Allied Health Professional Students' Perceptions on Research: A Multi-disciplinary Mixed-Methods Study

Introduction

Modern medicine necessitates evidence-based interdisciplinary patient care. Research is at the centre of fostering an evidence-based mindset in healthcare teams. Studies have demonstrated that exposing students to research translates into better patient care. Studies investing the perceptions of students towards research have focused on the views of medical students, leaving the perceptions of allied health professional (AHP) students unaccounted for.

Methods

A mixed-methods, anonymous online questionnaire was distributed to 837 AHP students studying at the University of Malta, across five different courses. The collected data was then statistically analysed through descriptive statistics and chi-square testing. Qualitative results were coded, triangulated and subsequently analysed.

Results

An overall response rate of 28.43% was achieved. Only 2.49% of respondents managed to publish research, despite many participants stating that research is important for their future careers. Career progression and lack of opportunity were identified as the major motivating and stumbling factors, respectively. Students pursuing research-focused degrees considered their curriculum to sufficiently equip them with research skills, compared to students studying clinically oriented degrees (p < 0.01).

Conclusion

The results obtained from this study indicate that the perceptions of AHP students towards research are on par with the already established medical students. AHP students face the same stumbling blocks, are driven by the same motivating factors and experience a similar disparity between interest in research and research being produced, as medical students. Thus, a joint effort, between stakeholders in medical and AHP students' education, should be taken to address the factors limiting undergraduate students from conducting research. This will enable the implementation of an evidence-based mindset in the clinic, ultimately resulting in better patient care.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40670-022-01715-6.

Novel atherogenic pathways from the differential transcriptome analysis of diabetic epicardial adipose tissue

BACKGROUND AND AIM

To evaluate the epicardial adipose tissue (EAT) transcriptome in comparison to subcutaneous fat (SAT) in coronary artery disease (CAD) and type 2 diabetes (T2DM).

METHODS AND RESULTS

SAT and EAT samples were obtained from subjects with T2DM and CAD (n = 5) and those without CAD with or without T2DM (=3) undergoing elective cardiac surgery. RNA-sequencing analysis was performed in both EAT and SAT. Gene enrichment analysis was conducted to identify pathways affected by the differentially expressed genes. Changes of top genes were verified by quantitative RT-PCR (qRT-PCR), western blot, and immunofluorescence. A total of 592 genes were differentially expressed in diabetic EAT, whereas there was no obvious changes in SAT transcriptome between diabetics and non-diabetics. Diabetic EAT was mainly enriched in inflammatory genes, such as Colony Stimulating Factor 3 (CSF3), Interleukin-1b (IL-1b), IL-6. KEGG pathway analysis confirmed that upregulated genes were involved in inflammatory pathways, such as Tumor Necrosis Factor (TNF), Nuclear Factor-κB (NF-κB) and advanced glycation end-products-receptor advanced glycation end products (AGE-RAGE). The overexpression of inflammatory genes in diabetic EAT was largely correlated with upregulated transcription factors such as NF-κB and FOS.

CONCLUSIONS

Diabetic EAT transcriptome is significantly different when compared to diabetic SAT and highly enriched with genes involved in innate immune response and endothelium, like Pentraxin3 (PTX3) and Endothelial lipase G (LIPG). EAT inflammatory genes expression could be induced by upregulated transcription factors, mainly NF-kB and FOSL, primarily activated by the overexpressed AGE-RAGE signaling. This suggests a unique and novel atherogenic pathway in diabetes.

Poka-yoke process controller: designed for individuals with cognitive impairments

Poka-yoke is a Japanese term meaning "error proofing." Poka-yoke techniques were developed to achieve zero defects in manufacturing and assembly processes. The application of these techniques tends to reduce both the physical and cognitive demands of tasks and thereby make them more accessible. Poka-yoke interventions create a dialogue between the worker and the process, and this dialogue provides the feedback necessary for workers to prevent errors. For individuals with cognitive impairments, weighing and counting tasks can be difficult or impossible. Interventions that provide sufficient feedback to workers without disabilities tend to be too subtle for workers with cognitive impairments; hence, the feedback must be enhanced. The Poka-Yoke Controller (PYC) was designed to assist individuals with counting and weighing tasks. The PYC interfaces to an Ohaus CT6000 digital scale for weighing parts and for counting parts by weight. It also interfaces to sensors and switches for object counting tasks. The PYC interfaces to a variety of programmable voice output devices so that voice feedback or prompting can be provided at specific points in the weighing or counting process. The PYC can also be interfaced to conveyor systems, indexed turntables, and other material handling systems for coordinated counting and material handling operations. In all of our applications to date, we have observed improved worker performance, improved process quality, and greater worker independence. These observed benefits have also significantly reduced the need for staff intervention. The process controller is described and three applications are presented: a weighing task and two counting applications.