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Readers and their roles: Evidence from readers of contemporary fiction in the Netherlands.

ABSTRACT: Reading serves many ends. Some readers report that works of fiction provide an imaginative escape from the rigors of life, others report reading in order to be intellectually challenged. While various characterizations of readers' engagement with prose fiction have been proposed, few have been checked using representative samples of readers. Our research reports on reader self-descriptions observed in a representative sample of 501 adults in the Netherlands. Reader self-descriptions exhibit regularities, with certain self-descriptions predicting others. Contrary to existing theories which posit two types of readers characterized by non-overlapping concerns (identifying readers and distanced readers), we find that while some readers attend to plot structure or read in order to be intellectually challenged, reader self-descriptions overlap more than received theories predict. We hypothesize that some readers have cultivated more reading techniques than others, with educated or experienced readers tending to report deriving additional experiences from reading.

SUBMITTER: Riddell A

PROVIDER: S-EPMC6062070 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Readers and their roles: Evidence from readers of contemporary fiction in the Netherlands.

Riddell Allen A van Dalen-Oskam Karina K

PloS one 20180726 7

Reading serves many ends. Some readers report that works of fiction provide an imaginative escape from the rigors of life, others report reading in order to be intellectually challenged. While various characterizations of readers' engagement with prose fiction have been proposed, few have been checked using representative samples of readers. Our research reports on reader self-descriptions observed in a representative sample of 501 adults in the Netherlands. Reader self-descriptions exhibit regu ...[more]

PMID: 30048508

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Project description:AimsDespite previous surveys regarding device implantation rates in heart failure (HF), insight into the real-world management with devices is scarce. Therefore, we investigated device implantation rates in HF with reduced left ventricular ejection fraction (LVEF) in 34 Dutch centres.Methods and resultsA cross-sectional outpatient registry was conducted in 6666 patients with LVEF < 50% and with information about device implantation available [74 (66-81) years of age; 64% male]. Patients were classified into conventional pacemakers (PM, n = 562), implantable cardioverter defibrillators (ICD, n = 1165), and cardiac resynchronization therapy with defibrillator function (CRT-D, n = 885) or pacemaker function only (CRT-P, n = 248), or no device (n = 3806). Centres were divided into ICD-implanting and CRT-implanting and referral centres. Overall, 17.5% had an ICD, 13.3% CRT-D, 3.7% CRT-P, and 8.4% PM. Of those with LVEF ≤ 30%, 42.5% had ICD or CRT-D therapy. A large variation in implantation rates existed between centres: 3-51% for ICD therapy, 0.3-44% for CRT-D therapy, 0-11% for CRT-P therapy, and 0-25% PM therapy. Implantation centres showed higher implantation rates of ICD, CRT-D, and CRT-P compared with referral centres [36% vs. 25% for defibrillators (ICD or CRT-D) and 17% vs. 9% for CRT devices (CRT-D or CRT-P), respectively, P < 0.001], independently of other factors. A large number of clinical factors were predictive for device usage. Among other, LVEF < 40% and male sex were independent positive predictors for ICD/CRT-D use [odds ratio (OR) = 3.33, P < 0.001; OR = 1.87, P = 0.019, respectively]. Older age was independently associated with less ICD/CRT-D (OR = 0.96 per year, P < 0.001) and more CRT-P/PM use (OR = 1.03 per year, P = 0.006).ConclusionsIn this large Dutch HF registry, less than half of the patients with reduced LVEF received an ICD or CRT, even if LVEF was ≤30%, and a large variation between centres existed. Patients from implantation centres had more often ICD or CRT. More uniformity regarding guideline-based use of device therapy in clinical practice is needed.

Project description:BackgroundScientific research regarding male-female differences in ascending aortic surgery is scarce. The objective of this study was to identify male-female differences in presentation, treatment and peri-operative outcome in elective ascending aortic surgery.MethodsElective ascending aortic surgery procedures that took place in the Netherlands between 01/01/2013-31/12/2017 were identified from the Netherlands Heart Registration. Male-female differences in presentation, treatment characteristics, and in-hospital mortality and morbidity were explored.ResultsThe study population consisted of 887 females (31%) and 1,972 males (69%). Females were older (median age 67 versus 62 years, P<0.001), more often had chronic lung disease (12.3% versus 9.1%, P=0.011), New York Heart Association (NYHA) class III-IV (21.5% versus 15.5%, P=0.003), and less often a history of percutaneous coronary intervention (PCI) (3.2% versus 5.0%, P=0.033). Isolated supracoronary aortic replacement was performed in 47.7% of females versus 30.6% of males (P<0.001), and ascending aorta with root replacement in 40.6% of females versus 56.7% of males (P<0.001). Females more often underwent concomitant interventions of the aortic arch (33.1% versus 20.2%, P<0.001) and the mitral valve (8.2% versus 5.2%, P=0.002), and less often concomitant coronary artery bypass grafting (CABG) (14.4% versus 19.1%, P=0.002). Overall, in-hospital mortality was significantly higher in females (5.1% versus 2.7%, P=0.003). In multivariable regression analysis, being female was an independent risk factor for in-hospital mortality [odds ratio (OR) 1.55, 95% confidence interval (CI): 1.02-2.37].ConclusionsThis nation-wide cohort shows clear differences between females and males in patient presentation, procedural characteristics, in-hospital outcomes, and risk factors for in-hospital mortality in elective ascending aortic surgery. Further exploration of these differences, and of modifiable within-male and within-female risk factors, may offer great opportunities in improving treatment and thereby outcomes for both males and females.

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Readers and their roles: Evidence from readers of contemporary fiction in the Netherlands.

Publications

Readers and their roles: Evidence from readers of contemporary fiction in the Netherlands.

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