A hybrid haptic stimulation wearable device to recover the missing sensation of the upper extremity prostheses’ users

A hybrid haptic feedback stimulation system that is capable in sensing the surface texture, and the temperature, simultaneously, was designed for a prosthetic hand to provide a tactile sensation to amputation patients. In addition, the haptic system was developed to enable the prosthetic’s users to implement withdrawal reflexes due to the thermal noxious stimulus in a quick manner. The re-sensation is achieved by non-invasively stimulating the skin of the patients’ residual limbs, based on the type and the level of tactile signals provided by the sensory system of the prostheses. Accordingly, a novel hybrid pressure-vibration- temperature feedback stimulation system was design to provide a huge information regarding the prostheses environment to the users without brain confusing or requiring long pre-training. An evaluation of sensation and response will be performed with healthy volunteers to evaluate the ability of the haptic system to stimulate the human nervous system. The results were presented in term of Stimulus Identification Rate (SIR). The test results and the volunteers' response established evidence that amputees are able to recover their sense of the contact pressure, the surface texture, and the object temperature as well as to perform thermal withdrawal reflexes using the solution developed in this work

Total quality management practices, competitive strategies and financial performance: the case of the Palestinian industrial SMEs

"This is an Accepted Manuscript of an article published by Taylor & Francis in Total Quality Management and Business Excellence on 19 Aug 2013, available online: http://wwww.tandfonline.com/10.1080/14783363.2013.824714."The purpose of this paper is to examine the relationship between Total Quality Management (TQM) practices, competitive strategies - cost leadership and differentiation- and firm performance in the Palestinian economy. Within this study total quality management has been conceptualized as soft and hard practices, in congruence with the literature. An empirical analysis based upon an extensive validation process was applied to refine TQM, competitive strategies and financial performance scales. Data were collected through surveying 202 in Palestinian industrial small and medium enterprises (SMEs). Structural Equation Modeling was carried out to test the anticipated relationships. Results derived from this study show that TQM practices have indirect, positive and significant relationship with financial performance through competitive strategies. In addition, a direct, positive and significant relationship between competitive strategies and financial performance was observed. Results derived from this study might help managers to implement TQM practices in order to effectively allocate resources and improve financial performance

Maternal outcomes and risk factors for COVID-19 severity among pregnant women.

Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9-9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0-7.0] and diabetes [aOR2.2, 95% CI 1.1-4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease

Electron acceleration by a binomially chirped laser pulse

A two-parameter model for chirping the frequency of a plane-wave laser pulse is introduced using a binomial expansion. Acceleration of single electrons, through interaction with the plane-wave binomially chirped laser pulse, is investigated by solving the relativistic equations of motion, analytically and numerically. Multi-GeV energy gains are reported from interaction with 10$$^{20}$$ W/cm$$^2$$ peak-intensity chirped pulses