4,783 research outputs found
Scale-factor duality in string Bianchi cosmologies
We apply the scale factor duality transformations introduced in the context
of the effective string theory to the anisotropic Bianchi-type models. We find
dual models for all the Bianchi-types [except for types and ] and
construct for each of them its explicit form starting from the exact original
solution of the field equations. It is emphasized that the dual Bianchi class
models require the loss of the initial homogeneity symmetry of the
dilatonic scalar field.Comment: 18 pages, no figure
Tactile Thresholds are Preserved yet Cortical Sensory Function is Impaired in Chronic Non-Specific Low Back Pain Patients
Introduction: A substantial amount of evidence points to an alteration in brain structure and function patients with chronic non-specific low back pain (CNSLBP) [1-6]. One interpretation of these findings is that the observed brain changes may represent a disruption of the brainâs representations of the body part and the resultant body perception disturbance may underpin this clinical problem. The current study aimed to investigate sensory dysfunction in CNSLBP. Specifically we aimed to distinguish cortically mediated sensory dysfunction from peripheral dysfunction by comparing simple tactile thresholds with more complex cortically mediated sensory tests
Methods: We investigated tactile thresholds (TTH), two point discrimination (TPD) and graphaesthesia over the lumbar spine of 19 CLBP patients and 19 age and sex matched healthy controls as a way of investigating whether CLBP patients present with a perceptual disturbance of their lumbar spine. Differences in performance of the sensory tests was explored using the Mann Whitney U Test and one-way between groups multivariate analysis of variance.
Results: We found no difference in tactile threshold between the two groups (P=.0.751). There was a statistically significant difference between controls and LBP for TPD: F(1,36)=10.15, p=.003 and letter error rate: F(1, 36)=6.54 p=0.015. The data indicate that LBP patients had a larger lumbar TPD distance and a greater letter recognition error rate.
Discussion: Both TPD and graphaesthesia are dependant on the integrity of the primary sensory cortex [7]. These data support existing findings of perceptual abnormality in chronic back pain [8] and the preservation of tactile thresholds is suggestive of cortical rather than peripheral sensory dysfunction. Amelioration of these abnormalities may present a target for therapeutic intervention
Multiple ectopic leiomyomas of the abdominal rectus muscles after gasless laparoscopic uterine myomectomy
To describe and analyze the first case of multiple ectopic leiomyomas of the abdominal rectus muscles in a patient who had undergone gasless laparoscopic uterine myomectomy (GLM) 10 years before
The academic impact of natural disasters: evidence from LâAquila earthquake
This paper uses a standard difference-in-differences approach to examine the effect of the LâAquila earthquake on the academic performance of the students of the local university. The empirical results indicate that this natural disaster reduced studentsâ probability of graduating on-time and slightly increased studentsâ probability of dropping out. While post-disaster measures (e.g. fast re-establishment of education activities in temporary locations) are likely to have mitigated the effects of this event, disruptions in the learning environment and the mental trauma suffered by students in the aftermath of the earthquake may have worsened their academic performance
Return visits to the Paediatric Emergency Department: first analysis in Italy
Return visits to the emergency room have come under scrutiny with a view to identifying the reasons for these events. The aim of the study was to estimate the incidence of return visits to emer- gency room and to compare this with data from other countries, with a view to proposing a method of monitoring this parameter nationwide. Ours is the first Italian study to report the incidence of return visits to the ER and to analyse the factors correlated with this phenomenon. The incidence of return visits within 72 hours of the first visit proved to be 2.5%. Statistical analysis revealed a significant difference in the number of return visits between patients under 1 year of age and those older than 1 year.
Our future objective is to re-analyse recent case-records on the basis of the indicators identified, with a view to assessing the quality of the service
Assessment of the Triage System in a Pediatric Emergency Department. A pilot study on critical code
Introduction. In Italy, triage involves assigning a priority color code to patients arriving at the hospital Emergency Department: red (very critical), yellow (moderately critical), green (not very critical), and white (not critical).
Methods. This study was aimed at assessing the triage system in the Emergency Department of ?Giannina Gaslini? Children? s Hospital in Genoa, Italy. The authors examined 130 triage forms assigning a yellow code in 2003, in order to determine whether they had been correctly filled in with regard to the detection of vital parameters, identification of main symptoms and color code assignment. Results. Results showed that vital signs were recorded in 94% of patients, main symptoms were identified in 97%, and a yel- low code was assigned according to hospital guidelines in 84%. The percentage of underestimation (3.2%) was higher than that reported in the literature (2%).
Conclusions. The study shows the need to improve compliance with the guidelines and to evaluate green and white codes
Floristic and coenological data from the travertine substrates of the SAC âTravertini Acque Albule (Bagni di Tivoli)â (Lazio Region â Central Italy)
During a phytosociological field-work campaign on the vegetation of the travertine outcrops, included in the Special Area of Conservation (SAC) âTravertini Acque Albule (Bagni di Tivoli)â (Central Italy), several taxa of particular interest were identified. Carex vulpina, Lolium apenninum, Onosma echioides subsp. angustifolia, Typha domingensis, T. laxmannii and Vicia pannonica subsp. pannonica are new for the Lazio administrative Region, while Ophrys illyrica and Zannichellia peltata are confirmed for the flora of this Region. For each of these taxa phytosociological samples describing the plant communities in which they were found are provided. New records for rare species were also reported for cryptogams such as Algae, Lichens and Mosses
Tactile thresholds are preserved yet complex sensory function is impaired over the lumbar spine of chronic non-specific low back pain patients: A preliminary investigation
Evidence indicates that chronic non-specific low back pain (CNSLBP) is associated with alteration in the brainâs cortical representation of the back, resulting in body perception disturbance and contributing to the condition [1,2]. This study investigated perception via âcorticalâ sensory tests, in this case two-point discrimination and graphaesthesiaâwhose results partly depend on the integrity of cortical representation [2]. The hypothesis was dysfunction in these higher-order tasks, with simple tactile thresholds remaining unchanged. Furthermore a relationship between cortical sensation and severity of the condition was predicted
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