1,787 research outputs found

    Interactive technologies in stroke recovery : uncovering challenges and opportunities through physiotherapist’s perspective

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    Abstract in proceedings of the Fourth International Congress of CiiEM: Health, Well-Being and Ageing in the 21st Century, held at Egas Moniz’ University Campus in Monte de Caparica, Almada, from 3–5 June 2019.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.info:eu-repo/semantics/publishedVersio

    Automatic Alignment of pre and intraoperative Data using Anatomical Landmarks for Augmented Laparoscopic Liver Surgery

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    International audienceEach year in Europe 50,000 new liver cancer cases are diagnosed for which hepatic surgery combined to chemotherapy is the most common treatment. In particular the number of laparoscopic liver surgeries has increased significantly over the past years. This type of minimally invasive procedure which presents many benefits for the patient is challenging for the surgeons due to the limited field of view. Recently new augmented reality techniques which merge preoperative data and intraoperative images and permit to visualize internal structures have been proposed to help surgeons during this type of surgery. One of the difficulties is to align preoperative data with the intraoperative images. We propose in this paper a semi-automatic approach for solving the ill-posed problem of initial alignment for Augmented Reality systems during liver surgery. Our registration method relies on anatomical landmarks extracted from both the laparoscopic images and three-dimensional model, using an image-based soft-tissue reconstruction technique and an atlas-based approach, respectively. The registration evolves automatically from a quasi-rigid to a non-rigid registration. Furthermore, the surface-driven deformation is induced in the volume via a patient specific biomechanical model. The experiments conducted on both synthetic and in vivo data show promising results with a registration error of 2 mm when dealing with a visible surface of 30% of the whole liver

    Caamembecaia gratiosus n. gen., n. sp. (Acari: Trombiculidae), from Trinomys gratiosus (Gunter) (Rodentia: Echimydae), of Atlantic Forest in Southeastern Brazil

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    From June 1999 to May 2001, small mammals were captured in three areas of the Atlantic Forest in Southeastern Brazil and examined for ectoparasites. Analysis of ectoparasites revealed the presence of a new chigger genus and species, Caamembecaia gratiosus, from Trinomys gratiosus. This is the first record of a chigger from T. gratiosus.13713

    Hydrological heterogeneity in Mediterranean reclaimed slopes: runoff and sediment yield at the patch and slope scales along a gradient of overland flow

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    Hydrological heterogeneity is recognized as a fundamental ecosystem attribute in drylands controlling the flux of water and energy through landscapes. Therefore, mosaics of runoff and sediment source patches and sinks are frequently identified in these dry environments. There is a remarkable scarcity of studies about hydrological spatial heterogeneity in restored slopes, where ecological succession and overland flow are interacting. We conducted field research to study the hydrological role of patches and slopes along an "overland flow gradient" (gradient of overland flow routing through the slopes caused by different amounts of run-on coming from upslope) in three reclaimed mining slopes of Mediterranean-continental climate. We found that runoff generation and routing in non-rilled slopes showed a pattern of source and sink areas of runoff. Such hydrological microenvironments were associated with seven vegetation patches (characterized by plant community types and cover). Two types of sink patches were identified: shrub Genista scorpius patches could be considered as "deep sinks", while patches where the graminoids Brachypodium retusum and Lolium perenne dominate were classified as "surface sinks" or "runoff splays". A variety of source patches were also identified spanning from "extreme sources" (Medicago sativa patches; equivalent to bare soil) to "poor sources" (areas scattered by dwarf-shrubs of Thymus vulgaris or herbaceous tussocks of Dactylis glomerata). Finally, we identified the volume of overland flow routing along the slope as a major controlling factor of "hydrological diversity" (heterogeneity of hydrological behaviours quantified as Shannon diversity index): when overland flow increases at the slope scale hydrological diversity diminishes

    Adherence to cervical and breast cancer programs is crucial to improving screening performance

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    Publicado onlineINTRODUCTION: Cervical and breast cancer are the most common malignancies among women worldwide. Effective screening can facilitate early detection and dramatically reduce mortality rates. The interface between those screening patients and patients most needing screening is complex, and women in remote areas of rural counties face additional barriers that limit the effectiveness of cancer prevention programs. This study compared various methods to improve compliance with mass screening for breast and cervical cancer among women in a remote, rural region of Brazil. METHODS: In 2003, a mobile unit was used to perform 10,156 mammograms and Papanicolaou smear tests for women living in the Barretos County region of São Paulo state, Brazil (consisting of 19 neighbouring cities). To reach the women, the following community outreach strategies were used: distribution of flyers and pamphlets; media broadcasts (via radio and car loudspeakers); and community healthcare agents (CHCAs) making home visits. RESULTS: The most useful intervention appeared to be the home visits by healthcare agents or CHCAs. These agents of the Family Health Programme of the Brazilian Ministry of Health reached an average of 45.6% of those screened, with radio advertisements reaching a further 11.9%. The great majority of the screened women were illiterate or had elementary level schooling (80.9%) and were of 'poor' or 'very poor' socioeconomic class (67.2%). CONCLUSIONS: Use of a mobile screening unit is a useful strategy in developing countries where local health systems have inadequate facilities for cancer screening in underserved populations. A multimodal approach to community outreach strategies, especially using CHCAs and radio advertisements, can improve the uptake of mass screening in low-income, low-educational background female populations
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