Roundtable Discussion Research Articles

Psychedelic Research as a Career Path: A Roundtable Discussion with Early Career Researchers in the Field

Psychedelic Research as a Career Path: A Roundtable Discussion with Early Career Researchers in the Field

Prioritizing Patient Experiences in the Management of Diabetes and Its Complications: An Endocrine Society Position Statement.

Diabetes can be an arduous journey both for people with diabetes (PWD) and their caregivers. While the journey of every person with diabetes is unique, common themes emerge in managing this disease. To date, the experiences of PWD have not been fully considered to successfully implement the recommended standards of diabetes care in practice. It is critical for health-care providers (HCPs) to recognize perspectives of PWD to achieve optimal health outcomes. Further, existing tools are available to facilitate patient-centered care but are often underused. This statement summarizes findings from multistakeholder expert roundtable discussions hosted by the Endocrine Society that aimed to identify existing gaps in the management of diabetes and its complications and to identify tools needed to empower HCPs and PWD to address their many challenges. The roundtables included delegates from professional societies, governmental organizations, patient advocacy organizations, and social enterprises committed to making life better for PWD. Each section begins with a clinical scenario that serves as a framework to achieve desired health outcomes and includes a discussion of resources for HCPs to deliver patient-centered care in clinical practice. As diabetes management evolves, achieving this goal will also require the development of new tools to help guide HCPs in supporting PWD, as well as concrete strategies for the efficient uptake of these tools in clinical practice to minimize provider burden. Importantly, coordination among various stakeholders including PWD, HCPs, caregivers, policymakers, and payers is critical at all stages of the patient journey.

Optimizing Care Delivery in Patients with Chronic Kidney Disease in the United States: Proceedings of a Multidisciplinary Roundtable Discussion and Literature Review.

Approximately 37 million individuals in the United States (US) have chronic kidney disease (CKD). Patients with CKD have a substantial morbidity and mortality, which contributes to a huge economic burden to the healthcare system. A limited number of clinical pathways or defined workflows exist for CKD care delivery in the US, primarily due to a lower prioritization of CKD care within health systems compared with other areas (e.g., cardiovascular disease [CVD], cancer screening). CKD is a public health crisis and by the year 2040, CKD will become the fifth leading cause of years of life lost. It is therefore critical to address these challenges to improve outcomes in patients with CKD. The CKD Leaders Network conducted a virtual, 3 h, multidisciplinary roundtable discussion with eight subject-matter experts to better understand key factors impacting CKD care delivery and barriers across the US. A premeeting survey identified topics for discussion covering the screening, diagnosis, risk stratification, and management of CKD across the care continuum. Findings from this roundtable are summarized and presented herein. Universal challenges exist across health systems, including a lack of awareness amongst providers and patients, constrained care team bandwidth, inadequate financial incentives for early CKD identification, non-standardized diagnostic classification and triage processes, and non-centralized patient information. Proposed solutions include highlighting immediate and long-term financial implications linked with failure to identify and address at-risk individuals, identifying and managing early-stage CKD, enhancing efforts to support guideline-based education for providers and patients, and capitalizing on next-generation solutions. Payers and other industry stakeholders have opportunities to contribute to optimal CKD care delivery. Beyond addressing the inadequacies that currently exist, actionable tactics can be implemented into clinical practice to improve clinical outcomes in patients at risk for or diagnosed with CKD in the US.

What’s next: Evergreen Marine Corp. after the Suez Canal incident

Research methodology This case study was built from secondary data such as news articles and videos. Several drafts of the case study with teaching note were tested in classroom settings and shared at a case writing conference. The case was revised based on feedback from students and roundtable discussions from the conference. Case overview/synopsis “What’s next: Ever Given after the Suez Canal incident (Evergreen Marine Corporation in, 2022)” explores the situation of the firm Evergreen Marine Corporation, a world-leading cargo shipping company headquartered in Taiwan, and its efforts to deal with challenges stemming from a pandemic and the global supply chain transition. The case provides background on the latest changes in global business environments, the Suez Canal Incident stemming from the grounding of Ever Given and firm-specific information, which would help students to understand the context affecting Evergreen Marine Corporation’s (EMC) strategic decisions. The case enables students to evaluate EMC’s overall position and to analyze the actions that they can take to deal with these challenges in a dynamic global environment. Complexity academic level This case would be appropriate for a course in strategy or international business, especially with the topic of international supply chain management.

Embracing Humanness in Cultural Materials Conservation: A Roundtable Discussion with Conservation Professionals on Ethics, Values and the Future

This paper develops an understanding of the complex interplay of perspectives implicit in the multifaceted practice of Cultural Materials Conservation, as it pertains to individuals, larger organisational structures, and contemporary social contexts. The research takes the form of a six-week online qualitative group interview, which captures a range of opinions and attitudes from a cross-sectional group of conservation practitioners. The data is presented as a complete de-anonymised interview transcript, available as a supplementary material, which describes the experiences and perspectives of individual practitioners, their day-to-day challenges, and the decision-making processes conservators face in their practice. A central argument in this paper is the value of the concepts of humanness and reflexivity in twenty-first-century conservation thinking. Reflecting on the role of individual practitioners as custodians of cultural heritage, with the view on what it means to be a conservator in practice today, is a valuable contribution that can shed light on the conservation decision-making and evolving practice that is focused on sensitivity and fluid responsiveness to cultural changes, personal values, and diverse relationships involved in the conservation of cultural heritage.

Pesticides in soil, groundwater and food in Latin America as part of one health.

We here report of a conference about "Pesticides in Soil, Groundwater and Food in Latin America as part of One Health" that took place at the "IV Seminario Internacional de Sanidad Agropecuaria (SISA)" in Varadero, Cuba, 8-12 May 2023. Researchers of Latin America (Argentina, Brazil, Chile, Costa Rica, Colombia, Cuba, Mexico) and Switzerland (workshop initiator) held presentations about occurrence and effects of pesticides on the environment, human health, the replacement of highly hazardous pesticides (HHP) by agroecological alternatives and the agri-food value chain. In a subsequent round table discussion, the presenters identified deficits, needs, interests and opportunities. According to them, the lack of awareness of pesticide use affects the health and safety of workers applying the chemicals. Despite Latin America representing the main agricultural area in the world with a very intense pesticide use, monitoring data of pesticides in soil, surface and groundwaters, food, as well as in humans are missing. Risks of pesticides to humans should be assessed so that authorities can withdraw or limit within "short time" the access to corresponding formulations on the market. Also, communication is not state of the art and should be improved as, e.g. the teaching of workers and farmers, how to correctly use and apply pesticides or the briefing of decision makers. Pollinators suffer from multiple stressors not the least due to pesticides, and alternatives are badly needed. On the technical side, the different analytical methods to determine residues of active ingredients and transformation products in matrices of concern should be harmonized among laboratories.Seven future actions and goals were identified to overcome the above deficits. Next steps after the publishing of this conference report are to harmonize and complete the information status of the presenters by exchanging the results/data already present. Therefore, a platform of interaction to address issues described above and to enhance collaboration shall be created. Samples of different matrices shall be exchanged to harmonize the chemical analysis and establish interlaboratory comparisons. Such activities might be facilitated by joining international associations or organizations, where researchers can offer their expertise, or by forming a new pesticide network for Central and South America that could present tailored projects to national and international organizations and funding agencies.

Reflections on Canadian Soundings: Plumbing the Depths of Voice in Canadian Theatre/Profondeurs de la Voix du Théâtre Canadien

This contribution surfaces some of the key research provocations voiced through Canadian Soundings, a collaborative research effort that spanned 2020 through 2022, and which culminated in the organization of the symposium Canadian Soundings: Plumbing the Depths of Voice in Canadian Theatre/Profondeurs de la Voix du Theatre Canadien, hosted in digital and in-person formats across the fall of 2022 at the University of Victoria. This event brought together a network of scholars and practitioners to deepen the understanding of voice as a central conduit for the charting of Canadian theatre’s past, present, and future. This contribution first introduces and overviews the activities that constituted that event before surfacing the organizer’s reflections on the workshops, round table discussions, and activities programmed as part of the symposium.

‘DANMM that’s good!’: evaluating the feasibility and acceptability of the Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) Programme across rural, regional and metropolitan NSW–a collaborative study protocol

IntroductionThis paper will describe the research protocol for the Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) Project, which will determine the feasibility and acceptability of a...

The Rhetoric of Freedom

Over the past few years, the National Council on Public History (NCPH)’s annual meeting has given attention to the forthcoming 250th anniversary of the American Revolution. NCPH has worked with the National Park Service (NPS) to present a scholar’s roundtable with different annual themes. The roundtable at the 2023 meeting examined “The Rhetoric of Freedom.” This essay opens with an exploration of the theme. What follows is an introduction to the scholars who participated in the roundtable; a description of their suite of programming; and a summary of their findings. I close with a “best practices” case study of the Aiken-Rhett House, an urban plantation mansion in Charleston, South Carolina. The case study answers a reoccurring question that emerged from roundtable discussions: How do historians engage public(s) in narratives of freedom, bondage, and nation building?

No Blank Slates

In this roundtable discussion, the interlocutors interrogate the settler utopian logics underlying apparently liberatory movements within a North American context—such as radical queer and trans movements—to examine how these identities and politics tell narratives of liberation that reinscribe the aims of the settler colonial project under new names. Visions of radical utopias as yet to be realized (or, as yet to be colonized) discount the ongoing presence of Indigenous alternatives to the current settler colonial dystopian reality, and instead preserve a view of geographic and social space as blank and ready to be “improved” with a “new” model. In this discussion, the interlocuters argue against linear narratives of societal and environmental collapse that promise to bring about a future idealized world and instead propose ways for radical politics, particularly those espoused by non-Indigenous people, to disavow settler colonial mindsets.

Say It Loud: A Round Table of IBPOC Accent Coaches

On Monday, 7 February 2022, five accent coaches gathered on Zoom for a round table discussion about accent training for racialized actors. Eric Armstrong, a professor at York University’s Department of Theatre and Performance, had invited the four guest accent/language coaches to discuss the needs of actors-in-training from Indigenous, Black, Asian, Latinx, and other communities. The coaches had all served as guest teachers for the racialized students in Armstrong’s fourth-year BFA accents class. The panellists shared their thoughts with the audience of roughly 135 on what can be done to make the teaching/learning environment both safe and effective for racialized students, and how we can build greater capacity, so that there are more coaches/teachers from diverse backgrounds in education and the industry.

Expanding Native Mass Spectrometry to the Masses.

At the 33rd ASMS Sanibel Meeting, on Membrane Proteins and Their Complexes, a morning roundtable discussion was held discussing the current challenges facing the field of native mass spectrometry and approaches to expanding the field to nonexperts. This Commentary summarizes the discussion and current initiatives to address these challenges.

The Efficacy and Safety of Bimekizumab for Plaque Psoriasis: An Expert Consensus Panel.

Psoriasis is a chronic inflammatory condition affecting the skin, joints, and several other organ systems with significant disease burden. Bimekizumab is the first monoclonal antibody targeting both interleukin (IL)-17A and interleukin-17F and has demonstrated efficacy for treating moderate to severe psoriasis. Limited guidelines exist for incorporating this drug into clinical practice. The purpose of this study was for a panel of experts in psoriasis management to synthesize current literature and provide consensus statements with guidance on use of bimekizumab. A comprehensive literature search of PubMed, Scopus, and Google Scholar was completed for English-language original research articles on the use of bimekizumab for moderate to severe psoriasis and psoriatic arthritis. A panel of nine dermatologists with significant expertise in treatment of psoriasis gathered to review the articles and create consensus statements on this new medication. A modified Delphi process was used to approve each statement and a strength of recommendation was assigned using Strength of Recommendation Taxonomy criteria. The literature search produced 102 articles that met criteria. A thorough screening of the studies for relevance to the research question resulted in 19 articles. These were distributed to all panelists for review prior to a roundtable discussion. The panel unanimously voted to adopt 14 consensus statements and recommendations, 12 of which were given a strength of "A", one of which was given a strength of "B", and one of which was given a strength of "C". Bimekizumab results in rapid and long-lasting clinical improvement for patients with moderate to severe plaque psoriasis and psoriatic arthritis. It has demonstrated superior efficacy when compared to several other biologics. The safety profile is consistent with other biologics, except for an increased incidence of oropharyngeal candidiasis.

Strategies to prevent cardiovascular disease in Singapore: A call to action from Singapore Heart Foundation, Singapore Cardiac Society and Chapter of Cardiologists of the Academy of Medicine, Singapore.

In 2022, the Minister for Health of Singapore launched Healthier SG, a national strategy in championing the shift towards a population health approach. The Singapore Heart Foundation conducted a series of roundtable discussions, also attended by representatives of the Singapore Cardiac Society and the Chapter of Cardiologists of the Academy of Medicine Singapore. During the meetings, the authors formulated interventions supportive of Healthier SG that specifically aimed to uplift the state of cardiovascular (CV) preventive care in Singapore. In line with Healthier SG, the authors propose a 3-pronged approach ("Healthier Heart SG") to augment the success of Healthier SG in achieving good CV outcomes. This proposal includes the following components: (1) a call to update the standards of care in addressing the 5 main modifiable risk factors of cardiovascular disease (CVD); (2) patient education through cooperation between healthcare professionals and community partners for a whole-of-system approach; and (3) support for integrated care, including access to cardiac rehabilitation in the community, improved referral processes and access to nutrition/dietetics counselling and tobacco cessation, optimal use of information technology, and continued CV research. Healthier Heart SG would bring the standards of care and CV care delivery in Singapore closer to achieving the vision of proactive prevention of CVD and CV morbidity and mortality. This can only be achieved through the concerted efforts of healthcare professionals, policymakers and community partners, coupled with the cooperation of community members.

Beyond barriers, towards diversity: how hybrid student conferences can drive accessibility.

The third International Student Symposium on Animal Behaviour and Cognition (ISSABC) aimed to address barriers for early career researchers, hosting a conference both in-person and online at the Universidad Nacional Autónoma de México (UNAM). The conference, attended by 101 in-person and 79 virtual participants from 24 countries, featured 81 presentations, 29 posters, five plenary talks, three workshops, and a career development round-table discussion. A user-friendly website and digital platforms facilitated communication and real-time discussions between in-person and online participants. Transparent fund management, support from sponsors and societies, and sustainable practices ensured financial accountability and minimised environmental impact. The conference emphasised sustainability measures, including eco-friendly catering and local reusable mugs. Future organisers of similar events are encouraged to prioritise local representation, plan contingencies, select plenary speakers rigorously, and employ effective marketing. With this meeting review, we highlight how hybrid conferences like the third ISSABC, through innovative approaches and sustainable practices, enhance accessibility, inclusivity, and empower the next generation of scientists.

A summit on amplifying voices of patients, caregivers, and people with disabilities in Inflation Reduction Act drug price negotiations.

On September 18, 2023, Cancer Support Community convened patient and caregiver advocates, health care providers, policy experts, and health care innovators and thought leaders for a roundtable discussion on the need to ensure that patients, people with disabilities, and caregivers have a voice in defining "clinical benefit" for the purpose of Medicare Part D drug price negotiations and future health care policies that impact patients. The meeting featured presentations from Lara Strawbridge, Deputy Director for Policy at the Medicare Drug Rebate and Negotiations Group in the Center for Medicare, regulatory expert, Dr Monique Nolan, Counsel at Arnold and Porter, LLP, and 3 panel discussions: IRA Implementation-What Matters to Patients, a discussion of policies expected to impact patients and caregivers who are likely to rely heavily on high-cost drugs or biologics to treat cancer or other chronic illnesses, as well as the future development of novel therapies; The Science of Measuring Patient Experience, a discussion of current science of measuring patient experience and how it should be incorporated into the definition of clinical benefit; and Developing an Infrastructure for External Feedback, a discussion of actions and goals for patient engagement, advocacy opportunities, and how to best coordinate such efforts. This article represents an analysis of relevant resources as well as highlights from these sessions and subsequent discussions. It also outlines principles for engaging patient and provider advocacy organizations, whether in policy, media, or online discussions, surrounding the implementation of the Medicare Drug Price Negotiation Program.

A gap analysis on modelling of sea lice infection pressure from salmonid farms. II. Identifying and ranking knowledge gaps: output of an international workshop

Sea lice are a major health hazard for farmed Atlantic salmon in Europe, and their impact is felt globally. Given the breadth of ongoing research in sea lice dispersal and population modelling, and focus on research-led adaptive management, we brought experts together to discuss research knowledge gaps. Gaps for salmon lice infection pressure from fish farms were identified and scored by experts in sea lice-aquaculture-environment interactions, at an international workshop in 2021. The contributors included experts based in Scotland, Norway, Ireland, Iceland, Canada, the Faroe Islands, England and Australia, employed by governments, industry, universities and non-government organisations. The workshop focused on knowledge gaps underpinning 5 key stages in salmon lice infection pressure from fish farms: larval production; larval transport and survival; exposure and infestation of new hosts; development and survival of the attached stages; and impact on host populations. A total of 47 research gaps were identified; 5 broad themes emerged with 13 priority research gaps highlighted as important across multiple sectors. The highest-ranking gap called for higher quality and frequency of on-farm lice count data, along with better sharing of information across sectors. We highlight the need for synergistic international collaboration to maximise transferable knowledge. Round table discussions through collaborative workshops provide an important forum for experts to discuss and agree research priorities.

Queer Heritage: Central Europe and Beyond. A Roundtable Discussion

Queer Heritage: Central Europe and Beyond. A Roundtable Discussion

Evaluating the National Action Plan (NAP) on antimicrobial resistance, and recommendations for the next 5-year NAP: a roundtable discussion

Abstract The UK’s current 5-year National Action Plan (NAP) on tackling antimicrobial resistance (AMR), which runs from 2019 to 2024, is coming to an end. As such, the next 5-year NAP is currently under development, and progress made towards the UK’s commitments on AMR is being analysed. This analysis has involved the publication of an addendum to the current NAP, which includes some new and revised commitments. Applied Microbiology International (AMI) held a roundtable discussion in November 2022, inviting UK experts from across the human and animal sectors to discuss their thoughts on progress to date, as well as any recommendations and key considerations they thought should be taken forward. Overall, it was agreed that there is a major disparity between the increasing ambitions of the NAP, and the reducing financial support for achieving said ambitions. The gap between evidence generation and implementing recommendations into real-world settings also presents a key challenge to overcome, if the NAPs commitments are to be achieved. A lack of communication and funding appear to underpin many of the barriers that prevent the successful delivery of current NAP commitments and are therefore highlighted as key areas of concern for policymakers to consider when looking to tackle AMR. The focus should be on successfully implementing and delivering the current NAP commitments ahead of identifying future ambitions.

Topical Cycling: The Obstacles to Moving Forward with Systemic Psoriasis Therapies and How to Characterize the Systemic Ready Patient

Background: Psoriasis is a chronic, inflammatory disease with numerous negative physical and psychosocial impacts. Topicals are a mainstay of treatment, particularly for disease with minimal skin involvement, but they are limited due to an inability to target systemic symptoms and a lack of convenience, patient adherence, and patient satisfaction. Given its systemic implications, many patients with psoriasis are undertreated including those with limited body surface area (BSA) involvement. With a growing role in providing dermatological services, physician assistants and nurse practitioners can benefit from additional guidance on how to appropriately treat these patients, as the current clinical recommendations require further expansion, and the criteria for what qualifies as adequate treatment and response are incomplete. Methods: Two comprehensive literature searches of PubMed, Scopus, and Google Scholar were completed for English-language original research articles on the use of topical versus systemic medications for psoriasis and its comorbidities. A panel of 11 dermatology physician assistants and nurse practitioners with expertise in managing psoriatic disease gathered to review the selected literature and form consensus statements with clinical recommendations for treating psoriasis. A modified Delphi process was employed to approve each statement and a strength of recommendation was assigned to each statement using the Strength of Recommendation Taxonomy (SORT) criteria. Results: The two literature searches produced 98 and 76 articles, respectively, that met search criteria. After screening the articles for relevance to the discussion topic, 19 articles were distributed to the panelists for review prior to the roundtable discussion. The panel unanimously voted to adopt 10 consensus statements and recommendations, 4 of which were given a strength of “A”, 1 of which was given a strength of “B”, and 5 of which were given a strength of “C”. Conclusion: Psoriasis is a systemic disease with cutaneous manifestations and should be considered as such for adequate treatment. The 10 consensus statements created by the experts provide clinical recommendations on the systemic effects of psoriasis and important treatment considerations that can help guide clinicians on how to appropriately treat psoriasis of all severities. Furthermore, an emphasis is placed on recognizing treatment goals and making the next appropriate clinical decision for patients with mild to moderate disease who fail topical therapy.