Adhesive capsulitis of the shoulder: pain intensity and distribution

Purpose Papers regarding adhesive capsulitis (AC) of the shoulder focused on etiology, epidemiology, diagnosis, and treatment; until now, information on shoulder pain characteristics is still scarce. Our aim was to analyze pain intensity and distribution in patients with AC. Methods The study group was composed of 278 (133M–145F) consecutive patients with AC. After diagnosis, shoulder pain distribution was assessed through an upper limb pain map and pain intensity through a visual analog scale. Patients were distinguished on the basis of gender, age, time elapsed from onset of symptoms, and severity of functional limitation. Data were submitted to statistical analysis. Results Intensity of shoulder pain caused by AC was higher in females (p 0.05). Conclusion Shoulder pain due to AC may be influenced by gender and severity of functional limitation. AC pain distribution principally involves anterior aspect of the shoulder with downward extension of the arm until its distal third

Exploring the Function of Member Checking

Member checking is commonly used in qualitative research as a means to maintain validity; however, little has been published about the effects the member checking process may have on participants. In this article, I provide the experiences of two participants in a qualitative case study and argue how member checking should be used as a reflective space for participants

The essential oil of Thymbra capitata and its application as a biocide on stone and derived surfaces

Many chemicals used nowadays for the preservation of cultural heritage pose a risk to both human health and the environment. Thus, it is desirable to find new and eco-friendly biocides that can replace the synthetic ones. In this regard, plant essential oils represent effective alternatives to synthetic substances for the preservation of historical monuments. Thymbra capitata (syn. Thymus capitatus) is a medicinal and aromatic plant growing in the Mediterranean area and endowed with important pharmacological properties related to its essential oil. Among them, the antimicrobial ones make the T. capitata essential oil an ideal candidate for industrial applications; for instance, as biocide for the inhibition and elimination of biological patinas of cyanobacteria and green algae on historical monuments. In the present work, we studied the chemical composition of the essential oil from T. capitata growing in Malta by gas chromatography-mass spectrometry (GC/MS). The major volatile component is the phenolic monoterpene carvacrol (73.2%), which is capable of damaging the cytoplasmic membrane and to interfere both in the growth curve and in the invasive capacity, though the contribution of minor components γ-terpinene and p-cymene cannot be disregarded. For the oil application on the stone surface, Pickering emulsions systems were prepared with an essential oil/water 1:3 mass ratio stabilized with kaolinite at 4 mass% in the presence of Laponite®; this allowed to limit the fast volatility of the oil and guaranteed a better application and an easier removal from the artefacts attacked by biodeteriogens both indoor and outdoor. This formulation caused the elimination of biodeteriogens from treated surfaces without residuals or films on artworks surface, and the effect was retained up to four months

Derivation of rainfall thresholds for pluvial flood risk warning in urbanised areas

In the recent past throughout the Mediterranean area, many extreme events such as floods, debris flows and landslides occurred. Mediterranean ephemeral streams have specific features compared to other river systems; their basins are small and highly torrential and may generate flash-floods (Camarasa-Belmonte & Soriano-Garcia, 2012). Moreover, the rapid transformation processes of urban areas induced the increase of catchment imperviousness and the derived increase of surface runoff generated during rainfall events. However, flooding events in urban areas occur quite frequently as a consequence of rain events of lower intensity than the design one, even in case of correct network dimensioning. The use of a reliable flood forecasting model in urban areas can play an important role in managing land and water resources. The purpose of this work is the development of a Decision Support System (DSS) for flash flood warning in an urban area. Usually, flood warning systems are based on on-line hydrological and/or hydraulic models in order to provide forecasts of water stages or discharges at critical river sections (Martina et al., 2006; Diakakis, 2012; Wu et al., 2015). This procedure is inappropriate for flash flood warning in urban areas or in catchments with a small area. According to the approach proposed by [Amadio et al., 2003; Wu et al., 2015], in this study the rainfall threshold has been estimated in an urban area by coupling results of hydro-dynamic model in terms of water stage and flooding area. Particularly, dependency of the antecedent soil moisture conditions has been neglected because urban areas are characterized by imperious surfaces This study proposes a methodology to point out in urban areas rainfall thresholds used in flash flood warning which should be influenced by the uncertainties in the rainfall characteristics, including rainfall duration, depth and storm pattern. Particularly, the methodology here developed has a modular structure consisting of different modules: synthetic hyetographs definition to gain the hydrological input to the hydraulic model; transformation of flood discharge to inundated area through a two-dimensional hydraulic model the FLURB-2D model (Aronica & Lanza, 2005) and, finally, quantification of threshold rainfall associated with specific inundation criteria

Rainfall thresholds derivation for warning pluvial flooding risk in urbanised areas

Aim of this work is the development of an operational tool for pluvial flooding warning in an urban area based on off-line rainfall thresholds derived by coupling a rainfall-runoff modelling and a hydraulic routing. The critical conditions considered for issue flood warnings were not only based on the water stage, but also on the extension of the flooded area. Further, a risk assessment framework for quantifying the reliability of the rainfall thresholds has been included; rainfall thresholds used in pluvial flooding warning should be influenced by the uncertainties in the rainfall characteristics (i.e. rainfall duration, depth and storm pattern). This risk assessment framework incorporates the correlated multivariate Monte Carlo simulation method, an hydraulic model for the simulation of rainfall excess propagation over surface urban drainage structures, i.e. streets and pathways. Thresholds rainfall are defined using a number of inundation criteria, to analyze the change in the rainfall threshold due to various definitions of inundation. Starting from estimated water stages and flooded area from inundation simulation rainfall thresholds can be obtained according a specific inundation criterion, including, together, a critical water depth and a critical flooding area. Finally, the second phase concerns the imminence of a possible hydrological risk by comparing the time when cumulative rainfall and rainfall thresholds meet to each other. The developed procedure has been applied to the real case study of Mondello catchment in Palermo (Italy)

Optical Properties of Graphene Nanoflakes: Shape Matters

In recent years there has been significant debate on whether the edge type of graphene nanoflakes (GNF) or graphene quantum dots (GQD) are relevant for their electronic structure, thermal stability and optical properties. Using computer simulations, we have proven that there is a fundamental difference in the calculated absorption spectra between samples of the same shape, similar size but different edge type, namely, armchair or zigzag edges. These can be explained by the presence of electronic structures near the Fermi level which are localized on the edges. These features are also evident from the dependence of band gap on the GNF size, which shows three very distinct trends for different shapes and edge geometries.Comment: 8 pages, 9 figures. Submitted to The Journal of Chemical Physic