1,325 research outputs found
Measurement of atomic diffraction phases induced by material gratings
Atom-surface interactions can significantly modify the intensity and phase of
atom de Broglie waves diffracted by a silicon nitride grating. This affects the
operation of a material grating as a coherent beam splitter. The phase shift
induced by diffraction is measured by comparing the relative phases of serveral
interfering paths in a Mach-Zehnder Na atom interferometer formed by three
material gratings. The values of the diffraction phases are consistent with a
simple model which includes a van der Waals atom-surface interaction between
the Na atoms and the silicon nitride grating bars.Comment: 4 pages, 5 figures, submitted to PR
Factors influencing interprofessional practices of physiotherapists working in private settings with people with low back pain: a qualitative study
Purpose: Collaboration and interprofessional practices are
highly valued in health systems everywhere, partly based on
the rationale that they improve outcomes of care for people
with complex health problems, such as low back pain.
Research in the area of low back pain also supports the
involvement of different health professionals in the interventions
for people who present this condition. The aim of this
studywas to identify factors influencing the interprofessional
practices of physiotherapists working in private settings with
people with low back pain.
Relevance: Physiotherapists, like other health professionals,
are encouraged to engage in interprofessional practices in
their dailywork. However, to date, very little is known of their
interprofessional practices, especially in private settings.
Understanding physiotherapists' interprofessional practices
and their influencing factors will notably advance knowledge
relating to the organisation of physiotherapy services
for people with low back pain.
Participants: Participants in this study were 13 physiotherapists
including 10 women and 3 men, having between 3
and 22 years of professional experience, and working in one
of 10 regions of the Province of Quebec (Canada). In order
to obtain maximal variation in the perspectives, participants
were selected using a recruitment matrix including three criteria:
duration of professional experience, work location, and
physical proximity with other professionals.
Methods: Thiswas a descriptive qualitative study using faceto-
face semi-structured interviews as the main method of data
collection. An interview guide was developed based on an
evidence-derived frame of reference. Each interview lasted
between 55 and 95 minutes and was transcribed verbatim.
Analysis: Qualitative analyses took the form of content
analysis, encompassing data coding and general thematic
regrouping. NVivo version 8 was used to assist data organisation
and analysis.
Results: Multiple factors influencing the interprofessional
practices of physiotherapists were identified. The main factors
include the consulting person's health condition, the
extent of knowledge on health professionals' roles and fields
of practice, the proximity and availability of professional
resources, as well as daily work schedules.
Conclusions: Our findings highlight the influence of multiple
factors on physiotherapists' interprofessional practices,
including professional practice and organisational issues.
However, further research on the interprofessional practices
of physiotherapists is still required. Research priorities targeting
the views of other health professionals, as well as
those of services users, would enhance our comprehension
of interprofessional practices of physiotherapists.
Implications: This study provides new insights that improve
our understanding of the interprofessional practices of physiotherapists
working in private settings with people with
low back pain, more specifically on the factors influencing
these practices. Based on our findings, implementing changes
such as improving current and future health professionals'
knowledge of the fields and roles of other health professionals
through training may contribute to positively influencing
interprofessional practices.
Keywords: Interprofessional practices; Private practice; Low
back pain
Funding acknowledgements: This research was supported
in part by a B.E. Schnurr Memorial Fund Research Grant
administered by the Physiotherapy Foundation of Canada, as
well as from a clinical research partnership in physiotherapy
between the Quebec Rehabilitation Research Network
(REPAR) and the Ordre professionnel de la physiothérapie
du Québec (OPPQ). KP received doctoral-level scholarships
from the Canadian Institutes of Health Research (CIHR) and
the Institut de recherche Robert-Sauvé en santé et en sécurité
du travail (IRSST). CE Dionne is a FRSQ senior Research
Scholar.
Ethics approval: This project was approved by the ethics
research committee of the Institut de réadaptation en
déficience physique de Québec
Physiotherapy practice in the private sector: organizational characteristics and models.
BACKGROUND: Even if a large proportion of physiotherapists work in the private sector worldwide, very little is known of the organizations within which they practice. Such knowledge is important to help understand contexts of practice and how they influence the quality of services and patient outcomes. The purpose of this study was to: 1) describe characteristics of organizations where physiotherapists practice in the private sector, and 2) explore the existence of a taxonomy of organizational models.
METHODS: This was a cross-sectional quantitative survey of 236 randomly-selected physiotherapists. Participants completed a purpose-designed questionnaire online or by telephone, covering organizational vision, resources, structures and practices. Organizational characteristics were analyzed descriptively, while organizational models were identified by multiple correspondence analyses.
RESULTS: Most organizations were for-profit (93.2%), located in urban areas (91.5%), and within buildings containing multiple businesses/organizations (76.7%). The majority included multiple providers (89.8%) from diverse professions, mainly physiotherapy assistants (68.7%), massage therapists (67.3%) and osteopaths (50.2%). Four organizational models were identified: 1) solo practice, 2) middle-scale multiprovider, 3) large-scale multiprovider and 4) mixed.
CONCLUSIONS: The results of this study provide a detailed description of the organizations where physiotherapists practice, and highlight the importance of human resources in differentiating organizational models. Further research examining the influences of these organizational characteristics and models on outcomes such as physiotherapists' professional practices and patient outcomes are needed
Coherent Atom-Molecule Oscillations in a Bose-Fermi Mixture
We create atom-molecule superpositions in a Bose-Fermi mixture of Rb-87 and
K-40 atoms. The superpositions are generated by ramping an applied magnetic
field near an interspecies Fano-Feshbach resonance to coherently couple atom
and molecule states. Rabi- and Ramsey-type experiments show oscillations in the
molecule population that persist as long as 150 microseconds and have up to 50%
contrast. The frequencies of these oscillations are magnetic-field dependent
and consistent with the predicted molecule binding energy. This quantum
superposition involves a molecule and a pair of free particles with different
statistics (i.e. bosons and fermions), and furthers exploration of
atom-molecule coherence in systems without a Bose-Einstein condensate.Comment: 5 pages, 4 figure
High-Frequency Resonant SEPIC Converter With Wide Input and Output Voltage Ranges
This paper presents a resonant single-ended-primary-inductor-converter (SEPIC) converter and control method suitable for high frequency (HF) and very high frequency (VHF) dc-dc power conversion. The proposed design provides high efficiency over a wide input and output voltage range, up-and-down voltage conversion, small size, and excellent transient performance. In addition, a resonant gate drive scheme is presented that provides rapid startup and low-loss at HF and VHF frequencies. The converter regulates the output using an ON-OFF control scheme modulating at a fixed frequency (170 kHz). This control method enables fast transient response and efficient light-load operation while providing controlled spectral characteristics of the input and output waveforms. A hysteretic override technique is also introduced which enables the converter to reject load disturbances with a bandwidth much greater than the modulation frequency, limiting output voltage disturbances to within a fixed value. An experimental prototype has been built and evaluated. The prototype converter, built with two commercial vertical MOSFETs, operates at a fixed switching frequency of 20 MHz, with an input voltage range of 3.6-7.2 V, an output voltage range of 3-9 V, and an output power rating of up to 3 W. The converter achieves higher than 80% efficiency across the entire input voltage range at nominal output voltage and maintains good efficiency across the whole operating range
Multi-Muscle FES Force Control of the Human Arm for Arbitrary Goals
We present a method for controlling a neuroprosthesis for a paralyzed human arm using functional electrical stimulation (FES) and characterize the errors of the controller. The subject has surgically implanted electrodes for stimulating muscles in her shoulder and arm. Using input/output data, a model mapping muscle stimulations to isometric endpoint forces measured at the subject’s hand was identified. We inverted the model of this redundant and coupled multiple-input multiple-output system by minimizing muscle activations and used this inverse for feedforward control. The magnitude of the total root mean square error over a grid in the volume of achievable isometric endpoint force targets was 11% of the total range of achievable forces. Major sources of error were random error due to trial-to-trial variability and model bias due to nonstationary system properties. Because the muscles working collectively are the actuators of the skeletal system, the quantification of errors in force control guides designs of motion controllers for multi-joint, multi-muscle FES systems that can achieve arbitrary goals
Data review for 3LN redfish in preparation for an updated management strategy evaluation
Data review for 3LN redfish in preparation for an updated management strategy evaluationVersión del editor
Use of Self-Selected Postures to Regulate Multi-Joint Stiffness During Unconstrained Tasks
The human motor system is highly redundant, having more kinematic degrees of freedom than necessary to complete a given task. Understanding how kinematic redundancies are utilized in different tasks remains a fundamental question in motor control. One possibility is that they can be used to tune the mechanical properties of a limb to the specific requirements of a task. For example, many tasks such as tool usage compromise arm stability along specific directions. These tasks only can be completed if the nervous system adapts the mechanical properties of the arm such that the arm, coupled to the tool, remains stable. The purpose of this study was to determine if posture selection is a critical component of endpoint stiffness regulation during unconstrained tasks.Three-dimensional (3D) estimates of endpoint stiffness were used to quantify limb mechanics. Most previous studies examining endpoint stiffness adaptation were completed in 2D using constrained postures to maintain a non-redundant mapping between joint angles and hand location. Our hypothesis was that during unconstrained conditions, subjects would select arm postures that matched endpoint stiffness to the functional requirements of the task. The hypothesis was tested during endpoint tracking tasks in which subjects interacted with unstable haptic environments, simulated using a 3D robotic manipulator. We found that arm posture had a significant effect on endpoint tracking accuracy and that subjects selected postures that improved tracking performance. For environments in which arm posture had a large effect on tracking accuracy, the self-selected postures oriented the direction of maximal endpoint stiffness towards the direction of the unstable haptic environment.These results demonstrate how changes in arm posture can have a dramatic effect on task performance and suggest that postural selection is a fundamental mechanism by which kinematic redundancies can be exploited to regulate arm stiffness in unconstrained tasks
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