284 research outputs found
The distribution of bilharzia ova in the male genital tract
A journal article on the distribution of bilharzia ova in the male genital tract from autopsy material gathered in a hospital in Southern Rhodesia (now Zimbabwe).It was decided to study the distribution of bilharzia ova in the male genital tract from autopsy material, which included the prostate, seminal vesicle, spermatic cord, testis, epididymis, tunica vaginalis and scrotal skin. Such a study appeared to be justified, as many patients are seen in endemic bilharzial regions with various diseases of these organs. For instance, hydrocele, orchitis, epididymitis, lymph-scrotum and prostatitis are frequently encountered, and the etiology is by no means always obvious. It is tempting to attribute an affection of these organs to bilharziasis, but it should be remembered that bilharziasis may be present coincidentally with another disease and is thus often not the causative factor at all in the disorders just mentioned
Adherence to clinical practice guidelines among three primary contact professions: A best evidence synthesis of the literature for the management of acute and subacute low back pain
Aim: To determine adherence to clinical practice guidelines in the medical, physiotherapy and chiropractic professions for acute and subacute mechanical low back pain through best-evidence synthesis of the healthcare literature.
Methods: A structured best-evidence synthesis of the relevant literature through a literature search of relevant databases for peer-reviewed papers on adherence to clinical practice guidelines from 1995 to 2013. Inclusion of papers was based on selection criteria and appraisal by two reviewers who independently applied a modified Downs & Black appraisal tool. The appraised papers were summarized in tabular form and analysed by the authors.
Results: The literature search retrieved 23 potentially relevant papers that were evaluated for methodological quality, of which 11 studies met the inclusion criteria. The main finding was that no profession in the study consistently attained an overall high concordance rating. Of the three professions examined, 73% of chiropractors adhered to current clinical practice guidelines, followed by physiotherapists (62%) and then medical practitioners (52%).
Conclusions: This review showed that quality papers in this area of research are very limited. Notwithstanding, chiropractors appear to adhere to clinical practice guidelines more so than physiotherapists and medical practitioners, although there is scope for improvement across all three professions
Goal-oriented cognitive rehabilitation for early-stage Alzheimer's and related dementias: the GREAT RCT
This is the author accepted manuscript. The final version is available from NIHR Journals Library via the DOI in this record.The published version is available in ORE at http://hdl.handle.net/10871/36867This study was funded by the National Institute for Health Research (NIHR) Health
Technology Assessment (HTA) programme; PI Professor L Clare; HTA reference 11/15/04
Extreme Ultra-Violet Spectroscopy of the Lower Solar Atmosphere During Solar Flares
The extreme ultraviolet portion of the solar spectrum contains a wealth of
diagnostic tools for probing the lower solar atmosphere in response to an
injection of energy, particularly during the impulsive phase of solar flares.
These include temperature and density sensitive line ratios, Doppler shifted
emission lines and nonthermal broadening, abundance measurements, differential
emission measure profiles, and continuum temperatures and energetics, among
others. In this paper I shall review some of the advances made in recent years
using these techniques, focusing primarily on studies that have utilized data
from Hinode/EIS and SDO/EVE, while also providing some historical background
and a summary of future spectroscopic instrumentation.Comment: 34 pages, 8 figures. Submitted to Solar Physics as part of the
Topical Issue on Solar and Stellar Flare
Expansions of algebras and superalgebras and some applications
After reviewing the three well-known methods to obtain Lie algebras and
superalgebras from given ones, namely, contractions, deformations and
extensions, we describe a fourth method recently introduced, the expansion of
Lie (super)algebras. Expanded (super)algebras have, in general, larger
dimensions than the original algebra, but also include the Inonu-Wigner and
generalized IW contractions as a particular case. As an example of a physical
application of expansions, we discuss the relation between the possible
underlying gauge symmetry of eleven-dimensional supergravity and the
superalgebra osp(1|32).Comment: Invited lecture delivered at the 'Deformations and Contractions in
Mathematics and Physics Workshop', 15-21 January 2006, Mathematisches
Forschungsinstitut Oberwolfach, German
NEST: A Comprehensive Model for Scintillation Yield in Liquid Xenon
A comprehensive model for explaining scintillation yield in liquid xenon is
introduced. We unify various definitions of work function which abound in the
literature and incorporate all available data on electron recoil scintillation
yield. This results in a better understanding of electron recoil, and
facilitates an improved description of nuclear recoil. An incident gamma energy
range of O(1 keV) to O(1 MeV) and electric fields between 0 and O(10 kV/cm) are
incorporated into this heuristic model. We show results from a Geant4
implementation, but because the model has a few free parameters, implementation
in any simulation package should be simple. We use a quasi-empirical approach,
with an objective of improving detector calibrations and performance
verification. The model will aid in the design and optimization of future
detectors. This model is also easy to extend to other noble elements. In this
paper we lay the foundation for an exhaustive simulation code which we call
NEST (Noble Element Simulation Technique).Comment: 24 pages, 9 figures, 3 table
Individual goal-oriented cognitive rehabilitation to improve everyday functioning for people with early-stage dementia: a multi-centre randomised controlled trial (the GREAT trial)
YesObjectives: To determine whether individual goal-oriented cognitive rehabilitation (CR) improves
everyday functioning for people with mild-to-moderate dementia.
Design and methods: Parallel group multi-centre single-blind randomised controlled trial (RCT)
comparing CR added to usual treatment (CR) with usual treatment alone (TAU) for people with an
ICD-10 diagnosis of Alzheimer’s, vascular or mixed dementia and mild-to-moderate cognitive
impairment (MMSE score ≥ 18), and with a family member willing to contribute. Participants
allocated to CR received ten weekly sessions over three months and four maintenance sessions over
six months. Participants were followed up three and nine months post-randomisation by blinded
researchers. The primary outcome was self-reported goal attainment at three months. Secondary
outcomes at three and nine months included informant-reported goal attainment, quality of life, mood,
self-efficacy, and cognition, and study partner stress and quality of life.
Results: We randomised (1:1) 475 people with dementia; 445 (CR=281) were included in the
intention to treat analysis at three months, and 426 (CR=208) at nine months. At three months there
were statistically-significant large positive effects for participant-rated goal attainment (d=0.97, 95%
CI 0.75 to 1.19), corroborated by informant ratings (d=1.11, 0.89 to 1.34). These effects were
maintained at nine months for both participant (d=0.94, 0.71 to 1.17) and informant ratings (d=0.96,
0.73 to 1.2). The observed gains related to goals directly targeted in the therapy. There were no
significant differences in secondary outcomes.
Conclusions: Cognitive rehabilitation enables people with early-stage dementia to improve their
everyday functioning in relation to individual goals targeted in the therapy.National Institute for Health, Health Technology Assessment Programme, Grant/Award Number: 11/15/0
Measurement of the Charged Multiplicities in b, c and Light Quark Events from Z0 Decays
Average charged multiplicities have been measured separately in , and
light quark () events from decays measured in the SLD experiment.
Impact parameters of charged tracks were used to select enriched samples of
and light quark events, and reconstructed charmed mesons were used to select
quark events. We measured the charged multiplicities:
,
, from
which we derived the differences between the total average charged
multiplicities of or quark events and light quark events: and . We compared
these measurements with those at lower center-of-mass energies and with
perturbative QCD predictions. These combined results are in agreement with the
QCD expectations and disfavor the hypothesis of flavor-independent
fragmentation.Comment: 19 pages LaTex, 4 EPS figures, to appear in Physics Letters
On Solving the Coronal Heating Problem
This article assesses the current state of understanding of coronal heating,
outlines the key elements of a comprehensive strategy for solving the problem,
and warns of obstacles that must be overcome along the way.Comment: Accepted by Solar Physics; Published by Solar Physic
Multiwavelength studies of MHD waves in the solar chromosphere: An overview of recent results
The chromosphere is a thin layer of the solar atmosphere that bridges the
relatively cool photosphere and the intensely heated transition region and
corona. Compressible and incompressible waves propagating through the
chromosphere can supply significant amounts of energy to the interface region
and corona. In recent years an abundance of high-resolution observations from
state-of-the-art facilities have provided new and exciting ways of
disentangling the characteristics of oscillatory phenomena propagating through
the dynamic chromosphere. Coupled with rapid advancements in
magnetohydrodynamic wave theory, we are now in an ideal position to thoroughly
investigate the role waves play in supplying energy to sustain chromospheric
and coronal heating. Here, we review the recent progress made in
characterising, categorising and interpreting oscillations manifesting in the
solar chromosphere, with an impetus placed on their intrinsic energetics.Comment: 48 pages, 25 figures, accepted into Space Science Review
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