86 research outputs found

    Estudio bibliométrico de la investigación educativa en las universidades de Andalucía en el SSCI (2002-2010)

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    The ten Andalusian public universities have a total figure of 1312 professors linked to departments related to educational research. According to this, it could be said that there are enough research staff to make educational scientific production visible. Despite the fact that there are previous studies on Spanish educational production, these are not focused in Andalusia as a whole. The goal is to analyse the educational production, indexed in the Social Sciences Citation Index database (SSCI), carried out by researchers affiliated to some of the Andalusian universities. In particular, we analyse co-authorship patterns, diachronic production, language of the publication and the production per university. We utilize usual bibliometrical techniques for collecting and analysing data. We make the search in the SSCI from which we filter the information and download it. We used a local relational database made for this purpose. A standardization process of the author name and institution was made. An exponential rise of the production analysed is observed, partially due to the increment of educational journals that are indexed by the SSCI along the period studied. Spanish journals have the highest production rate. Likewise, a collaboration networks between Andalusian universities and others was revealed. The research articles are the 89.7% of the whole production analysed. The resulting collaboration index is slightly higher than others found in previous studies in the fields of Social Sciences and Education. In addition, it is shown that the collaboration among the Andalusian universities is low

    Estudio bibliométrico de la investigación educativa en las universidades de Andalucía en el SSCI (2002-2010)

    Get PDF
    The ten Andalusian public universities have a total figure of 1312 professors linked to departments related to educational research. According to this, it could be said that there are enough research staff to make educational scientific production visible. Despite the fact that there are previous studies on Spanish educational production, these are not focused in Andalusia as a whole. The goal is to analyse the educational production, indexed in the Social Sciences Citation Index database (SSCI), carried out by researchers affiliated to some of the Andalusian universities. In particular, we analyse co-authorship patterns, diachronic production, language of the publication and the production per university. We utilize usual bibliometrical techniques for collecting and analysing data. We make the search in the SSCI from which we filter the information and download it. We used a local relational database made for this purpose. A standardization process of the author name and institution was made. An exponential rise of the production analysed is observed, partially due to the increment of educational journals that are indexed by the SSCI along the period studied. Spanish journals have the highest production rate. Likewise, a collaboration networks between Andalusian universities and others was revealed. The research articles are the 89.7% of the whole production analysed. The resulting collaboration index is slightly higher than others found in previous studies in the fields of Social Sciences and Education. In addition, it is shown that the collaboration among the Andalusian universities is low

    Artificial intelligence-assisted decision-making in long-term care: a qualitative study on opportunities and prerequisites for responsible innovation (Preprint)

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    Background: While use of artificial intelligence (AI)-based technologies such as decision-support systems (AI-DSSs) could help sustaining and improving the quality and efficiency of care, their deployment also creates ethical and social challenges. In recent years, there has been a growing prevalence of high-level guidelines and frameworks to provide guidance on responsible AI innovation. However, few studies specify how AI-based technologies such as AI-DSSs can be responsibly embedded in specific contexts such as the nursing process in the long-term care (LTC) for older adults. Objective: Opportunities and prerequisites for responsible AI-assisted decision-making in the nursing process were explored from the perspectives of nurses and other professional stakeholders in LTC. Methods: Semi-structured interviews were conducted with 24 care professionals in Dutch LTC, including nurses, care coordinators, data specialists and care centralists. Two imaginary scenarios about the future use of AI-DSSs were developed beforehand and used to enable participants to articulate their expectations regarding the opportunities and risks of AI-assisted decision-making. After first openly discussing opportunities and possible risks associated with both scenarios, six high-level principles for responsible AI were used as probing themes to evoke further consideration on risks of using AI-DSSs in LTC. Further, participants were asked to brainstorm about possible strategies and actions in the design, implementation and use of AI-DSSs to address or mitigate the mentioned risks. A thematic analysis was carried out to identify opportunities and prerequisites for responsible innovation in this area. Results: Professionals’ stance towards the use of AI-DSSs is not a matter of purely positive or negative expectations, but rather a nuanced interplay of positive and negative elements that lead to a weighed perception of opportunities and prerequisites for responsible AI-assisted decision-making. Both opportunities and risks were identified in relation to early identification of care needs, guidance in devising care strategies, shared decision-making, and caregivers’ workload and work experience. To optimally balance opportunities and risks of AI-assisted decision-making, seven categories of prerequisites for responsible AI-assisted decision-making in the nursing process were identified: (1) regular deliberation on data collection, (2) a balanced proactive nature of AI-DSSs, (3) incremental advancements aligned with trust and experience, (4) customization for all user groups including clients and caregivers, (5) measures to counteract bias and narrow perspectives, (6) human-centric learning loops, and (7) routinization of using AI-DSSs. Conclusions: Opportunities of AI-assisted decision-making in the nursing process could turn into drawbacks, depending on the specific shaping of the design and the deployment of AI-DSSs. Therefore, we recommend viewing the responsible use of AI-DSSs as a balancing act. Moreover, given the interrelatedness of the identified prerequisites, we call for various actors, including developers and users of AI-DSSs, to cohesively address different factors important to the responsible embedding of AI-DSSs in practice

    Weak Segregation Theory and Non-Conventional Morphologies in the Ternary ABC Triblock Copolymers

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    The Leibler weak segregation theory in molten diblock copolymers is generalized with due regard for the 2nd shell harmonics contributions defined in the paper and the phase diagrams are built for the linear and miktoarm ternary ABC triblock copolymers. The symmetric linear copolymers with the middle block non-selective with respect to the side ones are shown to undergo the continuous ODT not only into the lamellar phase but also into various non-conventional cubic phases (depending on the middle block composition it could be the simple cubic, face-centered cubic or non-centrosymmetric phase revealing the symmetry of space group No.214 first predicted to appear in molten block copolymers). For asymmetric linear ABC copolymers a region of compositions is found where the weakly segregated gyroid (double gyroid) phase exists between the planar hexagonal and lamellar or one of the non-conventional cubic phases up to the very critical point. In contrast, the miktoarm ABC block copolymers with one of its arm non-selective with respect to the two others are shown to reveal a pronounced tendency towards strong segregation, which is preceded by increase of stability of the conventional BCC phase and a peculiar weakly segregated BCC phase (BCC3), where the dominant harmonics belong to the 3rd co-ordination sphere of the reciprocal lattice. The validity region of the developed theory is discussed and outlined in the composition triangles both for linear and miktoarm copolymers.Comment: 61 pages, 12 figure

    The long-term costs and effects of tubal flushing with oil-based versus water-based contrast during hysterosalpingography

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    Acknowledgements The authors would like to thank all the participating women, the hospitals and their staff, the research nurses and the staff of the Nationwide Consortium for Women's Health Research (NVOG Consortium; www.zorgevaluatienederland.nl ) for logistical support. Thanks also go to the H2Oil study group collaborators: Nan van Geloven, Jos W. R. Twisk, Peter M. van de Ven and Peter G. A. Hompes for their contributions to this study. The original H2Oil RCT was an investigator-initiated study that was funded by the two academic institutions (AMC and VUmc) of the Amsterdam UMC. The long-term follow-up study and economic analysis, both investigator-initiated studies, were funded by a research grant from Guerbet, France. The funders had no role in study design or collection, analysis or interpretation of the data. Declaration of interest: C.T.P. has received consultancy fees for external work from Guerbet, France. K.D. reports receiving travel and speakers fee from Guerbet. H.R.V. reports receiving consultancy fees from Ferring. M.G. works at the Department of Reproductive Medicine of the Amsterdam UMC (location AMC and location VUmc). Location VUmc has received several research and educational grants from Guerbet, Merck and Ferring. C.B.L. reports speakers fee from Ferring in the past, and his department receives research grants from Ferring, Merck and Guerbet. V.M. reports receiving travel and speakers fees as well as research grants from Guerbet. B.W.J.M. is supported by a NHMRC Investigator grant (GNT1176437). B.W.J.M. has received research grants from Merck and Guerbet. The other authors report no financial or commercial conflicts of interest.Peer reviewedPublisher PD

    Circulating Endothelial Progenitor Cells Are Up-Regulated in a Mouse Model of Endometriosis

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    Endometriosis is a debilitating disease characterized by the growth of ectopic endometrial tissue. It is widely accepted that angiogenesis plays an integral part in the establishment and growth of endometriotic lesions. Recent data from a variety of angiogenesis-dependent diseases suggest a critical role of bone marrow–derived endothelial progenitor cells (EPCs) in neovascularization. In this study we examined the blood levels of EPCs and mature circulating endothelial cells in a mouse model of surgically induced endometriosis. Fluorescence-activated cell sorting analysis revealed elevated levels of EPCs in the blood of mice with endometriosis compared with control subject that underwent a sham operation. EPC concentrations positively correlated with the amount of endometriotic tissue and peaked 1 to 4 days after induction of disease. In a green fluorescent protein bone marrow transplant experiment we found green fluorescent protein–positive endothelial cells incorporated into endometriotic lesions but not eutopic endometrium, as revealed by flow cytometry and immunohistochemistry. Finally, treatment of endometriosis-bearing mice with the angiogenesis inhibitor Lodamin, an oral nontoxic formulation of TNP-470, significantly decreased EPC levels while suppressing lesion growth. Taken together, our data indicate an important role for bone marrow–derived endothelial cells in the pathogenesis of endometriosis and support the potential clinical use of anti-angiogenic therapy as a novel treatment modality for this disease

    Platelet Inhibition, Endothelial Function, and Clinical Outcome in Patients Presenting With ST-Segment-Elevation Myocardial Infarction Randomized to Ticagrelor Versus Prasugrel Maintenance Therapy: Long-Term Follow-Up of the REDUCE-MVI Trial

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    Background Off-target properties of ticagrelor might reduce microvascular injury and improve clinical outcome in patients with ST-segment-elevation myocardial infarction. The REDUCE-MVI (Evaluation of Microvascular Injury in Revascularized Patients with ST-Segment-Elevation Myocardial Infarction Treated With Ticagrelor Versus Prasugrel) trial reported no benefit of ticagrelor regarding microvascular function at 1 month. We now present the follow-up data up to 1.5 years. Methods and Results We randomized 110 patients with ST-segment-elevation myocardial infarction to either ticagrelor 90 mg twice daily or prasugrel 10 mg once a day. Platelet inhibition and peripheral endothelial function measurements includi

    Ethnic Inequalities in Psychological Distress : A Population Data Linkage Study on the Pacific Island of GuÄhÄn/Guam

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    Psychological distress and mental illness has been found to be elevated in migrant groups living in sovereign countries, as well as for indigenous people living under colonial or administrative rule. The north Pacific island of Guam is unusual in its ethnic composition as it has no majority ethnic group, has a large indigenous population and remains a territory of the U.S. This study aimed to identify ethnic differences in self-reported psychological distress between the main ethnic groups on Guam. The study uses a cross sectional design with data linkage methodology, drawing on the Guam Census and the Behavioral Risk Factor Surveillance System health survey for Guam. The results showed that the native Chamorro population had worse self-reported psychological distress (defined as a ‘mental health condition or emotional problem’) than White/Caucasians (OR 2.09, 95% CI 1.52–2.87), particularly for severe distress (OR 3.61, 95% CI 1.33–2.77). This relationship persisted even after adjusting for a wide range of socio-demographic and economic factors (OR 2.58, 95% CI 1.15–5.76). Other Pacific Islanders also had higher psychological distress compared to White/Caucasians, but this association was largely explained by the adjusted factors. The findings are discussed in terms of social and economic disadvantage for Pacific Island peoples on Guam, as well as the impact of colonial administration, disaffection, and lack of autonomy for the Chamorro of Guam. Recommendations are made to improve psychiatric treatment for these groups by considering wider socio-political factors in assessment and treatment, as well as broader implications for the national dialogue on self-determination.Peer reviewe

    ULTrasound-guided TRAnsfemoral puncture in COmplex Large bORe PCI: study protocol of the UltraCOLOR trial

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    Introduction Although recently published evidence favours transradial access (TRA) when using large-bore guiding catheters for percutaneous coronary intervention (PCI) of complex coronary lesions, the femoral artery will still be used in a considerate proportion of patients undergoing complex PCI, especially in PCI of chronic total occlusions (CTO). Ultrasound-guided puncture of the femoral artery may reduce clinically relevant access site complications, but robust evidence is lacking up to date. Methods and analysis A total of 542 patients undergoing complex PCI, defined as PCI of CTO, complex bifurcation, heavy calcified lesion or left main, in which the 7-F or 8-F transfemoral access is required, will be randomised to ultrasound-guided puncture or fluoroscopy-guided puncture. The primary outcome is the incidence of the composite end-point of clinically relevant access site related bleeding and/or vascular complications requiring intervention. Access site complications and major adverse cardiovascular events up to 1 month will also be compared between both groups. Ethics and dissemination Ethical approval for the study was granted by the local Ethics Committee ('Medisch Ethische Toetsing Commissie Isala Zwolle') for all Dutch sites, 'Comité Medische Ethiek Ziekenhuis Oost-Limburg' for Hospital Oost-Limburg, 'Comité d'éthique CHU-Charleroi - ISPPC' for Centre Hospilatier Universitaire de Charleroi and 'Ethik Kommission de Arztekammer Nordrhein' for Elisabeth-Krankenhaus). The trial outcomes will be published in peer-reviewed journals of the concerned literature. The ultrasound guided transfemoral access in complex large bore PCI trial has been administered in the ClinicalTrials.gov database, reference number: NCT03846752. Registration details ClinicalTrials.gov identifier: NCT03846752
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