378 research outputs found

    Phase-ordering dynamics of binary mixtures with field-dependent mobility in shear flow

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    The effect of shear flow on the phase-ordering dynamics of a binary mixture with field-dependent mobility is investigated. The problem is addressed in the context of the time-dependent Ginzburg-Landau equation with an external velocity term, studied in self-consistent approximation. Assuming a scaling ansatz for the structure factor, the asymptotic behavior of the observables in the scaling regime can be analytically calculated. All the observables show log-time periodic oscillations which we interpret as due to a cyclical mechanism of stretching and break-up of domains. These oscillations are dumped as consequence of the vanishing of the mobility in the bulk phase.Comment: 9 pages, 4 figures, EPJ styl

    Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review

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    Objective: Several focal muscle vibration (fMV) and whole body vibration (WBV) protocols have been designed to promote brain reorganization processes in patients with stroke. However, whether fMV and WBV should be considered helpful tools to promote post-stroke recovery remains still largely unclear. Methods: We here achieve a comprehensive review of the application of fMV and WBV to promote brain reorganization processes in patients with stroke. By first discussing the putative physiological basis of fMV and WBV and then examining previous observations achieved in recent randomized controlled trials (RCT) in patients with stroke, we critically discuss possible strength and limitations of the currently available data. Results: We provide the first systematic assessment of fMV studies demonstrating some improvement in upper and lower limb functions, in patients with chronic stroke. We also confirm and expand previous considerations about the rather limited rationale for the application of current WBV protocols in patients with chronic stroke. Conclusion: Based on available information, we propose new recommendations for optimal stimulation parameters and strategies for recruitment of specific stroke populations that would more likely benefit from future fMV or WBV application, in terms of speed and amount of post-stroke functional recovery

    Pain-motor integration in the primary motor cortex in Parkinson's disease

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    In Parkinson's disease (PD), the influence of chronic pain on motor features has never been investigated. We have recently designed a technique that combines nociceptive system activation by laser stimuli and primary motor cortex (M1) activation through transcranial magnetic stimulation (TMS), in a laser-paired associative stimulation design (Laser-PAS). In controls, Laser-PAS induces long-term changes in motor evoked potentials reflecting M1 long-term potentiation-like plasticity, arising from pain-motor integration

    Acquired hypertrichosis lanuginosa: a case report.

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    The authors present a patient with hypertrichosis lanuginosa acquisita without associated malignancy

    Shedding light on nocturnal movements in parkinson’s disease: Evidence from wearable technologies

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    In Parkinson’s disease (PD), abnormal movements consisting of hypokinetic and hyperkinetic manifestations commonly lead to nocturnal distress and sleep impairment, which significantly impact quality of life. In PD patients, these nocturnal disturbances can reflect diseaserelated complications (e.g., nocturnal akinesia), primary sleep disorders (e.g., rapid eye movement behaviour disorder), or both, thus requiring different therapeutic approaches. Wearable technologies based on actigraphy and innovative sensors have been proposed as feasible solutions to identify and monitor the various types of abnormal nocturnal movements in PD. This narrative review addresses the topic of abnormal nocturnal movements in PD and discusses how wearable technologies could help identify and assess these disturbances. We first examine the pathophysiology of abnormal nocturnal movements and the main clinical and instrumental tools for the evaluation of these disturbances in PD. We then report and discuss findings from previous studies assessing nocturnal movements in PD using actigraphy and innovative wearable sensors. Finally, we discuss clinical and technical prospects supporting the use of wearable technologies for the evaluation of nocturnal movements

    Erythema gyratum perstans: association with a familial neurologic disease.

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    Two members of the same family with erythema gyratum perstans and hypertrophic neuritis are reported. The dermatosis could be an expression of localization of neuritis to nerva vasorum with abnormal neurovascular response of cutaneous small vessels to normal stimuli with active erythema followed by cyanosis

    Correlation between wearable inertial sensor data and standardised Parkinson's disease axial impairment measures using machine learning

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    Wearable sensors represent a valuable means for monitoring motion signs and symptoms of Parkinson’s disease (PD). In this paper, we explore the potential of a single inertial sensor to yield information correlated to the patient’s subjective perception of axial motion impairment during daily activities. This latter is expressed using as a relevant metric the sum of MDS-UPDRS items 2.11-2.13. Methods: thirty-one patients with PD were enrolled in this study, and asked to perform a timed-up-and-go test while wearing an inertial sensor on their thigh. Several time- and frequency-domain features were extracted from the inertial signals. They were fed to a random forest regression model for the prediction of the axial impairment metric. The model was optimized using 10-fold cross-validation and performance were assessed using leave-one-subject-out test. Results: Pearson correlation coefficient with the addressed metric of 0.76 (0.86) and mean absolute error of 1.70 (1.52) were obtained in patients under (not under) dopaminergic therapy. Moreover, moderate to strong correlations were found between the predicted score and some important disease progression, axial impairment, and motor performance metrics. Conclusion: a single wearable inertial sensor may be used for assessing motor disabilities of patients with PD

    Managing performance in the defense sector: cases of the italian army and US navy surface warfare enterprise

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    Over the last twenty years, new public management (NPM) has inspired managerial reforms in public sectors worldwide. The US and Italian governments have embraced one of the main tenets of NPM, managing for results. In this study, we assess the introduction of performance management practice in hierarchical and complex public organizations in both countries, in particular how and to what extent military organizations, the Italian Army (IA) and the US Navy Surface Warfare Enterprise (SWE), implemented performance based management systems (PBMS). We use the first \u201cform\u201d of the framework proposed by Bouckaert and Halligan to compare the two cases with respect to the measurement, integration and use of performance information. We find that both organizations have encountered \u201cbenefits\u201d. We contribute to the literature and to the practical use in government organizations by demonstrating some key features or characteristics of hierarchical, complex government organizations that enable or detract from the successful implementation of a PBMS
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