Dataset Information

Saigas on the brink: Multidisciplinary analysis of the factors influencing mass mortality events.

ABSTRACT: In 2015, more than 200,000 saiga antelopes died in 3 weeks in central Kazakhstan. The proximate cause of death is confirmed as hemorrhagic septicemia caused by the bacterium Pasteurella multocida type B, based on multiple strands of evidence. Statistical modeling suggests that there was unusually high relative humidity and temperature in the days leading up to the mortality event; temperature and humidity anomalies were also observed in two previous similar events in the same region. The modeled influence of environmental covariates is consistent with known drivers of hemorrhagic septicemia. Given the saiga population's vulnerability to mass mortality and the likely exacerbation of climate-related and environmental stressors in the future, management of risks to population viability such as poaching and viral livestock disease is urgently needed, as well as robust ongoing veterinary surveillance. A multidisciplinary approach is needed to research mass mortality events under rapid environmental change.

SUBMITTER: Kock RA

PROVIDER: S-EPMC5777396 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Saigas on the brink: Multidisciplinary analysis of the factors influencing mass mortality events.

Kock Richard A RA Orynbayev Mukhit M Robinson Sarah S Zuther Steffen S Singh Navinder J NJ Beauvais Wendy W Morgan Eric R ER Kerimbayev Aslan A Khomenko Sergei S Martineau Henny M HM Rystaeva Rashida R Omarova Zamira Z Wolfs Sara S Hawotte Florent F Radoux Julien J Milner-Gulland Eleanor J EJ

Science advances 20180117 1

In 2015, more than 200,000 saiga antelopes died in 3 weeks in central Kazakhstan. The proximate cause of death is confirmed as hemorrhagic septicemia caused by the bacterium <i>Pasteurella multocida</i> type B, based on multiple strands of evidence. Statistical modeling suggests that there was unusually high relative humidity and temperature in the days leading up to the mortality event; temperature and humidity anomalies were also observed in two previous similar events in the same region. The ...[more]

PMID: 29376120

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Project description:Objectives: To investigate the factors influencing clinical pharmacists' integration into the clinical multidisciplinary care team, using interprofessional collaboration between clinical pharmacists and physicians as the focus. Methods: Through stratified random sampling, a cross-sectional questionnaire survey was conducted among clinical pharmacists and physicians in secondary and tertiary hospitals in China from July to August 2022. The questionnaire, comprising the Physician-Pharmacist Collaborative Index (PPCI) scale to reflect the collaboration level and a combined scale to measure influencing factors, was made available in two versions for clinical pharmacists and physicians. Multiple linear regression was adopted to analyze the association between the collaboration level and influencing factors, as well as the heterogeneity of the significant factors in hospitals of different grades. Results: Valid self-reported data from 474 clinical pharmacists and 496 paired physicians were included, who were serving in 281 hospitals from 31 provinces. In terms of participant-related factors, standardized training and academic degree, respectively, exerted significant positive effects on the perceived collaboration level by clinical pharmacists and physicians. In terms of context characteristics, manager support and system construction were the main factors for improving collaboration. In terms of exchange characteristics, clinical pharmacists having good communication skills, physicians trusting others' professional competence and values, and both parties having consistent expectations had significant positive effects on collaboration. Conclusion: The study provides a baseline data set on the current level and associated factors of clinical pharmacists' collaboration with other professionals in China and other countries with a related health system, providing references for individuals, universities, hospitals, and national policymakers to facilitate the development of clinical pharmacy and multidisciplinary models and further improve the patient-centered integrated disease treatment system.

Project description:BackgroundDiscussing patients with cancer in a multidisciplinary team meeting (MDTM) is customary in cancer care worldwide and requires a significant investment in terms of funding and time. Efficient collaboration and communication between healthcare providers in all the specialisms involved is therefore crucial. However, evidence-based criteria that can guarantee high-quality functioning on the part of MDTMs are lacking. In this systematic review, we examine the factors influencing the MDTMs' efficiency, functioning and quality, and offer recommendations for improvement.MethodsRelevant studies were identified by searching Medline, EMBASE, and PsycINFO databases (01-01-1990 to 09-11-2021), using different descriptions of 'MDTM' and 'neoplasm' as search terms. Inclusion criteria were: quality of MDTM, functioning of MDTM, framework and execution of MDTM, decision-making process, education, patient advocacy, patient involvement and evaluation tools. Full text assessment was performed by two individual authors and checked by a third author.ResultsSeventy-four articles met the inclusion criteria and five themes were identified: 1) MDTM characteristics and logistics, 2) team culture, 3) decision making, 4) education, and 5) evaluation and data collection. The quality of MDTMs improves when the meeting is scheduled, structured, prepared and attended by all core members, guided by a qualified chairperson and supported by an administrator. An appropriate amount of time per case needs to be established and streamlining of cases (i.e. discussing a predefined selection of cases rather than discussing every case) might be a way to achieve this. Patient centeredness contributes to correct diagnosis and decision making. While physicians are cautious about patients participating in their own MDTM, the majority of patients report feeling better informed without experiencing increased anxiety. Attendance at MDTMs results in closer working relationships between physicians and provides some medico-legal protection. To ensure well-functioning MDTMs in the future, junior physicians should play a prominent role in the decision-making process. Several evaluation tools have been developed to assess the functioning of MDTMs.ConclusionsMDTMs would benefit from a more structured meeting, attendance of core members and especially the attending physician, streamlining of cases and structured evaluation. Patient centeredness, personal competences of MDTM participants and education are not given sufficient attention.

Project description:BackgroundIn the context of globalization of science and technology, multidisciplinary cooperation plays an important role in enhancing national scientific research strength. Many countries issue policies and reports to promote the implementation of interdisciplinary research. Colleges play a central role in knowledge generation and scientific inquiry and thus frequently contain a variety of scientific research organizations. With rapid advances in science, large-scale scientific research cooperation across disciplines and institutions is increasingly common. Many factors can affect the performance of research collaboration, and the implementation paths of some key factors remain unclear. In addition, no standardized collaboration system has been established in relevant research. Further studies on interdisciplinary scientific research cooperation will be particularly valuable for improving the efficiency of resource allocation and increasing the level of academic research. Here we explored the "joint effect" of various influencing factors on interdisciplinary collaborative research in colleges and the "interactions" among these factors.MethodsWith stratified-cluster random sampling, 358 researchers from 181 research teams at 6 colleges across China were surveyed using a self-administered questionnaire. We used fuzzy-set qualitative comparative analysis (fsQCA) to analyze data to obtain more insight into the status quo of interdisciplinary cooperation among colleges.ResultsThe results showed that initiation and organization by an institution was a necessary condition for achieving high-performance scientific research collaboration. The performance incentive method of high-tech collaboration could be divided into four main paths: configuration organized by an institution; configuration organized by an institution, with high policy-based guarantees (PG); configuration organized by an institution, with high cooperation willingness (CW) and high cooperation ability (CA); and configuration organized by an institution, with high CW, abilities, and outputs. The drive mechanism of high performance in scientific cooperation could be divided into two types: organization-led and ability/willingness-driven.ConclusionsOnly the integration of internal changes with the support of the external environment can ensure the stable development of multidisciplinary scientific research cooperation among colleges.

Dataset Information

Saigas on the brink: Multidisciplinary analysis of the factors influencing mass mortality events.

Publications

Saigas on the brink: Multidisciplinary analysis of the factors influencing mass mortality events.

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