future

未来
  • 文章类型: Journal Article
    近年来,不宁腿综合征(RLS)的大型临床试验数量有所减少,这与开发和测试新型药物的兴趣减少相吻合。因此,国际不安腿综合征研究组(IRLSSG)成立了一个由全球专家组成的工作组,以研究这些趋势的原因,并提出建议以促进新的临床试验.在我们的文章中,我们深入研究与RLS的诊断定义相关的潜在并发症,确定需要更多关注的亚群,并强调与端点和研究框架有关的问题。特别是,我们建议开发更准确的RLS诊断的替代评分方法,从而提高临床试验的特异性。此外,提高终点的精度将增加研究效果的大小并降低研究成本。实现这一目标的建议包括在线开发,实时睡眠日记,对夜间睡眠延迟进行高频采样,并使用PLM作为替代标记。此外,为了减少安慰剂反应,应采用包括安慰剂磨合期的策略。由于RLS通常是一种慢性疾病,应优先考虑长期研究,使用随机的,安慰剂对照,退出设计。最后,应调查新人群,以开发靶向治疗,如轻度RLS,怀孕,血液透析,或者缺铁性贫血.
    The number of large clinical trials of restless legs syndrome (RLS) have decreased in recent years, this coincides with reduced interest in developing and testing novel pharmaceuticals. Therefore, the International Restless Legs Syndrome Study Group (IRLSSG) formed a task force of global experts to examine the causes of these trends and make recommendations to facilitate new clinical trials. In our article, we delve into potential complications linked to the diagnostic definition of RLS, identify subpopulations necessitating more attention, and highlight issues pertaining to endpoints and study frameworks. In particular, we recommend developing alternative scoring methods for more accurate RLS diagnosis, thereby improving clinical trial specificity. Furthermore, enhancing the precision of endpoints will increase study effect sizes and mitigate study costs. Suggestions to achieve this include developing online, real-time sleep diaries with high-frequency sampling of nightly sleep latency and the use of PLMs as surrogate markers. Furthermore, to reduce the placebo response, strategies should be adopted that include placebo run-in periods. As RLS is frequently a chronic condition, priority should be given to long-term studies, using a randomized, placebo-controlled, withdrawal design. Lastly, new populations should be investigated to develop targeted treatments such as mild RLS, pregnancy, hemodialysis, or iron-deficient anemia.
    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
    未来几年医院药剂师的培训必须适应和应对当前和未来的社会和技术挑战,不忽视专业的基本领域。有必要获得所谓的数字综合健康知识:人工智能,技术和自动化,数字技能,以及与患者沟通的新形式,例如远程医疗和远程药房,这在许多医院已经成为现实。我们必须提供有关药品分配和分配的自动化系统的知识,用于准备无菌制剂的机器人,可追溯性系统,无人机在临床护理中的使用,等。以及技术在药学服务中的应用培训,通过设备和应用程序,帮助早期有效地识别需要特定护理的患者。在这个数字场景中,必须面对新的风险和挑战,例如网络安全和网络弹性,这使得医疗保健专业人员的培训和教育,尤其是医院药剂师,不可原谅.另一方面,日益复杂和创新的疗法的出现不仅对健康人群而且对经济和环境问题都有很大影响,这使得新的能力和技能对于开发和实施破坏性和有能力的融资至关重要,股本,和可持续性战略。在这个要求苛刻且高度互联的环境中,可以理解的是,众所周知的“筋疲力尽的工人综合症”出现了,这阻碍了团队的正确个人和专业发展,并强调了质量培训对其预防和管理的重要性。总之,在接下来的十年里,医院药剂师的培训必须旨在提供创新和基本技能方面的知识,以适应和成功适应当前的需求和变化。
    The training of hospital pharmacists in the coming years must adapt and respond to constant current and future social and technological challenges, without neglecting the basic areas of the profession. It is necessary to acquire knowledge in what is known as digital comprehensive health: artificial intelligence, technology and automation, digital skills, and new forms of communication with patients, such as telemedicine and telepharmacy that are already a reality in many hospitals. We must provide knowledge in automated systems for the distribution and dispensing of medicines, robots for preparing sterile preparations, traceability systems, the use of drones in clinical care, etc. as well as training in the application of technology in pharmaceutical care, through devices and applications that help identify patients who require specific care early and effectively. In this digital scenario, new risks and challenges must be faced, such as cybersecurity and cyber resilience, which makes the training and education of healthcare professionals in general, and hospital pharmacists in particular, inexcusable. On the other hand, the appearance of increasingly complex and innovative therapies has a great impact not only on health population but also on economic and environmental issues, which makes new competencies and skills essential to develop and implement disruptive and competent financing, equity, and sustainability strategies. In this demanding and hyper-connected environment, it is understandable that the well-known \"burned out worker syndrome\" appears, which prevents the correct personal and professional development of the team and highlights the importance of quality training for its prevention and management. In short, in the next decade, the training of hospital pharmacists must be aimed at providing knowledge in innovation and in basic skills needed to adapt and succeed to current demands and changes.
    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
    未来几年医院药剂师的培训必须适应和应对当前和未来的社会和技术挑战,不忽视专业的基本领域。有必要获得所谓的数字综合健康知识:人工智能,技术和自动化,数字技能,以及与患者沟通的新形式,例如远程医疗和远程药房,这在许多医院已经成为现实。我们必须提供有关药品分配和分配的自动化系统的知识,用于准备无菌制剂的机器人,可追溯性系统,无人机在临床护理中的使用,等。,以及包括在药学服务中应用技术的培训,通过设备和应用程序,帮助早期有效地识别需要特定护理的患者。在这个数字场景中,必须面对新的风险和挑战,例如网络安全和网络弹性,这使得医疗保健专业人员的培训和教育,尤其是医院药剂师,必要的。另一方面,日益复杂和创新的疗法的出现不仅对健康人群而且对经济和环境问题都有很大影响,这使得新的能力和技能对于开发和实施破坏性和有能力的融资至关重要,股本,和可持续性战略。在这个要求苛刻且高度互联的环境中,可以理解的是,众所周知的“筋疲力尽的工人综合症”出现了,这阻碍了团队的正确个人和专业发展,并强调了质量培训对其预防和管理的重要性。总之,在接下来的十年里,医院药剂师的培训必须旨在提供创新和基本技能方面的知识,以适应和成功适应当前的需求和变化。
    The training of hospital pharmacists in the coming years must adapt and respond to constant current and future social and technological challenges, without neglecting the basic areas of the profession. It is necessary to acquire knowledge in what is known as digital comprehensive health: Artificial intelligence, technology and automation, digital skills, and new forms of communication with patients, such as telemedicine and telepharmacy that are already a reality in many hospitals. We must provide knowledge in automated systems for the distribution and dispensing of medicines, robots for preparing sterile preparations, traceability systems, the use of drones in clinical care, etc., as well as including training in the application of technology in pharmaceutical care, through devices and applications that help identify patients who require specific care early and effectively. In this digital scenario, new risks and challenges must be faced, such as cybersecurity and cyber-resilience, which makes the training and education of healthcare professionals in general, and hospital pharmacists in particular, essential. On the other hand, the appearance of increasingly complex and innovative therapies has a great impact not only on health population but also on economic and environmental issues, which makes new competencies and skills essential to develop and implement disruptive and competent financing, equity, and sustainability strategies. In this demanding and hyper-connected environment, it is understandable that the well-known \"burned out worker syndrome\" appears, which prevents the correct personal and professional development of the team and highlights the importance of quality training for its prevention and management. In short, in the next decade, the training of hospital pharmacists must be aimed at providing knowledge in innovation and in basic skills needed to adapt and succeed to current demands and changes.
    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
    在过去的十年中,止痛药蓬勃发展,基础科学和介入性疼痛管理。同时,有必要对受训人员进行教育,年轻的出席者,并对这些创新进行了经验丰富的关注。代表止痛药医生的社会数量有所增加,每个人都有自己的哲学和指导原则。疼痛管理中的各种想法,在实践这一领域的各个群体中,在保护这些任务的社会中,固有地在这些不同的社区中造成了分歧和孤立。我们的领域有巨大的发展机会,但是我们需要所有不同的专业和亚专业的声音来实践疼痛医学,共同设计我们新兴领域的未来。革命性经皮手术的爆发,药物,心理治疗,我们领域的研究和开发已经超过了付款人完全接受它们的能力。越来越多的疼痛医生使用新疗法,研究生培训计划不能充分培训这些技术的用户,从而创造次优结果的潜力。在某种程度上,这就是为什么我们许多更新颖的治疗方法的付款人减少了患者的获得或取消了其中一些治疗的报酬的原因.我们认为,基于社会的协同调节教育,研究,和治疗指南需要提高提供这些治疗的付款人和最终用户的可见性。此外,研究生慢性疼痛研究金教育已被许多人认为不足以教育所有的必要要求需要独立实践的疼痛医学,特别是新技术的完善。这里,我们将疼痛管理历史上的这个脆弱阶段与上一次美国经济衰退进行了比较,以提醒我们不良的机构监管和对长期增长的忽视如何阻碍社区。
    The last decade has seen a boom in pain medicine, basic science and interventional pain management. Concomitantly, there is a need to educate trainees, young attendings, and seasoned attendings on these innovations. There has been a growth in the number of societies that represent pain medicine physicians, each with its own philosophy and guiding principles. The variety of thought within pain management, within the various groups that practice this field, and amongst the societies which protect those missions inherently creates divergence and isolation within these different communities. There is the enormous opportunity for our field to grow, but we need the voices of all different specialties and sub-specialties which practice pain medicine to collectively design the future of our emerging field. The explosion of revolutionary percutaneous surgeries, medications, psychotherapy, and research and development in our field has outpaced the ability of payers to fully embrace them. There is an increased number of pain practitioners using novel therapies, postgraduate training programs do not adequately train users in these techniques thereby creating a potential for sub-optimal outcomes. In part, this is a reason why payers for many of our more novel treatments have decreased patient access or eliminated remuneration for some of them. We believe that society-based collaborative regulation of education, research, and treatment guidelines is needed to improve visibility for payers and end users who provide these treatments. Furthermore, postgraduate chronic pain fellowship education has been deemed by many to be insufficient to educate on all of the necessary requirements needed for the independent practice of pain medicine, especially the consummation of newer technologies. Here, we draw comparison with this tenuous stage in pain management history with the last United States recession to remind us of how poor institutional regulation and neglect for long-term growth hampers a community.
    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
    人体磁共振成像(MRI)越来越多地用于疾病诊断,表征,并监测所有年龄段的儿童。与其他成像方式相比,MRI具有许多优势,包括缺乏电离辐射,上软组织图像对比度,提供客观的能力,定量评估。随着MRI的不断发展,未来的儿科身体MRI检查肯定会不同于我们目前和过去的方案。在这篇评论文章中,我们将讨论儿科身体MRI的当前和可能的未来状态,包括定量磁共振成像方法的越来越多的应用,更快的成像技术和缩写的目标协议的实施,以及越来越多地使用人工智能方法。
    Body magnetic resonance imaging (MRI) is increasingly used for disease diagnosis, characterization, and monitoring in children of all ages. MRI has numerous advantages when compared to other imaging modalities, including a lack of ionizing radiation, superior soft tissue image contrast, and ability to provide objective, quantitative assessments. As MRI continues to evolve, pediatric body MRI examinations of the future will certainly be different than our current and past protocols. In this review article, we will discuss the present and likely future states of pediatric body MRI, including the increasing application of quantitative MRI methods, faster imaging techniques and implementation of abbreviated targeted protocols, and the growing use of artificial intelligence methods.
    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
    本文介绍了通过计算机辅助网络访谈(CAWI)收集的数据,在意大利进行,目的是探索意大利民众对俄罗斯2022年2月入侵乌克兰的反应,并通过六轮调查监测袭击前六个月的反应。每轮涉及大约1010(1007-1015)名意大利成年公民的代表性样本。参与者被问及对俄罗斯入侵的情绪反应,使用的应对策略,对乌克兰难民的团结行为,认为难民是对国家的威胁,信任国家和国际当局来管理国际形势,和未来的前景。还收集了受访者的人口统计数据。调查设计是由两所大学(萨伦托大学和福贾大学)和一个欧洲研究中心的研究小组开发的,EICAP(欧洲政策文化分析研究所)。本文提供的数据是研究人员的资源,公共当局,以及其他有兴趣调查和研究舆论的各方。该数据集可用于探索广泛的主题,包括在人道主义紧急情况下对难民的亲社会行为和态度。
    This article presents data collected through Computer-Assisted Web Interviewing (CAWI), conducted in Italy with the aim of exploring the Italian population\'s reaction to the Russian invasion of Ukraine in February 2022 and monitoring this reaction for the first six months of the attack through a six-round survey. Each round involved a representative sample of approximately 1010 (1007-1015) Italian adult citizens. Participants were asked questions about emotional reactions to the Russian invasion, coping strategies used, solidarity behaviour toward Ukrainian refugees, perceptions of refugees as a threat to the country, trust in national and international authorities to manage the international situation, and prospects for the future. Demographic data on the respondents were also collected. The survey design was developed by a research group from two universities (the University of Salento and the University of Foggia) and a European research centre, EICAP (European Institute of Cultural Analysis for Policy). The data provided in this article is a resource for researchers, public authorities, and other parties interested in surveying and studying public opinion. This dataset can be used to explore a wide range of topics, including prosocial behaviour and attitudes towards refugees in humanitarian emergencies.
    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
    全球最近出现了几起可怕的流行病和疫情,强调传染性微生物带来的持续危险。这篇文献综述旨在探索可能导致当前和未来大流行的广泛感染,并为流行病预警系统的概念铺平道路。进行了系统审查,以确定和汇编有关已知引起大流行的传染因子和未来引起关注的传染因子的数据。审查中包括115篇文章。他们提供了有关25种病原体的见解,这些病原体可能引发或有助于造成大流行情况。诊断程序,临床症状,并分析了每种病原体的感染传播途径。讨论了每个传染因子的潜力,阐明使它们对未来构成潜在威胁的关键方面。这篇文献综述为决策者提供了见解,医疗保健专业人员,和研究人员在寻找潜在的大流行病原体的过程中,并努力通过建立持续流行病学监测的预警系统来加强大流行防备。
    The globe has recently seen several terrifying pandemics and outbreaks, underlining the ongoing danger presented by infectious microorganisms. This literature review aims to explore the wide range of infections that have the potential to lead to pandemics in the present and the future and pave the way to the conception of epidemic early warning systems. A systematic review was carried out to identify and compile data on infectious agents known to cause pandemics and those that pose future concerns. One hundred and fifteen articles were included in the review. They provided insights on 25 pathogens that could start or contribute to creating pandemic situations. Diagnostic procedures, clinical symptoms, and infection transmission routes were analyzed for each of these pathogens. Each infectious agent\'s potential is discussed, shedding light on the crucial aspects that render them potential threats to the future. This literature review provides insights for policymakers, healthcare professionals, and researchers in their quest to identify potential pandemic pathogens, and in their efforts to enhance pandemic preparedness through building early warning systems for continuous epidemiological monitoring.
    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
    心态差,或者缺乏对自我和他人心理状态的反思能力,思想,和感情,在单独的研究中,时间透视偏差都与精神障碍和较低的幸福感有关。扩大一项先前的研究,我们研究了心态化和时间视角的关系,包括一种称为平衡时间视角偏差(DBTP)的度量,该度量总结了过去的时间视角偏差,present,和未来的时间框架。
    258名参与者的便利样本回答了反射功能问卷(RFQ-8)的一个版本和Zimbardo时间透视清单(S-ZTPI)的六维版本。鉴于最近的证据表明,RFQ的原始双因素结构可能需要重新考虑,作为第一步,我们使用验证性因素分析(CFA)来比较RFQ的替代模型.
    根据最近的几项研究,CFA赞成RFQ-8的单一模型,反映出超中心化(或不确定性)。总分显示与过去阴性显著相关,现在的宿命论,和S-ZTPI的未来负面维度,而低定位与未来阳性呈负相关。最感兴趣的是,DBTP和低定位显示出强正相关(潜在结构的r=0.64;调整后的模型中r=0.62)。
    从平衡时间的角度来看,偏差与低中心化密切相关。需要进一步的研究来检查发现的普遍性(例如,专注于他人的心态度量),并提供对该链接的理论基础的更好理解。开发中潜在的共享协会(例如,依恋风格)和正念,在这方面,这可能会影响时间视角和心态。
    UNASSIGNED: Poor mentalization, or lack of capacity to reflect on self and others in terms mental states, thoughts, and feelings, and time perspective biases were both related to mental disorders and lower wellbeing in separate studies. Expanding one prior study, we examined the relationship of mentalization and time perspective, including a measure known as deviations from the balanced time perspective (DBTP) that summarizes time perspective biases across the past, present, and future time frames.
    UNASSIGNED: A convenience sample of 258 participants responded to a version of the Reflective Functioning Questionnaire (RFQ-8) and a six-dimensional version of the Zimbardo Time Perspective Inventory (S-ZTPI). Given recent evidence that the original two-factor structure of the RFQ may need to be reconsidered, we used confirmatory factor analyses (CFA) to compare alternative models for RFQ as a first step.
    UNASSIGNED: In line with several recent studies, the CFA favored a unitary model of RFQ-8 reflecting hypomentalization (or uncertainty). The total score showed significant associations with Past Negative, Present Fatalistic, and Future Negative dimensions of S-ZTPI, while hypomentalization was negatively associated with Future Positive. Of major interest, DBTP and hypomentalization showed a strong positive correlation (r = 0.64 for latent constructs; r = 0.62 in an adjusted model).
    UNASSIGNED: Deviations from the balanced time perspective were substantially related to hypomentalization. Further research is required to examine the generalizability of the finding (e.g., to measures of mentalization focused on others) and to provide a better understanding of the theoretical basis of the link. Potentially shared associations in development (e.g., attachment style) and mindfulness, that may influence both time perspective and mentalization is of interest in this regard.
    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
    微生物实验室是探索微生物潜力和应对全球挑战的关键枢纽。特别是,环境微生物学设施在推进对实现联合国可持续发展目标至关重要的知识和能力方面具有重大影响。这提出了整合可持续做法以减轻研究活动对环境的影响并培养责任文化的必要性。这种方法不仅符合全球可持续发展目标,而且还促进了创新,旨在解决紧迫的环境问题的科学研究中的生态意识方法。对实验室实践的环境足迹的担忧刺激了科学界的创新改进,从资源高效的举措到水和能源等基本商品的管理。这种观点讨论了微生物实验室可以增强其可持续性努力的特定领域,借鉴先锋团体的报告和案例研究。此外,它探讨了支持这些努力的潜在合作者,并强调了早期职业研究人员在推动这一转变中的关键作用。通过发起讨论并激发环境微生物群落的好奇心,这篇评论旨在推动微生物生态学领域走向更绿色的未来,从实验室环境开始。
    Microbiology laboratories are pivotal hubs for exploring the potential of microorganisms and addressing global challenges. Particularly, Environmental Microbiology facilities hold substantial influence in advancing knowledge and capabilities crucial for achieving the United Nations Sustainable Development Goals. This raises the imperative of integrating sustainable practices to mitigate the environmental impact of research activities and foster a culture of responsibility. Such an approach not only aligns with global sustainability objectives but also catalyses innovative, eco-conscious methodologies in scientific research aimed at tackling pressing environmental issues. Concerns regarding the environmental footprint of laboratory practices have stimulated innovative improvements within the scientific community, ranging from resource-efficient initiatives to the management of essential commodities like water and energy. This perspective discusses specific areas where microbiology laboratories can enhance their sustainability efforts, drawing on reports and case studies of pioneering groups. Additionally, it explores potential collaborators to support these endeavours and emphasises the pivotal role of early career researchers in driving this transition. By initiating discussions and sparking curiosity within the environmental microbial community, this commentary seeks to propel the microbial ecology field toward a greener future, starting from within the laboratory environment.
    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
    每天都有大量有毒物质和有害化学物质释放到外部环境中,对陆地和水生动物造成严重的环境影响。迄今为止,研究正在不断进行,以确定有效修复这些有害污染物的最佳催化材料。通过将功能性聚合物与无机纳米结构结合制备的杂化纳米材料由于其源自其整个纳米复合结构的显着多功能性能而成为有前途的研究领域。聚合物-无机杂化物中现有纳米材料设计的多功能性,关于它们的结构,composition,和建筑,为催化在环境修复中的应用开辟了新的前景。这篇评论文章提供了有关催化聚合物纳米复合材料的全面细节,并重点介绍了它们如何在有毒污染物的修复中充当催化剂。此外,它提供了制造聚合物纳米复合材料的设计和合成方法的处理的详细说明,并进一步探讨了精确设计方法的概念。聚合物纳米复合材料用于处理污染物(电催化,生物催化,催化,和氧化还原降解)。详细说明了经常使用的三种催化技术。此外,对上述催化过程和污染物的方法进行了广泛讨论。最后一部分总结了研究中的挑战以及催化聚合物纳米复合材料用于环境修复的潜力。
    A massive amount of toxic substances and harmful chemicals are released every day into the outer environment, imposing serious environmental impacts on both land and aquatic animals. To date, research is constantly in progress to determine the best catalytic material for the effective remediation of these harmful pollutants. Hybrid nanomaterials prepared by combining functional polymers with inorganic nanostructures got attention as a promising area of research owing to their remarkable multifunctional properties deriving from their entire nanocomposite structure. The versatility of the existing nanomaterials\' design in polymer-inorganic hybrids, with respect to their structure, composition, and architecture, opens new prospects for catalytic applications in environmental remediation. This review article provides comprehensive detail on catalytic polymer nanocomposites and highlights how they might act as a catalyst in the remediation of toxic pollutants. Additionally, it provides a detailed clarification of the processing of design and synthetic ways for manufacturing polymer nanocomposites and explores further into the concepts of precise design methodologies. Polymer nanocomposites are used for treating pollutants (electrocatalytic, biocatalytic, catalytic, and redox degradation). The three catalytic techniques that are frequently used are thoroughly illustrated. Furthermore, significant improvements in the method through which the aforementioned catalytic process and pollutants are extensively discussed. The final section summarizes challenges in research and the potential of catalytic polymer nanocomposites for environmental remediation.
    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