1,720,990 research outputs found

    Osteoarthritis and falls among older adults / Sumaiyah Mat

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    Falls are major public health problem in older adults. Fall-related injuries have been reported as the leading causes of years lived with disability globally. While osteoarthritis, a common degenerative joint disorder, has been considered an established risk factor for falls. Our literature review has found limited evidence and conflicting results to support this assumption. This study was performed and analysed in a two-staged design: 1) a case-control comparison of characteristics related to OA among fallers and non-faller controls, 2) a pre-planned subgroup analysis of individuals with OA within a randomized controlled trial of multifaceted interventions in the secondary prevention of falls in older people. Cases consisted of 229 fallers; individuals aged 65 years and above with a history of two falls or one injurious fall in the past 12 months. 160 control participants were non-fallers, aged 65 and above without no history of falls. Regardless of the definition used, OA was not associated with falls. However, different degrees of severity of OA symptoms in varying OA definitions showed an interesting relationship with falls. In individuals with radiological OA, mild symptoms appear protective of falls which was probably due to increase of anxiety while those with clinical OA and severe symptoms are at increased risk of falls compared to those with mild symptoms mediated by fear of falling. Thus, OA was not directly associated with falls, however, psychological problems secondary to OA might have a different impact on the risk of falls. In a separate study of postural control (n=102), impaired postural balance found among fallers was not influenced by presence of OA. The poorer EPE observed in individuals with symptomatic OA appeared to have a protective effect against falls. An evaluation of the features of OA detected on MRI revealed that that presence of sub-chondral cysts and menisceal tears mediates in increase in postural sway among fallers. iv Among our older participants with OA, fallers had higher serum TIMP2 level, indicating that falls among older adults with OA was associated with a higher degree of degeneration. In the subgroup analysis of individuals with OA from the RCT on multifactorial intervention for falls, the modified Otago exercise improved postural control and reduced fear of falling in those with pre-existing impairments in gait and balance. In essence, this study has contributed to existing knowledge on falls by contradicting previously unsubstantiated assumptions of the association between OA and falls. Instead, a sinusoidal relationship appears to exist between OA and falls, with mild OA being protective of falls and severe OA predisposing to falls. Falls risk appears to be influenced by psychological status, while impaired dynamic postural control associated with increased falls risk is not influenced by the presence of OA. However, the presence of sub-chondral cyst and menisceal tear detected by MRI did mediate the impaired postural control observed in our fallers. In our serological analysis, falls among older adults with OA were associated with a more active degenerative state. The improvement in postural control and falls efficacy observed among our OA fallers, suggest that the modified Otago is potentially benefical, and will serve as a pilot study for a larger randomized-controlled study for secondary falls prevention for individuals with OA

    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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