1,721,128 research outputs found
Shoulder pain [La spalla dolorosa]
No full textAfter pointing out the importance of the shoulder articular joint, the authors describe the main causes of pain. This symptomatology may have a tendinous origin and is often correlated with degenerative tears of the rotator cuffs. It has been observed that some painful shoulders improve when the cervical rachis is subjected to a treatment. In this case, pain may be caused by a segmentary trouble, C4-C5, C5-C6 by DIM. Before starting any treatment it is therefore essential to make a precise diagnosis through a careful anamnesis, an objective examination and instrumental investigations (X-rays, ultrasonography, RMN). Upon making a correct diagnosis, the therapy may be started. The same will be surgical in case of rupture of the rotator cuff, pharmaco-conservative or manipulative otherwise
Shoulder pain
No full textAfter pointing out the importance of the shoulder articular joint, the authors describe the main causes of pain. This symptomatology may have a tendinous origin and is often correlated with degenerative tears of the rotator cuffs. It has been observed that some painful shoulders improve when the cervical rachis is subjected to a treatment. In this case, pain may be caused by a segmentary trouble, C4-C5, C5-C6 by DIM. Before starting any treatment it is therefore essential to make a precise diagnosis through a careful anamnesis, an objective examination and instrumental investigations (X-rays, ultrasonography, RMN). Upon making a correct diagnosis, the therapy may be started. The same will be surgical in case of rupture of the rotator cuff, pharmaco-conservative or manipulative otherwise
Raltegravir, tenofovir, and emtricitabine in an HIV-Infected patient with HCV chronic hepatitis, NNRTI intolerance and protease inhibitors-induced severe liver Toxicity
No full textAbstract Background in HIV-infected patients with HCV-related chronic hepatitis, liver impairment and drug toxicity may substantially reduce the number of possible therapeutic options. Case Description we here describe the case of an HCV-HIV coinfected woman who had repeated severe episodes of drug-related liver toxicity with indinavir, saquinavir, fosamprenavir, and darunavir, with minimal further therapeutic options left in this class. Previous treatment-limiting side effects with efavirenz and nevirapine also precluded use of non-nucleoside reverse transcriptase inhibitors. Introduction of an integrase-inhibitor regimen based on raltegravir, tenofovir, and emtricitabine allowed a prompt achievement of undetectable viral load and a substantial rise of CD4 count to high levels, with no subsequent episodes of hepatic toxicity, and no other side effects. Conclusions given the relatively common prevalence of HCV-related chronic hepatitis among people with HIV, raltegravir might represent an important alternative option for a substantial number of patients who cannot be treated with protease inhibitors or NNRTI because of drug-related hepatic toxicity.</p
The evaluation of coccyx and its treatment with manual medicine
No full textThe painful coccyx is a pathology that struck with more frequency the women between 20 and 50 years. The principal cause is trauma, for example a fall on the bottom. The authors applied their experiences on manipulative treatment for this type of pathology, utilizing the Maigne handling
Tennis elbow in correlation with epicondylitis
No full textThis pathology or 'tennis elbow' striked above all sporting subjects but also subjects who have a working activity. The pathogenetic mechanism of this pathology derive from the position who upper limb takes during the sporting or working action. The authors describe their experience using Maigne's handling during the treatment of this pathology
Load Management with Predictions of Solar Energy Production for Cloud Data Centers
Full text linkPower supply of big infrastructures is today a tremendous operational cost for providers and the expected growth of Internet traffic and services will lead to a further expansion of the computing and networking infrastructures and this, in its turn, raises also concerns in terms of sustainability. In this context, renewable energy generators can help to both reduce costs and alleviate the concerns of sustainability of big infrastructures. In this paper, we consider the case of Data Centers (DCs) composed of a few sites located in different geographical positions and powered with solar energy. Due to the intermittent nature of solar energy, different time zones and price of electricity in different locations, load management strategies are fundamental. We consider predictions of the solar energy production performed through Artificial Neural Networks and we assess the impact of predictions on load management decisions and, ultimately, on the DC performance
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
Full text link“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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