scholarly journals Evaluation of the productivity of hospital-based researchers: comparative study between the h-index and the h(fa)-index

2021 ◽  
Author(s):  
Paul Sebo ◽  
Sylvain de Lucia
Keyword(s):  
Cross Sectional Study ◽  
Weighting Factor ◽  
Added Value ◽  
Rater Agreement ◽  
Evaluation Tool ◽  
University Hospitals ◽  
Cross Sectional ◽  
H Index ◽  
Relative Contribution ◽  
Two Indices

AbstractThe h-index is often used to evaluate researchers and to measure their respective contributions to the scientific community. However, it does not take into account the relative contribution of each author to the articles. We aimed to assess the added value of the h(fa)-index, an index introducing a weighting factor for the first author. This cross-sectional study was conducted in March 2020 in Switzerland. We selected all hospital-based senior physicians practicing internal medicine or family medicine in the six university hospitals. Using Web of Science, we retrieved the h-index and computed the h(fa)-index of all physicians with a non-zero h-index. We used Spearman coefficients to examine the correlation between the two indices and Cohen’s kappa to determine the inter-rater agreement. 244 physicians were included in the study (men: 63%). They had a median h-index of 3 (IQR 11) and a median h(fa) index of 4.5 (IQR 14). The correlation between the two indices was very high (rho 0.98, p-value < 0.001). However, the inter-rater agreement was only moderate (Kappa 0.59 [95% CI 0.56–0.64]). The h(fa)-index was able to correct the categorization of the researchers in about 1/3 of the cases (agreement 63.4%). Although it is very challenging to evaluate researchers with a unique indicator, these data suggest that the h(fa)-index could be a better evaluation tool of researchers’ productivity.

Scientific publications in internal medicine and family medicine: a comparative cross-sectional study in Swiss university hospitals

2020 ◽  
Author(s):  
Paul Sebo ◽  
Sylvain de Lucia ◽  
Nathalie Vernaz
Keyword(s):  
Internal Medicine ◽  
Family Medicine ◽  
Median Number ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
H Index ◽  
Number Of Publications ◽  
Number Of Citations

Abstract Background Family medicine is a relatively new academic medical discipline. We aimed to compare the main bibliometric indices of hospital-based senior physicians practicing internal medicine versus family medicine in Switzerland. Methods We conducted this cross-sectional study in March 2020. We selected all hospital-based senior physicians practicing internal medicine or family medicine in the six Swiss university hospitals. Using Web of Science, after removing from both groups of physicians the 5% with the highest number of publications, we extracted the number of publications, the number of publications per year, the number of citations, the number of citations per year, the number of citations per publication and the h-index. We compared the data between the two groups using negative binomial regressions and the proportion of physicians having at least one publication using chi-square tests. Results We included 349 physicians in the study (internal medicine: 51%, men: 51%). The median number of publications was three [interquartile range (IQR) = 18], the median number of citations was nine (IQR = 158) and the median h-index was one (IQR = 5). All bibliometric indices were similar in both groups, as was the proportion of physicians having at least one publication (family medicine: 87% versus 82%, P = 0.15). Conclusions We found no association between the bibliometric indices and the medical specialty. Further studies are needed to explore other important indicators of academic output, such as those more specifically assessing its quality and scientific importance.

scholarly journals SARS-CoV-2 seroprevalence and asymptomatic viral carriage in healthcare workers: a cross-sectional study

Thorax ◽  
2020 ◽  
Vol 75 (12) ◽  
pp. 1089-1094 ◽  
Author(s):  
Adrian Shields ◽  
Sian E Faustini ◽  
Marisol Perez-Toledo ◽  
Sian Jossi ◽  
Erin Aldera ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Workers ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Nasopharyngeal Swab ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
General Internal ◽  
Increased Risk

ObjectiveTo determine the rates of asymptomatic viral carriage and seroprevalence of SARS-CoV-2 antibodies in healthcare workers.DesignA cross-sectional study of asymptomatic healthcare workers undertaken on 24/25 April 2020.SettingUniversity Hospitals Birmingham NHS Foundation Trust (UHBFT), UK.Participants545 asymptomatic healthcare workers were recruited while at work. Participants were invited to participate via the UHBFT social media. Exclusion criteria included current symptoms consistent with COVID-19. No potential participants were excluded.InterventionParticipants volunteered a nasopharyngeal swab and a venous blood sample that were tested for SARS-CoV-2 RNA and anti-SARS-CoV-2 spike glycoprotein antibodies, respectively. Results were interpreted in the context of prior illnesses and the hospital departments in which participants worked.Main outcome measureProportion of participants demonstrating infection and positive SARS-CoV-2 serology.ResultsThe point prevalence of SARS-CoV-2 viral carriage was 2.4% (n=13/545). The overall seroprevalence of SARS-CoV-2 antibodies was 24.4% (n=126/516). Participants who reported prior symptomatic illness had higher seroprevalence (37.5% vs 17.1%, χ2=21.1034, p<0.0001) and quantitatively greater antibody responses than those who had remained asymptomatic. Seroprevalence was greatest among those working in housekeeping (34.5%), acute medicine (33.3%) and general internal medicine (30.3%), with lower rates observed in participants working in intensive care (14.8%). BAME (Black, Asian and minority ethnic) ethnicity was associated with a significantly increased risk of seropositivity (OR: 1.92, 95% CI 1.14 to 3.23, p=0.01). Working on the intensive care unit was associated with a significantly lower risk of seropositivity compared with working in other areas of the hospital (OR: 0.28, 95% CI 0.09 to 0.78, p=0.02).Conclusions and relevanceWe identify differences in the occupational risk of exposure to SARS-CoV-2 between hospital departments and confirm asymptomatic seroconversion occurs in healthcare workers. Further investigation of these observations is required to inform future infection control and occupational health practices.

scholarly journals Difference in the general medicine in-training examination score between community-based hospitals and university hospitals: a cross-sectional study based on 15,188 Japanese resident physicians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuji Nishizaki ◽  
Keigo Nozawa ◽  
Tomohiro Shinozaki ◽  
Taro Shimizu ◽  
Tomoya Okubo ◽  
...  
Keyword(s):  
Physical Examination ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Medical Interview ◽  
Sectional Study ◽  
University Hospitals ◽  
Community Based ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Clinical Procedures

Abstract Background The general medicine in-training examination (GM-ITE) is designed to objectively evaluate the postgraduate clinical competencies (PGY) 1 and 2 residents in Japan. Although the total GM-ITE scores tended to be lower in PGY-1 and PGY-2 residents in university hospitals than those in community-based hospitals, the most divergent areas of essential clinical competencies have not yet been revealed. Methods We conducted a nationwide, multicenter, cross-sectional study in Japan, using the GM-ITE to compare university and community-based hospitals in the four areas of basic clinical knowledge“. Specifically, “medical interview and professionalism,” “symptomatology and clinical reasoning,” “physical examination and clinical procedures,” and “disease knowledge” were assessed. Results We found no significant difference in “medical interview and professionalism” scores between the community-based and university hospital residents. However, significant differences were found in the remaining three areas. A 1.28-point difference (95% confidence interval: 0.96–1.59) in “physical examination and clinical procedures” in PGY-1 residents was found; this area alone accounts for approximately half of the difference in total score. Conclusions The standardization of junior residency programs and the general clinical education programs in Japan should be promoted and will improve the overall training that our residents receive. This is especially needed in categories where university hospitals have low scores, such as “physical examination and clinical procedures.”

scholarly journals Association between Industry Payments and Scholarly Impact among Academic Ophthalmologists

2019 ◽  
Vol 11 (01) ◽  
pp. e1-e8
Author(s):  
Michael Solotke ◽  
Susan Forster ◽  
Jessica Chow ◽  
Jenesis Duran ◽  
Hasna Karim ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Cross Sectional Study ◽  
Academic Rank ◽  
Cross Sectional ◽  
H Index ◽  
Residency Programs ◽  
Scholarly Impact ◽  
The Mean ◽  
And Gender ◽  
Open Payments

Purpose The aim of this article is to examine the association between industry payments to ophthalmologists and scholarly impact. Design Retrospective cross-sectional study. Methods All ophthalmology faculty at United States accredited ophthalmology residency programs were included in this study. The main exposure was industry payments to ophthalmologists in 2016, as reported in the Centers for Medicare and Medicaid Services Open Payments Database. The primary outcome was Hirsch index (H-index), a measure of scholarly impact. Results Among 1,653 academic ophthalmologists in our study, 1,225 (74%) received industry payments in 2016. We did not observe a difference between the mean H-index of ophthalmologists receiving any industry payments versus those not receiving any payments (p = 0.68). In analysis including only ophthalmologists who received industry payments, H-index differed significantly by payment amount: 12.6 for ophthalmologists receiving less than $100, 12.2 for those receiving $100 to 1,000, 18.8 for those receiving $1,000 to 10,000, 21.3 for those receiving $10,000 to 100,000, and 29.4 for those receiving greater than $100,000 (p < 0.001). Within each academic rank and gender, industry payments greater than $1,000 were associated with a higher H-index (p < 0.05). Conclusions Although our analysis cannot prove causality, we observed a significant association between industry payments and scholarly impact among academic ophthalmologists, even after adjusting for gender, academic rank, and subspecialty. Prospective studies should further evaluate this relationship.

scholarly journals Relationship Between Teams’ Leader–Member Exchange Characteristics and Psychological Outcomes for Nurses and Nurse Managers: A Cross-Sectional Study in Japan

2021 ◽  
Vol 7 ◽  
pp. 237796082110259
Author(s):  
Saeka Kawaguchi ◽  
Yukie Takemura ◽  
Kimie Takehara ◽  
Keiko Kunie ◽  
Naoko Ichikawa ◽  
...  
Keyword(s):  
Social Exchange ◽  
Social Exchange Theory ◽  
Nurse Managers ◽  
Cross Sectional Study ◽  
Leader Member Exchange ◽  
Management Effectiveness ◽  
University Hospitals ◽  
Cross Sectional ◽  
Psychological States ◽  
Member Exchange

Introduction The Leader–Member Exchange (LMX) theory, based on the social exchange theory, relates to positive psychological states among nurses. However, the influence of various LMX qualities coexisting within a team on nurses or nurse managers is still uncleared. Objective This study examines the relationship of nurses and nurse managers’ psychological states with the average LMX and LMX dispersion among nurses in their units. Methods The study was conducted at two university hospitals in March 2017 using anonymous questionnaires. Nurses completed the LMX-7 scale and the subscales of job satisfaction, achievement, and growth from the Checklist on Commitments Related to Work. Nurse managers completed the subscales of management satisfaction, effectiveness, and extracting extra effort from the Multifactor Leadership Questionnaire. Both nurses and managers completed the Intention to Continue Working scale. The nurses’ data were analyzed using a multilevel analysis to clarify associations between nurses’ psychological states and LMX, average LMX, and LMX dispersion. Hierarchical multiple regression analysis tested to test the correlations of the psychological states of nurse managers with average LMX and LMX dispersion. Results Data from 586 nurses and 28 managers were analyzed. The LMX and average LMX of nurses were positively related to positive psychological states. Nurse managers displayed significant associations between high LMX dispersion and good psychological states. When average LMX was low, management effectiveness increased as LMX dispersion increased; when average LMX was high, management effectiveness was almost constant. Conclusion The unit’s LMX characteristics appear to be related to the psychological states of both nurses and nurse managers. Increasing the LMX of each nurse may lead to positive psychological states for not only that nurse but all nurses in the unit. When LMX with subordinates is low, increasing LMX with a portion of nurse managers should be a priority to improve their psychological states.

Musculoskeletal MRI Findings of Haematological Diseases

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Sameh Mohammed Abdelwahab ◽  
Hazem Ibrahim Abdelrahman ◽  
Pola Ibrahim Said
Keyword(s):  
Bone Marrow ◽  
Signal Intensity ◽  
Cross Sectional Study ◽  
Mr Images ◽  
University Hospitals ◽  
Mri Findings ◽  
Cross Sectional ◽  
Hematological Diseases ◽  
Musculoskeletal Mri ◽  
Normal Composition

Abstract Background Hematologic diseases are a group of prevalent and clinically diverse diseases that can affect any organ system. Hematologic disorders frequently involve bone and associated tissues causing significant alterations in the bone marrow and may have relevant side effects on the skeleton. In order to evaluate findings in bone marrow on MR imaging, it is essential to understand the normal composition and distribution of bone marrow and the changes in marrow that occur with age, as well as the basis for the MR signals from marrow and the factors that affect those signals. Aim of the Work To describe the musculoskeletal MRI findings in patients with hematological diseases. Patients and Methods cross sectional study was conducted in Ain Shams University hospitals on patients confirmed with hematological disease undergoing musculoskeletal MRI. Conclusion Magnetic resonance imaging is very beneficial noninvasive modality to evaluate bone marrow and detecting marrow lesions due to its ability to provide information at the level of cellular and chemical composition. Knowing normal marrow components and composition and their variation, as well as of factors that affect MR signal intensity, is important for optimal interpretation of MR images. The signal intensity, morphology, and location of marrow findings on MRI can be used to provide accurate diagnoses and to guide treatment of the discussed hematological diseases.

Curriculum Evaluation - A Cross-Sectional Study under selected Nursing College of KUHS

2021 ◽  
pp. 485-487
Author(s):  
Betcy George ◽  
Sheela Shenai N. A
Keyword(s):  
Curriculum Evaluation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Evaluation Tool ◽  
Specific Knowledge ◽  
Cross Sectional ◽  
Teaching Institution ◽  
History Of ◽  
Cross Sectional Design ◽  
Nursing College

Aim: A cross-sectional design (analytic) was adopted for the study and the aim of this study was to discover whether the curriculum is fulfilling its purpose and whether students are actually learning. Background: According to the history of education, the term ‘curriculum’ was originally related to the concept of a course of studies followed by a pupil in a teaching institution. Curriculum is a set of specific knowledge, skills and activities for students and it may be defined as planned activities to foster teachers' teaching and student's learning1. The term curriculum refers to the lessons and academic content taught in a school or in a specific course or program. Curriculum evaluation is an essential phase of curriculum development. Through evaluation a faculty discovers whether a curriculum is fulfilling its purpose and whether students are actually learning. Curriculum evaluation is crucial to measuring curriculum effectiveness in any educational setting2. Methods: A cross-sectional design (analytic) was adopted for the study. Eighty two graduates were selected by total enumerative sampling technique. Results: The data was analyzed using descriptive statistics. The various categories of the curriculum evaluation tool were summarized using frequency and percentage, separately for B.Sc and PB.BSc graduates. Conclusion: Out of six areas evaluated, 100% satisfaction was ensured in all areas except in assessment of organization of teacher’s materials, which concluded that 20% of graduates asked for improvement in special facilities and equipments for the curriculum updation.

Effect of hyperparathyroidism on vascular stiffness in hemodialysis patients

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Magdy Mohamed Saeed El-Sharkawy ◽  
Ahmed Hassan Mohamed El Thakaby ◽  
Ahmed Abdelmoniem Emara ◽  
Ahmed Mohamed Abdelkhalek
Keyword(s):  
Arterial Stiffness ◽  
Pulse Wave ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Mean Value ◽  
University Hospitals ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Group B ◽  
Stage Renal Disease

Abstract Background Cardiovascular disease (CVD) is present in &gt; 50% of patients undergoing dialysis and the relative risk of death due to CVD events in HD patients is reported to be 20 times higher than in the general population. In fact, in patients on renal replacement therapy (RRT) the prevalence of coronary heart disease and ventricular hypertrophy has been described to be 40% and 70% respectively, other CVD events include hypertention, arrhythmias, valvular calcification and arterial stiffness. Objective To detect the prevalence of arterial stiffness among end stage renal disease patients on prevalent hemodialysis with hyperparathyroidism. Patients and Methods This observational cross sectional study was conducted on 60 prevalent hemodialysis patients attending at hemodialysis unit of Ain Shams University hospitals, with convenient sampling method. The included patients are clinically stable on thrice weekly hemodialysis sessions for 4 hours per session. Results The Dual Pulse Wave Doppler (DPWD) method we proposed in this study may be considered as a useful and convenient option for clinical local Pulse Wave Velocity (PWV) measurement, this clinical practical and reproducible method had the capability to detect an increased local PWV of LCCA (which reflect arterial stiffness) in the patients with PTH &gt; 300 more than the patients with PTH &lt; 300 as it showed that in Group B (PTH&gt;300), the measured carotid artery local PWV values ranged from 6.22 m/s to 8.84 m/s and the mean value was 7.81 ± 0.72 m/s, which was higher than 6.72 ± 1.06 m/s (ranging from 4.48 m/s to 8.44 m/s) of Group A (PTH&lt;300). Conclusion Our study showed that there is a high prevalence of arterial stiffness in prevalent hemodialysis patients.

scholarly journals Motility in Frail Older Adults: Operationalization of a New Framework and First Insights into Its Relationship with Physical Activity and Life-Space Mobility: An Exploratory Study

2020 ◽  
Vol 17 (23) ◽  
pp. 8814
Author(s):  
Julia Seinsche ◽  
Wiebren Zijlstra ◽  
Eleftheria Giannouli
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cross Sectional Study ◽  
Assessment Tools ◽  
Life Space ◽  
Cross Sectional ◽  
Frail Older Adults ◽  
Relative Contribution ◽  
Effective Interventions ◽  
Age Related

In order to design effective interventions to prevent age-related mobility loss, it is important to identify influencing factors. The concept of “motility” by Kaufmann et al. subdivides such factors into three categories: “access”, “skills”, and “appropriation”. The aim of this study was to assemble appropriate quantitative assessment tools for the assessment of these factors in frail older adults and to get first insights into their relative contribution for life-space and physical activity-related mobility. This is an exploratory cross-sectional study conducted with twenty-eight at least prefrail, retired participants aged 61–94. Life-space mobility was assessed using the “University of Alabama at Birmingham Life-space Assessment” (LSA) and physical activity using the “German Physical Activity Questionnaire” (PAQ50+). Factors from the category “appropriation”, followed by factors from the category “skills” showed the strongest associations with the LSA. Factors from the category “access” best explained the variance for PAQ50+. This study’s findings indicate the importance of accounting for and examining comprehensive models of mobility. The proposed assessment tools need to be explored in more depth in longitudinal studies with larger sample sizes in order to yield more conclusive results about the appropriateness of the motility concept for such purposes.

scholarly journals Clinically Relevant Drug-Drug Interactions and Management Strategies: A Hospital based Study

2020 ◽  
Vol 2 (2) ◽  
pp. 109-114
Author(s):  
Arun Sharma ◽  
Sitaram Khadka ◽  
Bimal Kunwar ◽  
Kapil Amgain ◽  
Rinku Joshi ◽  
...  
Keyword(s):  
Drug Interactions ◽  
Management Strategies ◽  
Clinical Importance ◽  
Cross Sectional Study ◽  
Automated System ◽  
Clinical Settings ◽  
Evaluation Tool ◽  
Cross Sectional ◽  
Medication Therapy ◽  
Clinically Significant

Background: Drug-drug interactions (DDIs) are one of the significant drug related problems encountered in clinical settings. Better understanding of the mechanisms, severity, and likely consequences of clinically significant DDIs are essential for proper medication therapy management (MTM). This study is conducted with the aim to aware clinical practitioners about clinically significant DDIs that occur in clinical settings and to help them manage such events with the accurate knowledge and technique. Methods: A descriptive cross-sectional study was conducted in Shree Birendra Hospital, Kathmandu on the prescription of medical out-patient department from June to November 2020. Total 483 prescriptions were selected randomly. A panel of physicians, pharmacologists and clinical pharmacists under the supervision of a consultant physician using MICROMEDEX DRUG-REAX, Evaluation of Drug Interactions, Drug Interaction Facts, Drug Interactions: Analysis and Management was conducted. Main outcome measure was obtained by the supervisor’s endorsement on panelists' opinion about clinical importance of DDIs. Results: A total of 2006 medicines were prescribed in 483 prescription samples. The number of drugs per prescription was in a range from 2 to 11 with 4.15 on average. DDIs were found in 21.53% prescriptions (n=104). 168 DDIs were identified with major, moderate, and minor types in 32 (19%), 85 (51%), and 51 (30%) respectively. As per occurrence, the panel determined that 13 interactions were clinically important. Conclusion: The drug interactions identified by a panel of expert using standard evaluation tool are considered to be clinically important and likely to occur in the clinical settings. Clinically significant DDIs can be preventable and can also be used for the beneficial effects in MTM. Adequate knowledge regarding nature of DDIs, inclusion of automated system in prescribing and dispensing area, and inter-professional collaboration of a clinical team is liable to prevent and manage such events and help in rational drug therapy.

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