1,720,956 research outputs found
Os Intermetatarseum: An important consideration in chronic foot pain
No full textBackground: The os intermetatarseum is the rarest accessory bone of the foot. It was first described by Gruber in 1856 but well documented cases have been infrequently reported throughout literature. This accessory bone is located on the dorsal aspect of the foot in between the base of the first and second metatarsals. It varies in shape and size and usually presents bilaterally. Chronic dorsal mid foot pain following impingement of the deep peroneal nerve by the os intermetatarseum is common in symptomatic patients and an important consideration in this case. Case Presentation: A 70 year old Caucasian female with a past medical history of depression, thyroid disease, and neuropathy presents with chronic left foot pain rated 10/10, starting 4 years ago. She describes it as a burning and aching pain that comes and goes. The pain, described as burning and aching, occurs on the left anterior ankle, lateral ankle, and forefoot, aggravated by walking, prolonged standing, and toe extension. Alleviated by leg elevation, rest, and sitting. She has been seen by 2 podiatrists and was given a steroid injection by both. The first injection did not help and the 2nd injection lasted for one year. Physical examination revealed pain upon palpation of the peroneal tendon as it courses posterior to the lateral malleolus and at the tip of the fibula. Both peroneus longus and brevis were intact with manual testing. No pain upon palpation of the 1st metatarsal joint, but pain upon palpation of the left 3rd and 4th metatarsal shaft. The dorsalis pedis pulse was 2/4 bilaterally and the posterior tibial pulse was 2/4 bilaterally. Neurological assessment of positive sensation and light touch were intact bilaterally. There were no significant dermatologic lesions present. Bilateral foot assessment showed adequate skin tone, texture, and turgor with a normal temperature gradient. After the initial visit, the patient was instructed to modify her activity and shoe wear to incorporate more fitted supportive tennis-type shoe. On the one-week follow-up visit to discuss MRI findings, the patient reported her pain level decreased to a 4/10. MRI reveals a marked longitudinal arch, moderate hallux valgus, longitudinal split tear of peroneus brevis retromalleolar to inframalleolar distribution, and short segmental split tear of peroneus longus proximal to cuboid tunnel. There was no convincing evidence of an occult fracture or stress injury. A small intermetatarseum was noted between the bases of the first and second metatarsals dorsally that likely articulates with the 1st metatarsal base. Due to the presence of segmental tears involving the peroneus brevis and longus, the podiatrist catered his treatment plan to address tenosynovitis. After discussing the diagnosis and potential treatment plans the patient opted to undergo surgery. Conclusion: Refractory foot pain aggravated by physical activity and symptoms of deep peroneal nerve compression should prompt consideration of a painful os intermetatarseum. Initially, conservative measures like NSAIDs, shoe adjustments, and rest should be employed to address this potential diagnosis, reserving surgical interventions as a final option
Assessment of Patient Engagement in Pediatric Mental Health Calls in Mothers of Young Children Since COVID-19 with Improvement Solutions
No full textPurpose: COVID-19 restrictions led to a rise in telehealth visits. To combat the issue of limited in-person visits, Pediatric Mental Health Calls (PMHC) were created to bridge the gap and provide continued mental health support to UNTHSC Pediatric patients and their caregivers during the pandemic and beyond. Patient engagement was analyzed to gain a better understanding of the impact of PMHC during COVID-19 in 2020 and 2021-22 and to provide improvement for future calls.
Methods: PMHC was completed by HSC student volunteers. Quantitative analysis of patient involvement was made in mothers whose children were infants in 2020 and toddlers in 2021-2022. Patients no longer with UNTHSC clinic or phone numbers no longer in service were omitted from the count. Participation of these mothers (n=292) was assessed using the percentage of the total number of responses in open or close-ended questions (<5, ≧5, or no response at all) and the number of word sentences in open-ended questions (<5 in any category, ≧5 in 1 category, ≧5 in 3 categories). Analysis used chi-square test of independence. Statistical significance was set at p < 0.05. Additionally, Edinburg Postnatal Depression Scale (EPDS) phone screenings and referrals in mothers of infants were compared with early COVID-19 in 2020 to follow-ups in 2021-2022. In 2020, 199 out of 543 infant mothers who agreed to complete the EPDS screenings over the phone were compared to 229 out of 473 mothers of infants in 2021-2022. A comparison was also evaluated for 2020 (n=165) and 2021-2022 (n=190) postnatal mothers with an EPDS score of ≧10 indicating an increased risk for depression, thereby given referrals based on volunteer judgment.
Results: There was a positive response in patient engagement in early 2020 compared to 2021-2022. Chi square test showed a statistically significant decline in both the number of responses in open or closed-ended questions (<5, ≧5, with an increase in no response at all category) and in the number of word sentences in open-ended questions (<5 in any category, ≧5 in 1 category, ≧5 in 3 categories) in 2021-2022. In 2020, from the 199 infant mothers willing to complete the EPDS screening over the phone, 127 answered yes and 72 answered no. In 2021-2022, from the 229 infant mothers, 147 answered yes and 82 answered no. There was a drop in percentage in the number of referrals made for mothers of infants with an EPDS score of ≧10 in 2021-2022 when compared to 2020.
Discussion: Modifications of the PMHC are recommended to increase patient participation beyond the pandemic. Volunteers are encouraged to connect with patients using motivation and interpersonal interaction. Demographic data must be considered to assess patterns of patient engagement. Mothers should be educated on the data and the importance of completing EPDS screenings. Specific questions relevant to current concerns in the country affecting maternal and pediatric health should be focused upon. Alternatives should be suggested to patients who are less likely to respond
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Get PDFWe 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
Get PDFWe 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
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