Who enrols and graduates from web-based pharmacy education - Experiences from Northern Sweden

Introduction: As a response to the shortage of prescriptionists in Northern Sweden, a web-based Bachelor of Science in Pharmacy program was introduced at Umeå University in 2003. This study explored who is likely to enrol and graduate from the web-based bachelor program and whether the program has addressed the shortage of prescriptionists in rural Northern Sweden. Methods: Data from three different sources were included in this study; the initial cohort including students admitted to the program in 2003 (survey), the entire cohort including all people admitted to the program between 2003 and 2014 (university\u27s admissions data) and the alumni cohort including graduates who participated in an alumni survey in 2015. Results: A typical student of the web-based pharmacy program is female, over 30 years of age, married or in a de-facto relationship and has children. Furthermore, the students graduating before 2009 were more likely to live in Northern Sweden compared to those graduating later. Discussion and conclusion: The results indicate that the introduction of a web-based bachelor of pharmacy program at Umeå University was to some extent able to address the shortage of prescriptionists in Northern Sweden. Web-based education may potentially help address the maldistribution of health professionals by providing flexible education opportunities

Pharmacists\u27 satisfaction with their work: Analysis of an alumni survey

Background: The level of job satisfaction among practicing pharmacists is important because it has been found to affect job performance and employee turnover. The Swedish pharmacy market has undergone major changes in recent years, and little is known about pharmacists’ job satisfaction. Objectives: The objective of this study was to investigate the level of job satisfaction and associated factors among graduates from the web-based pharmacy programs at Umeå University. Methods: Job satisfaction of pharmacists was measured as part of an alumni survey conducted with those who graduated from the pharmacy programmes between 2006 and 2014. Data analysis included descriptive statistics, and logistic regression was used to explore factors affecting job satisfaction. Results: The total number of graduates who completed the survey was 222 (response rate 43%.) The majority of respondents were female (95%), and most were employed at a community pharmacy (85%). The mean age was 39.7 years. The majority of graduates (91%) were satisfied with their job “most of the time” or “all of the time”, and 87% of the respondents would “definitely” or “maybe” choose the same career again. The multivariate analysis showed that increasing years in the current position (OR:0.672 (0.519–0.871)) was associated with lower job satisfaction. Older age (OR: 1.123 (1.022–1.234)), the perception that the knowledge and skills acquired during the education is useful in the current job (OR: 4.643 (1.255–17.182)) and access to continuing professional development (OR:9.472 (1.965–45.662)) were associated with higher job satisfaction. Conclusion: Most graduates from the web-based pharmacy programmes are satisfied with their current job. Access to continuing professional development seems to be important for the level of job satisfaction among pharmacists

Characterizing the Circumgalactic Medium of Quasars at z ∼\sim 2.2 through Hα\alpha and Lyα\alpha Emission

The discovery of giant quasar Ly$\alpha$ nebulae at $z>2$ has opened up the possibility to directly study in emission the Circumgalactic and Intergalactic Medium (CGM/IGM). However, the resonant nature of the Ly$\alpha$ line and its different emission mechanisms hamper the ability to constrain both the kinematics and physical properties of the CGM/IGM. Here, we present results of a pilot project aiming at the detection of CGM H$\alpha$ emission, a line which does not suffer from these limitations. To this end, we first used KCWI to detect Ly$\alpha$ emission around three bright quasars with $2.25<z<2.27$, a range which is free from bright IR sky lines for H$\alpha$, and then selected the most extended nebula for H$\alpha$ follow-up with MOSFIRE. Within the MOSFIRE slit, we detected H$\alpha$ emission extending up to 20 physical kpc with a total H$\alpha$ flux of F$_{ \textrm{H}\alpha}$=(9.5 $\pm$ 0.9) $\times$ 10$^{-18}$ erg s$^{-1}$ cm$^{-2}$. Considering the Ly$\alpha$ flux in the same region, we found F$_{ \textrm{Ly}\alpha}$/F$_{ \textrm{H}\alpha}$=3.7 $\pm$ 0.3 consistent with that obtained for the Slug Nebula at z$=2.275$ and with recombination radiation. This implies high densities or a very broad density distribution within the CGM of high-redshift quasars. Moreover, the H$\alpha$ line profile suggests the presence of multiple emitting components overlapping along our line-of-sight and relatively quiescent kinematics, which seems incompatible with either quasar outflows capable of escaping the potential well of the host halo or disk-like rotation in a massive halo ($>10^{12}$M$_{\odot}$).Comment: 15 pages, 12 figures, 2 table

Qualidade do sono e marcadores endócrinos e bioquímicos

O sono e o repouso constituem o ritmo biológico base da espécie humana e são fundamentais para uma boa saúde e qualidade de vida, com especial significado em crianças e jovens (DGS, 2015). Dormir bem é fundamental para a recuperação física e psíquica do indivíduo, indispensável para sermos saudáveis e essencial para nos mantermos ativos, concentrados e bem-dispostos. O sono é um equilibrador do humor e das emoções, recupera o corpo e a memória, estimula a criatividade e aumenta e consolida a capacidade de aprendizagem (Paiva & Penzel, 2011; SPN, 2015). Há cada vez mais evidências de que o sono tem influencia sobre os hábitos alimentares e consequentemente sobre o balanço energético e a regulação do peso corporal, estando também associado a outros fatores de risco metabólico na adolescência (Quist, Sjödin, Chaput & Hjorth, 2016). A má qualidade do sono tem um impacto negativo na qualidade de vida, verificando-se que a privação do sono é um fator de risco relevante para a saúde e segurança, aumentando o risco de doenças cardiovasculares, hipertensão, obesidade, diabetes, depressão, ansiedade e outros distúrbios de humor. A intervenção é fundamental, promovendo bons hábitos de sono desde a infância (Rebelo-Pinto, Pinto, Rebelo-Pinto & Paiva, 2014).info:eu-repo/semantics/publishedVersio

Sleep quality and food intake of high school students

Poor sleep quality is associated with increased food intake and poor diet quality [1]. People with lack of sleep show a positive correlation. between free time and food intake and also experience hormonal and brain changes that drive the intake of food with high calorific value [1-3]. In addition, scientific research has shown a healthy and balanced diet to positively influence the quality of sleep [1]. Objective The present study was set out to assess the sleep quality of high school students in Bragança county, and its association with food intake. Methods The study used non-experimental, analytical and transversal methodology, of epidemiological character and with a quantitative approach. It was intended to carry out the study in a population of 862 high school students. However, due to consent being required from both legal guardians and students, a smaller sample of 345 students was obtained. The data was collected in May 2017 through a questionnaire that included the Pittsburgh Sleep Quality Index (PSQI), validated for the Portuguese population. Results Throughout the study and following PSQI analysis, it was concluded that 39.71% (n = 137) of participants showed poor quality of sleep (PSQI > 5 points). The correlation between sleep quality and food intake was assessed and a statistically significant association was found between the quality of sleep and the intake of snacks (X2 = 17.144; p = 0.000), sugary products (X2 = 18.603; p= 0 .000), fast-food (X2 = 12.353; p = 0.002) and ready meals (X2 = 14.852; p = 0.000). The risk of suffering from poor sleep quality is higher in young populations who frequently eat snacks ([OR]: 2.811; 99%), sugary products ([OR]: 1.901; 95%), fast-food ([OR]: 4.000; 99%) and ready meals ([OR]: 5.621; 95%) in comparison with young populations who rarely eat this sort of food. The sleep quality is also significantly related with the number of meals young people have in a day (X2 = 7.580; p = 0.023). The risk of having poor quality sleep is 2.240 times higher in young people who rarely eat 4-6 meals a day. Conclusions A correlation between sleep quality and food intake in the sampled students was seen. The risk of having poor quality of sleep is higher in students who frequently eat a high calorie diet and also in students who rarely have 4-6 meals a day. There are several connections between sleep quality and eating habits. Sleep promotion and its connection with standard diets should be included as an essential part of community empowerment for health-promoting lifestyles [1,4,5].info:eu-repo/semantics/publishedVersio

Preparación de canales curvos y calcificados

La preparación durante el tratamiento endodóntico consiste en la correcta limpieza y conformación del sistema de conductos radiculares, y que conserve siempre su forma original. Al finalizar la preparación, se debe obtener un conducto con conicidad uniforme y con un tope apical, que permita un selle hermético al momento de la obturación. Se debe tener en cuenta la dificultad para lograr resultados satisfactorios sobre todo en conductos curvos y calcificados debido a la complejidad de éstos. Las técnicas implementadas y el instrumental adecuado para la preparación de conductos, han sido muchos con el fin de minimizar los errores durante la preparación. No obstante, ninguna técnica ni instrumental por sí solo resulta ideal en la prevención de estos errores; es necesario el cumplimiento de algunos principios básicos durante la preparación de estos conductos, tales como la correcta preparación coronal, el uso continuo de irrigantes y agentes quelantes, el mantenimiento de la permeabilidad, el limado anticurvatura y la doble conicidad. La incorrección de estos principios conlleva a errores, los cuales dificultan el éxito del tratamiento endodóntico. Los avances de la ciencia y el advenimiento de los instrumentos de níquel-titanio, han logrado facilitar el tratamiento de endodoncia, tanto que ya no es considerado como anteriormente se le atribuía que era un procedimiento difícil, lo importante predecir la orientación y anatomía del conducto antes de emplear técnicas o instrumentales, ya que un error en ellas nos llevará al fracaso del tratamiento. (DUAZARY 2011, 66 - 73

Ubiquitous giant Ly α\alpha nebulae around the brightest quasars at z∼3.5z\sim3.5 revealed with MUSE

Direct Ly $\alpha$ imaging of intergalactic gas at $z\sim2$ has recently revealed giant cosmological structures around quasars, e.g. the Slug Nebula (Cantalupo et al. 2014). Despite their high luminosity, the detection rate of such systems in narrow-band and spectroscopic surveys is less than 10%, possibly encoding crucial information on the distribution of gas around quasars and the quasar emission properties. In this study, we use the MUSE integral-field instrument to perform a blind survey for giant Ly $\alpha$ nebulae around 17 bright radio-quiet quasars at $3<z<4$ that does not suffer from most of the limitations of previous surveys. After data reduction and analysis performed with specifically developed tools, we found that each quasar is surrounded by giant Ly $\alpha$ nebulae with projected sizes larger than 100 physical kpc and, in some cases, extending up to 320 kpc. The circularly averaged surface brightness profiles of the nebulae appear very similar to each other despite their different morphologies and are consistent with power laws with slopes $\approx-1.8$. The similarity between the properties of all these nebulae and the Slug Nebula suggests a similar origin for all systems and that a large fraction of gas around bright quasars could be in a relatively "cold" (T$\sim$10$^4$K) and dense phase. In addition, our results imply that such gas is ubiquitous within at least 50 kpc from bright quasars at $3<z<4$ independently of the quasar emission opening angle, or extending up to 200 kpc for quasar isotropic emission.Comment: 19 pages, 9 figures, 3 Tables, accepted to Ap