Validation of a survey tool for use in cross-cultural studies

There is a need for tools to measure the information patients need in order for healthcare professionals in general, and particularly pharmacists, to communicate effectively and play an active part in the way patients manage their medicines. Previous research has developed and validated constructs to measure patients’ desires for information and their perceptions of how useful their medicines are. It is important to develop these tools for use in different settings and countries so that best practice is shared and is based on the best available evidence. Objectives: this project sought to validate of a survey tool measuring the “Extent of Information Desired” (EID), the “Perceived Utility of Medicines” (PUM), and the “Anxiety about Illness” (AI) that had been previously translated for use with Portuguese patients. Methods: The scales were validated in a patient sample of 596: construct validity was explored in Factor analysis (PCA) and internal consistency analysed using Cronbach’s alpha. Criterion validity was explored correlating scores to the AI scale and patients’ perceived health status. Discriminatory power was assessed using ANOVA. Temporal stability was explored in a sub-sample of patients who responded at two time points, using a T-test to compare their mean scores. Results: Construct validity results indicated the need to remove 1 item from the Perceived Harm of Medicines (PHM) and Perceived Benefit of Medicines (PBM) for use in a Portuguese sample and the abandon of the tolerance scale. The internal consistency was high for the EID, PBM and AI scales (alpha>0.600) and acceptable for the PHM scale (alpha=0.536). All scales, except the EID, were consistent over time (p>0.05; p<0.01). All the scales tested showed good discriminatory power. The comparison of the AI scale with the SF-36 indicated good criterion validity (p<0.05). Conclusion: The translated tool was valid and reliable in Portuguese patients- excluding the Tolerance scale. Some of the scales may benefit from further refinement, such as the PHM subscale

How prepared are pharmacists to support atrial fibrillation patients in adhering to newly prescribed oral anticoagulants?

BACKGROUND: The New Medicines Service (NMS) was implemented in the United Kingdom in 2011 and first evaluated in 2014, showing 10% increase on adherence. OBJECTIVE: To assess community pharmacists' current practice, knowledge and confidence in supporting patients' adherence as part of the NMS for patients on Oral Anti-Coagulants (OACs) for stroke prevention in Atrial Fibrillation. SETTING: Community pharmacists in London. METHOD: An online cross-sectional survey was sent to pharmacists from their Local Pharmaceutical Committees and advertised by the Royal Pharmaceutical Society. Analysis was undertaken in SPSs v23 considering a confidence level of 95%. MAIN OUTCOME MEASURES: pharmacists reported confidence of providing the NMS on OACs; training needs and skills for supporting adherence. RESULTS: A total of 257 valid responses were analysed (6.8% response rate; {Cronbach's α = 0.676-0.892}). Data indicates that over a 2-month period, 25% of pharmacists had completed ≥6 NMS consultations for all OACs, of which 11% for new oral anticoagulants (NOACs). The key priorities in counselling items during the NMS consultation were to discuss actions to take when bleeding occurs, followed by supporting adherence. Pharmacists were more confident in their knowledge, skills and access to resources for Vitamin-K Antagonists (VKAs) than for NOACs (p < 0.005). Results also highlight pharmacists' unfamiliarity with alert cards, lower for NOACs than VKAs (p < 0.001), albeit perceived as critically important. Half the sample mentioned to use the British National Formulary as information resource. CONCLUSION: Results suggest the provision of NMS for NOACs is low. Supporting pharmacists with tailored education and adherence support might foster dissemination

Environmental enrichment for collared peccaries Dicotyles tajacu, Tayassuidae in managed care: Different items provoke different behavioural responses

Being in human care often modifies the behaviour of animals, mainly because of the lack of environmental stimuli, and the ease of finding food and reproductive partners. Animals in human care may have a poorer behavioural repertoire and lower welfare than their wild conspecifics. Environmental enrichment is a technique that introduces stimuli into enclosures, thereby enhancing the welfare of the animals. In the present study, the effect of different environmental-enrichment items on the behaviour of collared peccary Dicotyles tajacu was investigated. Basins with food, cardboard boxes filled with paper and food items, scent trails and piles of straw mixed with food items were provided to the peccaries. Behavioural recordings were made during the three phases of the experiment: baseline, enrichment and post-enrichment. The environmental enrichment items—especially the straw pile and cardboard boxes—increased exploratory behaviours, decreased inactivity and increased behavioural diversity in the collared peccaries. Enrichment items associated with food rewards resulted in the most significant positive changes in behaviour and should be used for collared peccaries in human care. An increased behavioural repertoire, with less inactivity and greater exploration of the environment, are important for animals that are under human-managed care and indicate an increase in animal welfare

Automatic Network Fingerprinting through Single-Node Motifs

Complex networks have been characterised by their specific connectivity patterns (network motifs), but their building blocks can also be identified and described by node-motifs---a combination of local network features. One technique to identify single node-motifs has been presented by Costa et al. (L. D. F. Costa, F. A. Rodrigues, C. C. Hilgetag, and M. Kaiser, Europhys. Lett., 87, 1, 2009). Here, we first suggest improvements to the method including how its parameters can be determined automatically. Such automatic routines make high-throughput studies of many networks feasible. Second, the new routines are validated in different network-series. Third, we provide an example of how the method can be used to analyse network time-series. In conclusion, we provide a robust method for systematically discovering and classifying characteristic nodes of a network. In contrast to classical motif analysis, our approach can identify individual components (here: nodes) that are specific to a network. Such special nodes, as hubs before, might be found to play critical roles in real-world networks.Comment: 16 pages (4 figures) plus supporting information 8 pages (5 figures

The Effects of Serotonin Receptor Antagonists on Contraction and Relaxation Responses Induced by Electrical Stimulation in the Rat Small Intestine

Background: The main source of 5-HT in body is in enterchromafin cells of intestine, different studies mentioned different roles for endogenous 5-HT and receptors involved and it is not clearified the mechanism of action of endogenous 5-HT. Objectives: To study the role of endogenous 5-HT on modulation of contraction and relaxation responses induced by electrical field stimulation (EFS) in different regions of the rat intestine. Materials and Methods: Segments taken from the rat duodenum, jejunum, mid and terminal ileum were vertically mounted, connected to a transducer and exposed to EFS with different frequencies in the absence and presence of various inhibitors of enteric mediators i. e. specific 5-HT receptor antagonists. Results: EFS-induced responses were sensitive to TTX and partly to atropine, indicating a major neuronal involvement and a cholinergic system. Pre-treatment with WAY100635 (a 5-HT1A receptor antagonist) and granisetron up to 10.0 µM, GR113808 (a 5-HT4 receptor antagonist), methysergide and ritanserin up to 1.0 µM, failed to modify responses to EFS inall examined tissues. In the presence of SB258585 1.0 µM (a 5-HT6 receptor antagonist) there was a trend to enhance contraction in the proximal part of the intestine and reduce contraction in the distal part. Pre-treatment with SB269970A 1.0 µM (5-HT7 receptor antagonist) induced a greater contractile response to EFS at 0.4 Hz only in the duodenum. Conclusions: The application of 5-HT1A, 5-HT2, 5-HT3, 5-HT4, 5-HT6 and 5-HT7 receptor antagonists, applied at concentrations lower than 1.0 µM did not modify the EFS-induced contraction and relaxation responses, whichsuggests the unlikely involvement of endogenous 5-HT in mediating responses to EFS in the described test conditions. Keywords: Electric Stimulation Therapy; Serotonin 5-HT1 Receptor Antagonists; Intestine, Smal

The effects of AGN feedback on the structural and dynamical properties of Milky Way-mass galaxies in cosmological simulations

Feedback from active galactic nuclei (AGNs) has become established as a fundamental process in the evolution of the most massive galaxies. Its impact on Milky Way (MW)-mass systems, however, remains comparatively unexplored. In this work, we use the auriga simulations to probe the impact of AGN feedback on the dynamical and structural properties of galaxies, focusing on the bar, bulge, and disc. We analyse three galaxies - two strongly and one unbarred/weakly barred - using three setups: (i) the fiducial auriga model, which includes both radio and quasar mode feedback, (ii) a setup with no radio mode, and (iii) one with neither the radio nor the quasar mode. When removing the radio mode, gas in the circumgalactic medium cools more efficiently and subsequently settles in an extended disc, with little effect on the inner disc. Contrary to previous studies, we find that although the removal of the quasar mode results in more massive central components, these are in the form of compact discs, rather than spheroidal bulges. Therefore, galaxies without quasar mode feedback are more baryon-dominated and thus prone to forming stronger and shorter bars, which reveals an anticorrelation between the ejective nature of AGN feedback and bar strength. Hence, we report that the effect of AGN feedback (i.e. ejective or preventive) can significantly alter the dynamical properties of MW-like galaxies. Therefore, the observed dynamical and structural properties of MW-mass galaxies can be used as additional constraints for calibrating the efficiency of AGN feedback models

Bird-spiders (Arachnida, Mygalomorphae) as perceived by the inhabitants of the village of Pedra Branca, Bahia State, Brazil

This paper deals with the conceptions, knowledge and attitudes of the inhabitants of the county of Pedra Branca, Bahia State, on mygalomorph spiders locally known as 'caranguejeiras' (bird-spiders). It is launched here a new filed within ethnozoology: ethnoarachnology, which is defined as the transdisciplinary study of the relationships between human beings and bird-spiders. Data were collected from February to June 2005 by means of open-ended interviews carried out with 30 individuals, which ages ranged from 13 to 86 years old. It was recorded some traditional knowledge regarding the following items: taxonomy, biology, habitat, ecology, seasonality, and behavior. Results show that bird-spiders are classified as "insects". The most commented aspect of the interaction between bird-spiders and inhabitants of Pedra Branca is related to their dangerousness, since they said these spiders are very venomous and can cause health problems. In general, the traditional zoological knowledge of Pedra Branca's inhabitants concerning these spiders is coherent with the academic knowledge

Connecting the dots in pharmacy education: The FIP International Pharmaceutical Federation Global Competency Framework for Educators and Trainers in Pharmacy (FIP-GCFE)

The FIP (International Pharmaceutical Federation) Global Competency Framework for Educators and Trainers in Pharmacy (FIP-GCFE) is an ongoing project of the Academic Pharmacy Section of FIP in cooperation and collaboration with Sections, Special Interest Groups and Working Groups across the Federation. It was developed by a group of experts in pharmaceutical education to enable and promote the continuing professional development of pharmacists and pharmaceutical scientists who plan to advance their competence as educators and trainers in pharmacy and the pharmaceutical sciences, whether in a formal or informal context, and at all levels of education and professional development. The FIP-GCFE will be an essential resource for multiple stakeholders including individual educators, faculties of pharmacy, and accreditation agencies. This article presents the introductory text of the GCFE first version, connecting previously launched concepts and tools and explaining the integration with all other FIP workforce support frameworks, to provide a holistic approach to global workforce development

The Role of Religion, Wealth, and Livelihoods in the Hunting Practices of Urban and Rural Inhabitants in Western Amazonia

Hunting by rural and urban populations is essential for securing access to protein and other nutrients throughout the tropics. The hunting patterns of urban hunters in Amazonia, and the similarities with those of rural hunters, are unclear, as are the social factors that influence hunting practices. We analyze the effects of socioeconomic and cultural factors on hunting frequency and composition of species hunted by urban and rural Amazonian hunters. We interviewed 49 urban hunters and 57 rural hunters within 10 municipalities in western Amazonia in Brazil. A total of 44 species were cited as hunted. Our analyses show that the probability of engaging in sport hunting (for recreation) is greater among urban hunters. Rural inhabitants, hunters with lower monetary incomes, and hunters who were non-practicing Christians and atheists hunted more frequently. The composition of species hunted was similar, regardless of the hunters’ livelihood (rural or urban) or religion. We found that hunting frequency is influenced by hunters’ socioeconomic and cultural backgrounds, but these factors do not affect the composition of the harvest. This similarity between urban and rural hunters might be related to species distribution and availability and could potentially impact the most hunted species if hunting grounds overlap. Understanding hunting patterns, especially those of urban hunters, allows for more effective hunting management strategies, improvements in law enforcement against illegal hunting, as well as development of more effective and sustainable conservation actions

Accidental Outcomes Guide Punishment in a “Trembling Hand” Game

How do people respond to others' accidental behaviors? Reward and punishment for an accident might depend on the actor's intentions, or instead on the unintended outcomes she brings about. Yet, existing paradigms in experimental economics do not include the possibility of accidental monetary allocations. We explore the balance of outcomes and intentions in a two-player economic game where monetary allocations are made with a “trembling hand”: that is, intentions and outcomes are sometimes mismatched. Player 1 allocates $10 between herself and Player 2 by rolling one of three dice. One die has a high probability of a selfish outcome, another has a high probability of a fair outcome, and the third has a high probability of a generous outcome. Based on Player 1's choice of die, Player 2 can infer her intentions. However, any of the three die can yield any of the three possible outcomes. Player 2 is given the opportunity to respond to Player 1's allocation by adding to or subtracting from Player 1's payoff. We find that Player 2's responses are influenced substantially by the accidental outcome of Player 1's roll of the die. Comparison to control conditions suggests that in contexts where the allocation is at least partially under the control of Player 1, Player 2 will punish Player 1 accountable for unintentional negative outcomes. In addition, Player 2's responses are influenced by Player 1's intention. However, Player 2 tends to modulate his responses substantially more for selfish intentions than for generous intentions. This novel economic game provides new insight into the psychological mechanisms underlying social preferences for fairness and retribution