1,720,963 research outputs found

    Investigating the Implementation of Pediatric Patient-reported Outcome and Experience Measures in Alberta

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    Patient- and Family-Centered Care (PFCC) is grounded in mutually beneficial partnerships among healthcare providers, patients, and families to promote a collaborative way of planning, delivering, and evaluating healthcare. Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) play a crucial role in promoting and supporting PFCC. However, implementation of PROMs and PREMs is lagging compared to the adult population. Alberta Health Services (AHS) has established a Patient First Strategy, an organization-wide initiative to improve PFCC practices, but pediatric PROMs and PREMs are not regularly used in clinical care in Alberta. The current thesis investigates the uptake, barriers, and feasibility of integrating PROMs and PREMs in Alberta's pediatric healthcare systems to facilitate their province-wide implementation.This thesis work was conducted in three phases. The first phase includes two systematic reviews. The first systematic review was conducted to synthesize evidence on the impact of implementing PROMs in pediatric clinical care. The findings of this review show that integrating PROMs in routine pediatric clinical care positively impacts Health-related Quality of Life (HRQoL) and increases satisfaction among patients, parents and healthcare providers. The second systematic review was conducted to identify pediatric PREMs, synthesize the evidence on their use in pediatric healthcare settings, and understand their characteristics. This systematic review identified 49 pediatric PREMs currently used in pediatric health systems worldwide. There was a great diversity in the types of PREMs, their characteristics and mode of administration.The second phase of this thesis was a mixed-methods study. PROMs and PREMs are not regularly implemented in pediatric health systems in Alberta. Therefore, a mixed-methods study was conducted to understand the current uptake of pediatric PROMs and PREMs in Alberta and the challenges associated with their implementation in routine pediatric clinical care in Alberta. This study identified 33 PROMs and 6 PREMs showing huge diversity in the types of pediatric PROMs and PREMs currently used in Alberta and their mode of administration. The qualitatively identified challenges were associated with patients, family caregivers, and clinicians. The absence of system-level support, such as integration within electronic medical records systems, is considered a significant system-level challenge. The third phase of this thesis was a case study of implementing PROMs in outpatient pediatric asthma clinics. This phase consisted of two studies. The first study employed a Theoretical Domains Framework (TDF) - guided qualitative inquiry to identify barriers and enablers to implementing PROMs at the outpatient asthma clinics. This study identified 16 barriers to behavioral change required to integrate PROMs into routine clinical care for asthma. These barriers are associated with personal, clinical, non-clinical, and system-level factors. Seventeen enablers to integrating PROMs in asthma clinics were also identified. These enablers ranged from healthcare providers' personal commitment to providing PFCC to optimism about the positive impact of PROMs. The second study in this phase utilized a quantitative survey to assess the feasibility of integrating Pediatric Quality of Life InventoryTM (PedsQLTM) PROM in asthma clinics using the KidsPRO program, an innovative electronic health program. The findings of this study showed that implementing PROMs in the pediatric outpatient asthma clinics is feasible.All the findings of this research provide global, provincial and local level evidence for AHS to support their plans to implement PROMs and PREMs to deliver PFCC in the pediatric health systems in Alberta

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used

    Author Under Sail The Imagination of Jack London, 1893-1902

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    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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