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    Parti con Taglio Cesareo. Quali indicatori, quali fonti informative e quali modelli di risk-adjustment e di stratificazione del rischio: lo stato dell'arte.

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    Nell'ambito del percorso materno-infantile, la proporzione di parti con Taglio Cesareo (TC) viene utilizzata da tempo come indicatore di appropriatezza clinica. Il Rapporto Osservasalute ha fornito negli anni il suo contributo al monitoraggio costante del ricorso al TC. Gli indicatori descritti nel Rapporto Osservasalute ("Proporzione di parti cesarei totali", "Proporzione di parti cesarei ripetuti" e "Proporzione di parti cesarei primari") sono calcolati dai dati delle Schede di Dimissione Ospedaliera (SDO). Un'altra fonte informativa per calcolare il tasso di RC è rappresentata dalla banca dati dei Certificati di Assistenza al Parto (CeDAP); da questa banca dati sono elaborati rapporti annuali sia a livello nazionale che regionale, nei quali viene descritto l'indicatore "Proporzione di parti cesarei". L'Agenzia Nazionale per i Servizi sanitari regionali, nell'ambito del Programma Nazionale Valutazione Esiti (PNE), confronta aziende e regioni in termini di un altro indicatore: "Proporzione di parti cesarei primari" aggiustata per fattori di rischio clinico della madre e del feto. Il Laboratorio Management e Sanità della Scuola Superiore Sant'Anna di Pisa, nell'ambito del Sistema di Valutazione della Performance, utilizza come indicatore di appropriatezza clinica la "Proporzione di parti cesarei" e, dal 2006, l'indicatore "Percentuale di parti cesarei depurata", per la valutazione del percorso nascita

    CESAREAN SECTION RATES IN ITALIAN REGIONS: 1998-2002

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    Cesarean section (c-section) rates have been increasing in many countries, and too frequently this rise does not seem to be justified by clinical grounds. To reduce c-section rates and achieve a proportion of 20% is among the goals of the Italian National Health Plan. In the following paper we provide an update on the distribution of rates amongst Italian regions and describe the association between regional hospital volumes and c-section rates. The national c-section rate increased from 31% in 1998 to 36% in 2002. The rates varied among regions and ranged from 20% in the Province of Bolzano to 56% in Campania. A significant association was observed between the regional hospital volumes for deliveries an

    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
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