British pharmacy professionals' beliefs and participation in continuing professional development: a review of the literature

Objectives:  Continuing professional development (CPD) has potential to be useful in pharmacy revalidation but past uptake and attitudes to CPD in Great Britain (GB) need to be mapped. This review examines published literature to chart the participation and beliefs of pharmacy professionals towards CPD in GB in a decade that had seen a formal transition from continuing education to CPD. Methods:  A comprehensive review of the published literature was conducted to identify studies of the uptake of, or attitudes towards, CPD cross different sectors of pharmacy in GB from 2000 to 2010. Key findings:  Twenty-two studies were included and analysed, including 13 research papers, six conference papers, two news items reporting survey outcomes and one commissioned study. Eight barriers to CPD were identified as: time, financial costs and resource issues, understanding of CPD, facilitation and support for CPD, motivation and interest in CPD, attitudes towards compulsory CPD, system constraints, and technical problems. Pharmacy professionals on the whole agreed with the principle of engaging with CPD but there was little evidence to suggest widespread and wholehearted acceptance and uptake of CPD, essential for revalidation. Conclusions:  If CPD is to succeed, people's beliefs and attitudes must be addressed by recognising and modifying perceived barriers through a combination of regulatory, professional, work-related and personal channels. A number of recommendations are made. Direct experience of effective CPD in the absence of perceived barriers could impact on personal development, career development and patient benefit thus strengthening personal beliefs in the value of CPD in an iterative manner.

A framework for assessing continuing professional development activities for satisfying pharmacy revalidation requirements

The United Kingdom’s pharmacy regulator contemplated using continuing professional development (CPD) in pharmacy revalidation in 2009, simultaneously asking pharmacy professionals to demonstrate the value of their CPD by showing its relevance and impact. The idea of linking new CPD requirements with revalidation was yet to be explored. Our aim was to develop and validate a framework to guide pharmacy professionals to select CPD activities that are relevant to their work and to produce a score sheet that would make it possible to quantify the impact and relevance of CPD. METHODS: We adapted an existing risk matrix, producing a CPD framework consisting of relevance and impact matrices. Concepts underpinning the framework were refined through feedback from five pharmacist teacher-practitioners. We then asked seven pharmacists to rate the relevance of the framework’s individual elements on a 4-point scale to determine content validity. We explored views about the framework through focus groups with six and interviews with 17 participants who had used it formally in a study. RESULTS: The framework’s content validity index was 0.91. Feedback about the framework related to three themes of penetrability of the framework, usefulness to completion of CPD, and advancement of CPD records for the purpose of revalidation. DISCUSSION: The framework can help professionals better select CPD activities prospectively, and makes assessment of CPD more objective by allowing quantification, which could be helpful for revalidation. We believe the framework could potentially help other health professionals with better management of their CPD irrespective of their field of practice.

Training on the use of a bespoke continuing professional development framework improves the quality of CPD records

BACKGROUND: Using continuing professional development (CPD) as part of the revalidation of pharmacy professionals has been proposed in the UK but not implemented. We developed a CPD Outcomes Framework (‘the framework’) for scoring CPD records, where the score range was -100 to +150 based on demonstrable relevance and impact of the CPD on practice. OBJECTIVE: This exploratory study aimed to test the outcome of training people to use the framework, through distance-learning material (active intervention), by comparing CPD scores before and after training. SETTING: Pharmacy professionals were recruited in the UK in Reading, Banbury, Southampton, Kingston-upon-Thames and Guildford in 2009. METHOD: We conducted a randomised, double-blinded, parallel-group, before and after study. The control group simply received information on new CPD requirements through the post; the active intervention group also received the framework and associated training. Altogether 48 participants (25 control, 23 active) completed the study. All participants submitted CPD records to the research team before and after receiving the posted resources. The records (n=226) were scored blindly by the researchers using the framework. A subgroup of CPD records (n=96) submitted first (before-stage) and rewritten (after-stage) were analysed separately. MAIN OUTCOME MEASURE: Scores for CPD records received before and after distributing group-dependent material through the post. RESULTS: Using a linear-regression model both analyses found an increase in CPD scores in favour of the active intervention group. For the complete set of records, the effect was a mean difference of 9.9 (95% CI = 0.4 to 19.3), p-value = 0.04. For the subgroup of rewritten records, the effect was a mean difference of 17.3 (95% CI = 5.6 to 28.9), p-value = 0.0048. CONCLUSION: The intervention improved participants’ CPD behaviour. Training pharmacy professionals to use the framework resulted in better CPD activities and CPD records, potentially helpful for revalidation of pharmacy professionals. IMPACT: • Using a bespoke Continuing Professional Development outcomes framework improves the value of pharmacy professionals’ CPD activities and CPD records, with the potential to improve patient care. • The CPD outcomes framework could be helpful to pharmacy professionals internationally who want to improve the quality of their CPD activities and CPD records. • Regulators and officials across Europe and beyond can assess the suitability of the CPD outcomes framework for use in pharmacy CPD and revalidation in their own setting.

Amostragem, diversidade e sazonalidade de Hemerobiidae (Neuroptera) em Coffea arabica L. cv. Obatã (Rubiaceae)

Este estudo teve por objetivo avaliar métodos de amostragem, abundância sazonal e diversidade da população de Hemerobiidae associada a cultivo de café Coffea arabica L. cv. Obatã em Cravinhos, São Paulo, Brasil. Para tanto foram realizadas amostragens semanais no período de maio de 2005 a abril de 2006. Os métodos de amostragem utilizados foram: rede de varredura e armadilhas de Möericke e luminosa. Foram coletados 491 exemplares de Hemerobiidae pertencentes a quatro gêneros: Nusalala (231 espécimes / 47,2% do total de hemerobiídeos coletados), Megalomus (110 / 22,5%), Hemerobius (104 / 21,3%) e Sympherobius (44 / 9%). A rede de varredura foi a mais eficiente para a captura de Hemerobiidae e a armadilha de Möericke foi o método de amostragem que apresentou os maiores valores de diversidade (H'= 0,56) e de equitabilidade (J= 0,93). Os hemerobiídeos estiveram presentes na área estudada durante o ano todo; as maiores freqüências foram registradas entre agosto e março (final do inverno, primavera e verão) e o maior pico populacional ocorreu em janeiro (na metade do verão). Megalomus apresentou correlação positiva e significativa (p< 0,05) com a precipitação pluviométrica e as temperaturas máxima e mínima; Nusalala com as temperaturas máxima e mínima e, Sympherobius apenas com a temperatura máxima.

Inibidor da ação do etileno na conservação pós-colheita de Chrysanthemum morifolium Ramat cv. Dragon

A durabilidade e a qualidade pós-colheita de flores de corte são atributos fundamentais na sua valoração ao longo da cadeia produtiva e na satisfação dos consumidores. Objetivou-se, nesta pesquisa, verificar o efeito do tiossulfato de prata, associado ou não à sacarose, na manutenção da qualidade pós-colheita de hastes de crisântemos (Chrysanthemum morifolium Ramat cv. Dragon) . O experimento foi conduzido sob delineamento inteiramente casualizado, em esquema fatorial testando soluções de manutenção com tiossulfato de prata (STS), sob cinco níveis (Água destilada; STS a 0,2 mM; STS a 0,2 mM + sacarose a 50 g L-1; STS a 0,4 mM; STS a 0,4 mM + sacarose a 50 g L-1); e data de amostragem, por três níveis (0; 3; 6 dias). Utilizaram-se três repetições com duas hastes florais em cada tratamento. Foram feitas avaliações físicas: coloração, massa fresca e conteúdo relativo de água (CRA); avaliações químicas: açúcares redutores e pigmentos; e avaliações qualitativas: turgescência, cor das flores, e número de botões, flores entreabertas e abertas. O tratamento com 0,2 mM de STS possibilitou melhor manutenção da massa fresca das hastes. A concentração de pigmentos e carboidratos redutores foi maior naqueles tratamentos em que a sacarose foi associada. A coloração e o conteúdo relativo de água foram favorecidos nos tratamentos STS a 0,2 e 0,4mM. A concentração de 0,2 mM de STS foi a que obteve os melhores resultados, prolongando a vida de vaso das hastes. A qualidade das hastes foi superior, tendo as melhores avaliações de conteúdo de água, cor e turgescência.

Qualidade e valor nutritivo de silagens de capim-marandu (B. brizantha cv. Marandu) produzidas com aditivos ou forragem emurchecida

Avaliaram-se a qualidade e o valor nutritivo de silagens de capim-marandu produzidas com polpa cítrica (PC) peletizada, com aditivo enzimático-bacteriano (ABE) ou com forragem emuchercida (E): T1 - forragem sem tratamento (controle); T2 - 10% de polpa cítrica peletizada (PC); T3 - aditivo enzimático bacteriano (AEB - SIL-ALL-C4 da Alltech), à base de 5 g/L de água/t de forragem; T4 - forragem picada grosseiramente emurchecida por 4 horas ao sol. O capim foi colhido aos 60 dias de rebrota (24% MS). Para avaliar o consumo e a digestibilidade das silagens, foram utilizados 16 novilhos mestiços com 200 kg de PV, que receberam, além das silagens, 1,0 kg de concentrado/animal/dia. O AEB não afetou a composição da silagem, mas a PC e o E aumentaram o teor de MS de 24% para 31 e 48%, respectivamente, e reduziram o pH e os teores de N-NH3 das silagens, que foram, respectivamente, de 4,17 e 4,58 e 6,78 e 7,99% NT. A PC diminuiu os teores de FDN e FDA em 12 e 4 unidades percentuais. O consumo de MS da silagem produzida com capim emurchecido foi superior (111,8 g MS/PV0,75) ao das silagens controle ou com AEB, mas não diferiu do obtido para a silagem com PC, que também não diferiu das demais. Os tratamentos não afetaram a digestibilidade, cujas médias para MS, PB, CT, FDN, FDA e NDT foram 67,0; 65,4; 68,8; 63,0; 62,5; e 65,6%, respectivamente. A PC e o E reduziram a proteólise e estimularam o consumo. A PC, o E e o AEB não melhoraram o valor nutritivo da silagem de capim-marandu colhido com 24% MS.

Valor nutritivo do feno de Brachiaria decumbens Stapf cv. Basilisk submetido a tratamento com amônia anidra ou uréia

The effects of the ammoniation of Brachiaria decumbens hay was evaluated. The hay bales were distributed into a complete randomized block design, with four replications and they were submitted to the treatments: untreated or treated with anhydrous ammonia (NH3)(2,0 and 3,0% of the DM) or with urea (3,6 and 5,4% of the DM). All the hays bales remained under plastic cover for 45 days. After three days of aeration, samples were collected for the determination of the chemical composition, nitrogenous compounds fraction and the in vitro dry matter (IVDDM) and organic matter (IVDOM) digestibility. In the metabolic study, Saanen goats breed was used in a 5x5 Latin squares design, where the apparent digestibility, the voluntary intake and the nutritive value index were evaluated. The ammoniation increased the contents of the total N, N ammonia (N-NH3) and non-protein N, with high effect on the levels of 3,0% of NH3 and 5,4% of urea. There were no differences between the level of 3,0% of NH3 and 5,4% of urea for the total N, N-NH3 and NPN. However, the treatment with 3,0% of NH3 allowed a larger fixation of N in ADIN and NDIN forms. The ammoniation increased the IVDMD and IVDMO and reduced the contents of neutral detergent fiber (NDF), hemicellulose, acid detergent fiber (ADF) and lignin, but it did not alter the cellulose and gross energy contents. The ammoniation increased the DM, OM, CP, NDF, ADF, hemicellulose, cellulose and gross energy apparent digestibility and as well as the voluntary intake of DM, digestible DM, digestible OM, digestible protein, digestible energy and the nutritive value index. The ammoniation increased the hay nutritive value index, but there were no differences between the levels of NH3 and urea.

Partial purification and characterization of pectin methylesterase from orange (Citrus sinensis) cv. Pera-rio

The enzyme pectin methylesterase (PME) from orange was extracted and partially purified by filtration on Sephadex G-100. The extraction buffer for orange PME was borate-acetate containing 0.4 M NaCl. Orange PME showed optimum pH at 8.0 and optimum temperature at 50C. The PME enzyme was completely inactivated after 1 min of incubation at 90C. The specific activity increased in the presence of 0.15 M NaCl or 0.025 M Na2SO4, 0.10 M KCl, 0.025 M K2SO4, 0.05 and 0.1 M NH4Cl. Lithium chloride and Li(2)SO(4)inhibited the enzymatic activity at all concentrations studied. The K-m and V(max)value of PME were 0.36 mg/mL and 5.26 mu mol/mL-mg protein, respectively.

Latin America and the Caribbean in the World Economy 2011-2012: Continuing crisis in the centre and new opportunities for developing economies

Includes bibliography

Compatibility of grafting in the melon cv. bônus No. 2, and effects on production

Twelve rootstocks were evaluated: 1) pumpkin 'Big Power' (Cucurbita ntoschata); 2) pumpkin 'Seca' (Cucurbita moschata); 3) bottle gourd 'Longa' (Lagenaria siceraria); 4) 'Cachi' (Lagenaria siceraria); 5) bottle gourd 'Marimba' (Lagenaria siceraria); 6) 'Mogango' (Cucurbita maxima); 7) pumpkin 'Kirameki' (Cucurbita moschata); 8) pumpkin 'Caravela' (Cucurbita moschata); 9) pumpkin 'Shelper' (Cucurbita moschata); 10) 'Gherkin' (Cucumis anguria); 11) 'Loofah' (Luffa cylindrica); and 12) pumpkin 'Goianinha' (Cucurbita moschata) with respect to compatibility with melon yield, and the production and quality of fruits from cv. Bônus No. 2, non-grafted and grafted with 9 of these rootstocks (1, 2, 4, 5, 6, 7, 9, 10 and 11). The bottle gourd 'Marimba' provided the highest percentage of grafting success between the vine and rootstock. The rootstocks 1, 2, 3, 4 and 7 did not differ from bottle gourd 'Marimba', therefore also indicating good compatibility with the melon cv. Bônus No. 2. For height of the plants, it was shown in the first evaluation that rootstock 5 produced a greater height of the plant, differing only from rootstocks 7, 8, 9, 10 and 11 and non-grafted cv. Bônus No. 2. In the second evaluation, 'Big Power' showed the greatest value for height of the plant, differing only from combinations with 'Cachi', 'Mogango', 'Shelper' and 'Loofah'. With regard to number of leaves, in the first evaluation rootstocks 3, 4 and 6 had the greatest number of leaves, but in the second 4, 9 and 11 had the greatest. For dry weight of the stem, the greatest value was obtained with 'Mogango' in the first evaluation and with 'Big Power' in the second. For leaf area of the plants, a difference was found among the treatments only in the first evaluation, where the combination with bottle gourd 'Longa' showed a greater leaf area, but did not differ from the combinations with rootstocks 1, 4, 5 and 6. Differences were demonstrated among the treatments only for the transverse diameter of the fruit, where the combination with rootstock bottle gourd 'Marimba' showed the greatest value, differing only from the combination with 'Gherkin'. There were no significant differences for the mean longitudinal diameter, pulp thickness and total soluble solids among the treatments studied.

Dry matter yield and nutritional value of Marandu grass under nitrogen fertilization and irrigation in cerrado in São Paulo

The aim of this study was to evaluate dry matter yield and nutritional value of palisade grass (Brachiaria brizantha cv. Marandu) using nitrogen doses and sprinkler irrigation in two periods of the year, aiming at reducing seasonality of forage production. It was used a randomized block design in a split-plot scheme, with five doses of nitrogen (0, 50, 100, 150, and 200 kg/ha/cut), and the sub-plots were defined by the seasons of the year (wet and dry season), with and without irrigation. During the wet season, in the plots with and without irrigation, doses of 175 and 161 kg/ha/cut promoted the highest dry matter yields. During the dry season, 171 kg ha -1N with irrigation resulted in the highest dry matter yield. During the same season, there was no response to N fertilization in the lack of irrigation. Average contents of CP were 10% with and without irrigation. Contents of neutral detergent fiber decreased with nitrogen doses, while acid detergent fiber was not affected by fertilization. Plots under irrigation reached the maximal acid detergent fiber content at N dose of 60 kg ha -1. Irrigation promotes increase of 15% increase in dry matter yield and it increases contents of neutral detergent fiber. © 2010 Sociedade Brasileira de Zootecnia.

Efeito residual do calcário no solo, no estado nutricional e na produtividade da mangueira cv. Palmer

Pós-graduação em Agronomia (Ciência do Solo) - FCAV

Desidratação osmótica da manga cv. Palmer em solução de sacarose com e sem adição de ácido ascórbico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação bioeconômica de bezerros lactentes recebendo diferentes fontes protéicas em cocho privativo em pastagens de Brachiaria brizantha cv. Marandú manejada intensivamente

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação fenológica, produtividade, curva de crescimento, qualidade dos frutos e custos de produção de amoreira-preta cv. Tupy

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)