Divided by a lack of common language? - a qualitative study exploring the use of language by health professionals treating back pain

Background: The importance of using a common language when communicating to others about back pain is acknowledged in the literature. There are broadly three areas where difficulties in communication about back pain arise. Firstly, patients seeking information from health care professionals can experience difficulties understanding them and the medical literature; secondly, misunderstandings among health professionals concerning terminology can arise. Thirdly, the lack of standardised definitions for back pain terms can make comparison of research studies problematic. This study aims to explore the meanings and issues surrounding the use of existing medical terms for back pain from the perspective of health care professionals, lay people who have consulted health care practitioners for back pain and lay people who have not seen a health care professional regarding back pain. \ud \ud Methods: A series of focus groups were used to explore participants' understanding. A purposive sampling approach was used to achieve a sample which included general practitioners, chiropractors, osteopaths, physiotherapists, and lay people. Focus groups were facilitated by an independent professional qualitative researcher. They were audio taped and full transcripts of each focus group underwent line by line analysis, identifying concepts and coded. Constant comparison was used to allow each item to be checked or compared against the rest of the data \ud \ud Results: Lay participants understood the majority of the terms explored in the group differently to the health professionals. The terms, as understood by the lay participants, can be split into three broad categories. Firstly, terms which were not understood or were misconstrued and which had inadvertent negative connotations or implications. Secondly, terms which were not understood or were misconstrued, but without this leading to negative emotional responses. Thirdly, terms which were understood by lay participants as the health professionals stated they intended them to be understood. \ud \ud Conclusion: Few of the existing medical terms were understood and accepted by lay participants in the way discussed and expected by health professionals. Misunderstandings, unintended meanings and negative emotional responses to terms were common within the study focus groups

Twilight Intensity Variation of the Infrared Hydroxyl Airglow

The vibration rotation bands of the hydroxyl radical are the strongest features in the night airglow and are exceeded in intensity in the dayglow only by the infrared atmospheric bands of oxygen. The variation of intensity during evening twilight is discussed. Using a ground-based Fourier Transform Spectrometer (FTS), hydroxyl intensity measurements as early as 3 deg solar depression were made. Models of the twilight behavior show that this should be sufficient to provide measurement of the main portion of the twilight intensity change. The instrument was equipped with a liquid nitrogen-cooled germanium detector whose high sensitivity combined with the efficiency of the FTS technique permits spectra of the region 1.1 to 1.6 microns at high signal-to-noise to be obtained in two minutes. The use of a polarizer at the entrance aperture of the instrument reduces the intensity of scattered sunlight by a factor of at least ten for zenith observations

Maximized Posteriori Attributes Selection from Facial Salient Landmarks for Face Recognition

This paper presents a robust and dynamic face recognition technique based on the extraction and matching of devised probabilistic graphs drawn on SIFT features related to independent face areas. The face matching strategy is based on matching individual salient facial graph characterized by SIFT features as connected to facial landmarks such as the eyes and the mouth. In order to reduce the face matching errors, the Dempster-Shafer decision theory is applied to fuse the individual matching scores obtained from each pair of salient facial features. The proposed algorithm is evaluated with the ORL and the IITK face databases. The experimental results demonstrate the effectiveness and potential of the proposed face recognition technique also in case of partially occluded faces.Comment: 8 pages, 2 figure

On the evolution of snow roughness during snow fall

The deposition and attachment mechanism of settling snow crystals during snowfall dictates the very initial structure of ice within a natural snowpack. In this letter we apply ballistic deposition as a simple model to study the structural evolution of the growing surface of a snowpack during its formation. The roughness of the snow surface is predicted from the behaviour of the time dependent height correlation function. The predictions are verified by simple measurements of the growing snow surface based on digital photography during snowfall. The measurements are in agreement with the theoretical predictions within the limitations of the model which are discussed. The application of ballistic deposition type growth models illuminates structural aspects of snow from the perspective of formation which has been ignored so far. Implications of this type of growth on the aerodynamic roughness length, density, and the density correlation function of new snow are discusse

An investigative study of a spectrum-matching imaging system Final report

Evaluation system for classification of remote objects and materials identified by solar and thermal radiation emissio

United States Trade Flows for Selected Categories of Specialty Crops

Nationally, Florida ranked second in farm cash receipt from all crops and second, based on value, in vegetable production (USDA, 2003). It also ranked fourteenth out of all the states with respect to agricultural exports with its top exports, fruits and vegetables, falling within the category of specialty crops. According to the USDA (2003), Florida's agricultural exports helped to boost farm prices and income and supported approximately 17,000 jobs both on and off farm in 2001. As such, its agricultural exports are important to Florida's agricultural and statewide economy. From a Florida farm cash receipts perspective, increased imports could undermine revenue earnings from specialty crop production, especially if there is not a comparable growth in the exports of these crops. This report covered the period 1991 to 2002 and examined trade flows for selected specialty crops deemed important to Florida's agriculture. Overall, the US had a relatively high import level of the selected specialty crops. This was apparent from the widening trade gaps and the declining surpluses experienced by all commodities, with the exception of oranges and strawberries. CANMEX was the dominant supplier of vegetables, and growing imports from this group drove the growing vegetable trade deficit. With respect to fruits, CANMEX was also a dominant supplier and affected trade balances however, many of the declining fruit trade balances were due to declining exports to markets such as Asia and the Europe. CANMEX played a major role in the trade of foliage and floriculture but did not dominate the trade. Over the period 1991 to 2002 there were changes in the trade flows of the selected vegetables, fruits and foliage and floriculture. Two noticeable trends were the concentration of trade with CANMEX, especially with respect to vegetable exports and declining exports to Asia and Europe. Also noticeable were declining trade balances experienced by the majority of the commodities in this study. With free trade agreements, an increased inflow of goods is expected as trade barriers are lowered. Preparing for additional imports resulting from expanded regional free trade agreements in the western hemisphere requires the commitment of additional resources toward the expansion of existing markets and the development of potentially new markets.Crop Production/Industries, International Relations/Trade,

High efficiency thermal to electric energy conversion using selective emitters and spectrally tuned solar cells

Thermophotovoltaic (TPV) systems are attractive possibilities for direct thermal-to-electric energy conversion, but have typically required the use of black body radiators operating at high temperatures. Recent advances in both the understanding and performance of solid rare-earth oxide selective emitters make possible the use of TPV at temperatures as low as 1500 K. Depending on the nature of parasitic losses, overall thermal-to-electric conversion efficiencies greater than 20 percent are feasible

United States Trade Flows for Selected Categories of Specialty Crops and the General Policy Implication

International Relations/Trade,