1,721,145 research outputs found

    Mass closure of visceral peritoneum at cesarean section. A proposal method

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    The non-closure of the visceral peritoneum (VP) is the gold standard in caesarean section (CS). For surgeons convinced of the benefits of VP closuring, we propose an alternative method for VP closure during CS, named by us, "Mass Closure Method" (MCM). According to our experience, this method has already been experimented, as described earlier, in 314 CSs in loco-regional anaesthesia. All CSs in our department are performed using the modified Joel Cohen incision in the Stark CS, with the Munro Kerr way of hysterotomy. During haemostasis in 18 cases, author observed a small sub-peritoneal haematoma (5.7%), solved intra-operatively by singular stitches; 10 women received a bladder flap intraoperative detachment, with an accurate haemostasis (3.1%). No case of bladder flap haematoma was recorded, but only hyperechogenic areas in the vesicouterine space (VUS), to be ascribed to the intra-operatives stitches. The direct incision, no bladder flap formation and not suturing a part of the VP, substantially reduce the VUS surface, consequently decrease bleeding, and prevent a pouch formation. On the basis of the author's experiences, the MCM could represent for obstetrics a safe alternative to the surgical approach during CS, as it cut down operative time, surgical bleeding, BHF formation for the non-bladder flap formation, thus reducing the VUS surface.</

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Occiput posterior position and intrapartum sonography

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    Ultrasound has revolutionized the traditional midwife, and semiotics in particular gave a dignity to the unborn child, who is now framed as a patient. However, the main interest has been on ultrasound fetal malformations and fetal growth, whether normal or pathological, while little interest has been directed to the delivery event. Indeed, although the birth is a common phenomenon, few technologies have been developed for the monitoring of labor. This phenomenon contrasts with everyday reality. In fact, for example, although fetal distress represents 1–2% of deliveries, it can be monitored with different instrumental techniques (cardiotocography, pulse oximetry using Stan®, pH-metry), dystocia affects about 40% of the deliveries but it is still diagnosed manually, as it was in 1700. Intrapartum sonography is a relatively new technique; it adds to what is felt by the fingers as the eye can see objectively the commitment, the descent, and the rotation of the fetal head in the birth canal. This makes it possible to follow the labor in a more objective view by midwives and enables early detection of labor dystocia, allowing timely intervention and reducing maternal and fetal complications. On the other hand, an objective evaluation of labor reduces operative deliveries based on a presumptive diagnosis of dystocia, provides a documentation of labor developments, and enables operators to lower exposure to possible litigation in case of complications that bring charges of malpractice. A new ultrasonography area, intrapartum obstetric ultrasound, has been documented by a growing number of scientific articles that increase the literature. In fact, it is forming a scientific level, a real “pelvimetric ultrasound,” that does not replace but strongly supports pelvimetry by providing clinical support of objectivity and by showing the mechanisms of parturition in occipito anterior, posterior, and transverse presentations. In the near future, the literature will be subject to an inevitable revision of the results obtained from the classical clinical symptomatology alone. This text, in the authors’ opinion, is easy to consult and offers practical support to those who operate and work in the delivery room and attempt to better diagnose physiological from pathological labor and to reduce the inevitable risks involved in the complex phenomenon that is childbirth. Furthermore, our work fills a gap in publishing today on a topic of considerable practical interest that we hope will inspire the attention it deserves

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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