The Implementation of Slow Stroke Back Massage in Decreasing Blood Pressure on Hypertension's Patient

Hypertension walk slowly and not experienced until someone get significant organ problem. One of nursing interventions is slow stroke back massage. Objective of this research was to analyze the influence slow stroke back massage toward the change of blood pressure on hypertension's at Puskesmas Pembantu Blabak Wilayah Kerja Puskesmas Pesantren 1 Kota Kediri. Design of this research was pre experiment. Population was the hypertension's patient. Samples were 24 respondents on purposive sampling. Variable was blood pressure. Data was collected using mercurial sphygmomanometer, for know the influence slow stroke back massage using wilcoxon with significant level α < 0.05. Result of research showed that blood pressures significantly decrease. Slow stroke back massage can decrease blood pressure; with maximal value of systolic were 8.00 mmHg and 24.00 mmHg. Conclusion of this research was there was significant slow stroke back massage toward decreasing of blood pressure, easy to practice, simple using and cheap

Detection of liver metastases in cancer patients with geographic fatty infiltration of the liver: the added value of contrast-enhanced sonography

The aim of this study is to assess the role of contrast-enhanced ultrasonography (CEUS) in the detection of liver metastases in cancer patients with geographic liver fatty deposition on greyscale ultrasonography (US)

Labeling of Activity Recognition Datasets: Detection of Misbehaving Users

Automatic recognition of user’s activities by means of wearable devices is a key element of many e-health applications, ranging from rehabilitation to monitoring of elderly citizens. Activity recognition methods generally rely on the availability of annotated training sets, where the traces collected using sensors are labelled with the real activity carried out by the user. We propose a method useful to automatically identify misbehaving users, i.e. the users that introduce inaccuracies during the labeling phase. The method is semi-supervised and detects misbehaving users as anomalies with respect to accurate ones. Experimental results show that misbehaving users can be detected with more than 99% accuracy

Theory of Mind Performance in Younger and Older Adults with Elevated Autistic Traits

Little is known about the impact of aging with Autism Spectrum Disorder on theory of mind (ToM). While ToM difficulties appear to abate with age in older autistic populations, this has yet to be explored in the Broad Autism Phenotype (BAP). The current study examined ToM performance among younger (n = 49, aged 18–46) and older adults (n = 47, aged 60–91) who were classified as on the BAP (younger n = 18; older n = 21) or not (younger n = 31; older n = 26) using the BAP Questionnaire. ToM was assessed using the ecologically valid Strange Stories Film Task (SSFT) and the dynamic Happé–Frith Triangle Animations task (TA). A 2 × 2 analysis of variance examined the effects of autistic traits (BAP vs. non‐BAP) and age (young vs. old). For both SSFT and TA, results showed autistic trait main effects on task performance (non‐BAP > BAP). Age main effects were observed for some but not all metrics on TA (younger better than older), with no differences in SSFT. An interaction of autistic traits and age was observed in TA Intentionality, with younger non‐BAP and younger BAP performing similarly but older non‐BAP performing better than older BAP. Results show that younger and older adults with elevated autistic traits show poorer ToM performance. Despite ToM difficulties being common in later life in the general population, this effect was not observed when using a ToM task designed to reflect real‐world scenarios. However, results suggest that autistic traits and age could interact to increase risk for poor ToM performance in older adults who endorse elevated autistic traits

Test of candidate light distributors for the muon (g−-2) laser calibration system

The new muon (g-2) experiment E989 at Fermilab will be equipped with a laser calibration system for all the 1296 channels of the calorimeters. An integrating sphere and an alternative system based on an engineered diffuser have been considered as possible light distributors for the experiment. We present here a detailed comparison of the two based on temporal response, spatial uniformity, transmittance and time stability.Comment: accepted to Nucl.Instrum.Meth.

Demonstrating the validity of the Video Game Functional Assessment-Revised (VGFA-R)

Problematic video play has been well documented over the course of the last decade. So much so the DSM-5 (APA, 2013) has included problematic video gaming as disorder categorized as Internet Gaming Disorder. The field of applied behavior analysis has been utilizing functional assessments for the last 30 years and has showed evidence of effective results across different populations and environments. Therefore, the purpose of this investigation (comprising three studies) was to validate an indirect functional assessment entitled the Video Game Functional Assessment-Revised (VGFA-R). Using academic experts in the field of video game addiction and applied behavioral analysis (n=6), the first study examined the content validity of the VGFA-R and was able to demonstrate the assessment exceeded the criterion for an established assessment. A second study comprising a survey of 467 gamers examined the factorability by using a confirmatory factor analysis, and found that VGFA-R had an overall variance above .60. Within the third laboratory-based study using gamers (n=11), the VGFA-R was examined for construct validity and found the VGFA-R was able to predict 85% of the appropriate function of behavior. Implications of the study are discussed along with the strengths and limitations of the study and future research directions

Optimized energy and air quality management of shared smart buildings in the covid-19 scenario

Worldwide increasing awareness of energy sustainability issues has been the main driver in developing the concepts of (Nearly) Zero Energy Buildings, where the reduced energy consumptions are (nearly) fully covered by power locally generated by renewable sources. At the same time, recent advances in Internet of Things technologies are among the main enablers of Smart Homes and Buildings. The transition of conventional buildings into active environments that process, elaborate and react to online measured environmental quantities is being accelerated by the aspects related to COVID-19, most notably in terms of air exchange and the monitoring of the density of occupants. In this paper, we address the problem of maximizing the energy efficiency and comfort perceived by occupants, defined in terms of thermal comfort, visual comfort and air quality. The case study of the University of Pisa is considered as a practical example to show preliminary results of the aggregation of environmental data

Three combinations of clonidine in association with tiletamine-zolazepam for anaesthesia induction in rats: evaluation of reflexes and pain sensibility

The aim of this study was to assess the combination of tiletamine-zolazepam (Zoletil 20\uae) with three different doses of clonidine for general anaesthesia induction in rats submitted to vascular microsurgery. The evaluation of anaesthetic and analgesic effects was performed in 30 Wistar rats randomly divided into three groups and induced with Zoletil 20 [90 mg/kg Intraperitoneal (IP)] associated with three different doses of clonidine (60\u201390\u2013120 \u3bcg/kg IP). Four clinical parameters were evaluated after induction: loss of righting reflex, voluntary movement, the pedal withdrawal response, and pain sensitivity tested by pinching the tail. The combination of Zoletil with 90 and 120 \u3bcg/kg of clonidine provided a surgical anaesthesia; however, 90 \u3bcg/kg of clonidine provided the most rapid anaesthesia induction, as confirmed by data obtained by clinical evaluation of the loss of the pedal withdrawal response and the absence of the tail pinch response. The increase in dose of clonidine did not lead to a more rapid action of the \u3b12 agonist, probably due to achievement of a dose-dependent plateau

New insights into cortico-basal-cerebellar connectome: clinical and physiological considerations

The current model of the basal ganglia system based on the 'direct', 'indirect' and 'hyperdirect' pathways provides striking predictions about basal ganglia function that have been used to develop deep brain stimulation approaches for Parkinson's disease and dystonia. The aim of this review is to challenge this scheme in light of new tract tracing information that has recently become available from the human brain using MRI-based tractography, thus providing a novel perspective on the basal ganglia system. We also explore the implications of additional direct pathways running from cortex to basal ganglia and between basal ganglia and cerebellum in the pathophysiology of movement disorders

Multimodality Treatment for Early-Stage Hepatocellular Carcinoma: A Bridging Therapy for Liver Transplantation

Purpose: To evaluate the efficiency of a multimodality approach consisting of transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) as bridging therapy for patients with hepatocellular carcinoma (HCC) awaiting orthotopic liver transplantation (OLT) and to evaluate the histopathological response in explant specimens. Materials and Methods: Between April 2001 and November 2011, 36 patients with 50 HCC nodules (1.4-5.0 cm, median 2.8 cm) on the waiting list for liver transplantation were treated by TACE and RFA. The drop-out rate during the follow-up period was recorded. The local efficacy was evaluated by histopathological examination of the explanted livers. Results: During a median follow-up time of 29 (4.0-95.3) months the cumulative drop-out rate for the patients on the waiting list was 0, 2.8, 5.5, 11.0, 13.9 and 16.7% at 3, 6, 12, 24, 36 and 48 months, respectively. 16 patients (with 26 HCC lesions) out of 36(44.4%) were transplanted by the end of study with a median waiting list time of 13.7 (2.5-37.8) months. The histopathological examination of the explanted specimens revealed a complete necrosis in 20 of 26 HCCs (76.9%), whereas 6 (23.1%) nodules showed viable residual tumor tissue. All transplanted patients are alive at a median time of 29.9 months. Imaging correlation showed 100% specificity and 66.7% sensitivity for the depiction of residual or recurrent tumor. Conclusion: We conclude that TACE.combined with RFA could provide an effective treatment to decrease the drop-out rate from the OLT waiting list for HCC patients. Furthermore, this combination therapy results in high rates of complete tumor necrosis as evaluated in the histopathological analysis of the explanted livers. Further randomized trials are needed to demonstrate if there is a benefit in comparison with a single-treatment approach. copyright (C) 2012 S. Karger AG, Base