65 research outputs found
Predicting readiness for return to sport and performance after anterior cruciate ligament reconstruction rehabilitation
GATA3 haploinsufficiency causes a rapid deterioration of distortion product otoacoustic emissions (DPOAEs) in mice
Human HDR (hypoparathyroidism, deafness and renal dysplasia)-syndrome is caused by haploinsufficiency of zinc-finger transcription factor GATA3. The hearing loss due to GATA3 haploinsufficiency has been shown to be peripheral in origin, but it is unclear to what extent potential aberrations in the outer hair cells (OHCs) contribute to this disorder. To further elucidate the pathophysiological mechanism underlying the hearing defect in HDR-syndrome, we investigated the OHCs in heterozygous Gata3-knockout mice at both the functional and morphological level. While the signal-to-noise ratios of distortion product otoacoustic emissions (DPOAE) in wild type mice did not change significantly during the first half-year of live, those in the heterozygous Gata3 mice decreased dramatically. In addition, both light microscopic and transmission electron microscopic analyses showed that the number of OHCs containing vacuoles was increased in the mutants. Together, these findings indicate that outer hair cell malfunctioning plays a major role in the hearing loss in HDR-syndrome
Photoconductance Quantization in a Single-Photon Detector
We have made a single-photon detector that relies on photoconductive gain in
a narrow electron channel in an AlGaAs/GaAs 2-dimensional electron gas. Given
that the electron channel is 1-dimensional, the photo-induced conductance has
plateaus at multiples of the quantum conductance 2e/h. Super-imposed on
these broad conductance plateaus are many sharp, small, conductance steps
associated with single-photon absorption events that produce individual
photo-carriers. This type of photoconductive detector could measure a single
photon, while safely storing and protecting the spin degree of freedom of its
photo-carrier. This function is valuable for a quantum repeater that would
allow very long distance teleportation of quantum information.Comment: 4 pages, 4 figure
Adherence to physiotherapy clinical guideline acute ankle injury and determinants of adherence: a cohort study
Background. Clinical guidelines are considered important instruments to improve quality in health care. In physiotherapy, insight in adherence to guidelines is limited. Knowledge of adherence is important to identify barriers and to enhance implementation. Purpose of this study is to investigate the ability to adherence to recommendations of the guideline Acute ankle injury, and to identify patient characteristics that determine adherence to the guideline. Methods. Twenty-two physiotherapists collected data of 174 patients in a prospective cohort study, in which the course of treatment was systematically registered. Indicators were used to investigate adherence to recommendations. Patient characteristics were used to identify prognostic factors that may determine adherence to the guideline. Correlation between patient characteristics and adherence to outcome-indicators (treatment sessions, functioning of patient, accomplished goals) was calculated using univariate logistic regression. To calculate explained variance of combined patient characteristics, multivariate analysis was performed. Results. Adherence to individual recommendations varied from 71% to 100%. In 99 patients (57%) the physiotherapists showed adherence to all indicators. Adherence to preset maximum of six treatment sessions for patients with severe ankle injury was 81% (132 patients). The odds to receive more than six sessions were statistically significant for three patient characteristics: females (OR:3.89; 95%CI: 1.41-10.72), recurrent sprain (OR: 6.90; 95%CI: 2.34 - 20.37), co-morbidity (OR: 25.92; 95% CI: 6.79 - 98.93). All factors together explained 40% of the variance. Inclusion of physiotherapist characteristics in the regression model showed that work-experience reduced the odds to receive more than six sessions (OR: 0.2; 95%CI: 0.06 - 0.77), and increased explained variance to 45%. Conclusion. Adherence to the clinical guideline Acute ankle sprain showed that the guideline is applicable in daily practice. Adherence to the guideline, even in a group of physiotherapists familiar with the guideline, showed possibilities for improvement. The necessity to exceed the expected number of treatment sessions may be explained by co-morbidity and recurrent sprains. It is not clear why female patients were treated with more sessions. Experience of the physiotherapist reduced the number of treatment sessions. Quality indicators may be used for audit and feedback as part of the implementation strategy
Study protocol: the effect of whole body vibration on acute unilateral unstable lateral ankle sprain- a biphasic randomized controlled trial
The Cambridge History of Greek and Roman Warfare:Volume 2. Rome from the Late Republic to the Late Empire
The Cambridge History of Greek and Roman Warfare:Volume 2. Rome from the Late Republic to the Late Empire
The Cambridge History of Greek and Roman Warfare:Volume 1. Greece, the Hellenistic world and the rise of Rome
Michael J. Bennett: Belted Heroes and Bound Women. The Myth of the Homeric Warrior-King. Pp. xviii + 228, 4 ills, 7 pls. Lanham, Boulder, New York, and Oxford: Rowman & Littlefield, 1997. Cloth, 23.95). ISBN: 0-8226-3060-5 (0-8226-3061-3 pbk).
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