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PubMedDate not supplied

Family practice residency behavioral science training: influence on graduate practice activity.

BACKGROUND AND OBJECTIVES: The educational efficacy of family practice residency behavioral science training and how various educational approaches might influence graduate practice activity are poorly understood. In this study, we compare a traditional didactic and clinical block rotation approach to a problem-based learning (PBL) and clinical, experiential behavioral science curriculum. METHODS: Surveys of pre- and post-intervention cohorts were used to assess graduates' perceptions of their understanding of broad behavioral science concepts, their competence to manage specific behavioral conditions, and their behavioral science practice activity. The two cohorts were University of California, Irvine family practice residency program graduates from 1984-1988 (58) and residency graduates from 1993-1995 (27). American Board of Family Practice (ABFP) In-service Training Examination scores were also compared. RESULTS: No significant differences were detected in self-perceived competence and ABFP examination performance. Residency graduates in the post-intervention cohort more often included depression, marital counseling, and eating disorders in their practice and reported more frequent practice activity for situational stress and sexual dysfunction. The post-intervention group reported less involvement with alcohol and substance abuse problems. This group also reported practice activity that exceeded perceived levels of competence for attention deficit disorder, learning disorders, and eating disorders. CONCLUSIONS: Participants in a PBL-clinical experiential curriculum reported higher levels of practice activity for several common behavioral problems. It seems unlikely that these differences were due to curriculum changes. Further investigation of the influence of educational and other factors on residency graduate practice activity is needed.

Adult↗

PubMed1977

Family medicine: behavioral science contributions.

The trend in medicine has been towards specialization which promotes a philosophy that extensive knowledge of a limited field is necessary for competence. Little emphasis has been placed on behavioral sciences as an important aspect for assisting the specialty physician in dealing with patients. Family medicine reverses this trend by emphasizing a breadth of medical knowledge with inclusion of behavioral sciences as a part of training. Behavioral sciences contribute heavily to the education of the family physician in the areas of character, culture, and counseling. The results is a humanistic physician with excellent skills in patient management. The inclusion of behavioral sciences in family medicine places this specialty at the forefront of a new direction in medicine and may well be emulated by other medical specialties.

Behavioral Sciences↗

PubMed1997

Knowledge and reported use of sport science by elite New Zealand Olympic class sailors.

OBJECTIVE: This study enquired about the knowledge and reported use of sport science in elite Olympic class sailors. EXPERIMENTAL DESIGN: The sailors responded to a simple questionnaire. SETTING: The questionnaire was administered as part of an introductory seminar on sport science during a training camp. PARTICIPANTS: The participants were 28 (22 male, 6 female) elite New Zealand Olympic class sailors. INTERVENTIONS: None. MEASURES: The questionnaire asked whether or not they used a training race diary, enquired about their current and past injuries and their knowledge and use of sport science in the areas of nutrition, psychology and physical training. RESULTS: Only ten (36%) of the sailors kept a training/race diary. Whilst only four (14%) had a current injury, sixteen (57%) reported an injury in the previous three years. The injuries were in the lower back (45%), knee (22%), shoulder (18%), and arm (15%). Although nineteen (68%) of the sailors had experienced dehydration during racing, the average volume of fluid reported to be taken on a four hour sail was only 0.9 litre, of which only an average of 0.7 litres (77%) was reported to be drunk. All the sailors reported being sometimes (46%) to very often (3%) anxious before races and sometimes (43%) to always (7%) being frustrated with their own mistakes. Only one sailor reported never having negative thoughts whilst fifteen (53%) reported having them sometimes, and seven (25%) often or very often. Twenty-four (86%) of the sailors reported that they sometimes had a loss of concentration near the end of the race. Whilst eighteen (64%) reported practising relaxation and seventeen (61%) reported practising visualisation as a mental skill, only five (18%) practised progressive mental relaxation, two (7%) practised meditation and none practised yoga. Seventeen (61%) undertook strength/circuit training, ten (36%) flexibility and twenty-one (75%) off water aerobic training. Twenty-four (86%) reported undertaking on-water aerobic training. CONCLUSIONS: The results indicate that there is considerable scope for improvement in the knowledge and use of sports science amongst elite New Zealand Olympic class sailors.

Adolescent↗

PubMed1998

[Knowledge or wisdom for nursing science?].

Nursing Science is the knowledge content for nursing. The goal of nursing is to promote, maintain and restore people's health. To provide for the health needs of the South African society Nursing Science must generate the right kind of knowledge. The question of the article is whether Nursing Science needs knowledge or wisdom? The perspectives on knowledge of Maxwell (1988) and Rossouw (1993) are studied. The conclusion is that Nursing Science needs knowledge and wisdom. Arguments are given to support this conclusion.

Humans↗

PubMed1957

Federal support of research in the life sciences.

Federal support of contract and grant research in the life sciences continued to grow during the period 1952-55 and showed an increase of 28 percent between the years 1954 and 1955. The basic biological science component (Table 2) increased from $18 to $26 million between 1952 and 1954 and to $30 million in 1955. Although a greater dollar amount is now available for basic research in the life sciences, the amount available in 1955 was proportionately a smaller part of the total than was the amount available in 1954. In 1955, $52 million was expended for activities which were not categorized as basic research. The needs and motivations of the major granting federal agencies are, and continue to be, primarily problem-and program-oriented.

Biological Science Disciplines↗

PubMed2005

University-based science and biotechnology products: defining the boundaries of intellectual property.

The pharmaceutical and biotechnology industries have long relied on patenting as the primary means of allocating ownership and control over new discoveries. Yet, patent protection is a double-edged sword that has major implications for the future of innovation in biomedical science in the United States. Excessive "upstream" patenting of genes and molecular targets could hinder further research by creating a need for expensive and inefficient cross-licensing. However, limiting such basic science patenting could allow private entities to use the results of years of costly publicly funded research to produce and market lucrative products without compensating university- or public sector-based innovators. Academic and other nonprofit research centers would, therefore, be deprived of revenue for pursuing novel therapeutics or other seminal research work that may not be patentable. Recent court cases illustrate the inherent conflicts in allocating ownership and control of basic biomedical discoveries. Several options exist to avoid the complex problems of overlapping basic science patents while still rewarding pivotal discoveries and encouraging further innovation. These include establishing basic science patent pools and mandating arbitration arrangements that would assign credit and royalties for biotechnology innovations that depend on prior research that was performed, financed, or both in the public sector.

Academic Medical Centers↗

PubMed1999

Cancer mortality in health and science technicians.

BACKGROUND: Nearly one million U.S. women are employed as health or science technicians with various chemical and biological exposures, but few studies have looked at their health outcomes. METHODS: Using 1984-1995 mortality data with coded occupation information, we calculated race- and age-adjusted proportionate cancer mortality ratios (PCMRs) and 95% confidence intervals for two age groups for black and white women with occupations of clinical laboratory (CLT), radiologic, and science technician. RESULTS: For CLTs, the PCMRs for breast cancer were borderline significantly elevated. The PCMRs for leukemia were significantly elevated, particularly for myeloid leukemia. Radiologic technicians had no significantly elevated PCMRs. Science technicians had significantly elevated PCMRs for non-Hodgkin's lymphoma and multiple myeloma in the younger age group. DISCUSSION: The elevated risks for lymphatic and hematopoietic neoplasms in CLTs and science technicians may be associated with occupational exposures.

Adult↗

PubMed1976

Clinical science.

The most obvious achievements of clinical science have been in the elucidation of symptoms and signs and the patterns of disordered function due to failure of the organs or to nutritional disturbances. The benefits of clinical research are both direct--through improved practice--and indirect--through improved teaching and contributions to biological science. It is suggested that the clinical scientist, experienced in both clinical and research work, has a potential not to be expected from collaboration between non-scientific clinicians and non-clinical scientists. Problems which particularly affect clinical research include: ethics; difficulty in being experimentally rigorous; the need to be opportunistic; dependence on transient workers; excessive conern with the end stages of irreversible disease; triviality; uncritical and premature imitation of research in practice. Clinical science is always threatened by a tendency for its problems to be regarded simply as applied problems of basic science. The roles of the clinical scientist should include: elucidating clinical phenomena, about most of which we remain very ignorant; collaboration with basic scientists on the one hand and with community scientists on the other; and clarifying the description and analysis of illnesses.

Disease↗

PubMedDate not supplied

Software for pest-management science: computer models and databases from the United States Department of Agriculture-Agricultural Research Service.

We present an overview of USDA Agricultural Research Service (ARS) computer models and databases related to pest-management science, emphasizing current developments in environmental risk assessment and management simulation models. The ARS has a unique national interdisciplinary team of researchers in surface and sub-surface hydrology, soil and plant science, systems analysis and pesticide science, who have networked to develop empirical and mechanistic computer models describing the behavior of pests, pest responses to controls and the environmental impact of pest-control methods. Historically, much of this work has been in support of production agriculture and in support of the conservation programs of our 'action agency' sister, the Natural Resources Conservation Service (formerly the Soil Conservation Service). Because we are a public agency, our software/database products are generally offered without cost, unless they are developed in cooperation with a private-sector cooperator. Because ARS is a basic and applied research organization, with development of new science as our highest priority, these products tend to be offered on an 'as-is' basis with limited user support except for cooperating R&D relationship with other scientists. However, rapid changes in the technology for information analysis and communication continually challenge our way of doing business.

Agriculture↗

PubMed2006

Linking water science to policy: results from a series of national workshops on water.

To ensure science better informs the decision-making process, researchers and policy/program managers need to understand and respect each other's way of working, culture and operational timelines. However, there is little practical guidance on how this should be done and even less documented experience with specific mechanisms that better link these two groups. The published literature on information transfer has largely emphasized the dissemination of standard packages of information to ill-defined constituencies whose needs for scientific information are not well understood. Environment Canada's National Water Research Institute, on behalf of the Canadian Council of Ministers of the Environment, led a series of "Linking Water Science to Policy Workshops" as one such mechanism by which recent science could be delivered to practitioners, and practitioners could identify their research needs to scientists and research managers. There is a pressing need to explore and share experiences using creative mechanisms for sustained dialogue and networking between scientists and policy and program managers. The lessons learned from the workshop series and the need for science to continually inform the decision-making process has particular relevance for Canada's Ecosystem Initiatives given their integrated, place-based focus on long-term restoration and protection, and the challenge of continually changing ecosystems.

Canada↗

PubMed2006

Social and ethical dimensions of nanoscale science and engineering research.

Continuing advances in human ability to manipulate matter at the atomic and molecular levels (i.e. nanoscale science and engineering) offer many previously unimagined possibilities for scientific discovery and technological development. Paralleling these advances in the various science and engineering sub-disciplines is the increasing realization that a number of associated social, ethical, environmental, economic and legal dimensions also need to be explored. An important component of such exploration entails the identification and analysis of the ways in which current and prospective researchers in these fields conceptualize these dimensions of their work. Within the context of a National Science Foundation funded Research Experiences for Undergraduates (REU) program in nanomaterials processing and characterization at the University of Central Florida (2002-2004), here I present for discussion (i) details of a "nanotechnology ethics" seminar series developed specifically for students participating in the program, and (ii) an analysis of students' and participating research faculty's perspectives concerning social and ethical issues associated with nanotechnology research. I conclude with a brief discussion of implications presented by these issues for general scientific literacy and public science education policy.

Attitude↗

PubMed1988

Forensic science and the law.

Forensic Science today makes an important contribution to the operation of the Criminal Justice System providing evidence which could help decide the guilt of a suspect. Forensic Science is able to do so because it has developed to operate within the reality determined by the Criminal Justice System. Changes that are occurring today seem to upset the relationship between Forensic Sciences and the Criminal Justice System by the creation of communication problems. Examples of these problems exist in the changes occurring in the concept of death made necessary by organ transplants. These changes have shifted the focus from the quantity of life to the quality of life and make it impossible for the Forensic Scientist to answer honestly the questions that might be put him. The need for reforms in the law in view of social changes has been recognized and in many countries attempts at such changes are afoot. With these changes a new reality is being defined. Forensic Science, being a discipline that comes first in contact with a multitude of emergent problems, has a part to play in the definition of this reality.

Abortion, Legal↗

PubMed2006

The state of rehabilitation research: art or science?

Rehabilitation research has been criticized as not standing up enough to the rigors of scientific method to be called "science." The field has been portrayed as slow to promote its scientific achievements and to include them under the rubric of evidence-based rehabilitation. Following in the footsteps of psychology, rehabilitation as a broad-based discipline has faced many similar obstacles in achieving scientific status. Controversy exists about what exactly constitutes rehabilitation science versus its art and its respective multidisciplinary domains. The conception of these domains is directly related to current methods available to assess the state of the discipline and its research accomplishments. I used quantitative methods, such as randomized clinical and/or controlled trials (RCTs) and systematic reviews, to assess the status of rehabilitation research. Findings suggest that, as a field, rehabilitation makes significant contributions to science, measurable by the number and quality of RCTs and systematic reviews conducted so far on topics of critical importance for clinical care. In "artful" complement, qualitative approaches can be used as research tools to aid investigators in seeking knowledge beyond that obtained by quantitative methods, assessing many complexities associated with the various contexts of rehabilitation research. Other requirements to develop a common vision of rehabilitation science are also discussed.

Art↗

PubMed2002

High pressure in bioscience and biotechnology: pure science encompassed in pursuit of value.

A fundamental factors, pressure (P), is indispensable to develop and support applications in the field of bioscience and biotechnology. This short sentence describes an example how high pressure bioscience and biotechnology, which started from applied science, stimulates challenges of basic science and pure science in the biology-related fields including not only food science, medicine, and pharmacology but also biochemistry, molecular biology, cell biology, physical chemistry, and engineering.

Biotechnology↗

PubMed2002

Politics, the media and science in HIV/AIDS: the peril of pseudoscience.

The microchip, the computer and the DNA revolution have brought the questions of ethics, counselling and equitable research to the fore. The new world order is a world of: equity; human rights; human dignity; the alleviation of poverty; closing the gap between the "haves and have nots". The social and economic impact and implications of these have opened a new dialogue between the professions and the laypersons in order to address matters of rights, ethics and power relationships in health research that is unprecedented in history. The yearning need for science to be understood by the public; the need for scientists to communicate better; the need for the public to make choices about what science has to offer in their daily life; the need for the public to participate and shape the scientific process; the need for science to integrate the wealth of information that is already existent has never been greater than today. Perhaps no examples illustrate these challenges better than the revolution in biology (the Human Genome Project and embryo stem cell research/therapy) and the human immunodeficiency virus (HIV)/AIDS epidemic that is sweeping sub-Saharan Africa (1). The way we teach, learn and practice science will no longer be the same. It will no longer be business as usual. It is unfortunately also within this context that pseudoscience is likely flourish (2).

Acquired Immunodeficiency Syndrome↗

PubMed1998

Towards quality of care in child health programmes: a challenge for the partnership in health and social sciences.

Several child health care programmes, though often well conceived, are poorly implemented at field level and focus primarily on quantitative achievements to the neglect of quality of care. This paper presents a quality of care (QOC) framework for child health programmes from the perspectives of the management system of an organization and the provider-client interface at point of service delivery. The paper subsequently describes the application of qualitative and quantitative research tools drawn from the social sciences and health sciences for planning and evaluating quality of care. An integrated and complementary use of these tools is recommended. It is suggested that minimum standards, which are region specific, be articulated for quality maintenance in child health programmes. These standards may be upgraded as quality improves. Finally, the challenges which a partnership of the health and social sciences may have to take up are discussed. These include advocacy for prioritization of QOC in child health programmes, facilitating an environment which supports quality of care, promoting inter-disciplinary action research, training students in social science research in universities and research organizations, documenting success stories.

Child↗

PubMed1997

Modern science and the explosion of new knowledge.

The technological evolution of mankind accelerated enormously after the institutionalization of science in the 19th century. In parallel with the vast number of beneficial effects derived from the scientific revolution, the explosion of new knowledge and its centralization in only a few countries has generated a number of complex situations that present major challenges for the modern science. These include the asymmetrical distribution in the planet of young people and science, the super-specialization derived from the information overload and the difficulties in teaching the vast amount of new knowledge generated each year by science.

Journal Article↗

PubMed2003

The institutional design of forest certification standards initiatives and its influence on the role of science: the case of forest genetic resources.

In the 1990s a wide array of non-governmental certification initiatives emerged as a way to promote the sustainable management of resources in sectors such as fisheries and forestry. In this paper, we examine two related questions about these initiatives: how does the institutional design of certification initiatives affect the way science is used in the development of certification standards and in whose interest is science employed? Using the empirical case of forest certification and the specific standards various initiatives have created to address the management of forest genetic resources, we show how structural aspects of decision-making processes affects the standards adopted and the rationalization for their appropriateness. Two basic models of decision-making-stakeholder participation and technical expertise-are discussed in relation to three certification initiatives active in North America-the Canadian Standards Association, the Sustainable Forestry Initiative and the Forest Stewardship Council. By examining the standards these initiatives set for the management of forest genetic resources, we illustrate how two dimensions of science-uncertainty and the logic of cause and effect-are used to rationalize cautious and rigid versus flexible and discretionary standards for the management of forest genetic resources. Our findings indicate that the design or structure of certification decision-making processes, and their embedded balance of authority, mediate the form of standards initiatives will justify on the basis of science.

Certification↗