1,721,005 research outputs found
Recommendations and guidelines in paediatric anesthesia [Raccomandazioni e linee guida in anestesia pediatrica]
No full text
A comparative analysis of functional traits in semi-natural grasslands under different grazing intensities
Full text linkArticleThe reduction of traditional management practices is a major threat for the conservation of permanent grasslands in many European marginal areas. The ecological importance of grasslands is acknowledged by the European Habitats Directive 92/43/EEC (1992) which includes many natural or semi-natural grassland types, and by the growing attention of society towards functions and services provided by these ecosystems. Nonetheless, the efficiency of conservation policies is questioned also for the lack of local-scale information on trends and state of grasslands hampers the definition of local-tailored schemes. The main objective of this work is to assess the potential of a set of functional traits in discriminating between different management intensities and their capacity to describe the dynamics occurring in semi-natural grasslands. The research was carried out in a hilly area of Tuscany (Italy) on four grassland sites characterized by similar environmental features (soil, climate, topography), and by different management practices for 10 or more years. The survey concerned collection and analysis of different functional traits related to foliar features, litter and botanical composition. The functional traits were able to differentiate the four sites under different management practices, but their effectiveness was different. Results support the possibility to perform a rapid appraisal of grassland successional stages based on leaf functional traits of dominant species and by the assessment of presence of a reduced number of species among those occurring in the community
Sedoanalgesia in paediatric intensive care: A survey of 19 Italian units
No full textAim: To analyse the methods used to manage and monitor sedoanalgesia at Italian paediatric intensive care units (ICUs). Methods: Data were collected by administering a questionnaire that aimed to investigate whether ICUs adopted a validated protocol to manage sedoanalgesia. Results: The results revealed that a majority of the ICUs adopt a protocol for dealing with sedation and analgesia, but this protocol is implemented with difficulty or not at all in routine clinical practice. The most often used pharmacological combination, is midazolam and fentanyl. Several weaknesses remain in terms of the methods used to assess sedoanalgesia, which are generally not standardized, but rather based on recording the patient's physiological parameters. Conclusion: Sedation and analgesia are priority issues in the management of critically ill children. None of the numerous drugs available is ideal and the protocols currently used in clinical practice involve the combined use of different drugs. There is currently no shared and validated approach as to which is the most effective and safest sedoanalgesic regimen in critically ill children
Pain and anxiety management in minimally invasive repair of pectus excavatum
No full textThe Nuss procedure for the correction of Pectus Excavatum (PE) is associated with intense postoperative pain. Our strategy to control early postoperative pain is to combine epidural with intravenous analgesia. Our aim was to analyse our pain control strategy by reviewing all the PE cases treated at our institution. Sixty consecutive patients, aged between 12 and 26 years old, received the PE operation at our institution from January, 2007 to September, 2010. The median age was 16 (12-27) with a male/female ratio of about 7/1. An epidural catheter was employed in all the cases, with 38 patients (63%) requiring additional drugs to control pain, which remained in place for 74 hours (72-96). The pain score was higher in male patients, but lower in those younger than 16 years old. Moreover, patients that consumed benzodiazepines had a significant decrease in cumulative opioid intake (P = 0.0408). Both gender and age had an impact on pain control, while we noticed a synergistic effect between opiates and tranquillizers
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
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