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1.
Biol Open ; 13(8)2024 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-39140283

RESUMEN

The 43rd Annual Conference of the Indian Association of Cancer Research (IACR) was held between 19th and 22nd January 2024 at the Indian Institute of Education and Research (IISER), Pune, India. Cancer is the second leading cause of death globally; efforts have been made to understand and treat this deadly disease for several decades. The 43rd IACR, organised by Mayurika Lahiri, Kundan Sengupta, Nagaraj Balasubramanian, Mridula Nambiar, Krishanpal Karmodiya, and Siddhesh Kamat, highlighted recent advances in cancer research, with implications in therapeutics at the forefront of the discussions. The meeting proved to be a promising platform for cancer researchers ranging from graduate and postdoctoral students to subject experts in varied aspects of cancer biology to showcase their research, ideate with their peers, and form collaborations.


Asunto(s)
Investigación Biomédica , Neoplasias , Humanos , Neoplasias/etiología , India/epidemiología
2.
Implement Sci Commun ; 5(1): 78, 2024 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-39026346

RESUMEN

BACKGROUND: There has been increased attention to the need for, and the positive impact of, engaged or participatory science in recent years. Implementation scientists have an opportunity to leverage and contribute to engagement science (ES) through the systematic integration of engagement into implementation science (IS). The purpose of this study was to gather information from researchers and others to develop a prioritized list of research needs and opportunities at the intersection of IS and ES. METHODS: We conducted three Zoom-based focus groups with 20 researchers to generate a list of unmet needs, barriers, and to describe normative themes about use of ES and IS. Then a panel of nine experts in IS and/or engagement ranked the needs and barriers using a survey and met via a Zoom meeting to discuss and generate research opportunities and questions, with reference to the focus group outputs. RESULTS: Respondents and experts concurred on the importance of engagement in IS. Focus group participants reported 28 needs and barriers under the themes of 1) need for best practice guidance related to engagement processes and outcomes and 2) structural barriers to integrating ES in IS. The expert panel prioritized six structural barriers and four barriers related to generating best practice guidance, with corresponding recommendations on research opportunities. Example research opportunities related to engagement processes included: define "successful" engagement in IS contexts; adapt engagement tools and best practices from other disciplines into IS. Example research opportunities related to outcomes included: assess the impact of engagement on IS outcomes; examine engagement practices that lead to optimal engaged research. Example research opportunities related to structural barriers included: leverage research evidence to create structural changes needed to expand support for engaged IS; examine factors that influence institutional buy-in of engagement in IS. CONCLUSIONS: Research needs exist that relate to engagement processes, outcomes, and structural barriers, even for scientists who value engaged research. Expert panelists recommended sequential and reinforcing research opportunities that implementation and engagement scientists can tackle together to advance both fields and health equity. Future work should assess insights from broader invested parties, particularly patients and community members.

3.
Heart Rhythm ; 2024 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-39053751

RESUMEN

BACKGROUND: The declining number of electrophysiologists pursuing academic research careers could have a negative impact on innovation for patients with heart rhythm disorders in the coming decades. OBJECTIVE: The objective of this study was to explore determinants of research engagement after graduation from electrophysiology (EP) fellowship programs and to evaluate associated barriers and opportunities. METHODS: A mixed methods survey of EP fellows and early-career electrophysiologists was conducted, drawing from Heart Rhythm Society members. The survey encompassed 20 questions on demographics, research involvement, perceived research barriers, and perspectives on research time and opportunities. Responses were analyzed with robust Poisson regression. RESULTS: Of 259 respondents, those with dedicated research blocks during their fellowship had a significantly higher interest in future research (relative risk, 1.15; P = .04). The number of peer-reviewed publications modestly influenced interest in continued research (relative risk, 1.0034 per publication; P < .0001), but there was no relationship to gender or race. Educational resources, networking opportunities, mentorship, funding, and protected time to enhance research engagement were important themes in the qualitative analysis, whereas key barriers to post-fellowship research were lack of mentorship, insufficient resources, and time constraints, in that order, particularly with respect to women in research. Notably, no significant differences in barriers were observed between community training programs and academic centers. CONCLUSION: Research experience and mentorship during EP fellowship were key determinants of subsequent research success after training, with similar findings by sex and race. These findings explain how fellowship training influences a physician's research practice after training and highlights opportunities to modify EP fellowships and to augment research retention.

4.
Front Nutr ; 11: 1274833, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38680532

RESUMEN

Background: Concerns exist regarding biomedical research participation in marginalized and historically disadvantaged communities. Objectives: The purpose of this study was to understand critical barriers to participation in human milk research from the perspective of Black pregnant and postpartum people. Methods: A national sample of Black pregnant and postpartum people (n = 104) was recruited to complete a cross-sectional online survey informed by the Life Course Perspective. Survey questions assessed research experiences and preferences, particularly related to human milk research, knowledge of historical events/policies targeting Black communities, and demographic characteristics. A socio-economic composite score was calculated as an indicator of socio-economic advantage. Survey data were summarized descriptively and potential correlates of research engagement were evaluated. Results: Most (69%, n = 71) respondents reported previous participation in a research study, yet only 8 (8%) reported ever being asked to participate in a breastfeeding/chestfeeding or human milk study, and one respondent was unsure. Despite so few having been asked, 59% (n = 61) of respondents indicated they would donate breast/human milk to research if asked. Respondent characteristics associated with prior research participation included having greater socio-economic advantage (p = 0.027) and greater knowledge of discriminatory historical events/policies (p < 0.001). In contrast, the only respondent characteristic associated with willingness to donate human milk to research was younger age (p = 0.002). Conclusion: Our findings suggest that Black pregnant and postpartum people are interested in biomedical research, specifically human milk and lactation research. However, greater intentionality and targeted recruitment of this underrepresented population is needed to increase diversity among human milk and lactation study samples. Structural and community-based interventions, informed by community members, are needed to address concerns and improve participant engagement.

5.
Cardiol Young ; 34(2): 233-237, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38258454

RESUMEN

In the 1980s, heart transplantation was the first successful treatment for infants born with hypoplastic left heart syndrome. Infants who have required heart transplantation benefit from immunologic "advantages," including long-term survival free from cardiac allograft vasculopathy. Currently ∼ 90% of children undergoing a heart transplant are reaching their first-year anniversary and the clinical practices of paediatric heart transplantation have dramatically improved. These successes are largely attributed to research sponsored by the Pediatric Heart Transplant Study Group, the International Society of Heart and Lung Transplantation and, more recently, the Non-profits Enduring Hearts and Additional Ventures. Despite these successes, the field is challenged to increase progress to achieve long-term survival into adulthood. The wait-list mortality, especially among infants, is unacceptably high often leading to palliative measures that can increase post-transplant mortality. Cardiac allograft vasculopathy remains a major cause for progressive graft loss of function and sudden death. The relative tolerance seen in immature recipients has not been translated to modifying older recipients' post-transplant outcomes. The modifiable cause(s) for the increased risks of transplantation in children of different ethnicities and races require definition. Addressing these challenges faces the reality that for-profit research favours funding adult recipients, with ∼ 10-fold greater numbers, and their more modest longevity goals. Advocacy for funding "incentives" such as the Orphan Drug rules in the United States and upholding principles of equity and inclusion are critical to addressing the challenges of paediatric heart transplant recipients worldwide.


Asunto(s)
Cardiopatías , Trasplante de Corazón , Síndrome del Corazón Izquierdo Hipoplásico , Lactante , Adulto , Femenino , Humanos , Niño , Estados Unidos/epidemiología , Receptores de Trasplantes , Tasa de Supervivencia , Rechazo de Injerto/prevención & control , Estudios Retrospectivos
7.
J Biomech ; 147: 111456, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36701961

RESUMEN

The potential of biomechanics for improving human health and performance is well established in many parts of the world. However, across most of Africa, biomechanics remains relatively underdeveloped. The discussion around biomechanics in the continent has increased in recent times and young African scientists are pursuing career opportunities in biomechanics-related fields within Africa and in other parts of the world. New institutions and programmes that focus on biomechanics teaching and research are also starting up around the continent. The advent of the National Biomechanics Day event, formation of the first formal biomechanics society in South Africa, along with many collaborations with relevant stakeholder organizations around the world underpin the expansion of biomechanics in Africa. This article aims to summarize the current state and describe aspirations for the future of biomechanics in Africa.


Asunto(s)
Fenómenos Biomecánicos , Humanos , África
8.
Heart Rhythm ; 19(11): 1927-1945, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-37850602

RESUMEN

There are many challenges in the current landscape of electrophysiology (EP) clinical and translational research, including increasing costs and complexity, competing demands, regulatory requirements, and challenges with study implementation. This review seeks to broadly discuss the state of EP research, including challenges and opportunities. Included here are results from a Heart Rhythm Society (HRS) Research Committee member survey detailing HRS members' perspectives regarding both barriers to clinical and translational research and opportunities to address these challenges. We also provide stakeholder perspectives on barriers and opportunities for future EP research, including input from representatives of the U.S. Food and Drug Administration, industry, and research funding institutions that participated in a Research Collaboratory Summit convened by HRS. This review further summarizes the experiences of the heart failure and heart valve communities and how they have approached similar challenges in their own fields. We then explore potential solutions, including various models of research ecosystems designed to identify research challenges and to coordinate ways to address them in a collaborative fashion in order to optimize innovation, increase efficiency of evidence generation, and advance the development of new therapeutic products. The objectives of the proposed collaborative cardiac EP research community are to encourage and support scientific discourse, research efficiency, and evidence generation by exploring collaborative and equitable solutions in which stakeholders within the EP community can interact to address knowledge gaps, innovate, and advance new therapies.


Asunto(s)
Electrofisiología Cardíaca , Ecosistema , Investigación Biomédica Traslacional
9.
J Intell Manuf ; 33(1): 35-76, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34149201

RESUMEN

The transition to industry 4.0 has impacted factories, but it also affects the entire value chain. In this sense, human-centred factors play a core role in transitioning to sustainable manufacturing processes and consumption. The awareness of human roles in Industry 4.0 is increasing, as evidenced by active work in developing methods, exploring influencing factors, and proving the effectiveness of design oriented to humans. However, numerous studies have been brought into existence but then disconnected from other studies. As a consequence, these studies in industry and research alike are not regularly adopted, and the network of studies is seemingly broad and expands without forming a coherent structure. This study is a unique attempt to bridge the gap through the literature characteristics and lessons learnt derived from a collection of case studies regarding human-centred design (HCD) in the context of Industry 4.0. This objective is achieved by a well-rounded systematic literature review whose special unit of analysis is given to the case studies, delivering contributions in three ways: (1) providing an insight into how the literature has evolved through the cross-disciplinary lens; (2) identifying what research themes associated with design methods are emerging in the field; (3) and setting the research agenda in the context of HCD in Industry 4.0, taking into account the lessons learnt, as uncovered by the in-depth review of case studies.

10.
J Acad Mark Sci ; 49(5): 835-854, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33994600

RESUMEN

Pandemics have been an unfortunate but consistent facet of human existence over centuries, threatening lives as well as livelihoods globally. Disconcertingly, their frequency persists, with four "major" pandemics disrupting the planet in the last 65 years and more expected in the future. While many of the economic and health consequences of pandemics are well-documented, their marketing implications are less understood. Addressing this gap, we develop a broad, conceptual framework to highlight the characteristics and impacts of pandemics as they relate to marketing. We first identify four macro-level forces that characterize pandemics and highlight their marketing implications. Next, using the 7P marketing mix model as the organizing structure, we discuss these implications at a micro-level and identify a set of research questions to stimulate further inquiry, not only to generate deeper insights pertaining to pandemics' marketing implications but also to envision new developments in these areas. Finally, we identify pandemics' disproportionate impacts on and implications for some industry sectors, including healthcare, retail, education, hospitality, and tourism.

11.
Aust N Z J Psychiatry ; 55(4): 400-408, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33225713

RESUMEN

OBJECTIVE: Recruitment to clinical research in the National Health Service remains challenging. One barrier is accessing patients to discuss research participation. Two general approaches are used in the United Kingdom to facilitate this: an 'opt-in' approach (when clinicians communicate research opportunities to patients) and an 'opt-out' approach (all patients have the right to be informed of relevant research opportunities). No evidence-based data are available, however, to inform the decision about which approach is preferable. This study aimed to collect information from 'opt-in' and 'opt-out' Trusts and identify which of the two approaches is optimal for ensuring National Health Service patients are given opportunities to discuss research participation. METHOD: This sequential mixed methods study comprised three phases: (1) an Appreciative Inquiry across UK Trusts, (2) online surveys and (3) focus groups with National Health Service staff and patients at a representative mental health Trust. RESULTS: The study was conducted between June and October 2019. Out of seven National Health Service Mental Health Trusts contacted (three 'opt-out' and four 'opt-in'), only four took part in phase 1 of the study and three of them were 'opt-out' Trusts. Benefits of an 'opt-out' approach included greater inclusivity of patients and the removal of research gatekeepers, while the involvement of research-active clinicians and established patient-clinician relationships were cited as important to 'opt-in' success. Phases 2 and 3 were conducted at a different Trust (Oxford Health NHS Foundation Trust) which was using an 'opt-in' approach. Of 333 staff and member survey responders, 267 (80.2%) favoured moving to an 'opt-out' approach (phase 2). Nineteen staff and 16 patients and carers participated in focus groups (phase 3). Concern was raised by staff regarding the lack of time for clinical research, with clinical work taking precedence over research; patients were concerned about a lack of research activity; all considered research to be beneficial and were supportive of a move to 'opt-out'. CONCLUSION: Findings suggest that 'opt-out' is more beneficial than 'opt-in', with the potential to vastly increase patient access to research opportunities and to enable greater equality of information provision for currently marginalised groups. This should ensure that healthcare research is more representative of the entire population, including those with a mental health diagnosis.


Asunto(s)
Medicina Estatal , Ensayos Clínicos como Asunto , Grupos Focales , Humanos , Encuestas y Cuestionarios , Reino Unido
12.
Int J Inf Manage ; 55: 102175, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32836635

RESUMEN

COVID-19 has radically transformed many aspects of human life and global society both now and for many years to come. A key aspect of the transformation has been increased digitalization and the accelerated implementation of previously predicted trends that have been discussed for many years in the information management literature. Human endeavour has encouraged us to adapt to the "new normal" through immediate necessity in areas such as work, education, healthcare, entertainment and leisure, and online commerce. This new environment has provided unprecedented opportunities for the information management research community to develop research that will have a significant impact on practice in these and other areas. We are essentially at the pinnacle of new developments in the digital space and must seek to develop exemplars that can help to signpost the future direction of digital global society for the benefit of all. Notwithstanding, the problems of digitalization have also been exacerbated and must be further understood and ameliorated in the post-COVID world. This paper examines opportunities and problems in information management brought about by the COVID-19 pandemic. It details implications for research and practice.

13.
Front Physiol ; 11: 489, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32499720
14.
Sci Total Environ ; 738: 139538, 2020 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-32540600

RESUMEN

Eco-efficiency has become a cornerstone for any company that seeks to improve their environmental and economic aspects. In this context, the joint use of Life Cycle Assessment and Data Envelopment Analysis, known as LCA + DEA methodology, is an emerging and growing line of research. LCA estimates the environmental impacts of the products or services, while DEA evaluates their efficiency, providing targets and benchmarks for the inefficient ones. In this way, both the environmental and economic aspects are considered in the eco-efficiency assessment. Since LCA + DEA methodology is a novel research line, a literature review is necessary to depict its full scope and to support researchers and practitioners. This manuscript presents the first comprehensive and structured literature review of the joint use of LCA and DEA for eco-efficiency assessment. We propose a taxonomy for the reviewed articles based on the theoretical and practical issues of LCA + DEA methodology and classify them accordingly. This classification allows recognizing and discussing the main findings, which offer some managerial implications for professionals who want to start employing this methodology. In addition, a procedure for selecting a suitable method is proposed and the main limitations and research opportunities are identified. Finally, this review could be a starting point and a guide for systematically building knowledge about the in the joint use of LCA and DEA for eco-efficiency assessment.

16.
Prim Health Care Res Dev ; 17(1): 98-104, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26687846

RESUMEN

AIM: To explore the current status of academic primary care research in Arab countries and investigate the barriers to its adequate implementation. BACKGROUND: Research is an essential building block that ensures the advancement of the discipline of Family Medicine (FM). FM research thus ought to be contributed to by all family physicians; nevertheless, its development is being hindered worldwide by several challenges. The amount of research conducted by academic academic family physicians and general practitioners is scant. This phenomenon is more pronounced in the Arab countries. METHODS: An online questionnaire was emailed to all academic family physicians practicing in member Arab countries of the World Organization of Family Doctors WONCA-East Mediterranean Region. FINDINGS: Seventy-six out of 139 academic family physicians from eight Arab countries completed the questionnaire. Around 75% reported that they are required to conduct research studies, yet only 46% contributed to at least one publication. While 75% and 52.6% disclosed their interest in participating in a research team and in leading a research team respectively, 64.5% reported being currently involved in research activities. Of all, 56% have attended a research ethics course. Lack of training in research, the unavailability of a healthcare system that is supportive of research, insufficient financial resources, and the unavailability of electronic health records were perceived as major barriers in conducting FM research. CONCLUSION: Although many physicians in Arab academic institutions expressed enthusiasm to conduct research projects, FM research infrastructure remains to be weak. This demonstrates the need for immense efforts from different parties particularly governments and academic institutions.


Asunto(s)
Centros Médicos Académicos , Medicina Familiar y Comunitaria/métodos , Médicos de Familia/estadística & datos numéricos , Investigación , Mundo Árabe , Estudios Transversales , Atención a la Salud , Medicina Familiar y Comunitaria/estadística & datos numéricos , Humanos , Encuestas y Cuestionarios
17.
Health Serv Res ; 50 Suppl 2: 2187-215, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26573894

RESUMEN

Policy makers (both public and private) are seeking ways to improve the value delivered within our health care system, that is, using fewer resources to provide the same benefit to patients, or using equivalent resources to provide more benefit. One strategy is to alter the predominant fee-for-service (FFS) economic incentives in the current system. To inform such policy changes, this paper identifies areas in which little is known about the effects of specific incentives (FFS, salary, etc.) on the two components of value: resource use and quality. Specific suggestions are offered regarding research that would be informative for policy makers, focusing on fundamental "building block" studies rather than overall evaluations of complex interventions, such as accountable care organizations. This research would better identify critical aspects of the FFS model and salary-based payments that are particularly problematic, as well as situations in which FFS or salary may be less problematic. The research would also explore when alternatives, such as episode-based payment might be feasible, or simply be hypothetical solutions. The availability of electronic health record-based data in various delivery systems would allow many of these studies to be accomplished in 3-5 years with budgets manageable by public and private funding sources.


Asunto(s)
Planes de Aranceles por Servicios/economía , Sistemas Prepagos de Salud/economía , Planes de Incentivos para los Médicos/economía , Planes de Incentivos para los Médicos/tendencias , Política Pública , Registros Electrónicos de Salud , Investigación sobre Servicios de Salud , Humanos , Proyectos de Investigación , Salarios y Beneficios/economía , Estados Unidos
18.
Acad Radiol ; 22(1): 50-7, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25442797

RESUMEN

RATIONALE AND OBJECTIVES: With rapid scientific and technological advancements in radiological research, there is renewed emphasis on promoting early research training to develop researchers who are capable of tackling the hypothesis-driven research that is typically funded in contemporary academic research enterprises. This review article aims to introduce radiology residents to the abundant radiology research opportunities available to them and to encourage early research engagement among trainees. MATERIALS AND METHODS: To encourage early resident participation in radiology research, we review the various research opportunities available to trainees spanning basic, clinical, and translational science opportunities to ongoing research in information technology, informatics, and quality improvement research. CONCLUSIONS: There is an incredible breadth and depth of ongoing research at academic radiology departments across the country, and the material presented herein aspires to highlight both subject matter and opportunities available to radiology residents eager to engage in radiologic research. The opportunities for interested radiology residents are as numerous as they are broad, spanning the basic sciences to clinical research to informatics, with abundant opportunities to shape our future practice of radiology.


Asunto(s)
Centros Médicos Académicos/tendencias , Investigación Biomédica/tendencias , Diagnóstico por Imagen/tendencias , Predicción , Internado y Residencia/tendencias , Radiología/tendencias , Investigación Biomédica Traslacional/tendencias , Estados Unidos
19.
Alcohol Clin Exp Res ; 38(1): 27-32, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23889161

RESUMEN

During the past decade, significant advances have been made in the development of medications to treat alcohol dependence. Four medications have been approved by the U.S. Food and Drug Administration for treating alcohol dependence-naltrexone, injectable naltrexone, acamprosate, and disulfiram-and several others show promise. The fact remains, however, that because of the heterogeneity of alcohol dependence, these medications will not work for all people, in all circumstances. Moreover, clinicians are not routinely prescribing these medications for alcohol treatment. This commentary poses a number of issues that must be addressed in order to advance the alcohol research field and to make medications a mainstream treatment for problematic drinking. These issues are framed from the perspective of the various stakeholders involved, including clinicians, patients, regulatory agencies, the pharmaceutical industry, and third-party payers. Addressing these issues will not only help to improve treatment but, as further described, will also open up many new research opportunities for alcohol investigators in the coming decade.


Asunto(s)
Alcoholismo/tratamiento farmacológico , Investigación Biomédica/tendencias , Industria Farmacéutica/tendencias , Necesidades y Demandas de Servicios de Salud/tendencias , Reembolso de Seguro de Salud/tendencias , Acamprosato , Disuasivos de Alcohol/uso terapéutico , Alcoholismo/diagnóstico , Humanos , Naltrexona/uso terapéutico , Antagonistas de Narcóticos/uso terapéutico , Taurina/análogos & derivados , Taurina/uso terapéutico
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