Interdisciplinary

跨学科
  • 文章类型: Journal Article
    许多机构寻求让大专生参与研究,以培养未来的研究人员。尽管有这个共同的目标,实现这一目标的方法往往是未知的,这给学生寻找研究机会带来了困难。
    本文将分享关于研究生经历的第一手报告,本科生,以及作为跨学科研究团队参与的家庭合作伙伴。
    这是一项定性研究,使用对本科生的个人开放式访谈,研究生,和耐心的家庭伙伴。该研究是使用面向患者的研究方法进行的。通过使用Braun和Clarke的六个阶段的反身主题分析,对转录本进行了归纳分析。
    从分析中得出了两个主题。福利和促进者的主题是基于许多积极的想法而制定的,感情,弹性,和学生和家庭伙伴表达的学习。本科生发现“做”研究的经验充实,是学习如何在实践中更好地使用研究的好工具。在第二个主题感知层次结构中,本科生称自己是帮助者,不负责任,他们没有做出决定的权力。
    鉴于本研究中发现的挑战,这种方法未来的努力应该仔细考虑文化和如何最好地吸引研究生,本科生,和研究团队的家庭伙伴。
    UNASSIGNED: Many institutions seek to engage postsecondary students in research to grow future researchers. Despite this common goal, the means to achieve that end is often unknown creating difficulties for students as they seek out research opportunities.
    UNASSIGNED: This article will share first-hand reports on the experiences of graduate students, undergraduate students, and family partners following their engagement as an interdisciplinary research team.
    UNASSIGNED: This is a qualitative study using individual open-ended interviews with undergraduate students, graduate students, and patient family partners. The research was conducted using a Patient-Oriented Research approach. The transcripts were analyzed inductively by using Braun and Clarke\'s six phases of reflexive thematic analysis.
    UNASSIGNED: Two themes were developed from the analysis. The theme of Benefits & Facilitators was developed based on the many positive thoughts, feelings, resiliency, and learning expressed by the students and family partners. The undergraduate students found the experience of \"doing\" research fulfilling and a great tool for learning how to better use research in practice. Within the second theme Perceived Hierarchy, undergraduate students described themselves as helpers, not responsible, and they did not have the power to make decisions.
    UNASSIGNED: Given the challenges identified in this study, future efforts in this approach should carefully consider the culture and how to best engage graduate students, undergraduate students, and family partners in research teams.
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  • 文章类型: Journal Article
    跨专业护理可改善医疗复杂患者的预后,并且可能是标准生活方式医学实践的宝贵补充。但是存在实施障碍。本研究的目的是探索关键特征,感知的影响,以及与作为强化生活方式医学计划的一部分举行跨专业团队会议有关的实施考虑。在这项混合方法研究中,焦点小组由来自不同医疗保健学科的15名生活方式医学临床医生组成,他们参加了跨专业团队会议.还计算了会议记录的定量描述性统计。临床医生认为参加跨专业团队会议的好处包括增加知识的获取,接触其他临床医生,协作决策,患者满意度,实现以患者为中心的目标。与会者描述了提前为跨专业团队会议准备议程的重要性,但是,主要的执行挑战是准备和举行会议所需的时间。据报告,组织和计划领导层的承诺和财政支持是执行会议的主要推动者。临床医生认为,将跨专业团队会议纳入强化生活方式医学计划具有重要价值,但是会议的成功实施需要医疗保健系统内各个层面的投资。
    Interprofessional care improves outcomes for medically complex patients and may be a valuable addition to standard lifestyle medicine practice, but implementation barriers exist. The purpose of this study was to explore the key features, perceived impact, and implementation considerations related to holding interprofessional team meetings as part of an intensive lifestyle medicine program. In this mixed-methods study, focus groups were conducted with 15 lifestyle medicine clinicians from various healthcare disciplines who had participated in interprofessional team meetings. Quantitative descriptive statistics of the meeting minutes were also calculated. Clinician-perceived benefits from participating in interprofessional team meetings included increased acquisition of knowledge, access to other clinicians, collaborative decision-making, patient satisfaction, and achievement of patient-centered goals. Participants described the importance of preparing an agenda for the interprofessional team meetings in advance, but a major implementation challenge was the time required to prepare for and conduct the meetings. Commitment and financial support by organization and program leadership were reported as key facilitators to implementing the meetings. Clinicians perceive significant value from incorporation of interprofessional team meetings into an intensive lifestyle medicine program, but successful implementation of meetings requires investment from all levels within a healthcare system.
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  • 文章类型: Journal Article
    许多研究已经确定了暴露于自然环境与改善公共卫生结果之间的关联。然而,这些观测工作大多缺乏理论基础,所以我们希望人文学科为绿色健康研究提供更坚实的基础,研究树木如何被用作健康和福祉的宗教隐喻和象征。特别是,生命之树,神圣的树木,和其他宗教符号为绿色健康研究提供了有希望的理论基础。基于这篇综述,我们提出了在暴露指标中纳入植被物种和大小等属性的价值,并考虑曝光属性之间的相互作用(例如,物种)和个体属性(例如,文化)。
    Many studies have identified an association between exposure to the natural environment and improved public-health outcomes. However, much of this observational work lacks a theoretical foundation, so we look to the humanities for a stronger basis for green-health research, examining how trees have been used as religious metaphors and symbols for health and wellbeing. In particular, the tree of life, sacred trees, and other religious symbols provide a promising theoretical basis for green-health research. Based on this review, we propose the value of incorporating attributes such as vegetation species and size in exposure metrics, and considering the interactions between exposure attributes (e.g., species) and individual attributes (e.g., culture).
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  • 文章类型: Journal Article
    上皮力学和机械生物学已成为生命科学和生物工程的两个重要研究领域。这些领域研究了细胞粘附和集体行为诱导的物理因素如何直接调节生物过程,如器官发育和疾病进展。因此,细胞力学和机械生物学使令人兴奋的生物物理学教育主题,以说明基本物理原理如何在调节细胞生物学中发挥作用。然而,该领域目前缺乏动手活动,使学生参与这些主题的学习科学和外展计划。其中一个领域是开发强大的动手模块,使学生能够观察细胞形状和力学的特征,并将其与基本物理原理联系起来。这里,我们展示了一个工作流程,通过使用青蛙皮肤的商业组织学幻灯片,让学生参与研究上皮细胞力学。我们表明,通过使用最近开发的基于人工智能的图像分割工具,学生可以轻松地以高通量方式量化不同的细胞形态特征。使用我们的工作流程,学生可以重现细胞力学中的两个基本发现:阻塞上皮中归一化细胞纵横比的共同γ分布以及细胞核和细胞面积之间的恒定比率。重要的是,因为这个主动学习模块唯一需要的仪器是一个现成的光学显微镜和一台计算机,我们的模块成本相对较低,以及便携式。这些功能使该模块可扩展,适用于各种教育水平和外展计划的学生。这个高度可访问的教育模块提供了一个有趣和引人入胜的方式向学生介绍上皮组织力学的世界。
    Epithelial mechanics and mechanobiology have become 2 important research fields in life sciences and bioengineering. These fields investigate how physical factors induced by cell adhesion and collective behaviors can directly regulate biologic processes, such as organ development and disease progression. Cell mechanics and mechanobiology thus make exciting biophysics education topics to illustrate how fundamental physics principles play a role in regulating cell biology. However, the field currently lacks hands-on activities that engage students in learning science and outreach programs in these topics. One such area is the development of robust hands-on modules that allow students to observe features of cell shape and mechanics and connect them to fundamental physics principles. Here, we demonstrate a workflow that engages students in studying epithelial cell mechanics by using commercial histology slides of frog skin. We show that by using recently developed artificial intelligence-based image-segmentation tools, students can easily quantify different cell morphologic features in a high-throughput manner. Using our workflow, students can reproduce 2 essential findings in cell mechanics: the common gamma distribution of normalized cell aspect ratio in jammed epithelia and the constant ratio between the nuclear and cellular area. Importantly, because the only required instrument for this active learning module is a readily available light microscope and a computer, our module is relatively low cost, as well as portable. These features make the module scalable for students at various education levels and outreach programs. This highly accessible education module provides a fun and engaging way to introduce students to the world of epithelial tissue mechanics.
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  • 文章类型: Journal Article
    背景:学习和教学跨学科健康数据科学(HDS)极具挑战性,尽管人们对HDS教育的兴趣与日俱增,对HDS学生的学习经验和偏好知之甚少。
    目的:我们进行了系统评价,以确定HDS学科的学习偏好和策略。
    方法:我们搜索了10个书目数据库(PubMed,ACM数字图书馆,WebofScience,科克伦图书馆,Wiley在线图书馆,ScienceDirect,SpringerLink,EBSCOhost,ERIC,和IEEEXplore)自成立之日起至2023年6月。我们遵循PRISMA(系统评论和荟萃分析的首选报告项目)指南,并包括以英语编写的主要研究,调查HDS相关学科学生的学习偏好或策略。比如生物信息学,在任何学术水平。偏倚风险由2名筛查人员使用混合方法评估工具进行独立评估,我们使用叙事数据合成来呈现研究结果。
    结果:在对从数据库中检索到的849篇论文进行摘要筛选和全文审阅之后,8项(0.9%)研究,2009年至2021年出版,被选作叙事综合。这些论文中的大多数(7/8,88%)调查了学习偏好,而只有1篇(12%)论文研究了HDS课程的学习策略。系统综述显示,大多数HDS学习者更喜欢视觉演示作为主要的学习输入。在学习过程和组织方面,他们大多倾向于遵循逻辑,线性,和顺序步骤。此外,他们更关注抽象的信息,而不是详细和具体的信息。关于合作,HDS学生有时更喜欢团队合作,有时他们更喜欢独自工作。
    结论:研究质量,使用混合方法评估工具进行评估,介于73%到100%之间,表明整体质量优良。然而,这方面的研究数量很少,所有研究的结果都是基于自我报告的数据。因此,需要进行更多的研究来深入了解HDS教育。我们提供了一些建议,例如使用学习分析和教育数据挖掘方法,进行未来的研究,以解决文献中的差距。我们还讨论了对HDS教育工作者的影响,我们为HDS课程设计提出建议;例如,我们建议包括视觉材料,例如图表和视频,并为学生提供分步指导。
    BACKGROUND: Learning and teaching interdisciplinary health data science (HDS) is highly challenging, and despite the growing interest in HDS education, little is known about the learning experiences and preferences of HDS students.
    OBJECTIVE: We conducted a systematic review to identify learning preferences and strategies in the HDS discipline.
    METHODS: We searched 10 bibliographic databases (PubMed, ACM Digital Library, Web of Science, Cochrane Library, Wiley Online Library, ScienceDirect, SpringerLink, EBSCOhost, ERIC, and IEEE Xplore) from the date of inception until June 2023. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and included primary studies written in English that investigated the learning preferences or strategies of students in HDS-related disciplines, such as bioinformatics, at any academic level. Risk of bias was independently assessed by 2 screeners using the Mixed Methods Appraisal Tool, and we used narrative data synthesis to present the study results.
    RESULTS: After abstract screening and full-text reviewing of the 849 papers retrieved from the databases, 8 (0.9%) studies, published between 2009 and 2021, were selected for narrative synthesis. The majority of these papers (7/8, 88%) investigated learning preferences, while only 1 (12%) paper studied learning strategies in HDS courses. The systematic review revealed that most HDS learners prefer visual presentations as their primary learning input. In terms of learning process and organization, they mostly tend to follow logical, linear, and sequential steps. Moreover, they focus more on abstract information, rather than detailed and concrete information. Regarding collaboration, HDS students sometimes prefer teamwork, and sometimes they prefer to work alone.
    CONCLUSIONS: The studies\' quality, assessed using the Mixed Methods Appraisal Tool, ranged between 73% and 100%, indicating excellent quality overall. However, the number of studies in this area is small, and the results of all studies are based on self-reported data. Therefore, more research needs to be conducted to provide insight into HDS education. We provide some suggestions, such as using learning analytics and educational data mining methods, for conducting future research to address gaps in the literature. We also discuss implications for HDS educators, and we make recommendations for HDS course design; for example, we recommend including visual materials, such as diagrams and videos, and offering step-by-step instructions for students.
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  • 文章类型: Journal Article
    在美国,美国腭裂协会-颅面协会(ACPA-CPF)制定了指南,以确保颅面团队以多学科的方式发挥作用,以符合患者需求的顺序提供护理.在这些指南中,期望团队定期举行多学科小组会议以讨论患者护理。这项研究的目的是确定在这些会议期间有助于最佳团队运作的因素。还评估了虚拟形式对会议的影响。
    颅面团队成员的一小时半结构化访谈,询问当前和理想的团队会议,于2020年12月至2021年1月进行。采访被记录下来,转录,并编码以识别共同主题,直到实现主题饱和。
    来自美国三个主要颅面中心的16名团队成员接受了虚拟采访。
    确定了三个主要类别是成功会议的组成部分:(1)会议内容,(2)会议流程,(3)团队动态。在这些类别中,与会者报告说对优化多学科会议很重要的几个因素:讨论的关键内容,整合患者观点,在确定适当的治疗顺序方面的合作认可,一位专注于促进公平讨论的讨论领导者,管理缺勤,团队多样性。与会者还确定了在虚拟环境中主办会议的好处和陷阱,包括缺乏参与和尴尬的沟通。
    在颅面多学科会议期间,不同的学科小组预计会聚集在一起,为复杂患者制定复杂的护理计划。在这项研究中,颅面团队成员已经确定了优化这些会议的几个关键因素。研究小组利用这些因素提出了一种自我评价工具,以满足质量改进,以可打印格式提供。进一步的研究应评估这些因素的实施如何影响会议并最终指导患者护理。
    UNASSIGNED: In the USA, the American Cleft Palate Association-Craniofacial Association (ACPA-CPF) specifies guidelines to ensure craniofacial teams function in a multidisciplinary fashion to provide care in a sequence that mirrors the patient\'s needs. Among these guidelines is the expectation that teams hold regular multidisciplinary team meetings to discuss patient care. The purpose of this study was to identify factors that contribute to optimal team functioning during these meetings. The impact of the virtual format on meetings was also evaluated.
    UNASSIGNED: One-hour semi-structured interviews of craniofacial team members, queried on current and ideal team meetings, were conducted from December 2020 - January 2021. Interviews were recorded, transcribed, and coded to identify common themes until thematic saturation was achieved.
    UNASSIGNED: Sixteen team members from three major American craniofacial centers were interviewed virtually.
    UNASSIGNED: Three major categories were identified as integral to successful meetings: (1) meeting content, (2) meeting processes, and (3) team dynamics. Within these categories are several factors that participants reported as important to optimize their multidisciplinary meetings: key content for discussions, integration of patient perspective, recognition of collaboration in determining proper sequence of treatments, an attentive discussion leader promoting equitable discussions, managing absences, and team diversity. Participants also identified benefits and pitfalls of hosting meetings in the virtual setting, including lack of engagement and awkward communication.
    UNASSIGNED: Diverse groups of disciplines are expected to come together during craniofacial multidisciplinary meetings to formulate intricate care plans for complex patients. In this study, craniofacial team members have identified several key factors to optimize these meetings. The research group used these factors to propose a self-evaluation instrument for meeting quality improvement, provided in printable format. Further studies should evaluate how implementation of these factors affects meetings and ultimately guides patient care.
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  • 文章类型: Journal Article
    婴幼儿心理健康(IECMH)是一个多学科的研究领域,实践,以及与提高婴幼儿社会情感能力有关的政策。早期儿童干预(ECI)是一个为残疾婴幼儿及其家庭提供服务的系统。ECI提供商在所有领域促进儿童的发展,包括社会情感。本文的目的是描述两个系统,幼儿干预与幼儿心理健康,在为有发育迟缓或残疾的儿童及其家人和其他照顾者提供服务时进行合作。我们将讨论两种用于促进社会情感发展的模式,金字塔模型和IECMH咨询,并提供三个例子,说明ECI和IECMH在这两个家族中如何相交,教室,和系统级别。
    Infant and Early Childhood Mental Health (IECMH) is a multidisciplinary field of inquiry, practice, and policy concerned with enhancing the social-emotional competence of infants and young children. Early Childhood Intervention (ECI) is a system of services that supports infants and toddlers with disabilities and their families. ECI providers promote a child\'s development in all domains, including social-emotional. The purpose of this paper is to describe how two systems, Early Childhood Intervention and Infant Early Childhood Mental Health, collaborate when serving children who have developmental delays or disabilities and their families and other caregivers. We will discuss two models used to promote social-emotional development, the Pyramid Model and IECMH Consultation, and provide three examples that demonstrate how ECI and IECMH intersect at both the family, classroom, and system levels.
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  • 文章类型: Journal Article
    目的:神经外科消融手术,如索切开术和扣带切开术,通常被认为是不可逆和破坏性的,但可以为癌症相关的难治性疼痛提供有效和个性化的解决方案,当所有其他方法都不成功时。本文对治疗难治性癌症疼痛的新方法进行了深入的探索。它涉及一个由著名的国家转诊中心的神经外科医生领导的跨学科团队。
    方法:对2017年2月至2023年1月在我们的跨学科难治性癌症疼痛诊所接受初步评估的所有序贯患者的病历进行回顾性分析。
    结果:在研究期间,共有207名患者在诊所接受了首次就诊检查。由于转诊医师认为难治的严重疼痛,所有患者均转诊至诊所。平均年龄为61±12.3岁,性别差异无统计学意义(P=0.58)。平均ECOG表现状态评分为2.35。28例患者(14%)的保守措施尚未用尽,9例患者控制良好(4%)。对于151例(73%)的患者,建议进行神经外科消融手术。66名患者(32%)最终接受了手术。91例患者(44%)接受了手术的阴性建议。35名患者(17%)在疼痛诊所接受进一步的侵入性手术。
    结论:姑息治疗专家之间的跨学科合作,疼痛专家,和神经外科医生确保最佳的患者选择,并为难治性癌症相关疼痛的治疗提供安全有效的神经外科手术。
    OBJECTIVE: Neurosurgical ablative procedures, such as cordotomy and cingulotomy, are often considered irreversible and destructive but can provide an effective and individualized solution for cancer-related refractory pain, when all other approaches have been unsuccessful. This paper provides an in-depth exploration of a novel approach to managing refractory cancer pain. It involves an interdisciplinary team led by a neurosurgeon at a renowned national referral center.
    METHODS: a retrospective analysis of the medical records of all sequential patients who underwent their initial evaluation at our interdisciplinary refractory cancer pain clinic from February 2017 to January 2023.
    RESULTS: A total of 207 patients were examined in the clinic for a first visit during the study period. All patients were referred to the clinic due to severe pain that was deemed refractory by the referring physician. The mean age was 61 ± 12.3 years, with no significant sex difference (P = 0.58). The mean ECOG Performance Status score was 2.35. Conservative measures had not yet been exhausted in 28 patients (14%) and 9 patients were well controlled (4%). Neurosurgical ablative procedures were recommended for 151 (73%) of the patients. Sixty-six patients (32%) eventually underwent the procedure. 91 patients (44%) received a negative recommendation for surgery. Thirty-five patients (17%) were referred for further invasive procedures at the pain clinic.
    CONCLUSIONS: An Interdisciplinary cooperation between palliative care specialists, pain specialists, and neurosurgeons ensures optimal patient selection and provides safe and effective neurosurgery for the treatment of refractory cancer-related pain.
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  • 文章类型: Journal Article
    描述学术医生中的倦怠,他们在临床环境之外的多个角色中导航,是一个紧迫的问题。然而,导致学术医师职业倦怠的因素尚未完全了解。先前的研究揭示了临床和基础科学教师之间的倦怠维度差异,但是平衡研究的影响,教育,对学术医师的临床需求仍不清楚。这种知识差距会对临床产生负面影响,翻译科学,研究,和医学教育劳动力,对在学术医疗中心工作的少数民族和边缘化群体具有特殊影响。创造一种幸福文化对于解决职业倦怠至关重要。需要进一步的研究来探索学术物理学家的独特经验和需求-特别是那些来自少数民族和边缘化背景的人-并制定有效的策略来促进福祉,因为他们平衡了不同的角色和背景。这篇评论强调了学术医师在理解倦怠方面的差距,并提出了未来研究的指南以及改善学术医疗中心福祉的策略。
    Description Burnout among academic physicians, who navigate multiple roles beyond the clinical environment, is a pressing issue. However, the factors driving burnout among academic physicians are not fully understood. Prior research has revealed differences in burnout dimensions between clinical and basic science faculty, but the impact of balancing research, education, and clinical demands on academic physicians is still unclear. This knowledge gap negatively affects the clinical, translational science, research, and medical education workforces and has particular implications for minoritized and marginalized groups working in academic medical centers. Creating a culture of well-being has been vital in addressing burnout. Further research is needed to explore the unique experiences and demands of academic physicians- particularly those from minoritized and marginalized backgrounds-and to develop effective strategies to promote well-being as they balance diverse roles and contexts. This commentary highlights gaps in understanding burnout among academic physicians and proposes guidelines for future research as well as strategies to improve well-being at academic medical centers.
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  • 文章类型: Journal Article
    气候变化等全球性挑战,粮食安全、人类健康和福祉对低收入国家人民的影响不成比例。这些挑战是复杂的,需要国际和跨学科的研究方法,具有来自不同学科的研究技能和专业知识,部门和地区。在解决这个问题时,研究项目的一个关键目标,蓝色社区,是建立和扩大英国和东南亚合作伙伴的相互跨学科能力。对现有的研究能力调查表进行了独特的调整,以包括跨学科和国际方面,并首次作为在线调查分发给蓝色社区项目的参与者,该项目由所有职业阶段的研究人员组成。参与者被问及他们对组织的研究能力和文化的看法,团队和自我,以及他们是否相信自参与该项目的任何方面都发生了变化。在自我水平上看到了最大的改善,结果表明,在东南亚研究能力的22个方面中,个人的当前成功或技能与他们在研究项目过程中的改善之间存在正相关关系。和两个英国受访者。实现研究目标之间的冲突,建设研究能力和产生社会影响是显而易见的。需要机构支持来重视跨学科研究的这些核心方面。
    Global challenges such as climate change, food security and human health and well-being disproportionately impact people from low-income countries. These challenges are complex and require an international and transdisciplinary approach to research, with research skills and expertise from different disciplines, sectors and regions. In addressing this, a key goal of the research project, Blue Communities, was to create and expand mutual interdisciplinary capacity of both United Kingdom and Southeast Asian Partners. An existing questionnaire on research capacity was uniquely adapted to include interdisciplinary and international aspects and distributed for the first time as an online survey to the participants of the Blue Communities project comprising researchers across all career stages. Participants were asked about their perceptions of the research capacity and culture of their organisation, team and self and whether they believed any aspects have changed since their involvement with the project. Greatest improvement was seen at the self-level where results indicated a positive relationship between an individual\'s current success or skill and their improvement over the course of the research project across 18 out of 22 aspects of research capacity for Southeast Asian, and two for UK respondents. The conflict between achieving research aims, building research capacity and making societal impact was evident. Institutional support is required to value these core aspects of interdisciplinary research.
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