Assessment of fatigue in chronic disease: a bibliographic study of fatigue measurement scales. (73/351)

A large number of fatigue scales exist and there is no consensus on which fatigue measuring scales that are most appropriate for use in assessment of fatigue in different diseases. We aimed to describe the use of fatigue scales in studies of disease-related fatigue during the last three decades. We searched databases from 1975 to 2004 for original studies reporting on disease-related fatigue and extracted information on method used to assess fatigue, diseases under study and year of publication. A total of 2285 papers reported measures of fatigue in chronic non-acute diseases of which 80% were published during the last decade. We identified 252 different ways to measure fatigue, of which 150 were use only once. Multi-symptom scales (n = 156) were used in 670 studies, while 71 scales specifically designed to measure fatigue were applied in 416 studies. The majority of these studies used scales with a multidimensional approach to fatigue, and most studies used scales that were disease-specific or only applied to few different diseases. Research in disease-related fatigue has increased exponentially during the last three decades, even if we adjust for the general increase in publishing activity. The number of scales has also increased and the majority of scales were developed for specific diseases. There is need for measure instruments with different sizes and dimensionality, and due to ceiling and floor effects, the same scale may not be useful for patients with different severity of fatigue. However, since fatigue is an unspecific symptom there should not be need for adopting disease specific fatigue scales for each individual disease. There may be differences in characteristics of fatigue between diseases and generic measurement instruments may facilitate documentation of such differences, which may be of clinical importance.  (+info)

Race and ethnicity in genetic research. (74/351)

Use of race and ethnicity terms in genetic research continues to generate controversy. Despite differing opinions about their basis or relevance, there is some agreement that investigators using these terms should: explain why the terms or categories were used, define them carefully, and apply them consistently. An important question is whether these recommendations are reflected in practice. Here we addressed this question based on 330 randomly selected articles published between 2001 and 2004 that reported on genetic research and used one or more words from a defined list of race, ethnicity, or population terms. The recommendation that authors using race or ethnicity terms explain the basis for assigning them to study populations was met infrequently (9.1%), and articles that used race and ethnicity as variables were no more likely than those that used them only to label a sample to provide these details. No article defined or discussed the concepts of race or ethnicity. With limited exceptions, current practice does not reflect repeated recommendations for using race or ethnicity terms in genetic research. This study provides a baseline against which to measure future trends.  (+info)

Sharing detailed research data is associated with increased citation rate. (75/351)

BACKGROUND: Sharing research data provides benefit to the general scientific community, but the benefit is less obvious for the investigator who makes his or her data available. PRINCIPAL FINDINGS: We examined the citation history of 85 cancer microarray clinical trial publications with respect to the availability of their data. The 48% of trials with publicly available microarray data received 85% of the aggregate citations. Publicly available data was significantly (p = 0.006) associated with a 69% increase in citations, independently of journal impact factor, date of publication, and author country of origin using linear regression. SIGNIFICANCE: This correlation between publicly available data and increased literature impact may further motivate investigators to share their detailed research data.  (+info)

Enhancing the functional annotation of PDB structures in PDBsum using key figures extracted from the literature. (76/351)

MOTIVATION: The Protein Data Bank (PDB) contains over 43,800 experimentally determined 3D models of macromolecular structures and their complexes. Each 3D model reveals something interesting and important about the given molecule's function and biological significance. Usually the best source of this information is the original article describing it, and it is often possible to discern the key aspects of the structure from just one or two of the figures in that article. RESULTS: Here we describe how, with the permission of the journals and their publishers, we have endeavoured to make these key figures publicly available to enhance the functional information relating to each PDB entry in our PDBsum database. AVAILABILITY: http://www.ebi.ac.uk/pdbsum.  (+info)

Research productivity among recipients of AAFP foundation grants. (77/351)

PURPOSE: This study examines research productivity generated by the American Academy of Family Physicians (AAFP) Foundation and the AAFP Joint Grant Awards Program (JGAP) based upon projects funded during the period 1990 through 2000. METHODS: A structured questionnaire was mailed to all JGAP applicants who were funded between 1990 and 2000 (N = 95). The cross-sectional questionnaire included items reflective of research productivity: (1) numbers of publications, (2) numbers of presentations, and (3) numbers and types of subsequent grants. An additional comparison examined publication productivity among a subset of funded (n = 17) and nonfunded applicants (n = 36). RESULTS: The 69 funded respondents reported 91 publications and 129 presentations deriving from JGAP-supported research; 26 subsequent grants were funded ($9.6 million total costs). Funded and nonfunded applicants showed a significant increase in the overall number of publications during the 5-year period after their application when compared with the 5-year period before their application. Funded applicants had a greater number of publications during both the 5 years before and the 5 years after their JGAP grant submission. CONCLUSION: Projects supported by the JGAP have generated a considerable body of publications and presentations, as well as subsequent grant activity. This program appears to be important in supporting the early career development of family medicine researchers.  (+info)

Recruitment and retention in a multicentre randomised controlled trial in Bell's palsy: a case study. (78/351)

BACKGROUND: It is notoriously difficult to recruit patients to randomised controlled trials in primary care. This is particularly true when the disease process under investigation occurs relatively infrequently and must be investigated during a brief time window. Bell's palsy, an acute unilateral paralysis of the facial nerve is just such a relatively rare condition. In this case study we describe the organisational issues presented in setting up a large randomised controlled trial of the management of Bell's palsy across primary and secondary care in Scotland and how we managed to successfully recruit and retain patients presenting in the community. METHODS: Where possible we used existing evidence on recruitment strategies to maximise recruitment and retention. We consider that the key issues in the success of this study were; the fact that the research was seen as clinically important by the clinicians who had initial responsibility for recruitment; employing an experienced trial co-ordinator and dedicated researchers willing to recruit participants seven days per week and to visit them at home at a time convenient to them, hence reducing missed patients and ensuring they were retained in the study; national visibility and repeated publicity at a local level delivered by locally based principal investigators well known to their primary care community; encouraging recruitment by payment to practices and reducing the workload of the referring doctors by providing immediate access to specialist care; good collaboration between primary and secondary care and basing local investigators in the otolarnygology trial centres RESULTS: Although the recruitment rate did not meet our initial expectations, enhanced retention meant that we exceeded our planned target of recruiting 550 patients within the planned time-scale. CONCLUSION: While difficult, recruitment to and retention within multi-centre trials from primary care can be successfully achieved through the application of the best available evidence, establishing good relationships with practices, minimising the workload of those involved in recruitment and offering enhanced care to all participants. Primary care trialists should describe their experiences of the methods used to persuade patients to participate in their trials when publishing their results.  (+info)

The BioPrompt-box: an ontology-based clustering tool for searching in biological databases. (79/351)

BACKGROUND: High-throughput molecular biology provides new data at an incredible rate, so that the increase in the size of biological databanks is enormous and very rapid. This scenario generates severe problems not only at indexing time, where suitable algorithmic techniques for data indexing and retrieval are required, but also at query time, since a user query may produce such a large set of results that their browsing and "understanding" becomes humanly impractical. This problem is well known to the Web community, where a new generation of Web search engines is being developed, like Vivisimo. These tools organize on-the-fly the results of a user query in a hierarchy of labeled folders that ease their browsing and knowledge extraction. We investigate this approach on biological data, and propose the so called The BioPrompt-boxsoftware system which deploys ontology-driven clustering strategies for making the searching process of biologists more efficient and effective. RESULTS: The BioPrompt-box (Bpb) defines a document as a biological sequence plus its associated meta-data taken from the underneath databank--like references to ontologies or to external databanks, and plain texts as comments of researchers and (title, abstracts or even body of) papers. Bpboffers several tools to customize the search and the clustering process over its indexed documents. The user can search a set of keywords within a specific field of the document schema, or can execute Blastto find documents relative to homologue sequences. In both cases the search task returns a set of documents (hits) which constitute the answer to the user query. Since the number of hits may be large, Bpbclusters them into groups of homogenous content, organized as a hierarchy of labeled clusters. The user can actually choose among several ontology-based hierarchical clustering strategies, each offering a different "view" of the returned hits. Bpbcomputes these views by exploiting the meta-data present within the retrieved documents such as the references to Gene Ontology, the taxonomy lineage, the organism and the keywords. Of course, the approach is flexible enough to leave room for future additions of other meta-information. The ultimate goal of the clustering process is to provide the user with several different readings of the (maybe numerous) query results and show possible hidden correlations among them, thus improving their browsing and understanding. CONCLUSION: Bpb is a powerful search engine that makes it very easy to perform complex queries over the indexed databanks (currently only UNIPROT is considered). The ontology-based clustering approach is efficient and effective, and could thus be applied successfully to larger databanks, like GenBank or EMBL.  (+info)

Mapping the literature of athletic training. (80/351)

PURPOSE: This paper identifies the core literature of athletic training and determines which major databases provide the most thorough intellectual access to this literature. METHODS: This study collected all cited references from 2002 to 2004 of three journals widely read by those in the athletic training field. Bradford's Law of Scattering was applied to the resulting list to determine the core journal titles in the discipline. Three major databases were reviewed for extent of their coverage of these core journals. RESULTS: Of the total 8,678 citations, one-third referenced a compact group of 6 journals; another third of the citations referenced an additional 40 titles. The remaining 2,837 citations were scattered across 1,034 additional journal titles. CONCLUSIONS: The number and scatter of citations over a three-year period identified forty-six key journals in athletic training. The study results can inform athletic trainers of the core literature in their field, encourage database producers (e.g., MEDLINE, SPORTDiscus, CINAHL) to increase coverage of titles that are not indexed or underindexed, and guide purchasing decisions for libraries serving athletic training programs.  (+info)