1,721,054 research outputs found

    Diabetes and cancer mortality: A multifaceted association

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    In a large cohort of subjects with diabetes cancer mortality increased by 30%, possibly due to lower survival, reverse causality, and an etiologic role of diabetes in cancer. A two-fold increased mortality from liver and pancreatic cancer was confirmed in both genders irrespective of follow-up period or disease duratio

    Short-term health service utilization after a paediatric injury: a population-based study

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    BACKGROUND: The aim of the study is to identify which types of injuries are responsible for a major component of the health burden in a population-based children cohort in North-Eastern Italy. METHODS: All children (1-13 years) residing in Veneto region, who were hospitalized in 2008 with a International Classification of Diseases, ninth edition, Clinical Modification (ICD-9-CM) code for injury in the first diagnostic field were considered. The outcome was defined as the difference in hospital use in the 12 months following the injury and it was compared to the year preceding the injury occurrence. We computed hospitalization rates by gender, age class and injury type. RESULTS: Hospitalization rates for injury are highest in males, especially among school-aged children. Rates for intracranial injury exhibit a more pronounced decline with age in females, whereas a more marked rise in upper limb fracture rates among school-aged males is observed. Overall, 3 days of hospital stay per child are attributable to injury. Burns, skull fracture and a high injury severity are associated with a greater number of additional inpatient days. CONCLUSIONS: The impact of specific injury types on health services utilization varies with gender, age and severity. These observed patterns contribute to build a clearer picture of this leading global public health problem and deserve more attention in planning preventive strategies and resource allocation

    Seasonal variations in injury rates in children: evidence from a 10-year study in the Veneto Region, Italy

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    The objective of this study was to investigate the long term trend of pediatric injuries in Veneto Region (North-East of Italy) over 10 years, evaluating if seasonality in injury hospitalisations exists. Regional data on hospital admissions during the period 2000-2009 were analysed. Injury was defined as any condition identified by the International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) codes 800-999, excluding late effects from injury (ICD-9-CM codes 905-909), and complications of surgical and medical care, not classified elsewhere (ICD-9-CM code 995-999) in the first diagnostic field. Cyclic trends in seasonality of injuries were tested with Nam test. Thirty-five thousand seven hundred and fifty-one hospitalisations due to an injury have been recorded. Significant seasonal variation in hospitalisations for injuries was observed, with a summer to winter ratio ranging from 1.8 for minor injuries to 2.0 for severe injuries (p <0.001). The observed pattern of increased admission in the summer months should guide resource planning and implementation of preventive strategies

    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
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