Interdisciplinary

跨学科
  • 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.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    我们描述了肠衰竭的病例,其中住院对肠自主性至关重要。我们对6名长期肠外营养依赖的儿童进行了回顾性图表回顾,这些儿童在入院后从肠外营养断奶。招生包括喂养和药物滴定,跨学科护理,和家庭肠外营养团队咨询。
    We describe cases of intestinal failure wherein inpatient admission was critical toward enteral autonomy. We performed a retrospective chart review of 6 children with long-term parenteral nutrition dependence who were weaned from parenteral nutrition following admission. Admissions included feeding and medication titration, interdisciplinary care, and home parenteral nutrition team consultation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在分子生物学课程早期给学生的常见练习是创建由两种限制性内切酶(RE)“消化”的质粒的限制性图谱。同时,学生从小就在数学课程中学习了圈子的性质和分析。但是,在分子生物学和数学的交叉点上,学生很少使用基于拼图的作业来学习。因此,我们应该给学生一个难题,让他们把这些看似脱节的学科的知识和技能结合起来。这里,我们提出了一种使用基本几何原理分析圆形质粒RE消化的方法。
    A common exercise given to students early in a molecular biology course is the creation of a restriction map of a plasmid \"digested\" by two restriction enzymes (RE). Meanwhile, students have learned from an early age about the properties and analyses of circles in their mathematics courses. But it is rare for students to learn using puzzle-based assignments at the intersection of molecular biology and mathematics. Therefore, we should present students with a puzzle that allows them to combine knowledge and skills from these seemingly disconnected disciplines. Here, we present a method for analyzing RE digests of circular plasmids using basic geometric principles.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:这项调查评估了将跨专业教育(IPE)整合到腹腔镜培训中的效用和益处,旨在丰富医学教育和技能获取方法。方法:该研究将2023年腹腔镜培训课程的36名参与者随机分为实验组和对照组,每个人包括18个人。对照组进行传统的理论和实践训练,而实验组还与护理教育者进行跨学科指导,并参与模拟腹腔镜手术练习。通过比较腹腔镜理论和模拟性能来评估这种跨学科方法的有效性,以动物为基础的训练中的客观结构化技术技能评估(OSATS)得分,以及群体之间的课程满意度。此外,对跨学科协作能力的影响是通过在实验组中使用跨专业协作能力达成情况调查(ICCAS)的培训前和培训后自我评估来衡量的。结果:实验组在腹腔镜理论和模拟方面表现优越,以及更高的OSATS分数,与对照组相比。关于技能实践模式的满意度评级,影响,实验组的教学质量也明显优于实验组(P<0.05,P<0.01)。此外,实验组的参与者报告了专业间沟通的前到后培训的显着增强,团队协作,角色感知,冲突管理,与学习和反馈的差异有统计学意义(P<.05,P<.01)。结论:IPE框架的引入显着提高了腹腔镜培训效率并提高了团队协作意识。这种模式有效地弥合了学科之间的差距,在医学教育和技能培训领域展示了巨大的应用价值和扩展潜力。
    Background: This investigation evaluates the utility and benefits of integrating interprofessional education (IPE) into laparoscopic training, aiming to enrich medical education and skill acquisition methodologies. Methods: The study randomly allocated 36 participants of a 2023 laparoscopic training course into experimental and control groups, each comprising 18 individuals. The control group underwent traditional theory and practical training, whereas the experimental group additionally engaged in interdisciplinary instruction with nursing educators and participated in simulated laparoscopic surgery exercises. The effectiveness of this interdisciplinary approach was assessed by comparing laparoscopic theory and simulation performance, Objective Structured Assessment of Technical Skills (OSATS) scores in animal-based training, and course satisfaction between the groups. Moreover, the impact on interdisciplinary collaborative competencies was measured through pre- and post-training self-evaluations using the Interprofessional Collaborative Competency Attainment Survey (ICCAS) in the experimental group. Results: The experimental group demonstrated superior performance in laparoscopic theory and simulation, as well as higher OSATS scores, compared with the control group. Satisfaction ratings regarding the skills practice mode, effects, and instructional quality were also significantly better in the experimental group (P < .05, P < .01). Furthermore, participants in the experimental group reported significant pre-to-post training enhancements in interprofessional communication, team collaboration, role perception, conflict management, and learning and feedback marked by statistically significant differences (P < .05, P < .01). Conclusion: The introduction of an IPE framework significantly boosts laparoscopic training efficiency and promotes team collaboration awareness. This model effectively bridges gaps between disciplines, illustrating substantial applicative value and expansion potential within medical education and skill training arenas.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 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.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 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.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    流行病的广泛历史跨越了许多世纪,深刻影响社会,经济,和公共卫生,从而以各种方式塑造历史进程。医学进展,科学,随着时间的推移,公共卫生实践在减轻大流行的影响方面发挥了关键作用。这篇综述探讨了当代大流行的科学景观,检查他们的多样性和复杂性。它超越了流行病的生物学方面,考虑社会经济,环境,和技术因素。通过科学的镜头,这项研究旨在了解流行病的复杂性,并有助于扩大知识库,帮助人类加强对全球健康威胁的防御。通过阐明大流行的谜团,这项研究希望建立一个更具弹性和准备的全球卫生环境。强调多学科的重要性,跨学科,和跨学科的方法,这一探索强调了整合生物的迫切需要,社会经济,环境,和技术领域,以开发针对这些全球健康挑战的更强大的防御措施。
    The extensive history of pandemics has spanned many centuries, profoundly impacting societies, economies, and public health, and thereby shaping the course of history in various ways. Advances in medicine, science, and public health practices have played a pivotal role in mitigating the effects of pandemics over time. This review explores the scientific landscape of contemporary pandemics, examining their diverse and complex nature. It goes beyond the biological aspects of pandemics to consider socioeconomic, environmental, and technological factors. Through a scientific lens, this study aims to understand the complexities of pandemics and contribute to the expanding knowledge base that helps humanity strengthen its defenses against global health threats. By elucidating the enigmas of pandemics, the study hopes to foster a more resilient and prepared global health environment. Highlighting the importance of a multidisciplinary, cross-disciplinary, and transdisciplinary approach, this exploration emphasizes the critical need to integrate biological, socioeconomic, environmental, and technological domains to develop more robust defenses against these global health challenges.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:精神护理是高质量姑息治疗的核心组成部分,然而,在精神护理提供方面存在差距。了解临床医生对精神护理的信心水平以及他们对必要知识/技能的看法,以增强他们提供精神护理的能力,是在实践中改善精神护理交付的基础。
    目的:了解提供精神护理的信心水平和与姑息临床医生提供精神护理有关的感知需求(护士,社会工作者,牧师)。
    方法:N=260名参与跨专业交流和临终护理培训计划的临床医生完成了一项结构化调查。
    方法:临床医生回答了42个封闭式问题,评估了他们在6个维度上从事精神护理的信心。还有一个开放式问题:“哪些知识或技能领域最有助于提高你在不同人群中提供精神护理的能力?”
    结果:研究结果揭示了不同维度对精神护理的不同程度的信心。与护士和社会工作者相比,牧师报告的信心水平最高。改善精神护理提供的知识/技能的关键领域是:(1)对临床医生进行精神护理的培训和支持;(2)向来自不同文化和/或宗教背景的患者提供精神护理的策略;(3)更好地了解可能影响精神护理提供的特定人群和环境;(4)临床医生的个人成长和实践,以改善精神护理。
    结论:需要提供精神护理的额外支持,尤其是精神护理通才。需要关注文化协调的护理,尊重独特的患者环境,并以患者和家庭优先事项为中心。
    BACKGROUND: Spiritual care is a core component of high-quality palliative care, yet gaps exist in spiritual care provision. Understanding clinicians\' levels of confidence around spiritual care and their perceptions of necessary knowledge/skills to enhance their ability to provide spiritual care is foundational for improving delivery of spiritual care in practice.
    OBJECTIVE: To understand confidence levels with providing spiritual care and perceived needs in relation to the provision of spiritual care among palliative clinicians (nurses, social workers, chaplains).
    METHODS: N = 260 clinicians participating in interprofessional communication and end-of-life care training programs completed a structured survey.
    METHODS: Clinicians responded to 42 closed-ended questions assessing their confidence in engaging in spiritual care across 6 dimensions, and one open-ended question: \"What areas of knowledge or skill would best help to improve your ability to provide spiritual care across diverse populations?\"
    RESULTS: Findings reveal varied levels of confidence with spiritual care across dimensions. Chaplains reported the highest levels of confidence compared with nurses and social workers. Key areas of knowledge/skills to improve spiritual care provision were: (1) Training and support for clinicians in spiritual care; (2) Strategies for providing spiritual care to patients from diverse cultural and/or religious backgrounds; (3) Better understanding of specific populations and contexts that may affect spiritual care provision; and (4) Clinicians\' personal growth & practices to improve spiritual care.
    CONCLUSIONS: Additional support with spiritual care provision is needed, especially among spiritual care generalists. A focus on culturally attuned care is needed, honoring unique patient contexts and centering patient and family priorities.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 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.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:关于药剂师参与和影响炎症性肠病(IBD)跨学科临床护理模式的证据有限。目的是描述跨学科IBD诊所的药剂师使用情况,并评估对患者生活质量的临床影响。方法:这是一项回顾性队列研究,比较了从开始实施药学服务(早期)到扩展药学服务(最近阶段)开始治疗的克罗恩病患者的结局。主要结果比较了转诊给药剂师的患者比例和治疗开始后达到Harvey-Bradshaw指数(HBI)降低≥3分的患者比例。结果:早期阶段有50例患者,最近阶段有43例患者。药房转诊的利用率从早期阶段的48%(n=24)增加到最近阶段的72%(n=31)(P=0.03)。实现HBI降低≥3分的患者比例从早期阶段的35%(n=14)增加到最近阶段的51%(n=18)(P=0.23)。结果还发现,与早期阶段相比,在最近阶段保持无类固醇状态的患者比例更高(50%vs63%;P=0.01),并且C反应蛋白(CRP)在最近阶段(-11)显着改善早期阶段(-3)(P=0.006)。结论:跨学科IBD诊所中药剂师的使用增加,并显示出通过改善症状缓解来影响患者护理,如HBI评分降低的实现率所示,治疗开始后减少类固醇的使用,并进行临床重大干预。
    Background: Limited evidence exists regarding pharmacist involvement and impact in inflammatory bowel disease (IBD) interdisciplinary clinic care models. The purpose is to describe pharmacist utilization in an interdisciplinary IBD clinic and evaluate clinical impact on patient quality of life. Methods: This was a retrospective cohort study comparing outcomes in patients with Crohn\'s disease initiated on therapy when the implementation of pharmacy services began (Early Phase) to the expansion of pharmacy services (Recent Phase). The primary outcome compared the proportion of patients referred to a pharmacist and those achieving a Harvey-Bradshaw Index (HBI) reduction of ≥3 points after therapy initiation. Results: 50 patients were included in the Early Phase and 43 patients in the Recent Phase. Utilization in pharmacy referrals increased from 48% (n = 24) in the Early Phase to 72% (n = 31) in the Recent Phase (P = 0.03). The proportion of patients achieving a HBI reduction of ≥3 points increased from 35% (n = 14) in the Early Phase to 51% (n = 18) in the Recent Phase (P = 0.23). Results also found a greater proportion of patients remaining steroid free in the Recent Phase compared to the Early Phase (50% vs 63%; P = 0.01) and C-reactive protein (CRP) improved significantly in the Recent Phase (-11) compared to (-3) in the Early Phase (P = 0.006). Conclusion: The utilization of pharmacists in an interdisciplinary IBD clinic increased and showed to impact patient care through improving symptom relief as seen by the achievement rate of the HBI score reduction, reducing steroid use after therapy initiation, and making clinically significant interventions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号