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The Pathway To Diagnosis Of Type 1 Diabetes In Children: A Questionnaire Study

The Pathway To Diagnosis Of Type 1 Diabetes In Children: A Questionnaire Study

Abstract Objective To explore the pathway to diagnosis of type 1 diabetes (T1D) in children. Participants Parents of children aged 1 month to 16 years diagnosed with T1D within the previous 3 months. Setting Children and parents from 11 hospitals within the East of England. Results 88/164 (54%) invited families returned the questionnaire. Children had mean±SD age of 9.41±4.5 years. 35 (39.8%) presented with diabetic ketoacidosis at diagnosis. The most common symptoms were polydipsia (97.7%), polyuria (83.9%), tiredness (75.9%), nocturia (73.6%) and weight loss (64.4%) and all children presented with at least one of those symptoms. The time from symptom onset to diagnosis ranged from 2 to 315 days (median 25 days). Most of this was the appraisal interval from symptom onset until perceiving the need to seek medical advice. Access to healthcare was good but one in five children presenting to primary care were not diagnosed at first encounter, most commonly due to waiting for fasting blood tests or alternative diagnoses. Children diagnosed at first consultation had a shorter duration of symptoms (p=0.022) and children whose parents suspected the diagnosis were 1.3 times more likely (relative risk (RR) 1.3, 95% CI 1.02 to 1.67) to be diagnosed at first consultation. Conclusions Children present with the known symptoms of T1D but there is considerable scope to improve the diagnostic pathway. Future interventions targeted at parents need to address the tendency of parents to find alternative explanations for symptoms and the perceived barriers to access, in addition to symptom awareness. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build up Continue reading >>

Dtsq - Diabetes Treatment Satisfaction Questionnaire

Dtsq - Diabetes Treatment Satisfaction Questionnaire

DTSQ - Diabetes Treatment Satisfaction Questionnaire DTSQ - Diabetes Treatment Satisfaction Questionnaire The Diabetes Treatment Satisfaction Questionnaire (DTSQ) was first developed in the early 1980s. It is now widely used, particularly in clinical trials, but also for routine clinical monitoring. It is available in more than 100 languages. The original DTSQ is now referred to as the status version (DTSQs) in order to distinguish it from the DTSQ change version (DTSQc) which has been developed to overcome potential ceiling effects (i.e. where respondents score maximum or near-maximum satisfaction at baseline and can show little or no improvement at follow-up). DTSQs and DTSQc: Choosing which version to use and when People often use just the DTSQs. The DTSQc is relevant for studies involving an intervention (such as a change in insulin, tablets or education/training). Whether or not you used the DTSQc, you should always use the DTSQs at least once during your study, preferable at the beginning. This will anchor your findings on the DTSQc, if you do go on to use the change version as well as the status version. The DTSQc will tell you how peoples satisfaction and perceived hyper- and hypoglycaemia has changed; it doesnt tell you whether it was high or low to start with, or where it is at endpoint. We recommend that you use the DTSQs at baseline and endpoint (and at one or two interim points in a 12-month trial) and the DTSQc (if used) at one follow-up only. The DTSQ has also been developed for use by Parents and Teenagers. Full Guidelines, including scoring instructions, are available to Licensees on request. Please contact [email protected] quoting your HPR or CBreference number. Continue reading >>

Developing A Questionnaire To Determine The Impact Of Self-management In Diabetes: Giving People With Diabetes A Voice

Developing A Questionnaire To Determine The Impact Of Self-management In Diabetes: Giving People With Diabetes A Voice

Developing a questionnaire to determine the impact of self-management in diabetes: giving people with diabetes a voice J Carlton, J Elliott, D Rowen, K Stevens, H Basarir, K Meadows, J Brazier The prevalence of diabetes mellitus (DM) is increasing dramatically, placing considerable financial burden on the healthcare budget of each country. Patient self-management is crucial for the control of blood glucose, which largely determines the chances of developing diabetes-related complications. Self-management interventions vary widely, and a method is required for assessing the impact of self-management. This paper describes the development of a questionnaire intended for use to measure the impact of self-management in diabetes. An iterative development process was undertaken to identify the attributes of self-management using 5 steps. First, a literature review was undertaken to identify and understand themes relating to self-management of DM to inform a topic guide. Second, the topic guide was further refined following consultation with a Patient and Public Involvement group. Third, the topic guide was used to inform semi-structured interviews with patients with DM to identify how self-management of DM affects individuals. Fourth, the research team considered potential attributes alongside health attributes from an existing measure (Diabetes Health Profile, DHP) to produce an instrument reflecting both health and self-management outcomes simultaneously. Finally, a draft instrument was tested in a focus group to determine the wording and acceptability. Semi-structured interviews were carried out with 32 patients. Eight potential attributes were identified: fear/worry/anxiety, guilt, stress, stigma, hassle, control, freedom, and feeling supported. Four of these self-managem Continue reading >>

Appendix C. Problem Areas In Diabetes Questionnaire

Appendix C. Problem Areas In Diabetes Questionnaire

The Problem areas in diabetes (PAID) questionnaire is a psychometrically sound tool for detecting diabetes-related distress. The PAID questionnaire includes 20 items, each of which focuses on a different commonly experienced problem with diabetes. Patients indicate how much each issue affects them personally, on a scale of 0 (not a problem) to 4 (serious problem). Individual items scored ≥3 (indicating a somewhat serious or serious problem area) should be discussed with the patient. Item scores can also be added and standardised to a score out of 100 (by multiplying the total by 1.25). Higher scores indicate higher levels of diabetes-related distress. Scores ≥40 indicate severe diabetes-related distress and warrant further exploration and discussion with the patient. Please read each question carefully. Put an X in the box that best describes you for each question Which of the following diabetes issues are currently a problem for you? Not a problem Minor problem Moderate problem Somewhat serious problem Serious problem 1. Not having clear and concrete goals for your diabetes care 0 1 2 3 4 2. Feeling discouraged with your diabetes treatment plan 0 1 2 3 4 3. Feeling scared when you think about living with diabetes 0 1 2 3 4 4. Uncomfortable social situations related to your diabetes care (eg people telling you what to eat) 0 1 2 3 4 5. Feelings of deprivation regarding food and meals 0 1 2 3 4 6. Feeling depressed when you think about living with diabetes 0 1 2 3 4 7. Not knowing if your mood or feelings are related to your diabetes 0 1 2 3 4 10. Feeling angry when you think about living with diabetes 0 1 2 3 4 11. Feeling constantly concerned about food and eatin 0 1 2 3 4 12. Worrying about the future and the possibility of serious diabetes complications 0 1 2 3 4 Continue reading >>

Diabesity Quiz

Diabesity Quiz

The following questionnaire will evaluate whether or not you are coping with the health consequences of Diabesity, also known as Metabolic Syndrome or Syndrome X. Diabesity is rooted in metabolic and hormonal disregulation that is not entirely your fault. It is our job to educate you and empower you to reclaim your health. The first step in fixing a problem is in identifying it and determining the degree of the problem. Below you will find a quiz. Dr T developed this quiz to help you get a quick glimpse into whether Diabetes may be an important factor in your life. Take the quiz and enter your email address below in order to get your results. Feel free to send this quiz to your friends and family by sending them this link: Please answer the following 20 questions as honestly as possible. Weight and Exercise Symptoms You have a “spare tire” or apple-shaped body You exercise less than 2 times per week Family History Symptoms You have a family history of heart disease, diabetes, obesity or high blood pressure Dietary and Blood Sugar Related Symptoms You crave sweets and carbohydrates You feel hungry when you are stressed out or feel stressed when you have to skip a meal You experience headaches or lightheadedness You have occasional diarrhea or constipation, gas or bloating You often find yourself snacking between meals Energy Level Symptoms You have low or fluctuating energy You feel drowsy after meals or in the early afternoon You sometimes have problems falling asleep or staying asleep You wake up feeling tired and need coffee to get you going in the morning Hormonal Symptoms You experience mood swings or irritability You suffer from anxiety or depression Some Symptoms Shown through Testing and Measurement You are more than 20 pounds overweight You have a waist meas Continue reading >>

Diabetes Pre-qualifying Questionnaire

Diabetes Pre-qualifying Questionnaire

C.M. Gatton Beaumont YMCA Special Needs Locker Room Improvements - More Details >> Please complete the Pre-Screening Form below and wewill contact you to see if you qualify. I am at risk for developing type 2 diabetes or have been diagnosed with prediabetes+ by a health care provider Do you have one of the following lab values or diagnosis? What is your fasting plasma glucose? (Must be 100-125 mg/dL) What is your 2-hour (75 gm glucola) Plasma Glucose? (Must be 140-199 mg/dL) Are you prediabetes determined by clinical diagnosis of Gestational Diabetes (GDM) during previous pregnancy? Prediabetes means your blood glucose (sugar) is higher than normal but not yet diabetes. Type 2 diabetes can be delayed or prevented in people with prediabetes through effective lifestyle programs. Take the first step. Find out your risk for prediabetes. Answer these seven questions - for each "Yes" answer, add the number of points listed: Are you a woman who has had a baby weighing more than 9 pounds at birth? YES = 1; NO = 0 Do you have a parent with diabetes? YES = 1; NO = 0 Do you have a brother or sister with diabetes? YES = 1; NO = 0 Find your height on the chart below. Do you weigh as much as or ore than the weight listed for your height? YES = 5; NO = 0 Are you younger than 65 years of age and get little or no physical activity in a typical day? YES = 5; NO = 0 Are you between 45 and 64 years of age? YES = 5; NO = 0 Are you 65 years of age or older? YES = 9; NO = 0 ENTER YOUR TOTAL POINTS FOR ALL "YES" RESPONSES If you scored a 9 or higher, then you may be at risk for prediabetes or diabetes, and may qualify for the program. This does NOT mean you have diabetes. You will need a blood test to confirm if you have diabetes. If you have a blood value in the normal range, you will not qu Continue reading >>

Development And Validation Of The Short Version Of The Diabetes Obstacles Questionnaire (doq-30) In Six European Countries

Development And Validation Of The Short Version Of The Diabetes Obstacles Questionnaire (doq-30) In Six European Countries

Development and validation of the short version of the diabetes obstacles questionnaire (DOQ-30) in six European countries Development and validation of the short version of the diabetes obstacles questionnaire (DOQ-30) in six European countries Background: Patients with type 2 diabetes reveal different obstacles in living with the disease. The EGPRN initiated a qualitative research EUROBSTACLE to create a broadly conceptualized diabetes-related quality of life (DR-QoL) instrument. It led to the development of the diabetes obstacle questionnaire (DOQ), a five-point Likert-scaled measure, consisting of 78 items in eight scales. Objectives: To develop and validate a short, easy-to-use version of the DOQ. Methods: A cross-sectional study with the DOQ was carried out. Participants answered the DOQ and GPs added some clinical data from their medical records. Data of 853 patients from Belgium, France, Estonia, Serbia, Slovenia, and Turkey were included in the analysis. The selection of items for the short version of the DOQ was achieved with exploratory factor analysis (EFA). Construct validity was proved with EFA and Pearson correlations between the DOQ and the new DOQ-30. Internal reliability was established with Cronbachs alpha. Results: DOQ-30 resulted in 30 items in nine subscales. It explained 49.8% of items variance. It shows a considerable good internal reliability and construct validity. Conclusion: The DOQ-30 is a five-point Likert-scaled broadly conceptualized measure of DR-QoL. It addresses a variety of obstacles, such as social, psychological, cognitive and behavioural. The DOQ-30 is ready for implementation in general practice and research in Europe as a valuable instrument to assess DR-QoL. Keywords: Clinical domain , diabetes , general practice/family medicin Continue reading >>

Assessment Of Information Needs In Diabetes: Development And Evaluation Of A Questionnaire - Sciencedirect

Assessment Of Information Needs In Diabetes: Development And Evaluation Of A Questionnaire - Sciencedirect

Volume 10, Issue 4 , August 2016, Pages 287-292 Assessment of information needs in diabetes: Development and evaluation of a questionnaire Author links open overlay panel N.Chernyaka1 A questionnaire assessing information needs in large populations was missing. We developed a questionnaire assessing information needs in diabetes. Methods included literature review, expert opinion, focus groups and pilot testing. The final version proved to be applicable in various patient groups. The questionnaire will be used in studies on information needs in diabetes. To develop a questionnaire suitable for assessing the information needs of individuals with diabetes mellitus types 1 and 2 in diverse healthcare settings (e.g. primary care or long-term care) and at different time points during the course of the disease. The initial questionnaire was developed on the basis of literature search and analysis, reviewed by clinical experts, and evaluated in two focus groups. The revised version was pilot-tested on 39 individuals with diabetes type 2, type 1 and gestational diabetes. The final questionnaire reveals the most important information needs in diabetes. A choice task, a rating task and open-ended questions are combined. First, participants have to choose three topics that interest them out of a list with 12 general topics and specify in their own words their particular information needs for the chosen topics. They are then asked how informed they feel with regard to all topics (4-point Likert-scale), and whether information is currently desired (yes/no). The questionnaire ends with an open-ended question asking for additional topics of interest. Careful selection of topics and inclusion of open-ended questions seem to be essential prerequisites for the unbiased assessment of inf Continue reading >>

Questionnaire Survey Of Patients With Type-1 Diabetes Mellitus And Theirfamily Members On The Acceptance Of Newly Emerging Therapies

Questionnaire Survey Of Patients With Type-1 Diabetes Mellitus And Theirfamily Members On The Acceptance Of Newly Emerging Therapies

Received date: June 28, 2014; Accepted date: September 26, 2014;; Published date: October 06,2014 Citation: Shimoda M, Matsumoto S (2014) Questionnaire Survey of Patients with Type-1 Diabetes Mellitus and their Family Members on the Acceptance of Newly Emerging Therapies. J Diabetes Metab 5:442 doi: 10.4172/2155-6156.1000442 Copyright: 2014 Shimoda M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective: A current goal for the treatment of Type 1 Diabetes Mellitus (T1DM), an incurable disease, is to prevent deterioration of patients Quality Of Life (QOL) by maintaining excellent glycemic control. Health care providers expect that newly developed therapies will help improve QOL, but QOL must be assessed by the patients themselves. Therefore, it is critical to understand patients opinions about newly developed therapies . The aim of this study was to investigate patients opinions, especially their motivation to accept newly developed therapies. Method: We analyzed questionnaires (n=85) completed by T1DM patients and family members about four newly developed therapies-Allogeneic Islet Transplantation (AIT), Islet Xenotransplantation (XIT), DNA vaccination, and Induced Pluripotent Stem cell therapy (IPS)-to investigate the factors in their acceptance of these therapies. Results: A total of 56.3% of patients and 74.8% of family members accepted the newly developed therapies. Experience of hypoglycemic events, the main indication for AIT, did not significantly influence acceptance of the newly developed therapies. Desire to be insulin free had significant influence on the accept Continue reading >>

Researchers Seek Young Adults With Type 1 Diabetes For Questionnaire

Researchers Seek Young Adults With Type 1 Diabetes For Questionnaire

Researchers Seek Young Adults With Type 1 Diabetes for Questionnaire If you have Type 1 diabetes and are between 18 and 30 years old, researchers from the National University of Ireland, Galway, want to hear from you. The investigators are inviting young adults to share their experiences and views of their diabetes clinic in order to better understand what makes a good clinic. Participating in the research involves completing an anonymous questionnaire (which takes approximately 20 minutes) that asks questions about your diabetes, the things you do to take care of your diabetes, how you feel about having diabetes, how satisfied you are about the health service for diabetes care, and how often you go to appointments in the hospital. For questions about the study, contact Lisa Hynes at [emailprotected] or Dr. Molly Byrne at [emailprotected] . And to learn more or to take the questionnaire, click here . This blog entry was written by Web Editor Diane Fennell. Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor. All comments are moderated and there may be a delay in the publication of your comment. Please be on-topic and appropriate. Do not disclose personal information. Be respectful of other posters. Only post information that is correct and true to your knowledge. When referencing informat Continue reading >>

Approved - Diabetes Management Questionnaire | Diabetes Forum The Global Diabetes Community

Approved - Diabetes Management Questionnaire | Diabetes Forum The Global Diabetes Community

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Approved Diabetes management questionnaire Hi, I am currently doing an EPQ, which is an extended project qualification for A-level, on the effectiveness of the treatments for type 2 diabetes. I would really appreciate it if you could answer the questions on the survey as it would enable me to understand your opinions on the standard of care you receive for your health. The answers to the questions would be completely anonymous. Click on the link below to be directed to the survey. Thank you so much. I really appreciate the time that you have taken and the effort you have made to help me out with the project. PLEASE REMEMBER THAT I DO NOT RECOMMEND THE VERY LOW CALORIE DIET OR THE AYURVEDIC MEDICINES MENTIONED IN THIS SURVEY. NEVER TRY THEM WITHOUT HAVING CONSULTED WITH YOUR GP/DOCTOR FIRST. I have just answered your questionnaire. A lot of us on this site are not particularly following the recommendations of our healthcare professionals but there wasn't really anywhere in your survey that addressed this. Some of my answers are therefore going to look a bit odd I fear. I must say that is one of the stupidist survey's I have ever completed. Not sure whoever devised the questions has any idea whatsoever about these diseases. I have just answered your questionnaire. A lot of us on this site are not particularly following the recommendations of our healthcare professionals but there wasn't really anywhere in your survey that addressed this. Some of my answers are therefore going to look a bit odd I fear. Ditto that. Plus no option to express opinion of those who had taken the 800 cal.day diet and what they experienced. as @bulkbiker says a lot of us arn't Continue reading >>

Psychometric Evaluation Of Dietary Habits Questionnaire For Type 2 Diabetes Mellitus

Psychometric Evaluation Of Dietary Habits Questionnaire For Type 2 Diabetes Mellitus

Paper The following article is OPEN ACCESS Psychometric evaluation of dietary habits questionnaire for type 2 diabetes mellitus W Sami1,2, T Ansari3, N S Butt4 and M R Ab Hamid1 Published under licence by IOP Publishing Ltd 1 Faculty of Industrial Management, Universiti Malaysia Pahang, 26300 Gambang, Kuantan, Pahang, Malaysia 2 Department of Public Health & Community Medicine, College of Medicine, Majmaah University, Kingdom of Saudi Arabia 3 Department of Family Medicine, College of Medicine, Majmaah University, Kingdom of Saudi Arabia 4 Department of Family & Community Medicine, College of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia This research evaluated the psychometric properties of English version of dietary habits questionnaires developed for type 2 diabetic patients. There is scarcity of literature about availability of standardized questionnaires for assessing dietary habits of type 2 diabetics in Saudi Arabia. As dietary habits vary from country to country, therefore, this was an attempt to develop questionnaires that can serve as a baseline. Through intensive literature review, four questionnaires were developed / modified and subsequently tested for psychometric properties. Prior to pilot study, a pre-test was conducted to evaluate the face validity and content validity. The pilot study was conducted from 23 October 22 November, 2016 to evaluate the questionnaires' reliability and validity. Systematic random sampling technique was used to collect the data from 132 patients by direct investigation method. Questionnaires assessing diabetes mellitus knowledge (0.891), dietary knowledge (0.869), dietary attitude (0.841) and dietary practices (0.874) had good internal consistency reliability. Factor analysis conducted on diet Continue reading >>

The Diabetes Self-management Questionnaire (dsmq): Development And Evaluation Of An Instrument To Assess Diabetes Self-care Activities Associated With Glycaemic Control

The Diabetes Self-management Questionnaire (dsmq): Development And Evaluation Of An Instrument To Assess Diabetes Self-care Activities Associated With Glycaemic Control

The Diabetes Self-Management Questionnaire (DSMQ): development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control 1 Annika Gahr ,1 Norbert Hermanns ,1 Bernhard Kulzer ,1 Jrg Huber ,2 and Thomas Haak 1 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), German Diabetes Center Mergentheim, Theodor-Klotzbcher-Str. 12, D-97980 Bad Mergentheim, Germany 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), German Diabetes Center Mergentheim, Theodor-Klotzbcher-Str. 12, D-97980 Bad Mergentheim, Germany 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), German Diabetes Center Mergentheim, Theodor-Klotzbcher-Str. 12, D-97980 Bad Mergentheim, Germany 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), German Diabetes Center Mergentheim, Theodor-Klotzbcher-Str. 12, D-97980 Bad Mergentheim, Germany 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), German Diabetes Center Mergentheim, Theodor-Klotzbcher-Str. 12, D-97980 Bad Mergentheim, Germany 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), German Diabetes Center Mergentheim, Theodor-Klotzbcher-Str. 12, D-97980 Bad Mergentheim, Germany 2The University of Northampton, Boughton Green Rd, Northampton NN2 7AL, UK Received 2013 Feb 28; Accepted 2013 Aug 12. Copyright 2013 Schmitt et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Though several questionnaires on self-care and regimen adherence have been introduced, the evaluations do Continue reading >>

Download Now! Diabetes Questionnaire

Download Now! Diabetes Questionnaire

Dont let diabetes be a road block to life insurance. Well controlled, otherwise healthy type 2 diabetics at ages 51 and older can sometimes obtain standard or better rates. At Highland Capital Brokerage, our underwriting expertise and carrier relationships allow us to advocate and secure favorable offers for diabetics and other special risk clients. This material does not constitute tax, legal or accounting advice and neither Highland Capital Brokerage nor any of its agents, employees or registered representatives are in the business of offering such advice. It was not intended or written for use and cannot be used by any taxpayer for the purpose of avoiding any IRS penalty. It was written to support the marketing of the transactions or topics it addresses. Anyone interested in these transactions or topics should seek advice based on his or her particular circumstances from independent professional advisors. This page is intended for agents and representatives only, and not to inform members of the general public. The information provided in the agents testimonials above may not be indicative of the experience of any end clients. The experiences and opinions are those of the financial professionals only. Securities by licensed Individuals Offered Through Investacorp, Inc. A Registered Broker/ Dealer. Member FINRA, SIPC. Advisory Services Offered Through Investacorp Advisory Services, Inc. A SEC Registered Investment Advisory Firm. Highland Capital Brokerage is not affiliated with Investacorp or Investacorp Advisory Services. Not all of the individuals listed on this site are registered to offer Securities products or Advisory services through Investacorp and Investacorp Advisory Services. Investacorp and Investacorp Advisory Services does not offer tax or legal advice. Continue reading >>

Development And Validation Of The Personal Diabetes Questionnaire (pdq): A Measure Of Diabetes Self-care Behaviors, Perceptions And Barriers

Development And Validation Of The Personal Diabetes Questionnaire (pdq): A Measure Of Diabetes Self-care Behaviors, Perceptions And Barriers

Development and validation of The Personal Diabetes Questionnaire (PDQ): A measure of diabetes self-care behaviors, perceptions and barriers Enter your login details below. If you do not already have an account you will need to register here . Due to migration of article submission systems, please check the status of your submitted manuscript in the relevant system below: Check the status of your submitted manuscript in EVISE Check the status of your submitted manuscript in EES: Once production of your article has started, you can track the status of your article via Track Your Accepted Article. CiteScore: 3.41 CiteScore measures the average citations received per document published in this title. CiteScore values are based on citation counts in a given year (e.g. 2015) to documents published in three previous calendar years (e.g. 2012 14), divided by the number of documents in these three previous years (e.g. 2012 14). The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years. 2017 Journal Citation Reports (Clarivate Analytics, 2018) 5-Year Impact Factor: 3.308 Five-Year Impact Factor: To calculate the five year Impact Factor, citations are counted in 2016 to the previous five years and divided by the source items published in the previous five years. 2017 Journal Citation Reports (Clarivate Analytics, 2018) Source Normalized Impact per Paper (SNIP): 1.327 Source Normalized Impact per Paper (SNIP): SNIP measures contextual citation impact by weighting citations based on the total number of citations in a subject field. SCImago Journal Rank (SJR): 1.458 SCImago Journal Rank (SJR): SJR is a prestige metric based on the idea that not all citations are the same. SJR uses a sim Continue reading >>

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