1,720,963 research outputs found
Disturbo psichico in periodo perinatale : analisi epidemiologica registrata presso l’ambulatorio di consulenza psichiatrica e psicoterapeutica in gravidanza e puerperio
No full textIntroduzione: Il periodo perinatale è caratterizzato da numerosi cambiamenti e fattori di stress, che incidono sulla vita della donna e la rendono maggiormente vulnerabile all'insorgenza o al peggioramento di disturbi psichici. I disturbi principali risultano essere i disturbi d'ansia e i disturbi dell'umore, in particolare la depressione; queste patologie possono manifestarsi singolarmente o in contemporanea, sia in donne che hanno un'anamnesi remota positiva sia in donne che non hanno mai avuto sintomi in precedenza. Anche altri disturbi, inclusi i disordini alimentari, gli attacchi di panico, il disturbo d'ansia generalizzata (GAD), il disturbo ossessivo- compulsivo (DOC) e il disturbo post-traumatico da stress (PTSD) possono verificarsi singolarmente o insieme alla depressione. Casi più gravi ma che si presentano più raramente sono la schizofrenia e la psicosi puerperale. Le patologie psichiatriche possono avere effetti negativi non solo sulla salute della madre ma anche sullo sviluppo fisico, cognitivo ed emozionale del bambino, per questo la diagnosi e il tempestivo trattamento sono fondamentali.
Obiettivi della ricerca: Lo scopo di questa ricerca è, in primo luogo, quello di definire le caratteristiche socio-demografiche, l'anamnesi ostetrica e l'anamnesi psichiatrica delle donne seguite presso l'Ambulatorio di consulenza psichiatrica e psicoterapeutica in gravidanza e puerperio della Fondazione IRCCS Ca' Granda – Ospedale Maggiore Policlinico. In secondo luogo la tesi si propone di individuare le figure professionali che per prime possono intuire il disagio psichico della donna, ripercorrendone l'iter diagnostico, con particolare focus sul ruolo dell'ostetrica nell'invio.
Materiali e metodi: L'indagine è stata effettuata nel periodo compreso tra luglio e settembre 2016. Il campione di donne è stato reclutato presso l'Ambulatorio di consulenza psichiatrica e psicoterapeutica in gravidanza e puerperio della Fondazione IRCCS Ca' Granda – Ospedale Maggiore Policlinico, previa consultazione delle cartelle cliniche cartacee. Sono state consultate un totale di 403 cartelle cliniche, dalle quali è stato reclutato un campione di 88 donne, che hanno frequentato l'ambulatorio nel periodo tra il 2008 e il 2016.
Risultati: I disturbi più frequentemente riscontrati nelle donne seguite presso l'ambulatorio risultano essere l'ansia e la depressione, sia che questi si presentino in contemporanea (35% sul totale delle donne), sia singolarmente (ansia= 9%; depressione 8%, depressione post partum= 11%). I sintomi vengono individuati nel 66% dei casi da professionisti che si occupano di salute materno-infantile, quali ginecologi, ostetriche e neonatologi. Nel 32% dei casi la diagnosi viene fatta da professionisti della salute psichica, quali psichiatri e psicologi. Come raccomandato dalla letteratura, la gestione di queste patologie dovrebbe avvenire mediante un approccio multidisciplinare, che preveda condivisione di protocolli d'intervento comuni, per quanto riguarda la prevenzione, la diagnosi e il successivo management
Studio della nutrizione in gravidanza nell'ambito del progetto "HUMAN-BB": impatto dell'alimentazione sulla salute mterno/neonatale in un campione di 800 gravide fisiologiche
No full textScientific evidences support the importance of an appropriate nutrition during pregnancy in promoting maternal and neonatal positive outcomes as well as in preventing gestational complications, such as hypertension, diabetes and fetal growth defects. According to “DOHaD hypothesis” (Developmental Origin of Health and Disease), the quantity and quality of nutrients assumed by the fetus during intra-uterine develoment could contribute in modulating the fetal metabolism, with long-term consequences on adult health.
The "HuMAN-BB" project was conceived to investigate the impact of maternal nutrition on neonatal outcomes, in particular on newborn epigenome setting, through the “EPIC-FFQ” questionnaire on one side and the analysis of maternal/placental biological samples and related clinical data, on the other side. As part of “HuMAN-BB” project, this thesis evaluates the adequacy of maternal nutrition, compared to current guidelines (SIGO 2018). In addition, maternal and neonatal clinical parameters, related to nutrition, will be investigated, such as maternal BMI, birth weight and placenta weight.
The investigated population includes 826 women, recruited between September 2016 and January 2019 at the "L. Mangiagalli" Clinic (Ca' Granda Foundation, Maggiore Policlinico Hospital). Inclusion criteria were European women; singleton spontaneous pregnancies, absence of neonatal malformations and/or fetal genetic anomalies.
At the time of delivery, biological samples were taken, and clinical data were collected by consulting maternal medical records. The EPIC questionnaires were collected before hospital discharge and subsequently analyzed through a dedicated software.
The main findings of this thesis are: 1) a slight excess in daily caloric intake has been observed (found in 64% of women), especially in fats consumption; 2) we confirmed the importance of dietary supplementation of folic acid, since the amount of this micronutrient introduced by the diet is not enough to support fetal requirements; 3) the amount of water and dietary fiber resulted significantly lower than those recommended. Finally, the evaluation of maternal clinical parameters highlighted the relationship between an increased pregestational BMI and an excessive weight gain during pregnancy, likely related to unhealthy dietary habits. So far as pregestational BMI, data suggest possible correlation with birth weight percentile, especially in newborns with growth defects. In this contest, the role of midwife is essential to support women during the pregnancy and to educate them about the importance of a healthy diet
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe 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
Full text linkWe 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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