How to use the International Classification of Functioning, Disability and Health as a reference system for comparative evaluation and standardized reporting of rehabilitation interventions

Rehabilitation aims to optimize functioning of persons experiencing functioning limitations. As such the comparative evaluation of rehabilitation interventions relies on the analysis of the differences between the change in patient functioning after a specific rehabilitation intervention versus the change following another intervention. A robust health information reference system that can facilitate the comparative evaluation of changes in functioning in rehabilitation studies and the standardized reporting of rehabilitation interventions is the International Classification of Functioning, Disability and Health (ICF). The objective of this paper is to present recommendations that Cochrane Rehabilitation could adopt for using the ICF in rehabilitation studies by: 1) defining the functioning categories to be included in a rehabilitation study; 2) specifying selected functioning categories and selecting suitable data collection instruments; 3) examining aspects of functioning that have been documented in a study; 4) reporting functioning data collected with various data collection instruments; and 5) communicating results in an accessible, meaningful and easily understandable way. The authors provide examples of concrete studies that underscore these recommendations, whereby also em-phasizing the need for future research on the implementation of specific recommendations, e.g. in meta-analysis in systematic literature reviews. Furthermore, the paper outlines how the ICF can complement or be integrated in established Cochrane and rehabilitation research structures and methods, e.g. use of standard mean difference to compare cross-study data collected using different measures, in developing core outcome sets for rehabilitation, and the use of the PICO model. © 2019 EDIZIONI MINERVA MEDICA

Ultrasonic Dreams of a Clinical Renderings

13 pagesTo access audio files in Figure 1 of this article, download the attached MRI_SOUNDINGS mp3 file.When specific intra-active technologies of ultrasound and echography violently rendered real bodies, they wondered about the see-through space-times that were left in the dark. The crystals. They read, listened and gossiped with awkwardness, intensity and urgency. Lively and clumsily smoking cigarettes, they cried as coyotes: The crisis of presence that emerged with the computational turn was shaped by the technocolonialism of turbocapitalism! Through vibrations of feminist technoscience, through friends and lovers, they heard how sonographic images produced life and mattered “real bodies”. Convoked from the dark inner space-times of the earth, the flesh, and the cosmos, particular aclinical renderings evidence that “real bodies” do not exist before being separated, cut and isolated. Listen: there is a shaking surface, a cosmological inventory, hot breath in the ear. DIWO, recreational, abstract, referential and quantifying sonic practices are already profanating the image-life industrial continuum. Ultrasound is no longer (or never was) the exclusive realm of technocrats or medical experts. These are your new devices, dim and glossy. In this partial imaginary, you’ll deep listen to their non-ocularity, following entanglements with images and imaginations; all the way into ultrasonic cosmo-dreaming, where poetic renderings and sonographies start to (re)generate (just) social imaginations. Let’s collectively resonate against technologies of ultrasound and echography and bet on practices that open up relational, semiotic-material, non-individualistic and non-anthropocentric notions of presence, that bring in transfeminist queer futures

Borderline bodies

This chapter is about borders that are made and broken at gay pride parades. Specifically, I examine the discursive and material borders maintained in tourism discourse. Binary oppositions such as self/other, straight/gay, and tourist/host provide a focus for this chapter. I am interested in where these borders wear thin and threaten to break and disrupt social order. I explore the bodies of gay pride parades because it is bodies such as these that threaten the borders of corporeal acceptability

Generalized Intersection Bodies

We study the structures of two types of generalizations of intersection-bodies and the problem of whether they are in fact equivalent. Intersection-bodies were introduced by Lutwak and played a key role in the solution of the Busemann-Petty problem. A natural geometric generalization of this problem considered by Zhang, led him to introduce one type of generalized intersection-bodies. A second type was introduced by Koldobsky, who studied a different analytic generalization of this problem. Koldobsky also studied the connection between these two types of bodies, and noted that an equivalence between these two notions would completely settle the unresolved cases in the generalized Busemann-Petty problem. We show that these classes share many identical structure properties, proving the same results using Integral Geometry techniques for Zhang's class and Fourier transform techniques for Koldobsky's class. Using a Functional Analytic approach, we give several surprising equivalent formulations for the equivalence problem, which reveal a deep connection to several fundamental problems in the Integral Geometry of the Grassmann Manifold.Comment: 45 pages, to appear in Journal of Functional Analysis Revised version after referee's comment

Multipoint Okounkov bodies

Starting from the data of a big line bundle $L$ on a projective manifold $X$ with a choice of $N\geq 1$ different points on $X$ we give a new construction of $N$ Okounkov bodies that encodes important geometric features of ($L\to X,p_{1},\dots,p_{N}$) such as the volume of $L$, the (moving) multipoint Seshadri constant of $L$ at $p_{1},\dots,p_{N}$, and the possibility to construct K\"ahler packings centered at $p_{1},\dots,p_{N}$. Toric manifolds and surfaces are examined in detail.Comment: Improved presentation and some result

White Book on Physical and Rehabilitation Medicine in Europe. Introductions, Executive Summary, and Methodology

The White Book (WB) of Physical and Rehabilitation Medicine (PRM) in Europe is produced by the 4 European PRM Bodies (European Academy of Rehabilitation Medicine - EARM, European Society of PRM - ESPRM, European Union of Medical Specialists - PRM Section, European College of PRM-ECPRM served by the European Union of Medical Specialists-PRM Board) and constitutes the reference book for PRM physicians in Europe. It has now reached its third edition; the first was published in 1989 and the second in 2006/2007. The WB has multiple purposes, including providing a unifying framework for European countries, to inform decision-makers on European and national level, to offer educational material for PRM trainees and physicians and information about PRM to the medical community, other rehabilitation professionals and the public. The WB states the importance of PRM, a primary medical specialty that is present all over Europe, with a specific corpus disciplinae, a common background and history throughout Europe. PRM is internationally recognized and a partner of major international bodies, including the World Health Organization (WHO). PRM activities are strongly based on the documents of the United Nations (UN) and WHO, such as the Convention of the Rights of Persons with Disabilities (2006), the World Report on Disability (2011), the WHO Global Disability Action Plan 2014-2021 (2014) and the WHO initiative "Rehabilitation 2030: a call for action" (2017). The WB is organized in 4 sections, 11 chapters and some appendices. The WB starts with basic definitions and concepts of PRM and continues with why rehabilitation is needed by individuals and society. Rehabilitation focuses not only on health conditions but also on functioning. Accordingly, PRM is the medical specialty that strives to improve functioning of people with a health condition or experiencing disability. The fundamentals of PRM, the history of the PRM specialty, and the structure and activities of PRM organizations in Europe are presented, followed by a thorough presentation of the practice of PRM, i.e. knowledge and skills of PRM physicians, the clinical field of competence of PRM, the place of the PRM specialty in the healthcare system and society, education and continuous professional development of PRM physicians, specificities and challenges of science and research in PRM. The WB concludes with the way forward for the specialty: challenges and perspectives for the future of PRM.publishersversionPeer reviewe