1,721,093 research outputs found
Development and evaluation of an interactive booklet for use in primary care consultations with children with respiratory tract infections
Full text linkRespiratory tract infections are the most common reason for children to consult, and be prescribed antibiotics, in primary care. Parental anxiety and misinformation can contribute to increased consulting which, combined with perceived expectations for antibiotics, can increase prescribing. Clinicians are exhorted to rationalise antibiotic prescribing, but lack evidence-based tools to achieve this. Patient education using printed materials presented by a healthcare professional has been shown to reduce reconsulting and antibiotic prescribing. I developed an interactive booklet on respiratory tract infections in children for use in primary care consultations, and training in its use. The booklet aims to address unrealistic expectations about symptom duration and antibiotic effectiveness, and increase parental empowerment by prompting clinicians to address parental concerns and expectations, and providing information about treatment options, and features that should prompt reconsultation. Booklet development was guided by behaviour change theories and guidance on developing patient materials. It involved summarising relevant scientific evidence and consulting with parents and clinicians through focus groups, and other professionals (graphic designer and a literacy expert). The intervention (booklet and training in its use) was compared with usual care in a cluster randomised controlled trial. 83 practices were randomised and 61 recruited 557 children with an acute RTI. Reconsulting, antibiotic prescribing, and parental satisfaction, enablement, and other outcomes were assessed via a telephone interview at two-weeks. Use of the intervention resulted in a non-statistically significant reduction in reconsulting, a statistically significant and clinically meaningful reduction in antibiotic prescribing (OR 0.27,95% CI 0.14 to 0.60), and no statistically significant difference in enablement, satisfaction, reassurance, or consulting over the following year. There was no statistically significant difference in total cost between study arms. Changes in clinicians' beliefs about the importance of rationalising prescribing, and using the booklet as an aide-memoir, and to support a non-prescribing approach, appear to be responsible for the reduction in prescribing.EThOS - Electronic Theses Online ServiceGBUnited Kingdo
Commentary: NICE guidance on antibiotic prescribing for self limiting respiratory tract infections in primary care
No full text
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
Full text link“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
- …
