Academic Affiliation Research Articles

Predatory nursing journals: A case study of author prevalence and characteristics.

Background:Predatory publishing poses a fundamental threat to the development of nursing knowledge. Previous research has suggested that authors of papers published in predatory journals are mainly inexperienced researchers from low- and middle-income countries. Less attention has been paid to contributors from high-income countries.Aim:To describe the prevalence and characteristics of Swedish authors publishing in predatory nursing journals.Design:Quantitative descriptive case study.Participants and research context:Descriptive statistics were used to analyse the academic positions and academic affiliations of the authors of 39 papers published in predatory nursing journals during 2018 and 2019. Predatory nursing journals with Swedish contributors were identified by searching public listings of papers and applying a set of criteria. Journal site archives were used to identify additional papers with Swedish authors.Ethical considerations:This study was conducted in accordance with national regulations and ethical principles of research.Results:Almost two-thirds of Swedish authors publishing in predatory nursing journals hold senior academic positions. A small group of higher education institutions account for a majority of academic affiliations. Findings suggest that higher education institutions and experienced nursing researchers from Sweden make substantial contributions to predatory nursing journals, but that predatory publication habits might be concentrated in a limited number of academics and research milieus. A year-to-year comparison indicates that the prevalence of publishing in predatory journals might be diminishing.Discussion:Swedish nurse researchers help legitimize predatory journals, thus jeopardizing the trustworthiness of academic nursing knowledge. Substandard papers in predatory journals may pass as legitimate and be used to further academic careers. Experienced researchers are misleading junior colleagues, as joint publications might become embarrassments and liabilities.Conclusion:While the academic nursing community needs to address the problem of predatory publishing, there is some hope that educational efforts might have an effect on combating predatory publishing in nursing.

The impact of adjunctive tomosynthesis on screening mammography outcomes in two widely diverse radiology practices.

To determine the effect of adjunctive digital breast tomosynthesis screening on dissimilar mammography practices. We compared the outcomes of breast cancer screening with digital mammography versus digital mammography combined with tomosynthesis in two independent breast imaging practices from June 1, 2015, to May 31, 2016. Institution one was a hospital-based academic practice of breast imaging specialists and institution two was a community-based practice with academic affiliation served by general radiologists. Screening mammography was linked to subsequent diagnostic imaging and pathology. Subject characteristics and performance metrics were compared via t test for continuous variables and the chi-square test for categorical variables. A two-sided z test was performed to test modality differences for assessment and pathology subtype. Of the 54638 women, 54% (n=29295) were from institution one and 55% (n=30013) underwent digital mammography alone. Women undergoing mammography with tomosynthesis were older (60.8years vs 56.9years, P<.001) and had slightly less dense breast composition (P=.001). Performance metrics varied substantially between institutions. At both institutions the biopsy rate, positive predictive value of screening (PPV1 ), and invasive cancer detection rate increased significantly with adjunctive tomosynthesis. At institution one, the biopsy rate increased from 1.4% to 1.9%, the PPV1 from 6.0% to 8.2%, and the invasive cancer detection rate from 3.4 to 4.9/1000 women screened. At institution two, the respective increases were from 0.7% to 1.0%, 5.5% to 11.0%, and 2.3% to 4.1/1000. Tomosynthesis recalled asymmetry less and mass more and resulted in fewer BI-RADS 1 and 2 assessments than screening with mammography alone. Adjunctive tomosynthesis appears to have a consistent impact on breast cancer screening performance metrics despite marked variation in breast imaging practice. Combined tomosynthesis screening has a significantly higher PPV1 , leads to a greater number of biopsies, and detects more invasive cancer than screening with digital mammography.

Peer review declaration

All papers published in this volume of IOP Conference Series: Earth and Environmental Science have been peer reviewed through processes administered by the Editors. Reviews were conducted by expert referees to the professional and scientific standards expected of a proceedings journal published by IOP Publishing.• Type of peer review: Open. In the process of this volume, the conference took an open type of peer review, which means the reviewer can read the whole manuscript with full information of authors and affiliations. For guarantee the quality of review, the conference required the review make independent judgment and decision according to the manuscript quality and impression of presentation in the conference. • Conference submission management system: All manuscripts are required to be submitted to the universal e-mail address (aaapg2019@gig.ac.c), which was the official e-mail address of the conference and was managed by Dr. Zhentao Li. • Number of submissions received: 60. • Number of submissions sent for review: 56. • Number of submissions accepted: 54. • Acceptance Rate (Number of Submissions Accepted / Number of Submissions Received X 100): 90%. • Average number of reviews per paper: 2 • Total number of reviewers involved: 21 • Any additional info on review process: In the review process, the average number of reviews per paper is two, and 21 reviewers were involved in reviewing. And most of the reviewers invited are experienced experts from both academic and industry affiliations. The acceptance rate is relatively high, however considering 38 abstracts were excluded in first-round selection for oral presentation, the acceptance rate is reasonable. • Contact person for queries: Yunpeng Wang, State Key Laboratory of Organic Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, E-mail: wangyp@gig.ac.cn

COVID-19 in a Veterans Affairs Hospital at Suffolk County, Long Island, New York

COVID-19 in a Veterans Affairs Hospital at Suffolk County, Long Island, New York

Content Assessment of Online Surgical Education Videos for Total Laparoscopic Hysterectomy (TLH)

Study Objective This study aims to assess the content of online videos as an educational supplement for gynecology trainees for Total Laparoscopic Hysterectomy (TLH). Design We performed a cross-sectional analysis of relevant YouTube videos. The keywords “laparoscopic total hysterectomy surgical training” and “laparoscopic total hysterectomy surgical education” were used to retrieve the top 60 videos per search query. Videos without live surgical footage, audio narration, or with commercial intent were excluded. Two independent reviewers evaluated the videos using the “Objective Scale Specific for the Assessment of Technical skills for Laparoscopic Hysterectomy” (H-OSATS) to assess the inclusion of necessary steps, the “Modified Objective Structured Assessment of Technical Skills” (M-OSATS) for laparoscopy to assess surgical technique and a 3-point Likert scale to assess surgical difficulty. Setting N/A Patients or Participants N/A Interventions N/A Measurements and Main Results A total of 12 videos were analyzed: 11/12 (91.6%) videos were created by physicians without academic affiliations, and 1 was from an academic center. The mean H-OSATS and M-OSATS scores were 21.73/53 (41%) and 16.5/20 (82.5%) respectively. Inter-rater agreement was rated at 95.3% with a Cohen's kappa of 0.90. All videos included instruction on the division of uterine and utero-ovarian pedicles (100%). However, the majority of videos did not provide instruction on patient positioning (83%), abdominal entry (77%), trocar insertion (67%), division of the cervical attachments of the cardinal ligaments (62%), port removal (100%), and skin closure (100%). The mean surgical difficulty was rated as 1.6/3. Conclusion Online surgical videos likely demonstrate adequate surgical skill and technique, but do not provide comprehensive instruction on the essential steps of conducting a TLH. There is a need for the production of open-access high quality comprehensive videos for TLH instruction.

Robotic Nerve Sparing Radical Hysterectomy with Cerclage Evolving Technique Post LACC Trial Era

Study Objective To evaluate the feasibility of the novel technique of robotic assisted radical hysterectomy with cerclage. Design Prospective patients who underwent robotic assisted radical hysterectomy with cerclage (RARHC) were evaluated for intraoperative outcomes such as operative time, blood loss, conversion, and complications. The pathological specimen outcomes such as parametria length, vaginal cuff margin, number of lymph nodes retrieved, grade, histology, LVSI and cytology was assessed. Length of hospital stay, readmissions, and postoperative complications were determined. Setting A tertiary academic affiliation hospital. Patients or Participants Clinical Stage I cervical cancers were enrolled after appropriate consent forms were obtained. Interventions Robotic Xi platform was utilized to perform all the procedures. Measurements and Main Results 10 patients underwent RARHC from 10/2018 to 04/2020. The demographics characteristics are: Age 46.9, BMI 30, clinical tumor size 1.6 cm. The pathological outcomes: 7/10 had squamous cell carcinoma, 2/10 adenocarcinoma, 1/10 adenosqaumous carcinoma histology. The grade of the tumor 5/10 grade 1, 4/10 grade 2, 1/10 grade 3. The average parametria obtained were 4.5 × 1.3 × 0.65 cm and 4.53 × 1.45 × 0.63 cm on the right and left parametrium respectively, the number of lymph nodes obtained 19.9 and vagina length margin was 2.2 cm. The average operative time was 214 minutes with estimated blood loss of 112 cc. The average length of hospitalizations was 21 hours. There was no conversion, complications and readmission. Conclusion Robotic assisted radical hysterectomy with Cerclage is feasible and safe. Long term outcomes compared to other surgical modalities will be reported in the future.

Patterns and characteristics of patients’ selection of cancer surgeons

ObjectiveDespite evidence of volume-outcome relationships for cancer surgery, treatment at low-volume hospitals remains common. Our objective was to evaluate whether individuals actively involved in selecting their cancer surgeon were more likely to go to hospitals recognized for quality cancer care. MethodsIndividuals diagnosed with breast, prostate and colorectal cancer in 2015 completed online surveys in 2017–2018. Participants were categorized as “directed” to a surgeon (relied on referral) or “active” (sought additional information), and hospitals were categorized by NCI-designation, CoC accreditation, and academic affiliation. ResultsOf 299 participants, 42% were active. Individuals with breast cancer were more active (aOR = 2.46,95%CI:1.32–4.59). Active participants had nonsignificantly higher odds of surgery at NCI-designated facilities (aOR = 2.04,95%CI:0.95–4.38), or academic centers (aOR = 1.51,95%CI:0.86–2.64). ConclusionsWhile most participants were directed to their cancer surgeon, active participants tended to select NCI-designated/academic hospitals. Although centralization of cancer care would require altering referral patterns, decision-support resources may help patients make informed choices.

Foot and Ankle Fellowship Faculty Research Productivity

Category:OtherIntroduction/Purpose:Academic productivity within orthopaedic subspecialties is important in developing generalizable knowledge, challenging biases, and evolving practice management. Productivity is linked to academic status and can affect compensation. This study evaluated the research activity of faculty at foot and ankle surgery fellowship programs in the United States and associated Canadian programs. The primary objective was to describe the publishing productivity of American Orthopaedic Foot & Ankle Society (AOFAS) fellowship faculty.Methods:Program characteristics from orthopaedic foot and ankle fellowship programs across the United States and Canada were collected from AOFAS and each program’s respective websites. The studied faculty characteristics consisted of years in practice, academic rank, extent of training, and gender. Specific program characteristics were recorded, including Accreditation Council for Graduate Medical Education approval, academic affiliation, fellow research requirement, number of fellows, number of associated faculty members. Data analysis of faculty productivity (Publications, number of publications in specific journals, number of citations, and Hirsch index [h index]) was gathered using the Scopus database.Results:A total of 48 AOFAS foot and ankle surgery fellowship programs were identified with an associated 185 faculty members. The mean number of publications per faculty member was 44.9 (sd 53.0; range 0-323) with a mean h-index of 11.9 (sd 10.6; range 0-54). One-hundred and forty-four (77.8%) academic-affiliated faculty had a significantly greater number of publications (p<0.01), total citations (p<0.05), and publications in FAI (p<0.05), JBJS (p<0.05), CORR (p<0.05), and JAAOS (p<0.05) compared to the 41 (22.2%) nonacademic faculty. Nonacademic faculty maintained a h-index of 9.5 (95% CI 7-12), while academic faculty had a h-index of 12.6 (95% CI 11-14), which did not meet statistical significance (p=0.062). There were no significant differences between measures of publication productivity in male and female faculty, except for maximum citations in a single paper (67.1 vs 142.3; p<0.05)Conclusion:Academic-affiliated foot and ankle fellowship faculty have higher research productivity than non-academic surgeons. The mean h-index of foot and ankle fellowship faculty was 11.9, which is lower than that reported in sports, joints, and spine fellowship faculty but higher than that reported for hand fellowship faculty. The analyses presented can aid foot and ankle surgeons in assessing their academic productivity.

Do Geographic Region, Pathologic Chronicity, and Hospital Affiliation Affect Access to Care Among Medicaid- and Privately-Insured Foot and Ankle Surgery Patients?

Category:OtherIntroduction/Purpose:Studies have shown that patients enrolled in Medicaid have difficulty obtaining access to care compared to patients with private insurance. Whether variables such as geographic location, state expansion vs. non-expansion, and private versus academic affiliation affect access to care among foot and ankle surgery patients enrolled in Medicaid has not been previously established.Methods:Twenty providers from each of five Medicaid-expanded and five non-expanded states in different U.S. geographic regions were randomly chosen via the American Orthopaedic Foot & Ankle Society (AOFAS) directory. One investigator contacted each office requesting the earliest available appointment for their fictitious relative’s acute Achilles tendon rupture or hallux valgus. Investigator insurance was stated to be Medicaid for half of phone calls, and Blue-Cross Blue-Shield (BCBS) for the other half. Appointment success rate and average time to appointment were compared between private insurance and Medicaid. Results were further compared across geographic regions, between private and academic practices, and between urgent acute injury (Achilles rupture) and chronic non-urgent injury (hallux valgus).Results:Appointments were successful for all 100 (100%) calls made with BCBS, in comparison to 73 of 100 calls (73%) with Medicaid (p<0.001). Both acute and chronic injury had significantly higher success rates with BCBS than Medicaid (p<0.001). Appointment success rate was significantly lower with Medicaid than with BCBS (p<=0.01) in all geographic regions. Success rate with Medicaid (66.7%) was significantly lower than with BCBS (100.0%, p<0.001) for private practice offices, but not for academic practices.Conclusion:Patients with Medicaid experience difficulty in obtaining appointments for common non-emergent foot and ankle problems and may experience increased difficulty scheduling appointments at private rather than academic institutions. The medical community should continue to seek and identify potential interventions which can improve access to orthopaedic care for all patients, regardless of insurance status.

CITIES AND MIGRATION – BIBLIOMETRIC EVIDENCE FROM A SPATIALLY BIASED FIELD OF KNOWLEDGE PRODUCTION

ABSTRACT Research output on the nexus of cities and migration has grown considerably since the local turn in migration policy. Knowing that this interdisciplinary research field has always shown a preoccupation with certain locations and has long been dominated by particular research topics, we wonder whether recent knowledge production is still characterized by a spatial one-sidedness that produces topical imbalances. Pursuing a reflexive perspective in the overlapping field of urban studies and migration studies, we chose to scrutinize the places of research: Where are the places of knowledge production, and which places are referred to and examined empirically? To find sound answers, we have examined more than 500 exemplary articles published over a period of ten years in ten prominent journals of migration studies or urban studies. With the help of bibliometric analysis, we can reveal particular patterns in the researched sites and researchers’ academic affiliations. Our study detects a clear dominance of research about the Global North, the places of migrant arrival, and larger cities. The results indicate both similarities and differences between city-related migration studies and migration-related urban studies. Thus, this study uncovers blind spots and illustrates how and why current—but nevertheless historically rooted—research practices portray migration movements and cities in a biased way.

Analyzing academic mobility of U.S. professors based on ORCID data and the Carnegie Classification

This paper uses two open science data sources—ORCID and the Carnegie Classification of Institutions of Higher Education (CCIHE)—to identify tenure-track and tenured professors in the United States who have changed academic affiliations. Through a series of data cleaning and processing actions, 5,938 professors met the selection criteria of professorship and mobility. Using ORCID professor profiles and the Carnegie Classification, this paper reveals patterns of academic mobility in the United States from the aspects of institution types, locations, regions, funding mechanisms of institutions, and professors’ genders. We find that professors tended to move to institutions with higher research intensity, such as those with an R1 or R2 designation in the Carnegie Classification. They also tend to move from rural institutions to urban institutions. Additionally, this paper finds that female professors are more likely to move within the same geographic region than male professors and that when they move from a less research-intensive institution to a more research-intensive one, female professors are less likely to retain their rank or attain promotion.

THE NEW SILESIAN MUSEUM IN KATOWICE: DISSIPATED IDEA, BLURRED MISSION

A critical assessment of the contemporary state of the new Silesian Museum in Katowice has been presented. In the Author’s view, the institution has currently reached an organizational crisis resulting from the process of losing its genuine idea rooted in its new seat and from the gradual blurring of the concept of its new mission. The reflections presented in the paper are based on data analysis: the official documents produced by the Silesian Museum in Katowice, media materials which comment on its activity, as well as on the participant observation from the perspective of an insider: of the Silesian community and of an institution’s academic affiliate. The ambitious and modern vision of the new Silesian Museum basing on the rehabilitation of the post-industrial area of the former ‘Katowice’ Coal Mine constitutes a chance to enjoy the ‘second life’ by the post-mining sites. The Katowice institution undertook &lt;i&gt;the mission of creating space for the dialogue with the past and accomplishments of the present in order to better know Silesia, Poland, and Europe&lt;/i&gt;. Regrettably, inept actions of the decision-makers, chaos related to the position of the Museum’s Director, failed attempts to merge the Museum with the Upper Silesian Museum in Bytom, lack of understanding for the supranational, universal message related to the region’s history, have led to losing the genuine idea and blurring of the selected mission. The crisis that the Silesian Museum has been suffering is politically underpinned, and results from the use of museum institutions instrumentally by the authorities in order to fulfill their short-term goals. The decision makers of the Silesian Museum will in the near future have to choose between two operating formulas: they can either follow the conservative way, implying stagnation and becoming a closed ‘shrine-like museum’, or aspire to be a venue for the Silesian dialogue, turning into an open ‘museum-forum’.

Assessing YouTube as an Educational Tool for Shingles: Cross-Sectional Study

Background YouTube is a popular platform with many videos, which have potential educational value for medical students. Due to the lack of peer review, other surrogates are necessary to determine the content quality of such educational videos. Few studies have analyzed the research background or academic affiliation of the physicians associated with the production of YouTube videos for medical education. The research background or academic affiliations of those physicians may be a reflection of the content quality of these educational videos. Objective This study identifies physicians associated with the production of educational YouTube videos about shingles and analyzes those physicians based on their research background or academic affiliation, which may be good surrogates for video content quality. Methods Using the YouTube search engine with default settings, the term “shingles” was searched on May 8, 2020. A cross-sectional study was performed using the first 50 search results. A search on Scopus for each identified physician was performed, and data regarding their research background and academic affiliation were recorded. Results Of the 50 YouTube videos, 35 (70%) were categorized as academic. Of the 35 academic videos, 24 (71%) videos featured physicians, totaling 25 physicians overall. Out of these 25 physicians, 5 (20%) had at least 1 shingles-related publication and 8 (32%) had an h-index &gt;10. A total of 21 (84%) physicians held an academic affiliation. Conclusions These results ensure to a certain degree the quality of the content in academic videos on YouTube for medical education. However, further evaluation is needed for this growing platform.

Regional variation in appropriate care for ST-elevation myocardial infarction in Finland

Abstract Background Timely primary percutaneous coronary intervention (PCI) is currently the treatment of choice for ST-elevation myocardial infarction (STEMI). Although cardiac units were established in all central hospitals in late 1990s for sparsely populated Finland, studies have shown that regional variation has increased. Additionally, the dense Finnish hospital network includes non-cardiac facilities where patients may be inappropriately admitted and then transferred for PCI. We aim to investigate the current regional differences in receiving timely PCI, determinants of these variations and the effect of hospital transfers. Methods Finnish Hospital Discharge Register data on PCIs for STEMI patients in 2015-17 were linked to register data on socio-demographics. In these preliminary analyses we used logistic regression modelling. Results Our results suggest that there were significant regional differences both for timely PCI in STEMI patients and in the probability of hospital transfers during an episode of care. The regional odds ratios (OR) for receiving PCI on time varied from 0.41 (95% confidence interval 0.33-0.52) to 2.73 (2.09-3.57) compared with the capital region when controlling for age, gender and hospital transfers. The ORs for being transferred during an episode of care varied from 0.26 (0.15-0.44) to 16.6 (11.6-23.6). Patients not transferred were more likely to receive PCI (OR 1.89 (1.67-2.15)). Men received PCI on time more often (OR 1.31 (1.18-1.46)) and women were more likely to be transferred (OR 1.29 (1.15-1.45)). Conclusions The probability for receiving PCI on time was related to the size of the hospital's population base and academic affiliation and inversely to transfers between hospitals. Hospital transfers during care episode and atypical symptoms often seen in women may cause critical delays for PCI. Other determinants for variation of timely PCI and its effects on equity will be analysed using multilevel modelling. Key messages Appropriate care for STEMI varies across regions and reflects inept practices in provider network. These findings are more pronounced in women showing persisting gender-related inequity.

Diffusion of innovation in radiation oncology in the United States.

Objective:To develop an instrument for quantifying innovation and assess the diffusion of innovation in radiation oncology (RO) in the United States.Methods:Primary data were collected for using total population convenience sampling. Innovation Score and Innovation Utilization Score were determined using 20 indicators. 240 medical physicists (MPs) practicing in RO in the United States completed a custom Internet-based survey.Results:Centers with no academic affiliation are trailing behind in innovation in total (MD = 1.65, 95% C I[0.38,2.917], p = 0.011, d = 0.351), in patient treatment (MD = 0.39, 95% CI [0.021,0.76], p = 0.038, d = 0.282), and workflow innovation (MD = 7.09, 95% CI [0.78,13.39], p = 0.028, d = 0.330). Centers with no academic affiliation are trailing behind in innovation utilization in total (MD = 0.46, 95% CI [0.05,0.86], p = 0.028, d = 0.188). Rural center are trailing behind in patient positioning in innovation (MD = 0.31, 95% CI [0.011,0.612], p = 0.042, d = 0.293) and innovation utilization (MD = 16.22, 95% CI [0.73,31.72], p = 0.04, d = 0.608). Rural centers are trailing behind in innovative treatments (MD = 0.62, 95% CI [0.23,1.00], p = 0.002, d = 0.457). Motivation (rs = 0.224, p = 0.002) and appreciation (rs = 0.215, p = 0.003) were statistically significant personal factors influencing innovation utilization.Conclusions:There is a wide range of innovation across RO centers in the United States. RO centers in the United States are not practicing as innovative as reasonably achievable.Advances in knowledge:This work quantified how innovative RO in the United States is and results provide guidance on how to improve it in the future.

Influences on interactions between physicians in the public and private sectors and medical representatives in Yemen

AbstractObjectiveThis study aims to assess the relative importance of attitude and subjective norms as well as physicians' characteristics and practice-setting factors in predicting the outcome of physicians' interactions with MRs.MethodsA cross-sectional survey was conducted among a convenience sample of 602 physicians in Sana'a, Yemen. The data were analysed using descriptive and inferential analyses. The t-test/Mann–Whitney test and ANOVA/Kruskal–Wallis test with post hoc analysis, principal component analysis, correlation analysis and regression analysis were applied at an a priori significance level of 0.05.Key findingsThe response rate was 76.5%. Results showed that physicians who see a greater number of MRs per week or have academic affiliations were significantly more likely to have received high/low-value promotional items than were those who saw fewer MRs or have no academic affiliations (P values &amp;lt; 0.001 and 0.021, respectively). Also male physicians and physicians who have private clinics were significantly more likely to have received high-value promotional items (P value &amp;lt; 0.001). Three out of five hypotheses were supported (physicians' belief in the appropriateness of accepting high/low-value pharmaceutical companies' promotional techniques relate positively and significantly to their behaviour of interactions with MRs, and physicians' attitudes towards pharmaceutical companies relates positively and significantly to their interactions with MRs).ConclusionPhysicians in Yemen consider most of the promotional techniques as normal practice. The article provides empirical evidence for policymakers in developing countries in general, and Yemen specifically, to develop suitable policies and regulations for drug promotion.

Scientific Production in Dentistry: The National Panorama through a Bibliometric Study of Italian Academies.

Background The academic scientific research in the field of dentistry has rapidly increased in the last 20 years under the pressure of the multidisciplinary technological advancements and the growing demand for new predictable and cost-effective techniques and materials. The aim of the present investigation was to analyze the academic scientific production conducted by Italian Academies and Dental Schools. Methods The list of MED/28 academic researchers, associate and full professors, and academic affiliations was collected from the national database of CINECA to evaluate the scientific output of the Italian Universities. The complete list of scientific contributions and the bibliometric parameters were recorded in the Scopus database. Results The scientific production of 37 Italian Universities, 416 researchers, and 23689 papers was evaluated. The measurement of total academic papers, citations, h-index, and relative citation ratio (RCR) was calculated. The study data showed an increase of the academic scientific production over the last 5 years. Conclusions The results presented show how scientific research is increasingly pursued by dental clinicians.

Preface of ICAFS 2019 Proceedings

We are glad to introduce you that the 2019 International Conference on Agricultural and Food Science (3rd ICAFS2019) was successfully held during December 8-10, 2019 in Kuala Lumpur, Malaysia.The ICAFS 2019 was organized by Asia-Pacific Association of Science, Engineering and Technology, Bahri Dağdaş International Agricultural Research Institute, in collaboration with multiple academic affiliations. In 2019 it was the 3rd ICAFS. Previous ICAFS were successfully held in Istanbul, Turkey (2018) and Lahore, Pakistan (2017).It has been designed to provide an innovative and comprehensive overview of agricultural and food sciences. A focus was given on: Animal & Plant Sciences; Agronomy and Agricultural Sciences; Aquiculture and Fishery Sciences; Soil & Environmental Science; Food Science and Technology; Agricultural Environment, Sustainable and Resources, etc.Various disciplines, including biology, nutrition, chemistry, biotechnology, microbiology, genomics, toxicology, etc., are contributing to agricultural and food sciences. Merging interdisciplinary is the stew in which creativity and innovation thrive. Such interactive creates insights by exposing researchers to ideas from other disciplines besides their own area of specialization. In this conference, we intended to present and discuss various themes from the aspect of fundamental as well as application parts.We are glad to share with you that we have received lots of submissions from the conference. Hence, we selected a bunch of high-quality papers and compiled them into the proceedings after rigorously reviewed them. All the papers have been through rigorous review and process to meet the requirements of International publication standard.Lastly, we would like to express our sincere gratitude to the Chairman, all members of conference committee, the distinguished keynote speakers, as well as all the participants. We would like to thank all of the reviewers and members of conference committee who have dedicated their constant support and countless time to bring these scratches into the proceedings. We also want to thank the publisher for publishing the proceedings. May the readers could enjoy the gain some valuable knowledge from the proceedings. We encourage all of you to keep supporting the conference and sharing your knowledge and professional expertise, and we are expecting more and more experts and scholars from all over the world to join this international event next year.ICAFS2019 Organizing Committee

Sensitivity of Clinical Pediatric Obesity Diagnosis Documented in Electronic Health Records.

Objective. This study tested the sensitivity of obesity diagnosis in electronic health records (EHRs) using body mass index (BMI) classification and identified variables associated with obesity diagnosis. Methods. Eligible children aged 2 to 18 years had a calculable BMI in 2017 and had at least 1 visit in 2016 and 2017. Sensitivity of clinical obesity diagnosis compared with children's BMI percentile was calculated. Logistic regression was performed to determine variables associated with obesity diagnosis. Results. Analyses included 31 059 children with BMI at or above 95th percentile. Sensitivity of clinical obesity diagnosis was 35.81%. Clinical obesity diagnosis was more likely if the child had a well visit, had Medicaid insurance, was female, Hispanic or Black, had a chronic disease diagnosis, and saw a provider in a practice in an urban area or with academic affiliation. Conclusion. Sensitivity of clinical obesity diagnosis in EHR is low. Clinical obesity diagnosis is associated with nonmodifiable child-specific factors but also modifiable practice-specific factors.

National Evaluation of Patient Preferences in Selecting Hospitals and Health Care Providers.

Patient utilization of public reporting has been suboptimal despite attempts to encourage use. Lack of utilization may be due to discordance between reported metrics and what patients want to know when making health care choices. The objective of this study was to identify measures of quality that individuals want to be presented in public reporting and explore factors associated with researching health care. Patient interviews and focus groups were conducted to develop a survey exploring the relative importance of various health care measures. Interviews and focus groups conducted at local outpatient clinics. A survey administered nationally on an anonymous digital platform. Likert scale responses were compared using tests of central tendency. Rank-order responses were compared using analysis of variance testing. Associations with binary outcomes were analyzed using multivariable logistic regression. Overall, 4672 responses were received (42.0% response rate). Census balancing yielded 2004 surveys for analysis. Measures identified as most important were hospital reputation (considered important by 61.9%), physician experience (51.5%), and primary care recommendations (43.2%). Unimportant factors included guideline adherence (17.6%) and hospital academic affiliation (13.3%, P<0.001 for all compared with most important factors). Morbidity and mortality outcome measures were not among the most important factors. Patients were unlikely to rank outcome measures as the most important factors in choosing health care providers, irrespective of age, sex, educational status, or income. Patients valued hospital reputation, physician experience, and primary care recommendations while publicly reported metrics like patient outcomes were less important. Public quality reports contain information that patients perceive to be of relatively low value, which may contribute to low utilization.