Analysis of the readiness of medical professionals from Bulgaria, Croatia and Slovenia on the need for continuing online training on matters relating to drug policy

Author(s):  
B. Brankov ◽  
◽  
A. Zlatareva ◽  

The purpose of the study is to examine the opinion of the medical community on the need for further training on matters relating to drug policy (as a dynamic and rapidly changing area of healthcare policy bearing on the work of a number of healthcare specialists) and the attitudes to web-based forms of further training. The study was conducted among healthcare professionals (healthcare professionals means graduates in medicine and/or pharmacy – physicians, dentists, pharmacists and healthcare professionals and managers etc. who practice their occupation applying the set of regulatory standards governing drug policy) from three Balkan countries – Bulgaria, Slovenia and Croatia – who have completed a dedicated survey. Participation in the survey was voluntary and the polling was conducted on the basis of the ‘snowballing’ technique for survey dissemination and recruitment of respondents. The statistical processing of collected data relied on a correlational descriptive and regression analysis. The results reveal that respondents are aware of the need and are willing to pursue possibilities for further training on matters relating to drug policy. The correlational analysis has revealed interesting further data. A statistically significant negative correlation has been established between knowledge assessment and the method of updating and upgrading knowledge on matters relating to drug policy. The data suggests that according to the respondents self-learning and attending courses led by trainers who are subject-matter experts increases the evaluation of knowledge in the area of drug policy (rho = 0.-631, р = 0.002). Furthermore, the greater frequency of additional training events to improve current levels of knowledge is also a factor that increases self-assessment of being up to date on the latest developments in this area (rho = 0.577, р = 0.006). There is a need for further training in the area of drug policy and the preferred form of this type of training are the online and physical training events by guest trainers conducted by medical schools. In order to ensure that training conforms to a high-quality standard, a test should be taken at the end and a certificate attesting to the training should be issued as a quality assurance guarantee. Keywords: Postgraduate training/drug policy, medical specialists.

2019 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Nazanin Reza Zadeh Mottaghi ◽  
Mahmoud Talkhabi

This study compares the national curriculum of Iran and the UK to find out how the educational system indeveloping countries such as Iran can be improved. Because of implementing thinking skills and cognitive education,the educational system in the UK benefits from a high-quality standard. The science of mind, brain, educationintroduces some principles to improve teaching and learning methods and provide thoughtful and lifelong learnersfor the societies. In this study, we specified the main parts of the national curriculum in both countries and selectedsome of the principles to determine whether these two countries apply them in their national curriculum. Some ofthese principles focus on some significant issues: teaching models, the use of Meta-discipline and HolisticTechniques, authentic learning experiences, use of products, processing and progressing Evaluations, developingexplicit learning objectives, how to benefit from thinking and reflective practices, using collaborative and democraticactivities, preparing students to set personal objectives, giving themselves feedbacks, technology and flippedclassrooms, and beginning Year- Round Schooling. The results show that Iran needs more precise and detailedlearning objectives in its curriculum, use of democratic and collaborative activities with academics and students,develop thinking and reflective practices which play vital roles in upgrading the educational system. Moreover, it issuggested that the UK and Iran should consider embedded evaluations and flipped classrooms to meet the needs ofnew generation of learners.


1995 ◽  
Vol 38 (5-6) ◽  
Author(s):  
E. Guidoboni ◽  
P. Riva ◽  
V. Petrini ◽  
A. Madini Moretti ◽  
G. Lombardini

A crucial problenl for seismic archeology is how to recognize seismic effects and how to date them. On an experimental basis. we proposed that the problem be reversed, and that we begin at the other end: i.e. by analyzing already known seismic effects on ancient structures, testified by written sources. to be able to .calibrate>> the types or possible observations and any subsequent elaborations. The choice of the walls of Noto was suggested by the fact that Noto was abandoned following the earthquake of l693 (I,= XI MCS. Me 7.5) which had already been studied in depth as part of an ING research programme (1988-92). Moreover, just after recent research, this event proved to be reconstructed with a high quality standard. Photogrammetric measurements were made on several parts of the town walls to plot a numerical model aimed at ascertaining specific aspects of the earthquake damage. An estimate of the ground acceleration during the earthquake has been attempted via non-linear finite-element analyses of a building located by the main city gate. The analyses show that. in order to obtain the building vault collapse, a ground acceleration of 0.5 to 0.7 g had to be reached during the earthquake. This result, typical of a strong earthquake such as the one of 1693, proves that an approach based on finite element analysis and a sound engineering judgment Inay be systematically applied to historical earthquake sites to obtain some estimates of ground acceleration in historical earthquakes. On the whole, this work aimed at starting up the second development phase of the great event of 1693 of which the macroseismic erfects are known. In the meantime, some possibilities of tackling structural analyses in seismic archaeology are being explored.


Author(s):  
Orlando Jorge M TORRES ◽  
Eduardo de Souza M FERNANDES ◽  
Rodrigo Rodrigues VASQUES ◽  
Fabio Luís WAECHTER ◽  
Paulo Cezar G. AMARAL ◽  
...  

ABSTRACT Background: Pancreatoduodenectomy is a technically challenging surgical procedure with an incidence of postoperative complications ranging from 30% to 61%. The procedure requires a high level of experience, and to minimize surgery-related complications and mortality, a high-quality standard surgery is imperative. Aim: To understand the Brazilian practice patterns for pancreatoduodenectomy. Method: A questionnaire was designed to obtain an overview of the surgical practice in pancreatic cancer, specific training, and experience in pancreatoduodenectomy. The survey was sent to members who declared an interest in pancreatic surgery. Results: A total of 60 questionnaires were sent, and 52 have returned (86.7%). The Southeast had the most survey respondents, with 25 surgeons (48.0%). Only two surgeons (3.9%) performed more than 50% of their pancreatoduodenectomies by laparoscopy. A classic Whipple procedure was performed by 24 surgeons (46.2%) and a standard International Study Group on Pancreatic Surgery lymphadenectomy by 43 surgeons (82.7%). For reconstruction, pancreaticojejunostomy was performed by 49 surgeons (94.2%), single limb technique by 41(78.9%), duct-to-mucosa anastomosis by 38 (73.1%), internal trans-anastomotic stenting by 26 (50.0%), antecolic route of gastric reconstruction by 39 (75.0%), and Braun enteroenterostomy was performed by only six surgeons (11.5%). Prophylactic abdominal drainage was performed by all surgeons, and somatostatin analogues were utilized by six surgeons (11.5%). Early postoperative enteral nutrition was routine for 22 surgeons (42.3%), and 34 surgeons (65.4%) reported routine use of a nasogastric suction tube. Conclusion: Heterogeneity was observed in the pancreatoduodenectomy practice patterns of surgeons in Brazil, some of them in contrast with established evidence in the literature.


2020 ◽  
Vol 105 (9) ◽  
pp. e10.2-e11
Author(s):  
Dania Dahmash ◽  
Chi Huynh ◽  
Daniel Kirby ◽  
David Terry

AimTo identify issues encountered by pharmacy healthcare professionals with regards to problems that they have experienced, complaints received, queries and feedback by the patients or parents or caregivers in terms of medication administration for children and young people aged 0 to18 years old.MethodAn online survey using the Online Surveys tool was devised to obtain healthcare professionals’ perspective regarding medication administration problems encountered by parents, caregivers or paediatric patients when administering or taking their medication at home. The survey was sent to the members of the Neonatal and Paediatric Pharmacists Group (NPPG), who represent different geographical areas within the UK and further afield. Informed consent was obtained from participants. This study was reviewed and approved by the Life and Health Sciences Ethics Committee, Aston University.Results37 pharmacists and 1 technician completed the survey. The majority of the respondents 23/38 were currently practicing in England, with 6/38 respondents being registered pharmacists outside the UK, 1/38 was practicing in Northern Ireland, 3/38 within Scotland and 4/38 were practicing in Wales. 71.1% of the respondents strongly agreed that parents or caregivers require further training when it comes to medication delivery to their children. In addition, when asked about their concerns regarding prescribed medication to children aged between 0 to18 years old, respondents expressed a different level of concern regarding each age group. Regarding neonates, the main concern was the suitability of the prescribed formulation and the ability of the parents to accurately measure and administered a low dose volume. In contrast, for children aged between 28 days to 12 years, the common concerns were associated with palatability, which will further reflect upon child compliance and the parent or caregiver’s ability to understand medication instructions and administration. Finally, for older aged children, adherence was a common concern. Furthermore, liquid formulations (suspensions (60.5%), solutions (55.3%) and injections (44.7%)) were predominantly used among children aged 0 to 18 years old within both in and outpatients setting. Overall, the majority of the respondents expressed that counselling time between the patient and pharmacists and the need to provide further training and educational material to parents and young people is an important issue to improve understating in regards medication use.ConclusionThe findings suggest that medication administration problems occur frequently among paediatric patients, and the nature of these problems varies among each age group. Medication training for both parents and young people could be a key factor to help reduce this problem. Future research is needed to investigate and gain insight into personal experiences with medication use and administration from a parent and/or young person’s perspective. This will help to highlight the current problem in the UK and further develop potential interventions to reduce medication administration errors by parents of children aged 0 to 16 years old and by young people up to the age of 18 years.


2011 ◽  
Vol 693 ◽  
pp. 208-216
Author(s):  
Leonel S. Batalla ◽  
Oscar A. Godoy ◽  
María Victoria Canullo

It is well known that mold and casting table maintenance has a direct impact on the internal quality and surface quality of billets. In this paper, the evolution of the main key performance indicators (KPIs) associated with the main consumables of the Wagstaff Air slip billet casting technology is shown, such as molds, casting rings, transition plates and thimbles. The strategies taken to preserve a high standard of quality whilst monitoring the associated costs, are discussed. An automated Mold and Casting Table Maintenance Management system has been developed in house to make available the relevant information from the casting table servicing at the casting pit and at the mold room. A case study is described where this tool allowed us to reduce costs, keeping a high quality standard of the casting table maintenance, ensuring the internal quality of the final product.


2013 ◽  
Vol 1 (2) ◽  
pp. 2-7 ◽  
Author(s):  
Robin Sager

Abstract It is said that men have haemophilia and women are carriers, affected or unaffected. The terminology used is significant. Why it is that men are described as ‘having’ haemophilia and women with haemophilia are described as affected carriers? After all the men ‘carry’ the gene just as the women do and pass it on to their daughters. Likewise many women have Factor IX or Factor VIII levels that, if they were a man, would be categorised as mild or even in some cases moderate or severe haemophilia. Yet haemophilia is widely viewed as a condition affecting men with women as the passive vehicle for its transmission from generation to generation. There are many issues for women that are affected by this choice of terminology. Among them are their ability to access healthcare and their acknowledgement within healthcare systems throughout the world. Are women with the same factor level as men viewed in the same manner by healthcare professionals and do they acknowledge their own bleeding disorder as being the same as their male counterparts? How many women are unaware of their own bleeding disorder because they have only been viewed as ‘carriers’? Research into these issues is limited. This paper explores the aspects that affect women with haemophilia, from the definition in its historical context, obtaining a diagnosis, psychosocial elements, access to treatment, changing attitudes and acknowledgements within both the medical community and the wider community.


Author(s):  
Aelita Skarbalienė ◽  
Egidijus Skarbalius ◽  
Lina Gedrimė ◽  
Lolita Rapolienė

Communication and social skills are becoming increasingly valuable in the 21st century. Despite increasing awareness of the importance of communication skills in modern healthcare practice, there is a lack of research that addresses this issue. The aim of this research is to assess the communication skills of healthcare professionals working in Lithuanian healthcare institutions. Respondents (n=1154) were asked to assess their own communication skills using the Interpersonal Communication Skills Inventory. The research revealed that sending clear message skills were the strongest and giving/getting feedback skills were the lowest for most of the respondents, including physicians, head nurses, nurse, nurse assistants, and other personnel. The strongest aspects were that respondents can talk to other people and others seemed to be interested and attentive when healthcare specialists were talking because in conversation they were trying to talk about things of interest to both them and the other persons. The respondents could recognize as well how others were reacting to what they were saying. However, they did not always care how other person feels about the point they try to make. Emotional interaction skills were the lowest for most of the respondents in this study. They saw a tendency to change the subject when other person’s feelings enter into the discussion and it was difficult for them to think when they were angry with someone. It was summarized that talking, listening, and emotional interaction skills of the respondents are the areas that need more consistent attention, and giving / getting feedback is the skill that needs much improvement. 


2021 ◽  
Vol 8 ◽  
Author(s):  
Sergio D. Sierra Marín ◽  
Daniel Gomez-Vargas ◽  
Nathalia Céspedes ◽  
Marcela Múnera ◽  
Flavio Roberti ◽  
...  

Several challenges to guarantee medical care have been exposed during the current COVID-19 pandemic. Although the literature has shown some robotics applications to overcome the potential hazards and risks in hospital environments, the implementation of those developments is limited, and few studies measure the perception and the acceptance of clinicians. This work presents the design and implementation of several perception questionnaires to assess healthcare provider's level of acceptance and education toward robotics for COVID-19 control in clinic scenarios. Specifically, 41 healthcare professionals satisfactorily accomplished the surveys, exhibiting a low level of knowledge about robotics applications in this scenario. Likewise, the surveys revealed that the fear of being replaced by robots remains in the medical community. In the Colombian context, 82.9% of participants indicated a positive perception concerning the development and implementation of robotics in clinic environments. Finally, in general terms, the participants exhibited a positive attitude toward using robots and recommended them to be used in the current panorama.


2020 ◽  
pp. 17-20
Author(s):  
Ekaterina Sergeevna Viskun ◽  
Galina Veniaminovna Sorokoumova

The importance of balanced psychoemotional states is defined; neurobiology as a method of psychocorrection of the emotional state and synchronization of the right and left hemispheres as well as activation of thought processes is described in the article. The authors propose the following hypothesis: regular use of exercises of neurobilology can contribute to the optimization of the psychoemotional state and successfully affect students’ psychological health. To prove the hypothesis, the authors conducted a survey to study and test the exercises of neurobiology for the optimization of students' psychoemotional state. Method of research. Psychodiagnostic method, comprising the following techniques: differentiated self-assessment of functional status, Spielberger State-Trait Anxiety Inventory and questionnaire for differentiated assessment of health by Leonov A.B., Velichkovskay S.B.) was used as the basis for the research. The results of the study were subjected to qualitative analysis and mathematical and statistical processing applying the student's t-test. At the formative stage of the study, a formative method – a set of exercises of neurobiology was used by the authors. The results of the study proved the effectiveness of using exercises of neurobiology to optimize the students’ psychoemotional state: after making the exercises, indicators of well-being, activity, mood, and performance significantly improve, and all indicators of anxiety decrease.


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