1,720,961 research outputs found

    Psychoeducatlon in binge eating disorder: Factors predicting efficacy

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    Objective: The aim of this study is to identify the factors that influence the effectiveness of group psychoeducation, defined as absence of binge eating, at the end and one year after therapy, in subjects with binge eating disorder (BED). Also was evaluated the correlation between binge eating and obesity, assessing which factors may be predictors for satisfyingly weight loss. Methods: A total of 26 patients were included in the study (Table I). Subjects who continued binge eating at the end of the therapy (t1) were defined as non-responsive patients (NR); those who continued binge eating one year after therapy (t2) were defined as non-abstinent patients (NA) (Fig. 1). The predictor factors were divided into clinical and psychometric variables. The following clinical data were considered: years of dieting and binge eating, body mass index (BMI) and the frequency of binge eating at the beginning of therapy (t0). The psychometric data analysed were: eating aptitude and behaviour (EDI-2), alexithymia (TAS-20), family support (FA), anxiety and depression (HADS). These data were estimated at t0 and t1. Results: The NR (n = 6; 23.1%) were attributed higher scores in the anxiety subclassification (HADS) at t0. The NA (n = 7; 26.9%) presented a higher rate and a higher number of years of binge eating, furthermore they had a lower level of family support at t0. No patients had a satisfactory weight loss at t1; 19.2% of the patients lost weight at t2 (Table II). Conclusions: The present study confirms, as observed in other studies, that clinical parameters, like the rate and number of years of binge eating at the beginning of therapy, are predictor factors for maintenance of effectiveness one year after treatment. Furthermore, anxiety before therapy results in a lower response to treatment and poor family support is associated with inadequate results of maintenance one year after therapy. No association between weight loss and disappearance of binge eating was observed. Thus, these parameters may be used by the clinician to identify a population of patients who need another therapeutic approach, with integrated and long interventions

    "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions as Perceived by Surgical Patients

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    Introduction The recent introduction of red tabards aimed at avoiding interruptions during medication rounds has generated scientific and media debate, which is still ongoing. The principal aim of this study was to evaluate patients' perceptions of 3 different red tabards; the secondary aim was to explore individual factors associated with the negative perceptions that emerged. Methods Eligible patients had to be admitted to the selected general surgical department and give written informed consent. A total of 104 patients were interviewed. Three real-sized red tabards, made with laminated paper and displaying different messages, were shown over 3 days to each patient involved. Results Despite displaying different messages, from asking everyone not to disturb to allowing only patients to interrupt, patients perceived the tabards as directed at themselves. A different risk of preventing patients from communicating urgent needs emerged. The first tabard I am administering medication-Please do not interrupt me was most at risk to inhibit the patient. A negative impact was reported by 44 patients (42.3%) for the first tabard, 50 (48.0%) for the second tabard, and 40 (38.4%) for the third. In the logistic regression, only 2 independent factors were significantly associated with the negative perception of the message reported on the tabards: a positive attitude to interrupting nurses and receiving medication during their time in hospital. However, the variance explained by these factors ranges from 9.4% to 18.3%. Conclusions On the basis of the findings that emerged, the adoption of the tabards should be evaluated considering the benefits already documented, and the potential negative effects that emerged on patients, which may be influenced by cultural and linguistic aspects. Wearing the tabard with the message reported on the back, directed to the staff and not the patients, may have less negative effects on patients; in addition, using a different color not to alarm the patients may be useful. In addition, comparing the red tabard effects with other strategies introduced to deal with avoidable interruptions (e.g., "no interruption zone") to gain a comprehensive picture regarding benefits/harm is also important

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    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

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    “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

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    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

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    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

    Author Index

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