1,720,987 research outputs found
Implementation of Clinical Pathway in the management of patients with diabetic foot.
No full textIntroduction. Diabetes mellitus has considerable social impact for its invalidating complications and dramatic outcomes. The prevalence range of foot ulcers in diabetic patients is 4% to 10%. The aim of this paper is to clarify if Clinical Pathway can improve clinical outcomes in patients with diabetic foot ulcers. Methods. The Medline and Cinhal databases were searched for articles published between January 1997 and December 2007. Key words used were "diabetic foot", "critical pathway" e "clinical protocols". Studies which had a connection between Clinical Pathway and clinical, social and economic outcomes was considered. Results. Clinical Pathway, preventions screening, detailed anamnesis, patient and family education, multidisciplinary team, workforce and staff skills are the key areas for optimal management of diabetic foot ulcers. Moreover Clinical Pathway reduce lower limb amputations. Discussion. The analyzed literature underlines a meaningful reduction of some clinical outcomes (amputations, readmissions to 30 days and average lenghts of hospital stay). Nevertheless the studies are carried out in non comparable realities and the inclusion criteria weren't always the same. Therefore it's difficult to establish with certainty how much the use of the clinical pathway, in the different clinical environment, can influence the clinical outcomes in the diabetic foot patients. This suggests the necessity of deepest investigations in the specific sector
Educational Value of Autobiographical Writings for Self-identity Development and Orienteering
No full textAbstractThe following paper will report back an implementation of a broader research project based on the acknowledged value in education (and self-education too) of autobiographical writings, as recognized at national and international level, for example by Demetrio, Alberici, Merrill, West, etc. The present section of the research had been performed on a sample consisting of adult immigrants (half male and half female of 20-40 years old) in a class who were attending training courses within a CTP (Permanent Territorial Centre) in Italy. Most of immigrants were from East Europe, South America, Africa and China. So, such class was characterized by heterogeneous histories and experiences which initially may be perceived by the same students as problematic and an obstacle, but that have always been transformed into an opportunity for share and discussions about peculiar differences as a resource and a value both in an intercultural and in educational perspective. An original autobiographical format had been administered to them and it had been considered by participants as very useful for development of self identity, to enhance their own experiences and for a better orienteering too
Safety in equestrian exhibitions
No full textThe world of equestrian exhibitions aims most of its attention on the overall glamour, without focusing organizational strains on safety among public, workers and horses and preventing accidents. The not easy definition of risks in the equestrian range rises from the extreme variability of working states and the considerable number of activities which are often simultaneously performed. The sphere of these risks concern: safety of people: buildings and structures authorized by firemen, sound fences around rings and competition fields, safety distance from public, horses and moving carriages, visible signals of routes equipped for horses. Safety of workers: specific training for horse managing employees, equipments and individual protective devices for workers, good acquaintance of expositive dynamics. Horses' physical and psychical safety: wide stalls so horses may be stabled in the most comfortable conditions; gangway/transit paths free from obstacles and unevenness that may wound horses; removal of stress from excessive lighting, ceaseless presence of noisy public, scanty moments of relax through daytime, close presence of more stallions, separation of foal from mare. In conclusion, to reach an optimized level of safety in equestrian exhibitions it is necessary to develop a safeguard in the areas mentioned above
Head posture and lower arch dental crowding
Get PDFObjective: To test the null hypothesis that there is no relationship between the posture of the head and the neck and late lower arch crowding. Materials and Methods: The sample comprised 55 subjects (23 female, 32 male), age 12-18 years, with complete permanent dentition and without previous orthodontic treatment. Space conditions were valued by Nance's space analysis on the study models. Craniovertical, craniocervical, and craniohorizontal postural variables were recorded from lateral cephalograms. Student's t-test was performed to assess the differences of the postural angles between the two groups. Results: The results showed that the differences of the postural variables between the two groups are statistically significant. Subjects with more than 2 mm dental crowding had mean craniocervical angles (NSL/CVT, NSL/OPT, NL/CVT, NL/OPT) that were 5 degrees to 6 degrees larger than the subjects with the space conditions smaller than 2 mm (P <= .01). In addition, the mean craniohorizontal angles (CVT/Hor, OPT/Hor) in the subjects with lower dental crowding were 4 degrees smaller than subjects without dental crowding (P < .05). Conclusions: The hypothesis is rejected. A clear pattern of association between extended head posture and lower arch dental crowding was found
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Get PDFWe 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
Get PDFWe 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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