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VALIDAZIONE DEL DPILQ PER IL PAZIENTE DIABETICO IN TERAPIA INSULINICA
No full textINTRODUZIONE
La terapia insulinica mediante l’uso del microinfusore (CSII – Continous Subcutaneous Insulin
Infusion) nei pazienti affetti da T1D e T2D è il percorso terapeutico sempre più diffuso. Nel
periodo 2005-2013 si registra in Italia un incremento del 396% dei pazienti che ne
beneficiano. In letteratura non ci sono evidenze, linee guida o raccomandazioni che
consentano al clinico di individuare il profilo standard del paziente idoneo al passaggio
dalla terapia multiniettiva (MDI - Multiple Daily Insulin Injection) a quella con CSII. Ad oggi
infatti, la scelta della terapia CSII nel paziente diabetico è raccomandata solo quando i
dati clinici del paziente evidenziano una scarsa effectiveness nel controllo glicemico.
Scopo della presente ricerca è validare il DPILQ per studiare il way of life del paziente
diabetico insulino-trattato.
METODI
Uno studio pilota è stato condotto per validare il Diabetic Patient Insulin-treatment Lifestyle
Questionnaire (DPILQ). Il DPILQ, contenente 25 item per misurare tre costrutti: percezione
della salute, soddisfazione dell’uso dei dispositivi medici e stile di vita, è stato somministrato
dallo stesso intervistatore ad un campione casuale di 33 pazienti, di età compresa tra i 18
e i 65 anni in terapia insulinica, estratti dal database del Centro di Diabetologia della ASL5
di Oristano. La consistenza interna del DPILQ è stata valutata con l’Alpha di Cronbach (α).
RISULTATI
Il valore di α=0,85 calcolato per l’intero questionario ed il valore di α=0,83 calcolato sugli
item che descrivono lo stile di vita del paziente, indicano un’ottima affidabilità dello
strumento.
CONCLUSIONI
L’alta affidabilità del questionario consente di utilizzare il DPILQ per ottenere informazioni
utili a definire il profilo del paziente diabetico e poter condurre studi epidemiologici ad hoc
volti a migliorare la qualità di vita, esaltando così lo stato di benessere del paziente in
trattamento insulinico e ridurre i costi della spesa sanitaria
Si può dimensionare il Servizio di Sterilizzazione?
No full textAi fini dell’accreditamento istituzionale numerose Aziende Sanitarie si trovano ad affrontare la riorganizzazione del proprio Servizio di Sterilizzazione. Uno studio di Hospital-based Technology Assessment può fornire evidenze utili alla scelta del modello più appropriato in termini di efficacia ed efficienza
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
Ovaries development of Parapenaeus longirostris (Crustacea Penaeidae) in the sardinian waters
No full textDiabetes and medical devices: which device for which patient?
No full textAim(s) or purpose: We propose to investigate the profile of patients currently on insulin therapy with an insulin
pump (CSII) and those on multiple daily injections (MDI), in order to identify the variables that influence the use
and the choice of two different types of devices.
Design and method: A cross-sectional study will be conducted to estimate the prevalence of diabetes with MDI
therapy and insulin pump (CSII). Also, a matched case-control (1:1) design will be performed considering as cases
patients who have been undergoing insulin pump therapy for at least six months and as controls the patients with
MDI therapy. The patients enrolled in this study are 18 years (adults) and < 18 years (paediatric). These epidemiological
studies are preceded by a pilot study conducted in the Health Centers of Sardinia (Italy) randomly selected
to validate the questionnaire used for the interview. Data collection involves the detection of patient clinical data
(medical record source) and life-style data (structured questionnaire source) by an interview form, by the same interviewer.
The interaction between interviewer and interviewee is face-to-face and the patient enrolled in the study
did not see the questionnaire. In this way, the emotional independence of the answers to the questionnaire and the
consequent absence of conditioning the reading of the same are ensured. Multivariate statistical analysis and logistic
regression models are used for the statistical analysis of data collected.
Results: To define the profiles of patients with insulin-dependent diabetes and the effects of demographic and clinical
variables, lifestyle and behaviour on the choice of the most appropriate medical device.Conclusions: The results of the research are innovative to diabetes care in general practice because they will help medical professionals to personalize care and help each diabetic patient choose the most suitable medical device (MDI or CSII)
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
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe 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
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