1,720,954 research outputs found

    The effects of a novel model of care on acute and long-term readmission rates in heart failure patients

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    Purpose: Heart Failure (HF) is a chronic condition impacting millions of Americans. The burden of HF has intensified and negatively impacts the economy and society’s overall health and well-being. The purpose of this project is to examine the effectiveness of this novel cardiac rehabilitation program as a core for HF management in reducing acute and long-term readmission rates and improving patient care. Methods: Indiana University Ball Memorial Hospital has implemented a guideline-directed interdisciplinary HF model of care with cardiac rehabilitation as the central focus. The model’s components aim to improve care transitions, enhance self-management and selfefficacy of the patient, and improve patient outcomes through cardiac rehabilitation and the use of the HF mini-order set. Data collection occurred from January 2023 through December 2023 through electronic medical records (EMR) and Cerner to determine readmission rates. Results: All-cause 30-day readmission monthly rates of patients who participated in the model of care averaged 16.92 ± 9.12% in 2023. Long-term readmission rates since the establishment of the model of care in 2016 averaged <1% and were <1% for each month during 2023. Total Blue Dollar Savings using the Heart and Lung Center (HLC) and the Mobile Integrated Health (MIH) Community Paramedic team was ~2,931,200fromMarch2023throughDecember2023.Thebreakdownofthetotalsavingsisthefollowing:HLCsaved 2,931,200 from March 2023 through December 2023. The breakdown of the total savings is the following: HLC saved ~1,689,600, and the MIH Community Paramedic team saved ~$1,241,600 in 2023. Conclusion: Blue Dollar Savings and improved readmission rates in 2023 reflected the utilization of progressive care components, guideline medical-directed therapies, and cardiac rehabilitation as a central core component could be a cost-effective and care-effective solution. The multidisciplinary progressive HF model of care provides valuable insight for healthcare providers, policymakers, and researchers seeking to implement effective models of care to improve patient outcomes.M. S

    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

    The effects of a novel model of care on acute and long-term readmission rates in heart failure patients

    No full text
    Purpose: Heart Failure (HF) is a chronic condition impacting millions of Americans. The burden of HF has intensified and negatively impacts the economy and society’s overall health and well-being. The purpose of this project is to examine the effectiveness of this novel cardiac rehabilitation program as a core for HF management in reducing acute and long-term readmission rates and improving patient care. Methods: Indiana University Ball Memorial Hospital has implemented a guideline-directed interdisciplinary HF model of care with cardiac rehabilitation as the central focus. The model’s components aim to improve care transitions, enhance self-management and selfefficacy of the patient, and improve patient outcomes through cardiac rehabilitation and the use of the HF mini-order set. Data collection occurred from January 2023 through December 2023 through electronic medical records (EMR) and Cerner to determine readmission rates. Results: All-cause 30-day readmission monthly rates of patients who participated in the model of care averaged 16.92 ± 9.12% in 2023. Long-term readmission rates since the establishment of the model of care in 2016 averaged <1% and were <1% for each month during 2023. Total Blue Dollar Savings using the Heart and Lung Center (HLC) and the Mobile Integrated Health (MIH) Community Paramedic team was ~2,931,200fromMarch2023throughDecember2023.Thebreakdownofthetotalsavingsisthefollowing:HLCsaved 2,931,200 from March 2023 through December 2023. The breakdown of the total savings is the following: HLC saved ~1,689,600, and the MIH Community Paramedic team saved ~$1,241,600 in 2023. Conclusion: Blue Dollar Savings and improved readmission rates in 2023 reflected the utilization of progressive care components, guideline medical-directed therapies, and cardiac rehabilitation as a central core component could be a cost-effective and care-effective solution. The multidisciplinary progressive HF model of care provides valuable insight for healthcare providers, policymakers, and researchers seeking to implement effective models of care to improve patient outcomes.M. S

    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
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