1,721,157 research outputs found
Monitoring of postpartum haemorrhage through current information flows in Trentino Region, Italy
No full textObjective. Postpartum haemorrhage (PPH) is the leading cause of maternal mortality and severe morbidity worldwide. Primary postpartum haemorrhage for spontaneous deliveries is defined as the loss of more than 500 mL of blood within 24 hours of childbirth, whereas for caesarean deliveries, it is considered as loss of more than 1,000 mL of blood. The objective is monitoring the risk of PPH in Trentino Region (North-East Italy). Materials and Methods. The distribution of primary PPH was analysed for the two types of delivery in terms of maternity facility characteristics, mother’s characteristics, labour and delivery characteristics. Event outcomes for the mother were also analysed (hospitalization, hysterectomy, blood product transfusions and fatality). Results. In the 2011-2016 period, there were 27.460 deliveries in the maternity facilities of Trentino region with an average overall prevalence of primary PPH of approximately 15%. The multivariate logistic regression analysis identified the significant independent predictors of primary PPH were age and nationality of the mother, parity, gestational age, medically assisted procreation, multiple births, neonatal weight, pregestational Body Mass Index, type of labour, maternal health concerns during pregnancy and tears and/or episiotomy. Conclusions. A PPH monitoring system using integrated current information flows could help the local health service and sector professionals to keep the phenomenon under control and monitor the quality of clinical practice
Descriptive epidemiology of head injury in Romagna and Trentino. Comparison between two geografically different italian regions.
No full textThe mother-child interaction as index of change in a brief parent-child psychotherapy [La qualità dell'interazione madre-bambino come indice di cambiamento nell'ambito di una psicoterapia breve genitore-bambino]
No full textAim: The work is a case-single study on therapeutical process of a brief infant-parent psychotherapy. The research consider rhe specific characteristics and the development of infant-caregiver interaction as the principals measures of the change introducing to the process of therapeutical intervention. Method: The first 5 minutes of infant-mother interaction of any therapeutical session are observed and assessed to applying evaluation variables of early adult-infant interaction, in order to obtain an assessment of the quality of infant-mother interaction and of its modifications in the course of the therapy. Results: The scores obtained on different assessment variables are statistically elaborated with a Variance Analysis (ANOVA) which highlighted significant modifications in the quality of the infant-mother interaction in the course of therapeutic intervention. It emerges that the quality of the dyadic regulation and of the competencies of infant in the interactive exchanges increases in time from the first to the ultimate therapy session. The Linear Regression analysis highlights the predictive role of the "time passed" as a developmental characteristic which explain the increasing interactive competencies of infant. In this sense, the time appear the principal protective factor in the terapeutical intervention in supporting the developmental interactive process in infant and the mother's sense of competence interactive with the child. Conclusion: The variables of infant-adult interaction appears a valid and adequate methods of observation and assessment of characteristics and change of quality of mother-infant interaction in the course of the therapy. The quality of infant-adult interaction seems a reliable cue in order to study the process of theapeutical change in a brief mother-infant therapy
Uncertainty distress: Theoretical underpinnings and clinical implications
No full textUncertainty distress is a psychological state defined as the set of negative emotions elicited by the unknown aspects of a given situation. The Uncertainty Distress Model (UDM; Freeston et al., 2020) highlights the role of threat, uncertainty, and intolerance of uncertainty in determining such distress in everyday life. Theoretically, the formulation of the UDM was inspired by three different research backgrounds, referring to threat models of anxiety and the concepts of «perceived uncertainty» and «intolerance of uncertainty». In addition, clinical experiences in contexts characterized by high levels of uncertainty and threat (i.e., chronic diseases, dementia) and clinical considerations related to the current Coronavirus (Covid-19) pandemic have significantly contributed to this conceptualization. The current manuscript reviews the theoretical underpinnings and the clinical implications of the UDM. The main implications are not exclusively related to the field of psychopathology, since this model aims to provide an explanation for the «normal» responses to events that can impact people’s lives. Future studies should empirically test its conceptual and applicative validity
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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