Training primary care physicians in shared decision making for colorectal cancer screening : Insights from the first statewide colorectal cancer screening program in Switzerland

Background: The State of Vaud has launched the first population-based, organized, colorectal cancer screening program in Switzerland for the population aged 50 to 69. Each primary care physician (PCP) has been invited to participate in an interactive session preparing them to enroll patients in the screening program. We aimed at testing the impact of an interactive seminar for PCPs on their intention to discuss the options of no screening, screening with the fecal-immunological test (FIT) and colonoscopy. We measured attitude, intentions and knowledge through questionnaires filled by PCPs before and after a 2.5 hour-long interactive seminar. The main outcome was the proportion of physicians foreseeing to offer coloscopy vs FIT on an equal basis. Physicians estimated the proportion of their patients prescribed a fecal occult blood test (FOBT) vs coloscopy over the months before the seminar and after the interactive seminar. We used a clinical vignette to test for knowledge about screening indications. The interactive seminar included powerpoint presentations with quizzes and clickers, an 8-minute video presenting a shared decision making (SDM) consultation around CRC screening and distribution of educational materials such as a SDM decision aid and background epidemiological information.

Integrating Group Support Systems to innovation process of a forest company

The objective of this study was to analyze the effects of Group Support Systems (GSS) to overall efficiency of innovation process. Overall efficiency was found to be a sum of meeting efficiency, product effectiveness, and learning efficiency. These components were studied in various working situations common in early stages of innovation process. In the empirical part of this study, the suitability of GSS at the forest company was assessed. The basics for this study were idea generation meetings held at LUT and results from the surveys done after the sessions. This data combined with the interviews and theoretical background was used to analyze suitability of this technology to organizational culture at the company. The results of this study are divided to theory and case level. On theory level GSS was found to be a potentially valuable tool for innovation managers, especially at the first stages of the process. On case level, GSS was found to be a suitable tool at Stora Enso for further utilization. A five step implementation proposal was built to illustrate what would be the next stages of GSS implementation, if technology was chosen for further implementation.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Innovation Processes: Case M-real

Tässä työssä on tutkittu innovaatiota kirjallisuudessa ja M-realissa. Tekninen kehitys johtuu innovaatioista. Innovaatio on luonteeltaan epävarmaa, polkusidonnaista ja sisältää eri teknologioita. Innovaation vaikutukset ulottuvat usein myös asiakkaisiin ja toimittajiin. Yrityksen eri funktioita ja hierarkiatasoja tarvitaan kaupallistamaan uusi idea tai keksintö. Dynaamiset kyvykkyydet erottavat muutokset ympäristöstä ja niitä tarvitaan innovaatioiden toteuttamisessa. Yrityksen ympäristö muuttuu ja joustavuutta tarvitaan projektien toteuttamisessa. Reaalioptiot tarjoavat joustavuutta projektien toteuttamisessa. M-realissa on vahva tekninen osaaminen, mutta asiakkaat ovat jääneet vähälle huomiolle innovaatioprosessissa. Innovaatiota ei myöskään ajateltu koko yrityksen tehtävänä. Tästä johtuu osittain vaikeudet saada ekstravoittoja. Paino M-realissa on kehittää palveluinnovaatioita.

Consensus recommendations on training and competing in the heat.

Exercising in the heat induces thermoregulatory and other physiological strain that can lead to impairments in endurance exercise capacity. The purpose of this consensus statement is to provide up-to-date recommendations to optimise performance during sporting activities undertaken in hot ambient conditions. The most important intervention one can adopt to reduce physiological strain and optimise performance is to heat acclimatise. Heat acclimatisation should comprise repeated exercise-heat exposures over 1-2 weeks. In addition, athletes should initiate competition and training in a euhydrated state and minimise dehydration during exercise. Following the development of commercial cooling systems (eg, cooling-vest), athletes can implement cooling strategies to facilitate heat loss or increase heat storage capacity before training or competing in the heat. Moreover, event organisers should plan for large shaded areas, along with cooling and rehydration facilities, and schedule events in accordance with minimising the health risks of athletes, especially in mass participation events and during the first hot days of the year. Following the recent examples of the 2008 Olympics and the 2014 FIFA World Cup, sport governing bodies should consider allowing additional (or longer) recovery periods between and during events, for hydration and body cooling opportunities, when competitions are held in the heat.

The Early Phases of Innovation Process - Case: New Wireless E-Business Opportunities in Forest Industry

Tutkimuksen tavoitteena oli soveltaa innovaatioprosessiteorioita käytäntöön konteksti huomioonottaen, koska langattoman sähköisen liiketoiminnan nopeat muutokset, metsäteollisuuden erityispiirteet ja ei-kaupallisuus asettavat erityistarpeita innovoinnille. Painopiste on prosessin aikaisissa vaiheissa, koska ne ovat kriittisiä koko innovaatioprosessin menestymisen kannalta. Tähtäimenä oli löytää yrityssektorille uusia langattomia sähköisen liiketoiminnan mahdollisuuksia, jotka hyödyttävät tutkimuksessa mukanaolevaa yritystä. Tutkimuksessa käytettiin konstruktiivista tutkimusotetta ja metodeina sähköistä aivomyrskyä, tarkistuslistaa sekä GDSS- ja postikyselyä.Tutkimuksen tuloksena on esitetty innovaatioprosessin aikaiset vaiheet kirjallisuudesta, metsäteollisuuden erityispiirteet ja innovaatioprosessisovellus. Lisäksi tämä tutkimus tuotti uusia sähköisen liiketoiminnan ideoita, suoritti niille seulonnan ja kävi läpi alustavan tutkimuksen.

Use of alternative and complementary therapies in labor and delivery care: a cross-sectional study of midwives" training in Catalan hospitals accredited as centers for normal birth

Background: The use of complementary and alternative medicine (CAM) and complementary and alternative therapies (CAT) during pregnancy is increasing. Scientific evidence for CAM and CAT in the field of obstetrics mainly covers pain relief in labor. Midwives are responsible for labor and delivery care: hence, their knowledge of CAM and CAT is important. The aims of this study are to describe the professional profile of midwives who provide care for natural childbirth in Catalan hospitals accredited as centers for normal birth, to assess midwives" level of training in CAT and their use of these therapies, and to identify specific resources for CAT in labor wards. Methods: A descriptive, cross-sectional, quantitative method was used to assess the level of training and use of CAT by midwives working at 28 hospitals in Catalonia, Spain, accredited as public normal birth centers. Results: Just under a third of midwives (30.4%) trained in CAT after completion of basic training. They trained in an average of 5.97 therapies (SD 3.56). The number of CAT in which the midwives were trained correlated negatively with age (r = - 0.284; p < 0.001) and with their time working at the hospital in years (r = - 0.136; p = 0.036). Midwives trained in CAT considered that the following therapies were useful or very useful for pain relief during labor and delivery: relaxation techniques (64.3%), hydrotherapy (84.8%) and the application of compresses to the perineum (75.9%). The availability of resources for providing CAT during normal birth care varied widely from center to center. Conclusions: Age may influence attitudes towards training. It is important to increase the number of midwives trained in CAM for pain relief during childbirth, in order to promote the use of CAT and ensure efficiency and safety. CAT resources at accredited hospitals providing normal childbirth care should also be standardized.

Use of alternative and complementary therapies in labor and delivery care: a cross-sectional study of midwives" training in Catalan hospitals accredited as centers for normal birth

Background: The use of complementary and alternative medicine (CAM) and complementary and alternative therapies (CAT) during pregnancy is increasing. Scientific evidence for CAM and CAT in the field of obstetrics mainly covers pain relief in labor. Midwives are responsible for labor and delivery care: hence, their knowledge of CAM and CAT is important. The aims of this study are to describe the professional profile of midwives who provide care for natural childbirth in Catalan hospitals accredited as centers for normal birth, to assess midwives" level of training in CAT and their use of these therapies, and to identify specific resources for CAT in labor wards. Methods: A descriptive, cross-sectional, quantitative method was used to assess the level of training and use of CAT by midwives working at 28 hospitals in Catalonia, Spain, accredited as public normal birth centers. Results: Just under a third of midwives (30.4%) trained in CAT after completion of basic training. They trained in an average of 5.97 therapies (SD 3.56). The number of CAT in which the midwives were trained correlated negatively with age (r = - 0.284; p < 0.001) and with their time working at the hospital in years (r = - 0.136; p = 0.036). Midwives trained in CAT considered that the following therapies were useful or very useful for pain relief during labor and delivery: relaxation techniques (64.3%), hydrotherapy (84.8%) and the application of compresses to the perineum (75.9%). The availability of resources for providing CAT during normal birth care varied widely from center to center. Conclusions: Age may influence attitudes towards training. It is important to increase the number of midwives trained in CAM for pain relief during childbirth, in order to promote the use of CAT and ensure efficiency and safety. CAT resources at accredited hospitals providing normal childbirth care should also be standardized.

The Effect of Two Speed Endurance Training Regimes on Performance of Soccer Players.

In order to better understand the specificity of training adaptations, we compared the effects of two different anaerobic training regimes on various types of soccer-related exercise performances. During the last 3 weeks of the competitive season, thirteen young male professional soccer players (age 18.5±1 yr, height 179.5±6.5 cm, body mass 74.3±6.5 kg) reduced the training volume by ~20% and replaced their habitual fitness conditioning work with either speed endurance production (SEP; n = 6) or speed endurance maintenance (SEM; n = 7) training, three times per wk. SEP training consisted of 6-8 reps of 20-s all-out running bouts followed by 2 min of passive recovery, whereas SEM training was characterized by 6-8 x 20-s all-out efforts interspersed with 40 s of passive recovery. SEP training reduced (p<0.01) the total time in a repeated sprint ability test (RSAt) by 2.5%. SEM training improved the 200-m sprint performance (from 26.59±0.70 to 26.02±0.62 s, p<0.01) and had a likely beneficial impact on the percentage decrement score of the RSA test (from 4.07±1.28 to 3.55±1.01%) but induced a very likely impairment in RSAt (from 83.81±2.37 to 84.65±2.27 s). The distance covered in the Yo-Yo Intermittent Recovery test level 2 was 10.1% (p<0.001) and 3.8% (p<0.05) higher after SEP and SEM training, respectively, with possibly greater improvements following SEP compared to SEM. No differences were observed in the 20- and 40-m sprint performances. In conclusion, these two training strategies target different determinants of soccer-related physical performance. SEP improved repeated sprint and high-intensity intermittent exercise performance, whereas SEM increased muscles' ability to maximize fatigue tolerance and maintain speed development during both repeated all-out and continuous short-duration maximal exercises. These results provide new insight into the precise nature of a stimulus necessary to improve specific types of athletic performance in trained young soccer players.