110,030 research outputs found
CLUSTER RANDOMIZED CONTROLLED TRIAL TO EVALUATE THE EFFECTIVENESS OF A MULTIFACETED ACTIVE STRATEGY TO IMPLEMENT LOW BACK PAIN PRACTICE GUIDELINES; EFFECT ON COMPETENCE, PROCESS OF CARE AND PATIENT OUTCOMES IN PHYSICAL THERAPY
No full textThe study was a cluster randomized controlled trial designed to evaluate the effectiveness of an active strategy to implement practice guidelines for low back pain in physical therapy. Physical therapy clinics (clinics=28, therapists=41) were randomized to receive a multifaceted active intervention (education, audit, feedback) (clinics=16, therapists=24) to increase awareness regarding key recommendations in guidelines or mailed guidelines (clinics=12, therapists=18). Primary outcome measures were change in pre to post intervention competence score (18 clinical vignettes), adherence to guidelines and change in patient Oswestry scores from first to last visit. The competence test was administered at baseline and on completion of the education course. Data on LBP patients treated by participating therapists in a 12-week pre (therapists=41, patients=50) and post (therapists=41, patients=107) intervention period (education, audit and feedback) was extracted from the UPMC electronic database. Patient care was classified as being adherent or non-adherent using 6 quality indicators developed to reflect recommendations in the guidelines. Overall percentage of adherence and adherence to individual criterion on the guidelines were also calculated. The results of the study indicated that education did not have an effect improving knowledge measured by change in total competence score. However, there were significant differences between groups on the ability to appropriately identify directional preference with movement testing, where the intervention group did better than the control. Adherence to guidelines and patient outcomes did not improve as a result of the active intervention strategy. The groups were not significantly different when comparing overall adherence to guidelines or to individual criterion on guidelines. There was an underutilization of mobilization thrust (82.3%), traction (78.5%) and graded exercises (47.6%) for fear avoidant patients, while stabilization was over-utilized in 51% of patients. Although therapists demonstrated moderate to high scores on the competence test, they failed to apply this knowledge in clinical practice. Future research should focus on a qualitative inquiry into organizational and environmental barriers to adoption of clinical practice guidelines. These include evaluating if payment policies and reimbursement from providers are aligned with guidelines and also assessing the extent to which patient demands and compliance influences adherence to guidelines
3-D pain drawings-mobile data collection using a PDA
No full textA large number of the adult population suffers from some kind of back pain during their lifetime. Part of the process of diagnosing and treating such back pain is for a clinician to
collect information as to the type and location of the pain that is being suffered.Traditional approaches to gathering and visualizing this pain data have relied on simple 2-D representations of the human body, where different types of sensation are recorded with various monochrome symbols. Although patients have been shown to prefer such drawings to traditional questionnaires, these pain drawings can be limited in their ability to accurately record pain. The work described in this paper proposes an alternative that uses a 3-D representation of the human body, which can be marked in color to visualize and record the pain data. This study has shown that the new approach is a promising development in this area of medical practice and has been positively received by patients and clinicians alike
An Italian validation of the narcissistic admiration and rivalry questionnaire (NARQ): Further evidence for a two-dimensional model of grandiose narcissism
No full textThe present study aims to validate an Italian version of the Narcissistic Admiration and Rivalry Questionnaire (NARQ), which operationalizes the two-dimensional model of grandiose narcissism recently proposed by Back et al. (2013). The model differentiates between Admiration and Rivalry, two dimensions that entail the agentic and antagonistic aspects of narcissism, respectively. Three hundred individuals participated in the study (mean age = 31.20, SD = 11.6, 30% males). A confirmatory factor analysis supported the expected two-factor structure. Adequate levels of internal consistency were found for the overall NARQ scores, as well as for the Admiration and Rivalry scale scores. Although Admiration and Rivalry were positively correlated, they showed a distinctive pattern of correlations with the Narcissistic Personality Inventory, the Rosenberg self-esteem scale, and the Big Five Inventory. These results replicate Back et al.’s (2013) original findings and thus provide support for the validity and reliability of the Italian version of the NARQ
Distinguishing Subgroups of Narcissists with Latent Class Analysis
No full textThis study investigated grandiose narcissism from a categorical perspective. We tested whether subgroups of narcissists can be distinguished that differ in their expressions of more agentic (narcissistic admiration, ADM) and more antagonistic (narcissistic rivalry, RIV) pathways of narcissism. We analysed three German samples (total N=2211; M-age=26; 70% female) and one US sample (N=971; M-age=35; 74% female) using latent class analysis. Four subgroups of narcissists were consistently identified across samples from Germany and the United States: low narcissists, moderate narcissists primarily characterized by agentic aspects (ADM), moderate narcissists characterized by both agentic and antagonistic aspects (ADM+ RIV), and high narcissists. The subgroups were systematically related to a number of personality traits (e.g. Machiavellianism, impulsivity) and adjustment indicators (e.g. self-esteem, empathy). Members in the moderate narcissists-ADM subgroup showed the most adaptive characteristics while members in the moderate narcissists-ADM+RIV subgroup showed the most maladaptive characteristics. Investigating grandiose narcissism-a primarily quantitative trait-from a categorical perspective can yield valuable insights that would otherwise be overlooked. In addition, our results underline the utility of a self-regulatory process approach to grandiose narcissism that distinguishes between agentic and antagonistic dynamics. Copyright (C) 2016 European Association of Personality PsychologyGerman Research Foundation (DFG) [BA 3731/6-1
UK back pain exercise and manipulation (UK BEAM) trial - national randomised trial of physical treatments for back pain in primary care: objectives, design and interventions
No full textLow back pain has major health and social implications. Although there have been
many randomised controlled trials of manipulation and exercise for the management of low back
pain, the role of these two treatments in its routine management remains unclear. A previous trial
comparing private chiropractic treatment with National Health Service (NHS) outpatient
treatment, which found a benefit from chiropractic treatment, has been criticised because it did not
take treatment location into account. There are data to suggest that general exercise programmes
may have beneficial effects on low back pain. The UK Medical Research Council (MRC) has funded
this major trial of physical treatments for back pain, based in primary care. It aims to establish if,
when added to best care in general practice, a defined package of spinal manipulation and a defined
programme of exercise classes (Back to Fitness) improve participant-assessed outcomes.
Additionally the trial compares outcomes between participants receiving the spinal manipulation in
NHS premises and in private premises
1ST MEASUREMENT OF GAMMA(D(S)(+)-]MU+NU)/GAMMA(D(S)(+)-]PHI-PI+)
No full textComplete Author List:
ACOSTA D, ATHANAS M, MASEK G, PAAR H, BEAN A, GRONBERG J, KUTSCHKE R, MENARY S, MORRISON RJ, NAKANISHI S, NELSON HN, NELSON TK, RICHMAN JD, RYD A, TAJIMA H, SCHMIDT D, SPERKA D, WITHERELL MS, PROCARIO M, YANG S, BALEST R, CHO K, DAOUDI M, FORD WT, JOHNSON DR, LINGEL K, LOHNER M, RANKIN P, SMITH JG, ALEXANDER JP, BEBEK C, BERKELMAN K, BESSON D, BROWDER TE, CASSEL DG, CHO HA, COFFMAN DM, DRELL PS, EHRLICH R, GALIK RS, GARCIASCIVERES M, GEISER B, GITTELMAN B, GRAY SW, HARTILL DL, HELTSLEY BK, JONES CD, JONES SL, KANDASWAMY J, KATAYAMA N, KIM PC, KREINICK DL, LUDWIG GS, MASUI J, MEVISSEN J, MISTRY NB, NG CR, NORDBERG E, OGG M, PATTERSON JR, PETERSON D, RILEY D, SALMAN S, SAPPER M, WORDEN H, WURTHWEIN F, AVERY P, FREYBERGER A, RODRIGUEZ J, STEPHENS R, YELTON J, CINABRO D, HENDERSON S, KINOSHITA K, LIU T, SAULNIER M, SHEN F, WILSON R, YAMAMOTO H, ONG B, SELEN M, SADOFF AJ, AMMAR R, BALL S, BARINGER P, COPPAGE D, COPTY N, DAVIS R, HANCOCK N, KELLY M, KWAK N, LAM H, KUBOTA Y, LATTERY M, NELSON JK, PATTON S, PERTICONE D, POLING R, SAVINOV V, SCHRENK S, WANG R, ALAM MS, KIM IJ, NEMATI B, ONEILL JJ, SEVERINI H, SUN CR, ZOELLER MM, CRAWFORD G, DAUBENMIER CM, FULTON R, FUJINO D, GAN KK, HONSCHEID K, KAGAN H, KASS R, LEE J, MALCHOW R, MORROW F, SKOVPEN Y, SUNG M, WHITE C, WHITMORE J, WILSON P, BUTLER F, FU X, KALBFLEISCH G, LAMBRECHT M, ROSS WR, SKUBIC P, SNOW J, WANG PL, WOOD M, BORTOLETTO D, BROWN DN, FAST J, MCILWAIN RL, MIAO T, MILLER DH, MODESITT M, SCHAFFNER SF, SHIBATA EI, SHIPSEY IPJ, WANG PN, BATTLE M, ERNST J, KROHA H, ROBERTS S, SPARKS K, THORNDIKE EH, WANG CH, DOMINICK J, SANGHERA S, SHELKOV V, SKWARNICKI T, STROYNOWSKI R, VOLOBOUEV I, ZADOROZHNY P, ARTUSO M, HE D, GOLDBERG M, HORWITZ N, KENNETT R, MONETI GC, MUHEIM F, MUKHIN Y, PLAYFER S, ROZEN Y, STONE S, THULASIDAS M, VASSEUR G, ZHU G, BARTELT J, CSORNA SE, EGYED Z, JAIN V, SHELDON P, AKERIB DS, BARISH B, CHADHA M, CHAN S, COWEN DF, EIGEN G, MILLER JS, OGRADY C, URHEIM J, WEINSTEIN A
Precision measurement of D meson mass differences
No full textUsing three- and four-body decays of D mesons produced in semileptonic b-hadron decays, precision measurements of D meson mass differences are made together with a measurement of the D 0 mass. The measurements are based on a dataset corresponding to an integrated luminosity of 1.0 fb−1 collected in pp collisions at 7 TeV. Using the decay D 0 → K + K − K − π +, the D 0 mass is measured to be M(D0)=1864.75±0.15(stat)±0.11(syst)MeV/c2.
The mass differences
M(D+)−M(D0)=4.76±0.12(stat)±0.07(syst)MeV/c2,M(Ds)−M(D+)=98.68±0.03(stat)±0.04(syst)MeV/c2
are measured using the D 0 → K + K − π + π − and D+(s)→K+K−π+ mode
Study of DsJ decays to D+KS0 and D0K+ final states in pp collisions
No full textA study of D+K0S and D0K+ final states is performed in a sample of 1.0 fb−1 of pp collision data collected at a centre-of-mass energy of s√=7 TeV with the LHCb detector. We confirm the existence of the D∗s1(2700)+ and D∗sJ(2860)+ excited states and measure their masses and widths to be
m(D∗s1(2700)+) = 2709.2±1.9(stat)±4.5(syst) MeV/c2, Γ(D∗s1(2700)+) = 115.8±7.3(stat)±12.1(syst) MeV/c2, m(D∗sJ(2860)+) = 2866.1±1.0(stat)±6.3(syst) MeV/c2, Γ(D∗sJ(2860)+) = 69.9±3.2(stat)±6.6(syst) MeV/c2
Study of the d(d, p)3H and d(d, n)3 He processes at low energies
No full textThe processes d(d, p)H-3 and d(d, n)(3) He at energies of interest for energy production and for big-bang nucleosynthesis are studied using the hyperspherical harmonic method. The interactions include modern two- and three-nucleon interactions, derived in chiral effective field theory. We report results for the astrophysical S-factor and the quintet suppression factor
One-loop effective potential in M4 x T2 with and without 't hooft flux
No full text43 pages, 3 figures.We review the basic notions of compactification in the presence of a back-
ground flux. In extra-dimentional models with more than five dimensions, Scherk
and Schwarz boundary conditions have to satisfy’t Hooft consistency conditions.
Different vacuum configurations can be obtained, depending whether trivial or
non-trivial’t Hooft flux is considered. The presence of the “magnetic” back-
ground flux provide, in addition, a mechanism for producing four-dimensional
chiral fermions. Particularizing to the six-dimensional case, we calculate the
one-loop effective potential for a U(N) gauge theory on M4 × T 2. We firstly
review the well known results of the trivial ’t Hooft flux case, where one-loop
contributions produce the usual Hosotani dynamical symmetry breaking. Finally
we applied our result for describing, for the first time, the one-loop contributions
in the non-trivial’t Hooft flux case.The work of A.F. Faedo, D. Hernandez and S. Rigolin has been partially
supported by CICYT through the project FPA2006-05423 and by CAM through the
project HEPHACOS, P-ESP-00346. D. Hern´andez acknowledges financial support
from the MEC through FPU grant AP-2005-3603. S.Rigolin aknowledges also the
partial support of an Excellence Grant of Fondazione Cariparo and of the European
Programme “Unification in the LHC era” under the contract PITN-GA-2009-237920
(UNILHC)Peer reviewe
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