1,720,963 research outputs found

    Hardware in the loop implementation of the oscillator-based heart model: A framework for testing medical devices

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    The hardware in the loop technologies allow to simulate physical models in combination with real devices in order to validate the behavior of the latter under different conditions, not easily reproducible in the real world. They are widely used in various industrial applications. In this work we want to extend the methodology to medical devices. These must interact with the patient to obtain the desired clinical result, however, during the development and validation phase of medical devices, the patient cannot be involved in the testing process. In this article the hardware in the loop methodology is proposed starting from a mathematical model of the heart, based on oscillators, that can be used to validate pacemakers or other medical devices

    Interazione tra la disfunzione del cammino e la sindrome ostruttiva profonda di gamba

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    Il principale meccanismo del flusso venoso, in posizione ortostatica, è costituito dalla pompa venosa muscolare. L'origine dell'azione di pompa nasce a livello dei muscoli della pianta del piede e prosegue con al contrazione dei muscoli della gamba attraverso la "spremitura" delle vene inter e intramuscolari

    Monitoring recovery by physical therapists using the FIM scale during rehabilitation programs: An inter-rater and intra-rater reproducibility study

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    Our aim was to evaluate the reproducibility of the Functional Independence Measure (FIM) scale when assessed by physical therapists in the routine setting of a Rehabilitation Hospital. We included a consecutive series of patients with spinal cord or cerebral lesions. Each of the 50 selected patients was evaluated by two of the 5 experienced physical therapists participating in the study. The degree of inter-rater and intra- rater agreement was measured by a weighted k statistic, k for perfect agreement, and k for the agreement with tolerance. The weighted k index for inter-rater agreement on the FIM score was in the almost perfect range (k 0.87; 95% CI = 0.79 - 0.95), but a 20-point tolerance was necessary to reach a k value of 0.81 (95% CI = 0.66 - 0.95). Agreement was substantial or almost perfect for most subscales, but the k index with 1-point tolerance reached the almost perfect rating for comprehension only. For intra-rater agreement, weighted k index was in the almost perfect range for the FIM score and for all subscales; kappa index reached the almost perfect range with a 4-point tolerance for FIM score and with 1- point of tolerance for all subscales except in- terpersonal relations. FIM is useful to monitor patient improvement during rehabilitation treat- ment, mostly when assessed by the same physical therapist

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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