scholarly journals A Scientometric Analysis of the 50 Most Cited Articles for Reconstruction of the Lower Extremity

2019 ◽  
Vol 2019 ◽  
pp. 1-12
Author(s):  
Zacharia Mbaidjol ◽  
Jens Rothenberger ◽  
Rajesh Chetany

Background. Lower extremity reconstruction has always been a challenge. Some of the published articles had a major impact on the field but are often not considered as classics because they have fewer citations. We therefore conducted a scientometric analysis of the most cited articles with a focus solely on the lower limb. Methods. A search was conducted on Medline, the Web of Science database, Google Scholar, and Scopus identifying articles relevant to reconstructive surgery of the lower limb. All journals were included with no time frames. Articles relating solely to orthopedics or vascular reconstruction were excluded. The number of citations obtained were then plotted and compared between the different search engines. The mean citation number was calculated by taking into consideration the total number of years since the article’s first year of publication. Articles were then ranked and classified according to their authors, their years of publications, and their countries. They were furthermore categorized and analyzed. Results. Highly cited articles were easily retrieved with Google Scholar, mostly published in Plastic and Reconstructive Surgery (n = 37) and were mainly authored by American Medical Centers (n = 22). Fifty-four percent (54%) of these classic articles discussed the design of new flaps or were anatomical studies. Conclusions. We were not able to find a correlation between the year of citation and the number of citations. The citation pattern of a paper cannot be predicted, but a majority of highly cited article allowed the design of new reconstructive techniques.

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Nikhil S. Panse ◽  
Yogesh C. Bhatt ◽  
Mangesh S. Tandale

We make an attempt to define the safe extent of local perforator flap for lower limb reconstruction by comparing it with the limb length of the patient. The maximum flap length from the perforator was compared to the limb length in 35 patients using EPI info 6.04 D software. On comparison of flaps that were less than one-third of limb length to those which were more than one-third of limb length, the statistical values were significant. The odds ratio calculated was 6, which means that there is a six times more chance that a local perforator flap will necrose if it is more than one-third of the limb length as compared to a flap which is less than one-third of the limb length.


2019 ◽  
Author(s):  
Gil Alterovitz ◽  
Ning An ◽  
John Mattison ◽  
Xinyun Chen

BACKGROUND The concept of a meta-topical brainforest is proposed, to reflect a link between collaborative research and complex ecosystems. Tropical rainforests leverage a diversity of species to capture and convert solar energy into carbon-based life, and research teams can harvest a similar benefit from a diversity of data, tools, and thought paradigms. According to the National Institutes of Health (NIH), team science is “a collaborative and often cross-disciplinary approach to scientific inquiry that draws researchers who otherwise work independently or as co-investigators on smaller-scale projects into collaborative centers and groups” 1. Thus, team science occurs when artificial boundaries such as departments and institutions are crossed, allowing collaboration in integrated networks. Over the past two decades, the concept has received increasing attention to better understand and address global challenges 2. In 2007, Stefan Wuchty et al. examined 19.9 million research articles in the Institute for Scientific Information Web of Science database and 2.1 million patent records on multiple topics. They concluded that a team-authored paper has increased probability of being highly cited 3. The systems being formed through interdisciplinary collaborations help teams reach achievements that individual researchers are less likely to accomplish. Kohane pointed out 4 that precision medicine in particular requires a higher level of coordination between various agencies and suggests the boundaries between research projects and clinical care institutions should be blurred to link gathered data. The exponential growth and causal interdependencies of ‘-omics’ fields dictate that expertise across disciplines is essential to making meaningful and durable contributions to the understanding of human biology. OBJECTIVE This brief viewpoint aims to explore the impact of cross-institution team science on the development of precision medicine. We hypothesized that international organizations with co-leaders tend to publish more impactful papers than organizations without. Using Pearson's chi-square test and the Mann-Whitney U test, we validated our hypothesis. METHODS Information was collected from the eHealth Catalogue of Activities developed by the nonprofit Global Alliance for Genomics and Health (GA4GH) in 2015 5. The catalog lists international genomic and clinical data-sharing initiatives, and the eHealth Task Team updated the catalog through 2017. The data on the executive leadership team and publications were obtained from the websites of these organizations. If such information was not found, additional data were acquired by directly contacting the organizations or searching on Google Scholar. The impact of papers was evaluated by their number of citations, a criterion of research quality 3. In this paper, co-leadership means that a person holds a leadership position in different organizations concurrently. If two papers from separate organizations have at least one author in common, these two organizations are regarded as having a co-author relationship. Nonparametric tests were performed to verify the hypothesis. We used SPSS version 22.0 (SPSSInc) and R to perform two-tailed tests with an α level of .05. The significance of the correlation between the nominal variables co-leadership and co-authorship was examined by Pearson's chi-square test of independence and expressed in a contingency table. Pearson's chi-square test of goodness of fit was adopted to evaluate whether organizations with co-leaders had a greater number of publications than organizations without, and the Mann-Whitney U test was used to examine whether the former organizations published papers that received more citations than the latter. RESULTS We analyzed data from 69 organizations in the catalog and found 16 pairs with co-leader relationships in 2015. Among the 374 publications from these organizations at that time, 13 pairs had co-authors. By 2017, the number of institutions in the catalog increased to 87, and there were 37 pairs with co-leadership, corresponding to 30 organizations. Information on 7,064 papers was collected, showing that 55 organizations had co-authored publications, with 436 papers in total. A. Number of publications The chi-square goodness of fit test suggests that the number of papers being published is strongly correlated with the category of the organization - organizations in a co-leadership network or organizations without a co-leadership (P<0.001, 2015 & 2017). B. Quality of publications The citation number of each paper was obtained from Google Scholar. The results of the Mann-Whitney U test indicated that the number of citations received by publications of organizations with and without co-leaders differed significantly (Z=-13.547, p<0.001, 2017). Papers from the former organizations had a higher mean rank (3603.35 for the group of papers whose publishers are in the co-leadership network, and 2702.67 for the other group), which means that the organizations with co-leaders tended to have a greater number of highly cited papers. C. Relationship between co-leader and co-author In the chi-square test of independence, the total sample size is the number of lines in a fully connected diagram. The results indicate that in both 2015 and 2017, organizations with co-leaders tended to publish papers together, suggesting that co-leadership will lead to co-authorship (P<0.001, 2015 & 2017). CONCLUSIONS These results illustrate the concept of meta-topical brainforests in precision medicine and may have broader implication: cross-enterprise cooperation plays an essential role in solving complex issues. As a field-crossing example, Sovacool suggested researchers should incorporate expertise and data from indigenous groups to address global environmental challenges 6. One hopes the analogy persists and the extraordinary natural future-proofing mechanisms in rainforests by incorporating novel combinations of ancestral DNA coincide with similar continued diversification in research networks and widely impactful publication.


2021 ◽  
pp. 1-5
Author(s):  
Rohit S. Loomba ◽  
Danielle Sheikholeslami ◽  
Aaron Dyson ◽  
Saul Flores ◽  
Enrique Villarreal ◽  
...  

Abstract Background: Manuscripts pertaining to paediatric cardiology and CHD have been published in a variety of different journals. Some of these journals are journals dedicated to paediatric cardiology, while others are focused on adult cardiology. Historically, it has been considered that manuscripts published in journals devoted to adult cardiology have greater citation potential. Our objective was to compare citation performance between manuscripts related to paediatric cardiology and CHD published in paediatric as opposed to adult cardiology journals. Methods: We identified manuscripts related to paediatric cardiology and CHD published in five journals of interest during 2014. Of these journals, two were primarily concerned with adult cardiology, while the other three focused on paediatric cardiology. The number of citations for these identified manuscripts was gathered from Google Scholar. We compared the number of citations (median, mean, and 25th, 75th, 90th, and 95th percentiles), the potential for citation, and the h-index for the identified manuscripts. Results: We identified a total of 828 manuscripts related to paediatric cardiology and congenital heart as published in the 5 journals during 2014. Of these, 783 (95%) were published in journals focused on paediatric cardiology, and the remaining 45 (5%) were published in journals focused on adult cardiology. The median number of citations was 41 in the manuscripts published in the journals focused on adult cardiology, as opposed to 7 in journals focused on paediatric cardiology (p < 0.001). The h-index, however, was greater for the journals dedicated to paediatric cardiology (36 versus 27). Conclusion: Approximately one-twentieth of the work relating to paediatric cardiology and CHD is published in journals that focus predominantly on adult cardiology. The median number of citations is greater when manuscripts concerning paediatric cardiology and CHD are published in these journals focused on adult cardiology. The h-index, however, is higher when the manuscripts are published in journals dedicated to paediatric cardiology. While such publications in journals that focus on adult cardiology tend to generate a greater number of citations than those achieved for works published in specialised paediatric cardiology journals, the potential for citation is no different between the journals. Due to the drastically lower number of manuscripts published in journals dedicated to adult cardiology, however, median performance is different.


2017 ◽  
Vol 43 (2) ◽  
pp. 407-415 ◽  
Author(s):  
M. Wortmann ◽  
I. Alldinger ◽  
D. Böckler ◽  
A. Ulrich ◽  
A. Hyhlik-Dürr

2016 ◽  
Vol 41 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Alexandra P Frost ◽  
Tracy Norman Giest ◽  
Allison A Ruta ◽  
Teresa K Snow ◽  
Mindy Millard-Stafford

Background: Body composition is important for health screening, but appropriate methods for unilateral lower extremity amputees have not been validated. Objectives: To compare body mass index adjusted using Amputee Coalition equations (body mass index–Amputee Coalition) to dual-energy X-ray absorptiometry in unilateral lower limb amputees. Study design: Cross-sectional, experimental. Methods: Thirty-eight men and women with lower limb amputations (transfemoral, transtibial, hip disarticulation, Symes) participated. Body mass index (mass/height2) was compared to body mass index corrected for limb loss (body mass index–Amputee Coalition). Accuracy of classification and extrapolation of percent body fat with body mass index was compared to dual-energy X-ray absorptiometry. Results: Body mass index–Amputee Coalition increased body mass index (by ~ 1.1 kg/m2) but underestimated and mis-classified 60% of obese and overestimated 100% of lean individuals according to dual-energy X-ray absorptiometry. Estimated mean percent body fat (95% confidence interval) from body mass index–Amputee Coalition (28.3% (24.9%, 31.7%)) was similar to dual-energy X-ray absorptiometry percent body fat (29.5% (25.2%, 33.7%)) but both were significantly higher ( p < 0.05) than percent body fat estimated from uncorrected body mass index (23.6% (20.4%, 26.8%)). However, total errors for body mass index and body mass index–Amputee Coalition converted to percent body fat were unacceptably large (standard error of the estimate = 6.8%, 6.2% body fat) and the discrepancy between both methods and dual-energy X-ray absorptiometry was inversely related ( r = −0.59 and r = −0.66, p < 0.05) to the individual’s level of body fatness. Conclusions: Body mass index (despite correction) underestimates health risk for obese patients and overestimates lean, muscular individuals with lower limb amputation. Clinical relevance Clinical recommendations for an ideal body mass based on body mass index–Amputee Coalition should not be relied upon in lower extremity amputees. This is of particular concern for obese lower extremity amputees whose health risk might be significantly underestimated based on body mass index despite a “correction” formula for limb loss.


Vascular ◽  
2011 ◽  
Vol 19 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Saadi Alhalbouni ◽  
Anil Hingorani ◽  
Alexander Shiferson ◽  
Natalie Marks ◽  
Enrico Ascher

Infra-popliteal veins include the tibial and peroneal veins, as well as the soleal and gastrocnemial veins collectively known as the calf muscle veins (CMVs). Acute infra-popliteal deep venous thrombi (DVTs) are often considered insignificant with regard to the risk of pulmonary embolism (PE). A retrospective review of 4035 consecutive lower extremity venous duplex scans were made in 3146 hospital patients at our Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL)-accredited vascular lab. Seven hundred sixteen (17.7%) duplex scans were positive for acute DVTs, and 112 (2.8%) were associated with PEs. The breakdown of positive duplexes for acute DVTs was as follows: 202 (28.2%) isolated femoral-popliteal DVTs with PE in 23 (11.4%), 304 (42.5%) isolated infra-popliteal DVTs with PE in 24 (7.9%) and 210 (29.3%) multilevel DVTs involving both vein segments (femoral-popliteal and infra-popliteal) with PE in 38 (18.1%). Of the 304 isolated acute infra-popliteal DVTs, 207 (68.1%) were isolated CMV DVTs with evidence of PE in 12 (5.8%). No statistically significant difference ( P = 0.27) in the risk of PE between isolated femoral-popliteal and isolated infra-popliteal DVTs was noted. A significant number of patients (5.8%) with isolated CMV DVTs developed PE. Lower limb venous scans for DVTs should evaluate the infra-popliteal veins. Hospitalized patients with infra-popliteal DVTs should receive anticoagulation.


2021 ◽  
Vol 266 ◽  
pp. 77-87
Author(s):  
Z-Hye Lee ◽  
Elie P. Ramly ◽  
Allyson R. Alfonso ◽  
David A. Daar ◽  
Christodoulos Kaoutzanis ◽  
...  

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