Knowledge Support Systems Research Articles

Hospital Use of a Web-Based Clinical Knowledge Support System and In-Training Examination Performance Among Postgraduate Resident Physicians in Japan: Nationwide Observational Study.

The relationship between educational outcomes and the use of web-based clinical knowledge support systems in teaching hospitals remains unknown in Japan. A previous study on this topic could have been affected by recall bias because of the use of a self-reported questionnaire. We aimed to explore the relationship between the use of the Wolters Kluwer UpToDate clinical knowledge support system in teaching hospitals and residents' General Medicine In-Training Examination (GM-ITE) scores. In this study, we objectively evaluated the relationship between the total number of UpToDate hospital use logs and the GM-ITE scores. This nationwide cross-sectional study included postgraduate year-1 and -2 residents who had taken the examination in the 2020 academic year. Hospital-level information was obtained from published web pages, and UpToDate hospital use logs were provided by Wolters Kluwer. We evaluated the relationship between the total number of UpToDate hospital use logs and residents' GM-ITE scores. We analyzed 215 teaching hospitals with at least 5 GM-ITE examinees and hospital use logs from 2017 to 2019. The study population consisted of 3013 residents from 215 teaching hospitals with at least 5 GM-ITE examinees and web-based resource use log data from 2017 to 2019. High-use hospital residents had significantly higher GM-ITE scores than low-use hospital residents (mean 26.9, SD 2.0 vs mean 26.2, SD 2.3; P=.009; Cohen d=0.35, 95% CI 0.08-0.62). The GM-ITE scores were significantly correlated with the total number of hospital use logs (Pearson r=0.28; P<.001). The multilevel analysis revealed a positive association between the total number of logs divided by the number of hospital physicians and the GM-ITE scores (estimated coefficient=0.36, 95% CI 0.14-0.59; P=.001). The findings suggest that the development of residents' clinical reasoning abilities through UpToDate is associated with high GM-ITE scores. Thus, higher use of UpToDate may lead physicians and residents in high-use hospitals to increase the implementation of evidence-based medicine, leading to high educational outcomes.

Assessing and mapping water-energy-food nexus smart innovations and practices in Vhembe District Municipality, Limpopo Province, South Africa

Water, energy, and food and their interactions (commonly referred to as the WEF nexus) are critical pillars to resolving the intractable global challenges such as poverty, hunger, malnutrition, poor sanitation, climate, and health crises. The nexus approach, practices, and innovations at the household level are critical determinants of whether resource use efficiency, co-benefits, basic rights to water and food, and sustainability governance are attained. In particular, smart WEF innovations can contribute to the current generations' economic, social, and environmental needs without compromising the needs of the future generation. The study aimed to identify smart innovations, practices, and factors influencing their adoption to inform policy and decision-making processes. The study intends to support scaling up the adoption of innovations and practices that enhance sustainability and resource security in support of the sustainable development goals (SDGs). Semi-structured interviews and key informant interviews (KII) supplemented with observational checklists were used to identify the WEF nexus smart technologies, innovations, and practices in Vhembe District Municipality, Limpopo Province, South Africa. Data were collected from a sample size of 128 households in the study area. Our findings revealed synergistic smart innovation practices across WEF resource use and management practices. Though indigenous knowledge (IK) practices were widely evident in the study area, non-existent WEF smart knowledge support systems existed in the study area. Indigenous knowledge practices were the most elicited innovation by 99.2% of households, suggesting it is critical to advancing WEF smart innovations and practices and needs to be integrated into any policy and governance interventions. A proportion of households recycle water (27%), whilst 53% use untreated water. Furthermore, the knowledge systems on smart WEF innovations were fragmented despite their potential to synergize sustainability objectives. Exploring innovation platforms (IPs) as vehicles for dissemination, innovation, and extension and advisory service delivery, as well as validation of Indigenous Knowledge Systems (IKS), has the potential to contribute to the diffusion, uptake, and scaling of existing innovation and practices with significant spill-over effects on WEF resource security and sustainability outcomes both at local and extra local scales.

Knowledge support for optimising antibiotic prescribing for common infections in general practices: evaluation of the effectiveness of periodic feedback, decision support during consultations and peer comparisons in a cluster randomised trial (BRIT2) – study protocol

IntroductionThis project applies a Learning Healthcare System (LHS) approach to antibiotic prescribing for common infections in primary care. The approach involves iterations of data analysis, feedback to clinicians and implementation...

Knowledge support for environmental information on pharmaceuticals: experiences among Swedish Drug and Therapeutics Committees

BackgroundTwo publicly available Swedish knowledge support systems, “Pharmaceuticals and Environment” on Janusinfo.se and Fass.se, provide environmental information on pharmaceuticals. Janusinfo is provided by the public healthcare system in Stockholm and Fass is provided by the pharmaceutical industry. The objectives of this study were to investigate the experiences among Swedish Drug and Therapeutics Committees (DTCs) with using the databases, retrieve development proposals for these, and investigate the DTCs’ challenges with working with pharmaceuticals in the environment.MethodsA cross-sectional survey with 21 questions, both closed and open-ended, was distributed electronically in March 2022 to Sweden’s 21 DTCs. Descriptive statistics and inductive categorization were used for the analysis.ResultsA total of 132 respondents from 18 regions filled out the survey. The average regional response rate was 42%. The DTCs used the knowledge supports to consider environmental aspects of pharmaceuticals in their formularies and in education. Respondents were more familiar with Janusinfo compared to Fass but appreciated the availability of both. The DTCs especially valued the concrete proposals for certain active pharmaceutical ingredients on Janusinfo. Respondents requested that all medicinal products have environmental information on Fass. Challenges included lack of data, lack of transparency from the pharmaceutical industry and difficulties considering the environmental aspect of pharmaceuticals in their healthcare practice. Respondents wanted more knowledge, clear messages, and legislation to support their work to reduce the negative environmental impact of pharmaceuticals.ConclusionsThis study demonstrates that knowledge supports for environmental information on pharmaceuticals are valuable for the DTCs in Sweden, but the respondents experienced challenges in their work in this field. The study can provide insights to those in other countries interested in considering environmental aspects in their formulary decision-making.

Clinician acceptability of an antibiotic prescribing knowledge support system for primary care: a mixed-method evaluation of features and context

BackgroundOverprescribing of antibiotics is a major concern as it contributes to antimicrobial resistance. Research has found highly variable antibiotic prescribing in (UK) primary care, and to support more effective stewardship, the BRIT Project (Building Rapid Interventions to optimise prescribing) is implementing an eHealth Knowledge Support System. This will provide unique individualised analytics information to clinicians and patients at the point of care. The objective of the current study was to gauge the acceptability of the system to prescribing healthcare professionals and highlight factors to maximise intervention uptake.MethodsTwo mixed-method co-design workshops were held online with primary care prescribing healthcare professionals (n = 16). Usefulness ratings of example features were collected using online polls and online whiteboards. Verbal discussion and textual comments were analysed thematically using inductive (participant-centred) and deductive perspectives (using the Theoretical Framework of Acceptability).ResultsHierarchical thematic coding generated three overarching themes relevant to intervention use and development. Clinician concerns (focal issues) were safe prescribing, accessible information, autonomy, avoiding duplication, technical issues and time. Requirements were ease and efficiency of use, integration of systems, patient-centeredness, personalisation, and training. Important features of the system included extraction of pertinent information from patient records (such as antibiotic prescribing history), recommended actions, personalised treatment, risk indicators and electronic patient communication leaflets. Anticipated acceptability and intention to use the knowledge support system was moderate to high. Time was identified as a focal cost/ burden, but this would be outweighed if the system improved patient outcomes and increased prescribing confidence.ConclusionClinicians anticipate that an eHealth knowledge support system will be a useful and acceptable way to optimise antibiotic prescribing at the point of care. The mixed method workshop highlighted issues to assist person-centred eHealth intervention development, such as the value of communicating patient outcomes. Important features were identified including the ability to efficiently extract and summarise pertinent information from the patient records, provide explainable and transparent risk information, and personalised information to support patient communication. The Theoretical Framework of Acceptability enabled structured, theoretically sound feedback and creation of a profile to benchmark future evaluations. This may encourage a consistent user-focused approach to guide future eHealth intervention development.

Digital Twin-Based Automated Guided Vehicle Scheduling: A Solution for Its Charging Problems

Due to poor predictability of resources and difficulty in perception of task execution status, traditional Automatic Guide Vehicle (AGV) scheduling systems need a lot of extra time in the charging process. To solve this problem, a digital twin-based dynamic AGV scheduling (DTDAS) method is proposed, including four functions, namely the knowledge support system, the scheduling model, the scheduling optimization, and the scheduling simulation. With the features of virtual reality data interaction, symbiosis, and fusion from the digital twin technology, the proposed DTDAS method can solve the AGV charging problem in the AGV scheduling system, effectively improving the operating efficiency of the workshop. An AGV scheduling process in a discrete manufacturing workshop is taken as a case study to verify the effectiveness of the proposed method. The results show that, compared with the traditional AGV scheduling method, the DTDAS method proposed in this article can reduce makespan 10.7% and reduce energy consumption by 1.32%.

Knowledge support for ankle fractures in the Swedish Fracture Register \u2013 a qualitative study of physicians\u2019 experiences

BackgroundThe aim of this study is to investigate the experiences of physicians presented with a knowledge support system while registering data on ankle fractures in the Swedish Fracture Register. The present study aims to answer the following research questions: • “How is receiving knowledge support while registering a fracture in the Swedish Fracture Register experienced by the physicians using it?”. • “Can a feeling of increased usability of a quality register be achieved by providing the user with real-time feedback?”.MethodsA total of 20 physicians using the Swedish Fracture Register were recruited using a purposive sampling strategy. Qualitative content analysis was performed on individual semi-structured interviews performed in May and June 2020.ResultsThe present study demonstrates that the knowledge support system in the Swedish Fracture Register was perceived by the physicians as strengthening the evidence base and improving the quality of ankle fracture treatment. The knowledge support system was evaluated as a good tool for validating clinical decisions and managing the information that needs to be processed to make informed decisions.ConclusionsThe present study affirms that being provided with knowledge support is appreciated by physicians, increase value for work and enhance the initiative to register. The physicians experienced that the knowledge support provided an appreciated validation of the clinical decisions taken and a feeling of improved care. When incorporating knowledge support into an NQR, consideration must be given to physicians’ fears of becoming overly reliant on a template and losing control of the clinical base.

Preparing ‘middle actors’ to deliver zero-carbon building transitions

The urgent transition to a zero-carbon economy requires building professionals to be supportive of, and prepared for, delivering zero-carbon buildings. Building professionals are important ‘middle actors’ who can either enable or inhibit such societal transitions. This paper explores building professionals’ perspectives on delivering zero-carbon buildings, leading to a practical synthesis of knowledge and skill requirements and training pathways. It draws on the middle-out perspective (MOP) and secondary analysis of three UK case studies. The MOP suggests that middle actors in a system are not perfectly responsive to policy push or market pull. Instead, they exert their own agency and capacity downstream to customers and clients, sideways to other middle actors and, occasionally, upstream to policy-makers. The data comprise: interviews and a small survey with building professionals on energy efficiency and refurbishment; the observation of a specific commercial office building design and development and a workshop to identify zero-carbon knowledge and skill needs of middle actors. Building professionals addressed in this paper include vocational trades, engineers, designers, project managers and ‘clerks of works’ (site-based quality technicians). Although formal training pathways for these roles differ, each can develop expertise ‘sideways’ interacting between professions. Practice relevance Collaboration between academia, vocational training and industry could support sideways initiatives to better enable delivery of zero-carbon buildings. Policy-makers and regulators need to create routes to capture, listen to and use the perspectives of building professionals. At present, these actors have very little upstream influence. Middle-actor groups in construction undertake different activities, but share training routes, knowledge support systems and professional networks. These routes, systems and networks would allow actors to facilitate change from the ‘middle-out’ in a way complementary to top-down change driven by policy and bottom-up changes led by citizens. Training routes can include formal, on-the-job (informal) or e-learning. Prioritising on-the-job knowledge-sharing could promote upskilling. Roles such as a clerk of works could assist in overseeing construction processes. Vocational professionals are the priority group of middle actors to build capacity, knowledge and influence.

Agricultural Expenditures and Food Security: Evidence from Sub Saharan African Countries

This paper sets out to investigate the effects of agricultural expenditures on two dimensions of food security in Sub Saharan Africa from 2000-2016. The Feasible Generalized Least Square (FGLS) econometric technique was applied on data from World Development Indicator, Regional Strategic Alliance and Knowledge Support System (ReSAKSS), the World Governing Indicator, the African Development Indicators, the Food and Agricultural Organisation (FAO) data bases. Our results depicted that public agricultural expenditure has negative and significant effects on food availability and utilization while domestic private agricultural expenditure and human capital foster both dimensions of food security. Foreign aid for agriculture has no effects on food availability but promotes food utilization while economic infrastructure promotes food availability but the effects on food utilization are positive and not significant. On the basis of the results, we recommend that SSA African government should increase the size of public agricultural expenditure, increase the level of economic infrastructures so as to crowd in private agricultural investment, lobby for more foreign aid for agriculture, improve the quality of institutions and design different policies to target different dimensions of food security.

Boosting innovation in emerging markets: the moderating role of human capital

PurposeThe overall aim of this paper is to identify the human capital and organizational factors that facilitate knowledge supporting system to boost innovation in emerging markets. The innovative capability of organizations depends undoubtedly on how successful they are in the generation of knowledge, either via external acquisition or internal creation, and how organizational culture, management support and human capital factors are significant.Design/methodology/approachTo validate this phenomenon, a quantitative explanatory study was designed. Data collection was carried out through a questionnaire completed by 211 respondent of firms located in Mexico. During data analysis, structural equation modeling was implemented with the support of SmartPLS 3.0 to understand the moderating role of organizational factors and human capital between knowledge support system and innovativeness.FindingsThe findings show that it is fundamental to build theories grounded in the particular realities of Latin American countries. For instance, these results suggest that there are two paths of innovation in Mexico in which organizational and human factors play key but differentiated roles. On the one hand, organizational culture, top management support, commitment and openness to innovation are essential to building and maintaining a knowledge support system that enables innovation. Additionally, promoting people-oriented organizations is key to innovation. Human capital factors, such as collaborators' motivation, professional skills and the opportunity to learn, intensify the knowledge support system and innovative capability.Research limitations/implicationsThe main limitations of the study are that only Mexican firms have been analyzed, and it is not possible to generalize the results to other contexts. Additionally, we have not identified whether the organizations that participated in the study originated in Mexico or are global enterprises that operate in Mexico. It could be significant to analyze whether multinationals from other countries that are operating in Mexico are more committed to learning to innovate than Mexican firms and the differences in their knowledge generation activities.Practical implicationsThe results of this study invite: (1) Managers to develop strategic initiatives that systematically promote knowledge generation activities identifying external and internal activities that allow them to build and maintain a knowledge support system, (2) Organizations to promote collaborative spaces in which employees can work in teams and strengthen their social ties, identifying communication physical and virtual spaces to share new ideas, seek new ways of doing things, and explore new processes and activities. This process will be significant in a culture where resistance to change predefines how knowledge translates into innovation.Social implicationsThe improvement of collaborators skills must be accompanied by other policies to enhance the innovation and business environment including the modernization and expansion of infrastructure. It is fundamental that governments firms and universities jointly develop a research agenda that will lead to the identification of significant issues and the effectiveness of solutions to foster innovation in Mexico. Only a holistic approach is likely to help the country move up the value chain and become a knowledge economy. In fact innovation is seen as a social process of public sector organizations that promote knowledge infrastructure such as universities and the government agencies that produce knowledge.Originality/valueThese results suggest that there are two paths of innovation in Mexico in which organizational and human factors play a key but differentiated role. In Mexican firms, innovative capability is possible due to knowledge support systems built on organizational factors, and human capital factors, such as professional skills and motivation for opportunities to learn which intensify innovation.

Development of health management system with recording daily living habits and body compositions

Abstract It is difficult for university students to maintain their health. Department of health management was opened at April 2018 in Tokai university, Japan. About two hundred students entered it last year. Health management system was developed to maintain their health through the college life. The system is named THINKss (Tokai Health INtelligence Knowledge Support System). The number of registered students increased about four hundred this year. Every student can record their daily physical and mental conditions, meal photos with the time, body temperature, blood pressure, bone density, body compositions on their smartphone. If they use activity trackers with a wrist-based heart rate sensor (Garmin co. ltd.), their daily activities and sleeping status are corrected through API automatically. The weather information around university is also recorded everyday. Every student can browse own measurements on their smartphones. Because physical status includes cold symptoms (sneeze, throat pain, cough, fatigue, articular pain, muscle pain, chill, and body temperature), the system can recommend visiting a clinic. Because three meal photos are shown alongside, the balance of the meals is known. It may improve their meals. Because the activity tracker records advanced sleeping status (rem, light, deep, and moving), the relationships between mental conditions and sleeping status should be analyzed. Our previous study for common workers showed that mental status related with sleeping status, taking lunch of convenience-store, standard deviation of time of taking lunch, and oversensitivity to noise. Relationships between body composition changes and the lifestyles should be analyzed for university students. Some alert logics for body composition changes and exacerbating mental conditions may be provided based on the evidences from cumulative data of the health management system. These evidence-based alerts will contribute to maintain student’s health through a college life. Key messages Health management system was developed to maintain student’s health through the college life. Evidence-based alerts will contribute to maintain student’s health through a college life.

The relationships between valuers’ support systems for capturing property sustainability in Nigeria and their knowledge perceptions

Purpose The aspects of sustainability are often not considered explicitly in property valuation. The purpose of this paper is to investigate the structural relationships between valuers’ support for integration of industrial sustainability into property valuation process in Nigeria and their knowledge perceptions about the potential sustainability benefits. Design/methodology/approach The paper compares the results of the respondents’ evaluation of the models and indicators for modelling the study population. Data were obtained from 267 real estate firms from three core Nigerian cities. The conceptual framework was developed and pattern matrices for factor indicators were extracted for the predictions and hypothesis testing using the partial least squares–structural equation modelling. Findings Perceived lowering of risks and cost savings are the significant predictors of the valuers’ support system (BLR→SUP (t=12.181); BCS→SUP (t=2.078)>1.196). The findings challenge the conceptual expectations as prospects of high building value, improved productivity gains and quality of life have no significant factor loadings. Moreover, potential improvement to the quality of life is not a significant mediator. Research limitations/implications Testing the knowledge-support systems in sustainability and property valuation could help bridge the knowledge gap in property sustainability studies. Practical implications This study presents evidence that can aid in decision making regarding public and private efforts to define sustainability knowledge requirements for the valuers and other stakeholders. Originality/value The current investigation finds that there is insufficient sustainability knowledge among the valuers. Thus, these analytical procedures can be used to predict sustainability scenarios at a global level.

Enhancing remanufacturing efficiency in Malaysia through a knowledge support system: a case study of brake callipers

Implementing remanufacturing is certainly a challenge to the new industry in many developing countries since this most promising end of life recovery option requires products to be returned to 'as new' condition. The remanufacturing process requires specific knowledge, skill and the experience of the operators; hence the need for knowledge-based system to ensure an efficient reprocessing of the ELV components. For the purpose of this study, a prototype support system for the remanufacturing of brake callipers was developed. Knowledge and experience on the disassembly and reprocessing of brake callipers and the remanufacturing of ELV components in general are gathered from a case study in a local company involved in repairing of brake callipers. Based on knowledge gathered through interviews, observations and comparison with practices documented by established practitioners, a graphical user interface (GUI) support system for the remanufacturing of brake calliper was proposed.

Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: A retrospective study

Clinical evidence has indicated the effectiveness of computer-based systems for preventing and reducing diagnostic errors. Our study aimed to evaluate the effectiveness of UpToDate, a computer-based clinical knowledge management system, for reducing diagnostic errors. We retrospectively identified 100 patients who visited an outpatient department in a community-based hospital from July 2014 to June 2015. Fifty patients (exposure group) were seen by UpToDate-equipped physicians and another 50 (control group) were seen by UpToDate-unequipped physicians. We extracted data on patient sex, age, primary diagnosis, and case difficulty that could potentially affect diagnostic outcomes. We compared the two groups regarding diagnostic error rate and performed logistic regression analysis to analyze the concurrent effects of various factors affecting diagnostic error. The diagnostic error rate was 2% in the exposure group, while the error rate was 24% in the control group. Multivariate logistic regression analysis showed that error rate reduction was significantly associated with exposure to UpToDate with an odds ratio of 15.21 (95% CI 1.86–124.36). Our results demonstrated the effectiveness of UpToDate for the prevention and reduction of diagnostic error.

B-5 知識獲得支援システムに関する研究(開発トラック,企業改革のためのプロジェクトマネジメント)

B-5 知識獲得支援システムに関する研究(開発トラック,企業改革のためのプロジェクトマネジメント)

Qualitative study on the experiences of caregivers burden of patients with advanced pancreatic cancer who can not be operated

Objective To explore the real burden experience and feelings of the caregivers of patients with advanced pancreatic cancer in the process of care. Methods Totally 9 caregivers of patients with advanced pancreatic cancer were selected and investigated by in-depth interviews. Results Five major themes were found: Psychological burden, Physiological burden, Lack of knowledge, emotion, and economic support system, Challenges to personal life. Conclusions The caregivers of patients with advanced pancreatic bear the burden in Psychology, Physiology and personal life,and lack of emotional, economic and social support to different degrees at the same time. Doctors and nurses should pay attention to the caregivers, help them solve the difficulties, and provide scientific and effective nursing intervention. Key words: Pancreatic neoplasms; Caregivers; Burden experience; Qualitative study

ACS: Asthma Care Services with the Help of Case Base Reasoning Technique

Abstract Asthma care services help avoiding frequent attacks to the asthmatics and save time of the expert physicians. In case base reasoning (CBR) previous experience is being used instead of getting lost. This paper presents a knowledge support system for asthma care services with main emphasis on CBR. The framework of the knowledge support system (KSS) has been discussed in the paper. The KSS has three main components user interface, CBR process which calculates similarity index for new cases based on a threshold value and Ontological Process which generates the care plans for the matched cases and saves the care plans in CBR container. This developed system will help in improving the quality of life of asthmatic patients.

Is dietary restraint deserving of a poor reputation?

Results: A total of 104 CBIs participated in the 2013 survey and results compared against a similar survey in 2010. Geographic location was associated with higher population density. Duration of CBIs was short-term (median 3 yrs; range 0.2—21.0 yrs), delivered mostly by health departments and local governments. Median annual CBI funding had more than doubled since the 2010 survey, but average staffing had not increased. CBIs used at least two strategy types, with a preference for individual behaviour change strategies. Targeting children was less common (31%) compared to the 2010 survey (57%). Logic models and theory were used in planning, but there was low use of research evidence and existing prevention frameworks. Nearly all CBIs had an evaluation component (12% of budget), but dissemination was limited. Conclusion: This survey provides information on the scope and quality of the obesity prevention investment patterns in Australia. Geographic locations of CBIs are captured in detail by the COOPS interactive online map. To boost CBI quality, effectiveness and knowledge translation, further leadership and support systems are required to enable organisations to adopt upstream, evidenceinformed approaches; and for effective integration of CBIs into systems, policies and environments.

The service task implementation in automotive troubleshooting using an ontology-based knowledge support system

In the severe and highly competitive international commercial environment, automotive enterprises have made critical efforts in order to provide more additional value services except in their original product development field. A wider scope of knowledge is necessary to build an automotive troubleshooting service system, since inspection, diagnosis, maintenance and service operations are involved in its troubleshooting range. In this study, a methodology for ontology-based knowledge support is generated. Based on this methodology, a prototype of an automotive troubleshooting service system is generated. An industrial application is proposed and its initial results reveal the applicability of the approach and the prototype in practice.

The Strategic Environment Assessment bibliographic network: A quantitative literature review analysis

Academic literature has been continuously growing at such a pace that it can be difficult to follow the progression of scientific achievements; hence, the need to dispose of quantitative knowledge support systems to analyze the literature of a subject. In this article we utilize network analysis tools to build a literature review of scientific documents published in the multidisciplinary field of Strategic Environment Assessment (SEA). The proposed approach helps researchers to build unbiased and comprehensive literature reviews. We collect information on 7662 SEA publications and build the SEA Bibliographic Network (SEABN) employing the basic idea that two publications are interconnected if one cites the other. We apply network analysis at macroscopic (network architecture), mesoscopic (sub graph) and microscopic levels (node) in order to i) verify what network structure characterizes the SEA literature, ii) identify the authors, disciplines and journals that are contributing to the international discussion on SEA, and iii) scrutinize the most cited and important publications in the field. Results show that the SEA is a multidisciplinary subject; the SEABN belongs to the class of real small world networks with a dominance of publications in Environmental studies over a total of 12 scientific sectors. Christopher Wood, Olivia Bina, Matthew Cashmore, and Andrew Jordan are found to be the leading authors while Environmental Impact Assessment Review is by far the scientific journal with the highest number of publications in SEA studies.