Tashin hankali tsakanin bincike na gargajiya da na zamani

Manufar ita ce don kare OMT daga tunanin rukuni da hangen nesa ta hanyar ingantacciyar sabani da bincike mai mahimmanci.? Manufar ita ce don kare OMT daga tunanin rukuni da hangen nesa ta hanyar ingantacciyar sabani da bincike mai mahimmanci., Manufar ita ce don kare OMT daga tunanin rukuni da hangen nesa ta hanyar ingantacciyar sabani da bincike mai mahimmanci.? Don wannan, Asusun Kiwon Lafiyar Haɗin gwiwa da Lafiyar Holland sun shirya a 2017 bincike a karkashin sunan 'Beter Gezond'. Suna zaɓar daga ƙungiyar fiye da 40 Asusun Kiwon Lafiyar Haɗin kai da Lafiyar Holland sun shirya buƙatu don wannan kuma zaɓi daga ƙungiyar fiye da, Asusun Kiwon Lafiyar Haɗin kai da Lafiyar Holland sun shirya buƙatu don wannan kuma zaɓi daga ƙungiyar fiye da (Asusun Kiwon Lafiyar Haɗin kai da Lafiyar Holland sun shirya buƙatu don wannan kuma zaɓi daga ƙungiyar fiye da|Asusun Kiwon Lafiyar Haɗin kai da Lafiyar Holland sun shirya buƙatu don wannan kuma zaɓi daga ƙungiyar fiye da).

Hoto: Liesbeth Dingemans

Niyya: Darajar majinyacin jarrabawar kai

Kungiyoyin majinyata sun dade suna kokarin bayar da tasu gudunmuwar don murmurewa ta hanyar da ta dace, ciki har da ta hanyar shiga tsakani da aka zaɓa. Manufar ƙungiyar ita ce haɓakawa da gwada sabuwar ƙa'idar bincike tare da tallafi.
Shawarwari biyu masu alaƙa sun haɗu a nan: daya daga AMC kuma ɗayan daga ƙungiyar marasa lafiya MD|Asusun Kiwon Lafiyar Haɗin kai da Lafiyar Holland sun shirya buƙatu don wannan kuma zaɓi daga ƙungiyar fiye da. Immunologist a Amsterdam UMC Anje te Velde da darektan MD|DA Gaston Remmers: "Shawarwarinmu na haɗin gwiwa ya ƙunshi tsarin da aka tsara don 'Koyi Kifi' a cikin teku na bayanai da kuma lura da marasa lafiya ke yi a kullum game da lafiyarsu.. Mun mayar da hankali ga mutanen da ke da gajiya mai tsanani, wadanda kuma suke da korafin hanji. Wannan babban gungun mutane ne wanda da kyar babu wani sa hannun a halin yanzu, yayin da waɗannan mutane ke gwada komai, misali don karfafa garkuwar jikinsu.”

Remmers ya ci gaba: "Ka'idar da za a tsara ta kasance ta ba da damar haɓaka ilimin gama gari bisa gwaje-gwajen lafiya da 'yan ƙasa suka tsara. Wadannan mutane masu bincike ne kuma suna gwada abubuwa. Koyaya, masana kimiyya ba za su iya amfani da mafi yawan waɗannan gwaje-gwajen ba, saboda sun ga ingancin kimiyya bai isa ba. Hakanan, waɗannan ƴan ƙasar ba su dace da irin gwajin da aka yi na asibiti ba, da ake buƙata don yawancin gwaje-gwajen likita. Sakamakon shi ne cewa a aikace da yawa ƙananan ƙofa da yuwuwar shiga tsakani masu amfani ba sa tsayawa, yayin da a daya bangaren kuma, marasa lafiya na ci gaba da yin wasu abubuwan da za su iya cutar da su."

marasa lafiya, masu bincike, Masu bitar waje da masu kudi don haka suna maraba da shawarar aikin da himma, tsammanin yana da yawa.

Ƙungiyar za ta fara aiki don samar da hujja-na-ra'ayi: ya nuna cewa binciken da ɗaiɗaikun ƴan ƙasa ke yi game da lafiyarsu ba wai kawai ya ba wa kansu haske mai mahimmanci ba, amma kuma don bunkasa ilimi.

A halin yanzu, babban haɗin gwiwa ya tashi, Haɗin gwiwar Asusun Kiwon Lafiyar Holland da Health Holland (wani reshe na ma'aikatar harkokin tattalin arziki), da kudaden kiwon lafiya guda takwas. Akwai cibiyoyin ilimi guda huɗu a cikin ƙungiyar (Amsterdam UMC, Jami'ar Utrecht, Jami'ar Amsterdam da Jami'ar Maastricht), kamfanoni biyar (Winclove Probiotics B.V. girma, Abubuwan da aka bayar na Springfield Nutraceuticals, Cibiyar Microbiome, Biovis Diagnostics, Danone/Nutricia Bincike) da ƙungiyoyin ƴan ƙasa/majinyata guda biyu (Bayanai na Gidauniyar Kiwon Lafiyarmu da Haɗin gwiwar Bayanan Lafiya na Holland). Aikin yana da jagoranci biyu, raba tsakanin masana kimiyya da marasa lafiya: Amsterdam UMC (kimiyya) da My Data Foundation Health Health Foundation (marasa lafiya). Aikin yana da Hukumar Ƙwararrun Ƙwararrun Kimiyya da Ƙungiyar Ƙwararrun Ƙwararru. Watau: goyon baya da sha'awar aikin yana da yawa sosai.

"Da mun dauki jajayen tutocin da mahimmanci tun da farko."

Kusanci: Kimiyyar ɗan ƙasa a matsayin ƙari ga bincike na gargajiya

MijnEigenOnderzoek yana farawa da babban rukuni na mutanen da ke fama da gajiya mai tsanani da gunaguni na hanji.. Domin yana da wuya a sanya yatsa a wurin da yake ciwo, yawancin likitoci ba su san abin da za su yi da waɗannan marasa lafiya ba. A halin yanzu, waɗannan mutane sukan yi tafiya tsawon shekaru tare da gunaguni kuma suna gwada komai, ciki har da probiotics. Akwai shaidar kimiyya mai ƙarfi cewa ingancin flora na hanji yana da alaƙa da gajiya. Ya zuwa yanzu yana da wuya a kafa kyakkyawar haɗi, saboda yawan hadaddun mu'amala. Nazarce-nazarce na al'ada da nazarin sarrafa wuribo don haka ba su ba da cikakken hoto ba. Yana da matukar wahala a tantance matsakaicin dalili da tasiri, yayin da masu bincike a matakin mutum suna lura da babban bambance-bambance a cikin tasiri.

Gwajin sarrafa bazuwar da aka saba (Farashin RCT) ƙoƙarin rage adadin abubuwan hulɗa zuwa lamba mai iya sarrafawa da daidaitacce. Domin sakamakon waɗannan karatun yana ba marasa lafiya ɗan fa'ida, MijnEigenOnderzoek yana ba da shawarar madadin hangen nesa: bari hadaddun ya wanzu kuma rubuta sigogi masu dacewa. A cikin wannan hanya, manufar ba ta da yawa don samar da shaida nan da nan don tasiri, aikin yana son hanyar da aka tsara don samar da ingantattun hasashe don tabbatar da bincike na bin diddigi.

Don wannan, ƙungiyar ta fayyace hanyar a cikin matakai na asali guda uku:
tsarin sa ido mai ƙarfi: masu bincike na haƙuri sun zaɓi sa baki a ƙarƙashin kulawar likita. Suna ayyana matakan sakamako masu dacewa kuma suna adana su a cikin app
nazarin bayanai don gano ƙungiyoyin ƙungiyoyin da ake kira masu amsawa da masu ba da amsa
Gwajin bazuwar al'ada tsakanin ɗaya daga cikin ƙungiyoyin da aka gano don hana tasirin da ake ɗauka na ɗaya daga cikin shisshigin.

Wannan ya sa tsarin ya yi sauti kuma MijnEigenOnderzoek yana ba da tabbacin da aka yi niyya don ingantaccen hanyar gudanar da bincike tare da ayyukan da marasa lafiya suka zaɓa da kuma lura da kansu.. Kyakkyawan misali na ilimin ɗan ƙasa.

A yayin da ake yin bayani kan hujjar ra'ayi, ya bayyana cewa daga ra'ayi na shari'a wani kima ta kwamitin nazari na likita-da'a. (Asusun Kiwon Lafiyar Haɗin kai da Lafiya na Holland sun shirya buƙatun wannan kuma sun zaɓi daga ƙungiyar fiye da) wajibi ne. Kwamitin ya ki amincewa da shawarar farko. Don shirya shawarwarin da aka bita, ƙungiyar ta himmatu wajen tattaunawa da wani MREC, wanda ba a saba gani ba. Yawancin METCs ana amfani da su don karɓar tsari, don yanke hukunci, ba da ra'ayi kuma shi ke nan. Wannan shine yadda suke ƙoƙarin shigar da tambayar METC. Masu hanawa: “Mun so mu yi kaifi: idan ba mu sami izini ba, aƙalla ƙima mai mahimmanci. “Sai muka dawo da shawara ta biyu mai kaifi sosai. Mun ƙaddamar da hakan ga wani METC, saboda mun sami ɗabi'a mai yawa game da hangen nesa na haƙuri a farkon MREC. "

“A matsayinka na mai bincike, kar ka ji tsoro ka fitar da wuyanka. Ci gaba: a kalla ga marasa lafiya.”

Sakamakon: Hanyoyi marasa jituwa suna kashe MijnEigenResearch

Aikin MREC na yau da kullun yana da wuyar jujjuyawa: Masu hanawa: "A ƙarshe, dole ne mu yarda da zaɓi biyu kawai: ko kuma kayi tsantsar RCT dashi, ko dai kun zaɓi yin bincike na lura. Yayin da muke son yin sabbin abubuwa a wannan fanni, Mun riga mun ƙirƙira cakuda.”

Duk da haka, METC ta biyu kuma ta ƙi shi, tare da dalili mai yawa. "Mun fuskanci karfi sosai cewa saitin karkatacciyar hanya yana haifar da tambayoyi game da bangaren da'a,” in ji Remmers. “Mun fara ne daga wata dabi’a ta daban, wanda kuma yana bukatar wata hanya ta daban. Ra'ayoyin gama gari game da wannan, ko ta yaya mutuntawa daga ra'ayin MREC na aikin, ya lalata mana hanyarmu."

Bayan shekara daya da rabi, bayan da aka gaza yin yunƙuri biyu na samun amincewa daga kwamitocin nazarin xa'a na likita, masu kudi da abokan haɗin gwiwa sun yanke shawarar dakatar da aikin. Tashin hankali tsakanin abokan hadin gwiwa da kwamitocin tantancewa sun yi yawa. Ba su sami juna a cikin ra'ayi da damuwa game da xa'a ba, hanya da lafiya. Aikin ya yi tunanin ya sami hanya tsakanin ra'ayoyin da ba su dace ba akan matakai da yawa, amma ya kasa ƙetare abubuwan da ke faruwa.

Bayan tsayawa, MijnEigenOnderzoek ya haifar da sakamako masu kyau guda biyu.

Anje Te Velde ya karbi kasafin kuɗi daga Amsterdam UMC don nada mai bincike a cikin horo. Yanzu yana binciken gajiya a cikin IBD (kumburin hanji na kullum), inda masu binciken ke gudanar da tambayoyin tambayoyi ga marasa lafiya don tantance gajiyarsu da zana jini don gwaje-gwajen rigakafi. Don haka wannan game da wani bangare ne na binciken MijnEigenOnderzoek. Kwamitin da'a na likitanci ya amince da shawarar binciken yanzu.

Gaston Remmers yanzu yana aiki na ɗan lokaci a Jami'ar Twente. A can ya inganta yanayin ilimin ɗan ƙasa: ta yaya za ku iya haɗa bayanai da bincike daga 'yan adam' tare da ƙwararru da ƙima da kuma aiwatar da damar bincike na 'yan ƙasa? Wani ɓangare na aikinsa shine ƙara zurfafa tsari da sakamakon MijnEigenOnderzoek. Bugu da kari, an fitar da Ajandar Ilimi 'Bincike da Marasa lafiya' karkashin jagorancin Gidauniyar My Data Our Health Foundation., tare da haɗin gwiwar sauran ƙungiyoyi masu haƙuri kuma a madadin ZonMw. A ƙarshe, an haifi CitizenScience2Health, dandali na kasa na bincike kan al'umma a kusa da lafiya tare da game da 15 ƙungiyoyin marasa lafiya da aka haɗa waɗanda tare suka tsaya ga 10.000 mutane.

Cibiyar Microbiome, ɗaya daga cikin abokan haɗin gwiwa, ya gina sabbin abubuwan more rayuwa don magani da bincike akan tushen da suka haifar da tunanin MijnEigenOnderzoek. Ana isar da magani na musamman a wurin, tare da nau'ikan abubuwan probiotic na duniya, nasaba da sirri saka idanu. Akwai yanzu fiye da 3000 da aka bi da marasa lafiya kuma akwai sanarwar yarda daga MREC don amfani da bayanan don bincike na baya.

in ji Lublink: Al'adu marasa ka'ida game da ɗa'a da hanya

Don ƙara karɓuwa ga irin wannan bincike, Ana buƙatar muhawara mai gudana tsakanin daidaikun mutane da ƙungiyoyi masu dacewa kan waɗannan batutuwa. Babban sabbin dabarun bincike na MijnEigenOnderzoek yana da zato da yawa game da dabara., Da'a da haɗin gwiwar haƙuri a cikin bincike a cikin sabon haske.

“A lokaci guda kuma, da mun dauki jajayen tutocin da muhimmanci a baya, saboda suna can da wuri”, in ji Te Velde. "Tun da farko mun sami alamun cewa kwamitin da'a na likita ya yi mamakin ko ya kamata mutane a AMC su dauki alhakin 'hanyoyin da ba su dace ba'., likitoci da likitocin gida." Masu hanawa: “Manufarmu ita ce ta hana ƙwaƙƙwaran ƙwayar cuta da magungunan gida, hakan yana faruwa duk da haka, samar da gado mafi aminci. Mun wuce gona da iri wajen iya fuskantar wannan gargadin, da mun kawo gwaninta da wuri.” Te Velde ya kara da cewa: “A lokaci guda ina tunani yanzu: A matsayinka na mai bincike, kada ka ji tsoro ka fitar da wuyanka. Ko da mutanen yankin suna tunanin ba wurin ku ba ne, ci gaba: a kalla ga marasa lafiya.”

Yin waiwaya, Remmers ya fada: “A matsayinmu na abokan haɗin gwiwa, mun san kalubalen tsarin, amma mun yi fatan cewa aikin namu zai iya zarce haka. Mun kuskure taurinsa da girmansa, kuma sun kasance a cikin ma'anar butulci".

“Tsarin aikin ya kasance koyaushe yana shiga cikin sassan tsarin. Wannan yana da alaƙa da al'adun bincike da kafaffen ra'ayi kan ɗa'a da hanya. Wadannan sun zama marasa iyaka a lokacin da aka ba da bincike. ", in ji Remmers.

Masu hanawa: “Hanya ta MyEigenOnderzoek ta kasance mai hangen nesa, amma ya tafi fahimta, fiye da iyawa da misalan hukumomin tantancewa. Abu mafi mahimmanci shine yanzu don samun wuraren yashi sama da tebur kuma kuyi aiki a hankali. Wannan yana buƙatar haɗin gwiwa tsakanin ƙungiyoyin haƙuri, gwamnatoci, masana kimiyya da masu kudi babu makawa."

Dole ne kuma a sami canji na gaske a cikin hanyar da ZonMw, HealthHolland da sauran ɓangarorin suna ba da kiransu na bincike. Masu hanawa: “A cikin sababbin hanyoyin da za a bi a cikin su, hanya da lafiya suna taka rawa, bai isa ba don ƙirƙirar kuɗi sannan a dogara da bita ta ƙungiyoyin da aka kafa. Waɗannan nau'ikan sabbin abubuwan tsarin suna buƙatar ci gaba da ƙima na wuraren juzu'i, domin a hanzarta zagayowar koyo.”

Einstein Point (Sau da yawa manajoji dole ne su kula da abubuwan da suka shafi kudi kuma su kalli al'amurran da suka shafi bidi'a): Yana da wahala ga shekaru don yin rikitarwa, don bincika ƙungiyoyin marasa lafiya da yawa. Rashin sabbin fahimta game da kulawa ga waɗannan ƙungiyoyin marasa lafiya ya haifar da daidaitawar hangen nesa tsakanin ƙungiyoyi don kusanci bincike ta sabuwar hanya..

Da canyon (Lallai ya zama dole mu yi taka tsantsan cewa muhimman batutuwan da ke kewaye da su su rage saurin kirkire-kirkire): Kwamitin Nazarin Da'a na Likita (Asusun Kiwon Lafiyar Haɗin kai da Lafiya na Holland sun shirya buƙatun wannan kuma sun zaɓi daga ƙungiyar fiye da) yana ganin RCTs a matsayin tsattsauran ra'ayi na bincike na kimiyya wanda ya kamata a dogara da kimantawar kiwon lafiya. Abin takaici, hukuncin METC ba zai karya da al'adun bincike na yanzu ba, da karfi.

Wurin wofi a tebur (ba duk bangarorin da abin ya shafa ke da hannu ba): Ƙungiyoyin da ke cikin MijnEigenOnderzoek da ƙungiyar da ke jagorantar wannan haɗin gwiwa, kasa hada da METC a cikin aikin a farkon. Koyaya, sun sami nasarar yin sabon abu ta hanyar canza tsarin al'ada na METC daga tantance shawarwari kawai zuwa ƙarin haɗin gwiwa..

The post-shi (Ikon rashin tausayi): Yayin da ƙungiyar da ke jagorantar ƙungiyar ta yanke shawarar yanke shawara waɗanda suka ba da gudummawa ga sakamako mara kyau, Shin membobin ƙungiyar sun sami illa bayan dakatar da MijnEigenOnderzoek?. Misali, an fara nazarin kimiyya guda biyu daga membobin ƙungiyar guda ɗaya tare da wannan aikin a matsayin dalili kai tsaye.