1,720,961 research outputs found
Elaboración de un instrumento estandarizado para detectar la necesidad de atención socio sanitaria después de un ictus. Propuestas en atención primaria para el ictus
Get PDFDespués de un accidente cerebrovascular, las familias requieren la asistencia
coordinada de los servicios de salud y sociales. Actualmente existe una carencia de evaluación integral y de herramientas apropiadas para identificar necesidades al alta hospitalaria, hay una gestión separada de los recursos de salud y sociales, y el acceso a estos servicios es variable entre las regiones. El objetivo principal fue investigar sobre los factores asociados al riesgo de la dependencia después de sufrir un ictus y proponer un instrumento para identificar aquellos pacientes con mayor riesgo.
MÉTODOS: Estudio prospectivo y comunitario de una cohorte de pacientes que sufrieron un ictus durante 2 años. La variable principal fue la situación de dependencia reconocida. Los predictores potenciales fueron identificados mediante una regresión multivariante y mediante la curva ROC para definir su capacidad discriminativa.
RESULTADOS: Se incluyeron 233 casos supervivientes tras un episodio de enfermedad cerebrovascular; el 49,8% eran mujeres y la edad media 78,1±11,6 años. La densidad de incidencia de dependencia fue de 31.5 (IC95% 26,1-37,7) personas-año. Los factores independientes asociados al pronóstico de dependencia fueron: edad>80 años (RR 2,03 IC95% 1,32-3,12, p=0,001), Pfeiffer¿4 (RR 1,82 IC95% 1,25-2,66, p=0,002), Barthel<60 (RR 1,79 IC95% 1,21-2,66 p=0,003), y Charlson ¿3 (RR 1,49IC95% 1,02-2,16 p=0,039). El AUC fue
0,84 (IC95% 0,79-0,89; p <0,001).
CONCLUSIONES: El accidente cerebrovascular tiene importantes consecuencias como resultado de dependencia. La edad, el deterioro cognitivo y/o físico, y las comorbilidades medidas el test de Pfeiffer, la escala de Barthel, y el índice de Charlson identificaron a las personas de alto riesgo de dependencia y pueden facilitar el papel coordinado de los servicios médicos sociales
The Incidence of Intracerebral Haemorrhage in Complex Chronic Patients
No full textBackground: Demographic aging is a generalised event and the proportion of older adults is increasing rapidly worldwide with chronic pathologies, disability, and complexity of health needs. The intracerebral haemorrhage (ICH) has devastating consequences in high risk people. This study aims to quantify the incidence of ICH in complex chronic patients (CCP).
Methods: This is a multicentre, retrospective and community-based cohort study of 3594 CCPs followed up from 01/01/2013 to 31/12/2017 in primary care without a history of previous ICH episode. The cases were identified from clinical records encoded with ICD-10 (10th version of the International Classification of Diseases) in the e-SAP database of the Catalan Health Institute. The main variable was the ICH episode during the study period. Demographic, clinical, functional, cognitive and pharmacological variables were included. Descriptive and logistic regression analyses were carried out to identify the variables associated with suffering an ICH. The independent risk factors were obtained from logistic regression models, ruling out the variables included in the HAS-BLED score, to avoid duplication effects. Results are presented as odds ratio (OR) and 95% confidence interval (CI). The analysis with the resulting model was also stratified by sex.
Results: 161 (4.4%) participants suffered an ICH episode. Mean age 87±9 years; 55.9% women. The ICH incidence density was 151/10000 person-years [95%CI 127-174], without differences by sex. Related to subjects without ICH, presented a higher prevalence of arterial hypertension (83.2% vs. 74.9%; p=0.02), hypercholesterolemia (55.3% vs. 47.4%, p=0.05), cardiovascular disease (36.6% vs. 28.9%; p=0.03), and use of antiaggregants drugs (64.0% vs. 52.9%; p=0.006). 93.2% had a HAS-BLED score ≥3. The independent risk factors for ICH were identified: HAS-BLED ≥3 [OR 3.54; 95%CI 1.88-6.68], hypercholesterolemia [OR 1.62; 95%CI 1.11-2.35], and cardiovascular disease [OR 1.48 IC95% 1.05-2.09]. The HAS_BLED ≥3 score showed a high sensitivity [0.93 CI95% 0.97-0.89] and negative predictive value [0.98 (CI95% 0.83-1.12)].
Conclusions: In the CCP subgroup the incidence density of ICH was 5-60 times higher than that observed in elder and general population. The use of bleeding risk score as the HAS-BLED scale could improve the preventive approach of those with higher risk of ICH.The cases were identified from clinical records encoded with ICD-10 (10th version of the International Classification of Diseases) in the e-SAP database of the Catalan Health Institute. The Department of Information and New Technologies carried out an automated extraction of the CMBD of hospital discharges and SIRE. All the data were included in an ad hoc repository, which was delivered to the main researcher in a completely anonymous format, supervised and assessed according to the General Data Protection Regulation of Spain/Europe of 1st February 2017. The Catalan Health Plan extensively implemented a case finding system classifying high risk chronic patients into two different categories based on defined criteria and primary care physician judgment: i) Complex chronic patients (CCP, approximately 5% of the population); and, ii) Patients with less than 12 months expected life survival (ACD, approximately 1% of the population). The medical records including the CCP condition were incorporated into the computerised medical record of the Catalan Health Institute in January 2013. This database is managed by primary care professionals, who administer and update it in a specific format called "Shared individual intervention plan" (PIIC, Catalan acronym for Pla d'Intervenció Individualitzat Compartit). Currently, 82% of individuals registered as CCPs have an updated report
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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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