scholarly journals The Development of an Emergency Medicine Resident Research Program in the United States Military

2019 ◽  
Vol 184 (11-12) ◽  
pp. e622-e625 ◽  
Author(s):  
Joshua J Oliver ◽  
Justin M Ross ◽  
W Tyler Davis ◽  
Patrick C NG ◽  
Brit Long ◽  
...  

Abstract Introduction The Accreditation Council for Graduate Medical Education stipulates that residents should participate in scholarly activity. As of 2019 that verbiage will be changed to, “Residents must participate in scholarship.” However, scholarly activity is not clearly defined. We set out to define our graduation research requirement in a measurable way and structure a research curriculum that better prepared residents to conduct scholarly activity. Materials and Methods This study compares resident scholarly output in several categories before and after the initiation of a revised research curriculum and graduation requirement. Scholarly activity was measured by comparing the production of Pubmed Indexed (PMID) publications, online publications, and conference presentations of two Emergency Medicine Residency classes. The intervention class was represented by the class of 2018 which exposed 16 residents to the new curriculum and graduation requirement for the full three years of their residency. The comparison class was represented by the class of 2015 which exposed 16 residents to the old curriculum and old graduation requirement. The old graduation requirement and curriculum were undefined. The new requirement involved two options, participate in original research starting from the process of question formulation and carried through manuscript drafting or publishing at first author PMID of any kind. The new curriculum involved monthly journal clubs, two annual deep dives, and an 8-day Intern Research Course modeled after the Emergency Medicine Basic Research Skills workshop sponsored by the American College of Emergency Physicians. In addition to the new curriculum, several new leadership positions were created at both the staff and resident level that solely focused on the promotion of scholarly activity. In addition to creating a culture within the department that encouraged scholarship, these overlapping leadership positions also helped create continuity in a program that could easily be hampered by frequent staff turnover due to new military assignments and military deployments. Results Resident scholarly activity in the form of PMIDs increased from 4 to 22. The production of online publications was 0 and 12, respectively. There were 2 and 11 conference presentations, respectively. Conclusion Resident scholarly activity increased following the institution of a new research curriculum and graduation requirement.

Author(s):  
Joshua Kotin

This book is a new account of utopian writing. It examines how eight writers—Henry David Thoreau, W. E. B. Du Bois, Osip and Nadezhda Mandel'shtam, Anna Akhmatova, Wallace Stevens, Ezra Pound, and J. H. Prynne—construct utopias of one within and against modernity's two large-scale attempts to harmonize individual and collective interests: liberalism and communism. The book begins in the United States between the buildup to the Civil War and the end of Jim Crow; continues in the Soviet Union between Stalinism and the late Soviet period; and concludes in England and the United States between World War I and the end of the Cold War. In this way it captures how writers from disparate geopolitical contexts resist state and normative power to construct perfect worlds—for themselves alone. The book contributes to debates about literature and politics, presenting innovative arguments about aesthetic difficulty, personal autonomy, and complicity and dissent. It models a new approach to transnational and comparative scholarship, combining original research in English and Russian to illuminate more than a century and a half of literary and political history.


Author(s):  
Sharon P. Schleigh ◽  
Stephanie J. Slater ◽  
Timothy F. Slater ◽  
Debra J. Stork

Há um grande interesse em restringir a ampla gama e vasto domínio dos possíveis temas que poderiam ser ensinados sobre astronomia em uma estrutura gerenciável. Embora não haja nenhum currículo nacional obrigatório nos Estados Unidos, uma análise dos três esforços nacionais recentes para criar uma sequência apropriada de conceitos de astronomia por idade para serem ensinados nas escolas primárias e secundárias revela uma considerável falta de consenso a respeito de quais conceitos são mais apropriados para cada idade e quais tópicos devem ser cobertos. O esquema de padronização mais recente para a educação científica dos EUA, o Next Generation Science Standards (Padrões em Ciência: Nova Geração), sugere que a maioria dos conceitos de astronomia devem ser ensinados apenas nos últimos anos de educação do aluno; e no entanto  foi recebido com críticas consideráveis. Uma comparação dos esquemas de aprendizagem da astronomia nos Estados Unidos e uma breve discussão das críticas levantadas podem proporcionar aos educadores de astronomia internacionais dados de comparação na formulação de recomendações em suas próprias regiões.


2021 ◽  
pp. 1-9
Author(s):  
Daniel P. Sew ◽  
Nigel E. Drury

Abstract Objective: The citation history of a published article reflects its impact on the literature over time. We conducted a comprehensive bibliometric analysis to identify the most cited papers on CHD in children. Methods: One-hundred and ninety journals listed in Journal Citation Reports were accessed via Web of Science. Publications with 250 or more citations were identified from Science Citation Index Expanded (1900–2020), and those relating to structural CHD in children were reviewed. Articles were ranked by citation count and the 100 most cited were analysed. Results: The number of citations ranged from 2522 to 309 (median 431, IQR 356–518), with 35 published since 2000. All were written in English, most originated from the United States (74%), and were published in cardiovascular journals, with Circulation (28%) the most frequent. There were 86 original research articles, including 50 case series, 14 cohort studies, and 10 clinical trials. The most cited paper was by Hoffman JI and Kaplan S on the incidence of CHD. Thirteen authors had 4 or more publications in the top 100, all of whom had worked in Boston, Philadelphia, San Francisco, or Dallas, and the most prolific author was Newburger JW (9 articles). Conclusions: Citation analysis provides a historical perspective on scientific progress by assessing the impact of individual articles. Our study highlights the dominant position of US-based researchers and journals in this field. Most of the highly cited articles remain case series, with few randomised controlled trials in CHD appearing in recent years.


2019 ◽  
Vol 212 (1) ◽  
pp. 146-150 ◽  
Author(s):  
Saba Moghimi ◽  
Kiran Khurshid ◽  
Sabeena Jalal ◽  
Sadia R. Qamar ◽  
Savvas Nicolaou ◽  
...  

1997 ◽  
Vol 6 (2) ◽  
pp. 213-228
Author(s):  
Jeremy Hein

Political violence and international migration have the potential to disrupt leadership continuity in Hmong refugee communities in the United States. At the same time, clan and village authority structures from Laos favor leadership continuity despite dramatic social change. Data on 40 Hmong leaders in ten communities are used to determine if the indigenous sources of leadership continue to determine who becomes a leader after resettlement. The majority of leaders were leaders in Southeast Asia and have close kin who were leaders, indicating leadership continuity. Whether these leaders have held few or many leadership positions in the United States, however, is not determined by prior leadership or kinship, but by factors associated with acculturation. Initial leadership status in a host society is linked to authority structures from the homeland, but social change influences subsequent leadership careers.


2017 ◽  
Vol 78 (3) ◽  
pp. 328 ◽  
Author(s):  
Amanda B. Click ◽  
Claire Walker Wiley ◽  
Meggan Houlihan

This study is a systematic review of the library and information science (LIS) literature related to international students and academic libraries. A systematic review involves the methodical collection and analysis of a body of literature and is growing in popularity in the LIS field. Three well-known LIS databases were systematically searched for articles related to the topic, and manual bibliography searches were conducted to find additional publications. Journal articles, book chapters, and conference papers were included or excluded based on established criteria. Findings show that articles published about international students and academic libraries have increased steadily between 1990 and 2014. The majority of authors are affiliated with universities and institutions in the United States, although an increase in represented countries is apparent. Fewer than half of the articles can be considered original research, and surveys are the most popular method for data collection. The LIS field—and international students—would benefit from further exploration of this topic, particularly from original research with practical implications.


2011 ◽  
Vol 6 (3) ◽  
pp. 71 ◽  
Author(s):  
Lisa Shen

Objective – To determine reasons authors choose to publish in open access (OA) education journals, which provides readers with unrestricted free online access to published articles, and investigate ways in which publishing practices in the discipline of education affects authors’ willingness to publish in these journals. Design – Web-based survey questionnaire. Setting – The survey was conducted over the Internet through email invitations. Subjects – A total of 309 authors who published in OA journals in education participated in this survey for a response rate of 27.9%. Methods – Researchers surveyed authors who published in selected education journals from 2007 to 2008. The journal titles where generated from the Directory of Open Access Journals (DOAJ). All chosen journals were peer-reviewed and published either original research or overviews of research results. In addition, all were in English and published in the United States. A total of 1,107 authors were invited to participate via email. The survey was delivered through commercial online survey tool SurveyMonkey and consisted of multiple choice and open-ended questions. It was open from early March to April 16, 2009. Main Results – The survey had a response rate of 27.9%. The majority of participants were tenured faculty (42.0%), tenure-track faculty (25.9%), and non-tenure track faculty (12.1%). The rest of participants (20%) consisted of adjunct instructors, graduate students, administrators, and individuals working in non-academic institutions such as government agencies. Most authors surveyed have published between 10 and 20 articles (20.6%), or over 20 articles (30.4%) in print and electronic journals (e-journals). The majority of authors also reported that one (23.3%) or between 2 to 5 (54%) of their articles was published in OA format. When choosing a journal for publications, authors surveyed ranked peer-review to be the most important determinant. Other important determinants included “good match” (ranked second most important) for authors’ manuscripts and reputation of the journal (third) and editorial board (fourth). Citation impact, such as the ISI impact factor (eighth), and copyright retention (tenth) were ranked as some of the least important factors. Researcher also noted a “surprisingly low” (p. 124) correlation between authors’ interest in copyright retention and practices of self-archiving. Thirty-seven percent of authors surveyed reported self-archiving at least one of their publications, but just over 35% of the same group considered copyright retention a determinant when choosing journals for publication. Overall, only 22% of the authors surveyed deemed e-journals to be “less desirable” than print journals. The majority of both tenured faculty (77.4%) and tenure-track faculty (72%) surveyed found e-journals “acceptable” or difference between print and electronic journal format “not an issue.” Only 16.8% of authors surveyed had published in journals that required author fees. Moreover, over 56% of authors indicated they would not publish in journals requiring such fees. Most authors reported they were either very aware (45.1%) or somewhat aware (38.9%) of the concept of OA publishing. However, their perceptions of OA publishing varied: • 47.7% believed OA journals have faster publication times, while 33.6% disagreed and 18.5% offered no opinion. • 57.3% of authors believed OA journals have larger readerships. However, when asked whether OA articles would be cited more frequently than others, only one third of authors agreed, while one third disagreed and one third offered no opinion. • Just under half of the authors (49.4%) thought OA journals are not less prestigious than subscription based journals, while 18.8% had no opinion. Lastly, it should be noted that only 7.1% of authors credited their institution’s library for making them aware of the OA publishing concept. Most credited their colleagues (42.1%), Google searches for publishing opportunities (40.4%), and professional societies (29.3%) for raising their awareness of OA. Moreover, based on voluntary general comments left at end of the survey, researchers observed that some authors viewed the terms open access and electronic “synonymously” and thought of OA publishing only as a “format change” (p.125). Conclusion – The study revealed some discipline-based differences in authors’ attitudes toward scholarly publishing and the concept of OA. The majority of authors publishing in education viewed author fees, a common OA publishing practice in life and medical sciences, as undesirable. On the other hand, citation impact, a major determinant for life and medical sciences publishing, was only a minor factor for authors in education. These findings provide useful insights for future research on discipline-based publication differences. The findings also indicated peer review is the primary determinant for authors publishing in education. Moreover, while the majority of authors surveyed considered both print and e-journal format to be equally acceptable, almost one third viewed OA journals as less prestigious than subscription-based publications. Some authors also seemed to confuse the concept between OA and electronic publishing. These findings could generate fresh discussion points between academic librarians and faculty members regarding OA publishing.


2012 ◽  
Vol 3 (3) ◽  
Author(s):  
Megen Leeds Schumacher ◽  
Ashley Cetola Pettia ◽  
Albert I Wertheimer

Background: Extended cycle hormonal contraceptives (e.g. Seasonale, Seasonique) when introduced in 2003 were considered a very novel approach to contraception. The idea of manipulating the menstrual cycle so that women would experience just four menstruations a year was radical and was assumed to be responsible for the slow acceptance rate among the general public. Objective: This report analyzes two different aspects of the acceptance of this unique idea in the population. The first was the level of usage of extended cycle hormonal contraceptives in the general population, which was measured by a review of sales figures over time in the United States. The second was an examination of market diffusion as it relates to consumer perceptions regarding the characteristics of these products. Methods: To determine the degree of usage of extended cycle hormonal contraceptives the yearly sales, in terms of units sold, were compared with that of other leading methods of hormonal contraception. Along with the data, survey answers were obtained from 65 women who volunteered to participate in the study. Participants were selected randomly to represent the target population to assess the level of awareness about the benefits, risks, and any other concerns regarding the use of extended cycle hormonal contraceptives. Results: The yearly sales data of units sold showed a definitive increase in the sales of extended cycle hormonal contraceptives since their release on the market. The survey results showed an overwhelming awareness in the study population about the extended regimen. However, only about half of the women in the survey group were aware of its benefits. The main concern reported was the perceived significant side effect profile. Conclusion: Though awareness about the extended cycle hormonal contraception regimen was widespread, the survey population was not well informed about the advantages and the disadvantages regarding the degree of severity of side effects. To address these knowledge deficits, these aspects should be the focus when distributing information about extended cycle hormonal contraceptive regimens. This may boost the use of a potentially advantageous contraceptive regimen by a population who would derive benefit from its usage.   Type: Original Research


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262215
Author(s):  
Anna Tupetz ◽  
Loren K. Barcenas ◽  
Ashley J. Phillips ◽  
Joao Ricardo Nickenig Vissoci ◽  
Charles J. Gerardo

Introduction Antivenom is currently considered standard treatment across the full spectrum of severity for snake envenomation in the United States. Although safe and effective antivenoms exist, their use in clinical practice is not universal. Objective This study explored physicians’ perceptions of antivenom use and experience with snake envenomation treatment in order to identify factors that influence treatment decisions and willingness to administer. Methods We conducted a qualitative study including in-depth interviews via online video conferencing with physicians practicing in emergency departments across the United States. Participants were selected based on purposive sampling methods. Data analysis followed inductive strategies, conducted by two researchers. The codebook and findings were discussed within the research team. Findings Sixteen in-depth interviews with physicians from nine states across the US were conducted. The participants’ specialties include emergency medicine (EM), pediatric EM, and toxicology. The experience of treating snakebites ranged from only didactic education to having treated over 100 cases. Emergent themes for this manuscript from the interview data included perceptions of antivenom, willingness to administer antivenom and influencing factors to antivenom usage. Overall, cost-related concerns were a major barrier to antivenom administration, especially in cases where the indications and effectiveness did not clearly outweigh the potential financial burden on the patient in non-life- or limb-threatening cases. The potential to decrease recovery time and long-term functional impairments was not commonly reported by participants as an indication for antivenom. In addition, level of exposure and perceived competence, based on prior education and clinical experience, further impacted the decision to treat. Resources such as Poison Center Call lines were well received and commonly used to guide the treatment plan. The need for better clinical guidelines and updated treatment algorithms with clinical and measurable indicators was stated to help the decision-making process, especially among those with low exposure to snake envenomation patients. Conclusions A major barrier to physician use of antivenom is a concern about cost, cost transparency and cost–benefit for the patients. Those concerns, in addition to the varying degrees of awareness of potential long-term benefits, further influence inconsistent clinical treatment practices.


2020 ◽  
Author(s):  
Natalie Erskine ◽  
Sharief Hendricks

BACKGROUND Medical journals use Twitter to engage and disseminate their research articles and implement a range of strategies to maximize reach and impact. OBJECTIVE This study aims to systematically review the literature to synthesize and describe the different Twitter strategies used by medical journals and their effectiveness on journal impact and readership metrics. METHODS A systematic search of the literature before February 2020 in four electronic databases (PubMed, Web of Science, Scopus, and ScienceDirect) was conducted. Articles were reviewed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. RESULTS The search identified 44 original research studies that evaluated Twitter strategies implemented by medical journals and analyzed the relationship between Twitter metrics and alternative and citation-based metrics. The key findings suggest that promoting publications on Twitter improves citation-based and alternative metrics for academic medical journals. Moreover, implementing different Twitter strategies maximizes the amount of attention that publications and journals receive. The four key Twitter strategies implemented by many medical journals are tweeting the title and link of the article, infographics, podcasts, and hosting monthly internet-based journal clubs. Each strategy was successful in promoting the publications. However, different metrics were used to measure success. CONCLUSIONS Four key Twitter strategies are implemented by medical journals: tweeting the title and link of the article, infographics, podcasts, and hosting monthly internet-based journal clubs. In this review, each strategy was successful in promoting publications but used different metrics to measure success. Thus, it is difficult to conclude which strategy is most effective. In addition, the four strategies have different costs and effects on dissemination and readership. We recommend that journals and researchers incorporate a combination of Twitter strategies to maximize research impact and capture audiences with a variety of learning methods. CLINICALTRIAL


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