315 research outputs found

    Information Systems: A House Divided?

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    Is the IS discipline a single discipline that focuses on both behavioral (BIS) and technical (TIS) topics, or is it two disciplines split between these orientations? Current opinion emphasizes BIS and reinforces the notion that researchers practice research in disconnected silos as opposed to a relatively continuous web. Such silos do disservice to the diversity of scholarly interests, skew productivity expectations in favor of small subsets of journals that often exclude technical- and decision science-oriented journals, and run the risk of creating self-perpetuating journal groupings. Silos disadvantage IS researchers by making the discipline narrower in comparison to other business disciplines and contradict the nature of IS pedagogy that equally reflects technology and management. We applied social network and cross-citation analyses to a sample of 98 IS journals to examine the cohesiveness of IS and to understand the extent to which boundary-spanning journals maintain scholarly connections between the approaches. Distinguishing between weak and strong ties among journals, we found that a discipline that comprises both BIS and TIS journals is highly cohesive in terms of weaker ties and that many boundary-spanning journals are quite balanced in their citations to and from each orientation. However, we did not find that IS is uniformly cohesive. Even so, our findings imply that IS scholars with different interests can parse out distinct subsets of journals that are central to their interests. We demonstrate as much by examining the most central journals for three examples of IS scholars: those with a strongly behavioral approach, with sociotechnical interests, and with specialized interests, such as medical informatics. The most central journals for these three interests are distinct subsets of the IS discipline

    “I’m Not Gonna Pull the Rug out from under You”: Patient-Provider Communication about Opioid Tapering

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    In response to increases in harms associated with prescription opioids, opioid prescribing has come under greater scrutiny, leading many healthcare organizations and providers to consider or mandate opioid dose reductions (tapering) for patients with chronic pain. Communicating about tapering can be difficult, particularly for patients on long-term opioids who perceive benefits and are using their medications as prescribed. Given the importance of effective patient-provider communication for pain management and recent health system-level initiatives and provider practices to taper opioids, this study used qualitative methods to understand communication processes related to opioid tapering, to identify best practices and opportunities for improvement. Up to 3 clinic visits per patient were audio-recorded, and individual interviews were conducted with patients and their providers. Four major themes emerged: 1) Explaining—Patients needed to understand individualized reasons for tapering, beyond general, population-level concerns such as addiction potential; 2) Negotiating—Patients needed to have input, even if it was simply the rate of tapering; 3) Managing difficult conversations—When patients and providers did not reach a shared understanding, difficulties and misunderstandings arose; 4) Non-abandonment—Patients needed to know that their providers would not abandon them throughout the tapering process

    Magnetic phases of skyrmion-hosting GaV4S8−ySey (y = 0, 2, 4, 8) probed with muon spectroscopy

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    We present the results of a muon-spin spectroscopy investigation of GaV4S8−ySey with y = 0, 2, 4, and 8. Zero-field measurements suggest that GaV4Se8 and GaV4S8 have distinct magnetic ground states, with the latter material showing an anomalous temperature dependence of the local magnetic field. It is not possible to evolve the magnetic state continuously between these two systems, with the intermediate y = 2 and 4 materials showing glassy magnetic behavior at low temperature. The skyrmion lattice (SkL) phase is evident in the y = 0 and 8 materials through an enhanced response of the muon-spin relaxation to the emergent dynamics that accompany the SkL. For our polycrystalline samples of GaV4Se8, this enhanced dynamic response is confined to a smaller region of the magnetic field-temperature phase diagram than the previous reports of the SkL in single crystals

    Understanding factors influencing home pregnancy test use among women in western Kenya: A qualitative analysis

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    BackgroundThere are limited data on home pregnancy test use among women in low-and-middle-income countries. A prior survey found that only 20% of women in western Kenya used a home pregnancy test to confirm their pregnancies before going to antenatal care. This qualitative study aims to understand why women do not use home pregnancy tests in early pregnancy.MethodsFrom April 2021 to July 2021, we interviewed women from four antenatal care clinics in Homa Bay and Siaya counties. We recruited women previously enrolled in the PrEP Implementation for Mothers in Antenatal care (PrIMA) study, a cluster-randomized trial that evaluated the best approaches to implementing PrEP in maternal and child health clinics in Western Kenya (NCT03070600). Interviews were conducted via phone, audio recorded, translated, and transcribed verbatim. We coded and analyzed the transcripts to capture factors influencing women's capability, opportunity, and motivation to use home pregnancy tests.ResultsWe conducted 48 semistructured interviews with women aged 21–42 years. Twenty-seven women did not use a home pregnancy test in their most recent pregnancy. Seventeen of these women reported not using a home pregnancy test before. Lack of knowledge, mistrust in the accuracy of tests, preferring to rely on signs and symptoms of pregnancy or get a test from the health facility, cost, and accessibility were key barriers to home pregnancy test use.ConclusionImproving the uptake of home pregnancy testing during early pregnancy will require efforts to enhance community knowledge of test use and associated benefits and reduce cost burdens by making tests more affordable and accessible

    A large scale hearing loss screen reveals an extensive unexplored genetic landscape for auditory dysfunction

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    The developmental and physiological complexity of the auditory system is likely reflected in the underlying set of genes involved in auditory function. In humans, over 150 non-syndromic loci have been identified, and there are more than 400 human genetic syndromes with a hearing loss component. Over 100 non-syndromic hearing loss genes have been identified in mouse and human, but we remain ignorant of the full extent of the genetic landscape involved in auditory dysfunction. As part of the International Mouse Phenotyping Consortium, we undertook a hearing loss screen in a cohort of 3006 mouse knockout strains. In total, we identify 67 candidate hearing loss genes. We detect known hearing loss genes, but the vast majority, 52, of the candidate genes were novel. Our analysis reveals a large and unexplored genetic landscape involved with auditory function
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