1,720,992 research outputs found
Strategie di prevenzione e controllo delle infezioni da Klebsiella pneumoniae multidrug resistant correlate alla assistenza: programma di intervento in un presidio ospedaliero
Full text linkBackground:Targeted actions of infection control on hospital institutions’ local epidemiology and resources are required to contain carbapenemase-producing Klebsiella pneumoniae(KPC-Kp). Materials/methods:An interchange protocol with the Infectious Diseases Unit of Modena Polyclinic was started to verify the feasibility of "Anti-KPC-Kp bundle" in the setting of S.M. Goretti Hospital of Latina(a tertiary university care centre with a high endemicity of KPC-Kp). A dedicated multidisciplinary working group was set up. Standardized indexes were defined to evaluate setting modifications and proposed targets in 3 high-risk wards(Intensive Care Unit(ICU), Emergency Medicine, Neurosurgery): -active surveillance of rectal colonization; -handwashing adherence assessments; -alcohol solution consumptions, L/1000patient-days(PD); -meropenem Defined Daily Dose(DDD)/100PD; Statistical analysis:Indexes modifications are shown in percentages or changes in level (average±SD). A Poisson regression model was applied to analyse the trend of KPC-Kp prevalence in ICU, Emergency Medicine and Neurosurgery. Only for ICU, a Poisson regression model was applied also to analyse the trend of the incidence density rates, considering the total hospitalization days as an offset in the model. Active control by participative focus groups among healthcare workers ensured the continuous implementation of the bundle. Results:At baseline carbapenem resistance in all Kp hospital’s blood cultures was 71,4% (in ICU 87,5%). KPC-Kp prevalence reported monthly on the first day showed a dramatic reduction (Figure 1). Results from the Poisson regression models showed a statistically significant negative trend of prevalence in ICU (p<0.001) and Emergency Medicine (p=0.021), but not in Neurosurgery (p=0.259). A statistically significant negative trend was also found for incidence density rates in ICU (p=0.007). At basal, handwashing adherence in ICU was 59,3%. Further assessments are scheduled after starting a structured training program. An increase of alcoholic hand rub consumption was observed from 14,2(SD±7,56)to 33,59(SD±13,11). A slight decrease of meropenem DDD was observed from 19,53(SD±16,98)to 14,09(SD±9,72). Conclusions: After 8 months, an improvement of the indexes was observed. The exported model based on a multimodal approach exerted a rapid effect on Kp-KPC diffusion in the intensive area of the hospital, also in a different situation of high basal prevalence. A longer follow-up is necessary to confirm these data together with a more detailed carbapenem resistance rates’ analysis
Atypical presentation of crusted (Norwegian) scabies
No full textAtypical presentation of Norwegian scabies
Pandemic influenza H1N1, legionellosis, splenic rupture, and vascular thrombosis: A dangerous cocktail
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Legionella pneumophila pneumonia during telaprevir-based triple therapy for HCV chronic hepatitis
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CLINICAL SIGNIFICANCE AND MANAGEMENT OF SEVERE HYPONATREMIA IN A CRITICALLY ILL AIDS PRESENTER
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Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
Variations on the Author
Full text link“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
Full text linkWe 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
Infezione dell'elettrodo del pacemaker causata da Corynebacterium striatum MDR isolato mediante sonicazione dell'elettrocatetere
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