1,720,977 research outputs found

    Osteochondritis dissecans of the talus. A report on 7 cases

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    The clinical and radiological findings in 7 cases of osteochondritis dissecans of the talus indicate that this is a potentially progressive condition. Surgical treatment was carried out in 4 cases while the remaining 3 were treated conservatively. Surgery produced good clinical and radiological results. The conservative treatment consisted of immobilisation and abstention from weight-bearing. This was unsuccessful in 2 adult patients but in a 9 year old girl it led to a virtually complete recovery in 3 months

    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

    Perceived aggression towards nurses: study in two Italian health institutions

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    AIMS: The goal of the present study was to quantify the perceived aggression towards nurses working in two Italian health care institutions and to verify the hypothesis of an association between the characteristics of aggressors and the type of aggression. BACKGROUND: Violence and aggressiveness, particularly aimed at nurses, are a common, but inadequately investigated phenomenon in Italian health care institutions. DESIGN: A cross-sectional study. METHODS: The study was performed, studying a sample of 700 nurses (37% of the personnel in 94 units) in two health care institutions in northeast Italy using an anonymous multiple-choice questionnaire. RESULTS: Forty-nine percent of the nurses responded that they had experienced aggression in the previous year, 82% of that was only verbal. This happened more often to female nurses working in the emergency department and in geriatric and psychiatric units. A statistically significant association (p < 0.001) was found between the perception of fatigue, stress and work dissatisfaction and the frequency of aggression. Aggressors were usually patients or their relatives (57%) and were mainly men (66%). Fifty-three percent of assaulted nurses did not ask for help after the event. CONCLUSIONS: This study confirms the high incidence of perceived, mainly verbal aggression towards nurses. RELEVANCE TO CLINICAL PRACTICE: Action to prevent aggressive episodes may include concentrating on job motivation, encouraging participatory leadership and promoting the best possible working conditions. The absence of any systematic event reporting and documentation makes the assaulted workers feel defenceless

    Monoarticular juvenile chronic arthritis of the shoulder: Report of a case and review of the literature

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    In 20% of the cases Juvenile Chronic Arthritis (JCA) has a monoarticular onset. Usually the inflammatory process spreads out to other joints with pauciarticular or polyarticular course. Very rarely the disease persists in one joint only and this is in about 70% of the cases, the knee. We describe a case of Monoarticular JCA with isolate and persistent involvement of the shoulder never reported in the literature. The clinical, pathologic features and different diagnoses arc discussed. © 1993 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted

    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

    Spondylocostal dysplasia (Jarcho-Levin syndrome)

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    The authors report 3 cases of rare spondylocostal dysplasia (Jarcho-Levin syndrome) associated with multiple visceral anomalies (V.A.C.TE.R.L. syndrome). The difficulty encountered in treating the disease because of the complexity and multiplicity of the visceral anomalies, and the extent and type of associated vertebral deformities is emphasized. The cases described revealed a moderate amount of progression, and were able to be treated non-surgically. It is also emphasized that even when there is moderate scoliosis associated costal deformities may cause anti-cosmetic thoracic gibbosity

    Aggressioni nei confronti degli infermieri

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    Introduzione: La violenza e le aggressioni subite nel lavoro, particolarmente dal personale infermieristico, sono frequenti, ma il fenomeno non è ancora stato adeguatamente indagato in Italia. .Gli scopi della presente ricerca sono sia di quantificare il fenomeno percepito in due Aziende Sanitarie del Nord-Est, sia di valutare i fattori associati alle aggressioni verbali e fisiche nei confronti degli infermieri. Metodi: Lo studio, di tipo trasversale , è stato condotto in due Aziende Sanitarie del Nord-Est utilizzando un questionario anonimo. Il campione è stato di 700 infermiere rappresentante il 37% del personale di 94 Unità Operative (gli infermieri in turno il mattino del giorno della rilevazione). Risultati: Il 49% delle infermieri intervistati afferma di aver sperimentato un aggressione negli anni precedenti, l’82% solo di tipo verbale. Nel 42% l’aggressore è stato individuato nel personale interno all’azienda e nel restante 58% in soggetti esterni. In questo caso gli aggressori sono più frequentemente i parenti maschi degli ammalati. Le unità operative in cui vi è una maggiore probabilità di aggressione sono i reparti di emergenza, di geriatria e psichiatria. E’ stata trovata una associazione tra la insoddisfazione, lo stress e la fatica nel lavoro espresse dagli infermieri e la probabilità di essere vittima di aggressione (p < 0,001). Il 53% degli infermieri aggrediti non ha denunciato l’accaduto e non ha richiesto aiuto. Conclusione: Lo studio ha confermato l’alta frequenza delle aggressioni soprattutto verbali perpetrate nei confronti degli infermieri. L’assenza di alcuna sistematica modalità per denunciare e documentare tali eventi rende gli infermieri aggrediti maggiormente indifesi
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