All aboard!: Involvement of medical and pharmacy trainees in antimicrobial stewardship

2018 ◽  
Vol 40 (2) ◽  
pp. 200-205 ◽  
Author(s):  
Lindsey M. Childs-Kean ◽  
Heather L. Briggs ◽  
Jonathan C. Cho
Keyword(s):  
Antimicrobial Stewardship ◽  
Pharmacy Students ◽  
Future Research ◽  
Published Evidence ◽  
Selection Of

AbstractAntimicrobial stewardship (AS) involves the appropriate selection of antimicrobials. Antimicrobial stewardship programs are mandated in hospitals and are expanding to involve outpatient arenas. Multiple articles have been published describing the need for AS education for medical and pharmacy students, beginning early in the students’ career to develop into competent AS practitioners. Additionally, publications have described the role and impact of medical and pharmacy trainees on AS programs. Here, we review the published evidence describing medical and pharmacy trainees’ involvement in AS and call for future research in this area.

Excessive Belching: a Separate Syndrome or Another Symptom of Functional Dyspepsia?

2020 ◽  
Vol 30 (3) ◽  
pp. 55-60 ◽  
Author(s):  
A. A. Sheptulin ◽  
O. A. Storonova
Keyword(s):  
Functional Dyspepsia ◽  
Functional Gastrointestinal Disorders ◽  
High Resolution Manometry ◽  
Published Evidence ◽  
Key Points ◽  
Dyspeptic Symptoms ◽  
The Relationship ◽  
Rome Iv ◽  
Selection Of ◽  
Optimal Treatment Strategy

Aim of review. Interpretation of published evidence on the relationship between the excessive belching syndrome and functional dyspepsia (FD) and their management in patient care.Key points. According to the Rome IV criteria of functional gastrointestinal disorders (FGID), excessive belching in the absence of other dyspeptic symptoms is to be considered a manifestation of the excessive belching syndrome, which can be of gastric or supragastric nature. Combination of high-resolution manometry and impedancemetry allows an accurate diagnosis of belching and selection of optimal treatment strategy. Belching complicated by other symptoms of dyspepsia is to be considered yet another FD symptom according to the Rome IV criteria of FGID. Prokinetics are recommended to relieve belching in such cases.Conclusion. Understanding the relationship between the excessive belching syndrome and FD requires further research.

Impact of removing ESBL designation from culture reports on the selection of antibiotics for the treatment of infections associated with ESBL-producing organisms

2020 ◽  
Vol 41 (5) ◽  
pp. 604-607 ◽  
Author(s):  
Mark D. Lesher ◽  
Cory M. Hale ◽  
Dona S. S. Wijetunge ◽  
Matt R. England ◽  
Debra S. Myers ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Antibiotic Prescribing ◽  
The Impact ◽  
Inhibitor Combination ◽  
Lactamase Inhibitor ◽  
Selection Of

AbstractWe characterized the impact of removal of the ESBL designation from microbiology reports on inpatient antibiotic prescribing. Definitive prescribing of carbapenems decreased from 48.4% to 16.1% (P = .01) and β-lactam–β-lactamase inhibitor combination increased from 19.4% to 61.3% (P = .002). Our findings confirm the importance of collaboration between microbiology and antimicrobial stewardship programs.

Accounting for natural disasters from a historical perspective: A literature review and research agenda

2021 ◽  
Vol 26 (2) ◽  
pp. 179-204
Author(s):  
Massimo Sargiacomo ◽  
Stefania Servalli ◽  
Serena Potito ◽  
Antonio D’Andreamatteo ◽  
Antonio Gitto
Keyword(s):  
Natural Disasters ◽  
Economic History ◽  
Research Agenda ◽  
Historical Research ◽  
Future Research ◽  
Research Topics ◽  
Open Research ◽  
Emerging Themes ◽  
Published Research ◽  
Selection Of

This study offers an analysis of published historical research on accounting for natural disasters. Drawing on the insights provided by an examination of 35 accounting/business/economic history and generalist journals, 11 articles have been selected and analysed. The analysis conducted on the scattered literature identified the emerging themes, disasters investigated, periods of time explored and main contributions of published research. The analysis is extended by the examination of some key conferences of interdisciplinary history associations, and of the eventual journals/issues where the papers presented were published. The investigation has also been complemented by a brief selection of books showing historical analyses of diverse disasters, typologies and periods of investigation. The stimuli provided by the study have helped to portray the main features of an open research agenda, highlighting possible future research topics and suggesting ancient and recent disasters’ loci to be investigated worldwide.

scholarly journals An Overview of Ecosystem Service Studies in a Tropical Biodiversity Hotspot, Sri Lanka: Key Perspectives for Future Research

Forests ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 540
Author(s):  
Chaya Sarathchandra ◽  
Yirga Alemu Abebe ◽  
Iresha Lakmali Wijerathne ◽  
Sasith Tharanga Aluthwattha ◽  
Sriyani Wickramasinghe ◽  
...  
Keyword(s):  
Ecosystem Services ◽  
Sri Lanka ◽  
Ecosystem Service ◽  
Future Research ◽  
Species Introduction ◽  
Related Research ◽  
Management Actions ◽  
Service Category ◽  
Tropical Biodiversity ◽  
Published Evidence

Tropical island countries are often highly populated and deliver immense ecosystem service benefits. As human wellbeing depends on these ecosystems, proper management is crucial in the resource-rich tropical lands where there is less related research. Though ecosystem service and biodiversity studies are a promising path to inform the ecosystem management for these mostly developing countries, published evidence of using ecosystem service studies in decision making is lacking. The purpose of this study is to provide an overview of ecosystem services and related research in Sri Lanka, examining trends and gaps in how these studies are conceptualized. Out of the considered 220 peer-reviewed articles, the majority of articles (48.2%) were terrestrial and forest related while coastal ecosystems were considered in 33.2% of studies. In most studies, the ecosystem service category studied was provisioning (31.5%) followed by regulatory service (28.7%). Studies investigating and quantifying ecosystem services, pressures on ecosystems, and their management were fewer compared to studies related to biodiversity or species introduction. Moreover, studies investigating the value of ecosystem services and biodiversity to the communities or involvement of stakeholders in the development of management actions regarding the ecosystem services were rare in Sri Lanka, and an intense focus from future studies in these aspects is timely and necessary.

scholarly journals A Systematic Literature Review of Multi-Criteria Decision-Making Methods for Sustainable Selection of Insulation Materials in Buildings

2021 ◽  
Vol 13 (2) ◽  
pp. 737
Author(s):  
Indre Siksnelyte-Butkiene ◽  
Dalia Streimikiene ◽  
Tomas Balezentis ◽  
Virgilijus Skulskis
Keyword(s):  
Decision Making ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Energy Demand ◽  
Energy Performance ◽  
Future Research ◽  
Multi Criteria Decision Making ◽  
Insulation Materials ◽  
Advantages And Disadvantages ◽  
Selection Of

The European Commission has recently adopted the Renovation Wave Strategy, aiming at the improvement of the energy performance of buildings. The strategy aims to at least double renovation rates in the next ten years and make sure that renovations lead to higher energy and resource efficiency. The choice of appropriate thermal insulation materials is one of the simplest and, at the same time, the most popular strategies that effectively reduce the energy demand of buildings. Today, the spectrum of insulation materials is quite wide, and each material has its own specific characteristics. It is recognized that the selection of materials is one of the most challenging and difficult steps of a building project. This paper aims to give an in-depth view of existing multi-criteria decision-making (MCDM) applications for the selection of insulation materials and to provide major insights in order to simplify the process of methods and criteria selection for future research. A systematic literature review is performed based on the Search, Appraisal, Synthesis and Analysis (SALSA) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. In order to determine which MCDM method is the most appropriate for different questions, the main advantages and disadvantages of different methods are provided.

scholarly journals Getting to Hope: Perspectives from Patients and Caregivers Living with Chronic Childhood Illness

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 525
Author(s):  
Emily von Scheven ◽  
Bhupinder K. Nahal ◽  
Rosa Kelekian ◽  
Christina Frenzel ◽  
Victoria Vanderpoel ◽  
...  
Keyword(s):  
Conceptual Model ◽  
Research Question ◽  
Young Patients ◽  
Future Research ◽  
Childhood Onset ◽  
Virtual Focus Groups ◽  
Definition Of ◽  
Selection Of ◽  
Chronic Childhood ◽  
Research Studies

Promoting hope was identified in our prior work as the top priority research question among patients and caregivers with diverse childhood-onset chronic conditions. Here, we aimed to construct a conceptual model to guide future research studies of interventions to improve hope. We conducted eight monthly virtual focus groups and one virtual workshop with patients, caregivers, and researchers to explore key constructs to inform the model. Discussions were facilitated by Patient Co-Investigators. Participants developed a definition of hope and identified promotors and inhibitors that influence the experience of hope. We utilized qualitative methods to analyze findings and organize the promotors and inhibitors of hope within three strata of the socio-ecologic framework: structural, interpersonal, and intrapersonal. Participants identified three types of interventions to promote hope: resources, navigation, and activities to promote social connection. The hope conceptual model can be used to inform the selection of interventions to assess in future research studies aimed at improving hope and the specification of outcome measures to include in hope research studies. Inclusion of the health care system in the model provides direction for identifying strategies for improving the system and places responsibility on the system to do better to promote hope among young patients with chronic illness and their caregivers.

scholarly journals Efforts to Identify and Combat Antimicrobial Resistance in Uganda: A Systematic Review

2021 ◽  
Vol 6 (2) ◽  
pp. 86
Author(s):  
Mark Tefero Kivumbi ◽  
Claire J. Standley
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Stewardship ◽  
One Health ◽  
Antifungal Resistance ◽  
Future Research ◽  
Middle Income ◽  
Pubmed Database ◽  
The Status ◽  
Antimalarial Resistance ◽  
Ongoing Surveillance

The global burden of antimicrobial resistance is on the rise, resulting in higher morbidity and mortality in our communities. The spread of antimicrobial resistance in the environment and development of resistant microbes is a challenge to the control of antimicrobial resistance. Approaches, such as antimicrobial stewardship programmes and enhanced surveillance, have been devised to curb its spread. However, particularly in lower- and middle-income countries, the overall extent of antimicrobial resistance and knowledge on ongoing surveillance, stewardship or investigation efforts, are often poorly understood. This study aimed to look at the efforts that have been undertaken to detect and combat antimicrobial resistance in Uganda as a means of establishing an overview of the situation, to help inform future decisions. We conducted a systematic literature review of the PubMed database to assess these efforts. A search combining keywords associated with antimicrobial resistance were used to find relevant studies between 1995 and 2020 on surveillance of antimicrobial resistance in Uganda, and susceptibility of microbes to different drugs. The search yielded 430 records, 163 of which met the inclusion criteria for analysis. The studies were categorized according to country and region, the type of antimicrobial resistance, context of the study, study design and outcome of the study. We observed that antibacterial resistance and antimalarial resistance had the most published studies while antiviral and antifungal resistance were represented by very few studies each. Most studies were conducted in humans and hospital settings, with few in veterinary and One Health contexts, and only one that included environmental sampling. The majority of studies have focused on surveillance, susceptibility testing or resistance genes; none of our included papers had a policy or stewardship focus. The results from our work can inform public health policy on antimicrobial stewardship as it contributes to understanding the status of antimicrobial resistance surveillance in Uganda, and can also help to guide future research efforts. Notably, a One Health approach needs to be followed with respect to surveillance of antimicrobial resistance to better understand the mechanisms of resistance transfer across the human-animal–environment interface, including additional investigation in antiviral and antifungal resistance.

scholarly journals Facing disruptive technologies: aligning purchasing maturity to contingencies

2019 ◽  
Vol 24 (1) ◽  
pp. 147-169 ◽  
Author(s):  
Britta Søgaard ◽  
Heather Dawn Skipworth ◽  
Michael Bourlakis ◽  
Carlos Mena ◽  
Richard Wilding
Keyword(s):  
Strategic Alignment ◽  
Future Research ◽  
Research Directions ◽  
Company Strategy ◽  
New Approach ◽  
Content Type ◽  
Disruptive Technologies ◽  
Future Research Directions ◽  
Exploratory Case Studies ◽  
Selection Of

PurposeThis paper aims to explore how purchasing could respond to disruptive technologies by examining the assumptions underlying purchasing strategic alignment and purchasing maturity through a contingency lens.Design/methodology/approachThis study uses a systematic review across purchasing maturity and purchasing strategic alignment literature. This is supplemented with exploratory case studies to include practitioners’ views.FindingsThis research demonstrates that neither purchasing maturity nor purchasing strategic alignment are suitable approaches to respond to disruptive technologies. Purchasing maturity does not allow purchasing managers to select relevant practices. It also shows no consideration of any contingencies, which practitioners highlight as important for the selection of practices. Purchasing strategic alignment includes the company strategy as a contingency but does not provide any practices to choose from. It does not include any other contextual contingencies considered important by practitioners. The findings indicate that linking the two research streams may provide a more suitable approach to responding to disruptive technologies.Research limitations/implicationsThis research demonstrates the requirement to develop a new approach to responding to disruptive technologies, by linking purchasing maturity and purchasing strategic alignment to contextual contingencies. This is a currently unexplored approach in academic literature, which refutes the generally accepted premise that higher maturity unilaterally supports a better positioning towards technological disruption. This research also highlights a requirement for practitioners to shift their approach to “best practices”.Originality/valueThis is the first research to systematically review the relationships between purchasing maturity and purchasing strategic alignment. It adds to contingency theory by suggesting that purchasing maturity models can support the achievement of strategic alignment. Also, future research directions are suggested to explore these relationships.

scholarly journals REVIEW OF OPEN SOURCE QGIS FORESTRY PLUGINS

2021 ◽  
Vol 4 (2) ◽  
pp. 1-11
Author(s):  
E. S. Podolskaia ◽  
Keyword(s):  
Open Source ◽  
Forest Fires ◽  
Forest Resources ◽  
Future Research ◽  
Forest Industry ◽  
New Developments ◽  
Forest Fire Management ◽  
Gis Tools ◽  
Spatial Coverage ◽  
Selection Of

Forest industry today has some experience of using Open Source-programs. The article describes the Open Source QGIS plugins to solve the forestry challenges for the forest fire management and forest resources in scientific and applied research. Undertaken analysis will simplify selection of tools for a forest geoinformation project in Desktop and Web versions. A general brief description of modern plugins in QGIS (version 3.18.1) is given, and forestry plugins are characterized. An analysis of external QGIS plugins for working with forest resources and forest fires showed the heterogeneity of research, which has not identified any trends yet. Development of plugins with available data as map services for territories of different spatial coverage may be an option for the future research, while the ability to access archived data is important for the forest industry. The niche of thematic forest tasks in the modern QGIS plugin repository continues to be quite narrow. Transport and environmental applications implemented in GIS tools are more numerous and can solve some tasks of a forest project. Such review of plugins’ functionality should be done on a regular basis, following new developments and new versions of QGIS software.

scholarly journals Development of a New Personality-Oriented Work Analysis Questionnaire: First Steps Towards Validation

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexandru Ioan Manea ◽  
Dragos Iliescu
Keyword(s):  
Rating Scale ◽  
Future Research ◽  
Work Analysis ◽  
Item Development ◽  
Analysis Instrument ◽  
General Improvement ◽  
Frame Of Reference Training ◽  
Interrater Reliability Coefficients ◽  
Scale Creation ◽  
Selection Of

In this paper we detail the construction and validation process for a new personality-oriented work analysis instrument, in the form of a standardized questionnaire, based on extant research that shows that personality traits are good predictors of job performance. We present the process of item development, frame of reference training, rating scale creation, and the selection of subject matter experts. By administering the instrument to three distinct positions, the interrater reliability coefficients resulted between .80 and .94. We also investigated the instrument’s ability to discriminate between the same rated positions, and the results for this indicator were quite low. Conclusions provide some possible explanations for the lower resulted discriminability. Practical and theoretical implications are discussed as well as other future research for general improvement of data quality.

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