1,720,960 research outputs found
'For a quart of ale is a dish for a king': not always
We report the case of a man with a clear diagnosis of coeliac disease who nevertheless drank gluten-containing beer. We found that a 4-week period of drinking gluten-containing beer did not provoke significant changes in the intestinal mucosa of this patient with coeliac disease nor did it elicit any relevant symptoms. Serum antibody levels rose but did not reach a pathological threshold. However, a more prolonged gluten challenge may have led to clinically relevant changes in IgA antitransglutaminase titres. This case demonstrates how important individual sensitivity to gluten in a patient with coeliac disease is in determining symptoms, immunological response and intestinal mucosa damage
'For a quart of ale is a dish for a king': not always
We report the case of a man with a clear diagnosis of coeliac disease who nevertheless drank gluten-containing beer. We found that a 4-week period of drinking gluten-containing beer did not provoke significant changes in the intestinal mucosa of this patient with coeliac disease nor did it elicit any relevant symptoms. Serum antibody levels rose but did not reach a pathological threshold. However, a more prolonged gluten challenge may have led to clinically relevant changes in IgA antitransglutaminase titres. This case demonstrates how important individual sensitivity to gluten in a patient with coeliac disease is in determining symptoms, immunological response and intestinal mucosa damage
La triptasi sierica nella diagnosi di mastocitosi sistemica in pazienti adulti senza lesioni cutanee
Background.: Mastocytosis is a rare disease characterized by clonal proliferation of mast cells in several organs, such as bone marrow, liver, spleen, skin, gastrointestinal tract and lymph nodes. The course of disease and the prognosis are variable. The typical skin lesion of mastocytosis is characterized by red to brown macules, known as urticaria pigmentosa (UP). However, in about 10–30% of patients, mastocytosis occurs in absence of typical skin lesions; in these patients, the clinical picture is mainly determined by mediator-related symptoms, such as urticaria, flushing, diarrhea and recurrent anaphylaxis. Thus, in patients without skin lesions, diagnosis of mastocytosis could be difficult. The determination of serum tryptase could be useful to improve diagnostic accuracy. Methods.: In our cohort of 67 patients (44 females and 23 males; mean age 28 years) with systemic mastocytosis (SM) we selected those without skin lesion and we evaluated their initial clinical features. The diagnosis of SM was made by bone marrow biopsy according the WHO criteria. Serum tryptase levels were determined using Phadia ImmunoCAP methodology and the analytical system Phadia 250 (Thermo Fisher Scientific, Waltham, MA, USA). Results.: Fifteen percent (10/67) of our patients with systemic mastocytosis have no skin lesions. Five of them are males (mean age: 55 years). The majority of patients (7/10) have ISM, one has a bone marrow mastocytosis (BMM), one has systemic mastocytosis associated to not clonal mast cells disorders (SM-AHNMD), and one has advanced systemic mastocytosis (ASM). The most frequent presenting symptom in these patients (4 out of 10) was pathological vertebral fracture due to severe osteoporosis. Other patients had severe anaphylaxis, progressive peripheral monocytosis and bone pain. In only one case the diagnosis was incidental, because bone marrow biopsy was done to confirm another diagnosis (essential thrombocythemia). In all cases, elevation of serum tryptase suggested the diagnosis of systemic mastocytosis. The values of tryptase in these patients ranged from 15 to 120 μg/L with a mean of 52 μg/L (normal range: up to 11.4 μg/L). Conclusions.: In patients without skin lesions, the diagnosis of mastocytosis could be challenging. The clinical presentations of mastocytosis are heterogeneous, ranging from severe clinical pictures of osteoporosis to hematologic abnormality in otherwise asymptomatic patients. Our data indicate that the diagnostic relevance of serum tryptase levels in patients without skin lesions, but with suspicious symptoms and/or signs of SM, and its utility in selecting patients who do need a bone marrow biopsy
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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