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The most downloaded article was the second TR article published on the channel. Again, this would be explained by the most prominent status of this type of publication. Unfortunately, both of these articles should have appealed to a worldwide audience. They have potential to be widely read and disseminate to a larger audience than any single person might be able to read them all.
Having studied the current statistics further indicates the need for a more comprehensive inventory and analysis of the currently published Manchester eScholar TWIRP TRs [19]. This inventory could include the date of publication, the article title, number of downloads for each article, the number of views, even the number of pages on each manuscript. With this sophistication, a more detailed analysis of the TRs could be undertaken. Knowledge of what is currently available on the site and of the TRs that were most recently published could be used to plan future investigations and targeted public health interventions [17]. For example, it may be possible to find the TRs that have been published most recently, and to use these to gauge whether more public health attention needs to be paid to these TRs, or whether any potential harms from the TRs can be effectively mitigated.
It goes without saying that TRs are only one of several tools used in the management of podoconiosis. These are part of the larger area of disease simulation, which include, but are not limited to, the use of bednets treated with permethrin, repellents, bednets made of untreated cotton and, potentially, a tuberculin test. The authors are mindful of the dynamic nature of the literature within podoconiosis and the potential for the TRs to be superseded by more up to date evidence [17]. However, this does not diminish the need to consider the TR as a diagnostic tool or its usefulness in the larger scheme of podoconiosis management [1,17].
The authors retain the original TRs as they are stored on an institutional website [16]. Thus, the TRs can be updated and maintained by the authors, scholars and practitioners at later stages. The updated TRs can be quickly pushed to the main repository and made available to researchers from all over the world [17]. d2c66b5586