Global Trends and Current Status in Osteonecrosis of the Femoral Head: A Bibliometric Analysis of Publications in Recent 30 Years

Background: Osteonecrosis of the femoral head (ONFH) is a progressive and disabling disease with heavy socioeconomic burdens. The purpose of our study was to summarize the global trends and current status in ONFH.Methods: Publications related to ONFH from 1991 to 2020 were searched from the Web of Science (WOS) core collection database. The data were analyzed with bibliometric methods. Microsoft Excel was used to statistical analysis and draw bar charts. SPSS was applied to perform linear regression analysis. VOSviewer was used to conduct bibliographic coupling analysis, co-authorship analysis, co-citation analysis, and co-occurrence analysis. Results: A total of 5,523 publications were covered. The United States consistently ranked first in total publications, sum of times cited, average citations per item, and H-index. Kyushu University was the main contributor to ONFH. Clinical Orthopaedics and Related Research was the major publishing channels for ONFH-related articles. Takuaki Yamamoto published the most ONFH-related articles. Studies regarding ONFH could be divided into 5 clusters: mechanism study, treatment study, complication study, radiological study, and etiological study. Mechanism study might become the hot spot in the future.Conclusions: This study identified the last 30 years’ articles in ONFH and summarized their global trends and current status, which classified them by country, institution and author, publication, funding agency, and direction. This study will help researchers understand the research perspectives, hot spots, and trends of ONFH.

A Digital Health Innovation to Prevent Relapse and Support Recovery in Youth Receiving Specialized Services for First-Episode Psychosis: Protocol for a Pilot Pre-Post, Mixed Methods Study of Horyzons-Canada (Phase 2)

Background Psychotic disorders are among the most disabling of all mental disorders. The first-episode psychosis (FEP) often occurs during adolescence or young adulthood. Young people experiencing FEP often face multiple barriers in accessing a comprehensive range of psychosocial services, which have predominantly been delivered in person. New models of service delivery that are accessible, sustainable, and engaging are needed to support recovery in youth diagnosed with FEP. Objective In this paper, we describe a protocol to implement and evaluate the acceptability, safety, and potential efficacy of an online psychosocial therapeutic intervention designed to sustain recovery and prevent relapses in young adults diagnosed with FEP. This intervention was originally developed and tested in Australia and has been adapted for implementation and evaluation in Canada and is called Horyzons-Canada (HoryzonsCa). Methods This cohort study is implemented in a single-center and applies a pre-post mixed methods (qualitative-quantitative convergent) design. The study involves recruiting 20 participants from a specialized early intervention program for psychosis located in Montreal, Canada and providing them with access to the HoryzonsCa intervention for 8 weeks. Data collection includes interview-based psychometric measures, self-reports, focus groups, and interviews. Results This study received funding from the Brain and Behavior Research Foundation (United States), the Quebec Health Research Funding Agency (Canada), and the Canada Research Chairs Program. The study was approved by the Research Ethics Board of the Centre intégré universitaire de santé et de services sociaux de l'Ouest-de-l'Île-de-Montréal on April 11, 2018 (#IUSMD 17-54). Data were collected from August 16, 2018, to April 29, 2019, and a final sample of 20 individuals participated in the baseline and follow-up interviews, among which 9 participated in the focus groups. Data analysis and reporting are in process. The results of the study will be submitted for publication in 2021. Conclusions This study will provide preliminary evidence on the acceptability, safety, and potential efficacy of using a digital health innovation adapted for the Canadian context to deliver specialized mental health services to youth diagnosed with FEP. Trial Registration ISRCTN Registry ISRCTN43182105; https://www.isrctn.com/ISRCTN43182105 International Registered Report Identifier (IRRID) RR1-10.2196/28141

Contracting for social and welfare services : the changing relationship between government and the voluntary sector in New Zealand

<p>Ten years ago, the provision of government funding for the social and welfare services delivered by voluntary sector service providers was a simple process. In evidence presented to the Waitangi Tribunal in support of a claim by a Charitable Trust against the actions of the New Zealand Community Funding Agency heard last year, a witness who was employed by the Department of Social Welfare from early in 1988 describes the process at that time thus: The Department of Social Welfare has operated funding programmes for many years...these programmes were grant funding. That is there was no contracting nor reporting as presently known. Also they were operated on a Head Ofiice Wellington decision on the recommendation of a small team (3 or 4 people based in a Regional OfiBce Auckland).(Crown Law Office, 1994 c, 6) This simple process has, in the last decade, been replaced by a funding relationship between government and the voluntary sector which owes its origins primarily to theory emanating from the study ofthe operation of private markets and the internal organisation of firms within the marketplace. Agency theory and Transaction costs analysis, along with other theoretical perspectives from the world ofthe private business sector, have had a substantial influence upon the restructuring ofthe public sector in New Zealand during the last decade and in particular have provided the theoretical basis for the transformation of the relationship between government and the voluntary sector into one of principal and agents, bound by contractual terms and a regulatory framework for the monitoring of quantity and quality of social and welfare service outputs.</p>

Contracting for social and welfare services : the changing relationship between government and the voluntary sector in New Zealand

<p>Ten years ago, the provision of government funding for the social and welfare services delivered by voluntary sector service providers was a simple process. In evidence presented to the Waitangi Tribunal in support of a claim by a Charitable Trust against the actions of the New Zealand Community Funding Agency heard last year, a witness who was employed by the Department of Social Welfare from early in 1988 describes the process at that time thus: The Department of Social Welfare has operated funding programmes for many years...these programmes were grant funding. That is there was no contracting nor reporting as presently known. Also they were operated on a Head Ofiice Wellington decision on the recommendation of a small team (3 or 4 people based in a Regional OfiBce Auckland).(Crown Law Office, 1994 c, 6) This simple process has, in the last decade, been replaced by a funding relationship between government and the voluntary sector which owes its origins primarily to theory emanating from the study ofthe operation of private markets and the internal organisation of firms within the marketplace. Agency theory and Transaction costs analysis, along with other theoretical perspectives from the world ofthe private business sector, have had a substantial influence upon the restructuring ofthe public sector in New Zealand during the last decade and in particular have provided the theoretical basis for the transformation of the relationship between government and the voluntary sector into one of principal and agents, bound by contractual terms and a regulatory framework for the monitoring of quantity and quality of social and welfare service outputs.</p>

Alaska Beluga Whale Committee—a unique model of co-management

The Alaska Beluga Whale Committe (ABWC) was formed in 1988 to conserve beluga whales (Delphinapterus leucas) and manage beluga subsistence hunting in western and northern Alaska in cooperation with the National Marine Fisheries Service (NMFS). When the ABWC was formed, there was no consistently funded research or management programme for belugas in Alaska, and co-management was a new concept. The ABWC brought together representatives from beluga hunting communities; federal, state, tribal and local governments; and beluga researchers to develop and implement a programme to manage belugas. With funding from NMFS and others, the ABWC has collected data necessary for informed management decisions including the following: harvest data; aerial surveys of belugas in Bristol Bay and the eastern Bering and Chukchi seas; beluga tracking studies, including training hunters to attach transmitters; a pioneering genetics study of beluga stock identity that has facilitated collection of >2000 beluga skin samples; and a genetics-based mark–recapture study to estimate beluga abundance in Bristol Bay and validate aerial survey estimates. The ABWC is currently engaged in regional management planning in Kotzebue Sound and the eastern Bering Sea. It produces results that are scientifically valid, locally accepted and cost-effective and is an example of what can be achieved when Native hunters, scientists and managing agencies respect and listen to one another and work together. However, the current NMFS co-management funding process has fundamentally altered the relationship between NMFS and ABWC, with NMFS now acting more like a funding agency than a partner.

Contracting for social and welfare services : the changing relationship between government and the voluntary sector in New Zealand

<p>Ten years ago, the provision of government funding for the social and welfare services delivered by voluntary sector service providers was a simple process. In evidence presented to the Waitangi Tribunal in support of a claim by a Charitable Trust against the actions of the New Zealand Community Funding Agency heard last year, a witness who was employed by the Department of Social Welfare from early in 1988 describes the process at that time thus: The Department of Social Welfare has operated funding programmes for many years...these programmes were grant funding. That is there was no contracting nor reporting as presently known. Also they were operated on a Head Ofiice Wellington decision on the recommendation of a small team (3 or 4 people based in a Regional OfiBce Auckland).(Crown Law Office, 1994 c, 6) This simple process has, in the last decade, been replaced by a funding relationship between government and the voluntary sector which owes its origins primarily to theory emanating from the study ofthe operation of private markets and the internal organisation of firms within the marketplace. Agency theory and Transaction costs analysis, along with other theoretical perspectives from the world ofthe private business sector, have had a substantial influence upon the restructuring ofthe public sector in New Zealand during the last decade and in particular have provided the theoretical basis for the transformation of the relationship between government and the voluntary sector into one of principal and agents, bound by contractual terms and a regulatory framework for the monitoring of quantity and quality of social and welfare service outputs.</p>

Contracting for social and welfare services : the changing relationship between government and the voluntary sector in New Zealand

<p>Ten years ago, the provision of government funding for the social and welfare services delivered by voluntary sector service providers was a simple process. In evidence presented to the Waitangi Tribunal in support of a claim by a Charitable Trust against the actions of the New Zealand Community Funding Agency heard last year, a witness who was employed by the Department of Social Welfare from early in 1988 describes the process at that time thus: The Department of Social Welfare has operated funding programmes for many years...these programmes were grant funding. That is there was no contracting nor reporting as presently known. Also they were operated on a Head Ofiice Wellington decision on the recommendation of a small team (3 or 4 people based in a Regional OfiBce Auckland).(Crown Law Office, 1994 c, 6) This simple process has, in the last decade, been replaced by a funding relationship between government and the voluntary sector which owes its origins primarily to theory emanating from the study ofthe operation of private markets and the internal organisation of firms within the marketplace. Agency theory and Transaction costs analysis, along with other theoretical perspectives from the world ofthe private business sector, have had a substantial influence upon the restructuring ofthe public sector in New Zealand during the last decade and in particular have provided the theoretical basis for the transformation of the relationship between government and the voluntary sector into one of principal and agents, bound by contractual terms and a regulatory framework for the monitoring of quantity and quality of social and welfare service outputs.</p>

New Zealand Public Television, Public Service and Everything in Between: The Success and Struggles of New Zealand on Air and Public Television

<p>This thesis explores the contemporary situation of 'public television' in New Zealand. As this country’s longest-standing, most significant facilitator of the diverse range of locally-produced programmes that pursue the 'cultural identity' objectives that are regarded as centrally important to 'public television', the focus of this thesis will be on the role and contributions of public broadcast funding agency, New Zealand on Air. This focus has three main functions in this thesis, allowing it to: first, investigate the necessity of facilitating and producing 'public television'; second, to explore the successful ways in which this element of television has been delivered to viewers; and third, to examine the limitations posed by a highly commercial broadcast television environment on the pursuit of 'public television' objectives. This undertaking is important because 'public television' faces a number of significant challenges in New Zealand, the most significant of which is inadequate public investment. Other challenges can be sourced to the intense competition and inadequate regulation of New Zealand television, which is a consequence of the deregulation and restructuring that it was subjected to in 1988-89. In the decades since, the broader environmental conditions encouraged by these changes have never been redressed. Presently, despite 'public television' fulfilling vital cultural functions, its situation has reached a crisis point, emphatically in regard to provisions for 'mainstream' broadcast audiences. For this reason, there needs to be an in-depth exploration of the issues and potentials in 'public television', to which this thesis aims to contribute. The exploration that this thesis offers is structured in three chapters. The first examines the establishment and role of New Zealand on Air. The second addresses the ways in which 'public television' programmes are successfully facilitated through the considerations and funding allocations of NZoA. The third considers the limitations of New Zealand’s television environment on the pursuit of 'public television' and argues the necessity for enhanced resources to be provided in order to improve the current situation.</p>

New Zealand Public Television, Public Service and Everything in Between: The Success and Struggles of New Zealand on Air and Public Television

<p>This thesis explores the contemporary situation of 'public television' in New Zealand. As this country’s longest-standing, most significant facilitator of the diverse range of locally-produced programmes that pursue the 'cultural identity' objectives that are regarded as centrally important to 'public television', the focus of this thesis will be on the role and contributions of public broadcast funding agency, New Zealand on Air. This focus has three main functions in this thesis, allowing it to: first, investigate the necessity of facilitating and producing 'public television'; second, to explore the successful ways in which this element of television has been delivered to viewers; and third, to examine the limitations posed by a highly commercial broadcast television environment on the pursuit of 'public television' objectives. This undertaking is important because 'public television' faces a number of significant challenges in New Zealand, the most significant of which is inadequate public investment. Other challenges can be sourced to the intense competition and inadequate regulation of New Zealand television, which is a consequence of the deregulation and restructuring that it was subjected to in 1988-89. In the decades since, the broader environmental conditions encouraged by these changes have never been redressed. Presently, despite 'public television' fulfilling vital cultural functions, its situation has reached a crisis point, emphatically in regard to provisions for 'mainstream' broadcast audiences. For this reason, there needs to be an in-depth exploration of the issues and potentials in 'public television', to which this thesis aims to contribute. The exploration that this thesis offers is structured in three chapters. The first examines the establishment and role of New Zealand on Air. The second addresses the ways in which 'public television' programmes are successfully facilitated through the considerations and funding allocations of NZoA. The third considers the limitations of New Zealand’s television environment on the pursuit of 'public television' and argues the necessity for enhanced resources to be provided in order to improve the current situation.</p>

Integrating community-based verbal autopsy into civil registration and vital statistics: lessons learnt from five countries

This paper describes the lessons from scaling up a verbal autopsy (VA) intervention to improve data about causes of death according to a nine-domain framework: governance, design, operations, human resources, financing, infrastructure, logistics, information technologies and data quality assurance. We use experiences from China, Myanmar, Papua New Guinea, Philippines and Solomon Islands to explore how VA has been successfully implemented in different contexts, to guide other countries in their VA implementation. The governance structure for VA implementation comprised a multidisciplinary team of technical experts, implementers and staff at different levels within ministries. A staged approach to VA implementation involved scoping and mapping of death registration processes, followed by pretest and pilot phases which allowed for redesign before a phased scale-up. Existing health workforce in countries were trained to conduct the VA interviews as part of their routine role. Costs included training and compensation for the VA interviewers, information technology (IT) infrastructure costs, advocacy and dissemination, which were borne by the funding agency in early stages of implementation. The complexity of the necessary infrastructure, logistics and IT support required for VA increased with scale-up. Quality assurance was built into the different phases of the implementation. VA as a source of cause of death data for community deaths will be needed for some time. With the right technical and political support, countries can scale up this intervention to ensure ongoing collection of quality and timely information on community deaths for use in health planning and better monitoring of national and global health goals.