Stroke Code Improves Intravenous Thrombolysis Administration in Acute Ischemic Stroke
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{"title"=>"Stroke code improves intravenous thrombolysis administration in acute ischemic stroke", "type"=>"journal", "authors"=>[{"first_name"=>"Chih Hao", "last_name"=>"Chen", "scopus_author_id"=>"57192219724"}, {"first_name"=>"Sung Chun", "last_name"=>"Tang", "scopus_author_id"=>"7403437153"}, {"first_name"=>"Li Kai", "last_name"=>"Tsai", "scopus_author_id"=>"7203034070"}, {"first_name"=>"Ming Ju", "last_name"=>"Hsieh", "scopus_author_id"=>"23469472800"}, {"first_name"=>"Shin Joe", "last_name"=>"Yeh", "scopus_author_id"=>"25822827900"}, {"first_name"=>"Kuang Yu", "last_name"=>"Huang", "scopus_author_id"=>"53881454300"}, {"first_name"=>"Jiann Shing", "last_name"=>"Jeng", "scopus_author_id"=>"15842090600"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"isbn"=>"1932-6203 (Electronic)", "scopus"=>"2-s2.0-84905859344", "pui"=>"373746865", "doi"=>"10.1371/journal.pone.0104862", "issn"=>"19326203", "pmid"=>"25111200", "sgr"=>"84905859344"}, "id"=>"13e0b501-26ef-37f1-8ace-dd765c207d9b", "abstract"=>"BACKGROUND AND PURPOSE: Timely intravenous (IV) thrombolysis for acute ischemic stroke is associated with better clinical outcomes. Acute stroke care implemented with \"Stroke Code\" (SC) may increase IV tissue plasminogen activator (tPA) administration. The present study aimed to investigate the impact of SC on thrombolysis.\\n\\nMETHODS: The study period was divided into the \"pre-SC era\" (January 2006 to July 2010) and \"SC era\" (August 2010 to July 2013). Demographics, critical times (stroke symptom onset, presentation to the emergency department, neuroimaging, thrombolysis), stroke severity, and clinical outcomes were recorded and compared between the two eras.\\n\\nRESULTS: During the study period, 5957 patients with acute ischemic stroke were admitted; of these, 1301 (21.8%) arrived at the emergency department within 3 h of stroke onset and 307 (5.2%) received IV-tPA. The number and frequency of IV-tPA treatments for patients with an onset-to-door time of <3 h increased from the pre-SC era (n = 91, 13.9%) to the SC era (n = 216, 33.3%) (P<0.001). SC also improved the efficiency of IV-tPA administration; the median door-to-needle time decreased (88 to 51 min, P<0.001) and the percentage of door-to-needle times ≤60 min increased (14.3% to 71.3%, P<0.001). The SC era group tended to have more patients with good outcome (modified Rankin Scale ≤2) at discharge (49.5 vs. 39.6%, P = 0.11), with no difference in symptomatic hemorrhage events or in-hospital mortality.\\n\\nCONCLUSION: The SC protocol increases the percentage of acute ischemic stroke patients receiving IV-tPA and decreases door-to-needle time.", "link"=>"http://www.mendeley.com/research/stroke-code-improves-intravenous-thrombolysis-administration-acute-ischemic-stroke", "reader_count"=>29, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>2, "Student > Doctoral Student"=>2, "Researcher"=>6, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>7, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>2, "Student > Doctoral Student"=>2, "Researcher"=>6, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>7, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>14, "Agricultural and Biological Sciences"=>3, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Social Sciences"=>1, "Computer Science"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>14}, "Social Sciences"=>{"Social Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>6}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"Colombia"=>1, "France"=>1, "Spain"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1630242"], "description"=>"<p>Abbreviations: CT, computed tomography; ECG, electrocardiogram; ED, emergency department; ICH, intracranial hemorrhage; INR, international normalized ratio; IV-tPA, intravenous tissue plasminogen activator.</p>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases"], "article_id"=>1134737, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104862.g001", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flowchart_of_the_8220_Stroke_Code_8221_Protocol_/1134737", "title"=>"Flowchart of the “Stroke Code” Protocol.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-11 02:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/1630246"], "description"=>"<p>Abbreviation: C.I., confidence intervals.</p>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases", "thrombolysis", "studies", "post-intervention", "pre-intervention"], "article_id"=>1134740, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104862.g002", "stats"=>{"downloads"=>3, "page_views"=>75, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_of_odds_ratio_for_thrombolysis_rate_among_selected_studies_after_post_intervention_period_before_pre_intervention_period_/1134740", "title"=>"Forest plot of odds ratio for thrombolysis rate among selected studies (after: post-intervention period; before: pre-intervention period).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-11 02:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/1630250"], "description"=>"<p>Abbreviation: C.I., confidence intervals.</p>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases", "studies", "post-intervention", "pre-intervention"], "article_id"=>1134744, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104862.g003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_of_odds_ratio_for_good_outcome_mRS_8804_2_among_selected_studies_after_post_intervention_period_before_pre_intervention_period_/1134744", "title"=>"Forest plot of odds ratio for good outcome (mRS ≤2) among selected studies (after: post-intervention period; before: pre-intervention period).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-11 02:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/1630251"], "description"=>"<p>CT, computed tomography; ED, emergency department; EMS, emergency medical service; ICH, intracranial hemorrhage; INR, international normalized ratio; IQR, interquartile range.</p>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases", "variables", "pre-stroke"], "article_id"=>1134745, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104862.t001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_Demographics_Time_Interval_and_Outcome_Variables_Between_the_Pre_Stroke_Code_and_Stroke_Code_Eras_/1134745", "title"=>"Comparison of Demographics, Time Interval, and Outcome Variables Between the Pre-Stroke Code and Stroke Code Eras.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-11 02:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/1630252"], "description"=>"<p>*Adjusted for age, male sex, initial NIHSS, onset-to-door time, working hours arrival.</p>†<p><i>P</i><0.05;</p>‡<p><i>P</i><0.01.</p>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases", "dtn"], "article_id"=>1134746, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104862.t003", "stats"=>{"downloads"=>1, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Multivariate_Analysis_of_Factors_Associated_with_a_DTN_8804_60_Minutes_/1134746", "title"=>"Multivariate Analysis of Factors Associated with a DTN ≤60 Minutes.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-11 02:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/1630253"], "description"=>"<p>*Variables entered for analysis: Age, sex, Initial NIHSS, atrial fibrillation, DTN ≤60 minutes.</p><p>CI, confidence interval; DTN, door-to-needle; NIHSS, National Institute of Health stroke scale; OR, odds ratio.</p>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases"], "article_id"=>1134747, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104862.t002", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Multivariate_Analysis_of_Good_Outcome_mRS_8804_2_at_3_Months_/1134747", "title"=>"Multivariate Analysis of Good Outcome (mRS ≤2) at 3 Months.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-11 02:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/1630254", "https://ndownloader.figshare.com/files/1630255", "https://ndownloader.figshare.com/files/1630256", "https://ndownloader.figshare.com/files/1630257", "https://ndownloader.figshare.com/files/1630258"], "description"=>"<div><p>Background and Purpose</p><p>Timely intravenous (IV) thrombolysis for acute ischemic stroke is associated with better clinical outcomes. Acute stroke care implemented with “Stroke Code” (SC) may increase IV tissue plasminogen activator (tPA) administration. The present study aimed to investigate the impact of SC on thrombolysis.</p><p>Methods</p><p>The study period was divided into the “pre-SC era” (January 2006 to July 2010) and “SC era” (August 2010 to July 2013). Demographics, critical times (stroke symptom onset, presentation to the emergency department, neuroimaging, thrombolysis), stroke severity, and clinical outcomes were recorded and compared between the two eras.</p><p>Results</p><p>During the study period, 5957 patients with acute ischemic stroke were admitted; of these, 1301 (21.8%) arrived at the emergency department within 3 h of stroke onset and 307 (5.2%) received IV-tPA. The number and frequency of IV-tPA treatments for patients with an onset-to-door time of <3 h increased from the pre-SC era (<i>n</i> = 91, 13.9%) to the SC era (<i>n</i> = 216, 33.3%) (<i>P</i><0.001). SC also improved the efficiency of IV-tPA administration; the median door-to-needle time decreased (88 to 51 min, <i>P</i><0.001) and the percentage of door-to-needle times ≤60 min increased (14.3% to 71.3%, <i>P</i><0.001). The SC era group tended to have more patients with good outcome (modified Rankin Scale ≤2) at discharge (49.5 <i>vs.</i> 39.6%, <i>P = </i>0.11), with no difference in symptomatic hemorrhage events or in-hospital mortality.</p><p>Conclusion</p><p>The SC protocol increases the percentage of acute ischemic stroke patients receiving IV-tPA and decreases door-to-needle time.</p></div>", "links"=>[], "tags"=>["neurology", "cerebral ischemia", "Cerebrovascular diseases", "improves", "intravenous", "thrombolysis", "acute", "ischemic"], "article_id"=>1134748, "categories"=>["Biological Sciences"], "users"=>["Chih-Hao Chen", "Sung-Chun Tang", "Li-Kai Tsai", "Ming-Ju Hsieh", "Shin-Joe Yeh", "Kuang-Yu Huang", "Jiann-Shing Jeng"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0104862.s001", "https://dx.doi.org/10.1371/journal.pone.0104862.s002", "https://dx.doi.org/10.1371/journal.pone.0104862.s003", "https://dx.doi.org/10.1371/journal.pone.0104862.s004", "https://dx.doi.org/10.1371/journal.pone.0104862.s005"], "stats"=>{"downloads"=>20, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Stroke_Code_Improves_Intravenous_Thrombolysis_Administration_in_Acute_Ischemic_Stroke_/1134748", "title"=>"Stroke Code Improves Intravenous Thrombolysis Administration in Acute Ischemic Stroke", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-08-11 02:44:30"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"15", "full-text"=>"14", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"5"}
  • {"unique-ip"=>"10", "full-text"=>"13", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"20", "full-text"=>"22", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"22", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"3"}
  • {"unique-ip"=>"25", "full-text"=>"22", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"2"}
  • {"unique-ip"=>"25", "full-text"=>"22", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"22", "full-text"=>"23", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"19", "full-text"=>"24", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"2", "cited-by"=>"1", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"29", "full-text"=>"32", "pdf"=>"23", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2014", "month"=>"8"}
  • {"unique-ip"=>"48", "full-text"=>"38", "pdf"=>"28", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"14", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"9"}
  • {"unique-ip"=>"20", "full-text"=>"18", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"32", "full-text"=>"31", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"32", "full-text"=>"33", "pdf"=>"21", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"22", "full-text"=>"18", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
  • {"unique-ip"=>"18", "full-text"=>"19", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"12"}
  • {"unique-ip"=>"20", "full-text"=>"15", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
  • {"unique-ip"=>"26", "full-text"=>"20", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"14", "full-text"=>"12", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"19", "full-text"=>"21", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"25", "full-text"=>"31", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"21", "full-text"=>"19", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"20", "full-text"=>"19", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"21", "full-text"=>"26", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"23", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"19", "full-text"=>"21", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"32", "full-text"=>"36", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"13", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"23", "full-text"=>"28", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"14", "full-text"=>"12", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"27", "full-text"=>"26", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"34", "full-text"=>"38", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"16", "full-text"=>"16", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"17", "full-text"=>"18", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"32", "full-text"=>"31", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"18", "full-text"=>"19", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"25", "full-text"=>"29", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"13", "full-text"=>"12", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"19", "full-text"=>"16", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"23", "full-text"=>"27", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"18", "full-text"=>"27", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"13", "full-text"=>"13", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"31", "full-text"=>"31", "pdf"=>"33", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"25", "full-text"=>"24", "pdf"=>"67", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"18", "full-text"=>"18", "pdf"=>"41", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"26", "full-text"=>"31", "pdf"=>"32", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"18", "full-text"=>"19", "pdf"=>"33", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"17", "full-text"=>"14", "pdf"=>"29", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"26", "full-text"=>"24", "pdf"=>"24", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"14", "full-text"=>"13", "pdf"=>"32", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"21", "full-text"=>"18", "pdf"=>"54", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"31", "full-text"=>"28", "pdf"=>"56", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"29", "full-text"=>"32", "pdf"=>"48", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"20", "full-text"=>"16", "pdf"=>"39", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"25", "full-text"=>"23", "pdf"=>"57", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"42", "full-text"=>"40", "pdf"=>"64", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"29", "full-text"=>"29", "pdf"=>"61", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}

Relative Metric

{"start_date"=>"2014-01-01T00:00:00Z", "end_date"=>"2014-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[291]}, {"subject_area"=>"/Biology and life sciences/Neuroscience", "average_usage"=>[289]}, {"subject_area"=>"/Medicine and health sciences", "average_usage"=>[285]}, {"subject_area"=>"/Medicine and health sciences/Critical care and emergency medicine", "average_usage"=>[245]}, {"subject_area"=>"/Medicine and health sciences/Pathology and laboratory medicine", "average_usage"=>[287]}, {"subject_area"=>"/Medicine and health sciences/Radiology and imaging", "average_usage"=>[246]}, {"subject_area"=>"/Medicine and health sciences/Vascular medicine", "average_usage"=>[248]}, {"subject_area"=>"/People and places", "average_usage"=>[302]}]}
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