Development and validation of a tool to measure collaborative practice between community pharmacists and physicians from the perspective of community pharmacists: the professional collaborative practice tool.

BACKGROUND: Collaborative practice between community pharmacists and physicians is becoming increasingly common. Although tools and models to explore collaborative practice between both health care professionals have been developed, very few have been validated for their use in clinical practice. The objective of this study was to develop and validate a tool for measuring collaborative practice between community pharmacists and physicians from the perspective of community pharmacists. METHODS: The DeVellis method was used to develop and validate the Professional Collaborative Practice Tool. A pool of 40 items with Likert frequency scales was generated based on previous literature and expert opinion. This study was undertaken in Spain. A sample of community pharmacists providing medication reviews with follow-up and a random sample of pharmacists providing usual care were invited to participate. Exploratory and confirmatory factor analysis was used to assess the tool's reliability and content validity. RESULTS: Three hundred thirty-six pharmacists were invited with an overall response rate of 84.8%. The initial 40 items selected were reduced to 14 items. Exploratory Factor Analysis provided a 3-factor solution explaining 62% of the variance. Confirmatory Factor Analysis confirmed the three factors "Activation for collaborative professional practice," the "Integration in collaborative professional practice," and the "Professional acceptance in collaborative professional practice." The tool demonstrated an adequate fit (X2/df = 1.657, GFI = 0.889 and RMSEA = 0.069) and good internal consistency (Cronbach's alpha = 0.924). CONCLUSIONS: The Professional Collaborative Practice Tool has shown good internal reliability and criterion validity. The tool could be used to measure the perceived level of collaborative practice between community pharmacists and physicians and monitor changes over time. Its applicability and transferability to other settings should be evaluated

Bullying and gender violence at school: analysis of teacher perception

Nowadays gender violence and bullying continue to be considered a matter of great concern to society. This study analyses the teachers'' perceptions of these two social problems in the educational context. The interventions that are carried out from the school to prevent and respond to these behaviours are studied. From a methodological point of view, the study responds to the paradigm of qualitative research. We interviewed fifteen teachers of Early Childhood Education, Primary Education and Secondary Education of the Spanish educational system. The information collected indicates that teachers advocate a necessary reinforcement of emotional competencies and social skills from schools. In addition, they express their dissatisfaction due to the insufficient strategies applied from the school to respond to these violent behaviours. These results support any initiative that aims to train teachers to prevent possible cases of bullying or gender violence

An ideal mass assignment scheme for measuring the Power Spectrum with FFTs

In measuring the power spectrum of the distribution of large numbers of dark matter particles in simulations, or galaxies in observations, one has to use Fast Fourier Transforms (FFT) for calculational efficiency. However, because of the required mass assignment onto grid points in this method, the measured power spectrum \la |\delta^f(k)|^2\ra obtained with an FFT is not the true power spectrum $P(k)$ but instead one that is convolved with a window function $|W(\vec k)|^2$ in Fourier space. In a recent paper, Jing (2005) proposed an elegant algorithm to deconvolve the sampling effects of the window function and to extract the true power spectrum, and tests using N-body simulations show that this algorithm works very well for the three most commonly used mass assignment functions, i.e., the Nearest Grid Point (NGP), the Cloud In Cell (CIC) and the Triangular Shaped Cloud (TSC) methods. In this paper, rather than trying to deconvolve the sampling effects of the window function, we propose to select a particular function in performing the mass assignment that can minimize these effects. An ideal window function should fulfill the following criteria: (i) compact top-hat like support in Fourier space to minimize the sampling effects; (ii) compact support in real space to allow a fast and computationally feasible mass assignment onto grids. We find that the scale functions of Daubechies wavelet transformations are good candidates for such a purpose. Our tests using data from the Millennium Simulation show that the true power spectrum of dark matter can be accurately measured at a level better than 2% up to $k=0.7k_N$, without applying any deconvolution processes. The new scheme is especially valuable for measurements of higher order statistics, e.g. the bi-spectrum,........Comment: 17 pages, 3 figures, Accepted for publication in ApJ,Matches the accepte

Health Impacts and Economic Costs of Air Pollution in the Metropolitan Area of Skopje

Background: Urban outdoor air pollution, especially particulate matter, remains a major environmental health problem in Skopje, the capital of the former Yugoslav Republic of Macedonia. Despite the documented high levels of pollution in the city, the published evidence on its health impacts is as yet scarce. Methods: we obtained, cleaned, and validated Particulate Matter (PM) concentration data from five air quality monitoring stations in the Skopje metropolitan area, applied relevant concentration-response functions, and evaluated health impacts against two theoretical policy scenarios. We then calculated the burden of disease attributable to PM and calculated the societal cost due to attributable mortality. Results: In 2012, long-term exposure to PM2.5 (49.2 μg/m3) caused an estimated 1199 premature deaths (CI95% 821–1519). The social cost of the predicted premature mortality in 2012 due to air pollution was estimated at between 570 and 1470 million euros. Moreover, PM2.5 was also estimated to be responsible for 547 hospital admissions (CI95% 104–977) from cardiovascular diseases, and 937 admissions (CI95% 937–1869) for respiratory disease that year. Reducing PM2.5 levels to the EU limit (25 μg/m3) could have averted an estimated 45% of PM-attributable mortality, while achieving the WHO Air Quality Guidelines (10 μg/m3) could have averted an estimated 77% of PM-attributable mortality. Both scenarios would also attain significant reductions in attributable respiratory and cardiovascular hospital admissions. Conclusions: Besides its health impacts in terms of increased premature mortality and hospitalizations, air pollution entails significant economic costs to the population of Skopje. Reductions in PM2.5 concentrations could provide substantial health and economic gains to the city

SUNRISE/IMaX observations of convectively driven vortex flows in the Sun

We characterize the observational properties of the convectively driven vortex flows recently discovered on the quiet Sun, using magnetograms, Dopplergrams and images obtained with the 1-m balloon-borne Sunrise telescope. By visual inspection of time series, we find some 3.1e-3 vortices/(Mm^2 min), which is a factor of 1.7 larger than previous estimates. The mean duration of the individual events turns out to be 7.9 min, with a standard deviation of 3.2 min. In addition, we find several events appearing at the same locations along the duration of the time series (31.6 min). Such recurrent vortices show up in the proper motion flow field map averaged over the time series. The typical vertical vorticities are <= 6e-3 1/sec, which corresponds to a period of rotation of some 35 min. The vortices show a preferred counterclockwise sense of rotation, which we conjecture may have to do with the preferred vorticity impinged by the solar differential rotation.Comment: To appear in ApJL. 5 Figs, 4 pages. The two animations associated with the work can be downloaded from http://www.iac.es/proyecto/solarhr/imaxvortex.html References updated in V

Metabolic rate and hypoxia tolerance in Girardinichthys multiradiatus (Pisces: Goodeidae), an endemic fish at high altitude in tropical Mexico

Artículo científico JCR Q1The darkedged splitfin (Amarillo fish), Girardinichthys multiradiatus is a vulnerable endemic fish species inhabiting central Mexico's high altitude Upper Lerma Basin, where aquatic hypoxia is exacerbated by low barometric pressures (lower PO2s), large aquatic oxygen changes, poor aquatic systems management and urban, agricultural and industrial pollution. The respiratory physiology of G. multiradiatus under such challenging conditions is unknown - therefore the main goal of the present study was to determine metabolic rates and hypoxia tolerance to elucidate possible physiological adaptations allowing this fish to survive high altitude and increasingly eutrophic conditions. Fish came from two artificial reservoirs – San Elías and Ex Hacienda - considered refuges for this species. Both reservoirs showed high dial PO2 variation, with hypoxic conditions before midday and after 20:00 h, ~4 h of normoxia (15 kPa) from 16:00–20:00, and ~4 h of hyperoxia (16–33 kPa) from 12:00–16:00. Standard metabolic rate at 20 ± 0.5 °C of larvae from Ex Hacienda was significantly higher than those from San Elías, but these differences disappeared in juveniles and adults. Metabolic rate at 20 ± 0.5 °C for adults was 9.8 ± 0.1 SEM μmol O2/g/h. The metabolic scaling exponent for adults was 0.58 for San Elías fish and 0.83 for Ex Hacienda fish, indicating possible ecological effects on this variable. Post-larval fish in Ex Hacienda and all stages in San Elias site showed considerable hypoxia tolerance, with PCrit mean values ranging from 1.9–3.1 kPa, lower than those of many tropical fish at comparable temperatures. Collectively, these data indicate that G. multiradiatus is well adapted for the hypoxia associated with their high-altitude habitat.CONACyT PRODEP-SEP UAEMé

Levels and patterns of objectively assessed physical activity and compliance with different public health guidelines in university students

ArticleBackground Physical activity (PA) is associated with health enhancement. The aim of this study was to assess: 1) levels and patterns of PA in university students by using accelerometers; and 2) the percentage of fulfilment of PA recommendations for adults, according to different public health guidelines. Methods Observational cross-sectional study (Cuenca’s Adults Study) involving 296 (206 women) healthy Spanish university students aged 18–25 years old. Participants wore the ActiGraph GT1M accelerometer for seven consecutive days. Total PA, steps and time spent in sedentary time, light, moderate, vigorous, and moderate to vigorous PA (MVPA) was assessed, and the prevalence of sufficient PA was calculated according to various public health guidelines. Results No sex differences in total PA were found. University students were more sedentary during weekend days than weekdays (p<0.05). Only 30.3% of participants accumulated 30 min/day at least five days a week of MVPA. A total of 5.4% of students met the recommendation of 150 min/week of MVPA or 75 min/week of vigorous PA, in PA bouts of at least 10 min. using the same definition, but on five or more days a week, only 0.5% students were found to meet the recommendation. In addition, only 0.5% of students met the recommendation of 30 min/day of MVPA, at least five days a week and in bouts of at least 10 min. Finally, 28.1% of the students met the recommendation of 10,000 steps/day. Conclusions Our study shows a high incidence of sedentary time in university students. The number of students meeting PA recommendations significantly differed depending on the recommendation proposed. Specific strategies to promote PA in this population are necessary as well as an agreement as to which PA guidelines should be used.Fundación para la Investigación SanitariaMinistry of Health and Consumer AffairsInstituto de Salud Carlos IIIRed de Investigación en Actividades Preventivas y de Promoción de Salu