“Commitment to Change” – how can CPD be translated into improved practice management of allergy patients?

01. August 2014

Effectiveness and sustainability of Continuing Professional Development (CPD) courses are a major challenge. For the first time a Commitment-to-Change (CTC) strategy was applied by Doris Straub Piccirillo, MME Unibe, Head of CK-CARE CPD, within the course “Allergy in everyday paediatric practice”. This helped participants to put into practice what they had learnt on the course and also helps in programme planning. In addition, the question of why paediatricians alter their practice behaviour after the course was explored in a qualitative study.

It requires more than pure knowledge transfer for doctors to change their behaviour in practice as a result of CPD. Although today’s CPD events increasingly focus on the learners and are becoming more targeted in other ways, it remains a challenge to translate the acquired knowledge into everyday practice. One of the reasons for this is that typically CPD courses are not directly linked to changes in the attending physician’s behaviour or to patient outcomes.

Consistently employing a CTC strategy offers a new solution in this respect. CTC is based on a pragmatic, uncomplicated and easy-to-use model which makes the user more aware of personal goals and values and also provides incentives for action.

In English-speaking countries CTC has proved a successful means of stimulating processes of change, but in German-speaking Europe (Germany, Austria, Switzerland) this strategy is a new tool in medical CPD. Doctors take part in CPD programmes for a wide variety of reasons: to consolidate existing knowledge or keep up-to-date with the latest knowledge, to acquire new knowledge or learn new skills, to coordinate procedures and practices or simply to meet their obligation to undertake CPD. They invest time and money to do this. Therefore CPD programmes should basically be structured, effective and designed with a view to achieving sustainable improvements.

Spatial transcriptomics combined with single-cell RNA-sequencing unravels the complex inflammatory cell network in atopic dermatitis

6. September 2023

Atopic dermatitis (AD) is a chronic inflammatory skin disorder affecting up to 3%–5% of adults and 20% of children worldwide. The pathophysiology of AD involves various factors including host genetics, altered skin barrier function, and immunological abnormalities.

Atopic dermatitis: Correlation of distinct risk factors with age of onset in adulthood compared to childhood

14. June 2023

Atopic dermatitis (AD) has long been regarded as a primarily pediatric disease. However, there is growing evidence for a high rate of adult-onset AD. We aimed to characterize factors associated with adult-onset versus childhood-onset AD and controls.
An analysis of the CK-CARE-ProRaD cohort revealed adult-onset AD in nearly a quarter of patients. We identified active smoking to be associated with adult-onset AD versus controls. Food allergy, maternal food allergy, palmar hyper linearity, and academic background increased the odds of childhood-onset AD versus controls.

Shared AD-associated factors were maternal AD (4-34x), increased IgE (2-20x), atopic stigmata (2-3x) with varying effect sizes depending on AD onset and control group. Patients with adult-compared to childhood-onset had doubled odds of allergic rhinitis, but reduced odds to feature multiple (3-4) atopic comorbidities. Adult-onset AD, particularly onset ≥61 years, grouped mainly in clusters with low contributions of personal and familial atopy and high frequencies of physical inactivity, childhood-onset AD, particularly infant-onset, mainly in “high-atopic”-clusters.

The identified associated factors suggest partly varying endo- and exogeneous mechanisms underlying adult-onset versus childhood-onset AD. Our findings might contribute to better assessment of the individual risk to develop AD throughout life and encourage prevention by non-smoking and physical activity as modifiable lifestyle factors.

Certification by the Swiss Biobanking Platform – VITA-Label

7. November 2022

Building up a proper Governance through accountable mechanisms is key to foster trustworthiness and the pre-requisite for the appropriate use of biological resources. Our CK-CARE Biobank has recently been awarded by Swiss Biobanking Platform (SBP) with the VITA Label, which demonstrates compliance with the applicable legal and ethical framework. This labelling approach is part of our long-term strategy to strengthen biobanking practices and provide high-quality samples to the research community.

CK-CARE Team Meeting October 10th- 11th, 2022

17. October 2022

This year’s CK-CARE team event in Davos focused on strengthening cross-center communication and collaboration. Our team members got to know each other and the canton of Grisons better by producing several Grisons specialties as “cross-center team building” in preparation for the scientific work. This as a goal to promote teamwork! Although there was no knowledge about the production of Graubünden delicacies, let alone anyone with appropriate skills, each team excelled in its own way. Driven by trust, respect and genuine motivation to solve the tasks set, the team members met the challenge of working together with fun and creativity as an important preparation for the following day’s research activities. It was a successful meeting – we look forward to many more.

Certification by the Swiss Biobanking Platform – OPTIMA-Label

9. June 2022

Davos BioSciences AG achieved the official OPTIMA label of the Swiss Biobanking Platform for its biobank infrastructure as of 30.05.2022. This is another important step for Davos BioSciences AG and CK-CARE. The label attests to the full implementation of a QM system. The OPTIMA-Label confirms: “Compliance with the Good Biobanking Practices; in particular OECD Best practice guidelines for biological resource centres (2007), ISBER Best practices (2018) and IARC Common minimum technical standards (2017). It follows established standards, including the ISO 20387:2018 – general requirements for biobanking. This certification approach is part of our long-term strategy to provide high-quality samples to the research community”.

Certification by the Swiss Biobanking Platform

9. June 2022

After some effort, Davos BioSciences AG achieved the official NORMA label of the Swiss Biobanking Platform for its biobank infrastructure as of 17.08.2021. This is an important step for Davos BioSciences AG and CK-CARE. The NORMA-Label confirms: “Compliance with professional standards is essential to perform our daily biobanking activities according to Good Biobanking Practices; in particular OECD Best practice guidelines for biological resource centres (2007), ISBER Best practices (2018) and IARC Common minimum technical standards (2017). It follows established standards, including the ISO 20387:2018 – general requirements for biobanking. This certification approach is part of our long-term strategy to provide high-quality samples to the research community”. Certificate of the Swiss Biobanking Plattform