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MORBIDITATEA SPITALIZATĂ PRIN ANEMIE FERIPRIVĂ, ÎN ROMÂNIA
No full textAnemia due to iron deficiency can remain undiagnosed for years because of symptoms that are either ignored and considered trivial or are attributed to other conditions. Iron deficiency anemia is not a disease in itself, but a symptom in other diseases, and detecting iron deficiency can lead to preventive or therapeutic behaviors that can streamline the clinical management of these diseases.. The most frequent pattern for the patient with FA hospitalized in the Romanian hospitals include the following most common characteristics (chi squared; p-valueAnemia prin carenţă de fier poate rămâne nediagnosticată ani de-a rândul, din cauza simptomelor care fie sunt ignorate şi considerate banale, fie sunt atribuite altor afecţiuni. Anemia feriprivă nu este o boală în sine, ci este un simptom în cadrul altor boli, iar depistarea deficienței de fier poate conduce la conduite preventive sau terapeutice ce pot eficientiza managementul clinic al acestor boli. În România, cel mai frecvent model înregistrat la pacienții internați cu anemie feriprivă ca diagnostic principal include următoarele cele mai frecvente carasteristici (chi pătrat; p-value <0.05): femei, vârstnice din categoria de vârstă 65-75 ani, pensionate, asigurate, internate în spital fără scrisoare de internare, nu în situații de urgență. Preocupările în acest domeniu trebuie să țintească elaborarea unor conduite corecte pentru operarea eficace în cadrul unor protocoale clinice, diferențiate în funcție de condiția patologică, dar și pe categorii de vârstă. Cuvinte cheie: model clinic, anemie feriprivă, spitale, Români
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Get PDFWe 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
MORBIDITATEA SPITALIZATĂ PRIN TUBERCULOZĂ, ROMÂNIA
No full textBACKGROUND: The strategic role of the National TB Control Programme planning and implementation is essential for the community disease controlling, these programs effectively integrating results of anti-tuberculosis therapy progress with implementation of socio-economic effective measures. AIM: the main scope is to provide valid evidence on hospitalized morbidity by tuberculosis, to support planning and implementation of strategies for prevention, treatment and TB control in Romania. METHODOLOGY: This study is performed as a descriptive analysis of secondary data reported by Romanian hospitals for 2011-2016 period and is focused on identification of some TB hospitalizations patterns, especially for the year 2015. The DRG data were aggregated at district and type of tbc location. RESULTS: In Romania, the downward trend in the TB rate in the population overlaps the constant decrease in need for hospital services for patients with tuberculosis. The decrease was recorded for all TB locations. In Romania, the hospital services consumer profile can be summarized as being predominantly for: active people, women, rural, jobless, with referral from a specialist and being discharged in an improved condition.CONCLUSIONS: In Romania, the implementation of National Programs for the TB Control managed to reduce spectacular the TB incidence in the general population, up to the 66 new TB cases (2014) compared to the peak level recorded in the year 2003 (139 new TB cases). Evidence emerged from this kind of analyzes can be a good support for planning and strategic decisions at national level, given that tuberculosis is still representing one of the public health problems in Romania, through the magnitude of phenomenon, the disease consequences in the context of existing effective opportunities and progress in this field. Keywords: hospitalized morbidity, tb, control, prevention, RomaniaCONTEXT: Rolul strategic oferit de planificarea și implementarea Programelor Naționale de Control al Tuberculozei este esential în controlul bolii la nivelul comunității, aceste programe integrând eficient rezultatele progresului în domeniul terapiei antituberculoase cu măsuri socio-economice eficace. SCOP-ul principal al lucrării este de a furniza evidențe valide privind nivelul morbidității spitalizate prin TB, pentru susținerea planificării și implementării strategiilor de prevenire, tratament și control al tuberculozei în România. METODOLOGIE: Analiza de față este o analiză descriptivă realizată pe date secundare raportate de către spitalele din România, privind modelul spitalizărilor TB, pentru perioada 2011-2016, cu focalizare pe anul 2015. Datele raportate și gestionate prin sistemul DRG au fost agregate la nivel de județ și pe tip de localizare TB. REZULTATE: În România, tendința de scădere a ratei TBC în rândul populației se suprapune peste scăderea constantă nevoii de servicii spitalicești pentru bolnavii cu tuberculoză. Scăderea a fost înregistrată pentru toate localizările TB. Profilul consumatorului de servicii spitalicești din România poate fi sintetizat astfel, fiind predominent la: persoane active, femei, din mediul rural, fără ocupație, cu internare pentru diagnostic, prin bilet de la medicul specialist, externat în stare ameliorată. CONCLUZII: Aplicarea Programelor Naționale de Control al Tuberculozei în România a reușit să reducă spectaculos incidența bolii în populația generală, până la valoarea de 66 cazuri noi de îmbolnăvire prin TBC (în anul 2014), comparativ cu nivelul de vârf înregistrat în anul 2003 (139 cazuri noi îmbolnăvire prin TB). Evidențele analizelor de acest gen pot sprijini planificarea și deciziile strategice la nivel național, tuberculoza reprezentând, încă, una dintre problemele de sănătate publică în România, prin nivelul fenomenului, consecințele bolii și oportunitățile și progresul din domeniu. Cuvinte cheie: morbiditate spitalizata, tuberculoza, Romania, control, prevenir
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe 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
SPITALIZĂRILE CU INFARCT MIOCARDIC ACUT, ÎN ROMÂNIA, ÎN ANUL 2015
No full textIntroduction: Fatal potential disorders represent public health issues by high frequency and gravity but also by huge amount of financial effort needed to prevent, manage, control and treat these cases. Acute myocardial infarction (AMI) is a health condition having predisposing factors and determinants that can be controlled, being triggered by various factors, such as traffic exposure, physical exertion, alcohol, coffee, negative emotions, anger, heavy meal, positive emotions, sexual activity, cocaine use, marijuana smoking and respiratory infections. The lack of evidence led to weaknesses in decision making process and AMI prevention and treatment programs should be based on solid evidence. Objective: The main objective of this study is to provide valid evidence on number and rates of acute myocardial infarction hospitalizations and volume of hospital activity for cases with AMI, in Romania. Methodology: A cross-sectional data on secondary data was conducted for the year 2015. Data were extracted from 2015 RomaniaDRGDatabase; only hospital episodes with diagnosis of AMI according to the ICD-10-AM were included. Results: In terms of numbers, about 19278 hospitalized events were recorded. Significant differences were encountered between men and women (almost 2 times frequently for men), for retired persons (63%), aged 65-75 years, with mandatory health insurance. Rate of AMI events is range between 58-153 AMI events per 100 000 inhabitants, with rates higher than national average in C and NW regions (1 or 2 standard deviations), respectively with smaller rates than national average in S– and SE regions of Romania. The national rate is 90 Ami events per 100 000 inhabitants. Conclusions: A better knowledge of the situation at national and local level regarding hospital morbidity and mortality by AMI is needed. Developing public health policies require in-depth research in order to identify populations at risk and to elaborate and target specific preventive measure to this population group. Key words: Romania, acute myocardial infarction, hospitalizations, rate, ICD-10Introducere: Afecţiunile cu risc fatal reprezintă probleme de sănătate publică prin frecvenţa ridicată de apariţie şi gravitate, dar şi prin efortul financiar major necesar prevenirii, controlului şi tratării acestor cazuri.. Infarctul miocardic acut (IMA) reprezintă o afecţiune cu factori predispozanţi şi determinanţi ai bolii care pot fi controlaţi, fiind declanşată de anumiţi factori precum poluarea atmosferică, efort fizic, consumul de alcool, cafea, stări emoţionale negative, furie, mese copioase, emoţii pozitive, activitate sexuală, consumul de droguri (cocaină, marijuana)şi infecţii respiratorii. Lipsa evidenţelor ştiinţifice conduc la dificultăți în procesul de luare a deciziilor, iar programele de prevenţie şi tratament a IMA ar trebui să aibă la bază evidenţe clinice solide. Obiectiv: Obiectivul principal al studiului este acela de a furniza informaţii în ceea priveşte numărul cazurilor şi ratele de spitalizare prin IMA, volumul activităţii spitaliceşti în cazul pacienţilor cu această afecţiune în România. Metodologie: A fost realizat un studiu transversal utilizând date secundare, la nivelul anului 2015. Datele utilizate au fost extrase din baza DRG Naţional 2015; au fost incluse în analiză numai datele privind episoadele de spitalizare cu diagnostic IMA, conform clasificării ICD-10-AM. Rezultate: În termeni numerici au fost înregistrate 19278 cazuri spitalizate. S-au înregistrat diferenţe semnificative între femei şi bărbaţi (cazurile de IMA au fost aproape de 2 ori mai frecvente la bărbaţi), în cazul pensionarilor (63%), a persoanelor cu vârste între 65-75 de ani, cu asigurare medicală obligatorie. Ratele de IMA variază între 58-153 evenimente/100 000 locuitori, cu rate peste media naţională în regiunile Centru şi Nord Vest (1 - 2 deviaţii standard), cu rate mai mici, sub media naţională, în regiunile de Sud şi Sud-Est ale României. Rata la nivel naţional este de 90 de evenimente prin IMA/100 000 locuitori. Concluzii: Este necesară o mai bună cunoaştere a situaţiei la nivel naţional şi local, în ceea ce priveşte morbiditatea şi mortalitatea spitalizată prin IMA. Elaborarea politicilor de sănătate publică necesită o analiză aprofundată, în scopul identificării populaţiei la risc şi al dezvoltării măsurilor specifice, adresate ţintit acestui grup populaţional. Cuvinte cheie: România, infarct miocardic acut, spitalizare, rate, ICD-1
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
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