The PHAR-QA project: competency framework for pharmacy practice—first steps, the results of the European Network Delphi round 1

PHAR-QA, funded by the European Commission, is producing a framework of competences for pharmacy practice. The framework is in line with the EU directive on sectoral professions and takes into account the diversity of the pharmacy profession and the on-going changes in healthcare systems (with an increasingly important role for pharmacists), and in the pharmaceutical industry. PHAR-QA is asking academia, students and practicing pharmacists to rank competences required for practice. The results show that competences in the areas of drug interactions, need for drug treatment and provision of information and service were ranked highest whereas those in the areas of ability to design and conduct research and development and production of medicines were ranked lower. For the latter two categories, industrial pharmacists ranked them higher than did the other five groups

Does the subject content of the pharmacy degree course influence the community pharmacist’s views on competencies for practice?

Do community pharmacists coming from different educational backgrounds rank the importance of competences for practice differently-or is the way in which they see their profession more influenced by practice than university education? A survey was carried out on 68 competences for pharmacy practice in seven countries with different pharmacy education systems in terms of the relative importance of the subject areas chemical and medicinal sciences. Community pharmacists were asked to rank the competences in terms of relative importance for practice; competences were divided into personal and patient-care competences. The ranking was very similar in the seven countries suggesting that evaluation of competences for practice is based more on professional experience than on prior university education. There were some differences for instance in research-related competences and these may be influenced, by education.

The production of a framework of competences for pharmacy practice in the European Union:the PHAR-QA project

Background and objectives: The goal of the PHAR-QA (Qualityassurance in European pharmacy education and training) project isthe production of a European framework of competences for pharmacypractice. This PHAR-QA framework (www.phar-qa.eu) will beEuropean and consultative i.e. it will be used for harmonization—butwill not to replace existing national QA systems.Methods: Using the proposals for competences produced by the previousPHARMINE(Pharmacy education in Europe; www.pharmine.eu) project, together with those of other sources, the authors produced a listof 68 personal and patient care competencies. Using internet surveytools the stakeholders—European pharmacy community (universitydepartment staff and students, community, hospital and industrialpharmacists, as well as pharmacists working in clinical biology andother branches, together with representatives of chambers and associations)—were invited to rank the proposals and add comments.Results and conclusions: Pharmacology and pharmacotherapy togetherwith competences such as ‘‘supply of appropriate medicinestaking into account dose, correct formulation, concentration, administrationroute and timing’’ ranked high. Other topics such as ‘‘currentknowledge of design, synthesis, isolation, characterisation and biologicalevaluation of active substances’’ ranked lower.Implications for practice: In the short term, it is anticipated that thissurvey will stimulate a productive discussion on pharmacy educationand practice by the various stakeholders. In the long term, thisframework could serve as a European model framework of competencesfor pharmacy practice.Acknowledgements: With the support of the Lifelong Learningprogramme of the European Union: 527194-LLP-1-2012-1-BEERASMUS-EMCR. This publication reflects the views only of theauthors; the Commission cannot be held responsible for any usewhich may be made of the information contained therein.

Diatom-based paleolimnological reconstruction of Quaternary environments in a Florida sinkhole lake

Despite lake sensitivity to climate change, few Florida paleolimnological studies have focused on changes in hydrology. Evidence from Florida vegetation histories raise questions about long-term hydrologic history of Florida lakes, and a 25-year limnological dataset revealed recent climate-driven effects on Lake Annie. The objectives of this research are (1) to use modern diatom assemblages to develop methods for reconstruction of climatic and anthropogenic change (2) to reconstruct both long-term and recent histories of Lake Annie using diatom microfossils. Paleoenvironmental reconstruction models were developed from diatom assemblages of various habitat types from modern lakes. Plankton and sediment assemblages were similar, but epiphytes were distinct, suggesting differences in sediment delivery from different parts of the lakes. Relationships between a variety of physical and chemical data and the diatoms from each habitat type were explored. Total phosphorus (TP), pH, and color were found to be the most relevant variables for reconstruction, with sediment and epiphyte assemblages having the strongest relationships to those variables, six calibration models were constructed from the combination of these habitat types and environmental variables. Reconstructions utilizing the weighted averaging models in this study may be used to directly reveal TP, color, and pH changes from a sediment record, which might be suggestive of hydrologic change as well. These variables were reconstructed from the diatom record from both a long-term (11,000 year) and short-term (100 year) record and showed an interaction between climate-driven and local land-use impacts on Lake Annie. The long-term record begins with Lake Annie as a wetland, then the lake filled to a high stand around 4000 years ago. A period of relative stability after that point was interrupted near the turn of the last century by subtle changes in diatom communities that indicate acidification. Abrupt changes in the diatom communities around 1970 AD suggest recovery from acidification, but concurrent hydrologic change intensified anthropogenic effects on the lake. Diatom evidence for alkalization and phosphorus loading correspond to changes seen in the limnological record.

Diatom-based paleolimnological reconstruction of regional climate and local land-use change from a protected sinkhole lake in southern Florida, USA

Despite their sensitivity to climate variability, few of the abundant sinkhole lakes of Florida have been the subject of paleolimnological studies to discern patterns of change in aquatic communities and link them to climate drivers. However, deep sinkhole lakes can contain highly resolved paleolimnological records that can be used to track long-term climate variability and its interaction with effects of land-use change. In order to understand how limnological changes were regulated by regional climate variability and further modified by local land-use change in south Florida, we explored diatom assemblage variability over centennial and semi-decadal time scales in an ~11,000-yr and a ~150-yr sediment core extracted from a 21-m deep sinkhole lake, Lake Annie, on the protected property of Archbold Biological Station. We linked variance in diatom assemblage structure to changes in water total phosphorus, color, and pH using diatom-based transfer functions. Reconstructions suggest the sinkhole depression contained a small, acidic, oligotrophic pond ~11000–7000 cal yr BP that gradually deepened to form a humic lake by ~4000 cal yr BP, coinciding with the onset of modern precipitation regimes and the stabilization of sea-level indicated by corresponding palynological records. The lake then contained stable, acidophilous planktonic and benthic algal communities for several thousand years. In the early AD 1900s, that community shifted to one diagnostic of an even lower pH (~5.6), likely resulting from acid precipitation. Further transitions over the past 25 yr reflect recovery from acidification and intensified sensitivity to climate variability caused by enhanced watershed runoff from small drainage ditches dug during the mid-twentieth Century on the surrounding property.

Asterisms

ASTERISMS is a collection of lyric poetry that seeks to express a sense of awe for the natural world by exploring themes of science, art, and the self. By combining physics and metaphysics, scientific terminology and musings on love, ASTERISMS argues that these seemingly-disparate fields of knowledge can harmonize in unexpected ways. In its style, the collection draws from the works of Dorianne Laux, Pablo Neruda, and Annie Dillard. Most of the poems are written in free-version and are tied together by images of astronomy and wilderness, both modern and prehistoric. Poems about classical music appear as interludes meant to complement others concerned with science and technology, as music too has its own invented language. Like asterisms - ancient inventions meant to personalize the expansive mystery of the night sky - this collection seeks to admire, if not completely understand, our place in the natural world and cosmos beyond.

Estimulação optogenética do septo medial no rato anestesiado e em livre comportamento

Theta rhythm consists of an electrophysiological hippocampal oscillation present in mammalian species (4-12 Hz with variations across species). This oscillation is present during active waking and is also prevalent in local field potentials (LFP) during rapid eye movement sleep (REM sleep). Several studies have shown that theta rhythm is important in cognitive tasks and that the medial septum is a key region for its occurrence. The septum sends cholinergic, GABAergic and glutamatergic projections to the hippocampus, which in turn projects axons to the septum. Besides the septum, other regions are involved in regulating theta rhythm, forming a complex network of interactions among brain areas that result in theta rhythm. Optogenetics is a recently developed method that has been widely used in various research areas. It allows us to manipulate the electrical activity of neurons through light stimulation. One of the existing techniques consists in using a viral vector to induce the neuronal expression of ion channels associated with the light-sensitive molecule rhodopsin (e.g. ChR2). Once infected, the neurons become sensitive to light of a particular wavelength. The present M. Sc. research aimed to perform luminous stimulation of the brain in anesthetized and freely behaving animals using chronically implanted electrodes and optical fibers in animals infected with a viral vector for ChR2 expression. Surgical viral injections were performed in the medial septum; histological results confirmed the expression of ChR2 by way of the presence of the eYFP reporter protein in the septum and also in hippocampal processes. Moreover, we performed acute experiments with luminous stimulation of the medial septum and LFP recordings of the septum and hippocampus of anesthetized animals. Action potentials were recorded in the septum. In these experiments we observed a significant increase in the firing rates of septal neurons during luminous stimulation (n = 300 trials). Furthermore, we found an early light-evoked response in the hippocampal LFP. Chronic experiments with luminous stimulation of the medial septum and hippocampus in freely behaving animals were also performed in combination with LFP recordings. We found that the luminous stimulation of the septum is able to induce theta rhythm in the hippocampus. Together, the results demonstrate that the luminous stimulation of the medial septum in optogenetically-modified animals causes relevant electrophysiological changes in the septum and the hippocampus.

Protocolo clínico para confecção de próteses removíveis

Este protocolo objetiva esclarecer dúvidas existentes a respeito dos passos necessários para a reabilitação com próteses totais e parciais removíveis convencionais. Essas alternativas de tratamento são modalidades terapêuticas consagradas na literatura e podem devolver função mastigatória, estética, fonação e conforto ao paciente quando confeccionadas de maneira satisfatória. Elas representam também uma ótima opção para aqueles pacientes que não podem se submeter ao tratamento com implantes, por apresentarem limitações biológicas ou financeiras. A abordagem do protocolo clínico está dividida em duas partes. A primeira parte ilustra a reabilitação com próteses totais convencionais e a segunda, a reabilitação com próteses parciais removíveis convencionais em arcos inferiores com extremidade livre bilateral. Por meio da demonstração do passo a passo com fotos, dicas clínicas e resumos sistemáticos do conteúdo teórico contido nesse material, o aluno de Odontologia e o cirurgião-dentista poderão conhecer os passos necessários para executar estes tipos de reabilitações, desde o momento clínico de diagnóstico até o de controle e manutenção. Esperamos que essa obra desperte o interesse dos cirurgiões-dentistas por executar esses tipos de próteses e que os ajude a desenvolverem práticas e habilidades que melhorem o desempenho clínico dessas alternativas de tratamento.

Protocolo clínico para confecção de próteses removíveis

Este protocolo objetiva esclarecer dúvidas existentes a respeito dos passos necessários para a reabilitação com próteses totais e parciais removíveis convencionais. Essas alternativas de tratamento são modalidades terapêuticas consagradas na literatura e podem devolver função mastigatória, estética, fonação e conforto ao paciente quando confeccionadas de maneira satisfatória. Elas representam também uma ótima opção para aqueles pacientes que não podem se submeter ao tratamento com implantes, por apresentarem limitações biológicas ou financeiras. A abordagem do protocolo clínico está dividida em duas partes. A primeira parte ilustra a reabilitação com próteses totais convencionais e a segunda, a reabilitação com próteses parciais removíveis convencionais em arcos inferiores com extremidade livre bilateral. Por meio da demonstração do passo a passo com fotos, dicas clínicas e resumos sistemáticos do conteúdo teórico contido nesse material, o aluno de Odontologia e o cirurgião-dentista poderão conhecer os passos necessários para executar estes tipos de reabilitações, desde o momento clínico de diagnóstico até o de controle e manutenção. Esperamos que essa obra desperte o interesse dos cirurgiões-dentistas por executar esses tipos de próteses e que os ajude a desenvolverem práticas e habilidades que melhorem o desempenho clínico dessas alternativas de tratamento.

N2 fixation in eddies of the eastern tropical South Pacific Ocean

Mesoscale eddies play a major role in controlling ocean biogeochemistry. By impacting nutrient availability and water column ventilation, they are of critical importance for oceanic primary production. In the eastern tropical South Pacific Ocean off Peru, where a large and persistent oxygen-deficient zone is present, mesoscale processes have been reported to occur frequently. However, investigations into their biological activity are mostly based on model simulations, and direct measurements of carbon and dinitrogen (N2) fixation are scarce. We examined an open-ocean cyclonic eddy and two anticyclonic mode water eddies: a coastal one and an open-ocean one in the waters off Peru along a section at 16°S in austral summer 2012. Molecular data and bioassay incubations point towards a difference between the active diazotrophic communities present in the cyclonic eddy and the anticyclonic mode water eddies. In the cyclonic eddy, highest rates of N2 fixation were measured in surface waters but no N2 fixation signal was detected at intermediate water depths. In contrast, both anticyclonic mode water eddies showed pronounced maxima in N2 fixation below the euphotic zone as evidenced by rate measurements and geochemical data. N2 fixation and carbon (C) fixation were higher in the young coastal mode water eddy compared to the older offshore mode water eddy. A co-occurrence between N2 fixation and biogenic N2, an indicator for N loss, indicated a link between N loss and N2 fixation in the mode water eddies, which was not observed for the cyclonic eddy. The comparison of two consecutive surveys of the coastal mode water eddy in November 2012 and December 2012 also revealed a reduction in N2 and C fixation at intermediate depths along with a reduction in chlorophyll by half, mirroring an aging effect in this eddy. Our data indicate an important role for anticyclonic mode water eddies in stimulating N2 fixation and thus supplying N offshore.

Study protocol of European Fans in Training (EuroFIT) : a four-country randomised controlled trial of a lifestyle program for men delivered in elite football clubs

Funding The EuroFIT study is funded by the European Union’s Seventh Framework Program for research technological development and demonstration under Grant Agreement no: 602170. The Health Services Research Unit, University of Aberdeen, is core funded by the Chief Scientist Office of the Scottish Government Health Directorates.

Patient «difficile» ou «relation difficile»: Comment agir en physiothérapie?

Travail d’intégration présenté en vue de l’obtention du grade de physiothérapeute en Maîtrise en physiothérapie

L'émergence du discours identitaire anglo-québécois dans The Gazette de 1970 à 1980

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

La perception du caring chez des infirmières oeuvrant en tant que gestionnaires de cas auprès des personnes âgées et de leur famille à domicile

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

"Le monde est plus que cela..." : l'intervention en santé mentale auprès des immigrants : à la rencontre de l'altérité

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.