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Chakraborty LS, Le Maitre CL, Chahine NO, Fields AJ, Gawri R, Giers MB, Smith LJ, Tang SY, Zehra U, Haglund L, Samartzis D, Martin JT. Impact of the COVID-19 pandemic on the productivity and career prospects of musculoskeletal researchers. J Orthop Res 2024. [PMID: 38678396 DOI: 10.1002/jor.25866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 03/27/2024] [Accepted: 04/15/2024] [Indexed: 04/30/2024]
Abstract
Academic researchers faced a multitude of challenges posed by the COVID-19 pandemic, including widespread shelter-in-place orders, workplace closures, and cessation of in-person meetings and laboratory activities. The extent to which these challenges impacted musculoskeletal researchers, specifically, is unknown. We developed an anonymous web-based survey to determine the pandemic's impact on research productivity and career prospects among musculoskeletal research trainees and faculty. There were 116 musculoskeletal (MSK) researchers with varying demographic backgrounds who completed the survey. Of respondents, 48.3% (n = 56) believed that musculoskeletal funding opportunities decreased because of COVID-19, with faculty members more likely to hold this belief compared to nonfaculty researchers (p = 0.008). Amongst MSK researchers, 88.8% (n = 103) reported research activity was limited by COVID-19, and 92.2% (n = 107) of researchers reported their research was not able to be refocused on COVID-19-related topics, with basic science researchers less likely to be able to refocus their research compared to clinical researchers (p = 0.030). Additionally, 47.4% (n = 55) reported a decrease in manuscript submissions since the onset of the pandemic. Amongst 51 trainee researchers, 62.8% (n = 32) reported a decrease in job satisfaction directly attributable to the COVID-19 pandemic. In summary, study findings indicated that MSK researchers struggled to overcome challenges imposed by the pandemic, reporting declines in funding opportunities, research productivity, and manuscript submission. Trainee researchers experienced significant disruptions to critical research activities and worsening job satisfaction. Our findings motivate future efforts to support trainees in developing their careers and target the recovery of MSK research from the pandemic stall.
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Affiliation(s)
- Lauren S Chakraborty
- Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Christine L Le Maitre
- Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK
| | - Nadeen O Chahine
- Department of Orthopedic Surgery, Columbia University, New York, New York, USA
| | - Aaron J Fields
- Department of Orthopaedic Surgery, University of California in San Francisco, San Francisco, California, USA
| | - Rahul Gawri
- Division of Orthopaedic Surgery, Department of Surgery, McGill University, Montréal, Quebec, Canada
| | - Morgan B Giers
- School of Chemical, Biological & Environmental Engineering, Oregon State University, Corvallis, Oregon, USA
| | - Lachlan J Smith
- Departments of Orthopaedic Surgery and Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Simon Y Tang
- Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri, USA
| | - Uruj Zehra
- Department of Anatomy, University of Health Sciences, Lahore, Pakistan
| | - Lisbet Haglund
- Division of Orthopaedic Surgery, Department of Surgery, McGill University, Montréal, Quebec, Canada
| | - Dino Samartzis
- Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - John T Martin
- Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA
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Bourganou MV, Chatzopoulos DC, Lianou DT, Tsangaris GT, Fthenakis GC, Katsafadou AI. Scientometrics Evaluation of Published Scientific Papers on the Use of Proteomics Technologies in Mastitis Research in Ruminants. Pathogens 2024; 13:324. [PMID: 38668279 PMCID: PMC11053840 DOI: 10.3390/pathogens13040324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 03/30/2024] [Accepted: 04/10/2024] [Indexed: 04/29/2024] Open
Abstract
The objective of this study was the presentation of quantitative characteristics regarding the scientific content and bibliometric details of the relevant publications. In total, 156 papers were considered. Most papers presented original studies (n = 135), and fewer were reviews (n = 21). Most original articles (n = 101) referred to work involving cattle. Most original articles described work related to the diagnosis (n = 72) or pathogenesis (n = 62) of mastitis. Most original articles included field work (n = 75), whilst fewer included experimental (n = 31) or laboratory (n = 30) work. The tissue assessed most frequently in the studies was milk (n = 59). Milk was assessed more frequently in studies on the diagnosis (61.1% of relevant studies) or pathogenesis (30.6%) of the infection, but mammary tissue was assessed more frequently in studies on the treatment (31.0%). In total, 47 pathogens were included in the studies described; most were Gram-positive bacteria (n = 34). The three bacteria most frequently included in the studies were Staphylococcus aureus (n = 55 articles), Escherichia coli (n = 31) and Streptococcus uberis (n = 19). The proteomics technology employed more often in the respective studies was liquid chromatography-tandem mass spectrometry (LC-MS/MS), either on its own (n = 56) or in combination with other technologies (n = 40). The median year of publication of articles involving bioinformatics or LC-MS/MS and bioinformatics was the most recent: 2022. The 156 papers were published in 78 different journals, most frequently in the Journal of Proteomics (n = 16 papers) and the Journal of Dairy Science (n = 12). The median number of cited references in the papers was 48. In the papers, there were 1143 co-authors (mean: 7.3 ± 0.3 co-authors per paper, median: 7, min.-max.: 1-19) and 742 individual authors. Among them, 15 authors had published at least seven papers (max.: 10). Further, there were 218 individual authors who were the first or last authors in the papers. Most papers were submitted for open access (n = 79). The median number of citations received by the 156 papers was 12 (min.-max.: 0-339), and the median yearly number of citations was 2.0 (min.-max.: 0.0-29.5). The h-index of the papers was 33, and the m-index was 2. The increased number of cited references in papers and international collaboration in the respective study were the variables associated with most citations to published papers. This is the first ever scientometrics evaluation of proteomics studies, the results of which highlighted the characteristics of published papers on mastitis and proteomics. The use of proteomics in mastitis research has focused on the elucidation of pathogenesis and diagnosis of the infection; LC-MS/MS has been established as the most frequently used proteomics technology, although the use of bioinformatics has also emerged recently as a useful tool.
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Affiliation(s)
- Maria V. Bourganou
- Faculty of Public and One Health, University of Thessaly, 43100 Karditsa, Greece; (M.V.B.); (D.C.C.)
| | - Dimitris C. Chatzopoulos
- Faculty of Public and One Health, University of Thessaly, 43100 Karditsa, Greece; (M.V.B.); (D.C.C.)
| | - Daphne T. Lianou
- Veterinary Faculty, University of Thessaly, 43100 Karditsa, Greece; (D.T.L.)
| | - George Th. Tsangaris
- Proteomics Research Unit, Biomedical Research Foundation of the Academy of Athens, 11527 Athens, Greece;
| | - George C. Fthenakis
- Veterinary Faculty, University of Thessaly, 43100 Karditsa, Greece; (D.T.L.)
| | - Angeliki I. Katsafadou
- Faculty of Public and One Health, University of Thessaly, 43100 Karditsa, Greece; (M.V.B.); (D.C.C.)
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Tjokrowijoto P, Thomas S, Kneebone I, Ryan B, Stolwyk RJ. Aphasia, depression, and psychological therapy (ADaPT): A single case design evaluation of a modified cognitive behavioural therapy to treat depressive symptoms in stroke survivors with aphasia. Neuropsychol Rehabil 2024:1-45. [PMID: 38584439 DOI: 10.1080/09602011.2024.2331840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 03/07/2024] [Indexed: 04/09/2024]
Abstract
Cognitive behavioural therapy (CBT) can effectively treat depression in the general population, but there is a lack of studies evaluating CBT tailored to specific cognitive and communication needs of individuals with post-stroke aphasia. We aimed to evaluate the feasibility and preliminary efficacy of a modified CBT intervention to ameliorate depressive symptoms. An ABA withdrawal/reversal single case design with concurrent multiple baselines (2.5, 4.5, or 6.5 weeks) was repeated across 10 participants (six male, four female) with post-stroke aphasia and self-reported depression. Participants completed 10 individual intervention sessions with a clinical neuropsychologist and a 4-week follow-up. The primary outcome was self-rated depression, and secondary outcomes included observer-rated symptoms of depression and anxiety. Data were analysed visually and statistically controlling for baseline trend. Feasibility was addressed by analysing recruitment and retention rates, treatment adaptations, and fidelity ratings. Three participants self-reported decreased depression levels during the intervention phase, which was sustained for two participants. Four additional participants improved during the follow-up phase. Close others reported sustained improvements in depressive symptoms (six participants) and anxiety symptoms (seven participants). Modified CBT appears feasible and potentially efficacious in reducing depressive symptoms in post-stroke aphasia. A randomized controlled trial is warranted, and should consider additional treatment sessions.
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Affiliation(s)
- Priscilla Tjokrowijoto
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, Australia
- Stroke and Telehealth Research, Monash-Epworth Rehabilitation Research Centre, Richmond, Australia
| | | | - Ian Kneebone
- Centre for Research Excellence in Aphasia Recovery and Rehabilitation, Australia
- Graduate School of Health, University of Technology Sydney, Ultimo, Australia
| | - Brooke Ryan
- Centre for Research Excellence in Aphasia Recovery and Rehabilitation, Australia
- Graduate School of Health, University of Technology Sydney, Ultimo, Australia
- Curtin School of Allied Health, Curtin University, Perth, Australia
| | - Renerus J Stolwyk
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, Australia
- Stroke and Telehealth Research, Monash-Epworth Rehabilitation Research Centre, Richmond, Australia
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Dissanayake L, Herath B, Opatha J, Jabir S, Siriwardana R, Sirisena K, Wickramasinghe M, Wimalasekera M, Liyanage R, Duminda Guruge GN, Jayaweera K, Jayawardena R, Zavos HMS, Sumathipala A, Rijsdijk F. The Colombo Twin and Singleton Study (COTASS): Piloting the Feasibility of Collecting Nutritional Data and Extension of the Sample to Include Children of Twins. Behav Genet 2024; 54:63-72. [PMID: 38184818 PMCID: PMC10822816 DOI: 10.1007/s10519-023-10171-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 12/01/2023] [Indexed: 01/08/2024]
Abstract
Nutrition and diet are key modifiable risk factors for the rising burden of non-communicable diseases like cardio-vascular diseases and diabetes in low- and middle- income countries (LMICs). The nutritional transition in dietary behaviours in LMICs has most likely contributed to this problem. Although traditionally assumed to be environmental, dietary choices are also genetically influenced. Twin study designs can be used to investigate the relative influence of genes and environment on nutrition intake, eating behaviours and associated psychological health. The overall aim of this project is to: provide proof-of-concept for the feasibility of using dietary (biomarker) data within the Children-of-Twin design in nutrition studies, develop laboratory skills and statistical genetic skills and establish a Sri Lankan-specific food composition database. Currently, a pilot study is being conducted with 304 individuals (38 Monozygotic twin pairs, 38 Dizygotic twin pairs and their male or female adult offspring). Questionnaire data on nutritional intake, eating behaviours, psychological well-being, physical health, and bio-specimens are being collected. A Sri Lankan-specific food composition database was developed, training sessions on macro and micro element analysis in biological samples and statistical genetics skills development were conducted and Community Engagement and Involvement programs were carried out in two districts of Sri Lanka.
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Affiliation(s)
- Lasith Dissanayake
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka.
| | - Binoli Herath
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
| | - Janani Opatha
- Health and Wellness Unit, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
| | - Sameeha Jabir
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
| | - Rajindra Siriwardana
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
| | - Kavish Sirisena
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
| | - Malmi Wickramasinghe
- Laboratory of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
| | - Manouri Wimalasekera
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
| | - Ruvini Liyanage
- Laboratory of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
| | - G N Duminda Guruge
- Department of Health Promotion, Faculty of Applied Sciences, Rajarata University, Mihintale, Sri Lanka
| | - Kaushalya Jayaweera
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
| | - Ranil Jayawardena
- Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
| | - Helena M S Zavos
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Athula Sumathipala
- Institute for Research and Development in Health and Social Care, No. 393/3, Lily Avenue, Off Robert Gunawardena Mawatha, Battaramulla, Colombo, Sri Lanka
- Faculty of Medicine & Health Sciences, Research Institute for Primary Care & Health Sciences, Keele University, Keele, UK
| | - Frühling Rijsdijk
- Psychology Department, Faculty of Social Sciences, Anton de Kom University, Paramaribo, Suriname
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Tun Firzara AM, Teo CH, Teh SY, Su JY, Mohd Zaini HS, Suhaimi A, Ng WL, Danaee M, Stevenson K, Mallen CD, Ng CJ. Evaluation of an electronic clinical decision support system (DeSSBack) to improve low back pain management: a pilot cluster randomized controlled trial. Fam Pract 2023; 40:742-752. [PMID: 37237425 DOI: 10.1093/fampra/cmad044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND Low back pain (LBP) is a common reason for primary care consultation; yet doctors often find managing it challenging. An electronic decision support system for LBP (DeSSBack) was developed based on an evidence-based risk stratification tool to improve the management of patients with LBP in a Malaysian primary care setting. This pilot study aimed to assess the feasibility, acceptability, and preliminary effectiveness of DeSSBack for the conduct of a future definitive trial. METHODS A pilot cluster randomized controlled trial (cRCT) with qualitative interviews was conducted. Each primary care doctor was considered a cluster and randomized to either the control (usual practice) or intervention (DeSSBack) group. Patient outcomes including Roland-Morris Disability Questionnaire (RMDQ), Hospital Anxiety and Depression Scale, and a 10-point pain rating scale were measured at baseline and 2-month postintervention. The doctors in the intervention group were interviewed to explore feasibility and acceptability of using DeSSBack. RESULTS Thirty-six patients with nonspecific LBP participated in this study (intervention n = 23; control n = 13). Fidelity was poor among patients but good among doctors. The RMDQ and anxiety score had medium effect sizes of 0.718 and 0.480, respectively. The effect sizes for pain score (0.070) and depression score were small (0.087). There was appreciable acceptability and satisfaction with use of DeSSBack, as it was helpful in facilitating thorough and standardized management, providing appropriate treatment plans based on risk stratification, improving consultation time, empowering patient-centred care, and easy to use. CONCLUSIONS A future cRCT to evaluate the effectiveness of DeSSBack is feasible to be conducted in a primary care setting with minor modifications. DeSSBack was found useful by doctors and can be improved to enhance efficiency. TRIAL REGISTRATION The protocol of the cluster randomized controlled trial was registered at ClinicalTrials.gov (NCT04959669).
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Affiliation(s)
- Abdul Malik Tun Firzara
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Chin Hai Teo
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
- UM eHealth Unit, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Shu Yi Teh
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Je Yu Su
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Hana Salwani Mohd Zaini
- Department of Information Technology, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia
| | - Anwar Suhaimi
- Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Wei Leik Ng
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Mahmoud Danaee
- Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Kay Stevenson
- School of Allied Health Professions, Keele University, Staffordshire ST5 5BG, United Kingdom
- Impact Accelerator Unit, Medical School, Keele University, Staffordshire ST5 5BG, United Kingdom
- Midlands Partnership University NHS Foundation Trust, Staffordshire ST6 7AG, United Kingdom
| | | | - Chirk Jenn Ng
- Department of Research, SingHealth Polyclinics, SingHealth, Singapore 150167, Singapore
- Health Services & Systems Research, Duke-NUS Medical School, Singapore 169857, Singapore
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Umoh E, Isiguzo C, Akwaowo C, Attai K, Ekpenyong N, Sabi H, Dan E, Obinna N, Uzoka FM. Lessons learned on data collection for a digital health intervention-insights and challenges from Nigeria. SAGE Open Med 2023; 11:20503121231216855. [PMID: 38116299 PMCID: PMC10729616 DOI: 10.1177/20503121231216855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 11/08/2023] [Indexed: 12/21/2023] Open
Abstract
Objectives This article delves into the challenges of medical data collection during the COVID-19 pandemic in developing countries, using Nigeria as a case study. It emphasizes how data collection impacts research quality, reliability, and validity. Methods Qualitative research utilizing purposive sampling was employed to explore experiences in designing a diagnostic tool for febrile diseases in Nigeria. A questionnaire with selectable and open-ended questions was utilized for data collection, and 23 respondents participated. Results Among 74 potential participants, 23 valid responses were gathered, revealing significant themes related to experiences and challenges in medical data collection. A multidisciplinary team approach proved beneficial, fostering collaboration, enhancing knowledge, and promoting positive experiences. Despite challenges with paper questionnaires, most participants preferred them for ease of use. Connectivity issues hindered timely data uploading and disrupted virtual meetings. Conclusion Innovative and flexible strategies, such as a blended data collection approach and well-coordinated teams, were vital in overcoming challenges. Electronic data collection tools, reminders, and effective communication played key roles, leading to positive outcomes. This study provides valuable insights for researchers and practitioners involved in data collection, particularly in developing countries like Nigeria.
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Affiliation(s)
- Edidiong Umoh
- Department of Fisheries and Aquatic Environmental Management, Faculty of Agriculture, University of Uyo, University of Uyo Teaching Hospital, Uyo, Nigeria
| | - Chimaobi Isiguzo
- Department of Surgery, Federal Medical Centre Owerri, Owerri, Nigeria
| | - Christie Akwaowo
- Community Health Department, University of Uyo, University of Uyo Teaching Hospital, Uyo, Nigeria
| | - Kingsley Attai
- Department of Mathematics and Computer Science, Ritman University, Ikot Ekpene, Nigeria
| | - Nnette Ekpenyong
- Community Health Department, University of Calabar, Calabar, Nigeria
| | - Humphrey Sabi
- ICT Department, The ICT University, Yaounde, Cameroon
| | - Emem Dan
- University of Uyo Teaching Hospital, Uyo, Nigeria
| | - Nwokoro Obinna
- Department of Computer Science, University of Uyo, Uyo, Nigeria
| | - Faith-Michael Uzoka
- Department of Mathematics and Computing, Mount Royal University, Calgary, Canada
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Malhotra K, Dagli MM, Gujral J, Santangelo G, Goyal K, Wathen C, Ozturk AK, Welch WC. Global and Gender Equity in Oligodendroglioma Research: A Comprehensive Bibliometric Analysis Following the COVID-19 Pandemic. Cureus 2023; 15:e51161. [PMID: 38283488 PMCID: PMC10812378 DOI: 10.7759/cureus.51161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2023] [Indexed: 01/30/2024] Open
Abstract
Oligodendrogliomas are rare brain tumors arising from oligodendrocytes; there is a limited understanding of their pathogenesis, which leads to challenges in diagnosis, prognosis, and treatment. This study aimed to conduct a comprehensive bibliometric analysis of the oligodendroglioma literature to assess the current state of research, identify research trends, and elucidate implications for future research. The Lens® database was used to retrieve journal articles related to "oligodendroglioma" without geographic or temporal restrictions. Year-on-year trends in publication and funding were analyzed. Global and gender equity were assessed using the Namsor® Application programming interface. Collaboration patterns were explored using network visualizations. Keyword analysis revealed the most prominent themes in oligodendroglioma research. Out of 9701 articles initially retrieved, 8381 scholarly journal articles were included in the final analysis. Publication trends showed a consistent increase until 2020, followed by a sharp decline likely due to the COVID-19 pandemic. Global representation revealed researchers from 86 countries, with limited participation from low and middle-income countries (LMICs). Gender inequity was evident, with 78.7% of researchers being male. Collaboration analysis revealed a highly interconnected research community. Prognosis, genetic aberrations (particularly "IDH" mutations), and therapeutic options (including chemotherapy and radiotherapy) emerged as dominant research themes. The COVID-19 pandemic impacted oligodendroglioma research funding and publication trends, highlighting the importance of robust funding mechanisms. Global and gender inequities in research participation underscore the need for fostering inclusive collaboration, especially in LMICs. The interconnected research community presents opportunities for knowledge exchange and innovation. Keyword analysis highlights current research trends and a shift to genetic and molecular understanding.
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Affiliation(s)
- Kashish Malhotra
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, IND
- Institute of Applied Health Research, University of Birmingham, Birmingham, GBR
| | - Mert Marcel Dagli
- Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Jaskeerat Gujral
- Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Gabrielle Santangelo
- Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Kashish Goyal
- Department of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, IND
| | - Connor Wathen
- Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Ali K Ozturk
- Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - William C Welch
- Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
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Holch P, Turner G, Keetharuth AD, Gibbons E, Cocks K, Absolom KL. The impact of COVID-19 on PRO development, collection and implementation: views of UK and Ireland professionals. J Patient Rep Outcomes 2023; 7:121. [PMID: 38010558 PMCID: PMC10682296 DOI: 10.1186/s41687-023-00663-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 10/30/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND PROs are valuable tools in clinical care to capture patients' perspectives of their health, symptoms and quality of life. However the COVID-19 pandemic has had profound impacts on all aspects of life, in particular healthcare and research. This study explores the views of UK and Irish health professionals, third sector and pharmaceutical industry representatives and academic researchers on the impact of COVID-19 on PRO collection, use and development in clinical practice. METHODS A volunteer sample took part in a 10 question cross sectional qualitative survey, on the impact of COVID-19, administered online via Qualtrics. Demographic data was descriptively analysed, and the qualitative free text response data was subject to thematic analysis and summarised within the Strengths, Weaknesses, Opportunities and Threats (SWOT) framework. RESULTS Forty nine participants took part located in a range of UK settings and professions. Participants highlighted staff strengths during the pandemic including colleagues' flexibility and ability to work collaboratively and the adoption of novel communication tools. Weaknesses were a lack of staff capacity to continue or start PRO projects and insufficient digital infrastructure to continue studies online. Opportunities included the added interest in PROs as useful outcomes, the value of electronic PROs for staff and patients particularly in relation to integration into systems and the electronic patient records. However, these opportunities came with an understanding that digital exclusion may be an issue for patient groups. Threats identified included that the majority of PRO research was stopped or delayed and funding streams were cut. CONCLUSIONS Although most PRO research was on hold during the pandemic, the consensus from participants was that PROs as meaningful outcomes were valued more than ever. From the opportunities afforded by the pandemic the development of electronic PROs and their integration into electronic patient record systems and clinical practice could be a lasting legacy from the COVID-19 pandemic.
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Affiliation(s)
- Patricia Holch
- Department of Psychology, School of Humanities and Social Sciences, Leeds Beckett University, Portland Building, Room PD402, City Campus, Leeds, LS1 9HE, UK.
| | - Grace Turner
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
| | - Anju D Keetharuth
- School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK
| | - E Gibbons
- Evidera Ltd, 201 Talgarth Rd, The Ark, London, W6 8BJ, UK
| | - Kim Cocks
- Adelphi Values, Patient-Centered Outcomes, Bollington, Cheshire, SK10 5JB, UK
| | - Kate L Absolom
- Leeds Institute of Medical Research, University of Leeds, St James's Hospital, Bexley Wing, Beckett Street, Leeds, LS9 7TF, UK
- Leeds Institute of Health Sciences, University of Leeds, Leeds, LS2 9JT, UK
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9
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León-García M, Humphries B, Morales PR, Gravholt D, Eckman MH, Bates SM, Suárez NRE, Xie F, Perestelo-Pérez L, Alonso-Coello P. Assessment of a venous thromboembolism prophylaxis shared decision-making intervention (DASH-TOP) using the decisional conflict scale: a mixed-method study. BMC Med Inform Decis Mak 2023; 23:250. [PMID: 37932759 PMCID: PMC10629184 DOI: 10.1186/s12911-023-02349-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 10/21/2023] [Indexed: 11/08/2023] Open
Abstract
BACKGROUND Venous thromboembolism (VTE) in pregnancy is a major cause of maternal morbidity and death. The use of low-molecular-weight heparin (LMWH), despite being the standard of care to prevent VTE, comes with some challenges. Shared decision-making (SDM) interventions are recommended to support patients and clinicians in making preference-sensitive decisions. The quality of the SDM process has been widely assessed with the decisional conflict scale (DCS). Our aim is to report participants' perspectives of each of the components of an SDM intervention (DASH-TOP) in relation to the different subscales of the DCS. METHODS Design: A convergent, parallel, mixed-methods design. PARTICIPANTS The sample consisted of 22 health care professionals, students of an Applied Clinical Research in Health Sciences (ICACS) master program. INTERVENTION We randomly divided the participants in three groups: Group 1 received one component (evidence -based information), Group 2 received two components (first component and value elicitation exercises), and Group 3 received all three components (the first two and a decision analysis recommendation) of the SDM intervention. ANALYSIS For the quantitative strand, we used a non-parametric test to analyze the differences in the DCS subscales between the three groups. For the qualitative strand, we conducted a content analysis using the decisional conflict domains to deductively categorize the responses. RESULTS Groups that received more intervention components experienced less conflict and better decision-making quality, although the differences between groups were not statistically significant. The decision analysis recommendation improved the efficacy with the decision-making process, however there are some challenges when implementing it in clinical practice. The uncertainty subscale showed a high decisional conflict for all three groups; contributing factors included low certainty of the evidence-based information provided and a perceived small effect of the drug to reduce the risk of a VTE event. CONCLUSIONS The DASH-TOP intervention reduced decisional conflict in the decision -making process, with decision analysis being the most effective component to improve the quality of the decision. There is a need for more implementation research to improve the delivery of SDM interventions in the clinical encounter.
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Affiliation(s)
- Montserrat León-García
- Iberoamerican Cochrane Center, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
- Department of Pediatrics, Obstetrics, Gynaecology and Preventive Medicine, Universidad Autónoma de Barcelona, Barcelona, Spain.
- Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
| | - Brittany Humphries
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Pablo Roca Morales
- Faculty of Health Sciences, Universidad Villanueva, Madrid, Spain
- School of Health Sciences, Valencian International University, Valencia, Spain
| | - Derek Gravholt
- Iberoamerican Cochrane Center, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
- Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | - Mark H Eckman
- Division of General Internal Medicine and Center for Clinical Effectiveness, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Shannon M Bates
- Department of Medicine, McMaster University, Hamilton, ON, Canada
| | - Nataly R Espinoza Suárez
- Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA
- VITAM Research Center for Sustainable Health, Quebec City, Canada
- Faculty of Medicine, Université Laval, Quebec City, Canada
| | - Feng Xie
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada
| | - Lilisbeth Perestelo-Pérez
- Evaluation Unit (SESCS), Canary Islands Health Service (SCS), Tenerife, Spain
- Network for Research On Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain
| | - Pablo Alonso-Coello
- Iberoamerican Cochrane Center, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
- CIBER of Epidemiology and Public Health, CIBERESP, Madrid, Spain
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Kaseke TB, Chikwambi Z, Gomo C, Mashingaidze AB, Murungweni C. Antibacterial activity of medicinal plants on the management of mastitis in dairy cows: A systematic review. Vet Med Sci 2023; 9:2800-2819. [PMID: 37725398 PMCID: PMC10650345 DOI: 10.1002/vms3.1268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 07/30/2023] [Accepted: 08/18/2023] [Indexed: 09/21/2023] Open
Abstract
BACKGROUND Mastitis is a disease of economic importance in dairy production systems. The common management regime for mastitis is the use of synthetic antibiotics, giving a new problem of antibiotic resistance. There is, therefore, a need to prospect for alternatives to conventional antibiotics from herbal plants. OBJECTIVES This systematic review evaluates the use of plants as alternatives for the control of mastitis in dairy cattle, focussing on the effectiveness of studied plants and plant-based products and possible implications on the use of these products in livestock health. METHODOLOGY The PRISMA model was implemented with searches done in five electronic databases: Scopus, ScienceDirect, PubMed, Ovid and Research4Life. Data were extracted from 45 studies with 112 plant species from plant species belonging to 42 different families. The specific keywords were 'mastitis', 'dairy cows' and 'medicinal plants'. RESULTS The most cited plant species included Allium sativum L., Azadirachta indica and Eucalyptus globulus Labill with the latter further exploring its components. Microbial species causing mastitis mainly were Staphylococcus aureus and Escherichia coli. The extraction methods used included maceration approach using ethanol, methanol and water as solvents for phytochemicals and chromatographic techniques for essential oils. A few studies explored the mode of action, and toxicities of the herbal extracts as well as evaluating their efficacy in clinical trials using animal models. CONCLUSION Plants with defined levels of phytochemicals were essential sources of antibacterials. Standardisation of analytical methods is required.
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Affiliation(s)
- Tinotenda Blessing Kaseke
- School of Agricultural Sciences and TechnologyDepartment of Animal Production and TechnologyChinhoyi University of TechnologyChinhoyiMashonaland WestZimbabwe
- School of Health Sciences and TechnologyDepartment of BiotechnologyChinhoyi University of TechnologyChinhoyiMashonaland WestZimbabwe
| | - Zedias Chikwambi
- School of Health Sciences and TechnologyDepartment of BiotechnologyChinhoyi University of TechnologyChinhoyiMashonaland WestZimbabwe
| | - Calvin Gomo
- School of Agricultural Sciences and TechnologyDepartment of Animal Production and TechnologyChinhoyi University of TechnologyChinhoyiMashonaland WestZimbabwe
| | - Arnold Bray Mashingaidze
- School of Agricultural Sciences and TechnologyDepartment of Crop Science and TechnologyChinhoyi University of TechnologyChinhoyiMashonaland WestZimbabwe
| | - Chrispen Murungweni
- School of Agricultural Sciences and TechnologyDepartment of Animal Production and TechnologyChinhoyi University of TechnologyChinhoyiMashonaland WestZimbabwe
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11
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Maggio LA, Byington CL, Toner ES, Kanter SL. A Chief Health Security Officer for Every Academic Health Center: Improving Readiness, Response, Recovery, and Resilience. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2023; 98:1247-1250. [PMID: 37556815 DOI: 10.1097/acm.0000000000005435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
Academic health centers (AHCs) require expertise to ensure readiness for health security events, such as cyberattacks, natural disasters, and pandemics, as well as the ability to respond to and recover from these events. However, most AHCs lack an individual to coordinate efforts at an enterprise level across academic and operational units during an emergency; elevate the coordination of individual AHCs with local and state public health entities; and through professional organizations, coordinate the work of AHCs across national and international public health entities. Informed by AHCs' responses to the COVID-19 pandemic and a series of focused meetings in 2021 of the Association of Academic Health Centers President's Council on Health Security, the authors propose creating a new C-suite role to meet these critical needs: the chief health security officer (CHSO). The CHSO would be responsible for the AHC's overall health security and would report to the AHC's chief executive officer or president. The authors describe the role of CHSO in relation to the preparation, response, and recovery phases of public health events necessary for health security. They also propose key duties for this position and encourage institutions to offer training and credentials to facilitate the creation and define the portfolios of CHSO positions at AHCs and beyond.
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Affiliation(s)
- Lauren A Maggio
- L.A. Maggio is professor of medicine and health professions education, Uniformed Services University of the Health Sciences, Bethesda, Maryland; ORCID: http://orcid.org/0000-0002-2997-6133
| | - Carrie L Byington
- C.L. Byington is executive vice president, University of California Health, Oakland, California; ORCID: https://orcid.org/0000-0002-7350-9495
| | - Eric S Toner
- E.S. Toner is senior associate, Center for Health Security, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; ORCID: https://orcid.org/0000-0001-5292-9450
| | - Steven L Kanter
- S.L. Kanter is special advisor to the president and CEO, Association of American Medical Colleges, Washington, DC; ORCID: https://orcid.org/0000-0002-0436-1503
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12
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Emran MGI, Ahmed KT, Khan AS, Rahman L, Momin MH, Das AK, Akter S, Saha M, Banerjee S, Ahmed T, Islam AM. Positive impacts of COVID-19 Lock down in Bangladesh: An online investigation. Heliyon 2023; 9:e20487. [PMID: 37800063 PMCID: PMC10550499 DOI: 10.1016/j.heliyon.2023.e20487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 09/20/2023] [Accepted: 09/26/2023] [Indexed: 10/07/2023] Open
Abstract
Background This research focuses on the positive impacts of the COVID-19 lockdown on society and the environment, despite acknowledging the widespread negative effects of the pandemic and lockdown measures. The research was aimed at pinpointing and evaluating the beneficial results stemming from these measures. Method Data for the study was collected through an online survey distributed via Google forms to adults over the age of 18 across the country. A total of 1230 participants completed the survey, mostly from rural areas (61.7%), providing valuable insights for analysis. The questionnaire encompassed personal, family, and cohesive social data, along with information on the environment and biodiversity. The study utilized structural equation modeling (SEM) and confirmatory factor analysis (CFA) to analyze the data and examine correlations between variables. Results The findings indicated that the COVID-19 lockdown had positive implications for individuals and society, leading to increased health consciousness, improved family relationships, and constructive social attitudes. Moreover, restrictions on access to natural tourist destinations and parks during the lockdown contributed to positive changes in biodiversity. These results highlight the importance of adopting appropriate measures during pandemics to foster personal and social well-being, as well as the preservation of natural environments and biodiversity. Conclusion This study emphasizes the need for further research to promote sustainable living in similar situations. By understanding the data appropriately, individuals can play a constructive role in future pandemics, leading to positive outcomes for both society and the environment.
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Affiliation(s)
- Md Galib Ishraq Emran
- Department of Environmental Sciences, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
| | | | - Al-Shahriar Khan
- Department of Environmental Sciences, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
| | - Labiba Rahman
- Department of Statistics, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
| | - Mehedi Hasan Momin
- Department of Botany, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
| | - Apurba Kumar Das
- Department of Pharmaceutical Sciences, North South University, Bashundhara, Dhaka-1229, Bangladesh
| | - Sadia Akter
- Department of Environmental Sciences, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
| | - Manika Saha
- Former National Nutrition Specialist, Food and Agricultural Organization of the United Nations (FAO) Project, Dhaka, Bangladesh
| | - Sanchita Banerjee
- Department of Microbiology, Jagannath University, Dhaka-1100, Bangladesh
| | - Tania Ahmed
- Department of Pharmacy, Gono Bishwabidyalay, Savar, Dhaka-1344, Bangladesh
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13
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Shukla N, Srivastava N, Gupta R, Srivastava P, Narayan J. COVID Variants, Villain and Victory: A Bioinformatics Perspective. Microorganisms 2023; 11:2039. [PMID: 37630599 PMCID: PMC10459809 DOI: 10.3390/microorganisms11082039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 07/11/2023] [Accepted: 07/11/2023] [Indexed: 08/27/2023] Open
Abstract
The SARS-CoV-2 virus, a novel member of the Coronaviridae family, is responsible for the viral infection known as Coronavirus Disease 2019 (COVID-19). In response to the urgent and critical need for rapid detection, diagnosis, analysis, interpretation, and treatment of COVID-19, a wide variety of bioinformatics tools have been developed. Given the virulence of SARS-CoV-2, it is crucial to explore the pathophysiology of the virus. We intend to examine how bioinformatics, in conjunction with next-generation sequencing techniques, can be leveraged to improve current diagnostic tools and streamline vaccine development for emerging SARS-CoV-2 variants. We also emphasize how bioinformatics, in general, can contribute to critical areas of biomedicine, including clinical diagnostics, SARS-CoV-2 genomic surveillance and its evolution, identification of potential drug targets, and development of therapeutic strategies. Currently, state-of-the-art bioinformatics tools have helped overcome technical obstacles with respect to genomic surveillance and have assisted in rapid detection, diagnosis, and delivering precise treatment to individuals on time.
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Affiliation(s)
- Nityendra Shukla
- CSIR Institute of Genomics and Integrative Biology, Mall Road, Delhi 110007, India; (N.S.); (R.G.)
| | - Neha Srivastava
- Amity Institute of Biotechnology, Amity University, Uttar Pradesh, Lucknow Campus, Lucknow 226010, India; (N.S.); (P.S.)
| | - Rohit Gupta
- CSIR Institute of Genomics and Integrative Biology, Mall Road, Delhi 110007, India; (N.S.); (R.G.)
| | - Prachi Srivastava
- Amity Institute of Biotechnology, Amity University, Uttar Pradesh, Lucknow Campus, Lucknow 226010, India; (N.S.); (P.S.)
| | - Jitendra Narayan
- CSIR Institute of Genomics and Integrative Biology, Mall Road, Delhi 110007, India; (N.S.); (R.G.)
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da Costa Borsatto GJ, Bertelli Ramos M, Mota Telles JP, Nunes Rabelo N, Jacobsen Teixeira M, Gadelha Figueiredo E. Research trends within aneurysmal subarachnoid hemorrhage from 2017 to 2021: a bibliometric study. Neurosurg Rev 2023; 46:165. [PMID: 37405510 DOI: 10.1007/s10143-023-02056-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 05/28/2023] [Accepted: 06/17/2023] [Indexed: 07/06/2023]
Abstract
Bibliometric analyses are a well-established strategy for understanding the dynamics of publications. Aneurysmal subarachnoid hemorrhage (aSAH) is a hot topic in neurology and neurosurgery research. To perform a bibliometric analysis of recent publications within aSAH. Articles addressing aSAH published between 2017 and 2021 were included and had their information extracted from Scopus. A total of 2177 articles were included. The mean number of citations was 6.18 (95%CI = 5.77-6.59). 2021 and 2020 were the most prolific years. World Neurosurgery (N = 389/2,177 articles; 17,87%) was the leading publisher, and American Journal of Neuroradiology had the highest number of citations per article (14.82) among journals with ≥ 10 publications. Primary research (N = 1624/2177) predominated, followed by case reports (N = 434/2,177). Among secondary studies, systematic reviews (N = 78/119) surpassed narrative reviews (N = 41/119). USA led the number of publications (N = 548/2,177 articles; 25.17%), followed by China (N = 358/2,177 articles; 16.44%). High-income countries had a higher number of publications (N = 1624/2177) and more citations per article (6.84) than middle-income countries (N = 553/2177 and 4.25, respectively). There were zero articles from low-income countries. European and North American institutions had the greatest research impact. There was an increase in the number of published articles in the last few years (2020 and 2021). Many studies had a low level of evidence, whereas interventional studies were uncommon.
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Affiliation(s)
| | - Miguel Bertelli Ramos
- Department of Neurosurgery, Hospital Do Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil
| | | | - Nícollas Nunes Rabelo
- Division of Neurosurgery, University of São Paulo, Dr. Eneas de Carvalho Aguiar Avenue, 255, São Paulo, SP, 05403-000, Brazil
| | - Manoel Jacobsen Teixeira
- Division of Neurosurgery, University of São Paulo, Dr. Eneas de Carvalho Aguiar Avenue, 255, São Paulo, SP, 05403-000, Brazil
| | - Eberval Gadelha Figueiredo
- Division of Neurosurgery, University of São Paulo, Dr. Eneas de Carvalho Aguiar Avenue, 255, São Paulo, SP, 05403-000, Brazil.
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Nair AU, Brekke-Riedl JA, DiMaggio-Potter ME, Carosella KA, Lasch C, Brower R, Papke V, Reigstad K, Klimes-Dougan B, Cullen KR. Clinical Trajectories in Adolescents with and without a History of Non-Suicidal Self-Injury: The BRIDGES Longitudinal Study. JOURNAL OF PSYCHIATRY AND BRAIN SCIENCE 2023; 8:e230007. [PMID: 37583447 PMCID: PMC10426765 DOI: 10.20900/jpbs.20230007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Abstract
Background Non-suicidal self-injury (NSSI) is a highly prevalent clinical concern in adolescents and is associated with impaired functioning and suicide risk. The BRIDGES (BRain Imaging Development of Girls' Emotion and Self) study was designed to collect longitudinal clinical and neurobiological data to advance our understanding of NSSI in adolescents. The purpose of this paper is to describe the clinical data collected as part of this study, including psychiatric diagnoses, depression symptoms, episodes of non-suicidal self-injury, suicidal thoughts and behaviors, childhood trauma, and personality domains. Methods The baseline sample included 164 adolescents aged 12-16 assigned female at birth (Mean age = 14.97, SD = 1.20) with NSSI histories ranging from none to severe. Participants and their parent/guardian were invited to provide data at three time points spaced approximately one year apart. Descriptive analyses were conducted to provide estimates of rates and trajectories of clinical data. Results Of the 164 study participants, 75.61% and 57.93% completed the second and third time points, respectively. Visual inspection of the data suggests an overall trend of decreasing severity of psychopathology over time, and adolescents with a history of NSSI appeared to have higher rates of psychopathology than those without. Conclusions This paper describes longitudinal clinical trajectories in adolescents with a range of NSSI histories and presents readers with an overview of the rich, publicly available dataset that we hope will inspire future research to advance the understanding of the neurodevelopmental trajectories associated with NSSI, depression, and suicide risk.
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Affiliation(s)
- Aparna U. Nair
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN 55454, USA
| | - Julia A. Brekke-Riedl
- Medical Scientist Training Program, University of Minnesota, Minneapolis, MN 55455, USA
| | | | | | - Carolyn Lasch
- Institute of Child Development, University of Minnesota, Minneapolis, MN 55455, USA
| | - Rylee Brower
- Department of Psychology, University of Minnesota, Minneapolis, MN 55455, USA
| | - Victoria Papke
- Department of Psychology, University of Minnesota, Minneapolis, MN 55455, USA
| | - Kristina Reigstad
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN 55454, USA
| | | | - Kathryn R. Cullen
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN 55454, USA
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16
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Lu L, Jin Y, Liao R, Chuang YC, Tung TH. English training requirements and associated factors for non-native English-speaking nurses: A critical gap analysis based on the importance-performance method. Heliyon 2023; 9:e16481. [PMID: 37265624 PMCID: PMC10230208 DOI: 10.1016/j.heliyon.2023.e16481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 05/14/2023] [Accepted: 05/17/2023] [Indexed: 06/03/2023] Open
Abstract
Aims and objectives To investigate the English training requirements, priorities, and related factors of non-native English-speaking nurses. Background Few studies have focused on the English training requirements of nurses in non-native English-speaking hospitals, and even fewer applied quantitative methods to analyze their English needs and related factors. Design A total of 397 clinical nurses from a hospital in Zhejiang Province, China, were invited to answer questions from the 17-item English Language Requirement Scale (ELRS-17) through an online questionnaire system from May 7-12, 2021. Methods The importance-performance analysis (IPA) method was used to identify the critical training requirement gaps in the English skills of non-native English-speaking nurses in the case hospital. Results The results of requirements showed that looking up foreign literature, writing medical/nursing academic articles and reports, and attending international medical/nursing academic conferences were the top three English learning purposes for nurses. Critical gap analysis with the IPA method revealed that medical dialogues (e.g., morning shift conversations), speeches (e.g., academic symposia), and everyday talk (e.g., telephoning and greetings) are very important yet inadequately trained skills for nurses at present, while nurses are adequately competent at the important tasks of understanding medical/nursing lectures and courses and oral international academic reports and reading academic articles and reports. Conclusion The results of this study indicate that English training requirements for non-native English-speaking nurses revolve around facilitating contribution to nursing research and conference attendance, while more focus on spoken English is needed. Hospital decision makers can better understand the requirements and current performance of English language training for non-native English-speaking nurses. Furthermore, a suitable training plan and corresponding content can be designed for nurses.
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Affiliation(s)
- Liwei Lu
- The School of Foreign Languages, Taizhou University, Taizhou, China
| | - Yanjun Jin
- Department of Nursing, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, China
| | - Rui Liao
- Business College, Taizhou University, Taizhou, China
| | - Yen-Ching Chuang
- Business College, Taizhou University, Taizhou, China
- Institute of Public Health & Emergency Management, Taizhou University, Taizhou, China
- Key Laboratory of Evidence-based Radiology of Taizhou, Linhai, 317000, Zhejiang, China
| | - Tao-Hsin Tung
- Key Laboratory of Evidence-based Radiology of Taizhou, Linhai, 317000, Zhejiang, China
- Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, China
- Enze Hospital, Taizhou Enze Medical Center (Group), Affilitated to Hangzhou Medical College, Taizhou, Zhejiang, China
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Fonseca ECM, Ferreira LR, Figueiredo PLB, Maia CDSF, Setzer WN, Da Silva JKR. Antidepressant Effects of Essential Oils: A Review of the Past Decade (2012-2022) and Molecular Docking Study of Their Major Chemical Components. Int J Mol Sci 2023; 24:ijms24119244. [PMID: 37298210 DOI: 10.3390/ijms24119244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/19/2023] [Accepted: 04/24/2023] [Indexed: 06/12/2023] Open
Abstract
Depression is a mental disorder that affects more than 300 million people worldwide. The medications available for treatment take a long time to exhibit therapeutic results and present several side effects. Furthermore, there is a decrease in the quality of life of people suffering from this affliction. Essential oils are traditionally used to relieve the symptoms of depression due to the properties of the constituents of these oils to cross the blood-brain barrier acting on depression-related biological receptors associated with reduced toxicity and side effects. In addition, compared to traditional drugs, they have several administration forms. This review provides a comprehensive assessment of studies on plants whose essential oil has exhibit antidepressant activity in the past decade and the mechanism of action of the major components and models tested. An additional in silico study was conducted with the frequent compounds in the composition of these essential oils, providing a molecular approach to the mechanism of action that has been reported in the past decade. This review is valuable for the development of potential antidepressant medications in addition to providing a molecular approach to the antidepressant mechanism of action of the major volatile compounds that have been reported in the past decade.
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Affiliation(s)
- Emily Christie M Fonseca
- Programa de Pós-Graduação em Farmacologia e Bioquímica, Universidade Federal do Pará, Belém 66075-110, Brazil
| | - Lanalice R Ferreira
- Programa de Pós-Graduação em Química, Universidade Federal do Pará, Belém 66075-110, Brazil
| | - Pablo Luis B Figueiredo
- Laboratório de Química dos Produtos Naturais, Centro de Ciências Biológicas e da Saúde, Universidade do Estado do Pará, Belém 66087-662, Brazil
| | - Cristiane do Socorro F Maia
- Programa de Pós-Graduação em Farmacologia e Bioquímica, Universidade Federal do Pará, Belém 66075-110, Brazil
| | | | - Joyce Kelly R Da Silva
- Programa de Pós-Graduação em Farmacologia e Bioquímica, Universidade Federal do Pará, Belém 66075-110, Brazil
- Programa de Pós-Graduação em Química, Universidade Federal do Pará, Belém 66075-110, Brazil
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Bhutkar R, El-Den S, O'Reilly CL, Collins JC. The impact of COVID-19 on clinical research at Australian and New Zealand universities: A qualitative study. Collegian 2023:S1322-7696(23)00049-5. [PMID: 37360918 PMCID: PMC10165013 DOI: 10.1016/j.colegn.2023.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 04/28/2023] [Accepted: 05/03/2023] [Indexed: 06/28/2023]
Abstract
Background The COVID-19 pandemic resulted in the implementation of social distancing measures, travel restrictions, and infection control measures that introduced a myriad of disruptions in the conduct of clinical research worldwide. As a result, many aspects of clinical research were variably impacted. Aim To explore the impact of the first 18 months of the COVID-19 pandemic on clinical research across accredited nursing, pharmacy, and medicine program providers in Australian and New Zealand universities. Methods Representatives from all program providers across Australian and New Zealand universities, with publicly available contact information, were invited to participate in this qualitative study, whereby semi-structured interviews were completed with participants who held senior research or leadership positions within their institution. Interviews were transcribed verbatim and inductively analysed using thematic content analysis. Findings Interviews were conducted with 16 participants between August and October 2021. Two major themes were identified (Immediate Research Impact and Broader Research Impact) with six subthemes: Prioritisation, Continuation, and Dissemination of Research; Modifications to Research; Funding and Changes to Research Focus; Collaboration; Research Workforce; Context-specific Impacts. Discussion The impact on clinical research in Australian and New Zealand universities included changes to data collection methods, a perceived decreased quality of research, changes to collaboration, neglect of basic disease research, and loss of the research workforce. Conclusion This study highlights the impact of the COVID-19 pandemic on clinical research within the Australian and New Zealand university context. Implications of these impacts should be considered to ensure long-term sustainability of research and preparedness for future disruptions.
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Affiliation(s)
- Renu Bhutkar
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, A15, Science Rd, Camperdown, NSW 2006, Australia
| | - Sarira El-Den
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, A15, Science Rd, Camperdown, NSW 2006, Australia
| | - Claire L O'Reilly
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, A15, Science Rd, Camperdown, NSW 2006, Australia
| | - Jack C Collins
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, A15, Science Rd, Camperdown, NSW 2006, Australia
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19
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Steffens D, Pocovi NC, Bartyn J, Delbaere K, Hancock MJ, Koh C, Denehy L, van Schooten KS, Solomon M. Feasibility, Reliability, and Safety of Remote Five Times Sit to Stand Test in Patients with Gastrointestinal Cancer. Cancers (Basel) 2023; 15:cancers15092434. [PMID: 37173899 PMCID: PMC10177509 DOI: 10.3390/cancers15092434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 02/10/2023] [Accepted: 04/20/2023] [Indexed: 05/15/2023] Open
Abstract
Background: To determine the feasibility, reliability, and safety of the remote five times sit to stand test (5STS) test in patients with gastrointestinal cancer. Methods: Consecutive adult patients undergoing surgical treatment for lower gastrointestinal cancer at a major referral hospital in Sydney between July and November 2022 were included. Participants completed the 5STS test both face-to-face and remotely, with the order randomised. Outcomes included measures of feasibility, reliability, and safety. Results: Of fifty-five patients identified, seventeen (30.9%) were not interested, one (1.8%) had no internet coverage, and thirty-seven (67.3%) consented and completed both 5STS tests. The mean (SD) time taken to complete the face-to-face and remote 5STS tests was 9.1 (2.4) and 9.5 (2.3) seconds, respectively. Remote collection by telehealth was feasible, with only two participants (5.4%) having connectivity issues at the start of the remote assessment, but not interfering with the tests. The remote 5STS test showed excellent reliability (ICC = 0.957), with limits of agreement within acceptable ranges and no significant systematic errors observed. No adverse events were observed within either test environment. Conclusions: Remote 5STS for the assessment of functional lower extremity strength in gastrointestinal cancer patients is feasible, reliable, and safe, and can be used in clinical and research settings.
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Affiliation(s)
- Daniel Steffens
- Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
- Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW 2042, Australia
| | - Natasha C Pocovi
- Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
| | - Jenna Bartyn
- Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
- Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW 2042, Australia
| | - Kim Delbaere
- Neuroscience Research Australia, Randwick, Sydney, NSW 2031, Australia
- School of Population Health, University of New South Wales, Kensington, NSW 2052, Australia
| | - Mark J Hancock
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
| | - Cherry Koh
- Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
- Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW 2042, Australia
- Department of Colorectal Surgery, Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
| | - Linda Denehy
- Department of Physiotherapy, Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3010, Australia
- Department of Health Services Research, Allied Health, Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia
| | - Kimberley S van Schooten
- Neuroscience Research Australia, Randwick, Sydney, NSW 2031, Australia
- School of Population Health, University of New South Wales, Kensington, NSW 2052, Australia
| | - Michael Solomon
- Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
- Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW 2042, Australia
- Department of Colorectal Surgery, Royal Prince Alfred Hospital (RPAH), Sydney, NSW 2006, Australia
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20
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He J, Liu X, Lu X, Zhong M, Jia C, Lucero-Prisno DE, Ma ZF, Li H. The impact of COVID-19 on global health journals: an analysis of impact factor and publication trends. BMJ Glob Health 2023; 8:bmjgh-2022-011514. [PMID: 37012001 PMCID: PMC10083532 DOI: 10.1136/bmjgh-2022-011514] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 03/09/2023] [Indexed: 04/05/2023] Open
Abstract
BACKGROUND COVID-19 has affected research productivity across all areas of knowledge. Current evidence suggests that COVID-19 has had a blockbuster effect on journal impact factors (JIFs) and publication trends, while little is known on global health journals. METHODS Twenty global health journals were included to analyse the impact of COVID-19 on their JIFs and publication trends. Indicator data, including numbers of publications, citations, articles with different types, etc, were extracted from journal websites and Web of Science Core Collection database. The JIFs from 2019 to 2021 were simulated for longitudinal and cross-sectional analyses. Interrupted time-series analysis and non-parametric tests were applied to assess whether COVID-19 had decreased non-COVID-19 publications from January 2018 to June 2022. RESULTS In 2020, 615 out of 3223 publications were COVID-19 related, accounting for 19.08%. The simulated JIFs of 17 out of 20 journals in 2021 were higher than those in 2019 and 2020. Notably, 18 out of 20 journals had a decrease in their simulated JIFs after excluding COVID-19-related publications. Moreover, 10 out of 20 journals decreased their monthly numbers of non-COVID-19 publications after the COVID-19 outbreak. For all the 20 journals as a whole, after the COVID-19 outbreak in February 2020, the total number of non-COVID-19 publications significantly decreased by 14.2 compared with the previous month (p=0.013), and since then, on average, the publications had decreased by 0.6 per month until June 2022 (p<0.001). CONCLUSIONS COVID-19 has impacted the structure of COVID-19-related publications, the JIFs of global health journals and their numbers of non-COVID-19 publications. Although journals may benefit from increased JIFs, global health journals should avoid relying on a single metric. More follow-up studies including more years of data with a combination of metrics should be conducted to generate more robust evidence.
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Affiliation(s)
- Jiaxin He
- School of Public Health/Global Health Institute, Wuhan University, Wuhan, China
| | - Xinliang Liu
- School of Public Health/Global Health Institute, Wuhan University, Wuhan, China
- Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Xinyang Lu
- Department of Mathematical Sciences, Lakehead University, Thunder Bay, Ontario, Canada
| | - Meiling Zhong
- School of Public Health/Global Health Institute, Wuhan University, Wuhan, China
| | - Changli Jia
- School of Public Health/Global Health Institute, Wuhan University, Wuhan, China
| | - Don Eliseo Lucero-Prisno
- School of Public Health/Global Health Institute, Wuhan University, Wuhan, China
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK
| | - Zheng Feei Ma
- Centre for Public Health and Wellbeing, School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol, UK
| | - Hao Li
- School of Public Health/Global Health Institute, Wuhan University, Wuhan, China
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21
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Castillo-Suárez LA, Sierra-Sánchez AG, Linares-Hernández I, Martínez-Miranda V, Teutli-Sequeira EA. A critical review of textile industry wastewater: green technologies for the removal of indigo dyes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL SCIENCE AND TECHNOLOGY : IJEST 2023; 20:1-38. [PMID: 37360556 PMCID: PMC10041522 DOI: 10.1007/s13762-023-04810-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 08/22/2022] [Accepted: 01/27/2023] [Indexed: 06/28/2023]
Abstract
The denim textile industry represents an important productive sector. It generates wastewater with low biodegradability due to the presence of persistent pollutants, which can produce toxic and carcinogenic compounds; therefore, wastewater treatment reduces risks to aquatic life and public health. This paper presents a review of 172 papers regarding textile industry wastewater treatment for the removal of contaminants, especially indigo dyes used in the denim industry, in the context of green technologies. The physicochemical characteristics of textile wastewater, its environmental and health impacts, and the permissible limit regulations in different countries were reviewed. Biological, physicochemical and advanced oxidation processes for the removal of indigo dyes were reviewed. The goal of this study was to analyze the characteristics of green technologies; however, the research does not clearly demonstrate an effect on energy consumption savings, carbon footprint decreases, and/or waste generation. Advanced oxidation processes showed the highest color removal efficiency (95 and 97% in synthetic or real wastewater, respectively). Photocatalysis and Fenton reactions were the most efficient processes. None of the revised works presented results regarding upscaling for industrial application, and the results should be discussed in terms of the guidelines and maximum permissible limits established by international legislation. New technologies need to be developed and evaluated in a sustainable context with real wastewater.
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Affiliation(s)
- L. A. Castillo-Suárez
- Cátedras COMECYT. Consejo Mexiquense de Ciencia y Tecnología COMECYT, Paseo Colón Núm.: 112-A, Col. Ciprés, C.P. 50120 Toluca, Estado de México México
- Instituto Interamericano de Tecnología y Ciencias del Agua (IITCA), Universidad Autónoma del Estado de México, Unidad San Cayetano, Km. 14.5, Carretera, Toluca-Atlacomulco, C.P. 50200 Toluca, Estado de México México
| | - A. G. Sierra-Sánchez
- Cátedras COMECYT. Consejo Mexiquense de Ciencia y Tecnología COMECYT, Paseo Colón Núm.: 112-A, Col. Ciprés, C.P. 50120 Toluca, Estado de México México
| | - I. Linares-Hernández
- Cátedras COMECYT. Consejo Mexiquense de Ciencia y Tecnología COMECYT, Paseo Colón Núm.: 112-A, Col. Ciprés, C.P. 50120 Toluca, Estado de México México
| | - V. Martínez-Miranda
- Cátedras COMECYT. Consejo Mexiquense de Ciencia y Tecnología COMECYT, Paseo Colón Núm.: 112-A, Col. Ciprés, C.P. 50120 Toluca, Estado de México México
| | - E. A. Teutli-Sequeira
- Instituto Interamericano de Tecnología y Ciencias del Agua (IITCA), Universidad Autónoma del Estado de México, Unidad San Cayetano, Km. 14.5, Carretera, Toluca-Atlacomulco, C.P. 50200 Toluca, Estado de México México
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22
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Recent advances in non-optical microfluidic platforms for bioparticle detection. Biosens Bioelectron 2023; 222:114944. [PMID: 36470061 DOI: 10.1016/j.bios.2022.114944] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 11/17/2022] [Accepted: 11/22/2022] [Indexed: 12/03/2022]
Abstract
The effective analysis of the basic structure and functional information of bioparticles are of great significance for the early diagnosis of diseases. The synergism between microfluidics and particle manipulation/detection technologies offers enhanced system integration capability and test accuracy for the detection of various bioparticles. Most microfluidic detection platforms are based on optical strategies such as fluorescence, absorbance, and image recognition. Although optical microfluidic platforms have proven their capabilities in the practical clinical detection of bioparticles, shortcomings such as expensive components and whole bulky devices have limited their practicality in the development of point-of-care testing (POCT) systems to be used in remote and underdeveloped areas. Therefore, there is an urgent need to develop cost-effective non-optical microfluidic platforms for bioparticle detection that can act as alternatives to optical counterparts. In this review, we first briefly summarise passive and active methods for bioparticle manipulation in microfluidics. Then, we survey the latest progress in non-optical microfluidic strategies based on electrical, magnetic, and acoustic techniques for bioparticle detection. Finally, a perspective is offered, clarifying challenges faced by current non-optical platforms in developing practical POCT devices and clinical applications.
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23
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Praus P. Empirical relationship between the number of review and research articles. Scientometrics 2023; 128:2201-2209. [PMID: 36818050 PMCID: PMC9919734 DOI: 10.1007/s11192-023-04654-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 02/01/2023] [Indexed: 02/13/2023]
Abstract
In this contribution, an empirical relationship between the number of review and research articles published per year was searched. The simple idea based on proportionality (linearity) between the numbers of both kinds of articles was expressed in terms of a quadratic relationship, in which the quadratic member can reflect negative or positive deviations from the assumed linearity. The quadratic relationship was able to describe beginning periods of research fields as well as their mature phases and to detect the unpredictably high number of review articles. It was verified by the articles published in 20 various research fields taken from the Web of Science during different time spans. Supplementary Information The online version contains supplementary material available at 10.1007/s11192-023-04654-0.
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Affiliation(s)
- Petr Praus
- Department of Chemistry and Physico-Chemical Processes, VSB-Technical University of Ostrava, 17. Listopadu 15, Poruba, 708 00 Ostrava, Czech Republic ,Institute of Environmental Technology, CEET, VSB-Technical University of Ostrava, 17. Listopadu 15, Poruba, 708 00 Ostrava, Czech Republic
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24
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Alamoodi AH, Zaidan BB, Albahri OS, Garfan S, Ahmaro IYY, Mohammed RT, Zaidan AA, Ismail AR, Albahri AS, Momani F, Al-Samarraay MS, Jasim AN, R.Q.Malik. Systematic review of MCDM approach applied to the medical case studies of COVID-19: trends, bibliographic analysis, challenges, motivations, recommendations, and future directions. COMPLEX INTELL SYST 2023; 9:1-27. [PMID: 36777815 PMCID: PMC9895977 DOI: 10.1007/s40747-023-00972-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 01/01/2023] [Indexed: 02/05/2023]
Abstract
When COVID-19 spread in China in December 2019, thousands of studies have focused on this pandemic. Each presents a unique perspective that reflects the pandemic's main scientific disciplines. For example, social scientists are concerned with reducing the psychological impact on the human mental state especially during lockdown periods. Computer scientists focus on establishing fast and accurate computerized tools to assist in diagnosing, preventing, and recovering from the disease. Medical scientists and doctors, or the frontliners, are the main heroes who received, treated, and worked with the millions of cases at the expense of their own health. Some of them have continued to work even at the expense of their lives. All these studies enforce the multidisciplinary work where scientists from different academic disciplines (social, environmental, technological, etc.) join forces to produce research for beneficial outcomes during the crisis. One of the many branches is computer science along with its various technologies, including artificial intelligence, Internet of Things, big data, decision support systems (DSS), and many more. Among the most notable DSS utilization is those related to multicriterion decision making (MCDM), which is applied in various applications and across many contexts, including business, social, technological and medical. Owing to its importance in developing proper decision regimens and prevention strategies with precise judgment, it is deemed a noteworthy topic of extensive exploration, especially in the context of COVID-19-related medical applications. The present study is a comprehensive review of COVID-19-related medical case studies with MCDM using a systematic review protocol. PRISMA methodology is utilized to obtain a final set of (n = 35) articles from four major scientific databases (ScienceDirect, IEEE Xplore, Scopus, and Web of Science). The final set of articles is categorized into taxonomy comprising five groups: (1) diagnosis (n = 6), (2) safety (n = 11), (3) hospital (n = 8), (4) treatment (n = 4), and (5) review (n = 3). A bibliographic analysis is also presented on the basis of annual scientific production, country scientific production, co-occurrence, and co-authorship. A comprehensive discussion is also presented to discuss the main challenges, motivations, and recommendations in using MCDM research in COVID-19-related medial case studies. Lastly, we identify critical research gaps with their corresponding solutions and detailed methodologies to serve as a guide for future directions. In conclusion, MCDM can be utilized in the medical field effectively to optimize the resources and make the best choices particularly during pandemics and natural disasters.
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Affiliation(s)
- A. H. Alamoodi
- Faculty of Computing and Meta-Technology (FKMT), Universiti Pendidikan Sultan Idris (UPSI), Perak, Malaysia
| | - B. B. Zaidan
- Future Technology Research Center, National Yunlin University of Science and Technology, 123 University Road, Section 3, Douliu, Yunlin 64002 Taiwan, ROC
| | - O. S. Albahri
- Computer Techniques Engineering Department, Mazaya University College, Nasiriyah, Iraq
| | - Salem Garfan
- Department of Computing, Faculty of Arts, Computing and Creative Industry, Universiti Pendidikan Sultan Idris, Tanjung Malim, Malaysia
| | - Ibraheem Y. Y. Ahmaro
- Computer Science Department, College of Information Technology, Hebron University, Hebron, Palestine
| | - R. T. Mohammed
- Department of Computing Science, Komar University of Science and Technology (KUST), Sulaymaniyah, Iraq
| | - A. A. Zaidan
- SP Jain School of Global Management, Sydney, Australia
| | - Amelia Ritahani Ismail
- Department of Computer Science, Kulliyyah of Information and Communication Technology, International Islamic University Malaysia, Kuala Lumpur, Malaysia
| | - A. S. Albahri
- Iraqi Commission for Computers and Informatics (ICCI), Baghdad, Iraq
| | - Fayiz Momani
- E-Business and Commerce Department, Faculty of Administrative and Financial Sciences, University of Petra, Amman, 961343 Jordan
| | - Mohammed S. Al-Samarraay
- Department of Computing, Faculty of Arts, Computing and Creative Industry, Universiti Pendidikan Sultan Idris, Tanjung Malim, Malaysia
| | | | - R.Q.Malik
- Medical Intrumentation Techniques Engineering Department, Al-Mustaqbal University College, Babylon, Iraq
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25
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Cluesman SR, Gwadz M, Freeman R, Collins LM, Cleland CM, Wilton L, Hawkins RL, Leonard NR, Silverman E, Maslow CB, Israel K, Ritchie A, Ory S. Exploring behavioral intervention components for African American/Black and Latino persons living with HIV with non-suppressed HIV viral load in the United States: a qualitative study. Int J Equity Health 2023; 22:22. [PMID: 36717920 PMCID: PMC9886533 DOI: 10.1186/s12939-023-01836-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 01/20/2023] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND The persistence of racial/ethnic inequities in rates of engagement along the HIV care continuum signals the need for novel approaches. We developed six behavioral intervention components for use in an optimization trial, grounded in a model that integrates critical race theory, harm reduction, and self-determination theory, designed to address various barriers that African American/Black and Latino persons living with HIV (PLWH) experience to the HIV care continuum. The components were: health education, motivational interviewing sessions, pre-adherence skill building, peer mentorship, focused support groups, and navigation. The present qualitative exploratory study describes participants' perspectives on the components' acceptability, feasibility, and impact. METHODS Participants were African American/Black and Latino PLWH poorly engaged in HIV care and with non-suppressed HIV viral load in New York City. From a larger trial, we randomly selected 46 participants for in-depth semi-structured interviews. Interviews were audio-recorded and transcribed verbatim, and data were analyzed using directed content analysis. Quantitative data on sociodemographic and background characteristics and components' acceptability and feasibility were also collected. RESULTS On average, participants were 49 years old and had lived with HIV for 19 years. Most were cisgender-male and African American/Black. Participants reported a constellation of serious social and structural challenges to HIV management including chronic poverty, unstable housing, and stigma. Across components, a non-judgmental and pressure-free approach and attention to structural and cultural factors were seen as vital to high levels of engagement, but lacking in most medical/social service settings. Prominent aspects of individual components included establishing trust (health education); developing intrinsic motivation, goals, and self-reflection (motivational interviewing sessions); learning/practicing adherence strategies and habits (pre-adherence skill building); reducing social isolation via peer role models (peer mentorship); reflecting on salient goals and common challenges with peers without stigma (focused support groups); and circumventing structural barriers to HIV management with support (navigation). Components were found acceptable and feasible. Findings suggested ways components could be improved. CONCLUSIONS The present study advances research on interventions for African American/Black and Latino PLWH, who experience complex barriers to engagement along the HIV care continuum. Future study of the components is warranted to address racial/ethnic health inequities in HIV.
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Affiliation(s)
- Sabrina R. Cluesman
- grid.137628.90000 0004 1936 8753Intervention Innovations Team Lab (IIT-Lab), New York University Silver School of Social Work, 1 Washington Square North, Room 303, New York, NY 10003 USA
| | - Marya Gwadz
- grid.137628.90000 0004 1936 8753Intervention Innovations Team Lab (IIT-Lab), New York University Silver School of Social Work, 1 Washington Square North, Room 303, New York, NY 10003 USA ,grid.137628.90000 0004 1936 8753Center for Drug Use and HIV Research, School of Global Public Health, New York University, New York, NY USA
| | | | - Linda M. Collins
- grid.137628.90000 0004 1936 8753Center for Drug Use and HIV Research, School of Global Public Health, New York University, New York, NY USA ,grid.137628.90000 0004 1936 8753Department of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY USA
| | - Charles M. Cleland
- grid.137628.90000 0004 1936 8753Center for Drug Use and HIV Research, School of Global Public Health, New York University, New York, NY USA ,grid.137628.90000 0004 1936 8753Department of Population Health, Division of Biostatistics, New York University School of Medicine, New York, NY USA
| | - Leo Wilton
- grid.264260.40000 0001 2164 4508Department of Human Development, State University of New York at Binghamton, Binghamton, NY USA ,grid.412988.e0000 0001 0109 131XFaculty of Humanities, University of Johannesburg, Johannesburg, South Africa
| | - Robert L. Hawkins
- College of Humanities and Social Sciences, North CarolinaState University, Raleigh, NC USA
| | - Noelle R. Leonard
- grid.137628.90000 0004 1936 8753Center for Drug Use and HIV Research, School of Global Public Health, New York University, New York, NY USA ,grid.137628.90000 0004 1936 8753School of Global Public Health, New York University, New York, NY USA
| | - Elizabeth Silverman
- grid.137628.90000 0004 1936 8753Intervention Innovations Team Lab (IIT-Lab), New York University Silver School of Social Work, 1 Washington Square North, Room 303, New York, NY 10003 USA
| | | | - Khadija Israel
- grid.137628.90000 0004 1936 8753Intervention Innovations Team Lab (IIT-Lab), New York University Silver School of Social Work, 1 Washington Square North, Room 303, New York, NY 10003 USA
| | - Amanda Ritchie
- grid.137628.90000 0004 1936 8753Intervention Innovations Team Lab (IIT-Lab), New York University Silver School of Social Work, 1 Washington Square North, Room 303, New York, NY 10003 USA
| | - Sarah Ory
- grid.137628.90000 0004 1936 8753Intervention Innovations Team Lab (IIT-Lab), New York University Silver School of Social Work, 1 Washington Square North, Room 303, New York, NY 10003 USA
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26
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Lerman Ginzburg S, Vazquez-Dodero T, Mason C, Hudda N, Meunier L, Sprague Martínez L, Eliasziw M, Brugge D. Adapting an In-Home Randomized Intervention Trial Protocol for COVID-19 Precautions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1987. [PMID: 36767354 PMCID: PMC9915540 DOI: 10.3390/ijerph20031987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 01/13/2023] [Accepted: 01/19/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The COVID-19 pandemic has significantly impacted the status of clinical trials in the United States, requiring researchers to reconsider their approach to research studies. In light of this, we discuss the changes we made to the protocol of the Home Air Filtration for Traffic-Related Air Pollution (HAFTRAP) study, a randomized crossover trial of air filtration in homes next to a major highway. The senior authors designed the trial prior to the pandemic and included in-person data collection in participants' homes. Because of the pandemic, we delayed the start of our trial in order to revise our study protocol to ensure the health and well-being of participants and staff during home visits. To our knowledge, there have been few reports of attempts to continue in-home research during the pandemic. METHODS When pandemic-related protective measures were imposed in March 2020, we were close to launching our trial. Instead, we postponed recruitment, set a new goal of starting in September 2020, and spent the summer of 2020 revising our protocol by developing increased safety precautions. We reviewed alternative approaches to installing portable air filtration units in study participants' homes, in order to reduce or eliminate entry into homes. We also developed a COVID-19 safety plan that covered precautionary measures taken to protect both field team staff and study participants. RESULTS Our primary approach was to minimize contact with participants when collecting the following measures in their homes: (1) placing portable air filtration units; (2) conducting indoor air quality monitoring; (3) obtaining blood samples and blood pressure measurements; and (4) administering screening, consent, and follow-up questionnaires that coincided with collection of biological measures. Adapting our public health trial resulted in delays, but also helped ensure ethical and safe research practices. Perceived risk of COVID-19 infection appeared to have been the primary factor for an individual in deciding whether or not to participate in our trial, particularly at the beginning of the pandemic, when less was known about COVID-19. CONCLUSIONS We needed to be flexible, creative, and calm when collaborating with community members, the IRB, and the universities, while repeatedly adjusting to changing guidelines as we determined what worked and what did not for in-home data collection. We learned that high-quality air monitoring data could be collected with minimal in-person contact and without compromising the integrity of the trial. Furthermore, we were able to collect blood pressure and phlebotomy data with minimal risk to the participant.
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Affiliation(s)
- Shir Lerman Ginzburg
- Department of Public Health, School of Arts and Sciences, MCPHS University, Boston, MA 02115, USA
| | - Teresa Vazquez-Dodero
- Department of Public Health Sciences, University of Connecticut Health Center, Farmington, CT 06030, USA
| | - Chermaine Mason
- Department of Public Health Sciences, University of Connecticut Health Center, Farmington, CT 06030, USA
| | - Neelakshi Hudda
- Department of Civil and Environmental Engineering, Tufts University, Medford, MA 02476, USA
| | - Leigh Meunier
- Department of Public Health Sciences, University of Connecticut Health Center, Farmington, CT 06030, USA
| | | | - Misha Eliasziw
- Department of Public Health and Community Medicine, Tufts University, Boston, MA 02111, USA
| | - Doug Brugge
- Department of Public Health Sciences, University of Connecticut Health Center, Farmington, CT 06030, USA
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27
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Continued impact of COVID-19 pandemic on clinical and translational science early-career researchers. J Clin Transl Sci 2023; 7:e7. [PMID: 36755533 PMCID: PMC9879910 DOI: 10.1017/cts.2022.511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 11/13/2022] [Accepted: 11/18/2022] [Indexed: 12/12/2022] Open
Abstract
The COVID-19 pandemic had an immediate impact on the lives and work of early-career researchers. We leveraged a cluster-randomized trial and compared survey data collected over two timepoints to explore whether these impacts persisted. Although more than a year had passed, 74% of participants reported that their research was affected in multiple ways in both 2020 and 2021. These data suggest that the effects of the pandemic on early-career researchers may be prolonged. Our findings additionally serve as an impetus to identify and implement solutions to early-career challenges that undoubtedly existed before the pandemic, but which COVID-19 brought into the spotlight.
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Sarkar S, Bijoy BS, Saba SJ, Feng D, Mahajan Y, Amin MR, Islam SR, (“Santu”) SKK. Ad-Hoc Monitoring of COVID-19 Global Research Trends for Well-Informed Policy Making. ACM T INTEL SYST TEC 2022. [DOI: 10.1145/3576901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The COVID-19 pandemic has affected millions of people worldwide with severe health, economic, social, and political implications. Healthcare Policy Makers (HPM) and medical experts are at the core of responding to this continuously evolving pandemic situation and are working hard to restrain the spread and severity of this relatively unknown virus. Biomedical researchers are continually discovering new information about this virus and communicating the findings through scientific articles. As such, it is crucial for HPM and funding agencies to monitor the COVID-19 research trend globally on a regular basis. However, given the influx of biomedical research articles, monitoring COVID-19 research trends has become more challenging than ever, especially when HPMs want on-demand guided search techniques with a set of topics of interest in their minds. Unfortunately, existing topic trend modeling techniques are unable to serve this purpose as 1) Traditional topic models are unsupervised, and 2) HPMs in different regions may have different topics of interest that they want to track.
To address this problem, we introduce a novel computational task in this paper called
Ad-Hoc Topic Tracking
, which is essentially a combination of
zero-shot
topic categorization and the Spatio-temporal analysis task. We then propose multiple
zero-shot
classification methods to solve this task by extending upon the state-of-the-art language understanding techniques. Next, we picked the best-performing method based on its accuracy on a separate validation data set and then applied it to a corpus of recent biomedical research articles to track Covid-19 research endeavors across the globe using a Spatio-Temporal analysis. A demo website has also been developed for HPMs to create custom Spatio-Temporal visualizations of COVID-19 research trends. The research outcomes demonstrate that the proposed
zero-shot
classification methods can potentially facilitate further research on this important subject matter, and at the same time, the Spatio-temporal visualization tool will greatly assist HPMs and funding agencies in making well-informed policy decisions for advancing scientific research efforts.
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Bottomley MJ, Beckwith H, McMahon A, Nation M, Wheeler DC, Greenwood S, Hughes J, Sheerin NS. Research engagement by British early-career practitioners in nephrology: a multidisciplinary survey. BMJ Open 2022; 12:e066212. [PMID: 36517087 PMCID: PMC9756169 DOI: 10.1136/bmjopen-2022-066212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVES To establish barriers and motivators underlying research engagement among early-career practitioners in nephrology across the UK, in order to guide potential interventions to enhance research involvement in renal units. DESIGN Cross-sectional online survey employing a range of free-text, Likert scale and binomial/multiple-choice responses, distributed via mailing lists and social media. Topics covered research experience, research involvement and barriers, impact of COVID-19 and strategies to improve research engagement. Thematic analysis was used to assess free-text responses. SETTING Renal units throughout the UK. PARTICIPANTS Non-consultant healthcare staff self-identifying as working in nephrology were included (n=211), with responses from non-UK respondents or consultant nephrologists excluded (n=12). RESULTS Responses were received from across the multidisciplinary team (physicians (n=83) and nurses (n=83)) and other allied health professionals (n=45). Most were aware of ongoing local research, but under half of them were actively involved. Multivariate analysis indicated employment as a physician, protected time for research activity and provision of appropriate training were associated with greater research experience and output. There was general enthusiasm to undertake research, but perceived barriers included insufficient staffing, lack of time, funding and encouragement. COVID-19 was felt to have further impacted negatively upon opportunities. Among the suggested strategies to promote engagement, mentorship and an online research resource were felt to be of most interest. CONCLUSIONS In the first survey of this type in nephrology, we demonstrate differences across the multidisciplinary spectrum in perceived research experience and accessibility, which have been worsened by COVID-19. Our findings will guide strategies to broaden engagement in early-career practitioners and serve as a baseline to assess the impact of these interventions.
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Affiliation(s)
- Matthew J Bottomley
- UK Kidney Research Consortium, London, UK
- Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK
| | - Hannah Beckwith
- UK Kidney Research Consortium, London, UK
- Renal and Transplant Centre, Imperial College London, London, UK
| | - Aisling McMahon
- UK Kidney Research Consortium, London, UK
- Kidney Research UK, Peterborough, UK
| | - Michael Nation
- UK Kidney Research Consortium, London, UK
- Kidney Research UK, Peterborough, UK
| | - David C Wheeler
- UK Kidney Research Consortium, London, UK
- Department of Renal Medicine, University College London, London, UK
| | - Sharlene Greenwood
- UK Kidney Research Consortium, London, UK
- Departments of Renal Medicine and Physiotherapy, King's College Hospital, London, UK
| | - Jeremy Hughes
- UK Kidney Research Consortium, London, UK
- MRC Centre for Inflammation Research, University of Edinburgh, Edinburgh, UK
| | - Neil S Sheerin
- UK Kidney Research Consortium, London, UK
- Institute of Cellular Medicine, University of Newcastle upon Tyne, Newcastle upon Tyne, UK
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30
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Stogiannos N, Skelton E, Rogers C, Sharma M, Papathanasiou S, Venter RVD, Nugent B, Francis JM, Walton L, Sullivan CO, Abdurakman E, Mannion L, Thorne R, Malamateniou C. Leadership and resilience in adversity: The impact of COVID-19 on radiography researchers and ways forward. J Med Imaging Radiat Sci 2022; 53:S47-S52. [PMID: 36266172 PMCID: PMC9482835 DOI: 10.1016/j.jmir.2022.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 08/07/2022] [Accepted: 09/13/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Nikolaos Stogiannos
- Division of Midwifery and Radiography, City, University of London, UK,Discipline of Medical Imaging & Radiation Therapy, University College Cork, Ireland,Medical Imaging Department, Corfu General Hospital, Greece,Corresponding author
| | - Emily Skelton
- Division of Midwifery and Radiography, City, University of London, UK,Department of Perinatal Imaging and Health, King's College London, UK
| | | | - Meera Sharma
- Division of Midwifery and Radiography, City, University of London, UK
| | | | - Riaan van de Venter
- Division of Midwifery and Radiography, City, University of London, UK,Department of Radiography, School of Clinical Care Sciences, Faculty of Health Sciences, Nelson Mandela University, South Africa
| | - Barbara Nugent
- Division of Midwifery and Radiography, City, University of London, UK,MRI Safety Matters organisation
| | - Jane M Francis
- Division of Midwifery and Radiography, City, University of London, UK
| | - Lucy Walton
- Division of Midwifery and Radiography, City, University of London, UK
| | - Chris O Sullivan
- Division of Midwifery and Radiography, City, University of London, UK
| | - Edwin Abdurakman
- School of Allied Health Sciences, De Montfort University, Leicester, UK
| | - Liam Mannion
- Division of Midwifery and Radiography, City, University of London, UK
| | - Richard Thorne
- Division of Midwifery and Radiography, City, University of London, UK
| | - Christina Malamateniou
- Division of Midwifery and Radiography, City, University of London, UK,School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland
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White GE, Proulx CN, Morone NE, Thakar MS, Murrell AJ, Althouse AD, Rubio DM. A Mixed-Methods Analysis of Gender and Career Status Differences in the Impact of the COVID-19 Pandemic on Underrepresented Postdoctoral Fellows and Early-Career Faculty. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:1824-1831. [PMID: 36449920 PMCID: PMC9696762 DOI: 10.1097/acm.0000000000004948] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
PURPOSE The lack of racial and ethnic diversity in the biomedical workforce is pronounced and those from underrepresented backgrounds encounter more challenges than their majority counterparts. The extent of the impact of the COVID-19 pandemic on early-career investigators from underrepresented backgrounds is not yet fully understood. To examine the impact of the pandemic on underrepresented early-career biomedical researchers, this study evaluated differences in productivity, research, and psychological well-being by gender and career status. METHOD This was a cross-sectional analysis of preintervention data, collected in September-October 2020, from 220 participants enrolled in the Building Up a Diverse Biomedical Research Workforce study. Participants were from 25 academic medical centers in the United States and were underrepresented early-career researchers. The primary outcomes were agreement on a 5-point Likert scale with pandemic impact statements (e.g., "The COVID-19 pandemic has impacted my ability to conduct research"). Thematic analysis was conducted on responses to 2 open-ended questions assessing the pandemic's impact. RESULTS Most participants were female (79.9%), of non-Hispanic/Latinx/Spanish origin Black/African American (33.2%) or Hispanic/Latinx/Spanish origin (34.1%), and early-career faculty (53.4%). Over half of participants agreed or strongly agreed that the COVID-19 pandemic impacted their ability to work (55.7%) and conduct research (70.7%). Themes from qualitative analysis suggested lower research productivity, concerns about the academic job market and funding, and psychological distress due to the pandemic. Women were more likely to attribute lost productivity and psychological distress to homeschooling and childcare responsibilities. Postdoctoral fellows were concerned about more competition for fewer academic positions. CONCLUSIONS In this study of early-career underrepresented biomedical researchers, the impact of the COVID-19 pandemic was widely felt by participants, varying by gender and career status. For those postdoctoral fellows and early-career faculty who are underrepresented, it is critical for institutions to offer flexibility in their positions.
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Affiliation(s)
- Gretchen E. White
- G.E. White is assistant professor, Institute for Clinical Research Education, University of Pittsburgh Schools of the Health Sciences, Pittsburgh, Pennsylvania
| | - Chelsea N. Proulx
- C.N. Proulx is research and evaluation specialist, Institute for Clinical Research Education, University of Pittsburgh Schools of the Health Sciences, Pittsburgh, Pennsylvania
| | - Natalia E. Morone
- N.E. Morone is associate professor, General Internal Medicine, Boston University School of Medicine, and Boston Medical Center, Boston, Massachusetts
| | - Maya S. Thakar
- M.S. Thakar is a graduate student researcher, Institute for Clinical Research Education, University of Pittsburgh Schools of the Health Sciences, Pittsburgh, Pennsylvania
| | - Audrey J. Murrell
- A.J. Murrell is professor, College of Business Administration, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Andrew D. Althouse
- A.D. Althouse is assistant professor, Center for Clinical Trials and Data Coordination, Department of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Doris M. Rubio
- D.M. Rubio is professor, Institute for Clinical Research Education, University of Pittsburgh Schools of the Health Sciences, Pittsburgh, Pennsylvania
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32
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Razzaque MS, Jaser SKK, Prado RCR, Freeberg KA, Ludwig KR, Craighead DH, Rossman MJ, Bhagat A, Bock JM, Wiggins CC, Senefeld JW, Wedig IJ, Elmer SJ, Kamm K. Commentaries on Viewpoint: COVID-19 controls causing a kerfuffle. J Appl Physiol (1985) 2022; 133:1222-1225. [PMID: 36342809 PMCID: PMC9665955 DOI: 10.1152/japplphysiol.00536.2022] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Mohammed S. Razzaque
- Department of Pathology, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, United States
| | | | | | - Kaitlin A. Freeberg
- Department of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, United States
| | - Katelyn R. Ludwig
- Department of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, United States
| | - Daniel H. Craighead
- Department of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, United States
| | - Matthew J. Rossman
- Department of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, United States
| | - Anumeha Bhagat
- Department of Physiology, Government Medical College and Hospital, Chandigarh, India
| | - Joshua M. Bock
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, United States
| | - Chad C. Wiggins
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, United States
| | - Jonathon W. Senefeld
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, United States
| | - Isaac J. Wedig
- Department of Kinesiology and Integrative Physiology, Michigan Technological University, Houghton, Michigan, United States,Health Research Institute, Michigan Technological University, Houghton, Michigan, United States
| | - Steven J. Elmer
- Department of Kinesiology and Integrative Physiology, Michigan Technological University, Houghton, Michigan, United States,Health Research Institute, Michigan Technological University, Houghton, Michigan, United States
| | - Kelly Kamm
- Department of Kinesiology and Integrative Physiology, Michigan Technological University, Houghton, Michigan, United States,Health Research Institute, Michigan Technological University, Houghton, Michigan, United States
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Lavadi RS, Bozkurt I, Harikar MM, Umana GE, Chaurasia B. The Role of Social Media on the Research Productivity of Neurosurgeons During the COVID-19 Pandemic. World Neurosurg 2022; 167:e1419-e1425. [PMID: 36122854 PMCID: PMC9479383 DOI: 10.1016/j.wneu.2022.09.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 09/11/2022] [Accepted: 09/12/2022] [Indexed: 11/08/2022]
Abstract
BACKGROUND The COVID-19 pandemic committees of all countries restricted face-to-face interactions. This study aimed to determine how the pandemic changed the research output for many neurosurgeons while highlighting how social media may have been used as a contactless platform to maintain research productivity during these times. METHODS A cross-sectional, descriptive, 24-item, and non-randomized online survey was applied worldwide, and shared using social media platforms and emails. The questions mainly focused on comparing the results of the pre-pandemic period to the pandemic period (after March 2020). RESULTS A total of 202 respondents from 60 different countries responded to the survey. Interest in neurosurgical education increased from 24% to 76%, while the topic of epidemiology gained interest from 28% to 72% when the pre-pandemic era was compared to the pandemic era. Preference for prospective studies decreased from 66% to 34%, while interest in retrospective studies increased from 39% to 61%. In evaluating publication types, the preference for reviews increased from 36% to 64%. Sixty-two percent of the respondents stated they had concerns over delays in individual contributions/lack of accountability. These concerns were followed by problems with theft of intellectual property/data and authorship disputes. Forty-one percent believed that the support of extra hands on a load-heavy project was the most powerful benefit of social media collaboration. Those who reported increased publications during the pandemic were also more likely to collaborate using social media (P = 0.030). CONCLUSIONS During the pandemic, social media collaborations helped increase research output for neurosurgeons.
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Affiliation(s)
- Raj Swaroop Lavadi
- Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA.
| | - Ismail Bozkurt
- Department of Neurosurgery, Cankiri State Hospital, Cankiri, Turkey
| | | | - Giuseppe Emmanuele Umana
- Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Catania, Italy
| | - Bipin Chaurasia
- Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal
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34
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The effect of sub-epidermal moisture on pressure injury prevention strategies and incidence of pressure injuries: A feasibility pilot randomised controlled trial. J Tissue Viability 2022; 31:776-782. [PMID: 35934637 DOI: 10.1016/j.jtv.2022.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 07/20/2022] [Accepted: 07/21/2022] [Indexed: 11/21/2022]
Abstract
AIM Sub-epidermal moisture scanning (SEMS) is a novel point-of-care technology that measures localised oedema and detects early tissue damage that may develop into a pressure injury (PI). It provides objective data that may assist PI prevention (PIP) decision making. This study aimed to determine the feasibility of undertaking a definitive randomised controlled trial (RCT) to test the effectiveness of SEMS. MATERIALS AND METHODS This pilot RCT recruited medical and surgical patients at risk of developing a PI in one Australian hospital. All participants received routine PIP care and daily visual skin assessment to determine the presence of a PI. The intervention group also received daily SEMS. Clinical staff were told if the sub-epidermal moisture (SEM) value was abnormal but were not given advice for PIP. Blinding of patients, care staff and outcome assessors was not practical. Feasibility outcomes included recruitment, retention, intervention fidelity, and patient outcomes. RESULTS Of 1185 patients screened prior to eligibility, 950 were excluded (80%); 235 were then assessed for eligibility and 160 met the inclusion criteria (68.1%); 100 were recruited (70.0%) and randomised and 99 completed the trial (intervention n = 50; control n = 49) with one person withdrawn due to inappropriate recruitment (100% retention). Of the 657 expected SEMS observations, 598 were completed (91% intervention fidelity). Only 34 of 454 (7.4%) patient outcome data points were missing. CONCLUSIONS Most feasibility criteria were met, indicating a definitive trial to assess the effectiveness of SEMS in a medical-surgical patient population is realistic. However, recruitment may be resource intensive and require specific strategies.
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Dron L, Kalatharan V, Gupta A, Haggstrom J, Zariffa N, Morris AD, Arora P, Park J. Data capture and sharing in the COVID-19 pandemic: a cause for concern. Lancet Digit Health 2022; 4:e748-e756. [PMID: 36150783 PMCID: PMC9489064 DOI: 10.1016/s2589-7500(22)00147-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 07/08/2022] [Accepted: 07/13/2022] [Indexed: 12/25/2022]
Abstract
Routine health care and research have been profoundly influenced by digital-health technologies. These technologies range from primary data collection in electronic health records (EHRs) and administrative claims to web-based artificial-intelligence-driven analyses. There has been increased use of such health technologies during the COVID-19 pandemic, driven in part by the availability of these data. In some cases, this has resulted in profound and potentially long-lasting positive effects on medical research and routine health-care delivery. In other cases, high profile shortcomings have been evident, potentially attenuating the effect of-or representing a decreased appetite for-digital-health transformation. In this Series paper, we provide an overview of how facets of health technologies in routinely collected medical data (including EHRs and digital data sharing) have been used for COVID-19 research and tracking, and how these technologies might influence future pandemics and health-care research. We explore the strengths and weaknesses of digital-health research during the COVID-19 pandemic and discuss how learnings from COVID-19 might translate into new approaches in a post-pandemic era.
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Affiliation(s)
- Louis Dron
- Real World & Advanced Analytics, Cytel Health, Vancouver, BC, Canada,Correspondence to: Mr Louis Dron, Real World & Advanced Analytics, Cytel Health, Vancouver, BC V5Z 4J7, Canada
| | - Vinusha Kalatharan
- Department of Epidemiology and Biostatistics, Western University, London, ON, Canada
| | - Alind Gupta
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Jonas Haggstrom
- Real World & Advanced Analytics, Cytel Health, Vancouver, BC, Canada,The International COVID-19 Data Alliance (ICODA), Health Data Research UK, London, UK
| | - Nevine Zariffa
- The International COVID-19 Data Alliance (ICODA), Health Data Research UK, London, UK,NMD Group, LLC, Bala Cynwyd, PA, USA
| | - Andrew D Morris
- The International COVID-19 Data Alliance (ICODA), Health Data Research UK, London, UK
| | - Paul Arora
- Real World & Advanced Analytics, Cytel Health, Vancouver, BC, Canada,Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Jay Park
- Department of Experimental Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada,Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
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Peng L, Wang C, Tian G, Liu G, Li G, Lu Y, Yang J, Chen M, Li Z. Analysis of CT scan images for COVID-19 pneumonia based on a deep ensemble framework with DenseNet, Swin transformer, and RegNet. Front Microbiol 2022; 13:995323. [PMID: 36212877 PMCID: PMC9539545 DOI: 10.3389/fmicb.2022.995323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 08/22/2022] [Indexed: 12/15/2022] Open
Abstract
COVID-19 has caused enormous challenges to global economy and public health. The identification of patients with the COVID-19 infection by CT scan images helps prevent its pandemic. Manual screening COVID-19-related CT images spends a lot of time and resources. Artificial intelligence techniques including deep learning can effectively aid doctors and medical workers to screen the COVID-19 patients. In this study, we developed an ensemble deep learning framework, DeepDSR, by combining DenseNet, Swin transformer, and RegNet for COVID-19 image identification. First, we integrate three available COVID-19-related CT image datasets to one larger dataset. Second, we pretrain weights of DenseNet, Swin Transformer, and RegNet on the ImageNet dataset based on transformer learning. Third, we continue to train DenseNet, Swin Transformer, and RegNet on the integrated larger image dataset. Finally, the classification results are obtained by integrating results from the above three models and the soft voting approach. The proposed DeepDSR model is compared to three state-of-the-art deep learning models (EfficientNetV2, ResNet, and Vision transformer) and three individual models (DenseNet, Swin transformer, and RegNet) for binary classification and three-classification problems. The results show that DeepDSR computes the best precision of 0.9833, recall of 0.9895, accuracy of 0.9894, F1-score of 0.9864, AUC of 0.9991 and AUPR of 0.9986 under binary classification problem, and significantly outperforms other methods. Furthermore, DeepDSR obtains the best precision of 0.9740, recall of 0.9653, accuracy of 0.9737, and F1-score of 0.9695 under three-classification problem, further suggesting its powerful image identification ability. We anticipate that the proposed DeepDSR framework contributes to the diagnosis of COVID-19.
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Affiliation(s)
- Lihong Peng
- School of Computer Science, Hunan University of Technology, Zhuzhou, China
- College of Life Sciences and Chemistry, Hunan University of Technology, Zhuzhou, China
| | - Chang Wang
- School of Computer Science, Hunan University of Technology, Zhuzhou, China
| | - Geng Tian
- Geneis (Beijing) Co., Ltd., Beijing, China
| | - Guangyi Liu
- School of Computer Science, Hunan University of Technology, Zhuzhou, China
| | - Gan Li
- School of Computer Science, Hunan University of Technology, Zhuzhou, China
| | - Yuankang Lu
- School of Computer Science, Hunan University of Technology, Zhuzhou, China
| | | | - Min Chen
- School of Computer Science, Hunan Institute of Technology, Hengyang, China
- *Correspondence: Min Chen, ; Zejun Li,
| | - Zejun Li
- School of Computer Science, Hunan Institute of Technology, Hengyang, China
- *Correspondence: Min Chen, ; Zejun Li,
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37
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Mularczyk-Tomczewska P, Zarnowski A, Gujski M, Jankowski M, Bojar I, Wdowiak A, Krakowiak J. Barriers to accessing health services during the COVID-19 pandemic in Poland: A nationwide cross-sectional survey among 109,928 adults in Poland. Front Public Health 2022; 10:986996. [PMID: 36159267 PMCID: PMC9495711 DOI: 10.3389/fpubh.2022.986996] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 08/22/2022] [Indexed: 01/26/2023] Open
Abstract
Introduction The COVID-19 pandemic has significant socio-economic implications for numerous industries, including healthcare. Disruptions of essential health services were reported by nearly all countries around the world. A detailed assessment of the healthcare uptake is necessary to estimate the potential health effects of the COVID-19 pandemic on the population. This study aimed to assess the prevalence of barriers to accessing health services during the COVID-19 pandemic in Poland as well as to identify factors associated with the disturbed access to healthcare during the pandemic. Methods This cross-sectional survey was carried out among Internet users in Poland using the computer-assisted web interview technique. Data were collected between October and December 2021. The questionnaire included 32 questions on sociodemographic characteristics, the COVID-19 pandemic, health status, daily habits as well as the use of healthcare during the COVID-19 pandemic. Results Data were obtained from 102928 adults, the mean age was 48.0 ± 14.2 years, and 57.2% were females. Most of the respondents had visited a doctor during the past 12 months (70.4%). Almost half of adults in Poland (49.7%) reported barriers to access health services in the past 12 months. Out of 51,105 respondents who had experienced barriers to accessing health services during the COVID-19 pandemic, only 54.3% had visited a doctor in the past 12 months. Long waiting time (39.5%) and temporary closure of healthcare facilities/transformation into a COVID-19 dedicated center (28.8%) were the most common barriers indicated by the respondents. In multivariable logistic regression, female gender, age 18-49 years, lack of higher education, living in cities between 51,000 and 200,000 residents or above 500,000 residents, and having at least one chronic disease were significantly (p < 0.05) associated with higher odds of experiencing barriers to accessing health services during the COVID-19 pandemic. Conclusions This study confirmed that the COVID-19 pandemic has worsened access to health services in Poland. During the pandemic, new barriers to accessing health services, such as the temporary closure of healthcare facilities for non-COVID patients were revealed. Findings from this study provided patients' perspectives on barriers to accessing health services in Poland that may be used by policymakers to reduce health inequalities.
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Affiliation(s)
| | - Adam Zarnowski
- Department of Public Health, Medical University of Warsaw, Warsaw, Poland
| | - Mariusz Gujski
- Department of Public Health, Medical University of Warsaw, Warsaw, Poland
| | - Mateusz Jankowski
- School of Public Health, Center of Postgraduate Medical Education, Warsaw, Poland,*Correspondence: Mateusz Jankowski
| | - Iwona Bojar
- Department of Women's Health, Institute of Rural Health in Lublin, Lublin, Poland
| | - Artur Wdowiak
- Chair of Obstetrics and Gynecology, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Jan Krakowiak
- Department of Social Medicine, Medical University of Lodz, Lodz, Poland
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Chavda VP, Sonak SS, Munshi NK, Dhamade PN. Pseudoscience and fraudulent products for COVID-19 management. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:62887-62912. [PMID: 35836045 PMCID: PMC9282830 DOI: 10.1007/s11356-022-21967-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 07/07/2022] [Indexed: 05/13/2023]
Abstract
As of now, the COVID-19 pandemic has become uncontrolled and is spreading widely throughout the world. Additionally, new variants of the mutated viral variants have been found in some countries that are more dangerous than the original strain. Even vaccines cannot produce complete protective immunity against the newer strains of SARS-CoV-2. Due to such a dreadful situation, lots of fear and depression have been created among the public. People are looking for the treatment of the disease at any cost and there is a race in the market to provide treatment and make money, whether it is effective or not! In such a condition, many fraud products, remedies, and myths have come into the market, which is falsely claimed to be effective for the disease and can harm the patients. Hence, FDA has banned such products and remedies. In this review, we have compiled all such fraudulent and pseudosciences identified for COVID-19. Currently, in the pandemic time, health agencies are approving the repurposed medicines based on the small-scale clinical data for emergency uses that become ineffective (most of the cases) after large randomized clinical studies. Proper vigilance strategies need to be defined by the regulatory agencies of the nation and routine awareness programs shall be arranged for educating the people and healthcare workers on routine updates.
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Affiliation(s)
- Vivek P Chavda
- Department of Pharmaceutics and Pharmaceutical Technology, L.M. College of Pharmacy, Navrangpura, Ahmedabad, 380009, Gujarat, India.
| | - Shreya S Sonak
- Department of Pharmaceutical Chemistry, Bharati Vidyapeeth's Poona College of Pharmacy, Pune, 411038, Maharashtra, India
| | - Nafesa K Munshi
- Department of Pharmaceutical Chemistry, Bharati Vidyapeeth's Poona College of Pharmacy, Pune, 411038, Maharashtra, India
| | - Pooja N Dhamade
- Department of Pharmaceutical Chemistry, Bharati Vidyapeeth's Poona College of Pharmacy, Pune, 411038, Maharashtra, India
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Spoelstra SL, Schueller M, Basso V, Sikorskii A. Results of a multi-site pragmatic hybrid type 3 cluster randomized trial comparing level of facilitation while implementing an intervention in community-dwelling disabled and older adults in a Medicaid waiver. Implement Sci 2022; 17:57. [PMID: 36028873 PMCID: PMC9419328 DOI: 10.1186/s13012-022-01232-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 08/14/2022] [Indexed: 01/28/2023] Open
Abstract
Background Evidence-based interventions that optimize physical function for disabled and older adults living in the community who have difficulty with daily living tasks are available. However, uptake has been limited, particularly in resource-constrained (Medicaid) settings. Facilitation may be an effective implementation strategy. This study’s aim was to compare internal facilitation (IF) versus IF and external facilitation (EF) on adoption and sustainability of an intervention in a Medicaid home and community-based waiver. Methods In a hybrid type 3 trial, waiver sites (N = 18) were randomly assigned to implement the intervention using a bundle of strategies with either IF or IF and EF. Adoption and sustainability were assessed via Stages of Implementation Completion (SIC) for each site. Clinician attitudes toward evidence-based practice and self-efficacy were evaluated among 539 registered nurses, social workers, and occupational therapists. Medicaid beneficiary outcomes of activities of daily living, depression, pain, falls, emergency department visits, and hospitalizations were evaluated in a sample of N = 7030 as reflected by electronic health records data of the Medicaid waiver program. Linear mixed-effects models were used to compare outcomes between trial arms while accounting for cluster-randomized design. Results The mean SIC scores were 72.22 (standard deviation [SD] = 16.98) in the IF arm (9 sites) and 61.33 (SD = 19.29) in the IF + EF arm (9 sites). The difference was not statistically significant but corresponded to the medium clinically important effect size Cohen’s d = 0.60. Clinician implementation outcomes of attitudes and self-efficacy did not differ by trial arm. Beneficiary depression was reduced significantly in the IF + EF arm compared to the IF arm (p = .04, 95% confidence interval for the difference [0.01, 0.24]). No differences between trial arms were found for other beneficiary outcomes. Conclusions Level of facilitation did not enhance capacity for adoption and sustainability of an evidence-based intervention in a Medicaid setting that cares for disabled and older adults. Improved beneficiary depression favored use of IF and EF compared to IF alone, and no differences were found for other outcomes. These findings also suggest level of facilitation may not have impacted beneficiary outcomes. Trial registration ClinicalTrials.gov, NCT03634033; date registered August 16, 2018. Supplementary Information The online version contains supplementary material available at 10.1186/s13012-022-01232-5.
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Affiliation(s)
- Sandra L Spoelstra
- Kirkhof College of Nursing, Grand Valley State University, 301 Michigan St, Room C352, Grand Rapids, MI, 49504, USA.
| | - Monica Schueller
- Kirkhof College of Nursing, Grand Valley State University, 301 Michigan St, Room C352, Grand Rapids, MI, 49504, USA
| | - Viktoria Basso
- Statistics Department, Grand Valley State University, Grand Rapids, USA
| | - Alla Sikorskii
- Department of Psychiatry, Michigan State University, East Lansing, USA
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Pritha A, Medha TN, Garg RK. A Comprehensive Investigation of the Current Subacute Sclerosing Panencephalitis (SSPE) Treatment Options to Improve Patient Quality of Life. Cureus 2022; 14:e28389. [PMID: 36171840 PMCID: PMC9508860 DOI: 10.7759/cureus.28389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2022] [Indexed: 11/13/2022] Open
Abstract
Subacute sclerosing panencephalitis (SSPE) is a progressive, disabling, and deadly neurological disorder related to measles (rubeola) infection occurring primarily in children. The slow but persistent viral infection occurs in children or young adults and affects their central nervous system (CNS). There have been plenty of reports on SSPE throughout the world, but it is considered a rare disease in developed countries. This research focuses on comparing the current treatments available to prolong the life of patients for over three years after the onset of SSPE. The goal was to identify possible patterns or trends among the treatments in order to find the best possible method to lengthen a patient's life. The results indicated that interferon alpha, inosine pranobex, and ribavirin display the most effective treatment plan and indicate the most potential in discovering a more effective therapeutic for SSPE.
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Malaria Publications before and during COVID-19 Pandemic: A Bibliometric Analysis. PUBLICATIONS 2022. [DOI: 10.3390/publications10030028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Coronavirus disease 2019 (COVID-19) has been reported to affect malaria intervention strategies, the suspension of malaria elimination programs, and the publication of malaria research. We compared differences in authorship, affiliations, countries, funding sources, article types, keywords, languages, and citations between studies published before and during the COVID-19 pandemic. The searches were performed online using the Scopus database on 8 April 2022. The searches were limited to two periods: before the COVID-19 pandemic (2018–2019) and during the COVID-19 pandemic (2020–2021). The information of authorship, affiliations, countries, funding sources, article types, keywords, languages, and citations between studies published before and during the COVID-19 pandemic were compared using frequency and percentage. The relationships between the most productive authors, countries, affiliations, journals, and frequently used keywords were visualized using the VOSviewer (version 1.6.18) software. A total of 2965 articles were identified in two periods and, among those, 1291 relevant studies were included. There was no difference in malaria publications before and during the COVID-19 pandemic (679 articles, 52.6% vs. 612 articles, 47.4%). Compared between the two periods, the preliminary trend of malaria publications in terms of authorship, affiliations, countries, funding sources, article types, keywords, languages, and citations were different. In conclusion, the current study showed the preliminary trends in malaria publications before and during the COVID-19 pandemic. The findings of this study would encourage researchers to perform a scoping review or systematic review to better understand the direction of malaria publications during the COVID-19 pandemic.
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Gurnani B, Kaur K. Renaissance of scholarly and academic profiles during COVID-19 pandemic. Indian J Ophthalmol 2022; 70:3146-3147. [PMID: 35918994 DOI: 10.4103/ijo.ijo_1264_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- Bharat Gurnani
- Consultant Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
| | - Kirandeep Kaur
- Consultant Pediatric and Squint, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
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Sharif L, Almutairi K, Sharif K, Mahsoon A, Banakhar M, Albeladi S, Alqahtani Y, Attar Z, Abdali F, Wright R. Quantitative research on the impact of COVID-19 on frontline nursing staff at a military hospital in Saudi Arabia. Nurs Open 2022; 10:217-229. [PMID: 35866613 PMCID: PMC9349684 DOI: 10.1002/nop2.1297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 06/17/2022] [Accepted: 06/28/2022] [Indexed: 01/04/2023] Open
Abstract
AIM The aim of the study was to examine the relationship between stress, psychological symptoms and job satisfaction among frontline nursing staff at a military hospital in Saudi Arabia during the COVID-19 pandemic. DESIGN Descriptive cross-sectional study. METHODS Data were collected using an online survey. All Registered Nurses (N = 1,225) working at a military hospital between February to April 2021 were contacted, 625 responded (51%). Data were analysed using descriptive and multivariate analysis, Student's t-test for independent samples and one-way analysis of variance followed by Tukey's multiple comparison tests. RESULTS Stress was experienced more significantly than depression or anxiety. Approximately 29% of the change in scores for psychological symptoms was explained by age group, being a Saudi national and working in emergency departments (F[3,620] = 19.063, p < 0.0001). A 37% change in nursing stress scores was explained by nationality and work department. (F[5,618] = 19.754, p < 0.0001). A 29% change in job satisfaction scores was explained by nationality and work department (F[3,620] = 19.063, p < 0.0001).
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Affiliation(s)
- Loujain Sharif
- Faculty of NursingKing Abdulaziz UniversityJeddahSaudi Arabia
| | | | - Khalid Sharif
- King Fahad Armed Forces Hospital (KFAFH)JeddahSaudi Arabia
| | - Alaa Mahsoon
- Faculty of NursingKing Abdulaziz UniversityJeddahSaudi Arabia
| | - Maram Banakhar
- Faculty of NursingKing Abdulaziz UniversityJeddahSaudi Arabia
| | - Salwa Albeladi
- King Fahad Armed Forces Hospital (KFAFH)JeddahSaudi Arabia
| | | | - Zalikha Attar
- King Fahad Armed Forces Hospital (KFAFH)JeddahSaudi Arabia
| | - Farida Abdali
- King Fahad Armed Forces Hospital (KFAFH)JeddahSaudi Arabia
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Willingness to receive COVID-19 vaccine and associated factors among adult chronic patients. A cross-sectional study in Northwest Ethiopia. PLoS One 2022; 17:e0269942. [PMID: 35819959 PMCID: PMC9275707 DOI: 10.1371/journal.pone.0269942] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 06/01/2022] [Indexed: 11/19/2022] Open
Abstract
Background People with pre-existing chronic diseases are more likely to acquire COVID-19 infections, which can be fatal, and die from COVID-19 illness. COVID-19 vaccination will benefit those at a higher risk of developing complications and dying from the disease. This study aimed to determine chronic patients’ willingness to receive a COVID-19 vaccine and the factors that influence their willingness. Method An institutional-based cross-sectional study was conducted among 423 adult chronic patients in the University of Gondar specialized hospital outpatient departments. The participants were chosen using systematic random sampling methods with an interval of 5. Face-to-face interviews were used to collect data from eligible respondents. Epi-data version 4.6 and SPSS version 25 were used for the data entry data analysis. Bivariable and multivariable binary logistic regression analyses were used to evaluate the relationship between the dependent and independent factors. An odds ratio with 95 percent confidence intervals and a P-value was used to determine the association’s strength and statistical significance. Result Out of 401 respondents, 219 (54.6%) with [95% CI (49.7–59.5%)] of study participants were willing to receive the COVID-19 vaccination. Being a healthcare worker (AOR = 2.94, 95% CI: 1.24–6.96), Lost family members or friends due to COVID-19 (AOR = 2.47, 95% CI: 1.21–5.00), good knowledge about COVID-19 vaccine (AOR = 2.44, 95% CI: 1.37–4.33), favorable attitude towards COVID-19 vaccine (AOR = .8.56 95% CI: 4.76–15.38), perceived suitability of the COVID-19 infection (AOR = 2.94, 95% CI: 1.62–5.33) and perceived benefit of the COVID-19 vaccine (AOR = 1.89, 95% CI: 1.08–3.31), were found to be a significant association with the willingness to receive the COVID-19 vaccine among chronic patients. Conclusion This study confirms that around 55% of adult chronic patients were willing to receive the COVID-19 vaccine. Providing health education for chronic patients to emphasize the knowledge and attitude of the COVID-19 vaccine and raise patients’ perceived risk of COVID-19 and the benefit of the COVID-19 vaccine could be recommended to improve their willingness to COVID-19 vaccination.
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Kennedy M, Bennett J, Maidment S, Chamberlain C, Booth K, McGuffog R, Hobden B, Whop LJ, Bryant J. Interrogating the intentions for Aboriginal and Torres Strait Islander health: a narrative review of research outputs since the introduction of Closing the Gap. Med J Aust 2022; 217:50-57. [PMID: 35686477 PMCID: PMC9545599 DOI: 10.5694/mja2.51601] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/15/2021] [Accepted: 01/19/2022] [Indexed: 11/25/2022]
Abstract
Despite the "best of intentions", Australia has fallen short of federal targets to close the gap in disproportionate health outcomes between Aboriginal and non-Aboriginal Australians. We examined 2150 original research articles published over the 12-year period (from 2008 to 2020), of which 58% used descriptive designs and only 2.6% were randomised controlled trials. There were few national studies. Studies were most commonly conducted in remote settings (28.8%) and focused on specific burdens of disease prevalent in remote areas, such as infectious disease, hearing and vision. Analytic observational designs were used more frequently when addressing burdens of disease, such as cancer and kidney and urinary, respiratory and endocrine diseases. The largest number of publications focused on mental and substance use disorders (n = 322, 20.5%); infectious diseases (n = 222, 14.1%); health services planning, delivery and improvement (n = 193, 33.5%); and health and wellbeing (n = 170, 29.5%). This review is timely given new investments in Aboriginal health, which highlights the importance of Aboriginal researchers, community leadership and research priority. We anticipate future outputs for Aboriginal health research to change significantly from this review, and join calls for a broadening of our intellectual investment in Aboriginal health.
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Affiliation(s)
- Michelle Kennedy
- University of NewcastleNewcastleNSW
- Hunter Medical Research InstituteUniversity of NewcastleNewcastleNSW
| | - Jessica Bennett
- University of NewcastleNewcastleNSW
- Hunter Medical Research InstituteUniversity of NewcastleNewcastleNSW
| | | | - Catherine Chamberlain
- Centre for Health EquityUniversity of MelbourneMelbourneVIC
- Judith Lumley CentreLa Trobe UniversityMelbourneVIC
| | - Kate Booth
- University of NewcastleNewcastleNSW
- Hunter Medical Research InstituteUniversity of NewcastleNewcastleNSW
| | | | - Bree Hobden
- University of NewcastleNewcastleNSW
- Hunter Medical Research InstituteUniversity of NewcastleNewcastleNSW
| | - Lisa J Whop
- National Centre for Epidemiology and Population HealthAustralian National UniversityCanberraACT
| | - Jamie Bryant
- University of NewcastleNewcastleNSW
- Hunter Medical Research InstituteUniversity of NewcastleNewcastleNSW
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Juul N, Cazals A, Hofmann A, Amesty V, Verkauskas G, Dobrowolska-Glazar B, Holmdahl G, Escolino M, Birraux J, Kovacs T, Kalfa N, Fossum M. How the First Year of COVID-19 Affected Elective Pediatric Urology Patients: A Longitudinal Study Based on Waiting Lists and Surveys From 10 European Centers. Front Public Health 2022; 10:874758. [PMID: 35570885 PMCID: PMC9096088 DOI: 10.3389/fpubh.2022.874758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Accepted: 03/14/2022] [Indexed: 11/24/2022] Open
Abstract
Introduction COVID-19 impacted healthcare systems worldwide, and elective surgical activity was brought to a minimum. Although children were not primarily affected by the disease, pediatric urology was halted by clinical closedown and staff allocation. We aimed to document how these prioritizations affected waiting lists, and to investigate how European centers dealt with the challenge of these logistical and financial prioritizations. Materials and Methods This was a 1-year prospective study, starting March 2020. Participants were surveyed at 3-month intervals about waiting lists for several common procedures as well as OR capacity and funding. Further, centers retrospectively reported on surgical and outpatient activity rates during 2019–2021. Waiting list tendencies were evaluated in relation to study baseline. Results A marked decrease in surgical and outpatient activity was seen in the spring of 2020. Some included pediatric urology centers were able to increase their budget (15%) and staff working hours (20%) during part of the study period. Still, at the end of the study, the centers had increased the total number of patients on waiting lists with 11%, whereas the average days on waiting lists had accumulated with 73%, yielding a total of 6,102 accumulated waiting days in the study population. Centers with decreased resources had markedly negative effects on waiting lists. Conclusions Correlations between COVID-19 derived burdening of healthcare systems and the availability of pediatric urology greatly depends on the prioritizations made at individual centers. Ongoing monitoring of these correlations is warranted to safely avoid unnecessary negative impact on the pediatric population.
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Affiliation(s)
- Nikolai Juul
- Division of Pediatric Surgery, Department of Surgery and Transplantation, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark
| | - Aurélie Cazals
- Service de Chirurgie Viscérale et Urologique Pédiatrique, Hôpital Lapeyronie, CHU de Montpellier, Montpellier, France
| | - Aybike Hofmann
- Department of Pediatric Urology, KUNO Clinic St. Hedwig, University Medical Center, Regensburg, Germany
| | - Virginia Amesty
- Department of Pediatric Urology, Hospital Universitario La Paz, Madrid, Spain
| | - Gilvydas Verkauskas
- Children's Surgery, Orthopedics and Traumatology Center, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | | | - Gundela Holmdahl
- Department of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden.,Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
| | - Maria Escolino
- Pediatric Surgery and Urology Unit, Federico II University Hospital, Naples, Italy
| | - Jacques Birraux
- Service de Chirurgie de l'Enfant et de l'Adolescent, Centre Universitaire romand de Chirurgie Pédiatrique, Hôpitaux Universitaire de Genève, Genève, Switzerland
| | - Tamas Kovacs
- Division of Pediatric Surgery, Department of Pediatrics, Albert Szent-Gyorgyi Clinical Center, University of Szeged, Szeged, Hungary
| | - Nicolas Kalfa
- Service de Chirurgie Viscérale et Urologique Pédiatrique, Hôpital Lapeyronie, CHU de Montpellier, Montpellier, France.,Université de Montpellier, Institut Debrest de Santé Publique IDESP, UMR INSERM, Montpellier, France
| | - Magdalena Fossum
- Division of Pediatric Surgery, Department of Surgery and Transplantation, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.,Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
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Collection of End User Requirements and Use Cases during a Pandemic—Towards a Framework for Applied Research Projects. INFORMATION 2022. [DOI: 10.3390/info13050255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Research projects in the security domain often aim to develop innovative technology-based solutions for end users (e.g., situational awareness tools, crisis management tools). The pandemic crisis hit hard and without warning, not only influencing our everyday life but also the scientific community. To continue applied research projects during a pandemic, work structures needed to be adapted (e.g., user requirements collection, use case development), as face-to-face events were impossible but crucial to collect high quality requirements with a variety of different stakeholders. To ensure continued multi-stakeholder engagement we developed an overarching framework for collecting user requirements and use cases in an online setting and applied the framework within two research projects. The framework consists of four steps with the aim to assure high quality user requirements and use case collection (first analysis, stakeholder consultation, evaluation and prioritization, technical evaluation). The two projects presented in this paper provide insight on the potential of the framework. The framework offers a structured approach that fits for many different security research projects in terms of the easy application and its transferability. The main advantages (e.g., easily adaptable, reduced workshop time, no need to travel, suitability for different contexts and project types, etc.) and drawbacks (e.g., organization of online events, feedback collection time, etc.) of the framework are presented and discussed in this paper to offer increased stakeholder engagement. Empirical testing of the framework is proposed.
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Lee SH, Pandya RK, Hussain JS, Lau RJ, Chambers EAB, Geng A, Jin BX, Zhou O, Wu T, Barr L, Junop M. Perceptions of using infographics for scientific communication on social media for COVID-19 topics: a survey study. J Vis Commun Med 2022; 45:39-47. [PMID: 35341427 DOI: 10.1080/17453054.2021.2020625] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Navigating for accurate information, especially health- and science-related content, on social media has been challenging during the COVID-19 pandemic. Although infographics are a popular medium for simplifying text-based information into visual components, their usefulness during a global health crisis has not been explored. The study aims to explore the perceptions of infographics in conveying scientific information related to COVID-19 on social media. Following a social media campaign that published COVID-19 related infographics from May to August 2020, a cross-sectional survey was administered to social media users, primarily students from Western University. Several questions asked respondents to make comparisons with written articles when reporting their perceptions of infographics. Seventy-three percent of students from 361 responses belonged to health-related academic backgrounds. Seventy-two percent felt more likely to share infographics than written articles on social media due to the visual appeal. Nearly 90% felt it was easier to navigate through complicated science and that more scientists should use infographics on social media. Educational background did not influence the perceived usefulness of infographics in understanding scientific information. Infographics are perceived favourably in conveying scientific information about COVID-19 on social media. Findings from this study can inform communication strategies during a pandemic and, more broadly, global crises.
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Affiliation(s)
- Seung Heyck Lee
- Schulich School of Medicine & Dentistry, Western University, London, Canada
| | | | - Junayd Sajid Hussain
- Schulich School of Medicine & Dentistry, Western University, London, Canada.,School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada
| | | | - Emily Anne Brock Chambers
- Richard Ivey School of Business, Western University, London, Canada.,Faculty of Information and Media Studies, Western University, London, Canada
| | - Apple Geng
- Schulich School of Medicine & Dentistry, Western University, London, Canada
| | - Bernie Xiong Jin
- Schulich School of Medicine & Dentistry, Western University, London, Canada
| | - Oliver Zhou
- Schulich School of Medicine & Dentistry, Western University, London, Canada
| | - Tingting Wu
- Schulich School of Medicine & Dentistry, Western University, London, Canada
| | - Lauren Barr
- Department of Sociology, Western University, London, Canada
| | - Murray Junop
- Schulich School of Medicine & Dentistry, Western University, London, Canada
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Isaac CR. Establishing an incentive-based multi-stakeholder approach to Dual Use DNA screening. Biochem Cell Biol 2022; 100:268-273. [PMID: 35290750 DOI: 10.1139/bcb-2021-0504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Fast, accessible, and high-quality DNA is fundamental to advancement in the life sciences that will drive forward fields like agriculture, energy, and medicine. Despite their importance in accelerating global progress, bioscience research and biotechnologies can also be misused, endangering humans, animals, and the environment. The ability to accidentally or deliberately endow or enhance pathogenicity of biological systems is of particular concern. Access to DNA sequences with a clear potential for Dual Use should be limited to responsible and identifiable groups with legitimate uses. Yet, none of the 195 countries party to the International Health Regulations have national laws that mandate this type of screening. Many DNA providers voluntarily screen orders and absorb increased costs, but this practice is not universally adopted for a variety of reasons. This article explores the incentives and regulatory structures that can bring the screening coverage of DNA orders towards 100%, which may include: expedited orders for approved customers, better tools and technology for more efficient screening, funding requirements that grantees use screened DNA, and early education in biosecurity aimed at researchers and students. Ultimately, an incentive-based multi-stakeholder approach to DNA screening can benefit researchers, industry, and global health security.
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Affiliation(s)
- Christopher R Isaac
- Nuclear Threat Initiative, 580269, Global Biological Policy and Programs, Washington, District of Columbia, United States;
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Zhou L, Kodidela S, Godse S, Thomas-Gooch S, Kumar A, Raji B, Zhi K, Kochat H, Kumar S. Targeted Drug Delivery to the Central Nervous System Using Extracellular Vesicles. Pharmaceuticals (Basel) 2022; 15:ph15030358. [PMID: 35337155 PMCID: PMC8950604 DOI: 10.3390/ph15030358] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 03/07/2022] [Accepted: 03/07/2022] [Indexed: 02/06/2023] Open
Abstract
The blood brain barrier (BBB) maintains the homeostasis of the central nervous system (CNS) and protects the brain from toxic substances present in the circulating blood. However, the impermeability of the BBB to drugs is a hurdle for CNS drug development, which hinders the distribution of the most therapeutic molecules into the brain. Therefore, scientists have been striving to develop safe and effective technologies to advance drug penetration into the CNS with higher targeting properties and lower off-targeting side effects. This review will discuss the limitation of artificial nanomedicine in CNS drug delivery and the use of natural extracellular vesicles (EVs), as therapeutic vehicles to achieve targeted delivery to the CNS. Information on clinical trials regarding CNS targeted drug delivery using EVs is very limited. Thus, this review will also briefly highlight the recent clinical studies on targeted drug delivery in the peripheral nervous system to shed light on potential strategies for CNS drug delivery. Different technologies engaged in pre- and post-isolation have been implemented to further utilize and optimize the natural property of EVs. EVs from various sources have also been applied in the engineering of EVs for CNS targeted drug delivery in vitro and in vivo. Here, the future feasibility of those studies in clinic will be discussed.
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Affiliation(s)
- Lina Zhou
- Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 881 Madison Ave, Memphis, TN 38163, USA; (L.Z.); (S.G.); (S.T.-G.); (A.K.)
| | - Sunitha Kodidela
- Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 881 Madison Ave, Memphis, TN 38163, USA; (L.Z.); (S.G.); (S.T.-G.); (A.K.)
- Correspondence: (S.K.); (S.K.)
| | - Sandip Godse
- Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 881 Madison Ave, Memphis, TN 38163, USA; (L.Z.); (S.G.); (S.T.-G.); (A.K.)
| | - Stacey Thomas-Gooch
- Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 881 Madison Ave, Memphis, TN 38163, USA; (L.Z.); (S.G.); (S.T.-G.); (A.K.)
| | - Asit Kumar
- Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 881 Madison Ave, Memphis, TN 38163, USA; (L.Z.); (S.G.); (S.T.-G.); (A.K.)
| | - Babatunde Raji
- Plough Center for Sterile Drug Delivery Solutions, University of Tennessee Health Science Center, 208 South Dudley Street, Memphis, TN 38163, USA; (B.R.); (K.Z.); (H.K.)
| | - Kaining Zhi
- Plough Center for Sterile Drug Delivery Solutions, University of Tennessee Health Science Center, 208 South Dudley Street, Memphis, TN 38163, USA; (B.R.); (K.Z.); (H.K.)
| | - Harry Kochat
- Plough Center for Sterile Drug Delivery Solutions, University of Tennessee Health Science Center, 208 South Dudley Street, Memphis, TN 38163, USA; (B.R.); (K.Z.); (H.K.)
| | - Santosh Kumar
- Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 881 Madison Ave, Memphis, TN 38163, USA; (L.Z.); (S.G.); (S.T.-G.); (A.K.)
- Correspondence: (S.K.); (S.K.)
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