1,516 research outputs found

    Effects of background knowledge on object categorization and part detection.

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    A non-surgical approach to the management of lumbar spinal stenosis: A prospective observational cohort study

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    BACKGROUND: While it is widely held that non-surgical management should be the first line of approach in patients with lumbar spinal stenosis (LSS), little is known about the efficacy of non-surgical treatments for this condition. Data are needed to determine the most efficacious and safe non-surgical treatment options for patients with LSS. The purpose of this paper is to describe the clinical outcomes of a novel approach to patients with LSS that focuses on distraction manipulation (DM) and neural mobilization (NM). METHODS: This is a prospective consecutive case series with long term follow up (FU) of fifty-seven consecutive patients who were diagnosed with LSS. Two were excluded because of absence of baseline data or failure to remain in treatment to FU. Disability was measured using the Roland Morris Disability Questionnaire (RM) and pain intensity was measured using the Three Level Numerical Rating Scale (NRS). Patients were also asked to rate their perceived percentage improvement. RESULTS: The mean patient-rated percentage improvement from baseline to the end to treatment was 65.1%. The mean improvement in disability from baseline to the end of treatment was 5.1 points. This was considered to be clinically meaningful. Clinically meaningful improvement in disability from baseline to the end of treatment was seen in 66.7% of patients. The mean improvement in "on average" pain intensity was 1.6 points. This did not reach the threshold for clinical meaningfulness. The mean improvement in "at worst" pain was 3.1 points. This was considered to be clinically meaningful. The mean duration of FU was 16.5 months. The mean patient-rated percentage improvement from baseline to long term FU was 75.6%. The mean improvement in disability was 5.2 points. This was considered to be clinically meaningful. Clinically meaningful improvement in disability was seen in 73.2% of patients. The mean improvement in "on average" pain intensity from baseline to long term FU was 3.0 points. This was considered to be clinically meaningful. The mean improvement in "at worst" pain was 4.2 points. This was considered to be clinically meaningful. Only two patients went on to require surgery. No major complications to treatment were noted. CONCLUSION: A treatment approach focusing on DM and NM may be useful in bringing about clinically meaningful improvement in disability in patients with LSS

    The Role of Meaning in Past-Tense Inflection: Evidence from Polysemy and Denominal Derivation

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    Although English verbs can be either regular (walk-walked) or irregular (sing-sang), ā€œdenominal verbsā€ that are derived from nouns, such as the use of the verb ring derived from the noun a ring, take the regular form even if they are homophonous with an existing irregular verb: The soldiers ringed the city rather than *The soldiers rang the city. Is this regularization due to a semantic difference from the usual verb, or is it due to the application of the default rule, namely VERB + -ed suffix? To gain a new source of insight into this debate, we compared the central senses of verbs to extended verbal senses and to denominal senses. In Experiment 1, participants rated the semantic similarity of the extended senses of polysemous verbs and denominal verbs to their central senses. Experiment 2 examined the acceptability of the regular and irregular past-tenses of the different verbs. The results showed that all the denominal verbs were rated as more acceptable for the regular inflection than the same verbs used polysemously, even though the two were semantically equally similar to the central meaning. Thus, the derivation of the verb (nominal or verbal) determined the past-tense preference more than semantic variables, consistent with dual-route models of verb inflection

    Microscopic Approach to Analyze Solar-Sail Space-Environment Effects

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    Near-sun space-environment effects on metallic thin films solar sails as well as hollow-body sails with inflation fill gas are considered. Analysis of interaction of the solar radiation with the solar sail materials is presented. This analysis evaluates worst-case solar radiation effects during solar-radiation-pressure acceleration. The dependence of the thickness of solar sail on temperature and on wavelength of the electromagnetic spectrum of solar radiation is investigated. Physical processes of the interaction of photons, electrons, protons and helium nuclei with sail material atoms and nuclei, and inflation fill gas molecules are analyzed. Calculations utilized conservative assumptions with the highest values for the available cross sections for interactions of solar photons, electrons and protons with atoms, nuclei and hydrogen molecules. It is shown that for high-energy photons, electrons and protons the beryllium sail is mostly transparent. Sail material will be partially ionized by solar UV and low-energy solar electrons. For a hollow-body photon sail effects including hydrogen diffusion through the solar sail walls, and electrostatic pressure is considered. Electrostatic pressure caused by the electrically charged sail's electric field may require mitigation since sail material tensile strength decreases with elevated temperature.Comment: 10 pages, 6 figures. Talk given on the 59 International Astronautical Congress, Glasgow, Scotland, 29 September - 2 October, 200
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