Add wos sample results library

02-data/intermediate/wos_sample/e41679066b7c99677075d9c416091a34-hwong-wen-yea-and-n/info.yaml

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+abstract: 'IntroductionTranslation of evidence into clinical practice for use of
+
+  intravenous thrombolysis in acute stroke care has been slow, especially
+
+  across low- and middle-income countries. In Malaysia where the average
+
+  national uptake was poor among the public hospitals in 2018, one
+
+  hospital intriguingly showed comparable thrombolysis rates to
+
+  high-income countries. This study aimed to explore and provide in-depth
+
+  understanding of factors and explanations for the high rates of
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+  intravenous stroke thrombolysis in this hospital. MethodsThis single
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+  case study sourced data using a multimethod approach: (1)
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+  semi-structured in-depth interviews and focus group discussions, (2)
+
+  surveys, and (3) review of medical records. The Tailored Implementation
+
+  of Chronic Diseases (TICD) framework was used as a guide to understand
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+  the determinants of implementation. Twenty-nine participants comprising
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+  the Hospital Director, neurologists, emergency physicians, radiologists,
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+  pharmacists, nurses and medical assistants (MAs) were included. Thematic
+
+  analyses were conducted inductively before triangulated with
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+  quantitative analyses and document reviews. ResultsFavorable factors
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+  contributing to the uptake included: (1) cohesiveness of team members
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+  which comprised of positive interprofessional team dynamics, shared
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+  personal beliefs and values, and passionate leadership, and (2)
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+  facilitative work process through simplification of workflow and
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+  understanding the rationale of the sense of urgency. Patient factors was
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+  a limiting factor. Almost two third of ischemic stroke patients arrived
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+  at the hospital outside the therapeutic window time, attributing
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+  patients'' delayed presentation as a main barrier to the uptake of
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+  intravenous stroke thrombolysis. One other barrier was the availability
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+  of resources, although this was innovatively optimized to minimize its
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+  impact on the uptake of the therapy. As such, potential in-hospital
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+  delays accounted for only 3.8\% of patients who missed the opportunity
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+  to receive thrombolysis. ConclusionsDespite the ongoing challenges, the
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+  success in implementing intravenous stroke thrombolysis as standard of
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+  care was attributed to the cohesiveness of team members and having
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+  facilitative work processes. For countries of similar settings, plans to
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+  improve the uptake of intravenous stroke thrombolysis should consider
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+  the inclusion of interventions targeting on these modifiable factors.'
+affiliation: 'Hwong, WY (Corresponding Author), Minist Hlth Malaysia, Natl Inst Hlth,
+  Inst Clin Res, Bangi, Selangor, Malaysia.
+
+  Hwong, WY (Corresponding Author), Univ Utrecht, Univ Med Ctr Utrecht, Julius Ctr
+  Hlth Sci \& Primary Care, Utrecht, Netherlands.
+
+  Hwong, Wen Yea; Ng, Sock Wen; Ab Rahman, Norazida; Sivasampu, Sheamini, Minist Hlth
+  Malaysia, Natl Inst Hlth, Inst Clin Res, Bangi, Selangor, Malaysia.
+
+  Hwong, Wen Yea, Univ Utrecht, Univ Med Ctr Utrecht, Julius Ctr Hlth Sci \& Primary
+  Care, Utrecht, Netherlands.
+
+  Tong, Seng Fah, Univ Kebangsaan Malaysia, Dept Family Med, Bangi, Selangor, Malaysia.
+
+  Law, Wan Chung; Kaman, Zurainah, Minist Hlth Malaysia, Sarawak Gen Hosp, Dept Med,
+  Neurol Unit, Kuching, Malaysia.
+
+  Wong, Sing Keat; Puvanarajah, Santhi Datuk, Minist Hlth Malaysia, Hosp Kuala Lumpur,
+  Dept Neurol, Kuala Lumpur, Malaysia.'
+article-number: '1048807'
+author: Hwong, Wen Yea and Ng, Sock Wen and Tong, Seng Fah and Ab Rahman, Norazida
+  and Law, Wan Chung and Kaman, Zurainah and Wong, Sing Keat and Puvanarajah, Santhi
+  Datuk and Sivasampu, Sheamini
+author-email: amyhwong@crc.gov.my
+author_list:
+- family: Hwong
+  given: Wen Yea
+- family: Ng
+  given: Sock Wen
+- family: Tong
+  given: Seng Fah
+- family: Ab Rahman
+  given: Norazida
+- family: Law
+  given: Wan Chung
+- family: Kaman
+  given: Zurainah
+- family: Wong
+  given: Sing Keat
+- family: Puvanarajah
+  given: Santhi Datuk
+- family: Sivasampu
+  given: Sheamini
+da: '2023-09-28'
+doi: 10.3389/fneur.2022.1048807
+files: []
+issn: 1664-2295
+journal: FRONTIERS IN NEUROLOGY
+keywords: 'acute stroke care; intravenous thrombolysis; developing countries;
+
+  translational research; facilitator; barrier'
+keywords-plus: 'ACUTE ISCHEMIC-STROKE; CARE TEAMS; MANAGEMENT; GUIDELINES; TEAMWORK;
+
+  OUTCOMES; TIMES'
+language: English
+month: NOV 24
+number-of-cited-references: '38'
+papis_id: a766ebd29ffa716f2076aefcd4993777
+ref: Hwong2022strokethrombolysis
+times-cited: '0'
+title: 'Stroke thrombolysis in a middle-income country: A case study exploring the
+  determinants of its implementation'
+type: Article
+unique-id: WOS:000893743500001
+usage-count-last-180-days: '0'
+usage-count-since-2013: '1'
+volume: '13'
+web-of-science-categories: Clinical Neurology; Neurosciences
+year: '2022'