Position Papers Research Articles

The Glasgow declaration on sustainability in Anaesthesiology and Intensive Care.

The Glasgow declaration on sustainability in Anaesthesiology and Intensive Care.

Assisted Living: New Initiatives, Brighter Future

Assisted Living: New Initiatives, Brighter Future

Explanation Paradigms Leveraging Analytic Intuition (ExPLAIn)

AbstractIn this paper, we present the envisioned style and scope of the new topic “Explanation Paradigms Leveraging Analytic Intuition” (ExPLAIn) with the International Journal on Software Tools for Technology Transfer (STTT). Intention behind this new topic is to (1) explicitly address all aspects and issues that arise when trying to, if possible, reveal and then confirm hidden properties of black-box systems, or (2) to enforce vital properties by embedding them into appropriate system contexts. Machine-learned systems, such as Deep Neural Networks, are particularly challenging black-box systems, and there is a wealth of formal methods for analysis and verification waiting to be adapted and applied. The selection of papers of this first Special Section of ExPLAIn, most of which were co-authored by editorial board members, is an illustrative example of the style and scope envisioned: In addition to methodological papers on verification, explanation, and their scalability, case studies, tool papers, literature reviews, and position papers are also welcome.

Recommendations on TNFα inhibitor biosimilar use in clinical practice: a comparison of European gastroenterology IBD guidance

ABSTRACT Background Professional associations publish guidance advising gastroenterologists on prescribing biosimilars; however, guidelines differ between countries and change over time. This study aimed to map the presence and content of guidance from European gastroenterology associations on TNFα inhibitor biosimilar use and its development over time. Research design and methods Guidelines on biosimilar prescribing from national gastroenterology associations in the European Economic Area (EEA) partnered with the European Crohn’s and Colitis Organization (ECCO) were collected. Treatment guidelines and biosimilar position papers from 2010 to 2022 were included. Data were extracted using a template. Results 26 of 30 EEA countries have an ECCO-partnered gastroenterology association, of which 14 (53.8%) had national guidelines addressing biosimilars, four (15.4%) followed ECCO’s position, and three (11.6%) had treatment guidelines without mentioning biosimilars. From five countries (19.2%) no guidelines were retrieved. Among 18 countries with guidance, 14 (77.8%) associations endorsed initiating biological treatment with biosimilars, and 13 (72.2%) endorsed transitioning from originator to biosimilar. Nine associations published multiple guidelines over time addressing biosimilars; overall, their positions became more encouraging. Conclusions The majority of gastroenterology associations endorsed biosimilar use. The lack of (up-to-date) guidelines for some associations indicates an area of improvement to support biosimilar use in clinical practice.

Mission Accomplished? Balancing Market Growth and Moral Legitimation in the Fair Trade Moral Market

Mission Accomplished? Balancing Market Growth and Moral Legitimation in the Fair Trade Moral Market

Pediatric Magnet Ingestion, Diagnosis, Management, and Prevention: A European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Position Paper.

Magnet ingestion is a special category of foreign body ingestion associated with high levels of morbidity and mortality worldwide, particularly if it is associated with staggered ingestion of multiple magnets or with simultaneous ingestion of other metallic foreign bodies, especially button batteries. A special category of magnet ingestion is the ingestion of earth magnets, which have higher levels of magnetism and therefore, potentially, carries a worse outcome. Legislative bodies, scientific Societies and community-led initiatives have been implemented worldwide with the aim of mitigating the effects of this growing, yet avoidable potential medical emergency. A scoping literature review summarized epidemiology, diagnosis, management, and prevention, including an algorithm for the diagnosis and management of magnet ingestion is presented and compared to previously published reviews and position papers (North American Society of Pediatric Gastroenterology, Hepatology and Nutrition, National Poison Center, Royal College of Emergency Medicine). The main emphasis of the algorithm is on identification of staggered/multiple magnet ingestion, and early joint gastroenterology and surgical consultation and management.

The Post-Venous Thromboembolism Functional Status Scale: From Call to Action to Application in Research, Extension to COVID-19 Patients, and Its Use in Clinical Practice.

A broad spectrum of long-term sequelae may be present in venous thromboembolism (VTE) survivors, affecting their quality of life and functioning. To monitor recovery and improve the prognosis of patients with persistent functional limitations, the development of a new outcome measure that could better capture the consequences of VTE was an unmet need. Starting as a call to action, the Post-VTE Functional Status (PVFS) scale was developed to meet this need. The PVFS scale is an easy-to-use clinical tool to measure and quantify functional outcomes after VTE by focusing on key aspects of daily life. As the scale was considered useful in coronavirus disease 2019 (COVID-19) patients as well, the Post-COVID-19 Functional Status (PCFS) scale was introduced early in the pandemic after slight adaptation. The scale has been well incorporated into both the VTE and COVID-19 research communities, contributing to the shift of focus toward patient-relevant functional outcomes. Psychometric properties have been evaluated, mainly for the PCFS scale but recently also for the PVFS scale, including validation studies of translations, showing adequate validity and reliability. In addition to serving as outcome measure in studies, guidelines and position papers recommend using the PVFS and PCFS scale in clinical practice. As broad use of the PVFS and PCFS scale in clinical practice is valuable to capture what matters most to patients, widespread implementation is a crucial next step. In this review, we discuss the development of the PVFS scale and introduction in VTE and COVID-19 care, the incorporation of the scale in research, and its application in clinical practice.

Bariatric endoscopy-Possibilities and value in obesity medicine and surgery-A separate special field

Endoscopy has become established as an important component in all preoperative, intraoperative and postoperative areas of bariatric surgery. As guidelines are not yet available, relevant studies and international position papers have been collected in this article. Preoperatively, endoscopy should be performed before sleeve gastrectomy (SG, detection of reflux status) and before bypass procedures (status survey of the postoperatively no longer accessible distal stomach). Routine endoscopic monitoring should be performed 2-3years after SG and aOAGB (one anastomosis gastric bypass) for recording of the gastroesophageal reflex disease (GERD) status. In the first line complication management of hemorrhage and leakages, endoscopic procedures have prevailed over surgical ones due to more causal therapeutic approaches (except cases of general peritonitis where lavage and drainages are needed). In the treatment of late complications such as dumping, anastomosis dilatation and stenosis, bariatric endoscopy provides versatile, organ-preserving solutions and continues to demonstrate ahigh degree of innovation. In these postoperative fields of application, especially in the treatment of late complications, specific knowledge of bariatric anatomy and physiology as well as surgical treatment options are required in addition to endoscopic expertise. The special field of bariatric endoscopy has developed and will have an own importance closely linked to the bariatricsurgery.

Significant Published Articles in 2022 for Pharmacy Nutrition Support Practice.

Purpose: The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2022 considered important to their clinical practice. The citation list was compiled into a spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby at least 5 out of the 8 author participants considered the article to be important. Guideline and consensus papers, important to practice but not ranked, were also included. Results: A total of 162 articles were identified; 8 from the primary literature were voted by the group to be of high importance. An additional 10 guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were summarized and a narrative regarding its implications to pharmacy nutrition support practice were provided. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.

She adapts to her student: An expert pragmatic speaker tailoring her referring expressions to the Layman listener.

Communication is a dynamic process through which interlocutors adapt to each other. In the development of conversational agents, this core aspect has been put aside for several years since the main challenge was to obtain conversational neural models able to produce utterances and dialogues that at least at the surface level are human-like. Now that this milestone has been achieved, the importance of paying attention to the dynamic and adaptive interactive aspects of language has been advocated in several position papers. In this paper, we focus on how a Speaker adapts to an interlocutor with different background knowledge. Our models undergo a pre-training phase, through which they acquire grounded knowledge by learning to describe an image, and an adaptive phase through which a Speaker and a Listener play a repeated reference game. Using a similar setting, previous studies focus on how conversational models create new conventions; we are interested, instead, in studying whether the Speaker learns from the Listener's mistakes to adapt to his background knowledge. We evaluate models based on Rational Speech Act (RSA), a likelihood loss, and a combination of the two. We show that RSA could indeed work as a backbone to drive the Speaker toward the Listener: in the combined model, apart from the improved Listener's accuracy, the language generated by the Speaker features the changes that signal adaptation to the Listener's background knowledge. Specifically, captions to unknown object categories contain more adjectives and less direct reference to the unknown objects.

Do Current Pre-Exercise Fluid Recommendations for Athletes Need to be Updated? A Short Review

Introduction: Maintaining adequate hydration throughout the day is extremely important, especially for the athletic population. While several recommendations have been developed to aid in timing (i.e., before, during and after exercise) and quantity of fluid intake, research has shown that approximately 70% of collegiate athletes arrive to practice in a dehydrated state. This review aims to identify the studies that have developed fluid protocols or utilized fluid recommendations for athletes prior to exercise. Methods: Two databases and 13 search terms were used to find relevant articles. Results: To date, several position papers, observational, and experimental (25 investigations total) studies that included a pre-exercise fluid recommendation and protocols to achieve euhydration were identified. Conclusions: Many of the fluid recommendations and protocols identified are different and some are not supported with evidence. In addition, very few have utilized fluid recommendations based on body weight. Future research could further investigate the use of fluid protocols catered to body weight or based on other practical assessment methods, in an effort to make individualized hydration plans.

Land Use Conflicts and Synergies on Agricultural Land in Brandenburg, Germany

The growing and multiple interests in land as a resource has led to an increase in locally or regionally clashing land use interests on agricultural land which may result in conflicts or open up possibilities for synergies. Urbanization, food production, renewable energy production, environmental protection, and climate protection are known as key land use interests in many regions. The objective of our study is to identify and map land use conflicts, land use synergies, and areas with land use synergy potentials in the federal state of Brandenburg, Germany. We have combined different methods: an analysis of statistical data, an online survey with farmers, a primary document analysis (articles, court documents, policy documents, position papers), and a GIS-based spatial analysis. In our Brandenburg case study, we have identified the use of agricultural land for renewable energy production and environmental protection as the most relevant land use interests leading to conflict situations. We show that land use synergies can make a significant contribution to achieving environmental and climate protection goals, as well as sustainable development. Through the site-adapted and targeted establishment of agroforestry systems, agricultural areas with agri-photovoltaic systems and agricultural parcels with integrated nonproductive areas may lead to land use synergies. Our study contributes to a better understanding of the occurrence of land use conflicts and land use synergies. We highlight the potential for targeted and sustainable environmental and climate protection through the promotion of land use synergies as a result of establishing agroforestry systems and agricultural parcels with agri-photovoltaic systems and integrated nonproductive areas. Our results provide a basis for agricultural policy to promote land use systems that contribute to environmental and climate protection.

Hepatic encephalophathy: management and diagnostic therapeutic assistance path of Ligurian Local Health Company 3 (ASL3).

Hepatic encephalophathy (HE) is a neuropsychiatric syndrome with a prevalence in the cirrhotic population ranging from 20 to 80%. HE is a cause of inappropriate hospitalization, caregiver burdening and increased social costs. There is need to create dedicated care pathways to better manage patients and support family caregivers. The data used for the preparation of this diagnostic therapeutic assistance path (DTAP) are based on a detailed analysis of the scientific literature published before June 30, 2022 (PubMed, Web of Science, Scopus, Google Scholar). Furthermore, in the process of developing this work, we consulted in particular the guidelines/ position papers of International Society for Hepatic Encephalopathy and Nitrogen Metabolism (ISHEN), Italian Association for the Study of the Liver (AISF), European Association for the Study of the Liver (EASL), American Association for the Study of Liver Diseases (AASLD), Italian Society on Alcohol (Società Italiana di Alcologia [SIA]) and other relevant papers. DTAP was created based on the most recent recommendations of the international scientific literature. The present DTAP highlight the need for a multidisciplinary activity integrated with territorial medicine in close connection with caregivers. This guarantees improved therapeutic adherence, hospital readmission reduction, improved quality of life for patients and caregivers and a significant reduction in costs.

Patent Foramen Ovale and Cryptogenic Stroke: Integrated Management.

Patent foramen ovale (PFO) is a common cardiac abnormality with a prevalence of 25% in the general population. PFO has been associated with the paradoxical embolism causing cryptogenic stroke and systemic embolization. Results from clinical trials, meta-analyses, and position papers support percutaneous PFO device closure (PPFOC), especially if interatrial septal aneurysms coexist and in the presence of large shunts in young patients. Remarkably, accurately evaluating patients to refer to the closure strategy is extremely important. However, the selection of patients for PFO closure is still not so clear. The aim of this review is to update and clarify which patients should be considered for closure treatment.

Cultivating a culture of inclusivity in heliophysics

A large number of heliophysicists from across career levels, institution types, and job titles came together to support a poster at Heliophysics 2050 and the position papers for the 2024 Heliophysics decadal survey titled “Cultivating a Culture of Inclusivity in Heliophysics,” “The Importance of Policies: It’s not just a pipeline problem,” and “Mentorship within Heliophysics.” While writing these position papers, the number of people who privately shared disturbing stories and experiences of bullying and harassment was shocking. The number of people who privately expressed how burned out they were was staggering. The number of people who privately spoke about how they considered leaving the field for their and their family’s health was astounding. And for as much good there is in our community, it is still a toxic environment for many. If we fail to do something now, our field will continue to suffer. While acknowledging the ongoing growth that we as individuals must work toward, we call on our colleagues to join us in working on organizational, group, and personal levels toward a truly inclusive culture, for the wellbeing of our colleagues and the success of our field. This work includes policies, processes, and commitments to promote: accountability for bad actors; financial security through removing the constant anxiety about funding; prioritization of mental health and community through removing constant deadlines and constant last-minute requests; a collaborative culture rather than a hyper-competitive one; and a community where people can thrive as whole persons and do not have to give up a healthy or well-rounded life to succeed.

NextGenerationEU and the Future of the European Monetary Union: Shifting Interests and New Fractures in the German Power Bloc

AbstractBased on joint borrowing and a significant transfer component, NextGenerationEU stands in contrast to Germany's longstanding rejection of a ‘debt’ and ‘transfer union’. This article probes into the determinants of this shift in Germany's European policy approach. Focusing on the conflicts in Germany over the ‘deepening’ of the Monetary Union through fiscal capacity building between 2015 and 2020, it investigates which actors, interests and strategies instigated this shift. The analysis is based on trade and exchange rate data, a qualitative document analysis of position papers as well as expert interviews with interest group representatives, parliamentarians and civil servants. Theoretically, the study draws on concepts from regulation theory, materialist state theory and neo‐Gramscianism. It argues that even though not a fundamental paradigm shift, Germany's push for NextGenerationEU indicates a strategic re‐orientation of parts of the German power bloc towards European fiscal integration, amplified by recent geopolitical dynamics and crisis tendencies.

The social policy preferences of EU employers’ organizations: An exploratory analysis

Despite decades of European social dialogue, little is known about the social policy preferences of EU employers’ organizations (EEOs). Building on the literature on industrial relations and the role of business in welfare state development, this article explores the preferences of key EEOs (BusinessEurope, SGI Europe and SMEunited) in vocational education and training (VET), active and passive labour market policies, pensions and work–family reconciliation. Software-based qualitative content analysis of 75 position papers and 19 joint declarations, triangulated with four elite semi-structured interviews, is employed to assess employers’ preferences along four national and two European dimensions. Largely in line with the power resources theory, EEOs favour cost containment and social investment, by strengthening labour market flexicurity and reducing skills mismatches through VET. Conflicting logics of membership and influence guide the actions of EEOs: members are wary of legislation impinging on national social policy traditions; yet, greater European assertiveness makes lobbying efforts unavoidable.

Celebrating the Culture of Interprofessional Collaboration in Athletic Training

Celebrating the Culture of Interprofessional Collaboration in Athletic Training

ISH-PP-1: ISH POSITION PAPERS, PUBLICATIONS AND OTHER INITIATIVES OF THE SOCIETY

This session will discuss the new initiatives of the Research and Education Committee under ISH Presidency 2020–2022. We will provide the highlights from ISH position papers and the updates on Society's seminal reviews and collaborations.

Spatial Hierarchy of Climate Injustice

Background: Climate justice has emerged as an organising frame in the attempt at addressing the challenge of climate change. The principle that there should be no disproportionality in the burden of climate change, which underlies climate justice, is widely accepted. Be that as it may, climate justice analysis is usually based on an assumption that the global climate system is the norm. This article, based on facts and figures, makes the case for a spatial hierarchical organization of climate justice analysis. Methods: Data from four sources are used. These are published researches, position papers by climate change related organizations, statistical bulletins/abstracts of relevant organizations, and field observations/field records. A descriptive approach is the basic information/data analysis method from which conclusions are derived. Results and Discussion: Three spatial tiers of climate change and associated climate injustice (global, regional, and local) are identified, characterized and analyzed. The global one, which is the usual one discussed by extant works, though couched in terms of anthropogenic climate change, has a natural dimension. In contradistinction, the regional and the local ones are purely anthropogenic. The regional component examined is regional transborder pollution and the associated challenge of acid precipitation. Gas flaring in the Niger Delta region of Nigeria and the associated challenges form the basis of the local dimension. Conclusion: Climate (in)justice cannot be analyzed simply from the perspective of the global climate system. A spatial hierarchical organization is possible. Such a framework could be employed in other cases beyond the examples used here.