scispace - formally typeset
Search or ask a question
Institution

University at Buffalo

EducationBuffalo, New York, United States
About: University at Buffalo is a education organization based out in Buffalo, New York, United States. It is known for research contribution in the topics: Population & Poison control. The organization has 33773 authors who have published 63840 publications receiving 2278954 citations. The organization is also known as: UB & State University of New York at Buffalo.


Papers
More filters
Journal ArticleDOI
TL;DR: The pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral palsy, and extreme prematurity demonstrates that the WeeFIM is a valid measure for tracking disability in preschool age and middle childhood.
Abstract: Few tools are available to pediatricians for tracking and monitoring disability status in children. We describe the conceptual basis and pilot use of the Functional Independence Measure for Children (WeeFIM). Our pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral palsy, and extreme prematurity demonstrates that the WeeFIM is a valid measure for tracking disability in preschool age and middle childhood. The WeeFIM measures the impact of developmental strengths and difficulties on independence at home, in school, and in the community. This allows the pediatrician to prioritize interventions for enhancing comprehensive functional outcomes and supporting families.

413 citations

Journal ArticleDOI
TL;DR: Calcium and vitamin D supplementation did not reduce invasive breast cancer incidence in postmenopausal women and a relationship between total vitamin D intake and 25-hydroxyvitamin D levels with breast cancer risk was not supported.
Abstract: Results Invasive breast cancer incidence was similar in the two groups (528 supplement vs 546 placebo; hazard ratio = 0.96; 95% confidence interval = 0.85 to 1.09). In the nested case – control study, no effect of supplement group assignment on breast cancer risk was seen. Baseline 25-hydroxyvitamin D levels were modestly correlated with total vitamin D intake (diet and supplements) ( r = 0.19, P < .001) and were higher among women with lower BMI and higher recreational physical activity (both P < .001). Baseline 25-hydroxyvitamin D levels were not associated with breast cancer risk in analyses that were adjusted for BMI and physical activity ( P trend = .20).

411 citations

Journal ArticleDOI
TL;DR: This article found that self-compassion is highest in Thailand and lowest in Taiwan, with the United States falling in between, and that selfcompassion levels in these societies are linked to specific cultural features rather than general East-West differences.
Abstract: Self-compassion is a self-attitude construct derived from Buddhist psychology (Neff, 2003a). It entails being kind rather than harshly critical toward oneself, perceiving one's experiences as part of the larger human experience, and holding painful feelings in mindful awareness. Given that self-compassion is an Asian construct, this study compares self-compassion levels in the United States, Thailand, and Taiwan. Results indicate that self-compassion is highest in Thailand and lowest in Taiwan, with the United States falling in between. Interdependence is linked to self-compassion in Thailand only, whereas independence is linked to self-compassion in Taiwan and the United States. Results suggest that self-compassion levels in these societies are linked to specific cultural features rather than general East—West differences. However, self-compassion is significantly associated with well-being in all three cultures.

410 citations

Journal ArticleDOI
06 Jan 2005-BMJ
TL;DR: Evidence is presented to support the argument that increased use of the expertise based design will enhance the validity, applicability, feasibility, and ethical integrity of randomised controlled trials in surgery, as well as in other areas.
Abstract: Surgical procedures are less likely to be rigorously evidence based than drug treatments because of difficulties with randomisation. Expertise based trials could be the way forward Although conventional randomised controlled trials are widely recognised as the most reliable method to evaluate pharmacological interventions,1 2 scepticism about their role in nonpharmacological interventions (such as surgery) remains.3–6 Conventional randomised controlled trials typically randomise participants to one of two intervenions (A or B) and individual clinicians give intervention A to some participants and B to others. An alternative trial design, the expertise based randomised controlled trial, randomises participants to clinicians with expertise in intervention A or clinicians with expertise in intervention B, and the clinicians perform only the procedure they are expert in. We present evidence to support our argument that increased use of the expertise based design will enhance the validity, applicability, feasibility, and ethical integrity of randomised controlled trials in surgery, as well as in other areas. We focus on established surgical interventions rather than new surgical procedures in which clinicians have not established expertise. Investigators have used the expertise based design when conventional randomised controlled trials were impossible because different specialty groups provided the interventions under evaluation—for example, percutaneous transluminal coronary angioplasty versus coronary artery bypass graft surgery.7–9 In 1980, Van der Linden suggested randomising participants to clinicians committed to performing different interventions in an area in which a conventional randomised controlled trial was possible.10 Since that time, however, the expertise based design has been little used, even in areas where it has high potential (such as, surgery, physiotherapy, and chiropractic). ### Differential expertise between procedures Because it takes training and experience to develop expertise in surgical interventions, individual surgeons tend to solely or primarily use a single surgical approach to treat a specific problem.10 11 …

410 citations

Journal ArticleDOI
TL;DR: In this article, the authors explore the operational and physical resilience of acute care facilities and propose a framework to quantify the probability of exceeding floor accelerations and interstory drifts within a specified limit space, for the structural and nonstructural performance.
Abstract: This paper explores the operational and physical resilience of acute care facilities, recognizing that the key dimension of acute care facilities is not a simple engineering unit. Quantification of resilience is first approached from the broader societal context, from which the engineering subproblem is formulated, recognizing that, to operate, hospitals depend intricately on the performance of their physical infrastructure from the integrity of structural systems and nonstructural systems, lifelines, components, and equipment. Quantification relates the probability of exceeding floor accelerations and interstory drifts within a specified limit space, for the structural and nonstructural performance. Linear and nonlinear structural responses are considered, as well as the impact of retrofit or repair. Impact on time to recovery is considered in all cases. The proposed framework makes it possible to relate probability functions, fragilities, and resilience in a single integrated approach, and to further develop general tools to quantify resilience for sociopolitical-engineering decisions. DOI: 10.1193/1.2431396

410 citations


Authors

Showing all 34002 results

NameH-indexPapersCitations
Rakesh K. Jain2001467177727
Julie E. Buring186950132967
Anil K. Jain1831016192151
Donald G. Truhlar1651518157965
Roger A. Nicoll16539784121
Bruce L. Miller1631153115975
David R. Holmes1611624114187
Suvadeep Bose154960129071
Ashok Kumar1515654164086
Philip S. Yu1481914107374
Hugh A. Sampson14781676492
Aaron Dominguez1471968113224
Gregory R Snow1471704115677
J. S. Keller14498198249
C. Ronald Kahn14452579809
Network Information
Related Institutions (5)
University of Minnesota
257.9K papers, 11.9M citations

97% related

University of Washington
305.5K papers, 17.7M citations

96% related

University of Michigan
342.3K papers, 17.6M citations

96% related

Columbia University
224K papers, 12.8M citations

96% related

University of Pennsylvania
257.6K papers, 14.1M citations

96% related

Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202388
2022363
20212,772
20202,695
20192,527
20182,500