Dr Kieran Lee - NIHR Research Training OpportunitiesThe Royal Marsden
The document provides information on various NIHR research training and career development opportunities, including fellowships, integrated academic training programs, and grants. It describes the NIHR's mission to improve health and wealth through research. Key programs highlighted include the NIHR Fellowships Programme, which offers various levels of fellowships, the HEE/NIHR Integrated Clinical Academic Programme, and NIHR grants such as the AMS Starter Grants and Research for Patient Benefit. Contact details and websites are provided for further information.
This document summarizes a survey of patients and clinicians on their perceptions of engagement in research. The survey found that most patients and clinicians felt engagement could improve research value. Many patients and clinicians expressed interest in direct engagement. However, barriers like lack of time and concerns about privacy existed. Facilitators included helping others and financial compensation. The study provides initial evidence on perceptions but has limitations like generalizability. It concludes engagement strategies should address barriers and link engagement to improved patient care and outcomes.
Mentorship for Medical and Healthcare Careers: obstetrics & gynecologyVandna Jerath, MD
Vandna Jerath, MD discusses how to obtain a mentor in medicine to optimize your chances of getting into medical or osteopathic school, physician assistant school, or nursing school.
Learning Objectives:
Learn why it is a privilege to be a physician and a general overview of obstetrics & gynecology.
Learn the pros and cons of a career in medicine and obstetrics & gynecology.
Learn the education and training required for a career in medicine.
Learn how to cultivate a passion and purpose that will begin a career path in medicine and healthcare.
Learn how to pick ideal mentors, shadowing experiences, develop essential skills, and maximize mentorships.
Learn the basic medical career options, appropriate healthcare questions to ask, current healthcare hot topics, benefits of research, how to engage with helpful medical mentors, and importance of building relationships.
Learn how to share your authentic selves in the application and interview process to optimize chances of acceptance to medical school, osteopathic school, physician assistant school, dental school, or nursing school.
This presentation summarizes a study conducted by researchers at the University of Notre Dame Australia that used the Harvard Medical School-Cambridge Integrated Clerkship tool to measure attributes of professionalism in final year medical students. The study found that female students scored higher than male students in patient-practitioner orientation, though there was no significant difference between students in metropolitan versus rural clinical schools. The researchers concluded the pilot study provided a baseline to measure the effects of longitudinal integrated clerkships on professionalism attributes in the medical curriculum going forward.
From post-doc to present day.
Presentation for the NIHR CLAHRC National Conference Careers Day: for postdoc research careers in the allied health professions
These are the slides on the Introduction to quantitative research course presented to the MBE (Master of Bioethics) students at Prince Sattam bin Abdulaziz University. It is focused on bioethics and in particular writing research rather than doing research. Please note that the sources of the slides are added as a link at the bottom of the slide itself.
Dr Kieran Lee - NIHR Research Training OpportunitiesThe Royal Marsden
The document provides information on various NIHR research training and career development opportunities, including fellowships, integrated academic training programs, and grants. It describes the NIHR's mission to improve health and wealth through research. Key programs highlighted include the NIHR Fellowships Programme, which offers various levels of fellowships, the HEE/NIHR Integrated Clinical Academic Programme, and NIHR grants such as the AMS Starter Grants and Research for Patient Benefit. Contact details and websites are provided for further information.
This document summarizes a survey of patients and clinicians on their perceptions of engagement in research. The survey found that most patients and clinicians felt engagement could improve research value. Many patients and clinicians expressed interest in direct engagement. However, barriers like lack of time and concerns about privacy existed. Facilitators included helping others and financial compensation. The study provides initial evidence on perceptions but has limitations like generalizability. It concludes engagement strategies should address barriers and link engagement to improved patient care and outcomes.
Mentorship for Medical and Healthcare Careers: obstetrics & gynecologyVandna Jerath, MD
Vandna Jerath, MD discusses how to obtain a mentor in medicine to optimize your chances of getting into medical or osteopathic school, physician assistant school, or nursing school.
Learning Objectives:
Learn why it is a privilege to be a physician and a general overview of obstetrics & gynecology.
Learn the pros and cons of a career in medicine and obstetrics & gynecology.
Learn the education and training required for a career in medicine.
Learn how to cultivate a passion and purpose that will begin a career path in medicine and healthcare.
Learn how to pick ideal mentors, shadowing experiences, develop essential skills, and maximize mentorships.
Learn the basic medical career options, appropriate healthcare questions to ask, current healthcare hot topics, benefits of research, how to engage with helpful medical mentors, and importance of building relationships.
Learn how to share your authentic selves in the application and interview process to optimize chances of acceptance to medical school, osteopathic school, physician assistant school, dental school, or nursing school.
This presentation summarizes a study conducted by researchers at the University of Notre Dame Australia that used the Harvard Medical School-Cambridge Integrated Clerkship tool to measure attributes of professionalism in final year medical students. The study found that female students scored higher than male students in patient-practitioner orientation, though there was no significant difference between students in metropolitan versus rural clinical schools. The researchers concluded the pilot study provided a baseline to measure the effects of longitudinal integrated clerkships on professionalism attributes in the medical curriculum going forward.
From post-doc to present day.
Presentation for the NIHR CLAHRC National Conference Careers Day: for postdoc research careers in the allied health professions
These are the slides on the Introduction to quantitative research course presented to the MBE (Master of Bioethics) students at Prince Sattam bin Abdulaziz University. It is focused on bioethics and in particular writing research rather than doing research. Please note that the sources of the slides are added as a link at the bottom of the slide itself.
The document discusses new initiatives at the Patient-Centered Outcomes Research Institute (PCORI) related to pragmatic clinical studies and engagement. Key points include:
- PCORI is emphasizing large pragmatic clinical studies to compare medical interventions and engage patients and other stakeholders throughout the research process.
- New areas of focus include establishing study advisory committees involving stakeholders, engaging medical societies in research, and funding the dissemination of study results.
- PCORI is prioritizing research topics nominated by patients and other stakeholders and conducting targeted funding opportunities on focused clinical questions.
Let's Talk Research 2015 - Hazel Roddam - Getting started in research: how t...NHSNWRD
Getting started in research: how the north west cahpr hubs can help you to create, collect and use evidence
Dr Hazel Roddam Cumbria & Lancashire CAHPR Hub & National Strategy Board
Dr Catherine Adams Greater Manchester CAHPR Hub
A presentation on what is a Medical Journal Club and its value in clinical and academic training with the headings necessary for inclusion in a PowerPoint presentation.
Also contains Hyperlinks to useful CAT sites.
Psychology Education And Training In The United StatesMarco Peña
The document summarizes psychology education and training in the United States. It discusses the contextual factors and models of training, recognized specialties, quality assurance measures, and contemporary issues. It also describes the role of the American Psychological Association of Graduate Students (APAGS) in representing graduate students.
This document discusses evidence-based periodontology. It begins by defining evidence-based medicine and dentistry, which involves integrating the best research evidence with clinical expertise and patient values and needs. The document outlines the goals and basic phases of evidence-based dentistry, including asking questions, searching for evidence, reviewing evidence, and applying it clinically. It discusses how to formulate search strategies and find the best evidence sources. Evidence-based periodontology aims to efficiently apply the best research to patient care. It concludes that clinicians must continually update their knowledge based on new research evidence and follow a systematic approach to consider evidence and apply it to clinical practice.
CER 2016 Jacoby stakeholder engagementCTSI at UCSF
This document discusses stakeholder engagement in patient-centered outcomes research. It begins by explaining the change from a researcher-centered model to including stakeholders. Key stakeholders are identified as patients, providers, drug/device companies, insurers, and advocates. Stakeholder engagement is required by PCORI to support funding, improve enrollment, strengthen research design, and broaden impact. Examples are provided of how a study on uterine fibroid treatment engaged stakeholders in design, recruitment, and dissemination of results. Challenges and new approaches like crowdsourcing input are also discussed.
Module 2 of the Oral Health Tutorial, a production of UT HSC Libraries.
This module focuses on evidence-based dental health. View this tutorial to learn how to define evidence-based dental public health, learn effective retrieval strategy, be able to critique the literature and apply it to public health dental practice.
This tutorial is copyright Lara Sapp and Julie Gaines.
This document discusses engaging patients in clinical research. It notes that currently many clinical practice guidelines have low levels of evidence due to gaps in research evidence. Involving patients throughout the research process from designing studies to disseminating results can help address these gaps. The document outlines various roles patients can play at each stage of research, from providing input on study design to assisting with study recruitment and monitoring studies. It also discusses challenges like making protocols feasible for patients. The PROSPER study is highlighted as an example of patient-centered research that addresses outcomes important to patients. The conclusion emphasizes that patients will continue driving improvements in care and should be meaningfully engaged in the research process.
The National Physiotherapy Research Network (NPRN) was established in 2005 to nurture research, evidence-based practice, and researchers in physiotherapy. The NPRN aims to bring clinicians and academics together to discuss research needs and make use of existing research support resources. It has 20 regional hubs across the UK and Ireland that provide advice, training, and mentorship. The NPRN works to raise awareness of research and its value to the physiotherapy profession and evidence-based practice.
CER 2016 Nguyen ctsi collaborative researchCTSI at UCSF
This document describes the Health Within Reach project, a collaborative effort between UCSF, SFGH, and SF Hep B Free to improve hepatitis B and C screening for Asian Americans. The team was formed due to their shared focus on Asian American health disparities and complementary expertise in clinical research, community engagement, and multi-lingual interventions. Challenges in collaborating across organizations were addressed through regular communication, consensus decision-making, and flexibility. The project aims to develop and evaluate a video and provider alert intervention to increase screening rates.
The document describes the LOCATED project, which aims to track medical trainees' career choices and practice locations after graduating from Dalhousie Medicine New Brunswick. The project collects demographic and educational placement data on students to analyze how these factors influence their eventual career and location of practice. It outlines the LOCATED methodology, presents some initial findings on student backgrounds and residency match locations, and discusses challenges with managing longitudinal data and lessons learned.
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE by Dr.T.V.Rao MD
A GUEST TALK BY Dr.T.V.Rao MD – At AZEEZIA MEDICAL COLLEGE KOLLAM on 30th June
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE
I am Thankful to the Management, Medical Director, Principal, Vice Principal and Dr. Sudha and Dr Vivek for the support in delivering the lectures, Hope many postgraduate make their career a great success
Dr.T.V.Rao MD Chairperson, Ethical Committee of Azeezia Medical College, Kollam
A GUEST TALK BY Dr.T.V.Rao MD – At AZEEZIA MEDICAL COLLEGE KOLLAM on 30th June
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE
I am Thankful to the Management, Medical Director, Principal, Vice Principal and Dr. Sudha and Dr Vivek for the support in delivering the lectures, Hope many postgraduate make their career a great success
Dr.T.V.Rao MD Chairperson, Ethical Committee of Azeezia MeA GUEST TALK BY Dr.T.V.Rao MD – At AZEEZIA MEDICAL COLLEGE KOLLAM on 30th June
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE
I am Thankful to the Management, Medical Director, Principal, Vice Principal and Dr. Sudha and Dr Vivek for the support in delivering the lectures, Hope many postgraduate make their career a great success
Dr.T.V.Rao MD Chairperson, Ethical Committee of Azeezia Medical College, Kollam
dical College, Kollam
This document provides guidance on conducting an effective literature search, including:
- Breaking the research question into key concepts using the PICO framework to guide the search
- Identifying synonyms and related terms to broaden search results
- Considering the appropriate level of evidence needed to answer the research question
- Using systematic search techniques that combine subject headings and keywords across multiple databases
- Tips for refining searches such as applying limits, expanding, or narrowing the search strategy based on results
CER 2016 Phillips cer symposium pcori 2016 from 012716CTSI at UCSF
This document discusses the development of PCORI's research agenda on personalized and precision medicine. It outlines Kathryn Phillips' role as an advisor to PCORI on this topic. Specifically, it describes efforts to develop targeted funding opportunities through PCORI that address key issues within personalized medicine while adhering to PCORI's mandate of comparative effectiveness research. This includes conducting expert interviews and stakeholder meetings to inform the development of research funding announcements focused on direct comparisons of personalized medicine approaches in real-world settings.
Let's Talk Research 2015 - Tracey Williamson -Learning points for clinical pr...NHSNWRD
Dr. Tracey Williamson presented the key findings from two dementia environment studies conducted in 2014. The studies evaluated capital improvement projects across residential care homes, mental health trusts, and acute hospital trusts in Greater Manchester. Several learning points emerged, including the importance of comprehensive stakeholder engagement, supporting environmental changes with training, and planning evaluation from the outset to fully understand the impact of any design changes on patients and staff. Overall, the studies found that dementia-friendly environments can be enhanced through relatively low-cost approaches and that such changes are most effective when integrated into whole-system care rather than implemented alone.
This document outlines an introduction to research in radiology course with the following objectives: to familiarize attendees with clinical research principles and tools, emphasize technology and outcome assessments, and identify and encourage those interested in academic careers focused on research. The course schedule is provided over two days, with topics including motivation for research, research ethics, IRB approval, abstract writing, clinical trial statistics, decision trees, quality and safety research, diagnostic testing, grants, technology assessment, study design, manuscript preparation, and resident involvement in research. Research is defined as a systematic, scientific investigation for truth. The need for research is discussed in terms of protecting specialties and procedures, and how funded research benefits academic radiologists. Types of potential radiology research
This document outlines a seminar on evidence-based nursing practice. It defines evidence-based practice as using the best available research evidence, clinical expertise, and patient values to guide nursing care. The five steps of evidence-based practice are described as formulating questions, searching literature, critically analyzing evidence, implementing useful findings, and evaluating changes. Barriers to evidence-based practice include lack of skills, support, time and access to research. Clinical nurse educators and administrators can promote evidence-based practice through role modeling, education and creating supportive environments for nursing research.
Sanguine is developing a novel at-home clinical trial platform that leverages mobile/digital health technologies to increase efficiency and data collection for clinical research. Their platform provides medical staff to patients' homes in over 20 US cities and has worked with 25 global pharmaceutical companies. Sanguine uses partnerships and its technology platform to more quickly recruit patients, schedule home visits and sample collection to reduce the time and cost of clinical trials.
The document discusses new initiatives at the Patient-Centered Outcomes Research Institute (PCORI) related to pragmatic clinical studies and engagement. Key points include:
- PCORI is emphasizing large pragmatic clinical studies to compare medical interventions and engage patients and other stakeholders throughout the research process.
- New areas of focus include establishing study advisory committees involving stakeholders, engaging medical societies in research, and funding the dissemination of study results.
- PCORI is prioritizing research topics nominated by patients and other stakeholders and conducting targeted funding opportunities on focused clinical questions.
Let's Talk Research 2015 - Hazel Roddam - Getting started in research: how t...NHSNWRD
Getting started in research: how the north west cahpr hubs can help you to create, collect and use evidence
Dr Hazel Roddam Cumbria & Lancashire CAHPR Hub & National Strategy Board
Dr Catherine Adams Greater Manchester CAHPR Hub
A presentation on what is a Medical Journal Club and its value in clinical and academic training with the headings necessary for inclusion in a PowerPoint presentation.
Also contains Hyperlinks to useful CAT sites.
Psychology Education And Training In The United StatesMarco Peña
The document summarizes psychology education and training in the United States. It discusses the contextual factors and models of training, recognized specialties, quality assurance measures, and contemporary issues. It also describes the role of the American Psychological Association of Graduate Students (APAGS) in representing graduate students.
This document discusses evidence-based periodontology. It begins by defining evidence-based medicine and dentistry, which involves integrating the best research evidence with clinical expertise and patient values and needs. The document outlines the goals and basic phases of evidence-based dentistry, including asking questions, searching for evidence, reviewing evidence, and applying it clinically. It discusses how to formulate search strategies and find the best evidence sources. Evidence-based periodontology aims to efficiently apply the best research to patient care. It concludes that clinicians must continually update their knowledge based on new research evidence and follow a systematic approach to consider evidence and apply it to clinical practice.
CER 2016 Jacoby stakeholder engagementCTSI at UCSF
This document discusses stakeholder engagement in patient-centered outcomes research. It begins by explaining the change from a researcher-centered model to including stakeholders. Key stakeholders are identified as patients, providers, drug/device companies, insurers, and advocates. Stakeholder engagement is required by PCORI to support funding, improve enrollment, strengthen research design, and broaden impact. Examples are provided of how a study on uterine fibroid treatment engaged stakeholders in design, recruitment, and dissemination of results. Challenges and new approaches like crowdsourcing input are also discussed.
Module 2 of the Oral Health Tutorial, a production of UT HSC Libraries.
This module focuses on evidence-based dental health. View this tutorial to learn how to define evidence-based dental public health, learn effective retrieval strategy, be able to critique the literature and apply it to public health dental practice.
This tutorial is copyright Lara Sapp and Julie Gaines.
This document discusses engaging patients in clinical research. It notes that currently many clinical practice guidelines have low levels of evidence due to gaps in research evidence. Involving patients throughout the research process from designing studies to disseminating results can help address these gaps. The document outlines various roles patients can play at each stage of research, from providing input on study design to assisting with study recruitment and monitoring studies. It also discusses challenges like making protocols feasible for patients. The PROSPER study is highlighted as an example of patient-centered research that addresses outcomes important to patients. The conclusion emphasizes that patients will continue driving improvements in care and should be meaningfully engaged in the research process.
The National Physiotherapy Research Network (NPRN) was established in 2005 to nurture research, evidence-based practice, and researchers in physiotherapy. The NPRN aims to bring clinicians and academics together to discuss research needs and make use of existing research support resources. It has 20 regional hubs across the UK and Ireland that provide advice, training, and mentorship. The NPRN works to raise awareness of research and its value to the physiotherapy profession and evidence-based practice.
CER 2016 Nguyen ctsi collaborative researchCTSI at UCSF
This document describes the Health Within Reach project, a collaborative effort between UCSF, SFGH, and SF Hep B Free to improve hepatitis B and C screening for Asian Americans. The team was formed due to their shared focus on Asian American health disparities and complementary expertise in clinical research, community engagement, and multi-lingual interventions. Challenges in collaborating across organizations were addressed through regular communication, consensus decision-making, and flexibility. The project aims to develop and evaluate a video and provider alert intervention to increase screening rates.
The document describes the LOCATED project, which aims to track medical trainees' career choices and practice locations after graduating from Dalhousie Medicine New Brunswick. The project collects demographic and educational placement data on students to analyze how these factors influence their eventual career and location of practice. It outlines the LOCATED methodology, presents some initial findings on student backgrounds and residency match locations, and discusses challenges with managing longitudinal data and lessons learned.
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE by Dr.T.V.Rao MD
A GUEST TALK BY Dr.T.V.Rao MD – At AZEEZIA MEDICAL COLLEGE KOLLAM on 30th June
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE
I am Thankful to the Management, Medical Director, Principal, Vice Principal and Dr. Sudha and Dr Vivek for the support in delivering the lectures, Hope many postgraduate make their career a great success
Dr.T.V.Rao MD Chairperson, Ethical Committee of Azeezia Medical College, Kollam
A GUEST TALK BY Dr.T.V.Rao MD – At AZEEZIA MEDICAL COLLEGE KOLLAM on 30th June
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE
I am Thankful to the Management, Medical Director, Principal, Vice Principal and Dr. Sudha and Dr Vivek for the support in delivering the lectures, Hope many postgraduate make their career a great success
Dr.T.V.Rao MD Chairperson, Ethical Committee of Azeezia MeA GUEST TALK BY Dr.T.V.Rao MD – At AZEEZIA MEDICAL COLLEGE KOLLAM on 30th June
ROLE AND RESPONSIBILITIES OF POSTGRADUATES IN MEDICINE
I am Thankful to the Management, Medical Director, Principal, Vice Principal and Dr. Sudha and Dr Vivek for the support in delivering the lectures, Hope many postgraduate make their career a great success
Dr.T.V.Rao MD Chairperson, Ethical Committee of Azeezia Medical College, Kollam
dical College, Kollam
This document provides guidance on conducting an effective literature search, including:
- Breaking the research question into key concepts using the PICO framework to guide the search
- Identifying synonyms and related terms to broaden search results
- Considering the appropriate level of evidence needed to answer the research question
- Using systematic search techniques that combine subject headings and keywords across multiple databases
- Tips for refining searches such as applying limits, expanding, or narrowing the search strategy based on results
CER 2016 Phillips cer symposium pcori 2016 from 012716CTSI at UCSF
This document discusses the development of PCORI's research agenda on personalized and precision medicine. It outlines Kathryn Phillips' role as an advisor to PCORI on this topic. Specifically, it describes efforts to develop targeted funding opportunities through PCORI that address key issues within personalized medicine while adhering to PCORI's mandate of comparative effectiveness research. This includes conducting expert interviews and stakeholder meetings to inform the development of research funding announcements focused on direct comparisons of personalized medicine approaches in real-world settings.
Let's Talk Research 2015 - Tracey Williamson -Learning points for clinical pr...NHSNWRD
Dr. Tracey Williamson presented the key findings from two dementia environment studies conducted in 2014. The studies evaluated capital improvement projects across residential care homes, mental health trusts, and acute hospital trusts in Greater Manchester. Several learning points emerged, including the importance of comprehensive stakeholder engagement, supporting environmental changes with training, and planning evaluation from the outset to fully understand the impact of any design changes on patients and staff. Overall, the studies found that dementia-friendly environments can be enhanced through relatively low-cost approaches and that such changes are most effective when integrated into whole-system care rather than implemented alone.
This document outlines an introduction to research in radiology course with the following objectives: to familiarize attendees with clinical research principles and tools, emphasize technology and outcome assessments, and identify and encourage those interested in academic careers focused on research. The course schedule is provided over two days, with topics including motivation for research, research ethics, IRB approval, abstract writing, clinical trial statistics, decision trees, quality and safety research, diagnostic testing, grants, technology assessment, study design, manuscript preparation, and resident involvement in research. Research is defined as a systematic, scientific investigation for truth. The need for research is discussed in terms of protecting specialties and procedures, and how funded research benefits academic radiologists. Types of potential radiology research
This document outlines a seminar on evidence-based nursing practice. It defines evidence-based practice as using the best available research evidence, clinical expertise, and patient values to guide nursing care. The five steps of evidence-based practice are described as formulating questions, searching literature, critically analyzing evidence, implementing useful findings, and evaluating changes. Barriers to evidence-based practice include lack of skills, support, time and access to research. Clinical nurse educators and administrators can promote evidence-based practice through role modeling, education and creating supportive environments for nursing research.
Sanguine is developing a novel at-home clinical trial platform that leverages mobile/digital health technologies to increase efficiency and data collection for clinical research. Their platform provides medical staff to patients' homes in over 20 US cities and has worked with 25 global pharmaceutical companies. Sanguine uses partnerships and its technology platform to more quickly recruit patients, schedule home visits and sample collection to reduce the time and cost of clinical trials.
Biobanks contain biological samples and associated health data that are accessed by researchers studying diseases. They may contain blood, tissues, DNA, and personal information like birthdate and sex. Oversight of biobanks is negotiated between the biobank and research institutions, funders, and ethics boards to ensure samples and data are used appropriately and that individuals can withdraw consent if desired. Researchers are linked to biobank data through anonymous identifiers so samples can be traced, questions answered, and data shared back with the biobank.
2013-07-17: Incorporating Personalized Medicine in Community Hospital SystemsBaltimore Lean Startup
- Catholic Health Initiatives (CHI) is the 5th largest non-profit health system in the US, operating 86 hospitals across 18 states.
- CHI is establishing a network of biospecimen collection sites across its hospitals to support personalized medicine research through its Center for Translational Research.
- The network will collect, store, and analyze biospecimens and patient data using uniform procedures to enable large-scale studies and clinical trials related to personalized medicine.
De key account manager a corporate account manager (vf)Enrique Cebrecos
Frente a la figura del KAM, cuya función principal es maximizar el volumen de ventas dentro de su portfolio de productos/servicios; la figura del Corporate Account Manager aporta una visión holística de la compañía y su objetivo principal es el desarrollo de alianzas estratégicas a medio/largo plazo con sus clientes, y la búsqueda conjunta de soluciones cuyo objetivo sea el reforzamiento de la posición en el mercado de ambas compañías.
Este documento presenta una guía para profesores sobre el Síndrome de Asperger. Explica las características clave del síndrome como dificultades en las relaciones sociales, la comunicación y la flexibilidad, y ofrece estrategias prácticas para ayudar a los estudiantes con Asperger en el aula. La guía también cubre temas como ansiedad, motivación y organización.
New Eden School of Natural Health and Herbal Studies offers the best accredited distance learning educational programs in natural health & herbal studies. These curriculum(s) will prepare the student for a future in natural health. New Eden School of Natural Health and Herbal Studies offers 30% off on whole programs (curriculums) paid in full in advance. Does not apply to single courses or the pay per course options. To find out more about enrolling in one of our natural health courses, email us at info@newedenschool.com today!
El documento trata sobre los factores de producción relacionados con el agua, incluyendo el clima, suelo y plantas. Explica que el agua constituye el 71% de la corteza terrestre y se encuentra en tres estados: líquido, gaseoso y sólido. Describe el ciclo del agua y su calidad, así como los procesos básicos de fotosíntesis, respiración y transpiración que involucran al agua, suelo y plantas. Finalmente, cubre temas como los tipos de riego y us
China Arts Foundation_Event Highlights_2014Gianna Guo
The document summarizes two events held by the China Arts Foundation in early 2014 to celebrate the Chinese New Year and the Year of the Horse. The first event was the CAF Annual Dinner on January 30th at Le Cirque restaurant in New York City, hosted for Madam Deng Rong. Several notable guests were presented with honors at the dinner. The second event was the New York Philharmonic's Year of the Horse Gala on February 1st at Avery Fisher Hall, featuring Chinese musicians and conducted by Long Yu. Both events celebrated Chinese culture and strengthened relations between the US and China.
El documento describe los procesos de unión y fabricación de tuberías de acero. Las uniones se realizan principalmente mediante soldadura o bridas. En el proceso de soldadura, primero se inspeccionan y preparan los materiales, luego se realiza la soldadura y se controla la calidad mediante pruebas de líquidos penetrantes. Las bridas se unen con juntas y tornillos siguiendo normas. También se detallan los procesos de montaje de bocas de hombre en las tuberías.
Los pingüinos son aves que no pueden volar y viven en regiones polares y temperadas del hemisferio sur. Se alimentan principalmente de peces, calamares y krill. Existen 18 especies de pingüinos que varían en tamaño y coloración, siendo los más grandes el pingüino emperador y el más pequeño el pingüino little blue.
Neeraj Lamba is an SAP ABAP Consultant seeking a new challenging role. He has over 2 years of experience developing reports, interfaces, batch processes and more using ABAP. His skills include reports, dialog programming, cross-application components and enhancements. He holds a Bachelor's degree in Computer Science and has experience working with Lennox International on SAP support and customizations.
El documento habla sobre diferentes temas económicos como la teoría de los juegos desarrollada por John Nash, su aplicación en la película "A Beautiful Mind" y en campos como la administración. También discute la teoría de la decisión, leyes antimonopolio, tipos de mercado, y las posibles consecuencias de una nueva medida de AFIP sobre el mercado de alquileres en Argentina.
El documento presenta la misión y visión del Sistema Universitario UNIMINUTO, la cual se enfoca en ofrecer educación superior de calidad con acceso flexible para formar profesionales éticos y líderes de transformación social. También describe las reglas sobre faltas a clase y becas, e incluye instrucciones sobre cómo visualizar horarios, parciales, notas finales y matricular materias en el sistema Genesis.
La integración didáctica de las nuevas tecnologíasMaría Robelly
El documento propone una estrategia para incorporar tecnologías nuevas en entornos educativos con pocos recursos. Esta incluye crear un departamento de tecnología, capacitar a docentes y personal a través de talleres y cursos, implementar ofimática en el currículo, comprar software administrativo y desarrollar proyectos piloto que integren tecnología en las aulas.
The document describes an exploratory study examining changes in functional recovery levels and associated factors over the first six months following right hemisphere stroke. The study assessed 93 right hemisphere stroke patients at four time points - within 7 days of admission, at discharge, 6 weeks post-discharge, and 6 months post-stroke - using a battery of validated tests. Functional ability was the primary outcome measured, while factors like age, stroke severity, cognition, inattention, self-efficacy, therapy received, and discharge location were examined. A multi-level model was used to analyze the hierarchical longitudinal data and determine the variability in functional ability attributed to each factor over time.
This document summarizes a research symposium for health professionals including nurses, midwives, and pharmacists. It discusses the need for more research-active health professionals and outlines career pathways for clinical research. These include NIHR/HEE programs like the Clinical Academic Training Program, Masters in Clinical Research, and Clinical Doctoral Research Fellowships. It provides examples of NIHR-funded research projects led by nurses and allied health professionals. The document also describes Imperial College's efforts to support clinical research training and careers for health professionals through skills training, fellowships, and encouraging supervision of trainees.
V Rolfe STEM 2012 Employer Engagement in OER 12April2012Vivien Rolfe
The document discusses the Health and Life Science Open Educational Resource (HALSOER) project which aims to develop open educational resources for STEM subjects through external partnerships. It describes HALSOER's approach of identifying potential partner organizations, agreeing on deliverables and copyright, and producing a wide range of OER materials. Initial observations suggest partnerships can be easily established and are mutually beneficial, providing opportunities for student learning as well as wider collaborations around teaching and research. The next steps involve continuing to research the impacts of OER on students and outcomes of new collaborations.
2016_ClinicalSchoolsWithPlymouthUniversity_LATOURChrist Dean
The document describes the clinical schools partnership between Plymouth University and four hospitals in Devon and Cornwall. The clinical schools are academic hubs located at each hospital, led by a Professor of Nursing, that aim to close the gap between evidence and practice in nursing. They work with clinical colleagues to bring research and higher education opportunities to where care is delivered. The schools support the development, conduct and dissemination of nursing research projects to build research capacity and implement evidence-based practice changes. They provide resources and act as critical friends at all stages of the research process from developing ideas to completing and sharing results.
Mairead O'Driscoll, PhD Director, Research Strategy and Funding Directorate, ...Investnet
This document discusses the role of research in primary care in Ireland. It provides an overview of the Health Research Board (HRB) and its support for primary care research through funding, centers, networks and training. There is a need for primary care research to develop an evidence base and improve practice. The HRB has increased funding for primary care research projects and established the Irish Primary Care Research Network to facilitate research. Key themes include chronic disease management, health promotion, and evaluating reforms.
An Alternative Clinical Research Activity League Table for Acute NHS Trusts a...Paul Roberts
The document discusses whether key performance indicators (KPIs) focusing on recruitment numbers for the National Institute for Health Research Clinical Research Network (NIHR CRN) may have unintentionally reduced the quality of research conducted in the NHS in England from 2008 to 2016. It notes that while recruitment numbers have increased, the proportion of interventional to observational studies has decreased. This could indicate less emphasis on higher quality interventional research. Data is presented showing trends in commercial vs. non-commercial research and relationships between recruitment numbers and quality metrics. The discussion examines how KPIs focused solely on quantity may have shifted priorities away from quality and calls for new KPIs that reward both quality and quantity to better recognize high quality, embedded
his is the first in a series of interactive webinars designed to build capacity in the basic principles of knowledge translation and implementation science.
WATCH-ON DEMAND: https://goo.gl/hnp8gi
Implementing Patient & Public Involvement in Research: 27.06.2017RDSLondon
This document provides guidance on effective patient and public involvement (PPI) in research. It discusses what PPI is, who can be involved, and how to avoid tokenistic involvement. PPI refers to actively working with patients, caregivers and the public to plan, conduct and disseminate research. Effective PPI ensures research questions reflect patient priorities, methods are appropriate, and findings are disseminated to lay audiences. The document provides examples of how patients can be involved at different stages of the research process and urges researchers to meaningfully incorporate PPI in grant applications.
This document provides information about the UCLA Clinical and Translational Science Institute (CTSI). It discusses the purpose of the National CTSA Program in providing infrastructure for clinical and translational research. It outlines various pilot programs, awards, and funding opportunities available through the UCLA CTSI, including KL2 awards, TL1 fellowships, seed grants, and team science awards. It also describes the Clinical and Translational Research Center facilities and regional consortia like UC-BRAID that enable collaboration between UC medical centers.
Lets Talk Research 2015 - Tim Twelvetree and Angela Todd - Building research ...NHSNWRD
Building research capacity using a nursing, midwifery and AHP research strategy
Angela Tod
Florence Nightingale Foundation Chair of Clinical Nursing Research
Tim Twelvetree
Research Fellow
The University of Manchester / Central Manchester University Teaching Hospitals NHS Foundation Trust
1) Innovative approaches to building capacity for patient safety and quality improvement include aligning continuing professional development with quality improvement initiatives, using co-learning models where residents and faculty work together on quality improvement projects, developing academic tracks focused on quality improvement, and integrating quality improvement and patient safety competencies into frameworks like CanMEDS 2015.
2) Specific strategies discussed include highlighting clinical areas with quality issues in continuing education, adding quality improvement content to clinical topics, having post-event deliverables like audits, and embedding continuing education activities within larger quality improvement initiatives.
3) Examples provided include a co-learning curriculum where residents worked with faculty mentors on divisional quality improvement priorities, and the creation of "clin
1) The document outlines initiatives by Penn State's Science Advising Center to better advise their large population of pre-health students.
2) They implemented group advising sessions, collaborative workshops, applicant surveys, and revised their first-year seminar content and pre-health newsletter to provide advising more efficiently and capture students earlier.
3) Assessment found students found the group approaches and first-year content most helpful for learning about health professions and the application process.
1. The Higher Education Academy was formed through the merging of several organizations related to higher education, including the Learning and Teaching Support Network.
2. The Academy aims to enhance the student experience in higher education by identifying and sharing best practices in learning and teaching.
3. The Health Sciences and Practice Subject Centre works within the Academy to promote good practices in healthcare education through enhancing quality and sharing resources.
The document discusses the Modernising Scientific Careers (MSC) program which aims to transform and develop the healthcare science workforce in the UK. The MSC will implement a new training framework with clear career pathways and progression for healthcare scientists. It will include new roles like Healthcare Science Assistants and Associates with vocational training, and Practitioners with integrated academic and workplace training programs. The MSC will also establish Higher Specialist Scientific Training and designations like Healthcare Scientist, Senior Healthcare Scientist, and Consultant Healthcare Scientist. The goals are to simplify careers, align training across the UK, and ensure the workforce is flexible, innovative and able to meet future healthcare needs.
Jennie Popay - A cautionary tale: Serendipity and a career in ResearchNHSNWRD
This document discusses the role of serendipity in research careers. It describes encountering a linguistic sage at Harvard Medical School, witnessing the serendipitous birth of penicillin, and meeting someone who "manages serendipity" for the U.S. Navy. The document argues that discovery is a messy blend of inspiration, perspiration, error, and happy chance, rather than being strictly defined. It presents serendipity as an important factor in research careers.
Alison Chambers gave a personal story at the NHS NW Let's Talk Research Conference on September 14, 2017. She discussed growing up working class in Northern England and becoming a physiotherapist. Chambers then transitioned from being a clinician to an academic, taking on roles in healthcare education. She advised her younger self to accept failure as a learning experience, keep perspective on problems, and not worry about things outside of one's control.
This short document appears to be a thank you note, as it contains the phrase "Thank You" twice with no other context provided. It also includes a name, Warren Heppolette, but no other details about the purpose of the note or who it was intended for are included in the minimal information given.
This document welcomes attendees to an event exploring novel approaches to research and development. It highlights quotes about overcoming fears and anxieties as part of an adrenaline-filled journey. It promotes connecting, collaborating, and bringing messages to life at the event, which will include hackathons and pizza. Attendees are encouraged to share their experience from the event on social media.
Research for All: Now is the time!! advocates that now is a prime opportunity for increased research efforts due to several factors:
1) Demographic changes like an aging population and rising rates of chronic conditions are increasing healthcare needs and costs, highlighting the need for improved population health outcomes and more cost-effective care.
2) Technological advances, increased research emphasis and funding opportunities, and system changes like sustainability and transformation plans present opportunities to enhance research efforts and translate findings into policies and practices.
3) While healthcare systems face financial pressures, there are also burgeoning sources of research funding from industry, charitable organizations, and dedicated government funding that can be leveraged to support research without overburdening health
This document summarizes a presentation by Prof Sally Spencer on her career in health research and lessons learned. Some key points include:
- She has over 20 years of experience in conducting clinical trials and systematic reviews in areas like COPD and quality of life measures.
- Her first major trial involved collecting over 10,000 questionnaires over 3 years, teaching her important research skills.
- Successful research requires determination, acquiring skills, collaboration across disciplines, and managing expectations of partners.
- Effective time management and navigating regulations and processes can be challenging but seeking help is important.
- Having an open mind, developing networks, and remembering to have fun are also valuable in a research career.
R&D Managers presentation July 2016 WrightingtonNHSNWRD
The NHS Research and Development North West team consists of 6 members who build research capacity, enable collaboration, and facilitate connections. They offer master classes, webinars, and internship programs to build capacity. They also make short films and podcasts to enable collaboration. Additionally, they host an annual conference and use newsletters, websites, and social media to facilitate connections and build their research community. The 2016 conference focused on novel approaches to research and development and featured several keynote speakers.
Let's Talk Research 2015 - End of Conference MontageNHSNWRD
The document contains short quotes and messages from various individuals discussing topics like gaining wisdom with age, building knowledge, goals after leaving a role, opportunities in research, improving patient care, connections, and an R&D project status check. The document also includes an NHS R&D North West mission statement and their Twitter handle.
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
An Action Research approach to facilitating the integration of best practice in the Assessment and Management of Diabetes Related Lower Limb Problems in India.
Michael Harrison-Blount MSc. BSc (Hons). MChS. MFPM RCPS (Glasg). CSci
Lecturer in Podiatry
School of Health SciencesUniversity of Salford
t: +44 0161 2953516
email; m.j.harrison-blount@salford.ac.uk | www.salford.ac.uk
Let's Talk Research 2015 - Mark Sidaway -A new way to recruit participants in...NHSNWRD
This document describes a new method for recruiting participants for research called FARSITE. FARSITE allows researchers to systematically search medical records at multiple general practitioner (GP) sites to identify potential participants who meet eligibility criteria for a study. For a study called CLASSIC evaluating integrated care in Salford, UK, FARSITE was used to search records at 34 GP practices to identify over 13,000 eligible older patients with long-term conditions. Questionnaires were then mailed directly to patients' homes through a company called Docmail, minimizing the impact on GP and practice staff time. The use of FARSITE and Docmail made the recruitment process more efficient, standardized, and engaged GPs without overburdening practice staff
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This document summarizes a study exploring the experiences of stroke survivors and their carers in managing medications after being discharged from the hospital. It finds that they face various practical challenges with dexterity, swallowing, cognition and lack of knowledge about how to take medications. They also have motivational issues due to the preventative nature and lack of evidence the medications are working. Strategies used to manage medications include dosette boxes, reminders, and support from carers. The conclusion calls for improved patient education before discharge and support for those living alone or on multiple medications.
Let's Talk Research 2015 - Michaela Thompson - What are the needs of parents,...NHSNWRD
‘What are the needs of parents, carers and/or family members who have a relative supported within a specialist learning disability forensic Trust – A qualitative research project’.
Michaela Thomson, Research Practitioner
(Project submitted as part of MSc in Clinical Research)
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Introduction To Qualitative Methods: Different Approaches For Different Contexts
Jois Stansfield, Maxine Holt, Nigel Cox, Suzanne Gough, Juliet Goldbart, MMU
This presentation by OECD, OECD Secretariat, was made during the discussion “Pro-competitive Industrial Policy” held at the 143rd meeting of the OECD Competition Committee on 12 June 2024. More papers and presentations on the topic can be found at oe.cd/pcip.
This presentation was uploaded with the author’s consent.
This presentation by Tim Capel, Director of the UK Information Commissioner’s Office Legal Service, was made during the discussion “The Intersection between Competition and Data Privacy” held at the 143rd meeting of the OECD Competition Committee on 13 June 2024. More papers and presentations on the topic can be found at oe.cd/ibcdp.
This presentation was uploaded with the author’s consent.
This presentation by Nathaniel Lane, Associate Professor in Economics at Oxford University, was made during the discussion “Pro-competitive Industrial Policy” held at the 143rd meeting of the OECD Competition Committee on 12 June 2024. More papers and presentations on the topic can be found at oe.cd/pcip.
This presentation was uploaded with the author’s consent.
1.) Introduction
Our Movement is not new; it is the same as it was for Freedom, Justice, and Equality since we were labeled as slaves. However, this movement at its core must entail economics.
2.) Historical Context
This is the same movement because none of the previous movements, such as boycotts, were ever completed. For some, maybe, but for the most part, it’s just a place to keep your stable until you’re ready to assimilate them into your system. The rest of the crabs are left in the world’s worst parts, begging for scraps.
3.) Economic Empowerment
Our Movement aims to show that it is indeed possible for the less fortunate to establish their economic system. Everyone else – Caucasian, Asian, Mexican, Israeli, Jews, etc. – has their systems, and they all set up and usurp money from the less fortunate. So, the less fortunate buy from every one of them, yet none of them buy from the less fortunate. Moreover, the less fortunate really don’t have anything to sell.
4.) Collaboration with Organizations
Our Movement will demonstrate how organizations such as the National Association for the Advancement of Colored People, National Urban League, Black Lives Matter, and others can assist in creating a much more indestructible Black Wall Street.
5.) Vision for the Future
Our Movement will not settle for less than those who came before us and stopped before the rights were equal. The economy, jobs, healthcare, education, housing, incarceration – everything is unfair, and what isn’t is rigged for the less fortunate to fail, as evidenced in society.
6.) Call to Action
Our movement has started and implemented everything needed for the advancement of the economic system. There are positions for only those who understand the importance of this movement, as failure to address it will continue the degradation of the people deemed less fortunate.
No, this isn’t Noah’s Ark, nor am I a Prophet. I’m just a man who wrote a couple of books, created a magnificent website: http://www.thearkproject.llc, and who truly hopes to try and initiate a truly sustainable economic system for deprived people. We may not all have the same beliefs, but if our methods are tried, tested, and proven, we can come together and help others. My website: http://www.thearkproject.llc is very informative and considerably controversial. Please check it out, and if you are afraid, leave immediately; it’s no place for cowards. The last Prophet said: “Whoever among you sees an evil action, then let him change it with his hand [by taking action]; if he cannot, then with his tongue [by speaking out]; and if he cannot, then, with his heart – and that is the weakest of faith.” [Sahih Muslim] If we all, or even some of us, did this, there would be significant change. We are able to witness it on small and grand scales, for example, from climate control to business partnerships. I encourage, invite, and challenge you all to support me by visiting my website.
The importance of sustainable and efficient computational practices in artificial intelligence (AI) and deep learning has become increasingly critical. This webinar focuses on the intersection of sustainability and AI, highlighting the significance of energy-efficient deep learning, innovative randomization techniques in neural networks, the potential of reservoir computing, and the cutting-edge realm of neuromorphic computing. This webinar aims to connect theoretical knowledge with practical applications and provide insights into how these innovative approaches can lead to more robust, efficient, and environmentally conscious AI systems.
Webinar Speaker: Prof. Claudio Gallicchio, Assistant Professor, University of Pisa
Claudio Gallicchio is an Assistant Professor at the Department of Computer Science of the University of Pisa, Italy. His research involves merging concepts from Deep Learning, Dynamical Systems, and Randomized Neural Systems, and he has co-authored over 100 scientific publications on the subject. He is the founder of the IEEE CIS Task Force on Reservoir Computing, and the co-founder and chair of the IEEE Task Force on Randomization-based Neural Networks and Learning Systems. He is an associate editor of IEEE Transactions on Neural Networks and Learning Systems (TNNLS).
This presentation by Thibault Schrepel, Associate Professor of Law at Vrije Universiteit Amsterdam University, was made during the discussion “Artificial Intelligence, Data and Competition” held at the 143rd meeting of the OECD Competition Committee on 12 June 2024. More papers and presentations on the topic can be found at oe.cd/aicomp.
This presentation was uploaded with the author’s consent.
This presentation by Professor Giuseppe Colangelo, Jean Monnet Professor of European Innovation Policy, was made during the discussion “The Intersection between Competition and Data Privacy” held at the 143rd meeting of the OECD Competition Committee on 13 June 2024. More papers and presentations on the topic can be found at oe.cd/ibcdp.
This presentation was uploaded with the author’s consent.
This presentation by OECD, OECD Secretariat, was made during the discussion “The Intersection between Competition and Data Privacy” held at the 143rd meeting of the OECD Competition Committee on 13 June 2024. More papers and presentations on the topic can be found at oe.cd/ibcdp.
This presentation was uploaded with the author’s consent.
This presentation by Katharine Kemp, Associate Professor at the Faculty of Law & Justice at UNSW Sydney, was made during the discussion “The Intersection between Competition and Data Privacy” held at the 143rd meeting of the OECD Competition Committee on 13 June 2024. More papers and presentations on the topic can be found at oe.cd/ibcdp.
This presentation was uploaded with the author’s consent.
This presentation by OECD, OECD Secretariat, was made during the discussion “Artificial Intelligence, Data and Competition” held at the 143rd meeting of the OECD Competition Committee on 12 June 2024. More papers and presentations on the topic can be found at oe.cd/aicomp.
This presentation was uploaded with the author’s consent.
• For a full set of 530+ questions. Go to
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1. Caroline Watkins
Professor of Stroke & Older People’s Care
Director of Research and Innovation, College of Health and Wellbeing
University of Central Lancashire
Preston, UK
&
Australian Catholic University, Sydney
clwatkins@uclan.ac.uk
Participation in Health Research:
Edge walking?
2.
3.
4.
5.
6.
7.
8.
9.
10.
11. Research priorities those of clinicians?
“Practitioners will continue to ignore research
publications until they are seen as helpful and
relevant”
Sobell (1996)
14. Trainees Coordinating CentreTrainees Coordinating Centre
National Institute for Health Research
Established 2006:
A vehicle for implementing
Government’s strategy for
applied health research
£1bn annual spend
Vision:
Improving health and wealth
of nation through research
16. Trainees Coordinating CentreTrainees Coordinating Centre
NIHR Remit
• People and patient based applied health research
• Research capacity to improve health/healthcare
• Patients, samples or data from patients, people who are
not patients, populations, health technology assessment
and health services research
• The potential to have an impact on the needs of patients
and the public within 5 years of completion
• Prepared to support research into medical education
• No basic research involving animals and/or animal tissue
17. Trainees Coordinating Centre
Research Training
Opportunities from
NIHR
David Richards, PenCLAHRC,
University of Exeter Medical School
(additional material from Peter Thompson, NIHR TCC)
20. Trainees Coordinating CentreTrainees Coordinating Centre
NIHR Fellowships Programme
• Salary
• Full tuition fees (for PhD)
• Research costs
• Full training and development
• Awards 3 years full time (part-time options of 75% or
60%) or up to 5 years for SRF
• Can be based at HEI or NHS Trust
• Annual competition for all levels
• Next launch – October 2016
21. Trainees Coordinating CentreTrainees Coordinating Centre
Post Doctoral Research
Fellowship (NIHR PDF)
Early post doctoral Fellowship
(≤ 3 years WTE Post Doctorate)
3 years FT (4 or 5 years PT)
Applicant:
PhD/MD or have submitted
Output from research
Evidence of commitment to
research career
Doctoral training award
3 years FT (4 or 5 years PT)
Applicant:
Some previous research experience
Some outputs from research
Evidence of commitment to research
career
Doctoral Research Fellowship
(NIHR DRF)
NIHR Fellowships
22. Trainees Coordinating CentreTrainees Coordinating Centre
Senior Research Fellowship
(NIHR SRF)
Most senior NIHR Fellowship
5 years ( Chair)
Applicant:
Significant postdoctoral experience
Outstanding publication record
Independence
Leadership potential
Record of research capacity
development
Later postdoctoral award (≤ 7 yrs
WTE Post Doctorate)
3 years FT (4 or 5 years PT)
Applicant:
PhD/MD and postdoctoral
experience
Significant output from research
Evidence of increasing
independence
Experience of developing research
skills of others
Career Development Fellowship
(NIHR CDF)
NIHR Fellowships
23. Trainees Coordinating CentreTrainees Coordinating Centre
NIHR Fellowships
Postdoctoral award (≤ 5 yrs WTE Post Doctorate)
18 months to 2 years FT or PT
Applicant:
PhD/MD and maybe postdoctoral experience
• Individuals from any scientific discipline wanting to
contribute to improving health or healthcare e.g. basic
scientists moving to applied health research
• Individuals who have had their research careers
interrupted e.g. career break, who can identify clear
training needs
• Proposed research must be within the NIHR remit
Transitional Research Fellowship
(NIHR TRF) new from 2013
24. Trainees Coordinating CentreTrainees Coordinating Centre
HEE/NIHR Integrated Clinical
Academic Programme
Health Education England Review recommended expansion to all
registered non medical/dental registered healthcare professionals
committed to developing a career which combines research and
continued clinical practice.
26. Trainees Coordinating CentreTrainees Coordinating Centre
HEE/NIHR Integrated Clinical
Academic Programme
• Funded HEIs advertise places
(institutional award)
• 100 places per annum
available over next 3 years
• The University of Manchester
• University of Nottingham
• University of Leeds
• The City University London
• University of Southampton
• University of Brighton
• Kingston University London
• University of Plymouth
• University of East Anglia
• Coventry University
• PhD research whilst developing clinical skills
• Based at English NHS trust, other health care
organisation or HEI
• Min 1 yr clinical experience and current statutory
registration
• Need for both a good academic and clinical
supervisor
• Salary, PhD tuition fees, research, training &
development costs (100% NHS, 80% HEI except
training & development @100%)
• 3 years FT (4 or 5 years PT)
• Next call March 2017
HEE/NIHR Masters in
Clinical Research
HEE/NIHR Clinical Doctoral Research
Fellowship
27. Trainees Coordinating Centre
Good Applications
1. Applicant
• (trajectory, career outputs)
2. Research Project
• (scientific quality, appropriate scale and scope)
3. Training and Development
• (meet the needs of the candidate and the project)
4. Environment
• (research Excellence Framework rating, facilities)
5. Supervision/mentorship
• (track record in relevant field, time and commitment)
28. Trainees Coordinating Centre
Project
• Doable
• Applied
• Relevant
• Five year impact rule
• Quality high
• PPI
– VETO ALERT!
– Do not confuse PPI with focus groups and qualitative data –
that’s different (so don’t include that piece in the PPI section).
PPI is actual involvement in the research process itself.
– PPI is NOT people as research participants/subjects giving data
29. Trainees Coordinating CentreTrainees Coordinating Centre
HEE/NIHR Integrated Clinical
Academic Programme
• Funded HEIs advertise places
(institutional award)
• 100 places per annum
available over next 3 years
• The University of Manchester
• University of Nottingham
• University of Leeds
• The City University London
• University of Southampton
• University of Brighton
• Kingston University London
• University of Plymouth
• University of East Anglia
• Coventry University
• PhD research whilst developing clinical skills
• Based at English NHS trust, other health care
organisation or HEI
• Min 1 yr clinical experience and current statutory
registration
• Need for both a good academic and clinical
supervisor
• Salary, PhD tuition fees, research, training &
development costs (100% NHS, 80% HEI except
training & development @100%)
• 3 years FT (4 or 5 years PT)
• Next call March 2017
HEE/NIHR Masters in
Clinical Research
HEE/NIHR Clinical Doctoral Research
Fellowship
30. Trainees Coordinating Centre
• Enable health and social care
practitioners to develop skills
to design and lead high quality
clinical research
• Research relevant to
patients/clients & NHS priorities
• Facilitate practitioner careers
combining clinical research and
research leadership with
developing clinical practice
For more information:
Visit:
http://www.uclan.ac.uk/study_here
/
postgraduate_study.php
Email: Dr Lois Thomas
lhthomas@uclan.ac.uk
31. INTERNSHIPS
LINCS - 2010
Lancashire Initiative for Nursing and Caring research in Stroke: Oral Flora (4
LTHTR staff)
HENW – 2013-2016
Range of projects (10 staff) annually
CLAHRCS - 2014
Range of projects (10 staff) & now 15 annually
Senior Investigator/RCF - 2016
Range of projects – Grass Roots Care (4 LTHTR staff)
32. Changes in Oral Flora in Acute Stroke:
An observational study
Professor Caroline Watkins
University of Central Lancashire
United Kingdom Swallow Research Group
February 2016
33. Stroke
• UK: 150,000 people/annum
• Top 3 cause of death
• Leading cause of adult disability
• 1/5 acute hospital beds
• Increased risk of respiratory infection-first few weeks
• Risk of infection mostly more dependent patients
• 10% of stroke patients develop pneumonia
• Pneumonia associated with death (OR 3.62)
• Pneumonia potentially linked to poor oral hygiene
34. Current oral care practices
• Poor oral health within supported care (Hally, 2003)
• Low priority in the hierarchy of care (Adams, 1996)
• Nursing staff dislike oral care (Boyle, 1992)
• Often delegated to care assistants (Wårdh, 1997)
• Lack of knowledge and equipment (Wårdh et al 2000)
• Lack of evidence relating to oral care interventions (Brady, 2006)
35. Why is oral care important to stroke patients?
Unable to attend to oral hygiene due
to Physical and cognitive problems
Contributing factors following stroke
• Dysphagia with increased risk of
aspiration of bacteria laden saliva
• Facial weakness
• Food Debris in mouth
• Medication
• Oxygen therapy
• Dehydration/Taste
• Mouth Breathing
• Inability to recognise need for oral care
• Inability for express need for oral care
• Hemiplegia
• Decreased oral sensation
36. Oral Flora
• Complex
bionetwork
• High diversity of
oral flora
• Disruption to oral
cleanliness may
lead to overgrowth
of pathogenic
bacteria
37. Thick plaque forms
Gums are very red and swollen.
This person has gum disease
If plaque is not removed it will
harden to become tartar
(calculus)
Tooth decay
38.
39. Aims
1. Identify patient characteristics and clinical
factors e.g.infection, that may affect oral flora
2. Describe bacterial profile of oral flora during
the first two weeks post-stroke
3. Examine changes in condition of oral cavity
40. Procedure
• Time Point 1: <48 hs post-admission
Patient characteristics i.e. demographic data
Clinical data (documentation of infection)
Oral DNA samples
Oral assessment using THROAT
• Time Point 2: 48-72 hs after time point one
Clinical data (documentation of infection)
Oral DNA samples
Oral assessment using THROAT
• Time Point 3: 7 days post-admission
Clinical data (documentation of infection)
Oral DNA samples
Oral assessment using THROAT
42. 1. Patient characteristics & Clinical factors
0
2
4
6
8
10
12
Time point one Time point Two Time point Three
Respiratory
Oral
UTI
Cellulitus
Septacaemia
43. 2. Oral bacterial profile
• 103 bacterial phylotypes were isolated (98-100% sequence
similarity cut-off for defining a phylotype)
• 29 of which are considered to be non-oral flora
• Of 367 samples, 211 (57.5%) Streptococcus genus
• Abnormal Streptococcus phylotypes occurred in 23 (11%)
samples.
• Average number of different bacterial phylotypes/person
2.72, 2.76 and 2.32 at time points 1, 2 and 3 respectively
(range 0 – 11)
• No significant difference in the average number of different
phylotypes found across all three time points
45. Thank you
Acknowledgements:
• Dr Louise Connell
• Dr Liz Boaden
• Wendy Loughlin
• Annette Munro
• Dr Hazel Dickinson
• Karen Shevlin
• Dr Craig Smith
• Dr Liz Lightbody
• Dr Michael Leathley
• Alison McLoughlin
• Mary Lyons
• Simarjit Singhrao
• Zarine Khan
• Prof StJohn Crean
48. Stroke Care
• High quality stroke care is care that is right for that
patient at that point on their care pathway
• To deliver the right care staff must have the right
– Knowledge
– Skills
– Abilities
– Time
50. Knowledge?
• It ain’t what you know that gets you into trouble
• It’s what you know for sure that just ain’t so
Mark Twain
51. Funding from the National Health and Medical Research Council
(NHMRC) of Australia
An international collaborative project
52. Sitting up is the typical nursing position for
patients in the UK
53. Lying flat is common in some
countries
China
Switzerland
54. Lying flat is standard care for acute ischaemic
stroke in hospitals in Switzerland
Day Mobilisation schedule Importance
1 Bedrest/lying flat strict
2 Bedrest head 30 degrees strict
3 Bedrest head 60 degrees strict
4 Sitting on edge of bed
(accompanied during care)
5 Sitting in a chair
(accompanied during care)
6 Walking around in the
room (with care assistant)
7 Walking around freely
55. Balance of potential benefits and risks
of sitting up vs lying flat
Sat up
• Reduce cerebral oedema,
especially in ICH or
malignant MCA infarction
• Improve cardiac function
• Improve oxygenation
• Increase alertness
Lying down
• Improve collateral cerebral
blood flow
arterial
venous
• Rest the brain
56. Overview
An international, multicentre, cluster
randomised, crossover, blinded outcome
assessment trial to compare the lying flat with
sitting up in acute stroke
57. Trial Schema
Lying Flat Head Positioning
0° for first 24 hours
Sitting Up Head Positioning
≥30° for first 24 hours
Randomisation
Sitting Up Head Positioning
≥30° for first 24 hours
Lying Flat Head Positioning
0° for first 24 hours
STUDY SITES
Standard
Nursing and
Medical
Care
(Local
Guidelines)
Crossover Crossover
Blinded assessment of outcome at 90 days
Blinded assessment of
outcome at 90 days
58. Why a cluster cross-over design?
Cluster
• To avoid contamination, patients will not see differences in
practice
• Better compliance from both staff and patients
Cross-over
• Internally adjusts for background variation across hospitals
• All hospitals will change practice from usual policy, thus
internally adjusting for ‘change’
• Fewer centres needed
• Reduce sample size by ≥30%
59. Consent
• Cluster guardian
– No consent to the intervention, the intervention will be the “usual
care” at that time point
– Necessary to prevent contamination of the intervention
– Insufficient evidence for a specific ideal head position
– Head position in both groups within the range of routine practice
• Individual patient consent
– Consent for data collection (in-hospital data)
– As soon as possible
– Centralised 90 days follow-up assessments
60. Results
• >100 sites worldwide
• 41 UK sites
• >10,000 patients worldwide
• ~4000 UK patients
• 3rd European Stroke Organisation
Conference 2017, Prague, 16-18th May