1,720,958 research outputs found
Cibo ed emozioni: falsi miti o strumento clinico?
No full textStefania ha 29 anni. Orfana di padre, che soffriva di anoressia nervosa ed è deceduto prematuramente per infarto del miocardio, vive con la madre, che è invece affetta da una grave patologia renale in terapia dialitica 3 volte alla settimana. Si definisce una “bimba grassottella e serena” fino alla prima adolescenza: inizia allora ad acquisire uno stile alimentare restrittivo, con importante dimagramento che rende necessari svariati ricoveri in ambiente psichiatrico. Viene posta diagnosi di anoressia nervosa. In Day Hospital, dove è giunta per un intervento riabilitativo di reinserimento socio-lavorativo, presenta sin dall’inizio uno stile alimentare irregolare e disordinato, estremamente restrittivo da un punto di vista quantitativo ma non qualitativo: tende a saltare i pasti, salvo poi prediligere il consumo di cibi grassi durante le occasioni sociali. Sono evidenti rituali ossessivi di organizzazione dei pasti, su cui è imperniata tutta la sua vita. Estremamente seduttiva nelle relazioni con medici e pazienti, non abbandona neanche dopo mesi le sue abitudini alimentari, non riesce a raggiungere il peso auspicato e non elabora progetti lavorativi di nessun tipo.
Anna ha invece 30 anni. Alta, magrissima, bella ragazza alla moda, lavora come commessa ma sogna di diventare una cantante famosa. La sua storia clinica è caratterizzata dal presentarsi e ripresentarsi di sintomi somatici vari, per i quali si sottopone a svariati accertamenti e terapie, tra cui: eritema nodoso; dermatite simil-psoriasica al cuoio capelluto ed acne; disturbi della fonazione; irregolarità mestruali con addominalgie; ed in particolare disturbi intestinali con alvo prevalentemente e marcatamente diarroico. In relazione a quest’ultima sintomatologia, molto invalidante, ed anche con riferimento alla presunta origine allergica dei sintomi cutanei, si sottopone a svariati regimi dietetici, che segue in modo rigido per un certo periodo e che poi abbandona, tornando ad uno stile alimentare irregolare e caotico, che la fa sentire in colpa proprio perché irregolare. Situazione familiare di grande invischiamento, madre ipercontrollante e svalutante, padre assente e inaffidabile. Figlia unica.
Il cibo ha un’enorme importanza fisica e simbolica per l’essere umano. Indispensabile per la sopravvivenza, diventa un elemento anche metaforico di benessere ed equilibrio bio-psico-sociale. I due casi clinici presentati forniranno l’opportunità di riflettere sulle potenziali funzioni di prevenzione e terapia che interventi basati sull’alimentazione (psicoeducazione, riabilitazione tramite attività culinaria...) possono avere rispetto al disagio psichico
Disturbi del comportamento alimentare in pazienti uomini trattati presso un servizio di Day Hospital in Psichiatria
No full textDCA in soggetti masch
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
Eating disorders in male patients: medical and psychiatric co-morbidity
No full textntroduction
Men make up approximately 10% of the diagnoses of specified Eating Disorders (ED), with Bulimia Nervosa more common in men than Anorexia. However, Eating Disorder Not Otherwise Specified (EDNOS) are more prevalent in men than Anorexia and Bulimia combined. Rates of concurrent depression and personality disorders are also high in men with EDNOS, as well as rates of medical co-morbidity.
Objectives
To describe a sample of male patients attending a Psychiatric Day Hospital.
Aims
To understand possible links between the diagnosis of ED and medical and psychiatric co-morbidity among male subjects.
Methods
Clinical data about male patients attending the Psychiatric Day Hospital of Modena from 05/01/2009 to 13/06/2012 were collected and analyzed. Psychiatric diagnoses were defined according to DSM IV criteria, medical comorbidities according to ICD10 criteria.
Results
Male patients with ED were on the whole 11 (7.9% of total patients). Nine of them (81.8%) were diagnosed with EDNOS; 7 had medical co-morbidity, namely gastrointestinal (36.4%), respiratory (9.1%), renal (9.1%), rheumatologic (18.2%), cardiac (9.1%) and hypertension (16.6%); 9 had psychiatric co-morbidity, namely personality disorders (46.2%), major depression (30.8%), substance abuse (15.4%) and anxiety disorders (7.7%). Only 1 male patient (9.1%) was suffering from the ED, with no medical or psychiatric co-morbidity.
Conclusions
Male patients suffering from ED are increasing and knowledge on their clinical features are less clear than for female subjects, resulting in a more difficult and less effective clinical management. Despite the small sample size, this study attempts to increase the understanding of this clinical population
Metabolic syndrome and psychiatric comorbidity: the Modena protocol
No full textMetabolic syndrome and psychiatric comorbidity: the Modena protoco
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe 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
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