1,720,958 research outputs found

    Factors influencing women partecipation in colorectal cancer screening

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    Colorectal cancer(CRC) is the 2nd most common cancer in women worldwide. In Italy, only 50% of individuals invited touse Fecal occult blood test(FOBT) it attended. Women’s participation for breast and cervical screening is very high. More than 70% completed a mammography but the adhesion to FOBT is lower than the other two screening offered for free and the adhesion to colonoscopy is very low. The aim of the study is investigate the beliefs, feelings and psychological factors that could influence the behavior of women about participation in cancer screening(Colonoscopy and FOBT). Methods The survey was carried out in a center for cancer prevention in Siena, Tuscany, in 2011. A questionnaire, based on literature, was administered to 507 women attending mammography or clinical breast examination and it was administered to all age women but adherence to colorectal cancer screening was analyzed only for women age 50 years and older (207). We performed descriptive and bivariate analysis and we examined the association between participant characteristics, willingness and adherence to screening. Results Family history of colorectal cancer is associated with adherence to screening compliance (FOBT and colonoscopy) (p < 0.0087).The doctor’s advice is significantly associated with adherence to colorectal cancer screening (both) (p < 0.0001). Women who perceived colonoscopy as a painful examination are less likely to be compliant to screening for CRC (colonoscopy) (p < 0.0002).The embarrassment is another factor related to colonoscopy compliance (p < 0.0012). Conclusions Embarrassment, pain and doctor’s advice are the factors that correlated more strongly with adherence (or not) to screening. For the future is useful to implement information campaigns on colorectal cancer and refresher courses for general practitioners. A possible intervention for the future would be to hand before mammography or gynecological examination the kit for the collection of fecal occult blood

    Il comportamento sessuale in un campione di pazienti affette da fibromialgia e/o vulvodinia (Sexual behavior in a cohort of patient affected by fibromyalgia and/or vulvodynia)

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    Summary Fibromyalgia, characterized by widespread musculoskeletal pain, negatively impacts sexuality by provoking dispareunia, and loss of desire and of dyadic gratification. Chronic pain syndromes tend to associate and FM women have a higher probability to develop vulvodynia than women not affected by fibromyalgia. Vulvodynia, characterized by burning pain that interferes with sexual penetration, is classified as Genitopelvic/Penetration Disorders in DSM 5. The association between Fibromyalgia and vulvodynia is difficult to recognize because patients tend to attribute all symptoms to disease spread and not think that dyspareunia may have different origins. To establish the necessary criteria for the differential diagnosis between the two syndromes, we evaluated the characteristics of dyspareunia and sexual behavior of fibromyalgia patients versus vulvodynia patients and we found significant differences on the onset of burning pain, orgasmic capability, and sexual frequency. Parole chiave Fibromialgia, vulvodinia, dispareunia, sessualità Key words Fibromyalgia, vulvodynia, dyspareunia, sexualit

    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

    Errori nella fase preanalitica di laboratorio: valutazione e gestione

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    Riassunto: Il problema dell’errore in medicina di laboratorio e delle possibili ricadute sulla sicurezza per il pa- ziente è andato assumendo sempre più maggiore importanza negli ultimi anni e anche se il tasso di errore nei labo- ratori clinici è molto inferiore rispetto ad altre discipline mediche, la grande numerosità di esami eseguiti ogni giorno, in tutte le parti del mondo, può tradursi in un rischio per la sicurezza dei pazienti. Scopo del presente studio è stato mettere in rilievo gli errori di laboratorio e di permettere al laboratorio stesso di evitarli e di mantenere alta la vigilanza, offrendo, attraverso lo studio effettuato, un supporto a tutti gli operato- ri all’interno di un Laboratorio Analisi, cercando di identificare le strategie più opportune di risk management ri- volte ad una delle fasi più delicate e rilevanti dell’intero processo laboratoristico. Si è voluto, altresì, valutare le strategie di miglioramento che sono state proposte e/o attuate, nel tentativo di contribuire ad adottare più elevati standard qualitativi, che consentano di razionalizzare la gestione delle risorse e limitare (o annullare), l’influenza degli errori. Dai risultati ottenuti è emerso che un laboratorio clinico, per fornire un servizio di buona qualità, deve neces- sariamente muoversi in ambiti diversi. Innanzitutto, esso deve essere in grado di rilevare correttamente i diversi tipi di non conformità del campione, possibilmente nel modo più automatizzato possibile, al fine di evitare errori dovuti alla mancata o carente registrazione delle stesse, cosa che ne comporterebbe un’errata rilevazione con la conseguente produzione di analisi statistiche fuorvianti

    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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