1,720,958 research outputs found
Eficiência e eficácia das inovações em telemedicina nas práticas hospitalares: um estudo de caso no Brasil
No full textA telemedicina, ou a possibilidade de aproximar profissionais de saúde de pacientes mediante o uso de tecnologias de informação e comunicação (ICT), vem trilhando um caminho crescente de adoção desde a criação da possibilidade tecnológica de comunicação remota com a invenção do telégrafo e do telefone. Avanços mais recentes da tecnologia, principalmente os realizados na década de 90 com a difusão da Internet e da telefonia celular e outros mais recentes, trouxeram ainda mais impulso na disseminação da telemedicina como uma alternativa real para aumentar a oferta de serviços médicos com a mesma eficácia que aqueles prestados de maneira presencial para populações afastadas dos grandes centros urbanos, com o benefício adicional de reduzir os custos totais dessa oferta de serviços médicos sob a ótica da sociedade servida. Países como os EUA, Canadá, Austrália, Noruega e Reino Unido têm estado na vanguarda no estudo da eficácia dos serviços de telemedicina, experimentando, agora, movimentos de expansão desses serviços para modalidades operacionais estabelecidas, ainda que os desafios de incorporação da telemedicina nas práticas atuais se apresentem como grandes obstáculos. No Brasil, grandes hospitais e o Ministério da Saúde vêm trabalhando com a telemedicina desde a década passada, com um número crescente de casos de uso e de atendimentos remotos realizados, ainda que a plena adoção e incorporação da telemedicina no sistema de saúde tradicional apresente os mesmos desafios que aqueles observados nos países pioneiros. A análise dos desafios para a disseminação da telemedicina nos sistemas de saúde, de maneira continuada e sustentada, coincide com uma reflexão mais profunda sobre a própria sustentabilidade dos atuais sistemas de saúde, os quais estão se tornando cada vez mais complexos e custosos. Nossa proposição, nesse contexto, é a de que uma nova forma de enxergar os desafios da indústria de saúde seja utilizada, avaliando-se a maneira como inovações em tecnologia podem trazer melhorias para os sistemas de saúde, de maneira coordenada com inovações nos modelos de negócio das principais entidades provedoras participantes desses sistemas – os hospitais e consultórios. Conforme o modelo da Inovação Disruptiva, somente quando consideramos os efeitos somados das inovações tecnológicas, tais como a telemedicina, com inovações dos modelos de negócio é que poderemos iniciar uma efetiva jornada de melhoria dos sistemas de saúde. Nesse contexto, analisamos a experiência bem-sucedida de aplicação da telemedicina pelo Hospital Israelita Albert Einstein para o provimento de serviços médicos remotos para plataformas de extração de petróleo – um ambiente remoto e de difícil acesso, no qual seus profissionais estão expostos a condições que podem demandar diagnóstico e atendimento médico imediato. Em condições habituais – ou seja, sem a telemedicina –, tais atendimentos seriam prestados com a presença física constante de profissionais e equipamentos médicos especializados, ou com uma infraestrutura de transporte aéreo imediato dos pacientes para hospitais remotos. Com o uso da telemedicina, verifica-se que a mesma eficácia de prestação de serviços médicos é oferecida com maior imediatismo e a uma parcela dos custos totais da alternativa anterior, o que é demonstrado nesse estudo de caso.Telemedicine, or the ability to bring together health professionals and patients with the use of Information and Telecommunication Technology (ICT), has experienced growing adoption since remote communication became a reality with the invention of the telephone and the telegraph. More recent advances in technology, especially in the 1990´s with the creation of the Internet and Mobile Telephony, among others, brought even more impulse to the dissemination of Telemedicine as an alternative to increase the offer of health services with the same efficacy as those delivered physically to remote populations, with the added benefit of reducing the total cost of provision of those services from the societal standpoint. Countries like the USA, Canada, Australia, Norway and the United Kingdom have been leading the way when it comes to research about the efficacy of Telemedicine applications, attempting to evolve these applications into established operational services, even though the challenges of incorporating Telemedicine into current practices still present great obstacles. In Brazil, large hospitals and the Health Ministry have been experimenting with Telemedicine since the last decade, with a growing number of applications and remote cases handled, but the same challenges as those faced in developed countries occur when it comes to incorporating Telemedicine into current health care systems and practices. Assessing the challenges of disseminating Telemedicine in the current health care systems in a sustainable fashion goes hand in hand with a deeper reflection about the very sustainability of these health care systems, which are becoming increasingly costly and complex. In this context, we propose a new way of looking at the health care industry challenges, evaluating how technology innovations can improve health care systems in coordination with business model innovations in the main entities of those systems – hospitals and medical practices. According to the Disruptive Innovation model, only when we consider the combined effect of technology innovation such as Telemedicine, with business model innovations, will we be able to initiate an effective health care systems improvement journey. We have evaluated, in this context, the successful experience of Hospital Israelita Albert Einstein in the application of Telemedicine to provide health care services to oil rigs – remote locations with difficult access, whose workers are subject to conditions in which immediate diagnosis and treatment may be needed. In usual conditions, that is, without Telemedicine, such medical services would be either provided with constant physical presence of medical teams or with an elaborate transportation infrastructure for immediate air transfer to remote hospitals. With the use of Telemedicine, the same diagnosis and treatment efficacy is offered faster and at a fraction of the costs of the alternatives, as demonstrated in the case study
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe 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
No full text“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
No full textWe 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
No full textWe 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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe 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-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
No full textIn 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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