1,720,985 research outputs found

    The overlapping area between Osteogenesis Imperfecta and child physical abuse: a bilbiometric analysis.

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    Osteogenesis Imperfecta (OI) is a hereditary connective tissue disorder. Its manifestations are fragile bones. multiple bone fractures, bone deformities with a history of minimal or no trauma. This clinical picture may be observed in Child Physical Abuse (CPA). CPA is a relevant differential diagnosis when a child presents unexplained fractures. Aim is to quantify the weight and the trends of the wrold wide literature on OI and CPA, in order to measure if and how the 2 topics overlap and are studied together. A retrospective bibliometric analysis was carried out. Through PubMed, literature was explored and 2 quoted phrases Osteogenesis Imperfecta (OI), Child Physical Abuse (CPA) (CPA) were searched in all available manuscripts. Starting from retrieved papers, a descriptive analysis and a text mining search were performed (SAS software). Search retrieved 7,140 manuscripts, distributed per interval period (1950-2006) per each DB as follows: OI 48% (1950-2006), CPA 52% (1950-2006). English is the leading language of publication: OI 70% and CPA 93%. For both the DBs the top Countries of publication are USA and UK. An overlapping area exists between OI & CPA: 70 manuscripts representing the 1% of the whole (1969-2006), written in English (84%) and published in the US and UK (45% and 29%). Further results on text mining search will follow. Results obtained show that English-written papers predominate and understanding English results fundamental to update oneself. The overlapping area is nearly absent despite the strong correlation of the two issues, it means that bibliographic search on CPA/differential diagnosis could be easily biased retrieving incomplete results, with the continuous risk of falling in a bibliographic cul-de-sac

    Child abuse: current problems and key public health challenges

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    Child abuse has recently been recognized by the World Health Organization as a major worldwide health problem impairing the health and welfare of children and adolescents. This paper attempts to look at child abuse from a public health perspective taking into account the vast cultural diversity in which children and adolescents live focusing on the issue of abuse and violence in a broad public health perspective, and trying to highlight the need for greater attention to be given to possible country-specific interventions

    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

    Constraint therapy nella forma emiplegica di paralisi cerebrale infantile: sperimentazione sulla efficacia e sicurezza del trattamento.

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    Molti sono ancora oggi i punti critici intorno alle Paralisi Cerebrali (PC). I quesiti intorno all'efficacia e alla struttura dei trattamenti sono quelli di massimo interesse e per i quali vi sono povere evidenze scientifiche. Recentemente sono apparsi in letteratura segnalazioni singole e trial clinici su un vuovo approccio terapeutico per i pazienti emiplegici, chiamato Constraint-Induced Movement Therapy (CIMT). Allo stato attuale delle conoscenze non è possibile prendere decisioni sufficientemente supportate dal punto di vista scientifico: la CIMT può apparire un trattamento promettente, ma necessita di studi clinici controllati più consistenti degli attuali e di follow-up dell'outcome a medio-lungo termine più complessivo. Il capitolo descrive il disegno dello studio con gli aspetti metodologici e le caratteristiche della popolazione in esame. Lo studio clinico controllato si propone di verificare l'efficacia a breve-medio termine della CIMT nei bambini con emiplegia. Ventireè Centri italinai appartenenti al GIPCI - Gruppo Italiano Paralisi Cerebrale Infantile hanno aderito alla proposta di studio sperimentale. Caratteristiche per l'arruolamento dei soggetti sono: età compresa tra 1 e 8 anni; diagnosi di PC supportata da elementi anamnestici, clinici e da documentazione neuroradiologica; forma clinica di emiplegia; non essere mai stati sottoposti a CIMT. Tutti i pazienti arruolati saranno inseriti in due gruppi differenti di trattamento; il primo sarà sottoposto a un trattamento combinato con CIMT e terapia intensiva di supporto all'apprendimento, mentre il secondo sarà sottoposto solo al trattamento di riabilitazione intensiva, aggiungendo alle attività mono-manuali quelle condotte bi-manualmente. La ricerca si articolerà in quattro fasi: due preliminari (inventario dei casi e formazione degli operatori), la terza di sperimentazione e la quarta di follow-up (1,3,6,12 mesi) e valutazione dell'outcome

    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
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