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Implémentation d'un protocole de réhabilitation améliorée après transplantation hépatique : faisabilité et analyse des résultats
No full textMédecine. Anesthésie et réanimationIntroduction : la transplantation hépatique est à ce jour le seul traitement curatif des insuffisances hépatiques terminales. Malgré l’amélioration des techniques chirurgicales, elle est encore considérée comme une chirurgie majeure, à haut risque de complications. Aucune recommandation d’experts n’existe quant à un programme de réhabilitation améliorée après transplantation hépatique. Notre étude a pour but de proposer un tel protocole, d’en évaluer la possibilité de mise en place et d’en analyser les résultats. Méthode : nous avons mené une étude rétrospective, descriptive, au sein du service d’anesthésie-réanimation chirurgicale de l’hôpital de Hautepierre au centre hospitalier universitaire de Strasbourg sur une période de 16 mois. Le protocole de réhabilitation améliorée comportait une phase peropératoire centrée sur l’utilisation d’agents pharmacologiques à courte durée d’action et l’épargne transfusionnelle. La phase postopératoire réanimatoire était basée sur le déconditionnement rapide des patients. Le succès d’implémentation du protocole était défini par le respect de 4 critères sur les 6 retenus. Les patients répondant à cet objectif constituaient le groupe RAAC de notre étude. Résultats : sur les 61 patients inclus, le protocole de réhabilitation améliorée a pu être appliqué chez 25 d’entre eux. Dans le groupe RAAC, la durée d’hospitalisation en réanimation et la durée d’hospitalisation totale étaient diminuées de façon significative, respectivement de 3 et de 10 jours. Aucune différence significative n’a été observée entre les deux groupes en termes de survenue de complications postopératoires. La mortalité en réanimation et à J90 était nulle dans le groupe RAAC. Conclusion : la mise en place d’un protocole de réhabilitation accélérée semble améliorer la convalescence des patients en postopératoire d’une transplantation hépatique sans en augmenter la morbi-mortalité
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
Prélèvement d’organes chez le donneur décédé en arrêt circulatoire de la catégorie III de Maastricht : mise en place au Centre hospitalier universitaire de Strasbourg et premiers résultats
No full textMédecine. Anesthésie et réanimationRésumé : le programme de prélèvement d’organes chez les donneurs décédés après arrêt circulatoire de la catégorie III de Maastricht (DDAC M3) a démarré en France en novembre 2014 et au Centre hospitalier universitaire (CHU) de Strasbourg en avril 2018. Nous avons étudié rétrospectivement l’épidémiologie des donneurs, la faisabilité du protocole et le bilan des greffes d’organes réalisées au cours des 14 mois suivants le lancement du programme DDAC M3 au CHU de Strasbourg. Vingt-deux donneurs potentiels ont été recensés. La plupart étaient admis en réanimation à la suite d’un arrêt cardiaque (72,7%). Il s’agissait majoritairement d’hommes (72,2%). Parmi les 22 donneurs potentiels, 12 procédures de prélèvement Maastricht III ont finalement été réalisées dont 10 ont abouti à un prélèvement d’organes. La difficulté principale était la mise en place de la circulation régionale normothermique (CRN). Vingt-neuf organes ont pu être prélevés et 27 organes ont été transplantés : 19 reins, 6 foies et 2 poumons. Ces résultats attestent de la réussite de la mise en place du programme DDAC M3 au CHU de Strasbourg et encouragent la poursuite de son développement.Summary : The French controlled donation after circulatory death (cDCD) programme began in november 2014 and was launched at Strasbourg University hospital in april 2018. We studied retrospectively donors' epidemiology, programme feasibility and organ procurement outcomes over the first 14 months of cDCD programme at Strasbourg University hospital. Twenty two potential donors were identified. Most were admitted in intensive care units following cardiac arrest (72,7%). The majority were men (72,2%). Of the 22 potential donors, 12 procedures were attempted and of those, 10 lead to a successful organ procurement. The primary difficulty encountered was the cannulation procedure for regional normothermic perfusion. Twenty nine organs were explanted, of which 27 were transplanted: 19 kidneys, 6 livers and 2 lungs. These results demonstrate the success of the cDCD programme launch at Strasbourg University hospital and are encouraging for its future continuation
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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