1,720,996 research outputs found

    La riabilitazione con il soggetto anziano: una ricerca esplorativa in un distretto socio-sanitario della Lombardia

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    Presenta una ricerca che si è posta l'obiettivo di verificare la conoscenza e l'effettiva attuazione di interventi riabilitativi nei servizi rivolti agli anziani, prestando particolare attenzione a quelli in ambito psicomotorio, cognitivo e affettivo-sociale. Lo strumento utilizzato è un'intervista semistrutturata che è stata somministrata a 69 soggetti occupati con diverse mansioni nei servizi socio-sanitari e assistenziali di un Distretto della Lombardia. I principali risultati hanno messo in luce che le diverse tipologie di intervento riabilitativo geriatrico, seppure conosciute dagli operatori, sono scarsamente applicate

    Heterogeneity and dimensional structure of obsessive-compulsive symptoms: implications for the assessment

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    Analyses of traditional OCD subtypes (washers, checkers, hoarders, etc.) have been criticized for two main reasons. First, OCD symptoms appear to exist on a continuum from subclinical to severe, therefore discrete subtypes may be inadequate to describe this continuum. Second, most OCD patients do not fit neatly into specific symptom categories. Rather, the majority of patients report multiple symptoms of different kinds. Obsessions, compulsions, and avoidance strategies are thematically heterogeneous and tend to reflect the individual’s highly idiosyncratic concerns. Structural analyses indicate that obsessive-compulsive symptoms are dimensional and that particular sorts of obsessions and compulsions tend to co-occur. Therefore, examination of OCD symptom dimensions, rather than symptom subtypes, may be preferable. A dimensional model allows each subject to be rated on the severity, rather mere presence or absence, of a symptom. The heterogeneity and idiosyncratic nature of OCD symptoms present unique challenges to the development of content valid assessment instruments. Although an array of self-report and interview measures have been developed to assess OC symptoms, these measures have a number of important drawbacks: 1) Subjects with multiple types of symptoms will endorse a greater number of scale items and therefore obtain more severe scores. Thus, many existing OC symptom measures confound severity with the range of symptoms present. 2) The vast heterogeneity and idiosyncratic nature of obsessions and compulsions forbids any given self-report measure from including an exhaustive list of these symptoms. 3) Many measures contain a one-dimensional assessment of severity. 4) Existing OCD symptom measures assess obsessions separately from compulsions, as disconnected clinical phenomena. 5) Most measures contain no items assessing avoidance. 6) Most OCD symptom measures include items assessing hoarding, which many authors now consider as a distinct syndrome from OCD. In the present paper, we discuss the implications of these topics for the assessment of OCD and report on the development, evaluation and Italian validation of a new self-report scale—the Dimensional Obsessive-Compulsive Scale (Abramowitz et al., 2010)—which aims to address the aforementioned needs

    La drammaturgia biblica italiana dal X al XVI secolo

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    Il saggio propone un excursus attraverso la drammaturgia biblica tra il X e il XVI secolo, dai primi esperimenti maturati all'interno dei monasteri benedettini, sino alle ultime, imponenti, Sacre Rappresentazioni dei sec. XV e XVI. Viene inoltre proposto un confronto tra le fonti bibliche e le relative drammatizzazioni

    Sensory manifestations in Charcot-Marie-Tooth disease

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    Involvement of sensory nerves in Charcot-Marie-Tooth (CMT) disease is well known, however, sensory symptoms are usually overlooked. To assess the frequency and features of sensory symptoms in a cohort of patients with CMT, we investigated in a prospective study 52 consecutive CMT patients, diagnosed on the basis of clinical, neurophysiological, and genetic features and classified in CMT type 1 (CMT1) (20 patients, including 14 with CMT1A) and CMT type 2 (CMT2) (32 patients). Positive sensory symptoms were reported by 28 patients (54%), including neuropathic pain in 6 patients. Pain, either neuropathic or nociceptive, was present in 29 patients (56%) and in 15 patients as a main symptom. Positive sensory symptoms were present in 24 of 32 CMT2 patients (75%) and in 4 of 20 CMT1 patients (20%) (p < 0.001); there was a presenting manifestation in 11/32 CMT2 patients vs. 1/20 in CMT1 patients (p = 0.018), and one of the main features in 6/32 CMT2 patients vs. 1/20 CMT1 patients. Frequency of positive sensory symptoms in CMT1A patients was similar to that of the entire CMT1 group. Within the CMT2 group, patients with positive sensory symptoms as a main or onset feature (11 patients) had significantly later onset (median 57 vs. 25 years; p = 0.042) and less severely impaired motor action potentials than CMT2 patients without positive sensory symptoms (8 patients). Nociceptive pain was especially frequent in CMT1A patients (10/14, 71%). Sensory manifestations in CMT seem more frequent than previously thought, especially in CMT2; however, their frequency may be different in the genetic subtypes of the disease and/or an expression of phenotypic variability. Sensory symptoms, and in particular pain, may represent an important issue in the management of CMT patients, especially in a physical medicine approach

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

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    “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

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    We 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

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    We 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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