Growth Of Research Research Articles

No one listens to us, we know this, so we participated: Qualitative evidence from menstruation research during the COVID-19 pandemic.

We created a survey to assess menstrual side effects after COVID-19 vaccination when we noticed news stories that denied or discounted the experiences of tens of thousands of menstruating and formerly menstruating people who reported experiencing bleeding changes. This survey had an unprecedented response hundreds of times higher than we had anticipated (n = 101,824). We investigated what motivated our sample to participate without remuneration to understand both general motivations for survey participation as well as why this survey captured the interest of so many. We used open-ended responses from our online, mixed-method survey collected from April to October 2021. Using computer-assisted qualitative data analysis tools in R, we conducted a thematic analysis on open-ended responses. We used topic modeling to cluster the data, synthesize responses across 22,737 participants, and inform the themes summarizing the responses to "What is your interest in this project?" We compared and contrasted responses across groups (racial identity, ethnicity, gender) to examine whether the themes were representative across the demographic groups in our study. The themes that characterized participants' interest in participating were vaccine effects and women's/people's health, personal experience related to the vaccine, and a love for science and data. We compared responses among demographic subgroups to avoid an overfocus on majority group responses and found the themes were reflected across each group. Lastly, we found our themes reflected multiple types of altruism. These results were important in showing how emergent research that focuses on the concerns of potential participants can encourage high response rates from both marginalized and majority communities. Inclusive practices and familiarity with the research team built credibility that engendered trust with the public.

Informed Consent in Time-critical Emergency and Intensive Care Medicine Research in Patients Who Lack Capacity: New Zealand Journey and the Global Context

Informed Consent in Time-critical Emergency and Intensive Care Medicine Research in Patients Who Lack Capacity: New Zealand Journey and the Global Context

Citespace-based Research on the Current Situation and Development Trend of the Art of “Sky Jumping” of the Zhuang on the Chinese-Vietnamese Border

Abstract China and Vietnam share both land and maritime borders, rendering the exchange and cooperation in ethnic arts along these frontiers crucial for their cultural evolution. This significance underscores the importance of organizing and analyzing the artistic expressions of the Zhuang people, particularly the “Tien Jumping” art form prevalent along the Sino-Vietnamese border. This study introduces an innovative method for text feature expansion utilizing Citespace, integrated with a deep learning-based text classification model, to establish a systematic framework for text classification within this cultural context. Furthermore, acknowledging the multidisciplinary nature of “Tien Jumping” art research, this paper develops a Citespace-based cross-collection system. This system harnesses a thematic network that amalgamates various disciplines to aggregate pertinent data efficiently. Empirical analysis validates the model’s robustness, evidencing an accuracy of 0.95, a recall of 0.87, and an F1 score of 0.91. The investigation into the current state and future trends of “Tien Jumping” research reveals a significant increase in publication volume, from 500 articles in 2013 to 1,108 in 2022— an increment of 608 articles. This growth highlights the strengthening focus on inheritance development, cultural preservation, and the artistry of the Zhuang people, with scores surpassing 7.5 in these emergent research areas. These findings affirm the effectiveness of the proposed methodologies in this study. The approach not only provides a rigorous analysis but also forecasts the trajectory of “Tien Jumping” art research along the Sino-Vietnamese border, offering a scientific foundation for future scholarly inquiries.

Evolution of Global Climate Change Related Research: Bibliometric Analysis

The burgeoning interest in addressing climate change has catalyzed a significant increase in related research, necessitating a comprehensive review to understand the evolution of the field, emergent research areas, and geographical contributions. By employing a bibliometric methodology to analyze a wide array of scientific publications, this study aims to map out the dynamics of global research on climate change, focusing on publication growth, international collaborations, thematic trends, and citation impact. Our findings reveal not only a substantial rise in the volume of research and international collaborations, reflecting the global consensus on climate change challenges, but also a diversification of topics, indicating a shift towards more integrative and interdisciplinary approaches. The citation analysis further highlights the growing influence and importance of climate change research in scientific discourse and policy-making. Overall, this work underscores the dynamic evolution of climate change research, offering valuable insights into its progress, changing priorities, and the future challenges and opportunities, thereby contributing to a deeper understanding of the scientific landscape and informing future studies and policy development.

Institutional Review Boards' Assessment of Local Context: A Mixed Methods Study.

The nature of the review of local context by institutional review boards (IRBs) is vague. Requirements for single IRB review of multicenter trials create a need to better understand interpretation and implementation of local-context review and how to best implement such reviews centrally. We sought a pragmatic understanding of IRB local-context review by exploring stakeholders' attitudes and perceptions. Semistructured interviews with 26 IRB members and staff members, institutional officials, and investigators were integrated with 80 surveys of similar stakeholders and analyzed with qualitative theme-based text analysis and descriptive statistical analysis. Stakeholders described what they considered to be local context, the value of local-context review, and key processes used to implement review of local context in general and for emergency research conducted with an exception from informed consent. Concerns and potential advantages of centralized review of local context were expressed. Variability in perspectives suggests that local-context review is not a discrete process, which presents opportunities for defining pathways for single IRB review.

Influences of Digital Checklists on Emergent Researchers’ Method Designs and Writing

Influences of Digital Checklists on Emergent Researchers’ Method Designs and Writing

Post–COVID-19 Condition in Children 6 and 12 Months After Infection

There is a need to understand the long-term outcomes among children infected with SARS-CoV-2. To quantify the prevalence of post-COVID-19 condition (PCC) among children tested for SARS-CoV-2 infection in pediatric emergency departments (EDs). Multicenter, prospective cohort study at 14 Canadian tertiary pediatric EDs that are members of the Pediatric Emergency Research Canada network with 90-day, 6-month, and 12-month follow-up. Participants were children younger than 18 years who were tested for SARS-CoV-2 infection between August 2020 and February 2022. Data were analyzed from May to November 2023. The presence of SARS-CoV-2 infection at or within 14 days of the index ED visit. Presence of symptoms and QoL reductions that meet the PCC definition. This includes any symptom with onset within 3 months of infection that is ongoing at the time of follow-up and affects everyday functioning. The outcome was quantified at 6 and 12 months following the index ED visit. Among the 5147 children at 6 months (1152 with SARS-CoV-2 positive tests and 3995 with negative tests) and 5563 children at 12 months (1192 with SARS-CoV-2 positive tests and 4371 with negative tests) who had sufficient data regarding the primary outcome to enable PCC classification, the median (IQR) age was 2.0 (0.9-5.0) years, and 2956 of 5563 (53.1%) were male. At 6-month follow-up, symptoms and QoL changes consistent with the PCC definition were present in 6 of 1152 children with positive SARS-CoV-2 tests (0.52%) and 4 of 3995 children with negative SARS-CoV-2 tests (0.10%; absolute risk difference, 0.42%; 95% CI, 0.02% to 0.94%). The PCC definition was met at 12 months by 8 of 1192 children with positive SARS-CoV-2 tests (0.67%) and 7 of 4371 children with negative SARS-CoV-2 tests (0.16%; absolute risk difference, 0.51%; 95% CI, 0.06 to 1.08%). At 12 months, the median (IQR) PedsQL Generic Core Scale scores were 98.4 (90.0-100) among children with positive SARS-CoV-2 tests and 98.8 (91.7-100) among children with negative SARS-CoV-2 tests (difference, -0.3; 95% CI, -1.5 to 0.8; P = .56). Among the 8 children with SARS-CoV-2 positive tests and PCC at 12-month follow-up, children reported respiratory (7 of 8 patients [88%]), systemic (3 of 8 patients [38%]), and neurologic (1 of 8 patients [13%]) symptoms. In this cohort study of children tested for SARS-CoV-2 infection in Canadian pediatric EDs, although children infected with SARS-CoV-2 reported increased chronic symptoms, few of these children developed PCC, and overall QoL did not differ from children with negative SARS-CoV-2 tests.

An evaluation of a transitional care programme for older adults in a general hospital in the Netherlands: Needs, preferences, and perspectives of the average old and the oldest old

Aim: This research aimed to evaluate a transitional care programme for older adults who were acutely admitted to a general hospital, with a special focus on health outcomes and healthcare utilisation for the oldest patients and to clarify patients’ and health care providers’ perspectives on the care provided.
 Background: Populations around the world are ageing, and many older adults have complex health problems owing to multimorbidity. Consequently, they experience many transitions in care. During the past decade, transitional care for older adults has become increasingly important in terms of safe transitions and prevention of adverse events during transitions.Research however, often leaves the oldest old and the most vulnerable out of scope.
 Methodology and methods: A mixed methods research design, based upon pragmatism and critical realism, was used in a parallel convergent design study. Measurements in the quantitative phase of the study were based on the The Older Persons and Informal Caregivers Survey Minimal Dataset (TOPICS-MDS). Data from the hospital registry and questionnaires were used. In the qualitative phase of the study reflexive thematic analysis was used on data gathered in interviews with patients, hospital nurses and community nurses and two focus group meetings with the geriatric team, and staff and managers from the home care organisations.
 Findings: The quantitative part of the study did not show any significant results of the effect of the Transitional Care Bridge (TCB) programme on the prevention of functional decline, health care utilisation and other health outcomes. However, the study revealed an increase in preventive care in the more frail TCB group. The qualitative part of the study reveals the programme was valued by patients, family members and professionals. The familiarity with the programme and personal attitudes of professionals may have influenced expectations and outcomes. Many patients enrolled in the programme were very frail and often unaware of the programme. As they often already received some kind of home care, patients were initially referred to the usual carers. The assessment of the care needs of the oldest patients to some extent fail to recognise what would contribute most to ageing well at home. Professionals in hospital as well as home care organisations struggled with motivation towards the programme and felt they still remained working within their silos. Professional roles were not always clearly defined, valued and reflected upon, and outcomes relating to collaboration reveal a gap between the different worlds of hospital and home.
 
 Discussion: Different contexts, organisational interests, personal attitudes and lack of reflection have influenced collaboration and the delivery of the programme. Transitional care interventions should be redeveloped for and with the oldest adults and their informal caregivers and address their needs during the period shortly after discharge, and help them build structure into their daily routines, and resume activities and exercise. Reflective practices on shared values, implications and outcomes should be developed as a competence within and between all involved organisations of transitional care. More reflective and emergent research approaches are needed to inform policies on ageing well in place and prevention.

“Converging on a new theoretical foundation for selling” five years later: emerging priorities, new applications, & directions for ongoing research

PurposeNot that long ago, half of all sales research was demonstrably if not unequivocally “atheoretical” (Williams and Plouffe, 2007). The foundational argument of this paper is that stronger theoretical development and application of theory in sales research is critical for the sales field to retain its relevancy. The purpose of this paper is to underscore that deliberate and cogent application of HWV (2018) is scant in the recent sales literature (over five years after publication in Journal of Marketing) for one or both of two reasons: scholars either do not understand the paper and/or are fearful of (mis)applying it.Design/methodology/approachMore than simply introducing the articles to this special issue of the European Journal of Marketing (EJM), this paper also makes a number of important, overdue contributions. Although Hartmann, Wieland and Vargo’s JM (HWV, 2018) theoretical and conceptual paper has been well-received by the sales community, it has seen limited meaningful integration or application in sales research since its publication. This paper thus clarifies key misunderstandings and misperceptions with HWV (2018) so that sales researchers can more impactfully apply it to future sales research.FindingsThis paper identifies and then explains key aspects of service-dominant logic (S-D logic) and commonly misapplied and/or misunderstood aspects of HWV (2018) to guide future sales research. Ultimately, the overarching goal of this special issue of EJM is to focus a “spotlight” on sales theory development, while simultaneously demonstrating – through the five articles the special issue reports – that with purposeful effort, rich theoretical insights can effectively be applied to both “classic” and more current and emergent sales research topics.Research limitations/implicationsBecause HWV (2018) draw heavily upon S-D logic, it follows that some aspects of their article have been misinterpreted or misapplied by sales scholars. In particular, the critical concept of “crossing points” (both of the “thick” and “thin” variety) are explicated and detailed further, so as to afford sales researchers with better knowledge and insight on how to apply these key tools within HWV (2018).Practical implicationsThe practical implications of this paper primarily revolve around further educating and clarifying for sales researchers “how” to better apply HWV (2018) to sales research, rather than simply citing it in passing. The paper also concludes by providing a summary and introduction to each of the five EJM special issue articles.Originality/valueThe originality and value of this paper and this special issue of the EJM is twofold. First, both this paper and the entire special issue itself emphasize the ongoing importance of advancing sales research through the meaningful and cogent application of theory. Second, the paper demonstrates that purposeful effort can lead to successful applications of HWV (2018) – as exhibited by the five articles in the EJM special issue – such that rich theoretical insights can be woven into both traditional and contemporary sales research topics.

Cultural tightness emancipation and venture profitability: An international experience lens

Culture deeply infuses entrepreneurs' psychology, and ultimately the performance of their firms. Drawing on cultural-tightness looseness theory and emergent entrepreneurship research on intercultural cognition, we introduce the concept of cultural tightness emancipation. We examine how culturally tight home contexts can be especially psychologically restrictive for underdog entrepreneurs, with what we term ‘layers of tightness’, such as gender role and family expectations, compounding these dynamics. Drawing on multi-wave data in Nicaragua, we theorize that culturally loosening experiences can aid entrepreneurs in gaining broader perspectives and skills that bolster the profitability of their ventures. Specifically, we probe how time spent living overseas can yield enduring positive effects on founders years later when running their businesses back home. In line with our theorizing, we find support that female entrepreneurs running family businesses in culturally tight Nicaragua benefit considerably more from such cultural tightness emancipation. Implications for research and practice are discussed.

Mapping the knowledge structure and trends in Australian Indigenous health and wellbeing research from 2003 to 2022: a scientometric analysis

The health and wellbeing of Australian Indigenous peoples is a nationally sanctioned priority, but despite this, few studies have comprehensively analyzed the features and characteristics of the research in the field. In this regard, a comprehensive scientometric analysis and knowledge mapping to systematically summarize and discuss the current state of research, research trends, and emerging areas of research were conducted. Original articles and reviews published between 2003 and 2022 were obtained from the Web of Science Core Collection. CiteSpace and VOSviewer software were used to perform scientometric analysis and knowledge mapping. An examination of document and citation trends, authors, institutions, countries/regions, journals, and keywords was untaken, while co-citation, co-occurrence, and burst analysis provide insights and future development in this area. A total of 2,468 documents in this field were retrieved. A gradual increase in the number of documents over the past two decades is observed, with the number of documents doubling every ~7.5 years. Author Thompson SC and Charles Darwin University published the most documents, and 85.6% were affiliated with only Australian-based researchers. The Australian and New Zealand Journal of Public Health is the most prominent journal publishing in the field. The most commonly co-occurring keyword was “health,” and the keyword “risk” had the longest citation burst. Five keyword clusters were identified; “cultural safety” was the largest. This study articulates the knowledge structure of the research, revealing a shift from population-level and data-driven studies to more applied research that informs Indigenous peoples health and wellbeing. Based on this review, we anticipate emergent research areas to (1) reflect a more comprehensive understanding of the multidimensional factors that shape Indigenous health and wellbeing; (2) move beyond a deficit-based perspective; (3) respect cultural protocols and protect the rights and privacy of Indigenous participants; (4) address racism and discrimination within the healthcare system; (5) foster respectful, equitable, and collaborative research practices with Indigenous peoples; (6) provide culturally appropriate and effective interventions for prevention, early intervention, and treatment; and (7) ensure equitable change in systems to enhance access, quality, and outcomes in health and wellbeing.

Dactylopius opuntiae (Hemiptera: Dactylopiidae) control tactics: a bibliometric analysis

The objective of this article is to identify the growth, control tactics, collaboration among authors, and emerging trends in scientific research related to the control strategies of Dactylopius opuntiae Cockerell (Hemiptera: Dactylopiidae) through bibliometric indicators. In order to recover the relevant academic articles on the topic, six referential databases were consulted. The keyword used to retrieve bibliographic information was «Dactylopius opuntiae» in the search fields: title, abstract and keywords. 1 212 bibliographic records were obtained, which were sent to the Zotero software, and subsequently reviewed to discard repeated records unrelated to the topic, obtaining only 99 from 1848 to 2022. These records resulted in four bibliometric indicators using Excel and VOSviewer. The dynamic of scientific production has been more evident during the last seven years. Biological control, through predators and entomopathogens, was the most studied emergent research theme. From 1848 to 2000, only 12 documents of scientific production about D. opuntiae control tactics were found; production has been increasing by a greater proportion from 2016 up to 2022. The most outstanding control tactics were focused on biological control and non-conventional chemical control using various products such as oils, plant extracts, soaps, and detergents. Finally, the most frequently mentioned research topic was «biological control». Among other conclusions, the most researched topics were biological control agents (predators and entomopathogens) and plant resistance, which stood out as the tactic that could be most sustainable.

The Role of VET in a Green Transition of Industry: A Literature Review

Purpose: This article examines the role of Vocational Education and Training (VET) in a green transition of industry. In the world of industry, battling climate change is often treated as a technical issue, but recent research on VET has tried to balance the technological paradigm with more human-centric approaches. The literature review addresses emergent VET research that presents various and partially competing perspectives on the purpose of VET in relation to climate change. Methods: We use an integrative literature review to investigate this complex topic. This technique is particularly useful for making sense of emergent research concepts, as well as various, and partially competing, theoretical and methodological approaches. It also allows us to incorporate literature from different countries and VET systems. The main search was performed in Scopus during March 2023, and included studies published within a timespan of eight years (2016–2023). Findings: Through a qualitative content analysis, we have identified five cross-cutting themes in the literature: Conceptualising ill-defined concepts of green jobs and skills; high-tech solutions in the movement towards a fourth industrial revolution versus inclusive growth for VET greening; towards sustainable work-based learning for green skills in VET; radical transformative approaches to a just green transition; and the co-creation of skill-formation ecosystems. The analysis has highlighted the ways in which VET can take on different roles in the green transition, and that these roles can be developed successively in parallel with a green transition in industry. In the development of the role of VET, it is also relevant to consider the contrast between transitional approaches and transformative approaches in VET research. While transitional approaches are recurrently marked by empirical research in specialised areas and subsystems within society, transformative approaches are characterised by a stronger focus on societal transformation (large-scale changes), power dynamics, and social justice. Conclusion: In conclusion, we suggest an analytical model that synthesises research on what role VET can play in a green transition of industry. The development model highlights that VET can take on different roles in a green transition and can gradually develop in parallel with a green transition in industry.

Valuing women’s empowerment: tracking funding in Southeast Asia

Women’s empowerment is now a global development objective. However, the instrumentalization of this approach to gender equality has prompted calls for research into the financing of interventions. With donors now reporting the gender credentials of their spending, this article follows the money for one region—Southeast Asia—to investigate how donors are engaging with women’s economic empowerment. Through a systematic review, it identifies and codes women’s economic empowerment projects. Data is analyzed according to geographic distribution, thematic distribution, and participant types. The article offers important insights into funding patterns and deficiencies in current reporting practices. It finds, first, while there is a more thematically diverse mix of projects being funded than indicated in previous research, women’s economic empowerment continues to be interpreted in Southeast Asia as women’s market inclusion, continuing the trend of instrumentalization. Second, and consistent with emergent research highlighting the political uses of aid transparency, it demonstrates that donors are engaging in gender wash by inadequately and incorrectly reporting project characteristics. By upselling their gender credentials, donors are characterizing their activities as advancing gender equality despite often intensifying the challenges faced by women, underscoring the urgent need to reform reporting practices.

Exploring the research landscape of socially responsible investment through bibliometrics

The ethics of investing are more important than ever in light of the pressing issues of global warming, social inequality, human rights violations, and the need to achieve sustainable development objectives. Investors are increasingly aware of their pivotal position in promoting ethical practices and actively seek investment opportunities that align with these objectives. Socially responsible investment (SRI) arises as a means of investing in companies that prioritize ethical practices, support sustainable development, and generate positive financial returns. We conduct a bibliometric analysis of the research landscape in the field of SRI and sustainable investing, investigating bibliographic coupling to identify the dominant themes and areas of interest. Our analysis reveals the existence of five major themes that define research in this field: i) sustainability and SRI, ii) sustainability and financial markets, iii) sustainable investing and corporate responsibility, iv) green finance and supply chain management, and v) CSR and financial performance in sustainable finance. These themes provide a comprehensive overview of the most important research topics and areas of interest within the field of SRI and sustainable investing. We intend to investigate the interrelationships between these themes, identify emergent research areas, and examine the impact of the findings on sustainable investment strategies. To further understand the concepts and their relevance to SRI, we prefer to perform a qualitative investigation of the identified issues. This study provides a comprehensive examination of the SRI and sustainable investing research landscape by employing bibliometric analysis. This study's findings will contribute to the scholarly understanding of sustainable investing and provide investors, policymakers, and financial institutions with valuable insights for making informed decisions and promoting sustainable and ethical investment practices.

Abstract 382: The Effect of Stepstool Use on Chest Compression Quality During CPR in Young Children: Findings From the Videography in Pediatric Emergency Research (VIPER) Collaborative

Background: Delivering chest compressions (CC) of adequate depth and rate during pediatric cardiopulmonary resuscitation (CPR) has known beneficial hemodynamic consequences; however, chest compression quality in this population is often suboptimal. While common, the benefit of stepstool use during pediatric CPR has not been studied. Objective: To analyze the effect of step stool use on chest compression quality (depth, rate) in a pediatric emergency department (ED). Methods: We conducted a prospective observational cohort study involving patients <8 years of age receiving chest compressions in an ED for >2 minutes. Data was collecting via structured video review and from a CC monitoring device. Analysis was by compressor segment. We compared CC rate and depth by step stool use in each of 3 age groups: < 1 year, 1-8 years, 9-18 years. We also examined step stool and CC quality by compressor hand position: 1) two thumbs, hands encircling chest (2T), 2) two fingers, 2 nd and 3 rd digits, pressing on anterior sternum (2F), 3) one hand (1H), and4) two hands (2H). Results: 46 patients received 390 CC segments (565 total minutes of CC). In patient <1 year and 1-8years of age, the majority of compressors utilized a step stool (73% <1 year; 83.3% 1-8 years). For <1year, there was no difference in mean CC rate or depth with or without step stool use. In children >1year of age, a step stool was associated with deeper chest compressions [3.63cm (IQR 3.07 - 4.17)versus 2.74 cm (IQR 2.39 - 3.24) without, p=0.000] and a mean CC rate more consistent with AHA guidelines [115 compressions per minute (IQR 115 - 128) versus 125 (IQR 110 - 121) without p=0.0037]. Stratified by hand placement technique, 1H compressions with a step stool achieved greater depth in children >1 years (p<0.01); 2H compressions with a step stool achieved a more compliant CC rate in children >1 years (p<0.05). Conclusions: CPR depth failed to reliably meet AHA guidelines regardless of stepstool use across all age categories. However, in children between 1 - 8 years of age, step stool use was significantly associated with higher quality chest compressions. Our findings of better CC depth and rate with one and two hand compressions should prompt further investigation and evaluation of CC technique in the pediatric population.

Nursing Sensitive Outcomes evaluation in the Emergency Department: An Umbrella Review.

The aim of this review was to identify reported nursing-sensitive outcomes in the Emergency Department to date. An Umbrella review was conducted. Four databases, CINAHL, Pubmed, Web of Science and Scopus, were searched from inception until October 2022. MeSH terms were: "nursing", "sensitivity and specificity", "emergency service, hospital", "nursing care". Two reviewers independently screened studies against the inclusion criteria for eligibility, extracted data and assessed study quality with the SIGN tool. Results of the included studies were summarized and described in themes for narrative analysis. The study was enrolled in the PROSPERO registry (CRD42022376941) and PRISMA guidelines were followed. The search strategy yielded 2289 records. After duplicate removal, title, abstract and full-text eligibility screening, nine systematic reviews were included in the review. A total of 35 nursing-sensitive outcomes were reported. The most described outcomes were waiting times, patient satisfaction and time to treatment. The less measured were mortality, left without being seen and physical function. Synthesizing nursing-sensitive outcomes in themes for reporting, the most measured outcomes were within the safety domain (n=20), followed by the clinical (n=9), perceptual (n=5) and the least explored functional domain (n=1). Nursing sensitive outcomes research in emergency nursing practice is a conceptual challenge still in its early stage. Several nursing-sensitive outcomes were identified in this review that can evaluate the contribution of emergency department nursing care to patient outcomes. Further research is required to explore patient outcomes sensitive to emergency nursing care.

Construction of integrated platform for emergency clinical scientific research based on big data

To explore clinical rules based on the big data of the emergency department of the Second Affiliated Hospital of Guangzhou Medical University, and to establish an integrated platform for clinical research in emergency, which was finally applied to clinical practice. Based on the hospital information system (HIS), laboratory information system (LIS), emergency specialty system, picture archiving and communication systems (PACS) and electronic medical record system of the Second Affiliated Hospital of Guangzhou Medical University, the structural and unstructured information of patients in the emergency department from March 2019 to April 2022 was extracted. By means of extraction and fusion, normalization and desensitization quality control, the database was established. In addition, data were extracted from the database for adult patients with pre screening triage level III and below who underwent emergency visits from March 2019 to April 2022, such as demographic characteristics, vital signs during pre screening triage, diagnosis and treatment characteristics, diagnosis and grading, time indicators, and outcome indicators, independent risk factors for poor prognosis in patients were analyzed. (1) The data of 338 681 patients in the emergency department of the Second Affiliated Hospital of Guangzhou Medical University from March 2019 to April 2022 were extracted, including 15 modules, such as demographic information, triage information, visit information, green pass and rescue information, diagnosis information, medical record information, laboratory examination overview, laboratory information, examination information, microbiological information, medication information, treatment information, hospitalization information, chest pain management and stroke management. The database ensured data visualization and operability. (2) Total 140 868 patients with pre-examination and triage level III and below were recruited from the emergency department database. The gender, age, type of admission to the hospital, pulse, blood pressure, Glasgow coma scale (GCS) and other indicators of the patients were included. Taking emergency admission to operating room, emergency admission to intervention room, emergency admission to intensive care unit (ICU) or emergency death as poor prognosis, the poor prognosis prediction model for patients with pre-examination and triage level III and below was constructed. The receiver operator characteristic curve and forest map results showed that the model had good predictive efficiency and could be used in clinical practice to reduce the risk of insufficient emergency pre-examination and triage. The establishment of high-quality clinical database based on big data in emergency department is conducive to mining the clinical value of big data, assisting clinical decision-making, and improving the quality of clinical diagnosis and treatment.

Tracing E-race-sures, Finding Reclamations: Embodied Perspectives of “Canadian” Immersion

At this critical time of reckoning with histories and present legacies in Canada, we come together as an emergent collaborative research team to reflect on how education and wider systems in this country have shaped our individual and collective experiences. As we affirm our practice of visiting and sharing histories from embodied perspectives and commitments in order to build relations, we find echoes in the concepts and practices of Métis and Black/African-Caribbean diasporic communities that we are in relation to. The notion of e-race-sures helps us name the gaps that our communities have experienced in the cultural imaginaries and literal making of Canada where racialized notions of belonging have enabled colonization and entitled (largely white) settlement. Beyond remediating these gaps, the notion of reclamations allows us to move past deficiencies and affirm what has always been there. This move facilitates thinking and acting accountably in relations that exceed what is underwritten by a seemingly coherent history and present story of Canada. By sharing our individual stories in places in the text, the authors name how we each come to know e-race-sures and reclamations in our own lives. But in collectivizing our stories and finding common resonances, we insist on the power of coalitional possibilities and on the need to make room for other communities and stories beyond ours.

Core outcomes and factors influencing the experience of care for children with severe acute exacerbations of asthma: a qualitative study

ObjectiveTo identify the outcomes considered important, and factors influencing the patient experience, for parents and caregivers of children presenting to hospital with a severe acute exacerbation of asthma. This work...