1,720,973 research outputs found
The Centenary of Immune Thrombocytopenia—Part 2: Revising Diagnostic and Therapeutic Approach
Full text linkPrimary immune thrombocytopenia (ITP) is the most common cause of thrombocytopenia in children and adolescents and can be considered as a paradigmatic model of autoimmune disease. This second part of our review describes the clinical presentation of ITP, the diagnostic approach and overviews the current therapeutic strategies. Interestingly, it suggests an algorithm useful for differential diagnosis, a crucial process to exclude secondary forms of immune thrombocytopenia (IT) and non-immune thrombocytopenia (non-IT), which require a different therapeutic management. Advances in understanding the pathogenesis led to new therapeutic targets, as thrombopoietin receptor agonists, whose role in treatment of ITP will be discussed in this work
Prognostic impact of cardiac resynchronization therapy guided by phase analysis: a CZT study
Full text linkAims
To evaluate whether phase analysis imaging may predict treatment response and long-term prognosis after cardiac resynchronization therapy (CRT).
Methods and results
Sixty-nine patients underwent myocardial perfusion imaging followed by CRT. Patients with ischaemic heart disease and non-ischaemic cardiomyopathy (NICM) were identified. Left ventricular (LV) mechanical dyssynchrony (LVMD) was assessed at phase analysis and the region of the latest mechanical activation was identified. LV pacing lead position was considered ‘concordant’ when located in the region of the latest mechanical activation, and ‘discordant’ otherwise. The ‘6 months post-CRT’/‘baseline’ ratio of LV ejection fraction was computed as a measure of CRT response. LVMD was revealed in 47/69 patients, 27 of whom (57%) had a concordant LV lead implantation. Only concordant pacing was associated with LV functional improvement (ejection fraction ratio: 1.28 ± 0.25 vs. 1.11 ± 0.32 in discordant stimulation, P = 0.028). However, this relationship persisted only in patients with NICM (P < 0.001), while it disappeared in those with ischaemic heart disease (P = NS). Twenty-eight events occurred during 30 ± 21 months follow-up. While discordant LV lead location was the major predictor of unfavourable prognosis (hazard ratio 3.29, 95% confidence interval 1.25–8.72; P = 0.016), this relationship was confirmed only in patients with NICM.
Conclusions
Phase analysis of myocardial perfusion imaging may guide CRT implantation, identifying patients who would most likely benefit from this procedure
Different behavioral strategies of two sympatric seahorses: habitat availability and increased density of Hippocampus guttulatus alter the behavior of Hippocampus hippocampus
Full text linkIn the light of future ocean warming scenarios and habitat fragmentation, coastal fishes must adjust their physiological and behavioral traits to face the combined effect of global warming and ecological interactions. Seahorses (Hippocampus spp.) are charismatic fishes with peculiar life cycle traits, which make them vulnerable to several anthropic pressures and natural disturbances. In this study, we investigated the behavior of two sympatric seahorse species, the long-snouted Hippocampus guttulatus (Cuvier, 1829) and the short-snouted Hippocampus hippocampus (Linnaeus, 1758). Specifically, we carried out two manipulative experiments to assess (i) the effect of temperature and habitat availability on both H. hippocampus and H. guttulatus behavior and (ii) the effect of temperature and an increased density of H. guttulatus (by 3x) on the activity level of congeneric species H. hippocampus. Our results showed that +3 & DEG;C warming did not affect seahorse behavior in both experiments, suggesting greater behavioral tolerance to thermal variation. However, a significant reduction of the active behavior of H. hippocampus was observed when the artificial habitat was introduced in the tank, while H. guttulatus maintained its activity. Furthermore, a significant decrease of the H. hippocampus activity was observed with an increased relative dominance of H. guttulatus. Our results suggest that both increased density of H. guttulatus and habitat availability, but not ocean warming, will affect the behavior of H. hippocampus. Therefore, different interspecific behavioral strategies may occur, thus affecting the distribution of the two species among shallow habitats when they occur in sympatry.LA/P/0101/2020info:eu-repo/semantics/publishedVersio
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
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
- …
