47 research outputs found

    Natura, causa i reducciĂł del "fading"

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    The Wreck On The Southern Old 97

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    Illustration of a blue and white target with hearts all around; Photograph of a man holding a guitar and harmonicahttps://scholarsjunction.msstate.edu/cht-sheet-music/10576/thumbnail.jp

    The Effect of Positioning on Pelvic Floor Muscle Activity as Evaluated with Surface Electromyography in Normals

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    Physical therapists who treat patients with urinary incontinence commonly utilize sEMG biofeedback. Practitioners compare resting tone, maximal contraction, and muscle endurance measures before and after pelvic floor exercise instruction to determine intervention and demonstrate progress. There is little research that supports the use of biofeedback in positions other than supine. The purpose of this study was to examine the effect of positioning on pelvic floor muscle activity as measured by surface electromyography (sEMG) in supine, sitting, and standing. Subjects were healthy nulliparous and multiparous women, 23-74 years old, with no symptoms, history, diagnosis, or treatment of incontinence. Subjects were randomized for exposure to sEMG in three different positions. Their age, parity, and delivery type was recorded. The subjects underwent a manual pelvic floor muscle strength assessment (PFMSA) to evaluate contraction recruitment. Then, using a vaginal probe electrode, they were instructed in a sEMG protocol which assessed baseline resting tone, maximal voluntary contraction, 10 second contractions, and a contraction-relaxation series in each of the three positions. Evaluation of resting tone both as an isolated measure and as part of a contraction-relaxation series was demonstrated to be higher in standing and sitting than in supine. A contraction trial lasting 10 seconds also demonstrated higher standing and sitting values. No differences were found between single maximal contraction or contraction in a contract-relax series between the three positions. Positions of standing and sitting respectively increase the resting tone and muscle recruitment demand of the pelvic floor as measured by sEMG when compared to supine. Physical therapists using sEMG to treat patients with pelvic floor weakness or laxity can anticipate that in positions other than supine, the pelvic floor support requirements increase. Key Words: Measurement, pelvic floor muscles, position, supine, sitting, standing, sEMG, Normal

    Trust, Trust Repair, and Public Health: A Scoping Review Protocol

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    Trust can be defined as “a willingness to be vulnerable to another for a given set of tasks” and thus, trust and public health are inextricably linked. State actors are key participants in population health, organizing, among other things, mandates and guidelines that target health behaviors and encourage the uptake of medicines, screenings, diagnostics, and control of health conditions. Effective implementation of these crucial, government-sponsored health efforts is conditional on the public’s belief that the state is trustworthy and has one\u27s best interest in mind – positioning trust in government as a central determinant of public health. Trusting relationships between patients, health systems, and health care providers are also essential, as high-quality, safe care and adherence with healthcare professionals’ recommendations heavily depend upon trust. In many countries, trust in government and health care providers are inseparable, as governments are the primary providers of healthcare. Despite these critical relationships, existing studies that link trust and public health outcomes often focus on contemporaneous factors, many of which are endogenous to public health outcomes (e.g., support for the incumbent political party). For example, Sopory and colleagues reported a comprehensive examination of the phenomenon of trust during public health emergency events among 68 studies from 28 countries that included individuals who were directly affected by a public health emergency. Importantly, no studies from South America or Africa were included. The shortage of research on the sociostructural, historical, economic, and political sources of low trust limits our understanding of how trust deficits might be remedied so as to improve population health. Understanding why trust is low as well as how to repair trust are thus of critical importance

    Strengthening professional identity: challenges of the addictions treatment workforce. A framework for discussion.

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    This report from the United States summarizes trends in addictions treatment and the challenges that confront the treatment workforce. The recommendations in this report reflect some of the best thinking in the field and are intended to provide momentum for ongoing discussions among stakeholders about specific implementation strategies. This document focuses on all professionals who provide addictions treatment and recovery support services—addictions counselors, physicians, psychologists, nurses, outreach and intake workers, case managers, social workers, marriage and family therapists, recovery support workers and clergy

    Revising perspectives on nineteenth-century Jewish composers: a case study comparison of Ignaz BrĂĽll and Salomon Jadassohn

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    The influence of anti-Semitism on the lives and careers of Jewish musicians within the social climate of nineteenth-century Europe is well known. Pamela Potter, Sander Gilman, Philip Bohlman, and K. M. Knittel have thoroughly explored the anti-Semitic treatment of Jewish composers during this period. Definitions of the experience of Jewish composers have been crystallized on the basis of prominent cases, such as Gustav Mahler or Alexander Zemlinsky, who were actively discussed in the press or other publications. The goal of this study is to examine whether the general view of anti-Semitism, as shown in those studies, applies to other Jewish composers. To this aim, this thesis will introduce two lesser known Jewish composers, Ignaz Brüll (1846-1907) and Salomon Jadassohn (1831-1902) as case studies, consider closely their particular situations at the end of the nineteenth century, and assess their positions vis-à-vis the general views of how musician Jews were treated in these societies. Chapter One outlines the historical and political context in Germany and Austria, where these two composers resided, in order to understand where they fit into that context. Chapter Two focuses on Jewishness in music, the difficulties involved in defining Jewish music, along with the contributions of other Jewish composers to the wider European culture, and makes clear the important part anti-Semitism played in the process of identification during this period. Chapters Three and Four examine Brüll and Jadassohn’s biographical details, musical careers, and the musical genres and stylistic characteristics of these two composers within a broader milieu. The available evidence surrounding Brüll and Jadassohn ultimately demonstrates that at least on the surface they did not face the explicit public anti-Semitic treatment that other, more prominent, Jewish composers encountered, according to whose reception anti-Semitism during that period is typically defined. A more fine-tuned view of the musical and cultural scene in Vienna and Leipzig at the end of the nineteenth century illuminates the musical contribution of lesser known Jewish composers during that time and highlights the need for further individual case studies of other Jewish composers in order to revise current perspectives.Arts, Faculty ofMusic, School ofGraduat

    Huntington's Chorea in Northamptonshire

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