Classification of information systems research revisited: A keyword analysis approach

A number of studies have previously been conducted on keyword analysis in order to provide a comprehensive scheme to classify information systems (IS) research. However, these studies appeared prior to 1994, and IS research has clearly developed substantially since then with the emergence of areas such as electronic commerce, electronic government, electronic health and numerous others. Furthermore, the majority of European IS outlets - such as the European Journal of Information Systems and Information Systems Journal - were founded in the early 1990s, and keywords from these journals were not included in any previous work. Given that a number of studies have raised the issue of differences in European and North American IS research topics and approaches, it is arguable that any such analysis must consider sources from both locations to provide a representative and balanced view of IS classification. Moreover, it has also been argued that there is a need for further work in order to create a comprehensive keyword classification scheme reflecting the current state of the art. Consequently, the aim of this paper is to present the results of a keyword analysis utilizing keywords appearing in major peer-reviewed IS publications after the year 1990 through to 2007. This aim is realized by means of the two following objectives: (1) collect all keywords appearing in 24 peer reviewed IS journals after 1990; and (2) identify keywords not included in the previous IS keyword classification scheme. This paper also describes further research required in order to place new keywords in appropriate IS research categories. The paper makes an incremental contribution toward a contemporary means of classifying IS research. This work is important and useful for researchers in understanding the area and evolution of the IS field and also has implications for improving information search and retrieval activities

Utilizing Digital Health to Collect Electronic Patient-Reported Outcomes in Prostate Cancer: Single-Arm Pilot Trial

Background: Measuring patient-reported outcomes (PROs) requires an individual’s perspective on their symptoms, functional status, and quality of life. Digital health enables remote electronic PRO (ePRO) assessments as a clinical decision support tool to facilitate meaningful provider interactions and personalized treatment. Objective: This study explored the feasibility and acceptability of collecting ePROs using validated health-related quality of life (HRQoL) questionnaires for prostate cancer. Methods: Using Apple ResearchKit software, the Strength Through Insight app was created with content from validated HRQoL tools 26-item Expanded Prostate Cancer Index Composite (EPIC) or EPIC for Clinical Practice and 8-item Functional Assessment of Cancer Therapy Advanced Prostate Symptom Index. In a single-arm pilot study with patients receiving prostate cancer treatment at Thomas Jefferson University Hospital and affiliates, participants were recruited, and instructed to download Strength Through Insight and complete ePROs once a week over 12 weeks. A mixed methods approach, including qualitative pre- and poststudy interviews, was used to evaluate the feasibility and acceptability of Strength Through Insight for the collection and care management of cancer treatment. Results: Thirty patients consented to the study; 1 patient failed to complete any of the questionnaires and was left out of the analysis of the intervention. Moreover, 86% (25/29) reached satisfactory questionnaire completion (defined as completion of 60% of weekly questions over 12 weeks). The lower bound of the exact one-sided 95% CI was 71%, exceeding the 70% feasibility threshold. Most participants self-identified with having a high digital literacy level (defined as the ability to use, understand, evaluate, and analyze information from multiple formats from a variety of digital sources), and only a few participants identified with having a low digital literacy level (defined as only having the ability to gather information on the Web). Interviews were thematically analyzed to reveal the following: (1) value of emotional support and wellness in cancer treatment, (2) rise of social patient advocacy in online patient communities and networks, (3) patient concerns over privacy, and (4) desire for personalized engagement tools. Conclusions: Strength Through Insight was demonstrated as a feasible and acceptable method of data collection for ePROs. A high compliance rate confirmed the app as a reliable tool for patients with localized and advanced prostate cancer. Nearly all participants reported that using the smartphone app is easier than or equivalent to the traditional paper-and-pen approach, providing evidence of acceptability and support for the use of remote PRO monitoring. This study expands on current research involving the value of digital health, as a social and behavioral science, augmented with technology, can begin to contribute to population health management, as it shapes psychographic segmentation by demographic, socioeconomic, health condition, or behavioral factors to group patients by their distinct personalities and motivations, which influence their choices

Student Perceptions of the Professional Behavior of Faculty Physicians

This study was conducted to obtain a baseline understanding of the professional behavior of clinical faculty physicians from the medical students’ perspective. Students completed a professionalism evaluation of supervising faculty at the end of each required third-year clerkship over a one year period. Results were analyzed by specific behaviors and across clerkships. Differences were noted in the frequency of the types of problems seen, and varied by clerkship discipline. The most common transgressions of professional behavior reported were the use of derogatory language towards other services or patients and the disrespectful treatment of others. Our study served to provide objective feedback to the faculty about student perceptions of faculty as role models for professionalism while on clinical rotations

Spatial Effects in Low Neutron Source Start-up and Associated Stochastic Phenomena

This work concerns the calculation of the neutron source strength necessary to start up a nuclear reactor such that the likelihood of an undesirable stochastic transient is reduced to a specified value (e.g. 10−8). We extend our earlier point model work on low source calculations to include the spatial variation of the neutron source. Results for the source multiplier for a given safety factor are obtained for slab, cylindrical and spherical systems. The spatial term in the Pál-Bell equation is dealt with by Chebyshev-Gauss-Lobatto collocation methods and this enables an extrapolation distance to be included, thereby simulating a reflector. Results are given for a range of system sizes, and corresponding source multipliers for safe source determination are obtained. The saddlepoint method is used to invert the generating function. In addition to the low source calculations, we have also tested the collocation method on the survival probability in a sphere which demonstrates excellent convergence. We also comment on the usefulness of the Gamma pdf for spatially dependent problems. For clarity of presentation, some of the detailed mathematical work is relegated to Appendices

A Comparison of Measured and Self-Reported Blood Pressure Status among Low-Income Housing Residents in New York City

Self-report is widely used to measure hypertension prevalence in population-based studies, but there is little research comparing self-report with measured blood pressure among low-income populations. The objective of this study was to compare self-reported and measured blood pressure status among a sample of low-income housing residents in New York City (n=118). We completed a cross-sectional analysis comparing self-report with measured blood pressure status. We determined the sensitivity, specificity, and positive predictive value (PPV) of each self-report metric. Of the sample, 68.1% was Black, 71.1% had a household income under $25,000/year, and 28.5% did not complete high school. In our study, there was a discrepancy in the prevalence hypertension by self-report (30.5%) versus measurement (39.8%). PPV of self-report was 94.4%. Specificity was 97.2%. Hypertension awareness (sensitivity) was 72.3%. Of individuals not reporting hypertension, 15.9% had measurements in the hypertensive range and 43.9% had measurements in the borderline hypertensive range. Our findings suggest that self-reported and objective measures of hypertension are incongruent among low-income housing residents and may have important implications for population-based research among low-income populations

Behavioral Health Models to Understand High-Risk Prenatal Patient Adherence to Visit Schedule in Camden

ABSTRACT: Introduction: Despite improvement initiatives, patient non-adherence remains an issue in healthcare. Patients with high-risk pregnancies require more frequent monitoring to reduce complications. This study aims to better understand visit non-adherence with high-risk prenatal appointments. We hypothesized that patients’ perceived logistic barriers would be the most prominent determinant of visit non-adherence. Methods: This study included adult, English speaking patients of the high-risk prenatal clinic at Cooper University Hospital that missed at least one appointment. We completed three, one hour focus groups with seven participants. Constant comparison analysis was used to determine common themes discussed by participants. Axial coding and basic unit descriptors were defined by both facilitators to determine common themes discussed during the focus group sessions. Results: We identified two main themes in regards to patient visit non-adherence in our population: logistic issues and perceived relationship issues between the patient and the care team. Logistic issues included issues with rescheduling, seeing different providers, parking, wait time and office hours. In regards to patient-care team relationships, subjects frequently brought up issues with respect, feeling heard by providers, communication and professionalism. All seven patients identified at least one of the five domains of logistic barriers as a concern. Five of the seven participants identified an issue across the four domains of relationship issues. Discussion: The focus group analysis illustrated recurrent themes of logistic barriers and deficiencies in patient-care team relationships that contributed to high-risk prenatal visit non-adherence. A follow-up survey study is necessary to quantitatively assess the most prominent reasons for visit non-adherence based on the themes identified in our study. Keywords: High-Risk Prenatal Clinic, Appointment Adherence, Health Behaviors Model, Theory of Planned Behavior, Focus Group Analysi

The energy dependent Pál–Bell equation and the influence of the neutron energy on the survival probability in a supercritical medium

Digitized thesi

Hyperattenuated Crescent Sign Observed During Endovascular Aneurysm Repair

Background. Ruptured abdominal aortic aneurysms have a high mortality rate with only 50% of patients surviving to presentation at the emergency department.1 Of those who present, approximately one-third will demonstrate the classically described triad of sudden onset abdominal pain, shock, and pulsatile abdominal mass.1 With advancements in technology, radiographic studies have become an integral component of patient evaluation for rupture. Methods. Review of one case and corresponding radiographic findings. Results. Hyperattenuated crescent sign observed intraoperatively without direct correlation with rupture. Conclusions. The hyperattenuated crescent is an important radiographic finding that one should be alerted to in the evaluation of AAA patients. The presence of the sign does not mandate emergent surgery, but care should be taken to optimize the patient’s resuscitation and monitoring in preparation for rupture. Observation of the crescent is not limited to CT imaging and may serve as an important intraoperative finding that may guide operative decision-making