1,720,956 research outputs found

    Intraoperative Accidents

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    In spite of standardization and improvements in technique, colorectal surgery remains subject to an intraoperative accident rate that has undergone a slight increase with the advent of laparoscopy [1]. This fact can be correlated to the technical limitations of laparoscopic access, which are its two-dimensional imaging and the loss of tactile sensatio

    Long term outcome of conversion in laparoscopic colorectal surgery

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    Objective: Conversion rates in colorectal laparoscopic surgery vary from 8 to 29% in the Literature. An increased postoperative morbidity and prolonged hospital stay have been described as the main adverse outcomes in converted patients. Some studies suggest a negative influence of conversion on the oncologic outcome, but consistent data are still lacking. This study evaluates the impact of conversion and analyze the differences in the oncologic outcome of patients who underwent laparoscopic resection for colorectal cancer. Methods: A monocentric retrospective study on 247 patients operated for colorectal cancer between 2004 and 2007 was performed. The operative results and long-term outcomes of 44 patients with conversion (22%) were compared both with 200 cases of successful laparoscopic and 103 open operations. We considered as conversion a widening or an anticipation of a Pfannenstiel incision, an upfront midline or transverse laparotomy. Results: Median follow up was 56 months. Our results show that the disease-free survival and local recurrence (6.81% in the converted group) were not significantly worse by the presence of conversion in laparoscopic cancer resections. Conclusions: Conversion should not be viewed as a complication but as a solution to overcome the limitations of laparoscopic surgery. The adoption of a standardized operative strategy from an experienced team, together with an early and prompt decision for conversion and careful patients selection may improve the outcome of converted patients

    Complicated right diverticular disease; case reports and review of the literature

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    Report of two cases of complicated diverticular disease in young men presenting with palpable abdominal inflammatory masses and both caracterized by a difficult differential diagnosis from colonic cancer

    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

    The creation of pneumoperitoneum in obese patients

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    The creation of the pneumoperitoneum is the first surgical procedure in laparoscopic abdominal surgery. Mobid obesit is a risk factor for jatrogenic injuries due to the considerable thickness of the abdominal wall. The Veress needle technique can be considered feasible and safe even when used in obese populatio

    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

    Author Index

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