1,720,979 research outputs found

    Use of Disease Staging and analysis of untimely admissions in the Abruzzo Region, Italy: implications for clinical management.

    No full text
    The Section of Epidemiology and Public Health of the University “G. d’Annunzio” of Chieti, in collaboration with the Centre for Research in Medical Education and Health Care of Jefferson Medical College, Philadelphia, PA, USA, has analysed 350,000 hospital admissions for the year 2001 in the Abruzzo region. Four diseases were chosen for an in-depth analysis. These were: diabetes mellitus; cholecystitis/cholelithiasis; cancer of the female breast and bacterial pneumonia.The total admissions for these conditions were 11,000. Using the Disease Staging methodology to control for severity, a number of variables were analysed: length of hospital stay, hospital mortality, complications and repeated admissions. In addition, the timeliness of hospitalisation was analysed by grouping admissions into three categories: premature or medically unnecessary, timely, and late.An example of the first type is a patient with an elevated blood sugar but no other complications (Stage 1 Diabetes Mellitus).Appendicitis without rupture is an example of a timely admission (Stage 1 Appendicitis), while empyema in a patient with bacterial pneumonia is an example of a late admission (Stage 2.3).[1] Finally, a number of factors were analysed to determine whether they had an impact on early and late hospitalisations.The variables included in the multivariate analysis were age, gender, area of residence and type of hospitalisation. The data demonstrated that in the Abruzzo region there are problems with inappropriate hospital admission, both early as well as late. For example, the rate of medically unnecessary admissions for diabetes mellitus was 72% throughout the region, and the percentage of late hospitalisations for cholelithiasis/cholecystitis was 43%

    Use of Disease Staging and analysis of untimely admissions in the Abruzzo Region, Italy: implications for clinical management

    No full text
    The Section of Epidemiology and Public Health of the University “G. d’Annunzio” of Chieti, in collaboration with the Centre for Research in Medical Education and Health Care of Jefferson Medical College, Philadelphia, PA, USA, has analysed 350,000 hospital admissions for the year 2001 in the Abruzzo region. Four diseases were chosen for an in-depth analysis. These were: diabetes mellitus; cholecystitis/cholelithiasis; cancer of the female breast and bacterial pneumonia.The total admissions for these conditions were 11,000. Using the Disease Staging methodology to control for severity, a number of variables were analysed: length of hospital stay, hospital mortality, complications and repeated admissions. In addition, the timeliness of hospitalisation was analysed by grouping admissions into three categories: premature or medically unnecessary, timely, and late.An example of the first type is a patient with an elevated blood sugar but no other complications (Stage 1 Diabetes Mellitus).Appendicitis without rupture is an example of a timely admission (Stage 1 Appendicitis), while empyema in a patient with bacterial pneumonia is an example of a late admission (Stage 2.3).[1] Finally, a number of factors were analysed to determine whether they had an impact on early and late hospitalisations.The variables included in the multivariate analysis were age, gender, area of residence and type of hospitalisation. The data demonstrated that in the Abruzzo region there are problems with inappropriate hospital admission, both early as well as late. For example, the rate of medically unnecessary admissions for diabetes mellitus was 72% throughout the region, and the percentage of late hospitalisations for cholelithiasis/cholecystitis was 43%

    Going Beyond Counting First Authors in Author Co-citation Analysis

    Full text link
    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

    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
    corecore