação.AbstractThis study aimed to investigate the role of the pedagogical coordinator highlighting the importance of the school environment mediation. The study was carried out in a Municipal Elementary School located in Cuiabá city in MT state. Five teachers and one coordinator who work in childhood education took place in this survey. The following data collection tools were used: bibliographic research, observation, semi-structured interview. Thus, the research issue focused on the following investigative question: To what extent does the pedagogical coordinator work, as the school environment mediator, contribute to the teaching practice? The results showed that the work developed by the pedagogical coordination, permeated by mediation and dialogue in the school, contributes to the teachers’ reflection and awareness resulting in the improvement of the teaching-learning process. It was also found out that the coordinator as a knowledge multiplier and mediator is the professional who wanders along pedagogical field supporting teachers who in turn, develop their practice in the classroom, promoting a dynamic and articulating interaction.Keywords: Pedagogical Coordinator. Teaching and Learning. Mediation.

Rapid evaluation of FDG imaging alternatives using head-to-head comparisons of full ring and gamma camera based PET scanners –

2002 ◽  
Vol 41 (05) ◽  
pp. 208-213 ◽  
Author(s):  
L. M. Haslinghuis-Bajan ◽  
L. Hooft ◽  
A. van Lingen ◽  
M. van Tulder ◽  
W. Devillé ◽  
...  
Keyword(s):  
Methodological Quality ◽  
Gamma Camera ◽  
First Generation ◽  
Prospective Evaluation ◽  
First Approximation ◽  
Variable Head ◽  
Malignant Lesions ◽  
The Impact ◽  
Pet Scanners

SummaryAim: While FDG full ring PET (FRPET) has been gradually accepted in oncology, the role of the cheaper gamma camera based alternatives (GCPET) is less clear. Since technology is evolving rapidly, “tracker trials” would be most helpful to provide a first approximation of the relative merits of these alternatives. As difference in scanner sensitivity is the key variable, head-to-head comparison with FRPET is an attractive study design. This systematic review summarises such studies. Methods: Nine studies were identified until July 1, 2000. Two observers assessed the methodological quality (Cochrane criteria), and extracted data. Results: The studies comprised a variety of tumours and indications. The reported GC- and FRPET agreement for detection of malignant lesions ranged from 55 to 100%, but with methodological limitations (blinding, standardisation, limited patient spectrum). Mean lesion diameter was 2.9 cm (SD 1.8), with only about 20% <1.5 cm. The 3 studies with the highest quality reported concordances of 74-79%, for the studied lesion spectrum. Contrast at GCPET was lower than that of FRPET, contrast and detection agreement were positively related. Logistic regression analysis suggested that pre-test indicators might be used to predict FRPET-GCPET concordance. Conclusion: In spite of methodological limitations, “first generation” GCPET devices detected sufficient FRPET positive lesions to allow prospective evaluation in clinical situations where the impact of FRPET is not confined to detection of small lesions (<1.5 cm). The efficiency of head-to-head comparative studies would benefit from application in a clinically relevant patient spectrum, with proper blinding and standardisation of acquisition procedures.

The Role of Interpersonal Communication in Students’ Self-control to Avoid Substance Abuse

2020 ◽  
Vol 5 (2) ◽  
pp. 84-94
Author(s):  
Ade Tuti Turistiati ◽  
Baby Poernomo
Keyword(s):  
High School Students ◽  
Drug Abuse ◽  
Interpersonal Communication ◽  
Junior High School ◽  
Phenomenological Approach ◽  
Structured Interview ◽  
Self Control ◽  
School Students ◽  
Qualitative Research Design

This study aims at answering the questions what causes many junior high school students fall into drug abuse, and what kind of treatment  must be done so that students have self-control and are not subject to drug abuse. This study employed a phenomenological approach of a qualitative research design.  In this study a semi-structured interview is used to understand how participants experienced the phenomenon. The research revealed that the interpersonal communication has a major role in students' self-control so as not to fall into drug abuse. This study contributes significantly to educational field particularly teachers in secondary schools so that it can be used as a reference to provide counseling to parents about the importance of interpersonal communication to build students’ self-control to prevent teens from falling into drug abuse.

POST-SOVIET CITY AS A PALIMPSEST

2020 ◽  
pp. 48-68
Author(s):  
Elena A. Kosovan ◽  
Keyword(s):  
Soviet Union ◽  
Urban Space ◽  
Publishing House ◽  
Soviet Period ◽  
The Soviet Union ◽  
Role Of The State ◽  
Soviet Space ◽  
The Coordinator ◽  
Post Soviet Period

The author of the publication reviews the photobook “Palimpsests”, published in 2018 in the publishing house “Ad Marginem Press” with the support of the Heinrich Böll Foundation. The book presents photos of post-Soviet cities taken by M. Sher. Preface, the author of which is the coordinator of the “Democracy” program of the Heinrich Böll Foundation in Russia N. Fatykhova, as well as articles by M. Trudolyubov and K. Bush, which accompany these photos, contain explanation of the peculiarities of urban space formation and patterns of its habitation in the Soviet Union times and in the post-Soviet period. The author of the publication highly appreciates the publication under review. Analyzing the photographic works of M. Sher and their interpretation undertaken in the articles, the author of the publication agrees with the main conclusions of N. Fatykhova, M. Trudolyubov and K. Bush with regards to the importance of the role of the state in the processes of urban development and urbanization in the Soviet and post-Soviet space, but points out that the second factor that has a key influence on these processes is ownership relations. The paper positively assesses the approach proposed by the authors of the photobook to the study of the post-Soviet city as an architectural and landscape palimpsest consisting mainly of two layers, “socialist” and “capitalist”. The author of the publication specifically emphasizes the importance of analyzing the archetypal component of this palimpsest, pointing out that the articles published in the reviewed book do not pay sufficient attention to this issue. Particular importance is attributed by the author to the issue of metageography of post-Soviet cities and meta-geographical approach to their exploration. Emphasizing that the urban palimpsest is a system of realities, each in turn including a multitude of ideas, meanings, symbols, and interpretations, the author points out that the photobook “Palimpsests” is actually an invitation to a scientific game with space, which should start a new direction in the study of post-Soviet urban space.

Peranan Komisaris dan Direksi Bank Syariah dalam Pengelolaan Dana Zakat dan ISR (Islamic Social Responsibility) di Indonesia

2019 ◽  
Vol 14 (2) ◽  
pp. 95
Author(s):  
Melia Frastuti ◽  
Dimas Pratama Putra ◽  
Erfan Effendi
Keyword(s):  
Social Responsibility ◽  
Commercial Banks ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Islamic Banks ◽  
The Public ◽  
Islamic Bank ◽  
Positive Assessment ◽  
Nature Preservation

Abstract     Almsgiving is one of the pillars supporting the upholding of Islam as the obligation for the adherents to improve horizontal relations between fellow humans and strengthen vertical relations with Allah SWT. The implementation of Islamic Social Responsibility (ISR) of the Islamic Bank gives a positive assessment in sharia agreement, justice and equality, responsibility for work, welfare, guarantee of nature preservation and benevolent assistance that is not profit-oriented.Proper almsgiving management and ISR implementation make Islamic banks trusted by the public in terms of service quality, satisfaction and loyalty of Muzzaki. It reduces bad images, and provides relevant impacts on social welfare and the progress of the era. The data analysis used to test the hypotheses is Multiple Linear Regression analysis. The data is collected by distributing questionnaires to Commissioners and Directors at 14 (fourteen) Islamic Commercial Banks spread throughout Indonesia. The result of this study shows partially prove the role of Islamic bank commissioners in the amsgiving management only, while the importance of the role of directors in Islamic banks in almsgiving management and the implementation of ISR partially. Keywords: Islamic Bank, Commissioners, Directors, Almsgiving and ISR

THE ROLE OF POLYETHYLENIMINE IN ENHANCING PERFORMANCE OF GLUTAMATE BIOSENSORS

2018 ◽  
Vol 8 (3) ◽  
pp. 36-41
Author(s):  
Diep Do Thi Hong ◽  
Duong Le Phuoc ◽  
Hoai Nguyen Thi ◽  
Serra Pier Andrea ◽  
Rocchitta Gaia
Keyword(s):  
First Generation ◽  
Good Reproducibility ◽  
Complex Matrices ◽  
Long Term Stability ◽  
In Vitro Characterization ◽  
Glutamate Oxidase

Background: The first biosensor was constructed more than fifty years ago. It was composed of the biorecognition element and transducer. The first-generation enzyme biosensors play important role in monitoring neurotransmitter and determine small quantities of substances in complex matrices of the samples Glutamate is important biochemicals involved in energetic metabolism and neurotransmission. Therefore, biosensors requires the development a new approach exhibiting high sensibility, good reproducibility and longterm stability. The first-generation enzyme biosensors play important role in monitoring neurotransmitter and determine small quantities of substances in complex matrices of the samples. The aims of this work: To find out which concentration of polyethylenimine (PEI) exhibiting the most high sensibility, good reproducibility and long-term stability. Methods: We designed and developed glutamate biosensor using different concentration of PEI ranging from 0% to 5% at Day 1 and Day 8. Results: After Glutamate biosensors in-vitro characterization, several PEI concentrations, ranging from 0.5% to 1% seem to be the best in terms of VMAX, the KM; while PEI content ranging from 0.5% to 1% resulted stable, PEI 1% displayed an excellent stability. Conclusions: In the result, PEI 1% perfomed high sensibility, good stability and blocking interference. Furthermore, we expect to develop and characterize an implantable biosensor capable of detecting glutamate, glucose in vivo. Key words: Glutamate biosensors, PEi (Polyethylenimine) enhances glutamate oxidase, glutamate oxidase biosensors

Cultural knowledge and treatment of childhood illness

2016 ◽  
Vol 5 (09) ◽  
pp. 4802
Author(s):  
Izabel Cristina Santiago Lemos ◽  
Giovana Mendes De Lacerda ◽  
Maysa de Oliveira Barbosa ◽  
Gyllyandeson de Araújo Delmondes ◽  
Patrícia Rosane Leite de Figueiredo ◽  
...  
Keyword(s):  
Traditional Knowledge ◽  
Health Professionals ◽  
Respiratory Infections ◽  
Structured Interview ◽  
Cultural Knowledge ◽  
Childhood Illness ◽  
Care Practice ◽  
Childhood Illnesses ◽  
Popular Knowledge

Traditional knowledge emerges as a relevant figure in care used by mothers and caregivers for the management of acute respiratory infections, diarrhea and anemia. To understand the meaning given to the use of traditional knowledge by mothers or caregivers for the treatment of these illnesses, their reflexes to conventional treatment, as well as discuss the role of health professionals with regard to the use of plants and animals by mothers or responsible for the management the respiratory infections; diarrhea and anemia. The research was conducted in Santo Antônio community (Barbalha - CE). Techniques as “rapport” and “Snowball” were used for data collection, and a closed questionnaire and semi-structured interview were applied. For data analysis, the Collective Subject Discourse (CSD) was used. The sample included 54 informants. There were 19 key ideas identified, which revealed an appreciation of the use of natural resources to treat the respiratory infections; diarrhea and anemia, an association between conventional and traditional medicine in the management these common childhood illnesses and the need for health professionals value the popular knowledge in assistance provided. Health professionals are encouraged to include behaviors in their care practice that allow greater contact with local cultures, being able to measure what resources are used and how they can interfere on the prescribed therapy.

The role of the clinical pharmacist in guiding adjuvant hormonal therapy in patients with breast cancer

2021 ◽  
pp. 107815522110293
Author(s):  
Amanda V Pirolli ◽  
Tatiana Brusamarello ◽  
Stella S Everton ◽  
Vânia M S Andrzejevski
Keyword(s):  
Breast Cancer ◽  
Hormone Therapy ◽  
Hormonal Therapy ◽  
Clinical Pharmacist ◽  
Tertiary Care ◽  
Structured Interview ◽  
Care Hospital ◽  
Adjuvant Hormonal Therapy ◽  
Breast Cancers

Breast cancer is the most prevalent type of cancer among women, affecting about 2.1 million worldwide and is responsible for the highest number of cancer-related deaths among women. Approximately 80% of breast cancers express on the surface of hormone receptor cells, such as progesterone and estrogen. In these cases, Adjuvant Hormonal Therapy (AHT) is indicated for a period of five to ten years and consists of taking a daily oral pill. The two most used drugs in AHT are tamoxifen and Aromatase Inhibitors. One of the issues most faced by individuals who are subjected to long periods of treatment is the lack of medication adherence and, consequently, therapeutic inefficiency. It is believed that the monitoring by the pharmacist can contribute to the reduction of errors inherent to the medication, making the treatment more effective and improving the patient's quality of life. The present study aimed to know the perception of patients who live with breast cancer and who do AHT in relation to the educational performance of the clinical pharmacist. This is a qualitative, descriptive and exploratory study, carried out from March to October 2020, with 15 women undergoing treatment at the oncology unit of a tertiary-care hospital in south of Brazil. The data were obtained through a semi-structured interview using an instrument composed of two parts, one referring to the characterization of the participants and the other with the guiding question of the research: "How do you perceive the role of the pharmacist in relation to the guidelines for the use of adjuvant hormonal therapy?". The method of theoretical saturation was used to perform the sample closure and the thematic analysis was used to analyze the data. The participants were between 32 and 74 years old, seven were on tamoxifen therapy and eight on anastrozole, ten were on the first year of treatment, two on the second and three on the third year. The themes that emerged were: pharmacist-patient interaction as a safety factor in hormone therapy; role of the pharmacist in the development of strategies for self-management of the patients during hormone therapy; and, challenges for the pharmacist in relation to hormone therapy through continued guidance. It was evident that the pharmacist's educational action encouraged the participants to carry out the treatment in a more confident and assertive manner according to their particularities and beliefs.

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