186,146 research outputs found
Experience with laparoscopic splenectomy
No full textBackground/Purpose: The laparoscopic splenectomy (LS) often
is adopted to treat children affected by hematologic
diseases. Many of the pitfalls of LS are related to the 2
steps—dissection and extraction. Although various methods
have been adopted, the conversion rate still is too high
during the learning curve period. The authors analyse their
experience in 54 laparoscopic splenectomies performed by
their teams in 3 European countries.
Methods: From 1995 to 1999, 54 children underwent laparoscopic
splenectomy, 4 of whom also underwent a concomitant
cholecystectomy. There were 29 girls and 25 boys with
ages ranging between 4 and 19 years (median, 8.1 years). All
patients underwent an elective laparoscopic splenectomy:
Thirty children had hereditary spherocytosis, 13 had an idiopathic
thrombocytopenic purpura, 10 were affected by a b
thalassemia, and 1 child had sickle cell disease.
Results: Mean operating time was 140 minutes (range, 100 to
250 minutes). Hospital stay ranged from 2 to 6 days (median,
3 days). In 7 patients the spleen was removed through a 7-cm
minilaparotomy; in another 46 cases the spleen was captured
into an extraction bag, fragmented, and then removed
through the umbilical or left orifice. There was one conversion
to open surgery because of a camera failure during the
operation.
Conclusions: On the basis of our experience we believe that
the operating time of LS is still too long compared with open
surgery, and the extraction phase still not simple enough. A
perfect control of hemostasis is fundamental because severe
complications can arise from even a slight bleeding episode.
It also is very important to search for and remove any
accessory spleens. In our series this occurred in 7 patients,
one of whom had 3 accessory spleens. The laparoscopic
approach is today a good alternative to open splenectomy
Experience with laparoscopic splenectomy
No full textBackground/Purpose: The laparoscopic splenectomy (LS) often
is adopted to treat children affected by hematologic
diseases. Many of the pitfalls of LS are related to the 2
steps—dissection and extraction. Although various methods
have been adopted, the conversion rate still is too high
during the learning curve period. The authors analyse their
experience in 54 laparoscopic splenectomies performed by
their teams in 3 European countries.
Methods: From 1995 to 1999, 54 children underwent laparoscopic
splenectomy, 4 of whom also underwent a concomitant
cholecystectomy. There were 29 girls and 25 boys with
ages ranging between 4 and 19 years (median, 8.1 years). All
patients underwent an elective laparoscopic splenectomy:
Thirty children had hereditary spherocytosis, 13 had an idiopathic
thrombocytopenic purpura, 10 were affected by a b
thalassemia, and 1 child had sickle cell disease.
Results: Mean operating time was 140 minutes (range, 100 to
250 minutes). Hospital stay ranged from 2 to 6 days (median,
3 days). In 7 patients the spleen was removed through a 7-cm
minilaparotomy; in another 46 cases the spleen was captured
into an extraction bag, fragmented, and then removed
through the umbilical or left orifice. There was one conversion
to open surgery because of a camera failure during the
operation.
Conclusions: On the basis of our experience we believe that
the operating time of LS is still too long compared with open
surgery, and the extraction phase still not simple enough. A
perfect control of hemostasis is fundamental because severe
complications can arise from even a slight bleeding episode.
It also is very important to search for and remove any
accessory spleens. In our series this occurred in 7 patients,
one of whom had 3 accessory spleens. The laparoscopic
approach is today a good alternative to open splenectomy
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe 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
Appropriate Similarity Measures for Author Cocitation Analysis
No full textWe 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
No full textWe 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
Dr. Edward P. Wimberly, ITC, July 2011
No full textThis video is a conversation with Dr. Edward P. Wimberly. Dr. Wimberly talks about his book, "No Shame in Wesley's Gospel: A Twenty-First Century Pastoral Gospel". Brad Ost, AUC Woodruff Library, is the interviewer
Author Rights and Scholarly Publishing
No full textOriginally posted at
http://blog.library.gsu.edu/2014/10/24/author-rights-and-scholarly-publishing/</p
Mapping the Discipline of the Olympic Games An Author-Cocitation Analysis
No full textThe authors conducted an author cocitation analysis on prominent authors writing about the Olympics during the 1990s. Author cocitation is an established bibliometric technique that can be used to measure the relative similarities of topics written about by the cited authors. This enables a visual representation of the “intellectual space” of the discipline, in this case the Olympics, to be created for the period under review. So core and peripheral research areas are identified, along with their major contributors. The representation appears as a two-dimensional cluster-enhanced map. Subject expertise was then applied to the results to place labels on the generated clusters of authors and their topics
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