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Alcune esperienze di formazione nella Facoltà di Medicina e Chirurgia dell'Università degli Studi di Roma "La Sapienza"
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Psychological aspects of therapeutic abortion after early prenatal diagnosis.
No full textThe early discovery of a fetal pathology creates a "crisis" situation fraught with psychic problems for the couple who must live through it. The Authors observed a group of patients in the second trimester of pregnancy. They had all requested therapeutic abortion since serious malformation of the fetus had been confirmed. By means of a questionnaire constructed for the purpose, certain characteristics of fetal malformation and of pregnancy were evidenced, as well as the way these were experienced by the patients. The immediate and delayed reactions to the diagnosis of malformation were also studied, as was the experience lived when faced with the choice of abortion.
The psychological aspects of therapeutic abortion after early prenatal diagnosis of a fetal pathology among 50 2nd trimester (16th-22nd week) patients at the University of Rome obstetric clinic are described. A crises is experienced after discovery of a fetal pathology (e.g., chromosomic, dismetabolic, infectious, and multifactorial). An open ended questionnaire format was used to obtain information on the malformations and to solicit responses to the malformation and the choice to abort. Respondents' average age was 32, and all educational levels and job types were represented. 80% of malformations had a low recurrence risk of 2-3%, and 20% had a high risk of 25-50%. 42% were planned pregnancies and 36% were desired; 22% occurred by chance. 44% had previous healthy children. 22% were in a 1st pregnancy and 10% were in a 2nd pregnancy following an abortion. 14% had both healthy and handicapped children. Visual representation of the expected child was clear to 44%, unclear to 44%, and unimaginable to 12%. Only 26% had programmed a future for the child. 82% had a clear view of themselves as mothers, while 18% were vague. 76% had confident maternal attitudes toward child rearing. 76% considered the pregnancy to be organically easy. 16% felt it was decidedly difficult, and 8% had some difficulty. 60% felt emotionally comfortable with the pregnancy. 38% felt ambivalent, of which 80% had high-risk pregnancies. After notification of the malformation or suspicion, 90% felt emotionally aroused. 22% felt anxiety, particularly if the extent and gravity were not indicated; 18% felt amazement and 8% rejection. 14% rebelled. Examples of the exact responses are given. The reasons for choosing abortion are also given, ranging from being against abortion, but finding the malformation to be incompatible with life, to not wanting to inflict the consequences on other family members. 80% considered abortion as an option to limit the frustration and disappointment to a short period in their lives and to prevent repercussions. After the decision is made, the focus turns to the immediate aspects of the abortion
Severe hypoplasia of the right femur, ipsilateral agenesia of the fibula and twisted right foot in a 24-week-old fetus with proximal femoral focal deficiency (PFFD)
No full textA case of a 24-week-old fetus of non consanguineous parents with an ultrasonographic diagnosis of a short right femur, ipsilateral agenesia of the fibula and a twisted right foot is described. Cordocentesis revealed a normal 46XY karyotype. The parents were informed on treatment options and after psychological counselling they decided to undergo an abortion. Post mortem examination confirmed the diagnosis of a severe right limb malformation
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
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