169 research outputs found
Motor learning principles during rehabilitation after anterior cruciate ligament injury:Time to create an enriched environment to improve clinical outcome
Athletes who wish to resume high-level activities after an injury to the anterior cruciate ligament (ACL) are often advised to undergo surgical reconstruction. Nevertheless, ACL reconstruction (ACLR) does not equate to normal function of the knee or a reduced risk of subsequent injuries. A rising concern is the high rate of secondary ACL injuries, particularly in young athletes, with up to 40% of those returning to sport in the first year after surgery experiencing a second ACL rupture. Aside from the increased risk of secondary injury, patients after ACLR have an increased risk of developing early-onset osteoarthritis. Unfortunately, current ACLR rehabilitation programs may not be optimally effective in terms of addressing deficits related to the initial injury and the subsequent surgical intervention. Motor learning to (re)acquire motor skills and neuroplastic capacities are not sufficiently incorporated during traditional rehabilitation, attesting to the high reinjury rates. The purpose of this article is to present novel clinically integrated motor learning principles to support neuroplasticity that can improve patient functional performance and reduce the risk of secondary ACL injury. The novel motor learning principles presented in this manuscript may optimize future rehabilitation programs to reduce the risk of secondary ACL injury and early development of osteoarthritis by targeting changes in neural networks.</p
The role of Cys-17 in the pyridoxal 5'-phosphate inhibition of the bovine liver low M(r) phosphotyrosine protein phosphatase.
La qualità in sanità: ruolo dell’infermiere nel processo della customer satisfaction
Introduzione. La Customer Satisfaction (CS) \ue8 uno strumento
importante nelle aziende sanitarie per poter avere un feedback
concreto e reale sul servizio offerto, per identificare problemi da
correggere attraverso azioni di miglioramento e dimostrare la
qualit\ue0 delle prestazioni offerte. L\u2019obiettivo dello studio proposto \ue8
quello di verificare il soddisfacimento delle aspettative riguardanti
esigenze e bisogni espressi dagli assistiti e dai cittadini in relazione
agli items proposti dalla scheda di rilevazione per ridefinire la
qualit\ue0 dell\u2019assistenza infermieristica e suggerire alcuni nuovi item
di CS che maggiormente impattano sui processi assistenziali e che
potrebbero essere assunti dalle ASST a livello di approfondimenti
interni. Materiali e metodi. Studio di tipo osservazionale monocentrico,
quantitativo. Fonte dati \ue8 il database aziendale della Customer
Satisfaction dell\u2019ASST Rhodense. Sono stati oggetto di campionamento
tutti gli assistiti che hanno utilizzato i servizi dell\u2019ASST
Rhodense nell\u2019anno 2018, sia nell\u2019area ambulatoriale sia in quella
di degenza. Risultati. Il campione oggetto della presente indagine
\ue8 composto da un totale di 3.105 questionari rilevati di Customer
Satisfaction, di cui 1.650 questionari per l\u2019area ambulatoriale
e 1.455 per l\u2019area degenza. Area degenze: indicatori con valori di
soddisfazione >5 sono risultati: \u201cAssistenza ricevuta dal personale
infermieristico\u201d e \u201cCure a Lei prestate\u201d seguiti dall\u2019item \u201cRispetto/Riservatezza
Personale\u201d. Area ambulatoriale: \u201cAttenzione ricevuta dal
personale infermieristico\u201d seguita da \u201cRispetto della Riservatezza
Personale\u201d e \u201cChiarezza e Completezza delle Informazioni ricevute\u201d.
Conclusioni. Il ruolo dell\u2019Infermiere nel processo di Customer
Satisfaction \ue8 di primaria importanza poich\ue9 nel \u201cmettere al centro
la persona\u201d, rinnova i fondamenti teorici secondo cui il tempo di relazione
\ue8 tempo di cura. La relazione, e la conseguente presa in carico
dell\u2019assistito, diventano fondamentali per rispondere ai bisogni
del paziente e perseguire il miglioramento della qualit\ue0 delle cure.
Erogare dunque un\u2019assistenza infermieristica di qualit\ue0 impatta fortemente
sull\u2019esito positivo del grado di soddisfazione nei confronti
N.32/2020 IJN
del servizio erogato, definendone cos\uec una stretta relazione tra cure
erogate ed esito del processo di cura
Optical NP problem solver on laser-written waveguide platform
Cognitive photonic networks are researched to efficiently solve computationally hard problems. Flexible fabrication techniques for the implementation of such networks into compact and scalable chips are desirable for the study of new optical computing schemes and algorithm optimization. Here we demonstrate a femtosecond laser-written optical oracle based on cascaded directional couplers in glass, for the solution of the Hamiltonian path problem. By interrogating the integrated photonic chip with ultrashort laser pulses, we were able to distinguish the different paths traveled by light pulses, and thus infer the existence or the absence of the Hamiltonian path in the network by using an optical correlator. This work proves that graph theory problems may be easily implemented in integrated photonic networks, down scaling the net size and speeding up execution times
Steps towards the hyperfine splitting measurement of the muonic hydrogen ground state: pulsed muon beam and detection system characterization
The high precision measurement of the hyperfine splitting of the
muonic-hydrogen atom ground state with pulsed and intense muon beam requires
careful technological choices both in the construction of a gas target and of
the detectors. In June 2014, the pressurized gas target of the FAMU experiment
was exposed to the low energy pulsed muon beam at the RIKEN RAL muon facility.
The objectives of the test were the characterization of the target, the
hodoscope and the X-ray detectors. The apparatus consisted of a beam hodoscope
and X-rays detectors made with high purity Germanium and Lanthanum Bromide
crystals. In this paper the experimental setup is described and the results of
the detector characterization are presented.Comment: 22 pages, 14 figures, published and open access on JINS
First FAMU observation of muon transfer from \u3bcp atoms to higher-Z elements
Abstract: The FAMU experiment aims to accurately measure the hyperfine splitting of the ground
state of the muonic hydrogen atom. A measurement of the transfer rate of muons from hydrogen
to heavier gases is necessary for this purpose. In June 2014, within a preliminary experiment, a
pressurized gas-target was exposed to the pulsed low-energy muon beam at the RIKEN RAL muon
facility (Rutherford Appleton Laboratory, U.K.). The main goal of the test was the characterization
of both the noise induced by the pulsed beam and the X-ray detectors. The apparatus, to some
extent rudimental, has served admirably to this task. Technical results have been published that
prove the validity of the choices made and pave the way for the next steps. This paper presents the
results of physical relevance of measurements of the muon transfer rate to carbon dioxide, oxygen,
and argon from non-thermalized excited \u3bcp atoms. The analysis methodology and the approach
to the systematics errors are useful for the subsequent study of the transfer rate as function of the
kinetic energy of the \u3bcp currently under way
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