1,721,198 research outputs found
Acute-on-chronic liver failure: A complex clinical entity in patients with autoimmune hepatitis
No full textIn their comprehensive and stimulating review, Moreau et al. report the distinctive features of “acute-on-chronic liver failure” (ACLF) based on different geographic definitions (European,North American, Chinese, Asian Pacific) and suggest that ACLF should be considered a unique clinical syndrome.1 However, in discussing hallmarks, causes and precipitating factors of ACLF, they do not consider the case of autoimmune hepatitis (AIH), which can initiate as acute hepatitis in more than 40% of cases.2 It is well recognized that AIH patients may develop ACLF either as hyperacute exacerbation of undiagnosed or misdiagnosed AIH, or in response to a second exogenous insult (viral, drug-induced, toxic) on typical AIH, possibly favored by long-term immunosuppression
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
Diagnostic role of anti-dsDNA antibodies: do not forget autoimmune hepatitis
No full textIn their Review, Pisetsky and Lipsky highlight the clinical role of antinuclear antibody (ANA) testing in patients with systemic lupus erythematosus (SLE) and properly state that anti-double-stranded
DNA (dsDNA) antibodies are highly specific for the diagnosis of SLE; however, they refer to two papers that do not take into account the widely and historically recognized presence of these autoantibodies in individuals with autoimmune hepatitis. In this regard, we would like to discuss that knowledge of anti-dsDNA antibody positivity in autoimmune hepatitis dates back to 1956 when, because of the similarities to SLE, Mackay et al. proposed that this chronic liver disease be named ‘lupoid hepatitis’
Anti-neutrophil cytoplasm antibodies (ANCA) in autoimmune diseases: A matter of laboratory technique and clinical setting
No full textPerinuclear anti-neutrophil cytoplasm antibodies (pANCA) detected by IIF represent a useful tool conveying the diagnosis of type 1 AIH and/or PSC. As other serological markers of autoimmune diseases, pANCA detection can suggest, but not supersede the clinical and imaging diagnosis
Acute liver injury and anorexia nervosa: A case report
Full text linkAnorexia nervosa is an eating disorder characterized by restriction of energy intake leading to a significant decrease in body weight. While it is primarily a psychiatric disorder, numerous medical complications can occur. In this article we describe a case of a 25-year-old woman with a 12-year history of severe restrictive anorexia nervosa that was referred to the Emergency Service of our Hospital, transferred from a psychiatric institute, for severe weight loss, dehydration, and progressive increase in transaminases. During the hospital stay she developed an acute liver injury with an increase in transaminase level up to 40× the ULN. Infective and immunological causes of acute hepatitis were excluded. In the suspect of severe starvation acute liver injury, we performed a nutritional assessment and started parenteral nutrition. After 15 days of parenteral nutrition, she gained 2.5 kg of body weight and liver tests were drastically reduced and nearly normal
Metrics for accessibility on the Vamolà project
No full textHow far are the Web sites from accessibility? Such a question implies a measure and, before, metrics or a set of metrics to quantitatively describe distances or closeness to one or more aspects of inclusion. Quantitative evaluations can effectively guide the improvement of sites quality and of skills which are necessary along the content authoring process. This paper details the hypothesized metrics and measures on the Vamolà project, which has been issued to integrate a monitor and a validator of the Web accessibility, according to the Italian Law. On Vamolà, the validation tool output can be effectively used in defining metrics inside the monitor application
Autoantibodies to speckled protein family in primary biliary cholangitis
Full text linkThe autoantibody profile of primary biliary cholangitis (PBC) includes antinuclear antibodies (ANA) which are detectable by indirect immunofluorescence in more than 50% of PBC patients. One of the two immunofluorescence patterns which are historically considered “PBC-specific” is the so-called “multiple nuclear dots” (MND) targeting nuclear body proteins such as Sp100, Sp140, Sp140L proteins, promyelocytic leukemia protein (PML) and small ubiquitin-related modifier proteins (SUMO). It has been hypothesized a role of nuclear body protein alterations in immune disorders such as PBC, thus suggesting novel and more refined therapeutic approaches
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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