1,720,987 research outputs found
La Gestione del Rischio Clinico nel paziente in terapia polifarmacologica
La gestione del paziente anziano in ambito di Rischio Clinico è, ad oggi, soprattutto nel contesto della medicina territoriale, un processo ad elevato livello di complessità assistenziale, soprattutto in quanto trattasi spesso di paziente pluripatologico ed in terapia polifarmacologica. Tuttavia, sebbene la gestione della popolazione anziana rappresenti una priorità assoluta a livello sanitario e sociale, anche in relazione al crescente invecchiamento della popolazione generale, allo stato la ricerca clinica in ambito di gestione integrata del Rischio a livello territoriale ed ospedaliero è ancora in fase di sviluppo. Al fine quindi di implementare tale ambito di ricerca si è proceduto, in prima analisi, ad una revisione della letteratura esistente per analizzare quanto già applicato, anche in altre realtà non solo nazionali ma anche internazionali, ed individuare i processi maggiormente applicabili anche al contesto esistente. Vi è, inoltre, una grande variabilità di interventi che si sviluppano nel contesto dei sistemi di Gestione del Rischio, tra i quali spiccano le attività di Riconciliazione Farmacologica. La Riconciliazione Farmacologica è, così come definito dal Ministero della Salute, “una delle migliori strategie per garantire la buona qualità delle cure” ed è anche stata inserita nei criteri di accreditamento Joint Commission come Patient Safety Goal 8A
The first Italian suicide death due to helium inhalation: first histological findings and pathogenesis
Suffocation by inhaled helium gas is rarely reported in literature and no data are reported on histopathological modifications due to inert gases. We report the first Italian case of suicide by helium inhalation and related histopathological findings. The lung samples showed enlargement of alveolar spaces, congestion of interstitial capillaries, focal intra-alveolar hemorrhages, and oedema fluid in the alveoli. The myocardial tissue showed congested interstitial capillaries, hemorrhagic interstitial spots, and sporadic wavy myocardial fibers. A multiorgan extensive congestion with focal hemorrhages would confirm the hypoxic damage due to the helium inhalation and makes this histologic pattern highly suggestive of such type of suicide. To our knowledge, this is the first case reporting the microscopic data of helium inhalation, useful for the explanation of the pathogenesis of this cause of death
Parachuting fatality: A case report video-recorded
Parachuting accidents are very uncommon and mostly related to landing and incorrect procedures. In these cases, the cause of death is usually easily identified but the events leading up to death are usually a matter for investigation. We describe the case of a former military parachutist who died after civilian skydiving. A total body computed tomography scan, an external examination, and a complete medico-legal autopsy were performed. Furthermore, the fatality was filmed from two different observation points so the specific dynamic of the events and the injuries observed could be explained. This unusual case highlights the importance of a multidisciplinary forensic investigation
Going Beyond Counting First Authors in Author Co-citation Analysis
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
“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
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
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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
We 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
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