The role of mobile technologies in health care processes:The case of cancer supportive care

Background: Health care systems are gradually moving towards new models of care based on integrated care processes, shared by different care givers, and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care. Objective: This paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care. Methods: We carried out a review of literature with the aim of identifying studies related to the use of mhealth in cancer care and cancer supportive care. The final sample size consists in 106 records. Results: There is scant literature concerning the use of mhealth in cancer supportive care. Looking more generally at cancer care, we found that mhealth is mainly used for self management activities carried out by patients. The main tools used are mobile devices like smartphones and tablets, but remote monitoring devices also play an important role. SMS technologies have a minor role with the exception of middle income-countries where SMS plays a major role. Tele-health technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mhealth is mainly used during the treatment of patients, especially for self management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities. Conclusions: Since mhealth only seems to be employed for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose of introducing mhealth is to promote the adoption of integrated care models, using mhealth should not be limited to some activities or to some phases of the health care process. Instead, there should be a higher degree of pervasiveness at all stages and in all health care delivery activities

ChiMiCapisce

This year, for the first time, the Young Chemists Group of the Italian Chemical Society (SCI) organized a national communication contest dedicated to chemists under 35. The contest, called ChiMiCapisce—a play on "Chimica", Italian for chemistry, and "Chi Mi Capisce?", which literally means "Who can understand me?"—was planned as the launch event of the recently established “Dissemination of Chemical Culture” Division of the Italian Chemical Society

Proceedings of the Merck & Elsevier Young Chemists Symposium (MEYCS 2018)

Dear participants, welcome to the 18th edition of the Merck & Elsevier Young Chemists Symposium, formerly SAYCS and MYCS. This conference is an international scientific event organized by the Young Group of the Italian Chemical Society (SCI Giovani) with the financial support of Merck and Elsevier. This symposium is fully devoted to young researchers, such as MSc and PhD students, post-doc fellows and young researchers in companies. All the disciplines of Chemistry are covered: analytical, physical, industrial, organic, inorganic, theoretical, pharmaceutical, biological, environmental, macromolecular and electrochemistry. This year, a special emphasis will be given to chemistry from knowledge to innovation: how chemistry is increasingly present in all of the fields that are essential for human life, and how chemical fundamentals are pushing novel technologies? This year we have the exceptional number of 212 participants; we thank you for the great trust shown towards SCI Giovani, Merck and Elsevier. Enjoy the conference

40Ar–39Ar ages and isotope geochemistry of Cretaceous basalts in northern Madagascar: Refining eruption ages, extent of crustal contamination and parental magmas in a flood basalt province

The Madagascar Cretaceous igneous province exposed in the Mahajanga basin is represented by basalt and basaltic andesite lavas. New 40Ar–39Ar plateau ages (92.3 ± 2.0 Ma and 91.5 ± 1.3 Ma) indicate that the magmatism in the Mahajanga basin started about 92 Ma ago. Four geochemically distinct magma types (Groups A–D) are present. Group A and C rocks have low to moderate TiO2 (1.2–2.6 wt%), Nb (3–9 μg g−1) and Zr (82–200 μg g−1), and show large variations in ɛNdi (+0.1 to −10.8), 206Pb/204Pb (15.28 to 16.33) and γOs (+11.4 to +7378). The large isotopic variations, particularly in Os, Nd and Pb isotopic compositions, are likely due to crustal contamination. The low Pb isotope ratios observed in the Group A and C rocks suggest involvement of continental crust with low μ (238U/204Pb). Group B and D rocks have moderate to high TiO2 (2.2–4.9 wt%), Nb (8–24 μg g−1) and Zr (120–327 μg g−1). Age-corrected isotopes of Group B and D lavas show a small range in ɛNdi (+1.0 to +4.0) and a wide range in γOs (+128 to +1182). Values of 207Pb/204Pb are within the range for Groups A and C, but the Group D 206Pb/204Pb (16.52–17.08) and 208Pb/204Pb (37.51–38.01) values are higher, indicating a different crustal contaminant. Pb isotopic values of the Group B rocks seem to reflect the isotopic features of their mantle source. The magma groups of Mahajanga display a wide range of trace element and isotopic compositions that cannot be explained only by open-system crystallization processes but, rather, by distinct mantle sources

U-Pb ages, Pb-Os isotope ratios, and platinum-group element (PGE) composition of the west-central Madagascar flood basalt province

The Mailaka lava succession (central-western Madagascar) forms part of the Madagascar large igneous province and is characterized by basaltic to picritic basalt lava flows and minor evolved flows. In situ U-Pb dating of zircon in rhyodacites yields concordant ages of 89.7 \ub1 1.4 and 90.7 \ub1 1.1 Ma. Therefore, the capping rhyodacitic unit of the Mailaka lava succession was emplaced just after the underlying basalt sequence (dated paleontologically at Coniacian-Turonian). Two geochemically different lava series are present. A transitional series ranging from picritic basalts to basalts has incompatible element abundances and Pb, Os, and Nd isotope ratios within the range of mid-ocean ridge basalts. In addition, the concentrations of platinum-group elements (Ir<0.35 ng/g, Ru<0.17 ng/g, Pd p 1.0-1.6 ng/g) in the transitional basalts are generally lower than in basaltic lavas from oceanic plateaus (e.g., Ontong Java and Kerguelen) and other continental flood basalt provinces (e.g., Deccan and Etendeka). A tholeiitic series ranges from picritic basalts to rhyodacites and has relatively high concentrations of trace elements (e.g., Rb, Ba, Th, and light lanthanides) and the Pb-Sr-Nd and Os isotopic characteristic of magmas that have assimilated continental crust. The Pb isotope ratios of tholeiitic andesites indicate the involvement of a component highly depleted in radiogenic Pb, very likely old lower crust. Energy-constrained- assimilation-fractional-crystallization modeling indicates that the rhyodacites may be the result of 3c25% assimilation of upper continental crust, with a ratio between assimilated mass and subtracted solid of 3c0.35. An andesite with low Pb isotope ratios may be the result of 3c8% assimilation of lower continental crust with a mass assimilated/mass accumulated ratio of 3c0.1. Interaction of mantle-derived magmas with crustal lithologies of different age and evolutionary history thus occurred in this sector of the flood basalt province. Contamination of mantle-derived rocks by material of different crustal domains is a process also observed in other large igneous provinces, such as the Deccan Traps

Retreat into scientism, paradoxes of transparency, and corruption in education

Um dos sintomas da razão indolente (SANTOS, 2006) é o recuo ao cientificismo, o qual tem sido, particularmente, acentuado nas políticas, cada vez mais hegemônicas, de avaliação, de prestação de contas e de responsabilização. Por isso, um dos objetivos deste texto é o de colocar em causa este aparente consenso cientificista (ou este consenso supostamente transideológico) e fazer uma breve incursão exploratória ao que aqui se designa de paradoxos da transparência. Considera-se que esses paradoxos traduzem a existência de tensões e contradições relativas a uma dimensão central dos discursos políticos e educacionais contemporâneos. Com isso, o artigo pretende dar continuidade a uma linha de pesquisa que tem procurado sublinhar a relevância da necessidade de complexificar e dar maior rigor teórico-conceptual à accountability em educação. Finalmente, tentando abrir caminho para o desenvolvimento de novas articulações e análises, chama-se a atenção para a corrupção na educação cuja complexidade ainda é insuficientemente conhecida e pesquisada, nomeadamente, nas suas relações com as problemáticas da transparência e da accountability. Admite-se que as práticas de corrupção em educação, em muitas situações, são (paradoxalmente) induzidas pela necessidade de dar resposta à governação baseada nos números, nos rankings e nas (supostas) evidências, anulando completamente as expectativas legítimas em torno da transparência dos processos educacionais e das decisões políticas.One symptom of “indolent reason” (SANTOS, 2006) is the retreat into scientism, which is especially marked in the increasingly hegemonic policies surrounding assessment, reporting and accountability. As such, one of the aims of this paper is to call into question this apparent consensus on scientism (a supposedly trans-ideological consensus), and briefly explore what we define as the paradoxes of transparency. These paradoxes are found to reveal the existence of tensions and contradictions concerning a central aspect of current political and educational discourse. In doing so, the article seeks to continue a line of study which has aimed to emphasize the significance of the need for a more complex, and theoretically and conceptually rigorous understanding of accountability in education. Finally, in an attempt to pave the way for further discussion and analysis, attention is drawn to corruption in education, the complex nature of which remains insufficiently understood and studied, notably in terms of its relationship with the problems of transparency and accountability. It is acknowledged that practices of corruption within education are, in many situations, (paradoxically) caused by the need to answer to a system of governance based on numbers, league tables, and (supposed) truths, completely nullifying legitimate expectations about the transparency of educational processes and policy decisions.Trabalho financiado por Fundos Nacionais através da FCT – Fundação para a Ciência e a Tecnologia – no âmbito do Projeto PEst-OE/CED/UI1661/2014.info:eu-repo/semantics/publishedVersio

Managing health care in the digital world:A comparative analysis

Recently, most reforms affecting healthcare systems have focused on improving the quality of care and containing costs. This has led many scholars to advocate the adoption of Health Information systems, especially electronic medical records, by highlighting their potential benefits. This study is based on a comparative analysis using a multiple method approach to examine the implementation of the same electronic medical record system at two different hospitals. Its findings offer insights into the processes of the adoption of innovation and its implementation in a healthcare context. The need to innovate, the decision to innovate, the implementation process and consequently, the results produced are quite distinctive at each study site. This comparative case study reveals that what appears to be the same can be quite different: this can be due to several conditions at the organization, the organization’s characteristics, and the process of implementation adopted. We need to understand these elements in order to be able to plan and manage such programs in the future

Understanding key factors affecting electronic medical record implementation:a sociotechnical approach

Recent health care policies have supported the adoption of Information and Communication Technologies (ICT) but examples of failed ICT projects in this sector have highlighted the need for a greater understanding of the processes used to implement such innovations in complex organizations. This study examined the interaction of sociological and technological factors in the implementation of an Electronic Medical Record (EMR) system by a major national hospital. It aimed to obtain insights for managers planning such projects in the future and to examine the usefulness of Actor Network Theory (ANT) as a research tool in this context