1,720,962 research outputs found
Objective diagnostic information and labour-delivery management homogeneity: our experience.
No full textSince intrapartum cardiotocography was adopted as an objective diagnostic tool, we tried to evaluate if its routine use has induced more homogeneity in management between our staff members. The analysis of some simple parameters outlines how management variability between different staff members, still outweighs the supposed objectivity of the information coming from intrapartum cardiotocography
A simple local database for audit and epidemiologic studies.
No full textThe Authors, after having outlined the importance of clinical audit in order to improve the perinatal care provided and reduce management-dishomogeneity between obstetrical staff members, present a simple off-line system of computerized perinatal data collection that has proved to be the useful for audit applications and statistical epidemiological evaluations
Farmaci durante la gravidanza e l'allattamento
No full textAggiornamento sulle indicazioni e controindicazioni all'utilizzo di farmaci in corso di gravidanza e allattamentoUpdated Reference Guide for use of Drugs in Pregnancy and Lactatio
Lo screening per la prevenzione del cervicocarcinoma uterino in aree rurali: Metodologia, risorse, ostacoli
No full textBetween November 1993 and February 1995, 283 Pap smears were carried out in 6 peripheric settlements. Some preliminary meetings, requiring a variable lag of 2-4 months, preceded clinical activity. Every Pap smear was obtained by a midwife, supported in 70% of cases by a gynecologist, in the local general practitioner's office. For each case the following data were recorded: age-parity-job-years from menopause-years from last visit and from last cervical cytology-complaint of genital symptoms (suggestive or not for a malignancy), use of contraceptives or hormonal therapy, risk factors as smoking, obesity, diabetes or hypertension. 170 Pap smears were classified as «negative» by the pathologist (60,07%), 109 as «inflammatory» (38,52%), 4 as «mild dysplasia» (1,41%); no cases of moderate or severe dysplasia or presence of neoplastic cells were found. A therapy was prescribed in 70 cases (24,73%) on the basis of symptoms referred, clinical findings or presence of an inflammation in the smear. 23 women (8,13%) were sent to the 2nd level check at the Department of Obstetrics and Gynaecology of the general Hospital of Isernia. Each patient was submitted to inspection of the vulva and breast examination and complete information for breast self-test was offered. Difficulties in carrying on the program, women's acceptance and cost-benefit ratio are analysed
Postmaturity: How far is it a clinical entity in its own right?
No full textIn 1990 we adopted a protocol of antepartum testing for all booked pregnant patients, permitting healthy pregnancies to go beyond 42 completed weeks of gestation. This retrospective study regards 84 patients delivering after 42 completed weeks of pregnancy and a control group of 1351 patients delivering after 37 completed and before 41 completed weeks of pregnancy. Records were revised for maternal age and parity, previous obstetric history, managing and complications of the actual pregnancy, labour and mode of delivery, neonatal biometric data and outcome. Only 4 patients delivered after 43 completed weeks of gestation, while none in the series delivered later than 44 completed weeks after the beginning of the last menstrual period. The overall frequency of caesarean birth was higher, but not significantly, in study group. Average neonatal birthweight and length were significantly greater in the study group. No significant difference in neonatal outcome was observed between study and control groups in terms of perinatal mortality. Low 1' Apgar score was significantly more frequent in the study group, but a similar frequency of 5' Apgar score and need for intensive care was observed in the two groups
Vaginal birth after caesarean section: further contribution to counteract caesarean section epidemic.
No full text[No abstract available
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
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