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Enregistrement W2147603594 · doi:10.1177/2050640615578075

The past, present and future of gastroenterology in Europe and worldwide

2015· article· en· W2147603594 sur OpenAlexaboutno aff
Jakub Fichna, Jordi Vinaixa Serra

Notice bibliographique

RevueUnited European Gastroenterology Journal · 2015
Typearticle
Langueen
DomaineMedicine
ThématiqueColorectal Cancer Screening and Detection
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésMedicinePopulationHealth carePessimismQuarter (Canadian coin)Political scienceLawEnvironmental healthHistory

Résumé

récupéré en direct d'OpenAlex

Recent publication of the UEG “White Book”, with the outcomes of the Survey of digestive health across Europe and the announcement of the Healthcare Scenarios in Europe in 2040 by the UEG Future Trends Committee nicely corroborate into the comprehensive and very clear picture of the past, present and future of gastroenterology in Europe and worldwide. Even though both reports (very reasonably) play on pessimistic notes (increase in the incidence and prevalence of GI diseases, ageing of the population, deteriorating lifestyle that has a tremendous impact on the pathologies developing within the GI tract), they also suggest (and here please do forgive us our optimism) that there will be a lot happening within the field, involving both clinicians and basic scientists, what in fact is a good news for current and future gastroenterologists. These unenthusiastic raw data in fact is good news for all the young people directing their career toward gastroenterology. Come, there is work to do! The UEG Future Trends Committee proposed three scenarios that could take a stage within the next quarter of a century. The Ice Age, although equally possible, should rather be viewed as a well-set list of what are NOT our goals in the European gastroenterology. It could be printed and pinned to the cork message boards everywhere to be read not only doctors, but – in fact primarily – by politicians and policy makers, who will be taking over within the next few years. This “black” scenario points to a divided Society, with a few very rich people, and a great majority of citizens having poor medical care and no funding for research or prevention. However, it also underlines what is inevitable – populations are ageing, while lifestyle disorders, particularly important for GI tract pathology become a major issue. Life in the Golden Age seems like the one in the Garden of Eden, with Europe-wide prevention programs, unified trainings, and cross-continent expert centers, all which serve better life and health of ageing populations. However, this also means that the economic growth is sufficient to allow a financial stabilization and funds for clinical care and scientific research. This is only partially dependent on the gastroenterologists. Would anyone like to live in the Silicon Age? The high-tech machines and advanced research are indeed appealing, but doesn't it all sound like a slightly self-centered, de-humanized care (additionally assisted by social media and e-gadgets and triggering enormous costs)? The answer to this question is not very obvious. Still, we left out the role of the young GI clinicians and researchers in this relatively near future. Judging by these scenarios and the current situation in gastroenterology, described in the UEG White book – what could be done to prepare the young gastroenterologists to respond best to all the needs? Here we suggest taking a look again at the Golden Age and shaping the future based on its image. Let's encourage clinical and research trainings to equilibrate and then constantly increase the healthcare standards in gastroenterology. Why not establish the cross-continent expert centers to better understand, but also better treat GI diseases? All this starting now, and with the help and involvement of the young generations of the gastroenterologists. Let's put them in the spotlight and wisely invest in them to guarantee our future living in the Golden Age. Share your thoughts and comments on the situation across Europe and the priorities for improving service provision @my_UEG #shapingGI To download the brand new brochure of the Survey visit www.ueg.eu/research/activities/ The full report can be found at: http://ueg.sagepub.com/site/White_Book/White_Book.xhtml Jakub Fichna Department of Biochemistry, Medical University of Lodz, Poland Jordi Serra Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,001
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Observationnel · Signal consensuel: Observationnel
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,034
Score d'incertitude au seuil0,375

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0010,000
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0000,000
Bibliométrie0,0000,000
Études des sciences et des technologies0,0000,000
Communication savante0,0000,000
Science ouverte0,0000,000
Intégrité de la recherche0,0000,001
Charge utile insuffisante (le modèle a refusé de juger)0,0000,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,016
Tête enseignante GPT0,242
Écart entre enseignants0,227 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeObservationnel
Domainenon disponible
GenreEmpirique

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations1
Publié2015
Routes d'admission1
Résumé présentoui

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