1,721,196 research outputs found
Medicina Interna dalla clinica alla diagnosi
No full textPiù che mai, ai nostri giorni, la Medicina Interna sta vivendo una fase di profondo rinnovamento reso ancor più evidente dalla recente pandemia Covid-19.
Tale processo, che s’incardina nella scia dell’allungamento dell’aspettativa della vita media della popolazione generale, porta con se, inevitabilmente, non solo un numero sempre più significativo di condizioni morbose croniche, ma anche un “nuovo fenotipo” di malato: ossia quello che oggi viene definito il paziente ‘pluri-comorbido’ che raggiunge livelli di complessità che solo la Medicina Interna, con la sua visione olistica, è in grado di gestire. Tutto ciò è particolarmente evidente nelle realtà dei Reparti di Medicina Interna in cui la sfida al Clinico è posta, oltre che dalla complessità dei pazienti, anche dall’incessante sviluppo di varie tecniche diagnostiche e percorsi diagnostico-terapeutici che potrebbero portare a sottovalutare, se non svilire, il valore assoluto insito nella professione medica: il rapporto medico-paziente con tutto il carico che questa relazione comporta. Il Medico di medicina generale, vieppiù il Clinico, non deve commettere l’errore di sminuire l’approccio tradizionale al malato che è rigorosamente fondato sulla raccolta dei dati anamnestici (l’ascolto della parola del malato, la ponderata interrogazione e la raccolta minuziosa dei sintomi);
l’esame obiettivo (con il corredo di segni colti durante la visita) e non ultimo il ragionamento clinico di quanto emerso dall’anamnesi e dall’esame fisico del paziente. Tutto questo va ad integrare la ricchissima dotazione di esami strumentali e laboratoristici, ausiliindispensabili per giungere ad una formulazione diagnostica corretta. Da queste considerazioni scaturisce la necessità di avere una guida teorica, facile, ma allo stesso tempo esauriente, agile nella consultazione ma aggiornata e all’altezza dello sviluppo prodigioso delle conoscenze scientifiche mediche. L’identikit che ne deriva ci porta ad identificare il trattato Medicina interna: dalla clinica alla diagnosi, scritto dal Professor André M. Mansoor, dell’Università di Portland, USA, che pone problemi o indica aspetti clinici osservabili all’esame del paziente, nelle sue molteplici modalità di presentazione. Quest’opera, di cui ho avuto l’onere e l’onore di curarne la traduzione, pare proprio ripercorrere il noto aforisma secondo il quale “esistono i malati, non le malattie”. Quindi non la trattazione di tematiche classiche della Medicina Interna per patologie, ma analizzare il sintomo/segno per portare il Clinico, lo specializzando e lo studente di Medicina, alla diagnosi (e relativa terapia delle condizione/i morbosa/e) attraverso un percorso metodologico che parte dall’evidenza del caso clinico e dalla presentazione del paziente.
Queste caratteristiche mi hanno fatto immediatamente apprezzare l’opera del Professor Mansoor e spinto allo sforzo di curarne la traduzione. In questo testo troviamo tutte le tracce di quel metodo clinico che il grande Augusto Murri (1841-1932) condensava nel principio: observatio et ratio, tuttora d’inossidabile attualità e immenso valore. Menzionando un grande Clinico del passato, la memoria va ai miei cari Maestri che hanno sempre sostenuto la centralità del paziente con tutti i suoi sintomi, segni e disfunzioni; ecco perché è utile avere un trattato, una guida, come il Mansoor, che, grazie alla preziosa opera dell’Editore Piccin, ora può accompagnare il Medico nel prendersi cura del malato cominciando proprio dalla sua attenta valutazione
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Get PDFWe 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
Get PDFWe 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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe 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-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
No full textIn 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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