1,721,008 research outputs found
Scaling up telemedicine for adults with cochlear implants - are you ready?
No full textAIM 1. Roll out telemedicine tools to adults using any cochlear implant device in the UK 2. Commission a formal evaluation to establish whether the new care model improves: • patient empowerment • equity of access • patient and staff experience • clinic efficiency METHOD We will introduce a remote care pathway choice to adults using cochlear implants in participating centres in the UK. Benefits will be available to users of any device. This is a complex intervention comprising four components successfully trialled together previously. The elements are: • personalised responsive web app (hearing rehabilitation, music, advice, troubleshooting, training, ordering spares, goal setting, questionnaires, reminders, monitoring of implant site photos) • home hearing test • self device adjustment at home (with appropriate devices) • upgrading of sound processors at home rather than requiring a clinic visit Remote care tools will be used in the patients’ homes, with visits to the clinic only to solve problems or access specialist resources. Clinicians will access an online dashboard to monitor their patients, and will receive alerts if patients are not interacting with the tools or other indicators are achieved. Wessex Academic Health Science Network will undertake an independent formative evaluation. RESULTS We previously completed an RCT of remote care tools at University of Southampton Auditory Implant Service (Cullington et al, 2016). We examined patient preference using conjoint analysis. The main outcome evaluated was patient empowerment. The remote care group had a significant increase in their empowerment after using the telemedicine tools. Their hearing improved, suggesting better ability to take action to keep hearing stable. Our Discrete Choice Experiment showed that patients were more likely to choose remote care over usual care if they had a home hearing test or could do self device adjustment. They also preferred a remote pathway if it included a personalised online support tool in addition to support from the centre. CONCLUSION We need high quality evidence that a remote care pathway delivers our aims. An independent evaluation will be done by Wessex Academic Health Science Network to answer the following questions: 1. Does the new care model improve patients’ confidence to self-manage? 2. Do users of the new care model have stable hearing as a result of self-initiated monitoring and action? 3. Does the new care model improve equity of access to follow-up care? 4. Does the new care model improve patients’ experience of follow-up care? 5. Does the new care model improve the experience of staff? 6. Do staff have confidence in the new care model? Do they recommend it? Does the new care model improve use of resources through reducing the need for follow-up appointments and enabling the service to be delivered by a different skill mix? 7. What lessons can be learned from the implementation process that will benefit spread and adoption of this model? REFERENCES 1. Cullington H, Kitterick P, DeBold L, et al. Personalised long-term follow-up of cochlear implant patients using remote care, compared with those on the standard care pathway: study protocol for a feasibility randomised controlled trial. BMJ Open 2016;6(5):e011342. 2. Cullington HE. Introducing telemedicine for cochlear implants [YouTube video]. University of Southampton; 2017. Available from: http://v.ht/remotecarevideo
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
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