1,721,464 research outputs found
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
MEAL FREQUENCY AND RISK OF COLORECTAL-CANCER
No full textThe relation between meal frequency and the risk of colorectal cancer was investigated in a case-control study conducted in North Italy on 889 cases of colon cancer, 581 cases of rectal cancer, and 2475 controls admitted to hospital for acute, nonneoplastic, or digestive disorders. As compared to individuals who reported 2 or fewer meals per day, the multivariate colon cancer odds ratios were 1.7 [95% confidence interval (95% CI), 1.5-2.1] for 3, and 1.9 (95% CI, 1.1-3.3) for 4 meals or more. Corresponding rectal cancer odds ratios were 1.4 (95% CI, 1.1-1.7) for 3, and 1.9 (95% CI, 1.1-3.5) for 4 meals or more. The direct trends in risk of colorectal cancer with frequency of eating were not substantially modified by allowance for various dietary and nondietary potential confounding factors, including an approximate measure of total energy intake, and did not show significant effect modification across strata of age, sex, education, and other major risk covariates. A role of meal frequency in the etiology of colorectal cancer is biologically plausible, since when a meal is eaten, the gallbladder contracts and releases bile acids. Thus, eating patterns can influence the enterohepatic circulation and, consequently, the exposure time of intestinal mucosa to bile acids
The effectiveness of continuing education in postoperative pain management: a follow up study
No full textBACKGROUND: Studies still report high levels of postoperative pain. Inadequate treatment of patients experiencing pain is often due to lack of understanding of pain.
METHODS: The objective of this study was to assess the effectiveness of a course on "pain," evaluated by a pretest-posttest design, with a questionnaire mailed to the 168 participants in February 2005. The course consisted of seven sessions held from October 2002 to June 2003 in a public hospital in Udine, Italy. This hospital has 710 beds and more than 30,000 admissions a year. The course, included in the "pain-free hospital" national objective, consisted of lectures, discussions, and role playing.
RESULTS: Of the 10 test questions participants answered, seven showed a significant difference between the posttest taken at the end of the course and the posttest taken after 18 months.
CONCLUSION: It is believed that knowledge is progressively lost if refresher courses are not held on a regular basi
Risk Factors of falls in elderly population in acute care hospitals and nursing homes in North Italy. A retrospective study
No full text
HISTORY OF THYROID-DISEASES AND SUBSEQUENT THYROID-CANCER RISK
No full textA history of benign thyroid diseases has been associated with the risk of thyroid cancer. We have analyzed this issue using data from a case-control study conducted in northern Italy between 1986 and 1992 on 399 incident, histologically confirmed thyroid cancer cases and 617 controls admitted to the hospital for acute, nonneoplastic, non-hormone-related diseases. The overall multivariate relative risk (RR) estimates were 2.8 [95% confidence interval (CI), 0.6-12.4] for previous episodes of thyroiditis, 27.1 (95% CI, 6.5-111.9) for adenoma, 8.2 (95% CI, 3.5-19.1) for goiter, 3.8 (95% CI, 1.4-10.9) for hyperthyroidism, and 1.5 (95% CI, 0.4-5.1) for hypothyroidism when all histotypes were analyzed. The RR for any thyroid disease was 7.7 (95% Cl, 4.6-12.8). A family history of thyroid disease was significantly related to thyroid cancer with an RR of 1.6. The RR for having resided in endemic goiter areas was 1.3 for <20 years of residence and 1.6 for 20 or more years. These associations were somewhat stronger when only papillary, follicular, and mixed papillary/follicular cancers were considered. Analyses of data in separate strata of sex and age suggested that several benign conditions play a more important role in females and in subjects younger than 50 years. Results were similar to the overall ones when papillary and follicular carcinomas were considered separately. The population-attributable risk for any previous thyroid disease was approximately 20% in this Italian population. These results confirm that history of thyroid disease is a relevant indicator of subsequent thyroid cancer risk also in areas at relatively low prevalence of goiter and other thyroid diseases
TYPE OF ALCOHOLIC BEVERAGE AND CANCER OF THE ORAL CAVITY, PHARYNX AND ESOPHAGUS IN AN ITALIAN AREA WITH HIGH WINE CONSUMPTION
No full textALCOHOL-CONSUMPTION AND RISK OF PROSTATE-CANCER
No full textBecause alcohol influences metabolism and serum levels of sex hormones and specifically increases metabolic clearance of testosterone, some role of alcohol consumption in the process of prostatic carcinogenesis is biologically plausible. The relationship between prostate cancer and total alcohol consumption was therefore investigated in a case-control study conducted in Northern Italy between 1985 and 1992 on 281 cases and 599 centrols admitted to hospital for acute nonneoplastic diseases apparently unrelated to alcohol and tobacco consumption. No noteworthy relationship was found for major measures of alcohol intake: compared with teetotallers, the multivariate relative risks (RRs) of prostate cancer, after adjustment for age, study center, education, marital status, body mass index, and smoking status, were 1.3. 0.9, 1.2, and 1.1, respectively, for men drinking fewer than three, three to less than five, five to less than eight, or more than eight alcoholic beverages per day. None of the estimates was significant, nor was the trend in risk significant. Multivariate risks were also close to unity in the separate analysis of intake of wine (RR = 1.2 and 0.9 for <5 and greater than or equal to 5 drinks/day, respectively, compared with wine abstainers), beer (RR = 1.1 for beer drinkers compared with beer abstainers), and spirit (RR = 0.8 for spirit intake compared with beer abstainers). No relationship was observed with duration of use (<40 and greater than or equal to 40 yrs, muitivariate RRs = 1.1 and 1.3, respectively), and the alcohol-related risk estimates were similar for men <70 and greater than or equal to 70 years of age. Na interaction was observed between different strata of total alcohol intake and age, education, body mass index, and smoking status. Thus the findings of the present study provide epidemiological evidence that even high alcohol intake does nor appreciably modify the risk of prostate cancer
- …
