1,720,953 research outputs found

    Surgical strategies for high-energy fractures in patients with osteoporosis

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    The most obvious clinical pattern of osteoporosis is represented by the so-called low energy fractures. These are slight trauma bone lesions that would not occur in a subject with normal bone mineral density (BMD). The most frequently affected sites of this type of fracture are the last dorsal and lumbar vertebrae, the proximal femur, humerus, and the distal radius. These fractures are a challenge for the orthopedic surgeons because they occur on an altered bone, with decreased load resistance, reduced elasticity and decreased ability to absorb mechanical stresses. This physio-pathological pattern results in lower stability of the hardware, lower screws purchase, less resistance to bone-prosthesis interface, lower quality of the healing process. The problem becomes more complex when high-energy trauma occur in osteoporotic bone with fractures in nontypical locations such as distal femur, tibial plate, tibial malleolus, elbow or peri-phrostetic fractures after Total Knee or Hip Replacement. The surgical approach to these fractures aims to use devices that assure greater bone-implant stability and a great distribution of stresses by reducing the forces acting on the bone-implant interface. It is possible to use scaffolds such as bioactive cement and porous coating surfaces to increase the hardware purchase and homologous/autologous transplantation, post-operative pharmacological implementation and growth factors to stimulate potential repair of fractures. The use of locking plates allows converting the sliding forces, which the traditional plates generated, into compression forces to increase the stability of the system. There are also versatile hardware with dynamic angular stability screws that can be freely oriented in space unlike conventional plates where the direction of the screw is dictated by the placement of the plate. The philosophy of minimal invasive surgery is well represented by the use of intramedullary nails, which can stabilize the fracture from the inside of the bone marrow. This characteristic ensures a load distribution within the bone especially in meta-diaphysis areas, which are most affected by typical reduction of bone quality of osteoporosis. In the elderly, the total joint replacement is also indicated in cases of peri-articular fractures in which there is a high risk of bone fragments necrosis. Such fractures can be treated with a prosthetic implant to ensure immediate joint stability and thus allow an early recovery of the range of motion and the function of the affected limb. Treatment of peri-prosthetic fractures is another important chapter in surgery of traumatic fractures in osteoporosis as we find more and more frequent patients who have a prosthetic implant and who undergo a trauma that causes a peri-implant fracture. In this case, the evaluation of the implant's stability to the bone-prosthesis interface is crucial to decide whether to perform a synthesis with angular stability, nails and/or cerclage wires, or to perform a revision. In all cases, treatment of traumatic fractures in osteoporosis requires a multidimensional evaluation of the problem, as it is not only the type of fracture and site that can be considered, but also the bone quality by carefully evaluating the patient's functional and metabolic state and its comorbidity. It is a surgery that requires specific implants and devices that must be carried out by experienced hands

    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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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We 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

    Author Under Sail The Imagination of Jack London, 1893-1902

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    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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