Populations

Populations
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    文章类型: Journal Article
    涉及人类参与者的试验需要在临床研究环境中进行的实验或观察。目前,在美国有超过16,000项临床试验。尽管继续努力将“特殊人群”纳入临床试验,未成年人或老年人的参与存在差距,来自历史上代表性不足的少数民族,或者生活在农村社区。将这些特殊人群纳入临床试验研究对于使所有人群受益的结论至关重要。数据表明,特殊人群的研究participation率已降至可能危及某些类型研究成功执行的水平。这在21世纪尤其令人担忧,美国的人口趋势继续向老年人和西班牙裔人口转变,农村居民较少。新墨西哥州和其他少数族裔占多数的州的趋势反映了其中的许多变化。
    在这篇评论中,我们重点介绍了提高特殊人群成员参与临床试验的改进策略.不同临床试验参与和结果的关键驱动因素通常包括遗传学差异,生理学,以及对研究人员不信任的看法。为了克服这些障碍,我们从参与者的角度关注招聘策略的最佳实践,研究人员和支持临床试验的机构。
    UNASSIGNED: Trials that involve human participants call for experiments or observations that are performed in a clinical research setting. Currently, there are over 16,000 clinical trials open in the United States. Despite continuing efforts to include \"special populations\" in clinical trials, there are gaps in participation for people who are either minors or elderly adults, are from historically under-represented minorities, or live in rural communities. The inclusion of these special populations in clinical trials research is essential for conclusions that benefit all populations. Data suggest that study partic-ipation rates for special populations have fallen to levels that could endanger the successful performance of some types of research. This is particularly concerning in the 21st century, where demographic trends in the United States continue to shift towards an older and Hispanic population with fewer rural dwellers. Trends in New Mexico and other minority-majority states mirror many of these shifts.
    UNASSIGNED: In this review, we highlight improvement strategies for enhanced clinical trial participation by members of special populations. Key drivers for disparate clinical trials participation and outcomes often include differences in genetics, physiology, and perceptions of mistrust towards researchers. To overcome these barriers, we focus on best practices in recruitment strategies from the perspectives of the participants, the researchers and the institutions that support clinical trials.
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  • 文章类型: Consensus Development Conference
    本文报告了国际放射生态学联盟于2015年11月组织的共识研讨会的成果。研讨会聚集了一个由30名科学家组成的学术多元化小组,以考虑辐射对人口和生态系统的生态影响。受切尔诺贝利和福岛灾难意外污染环境的刺激,人们对制定环境辐射防护框架的兴趣日益浓厚。在各种实验室和现场环境中进行的科学研究提高了我们对电离辐射对环境的影响的认识。然而,这些研究的结果有时似乎相互矛盾,并且对于风险评估的含义存在分歧。因此,专题讨论会的讨论集中在可能导致对结果的不同解释的问题上,例如实验室方法与现场方法,有机体与种群和生态系统推理策略,慢性暴露条件下的剂量估算方法及其意义。与会的科学家们,从各个学科和研究领域,也超越了传统的放射生态学,成功地培养了一种理解差异的建设性精神。从讨论中,该小组已经达成了七项关于环境保护防辐射的共识声明,补充了一些建议。这些陈述中的每一个都是背景化和讨论的,以有助于未来研究的方向和整合,其结果应就辐射的生态影响达成更好的共识,并巩固有效的辐射环境保护的适当方法。
    This paper reports the output of a consensus symposium organized by the International Union of Radioecology in November 2015. The symposium gathered an academically diverse group of 30 scientists to consider the still debated ecological impact of radiation on populations and ecosystems. Stimulated by the Chernobyl and Fukushima disasters\' accidental contamination of the environment, there is increasing interest in developing environmental radiation protection frameworks. Scientific research conducted in a variety of laboratory and field settings has improved our knowledge of the effects of ionizing radiation on the environment. However, the results from such studies sometimes appear contradictory and there is disagreement about the implications for risk assessment. The Symposium discussions therefore focused on issues that might lead to different interpretations of the results, such as laboratory versus field approaches, organism versus population and ecosystemic inference strategies, dose estimation approaches and their significance under chronic exposure conditions. The participating scientists, from across the spectrum of disciplines and research areas, extending also beyond the traditional radioecology community, successfully developed a constructive spirit directed at understanding discrepancies. From the discussions, the group has derived seven consensus statements related to environmental protection against radiation, which are supplemented with some recommendations. Each of these statements is contextualized and discussed in view of contributing to the orientation and integration of future research, the results of which should yield better consensus on the ecological impact of radiation and consolidate suitable approaches for efficient radiological protection of the environment.
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