49,647 research outputs found

    Strengthening and stretching for rheumatoid arthritis of the hand (SARAH): design of a randomised controlled trial of a hand and upper limb exercise intervention - ISRCTN89936343

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    Background: Rheumatoid Arthritis (RA) commonly affects the hands and wrists with inflammation, deformity, pain, weakness and restricted mobility leading to reduced function. The effectiveness of exercise for RA hands is uncertain, although evidence from small scale studies is promising. The Strengthening And Stretching for Rheumatoid Arthritis of the Hand (SARAH) trial is a pragmatic, multi-centre randomised controlled trial evaluating the clinical and cost effectiveness of adding an optimised exercise programme for hands and upper limbs to best practice usual care for patients with RA.Methods/design: 480 participants with problematic RA hands will be recruited through 17 NHS trusts. Treatments will be provided by physiotherapists and occupational therapists. Participants will be individually randomised to receive either best practice usual care (joint protection advice, general exercise advice, functional splinting and assistive devices) or best practice usual care supplemented with an individualised exercise programme of strengthening and stretching exercises. The study assessors will be blinded to treatment allocation and will follow participants up at four and 12 months. The primary outcome measure is the Hand function subscale of the Michigan Hand Outcome Questionnaire, and secondary outcomes include hand and wrist impairment measures, quality of life, and resource use. Economic and qualitative studies will also be carried out in parallel.Discussion: This paper describes the design and development of a trial protocol of a complex intervention study based in therapy out-patient departments. The findings will provide evidence to support or refute the use of an optimised exercise programme for RA of the hand in addition to best practice usual care.Trial registration: Current Controlled Trials ISRCTN89936343Keywords: Randomised controlled trial, Rheumatoid arthritis, Exercise, Hand, Rehabilitatio

    The logical and the phenomenological in Martin Creed’s chairs

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    Creed’s work appeals to two apparently contrary tendencies: analytical logic, which encourages a detached examination of objects, and phenomenal qualities that break down this detachment when the chairs are viewed as comfortable or homely. These two tendencies can be more precisely described by appealing to Martin Heidegger’s well-known series of distinctions between ‘presence-at-hand’ and ‘readiness-to-hand’

    Biting the hand that feeds us

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    We set ourselves to bite the hand that feeds us. Edmund Burke This book is dedicated to the rule breakers, the troublemakers, and the revolutionaries. Sometimes the hand that feeds you needs a good bite. Dan Wells People who bite the hand that feeds them usually lick the boot that kicks them. Eric Hoffer Don’t bite the hand that feeds you when you’re full, then turn around and expect a hand out when you’re starving again. Zodiac City An artist should always bite the hand that feeds him - but not too hard. Nam June Paik Are the words of the prophets still being written on the subway walls or are they only Facebook memes? As a biographer I am well aware that we do not see things as they are but rather as we are. For it is impossible for even the most truthful among us to eliminate the personal. We are each a creature of time, place, circumstance, interests, predilections, and culture. Samuel Hynes characterised this as people ‘imagining’ competing versions of the same reality. I have ‘imagined’ food as a political act in which biting becomes a metaphor for an engagement with the democratic process through which we question other people’s imaginings. So what of these words? Do they provide an insight in the men and women who wrote them? Their readers? The publishers? The gallery director? Or do they speak of me … or you? Do Burke’s words resonate with our post-Trump world because they are timeless? Or do we look at his words and see only our reflection … fleeting, ephemeral and very, very personal

    The Hindered Hand

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    Cover -- Title -- Copyright -- Dedication -- Contents -- Acknowledgments -- Introduction -- Textual Note -- The Hindered Hand -- Dedication -- Solemnly Attested -- Illustrations -- The young woman looked into his face -- Her pretty brown eyes nestling -- Name me as I was named -- The rock battle was now on -- What do they take me to be -- What have you done -- Yer air jes' a plain, orternary liah -- Poor Bud, her helpless husband -- To and fro the two men swayed -- Is it a crime for me? -- I have tellerphoned 'round the world -- She made a flag of truce -- Don't circumscribe the able, noble souls -- We machine men in the South -- Ensal bent forward and kissed Tiara -- Chapter I: Occurrences that Puzzle -- Chapter II: His Face was her Guide -- Chapter III: Wherein Foresta First Appears -- Chapter IV: The Ways of a Seeker After Fame -- Chapter V: Rather Late in Life to be Still Nameless -- Chapter VI: Friendly Enemies -- Chapter VII: Officers of the Law -- Chapter VIII: A Messenger that Hesitates -- Chapter IX: A Plotter is He -- Chapter X: Arabelle Seabright -- Chapter XI: Unusual for a Man -- Chapter XII: A Honeymoon out of the Usual Order -- Chapter XIII: Shrewd Mrs. Crawford -- Chapter XIV: Alene and Ramon -- Chapter XV: Unexpected Developments -- Chapter XVI: An Eager Searcher -- Chapter XVII: Peculiar Divorce Proceedings -- Chapter XVIII: Mists That Vanish -- Chapter XIX: The Fugitives Flee Again -- Chapter XX: The Blaze -- Chapter XXI: Planning to Act -- Chapter XXII: The Two Pathways -- Chapter XXIII: They Grapple -- Chapter XXIV: Out of Joint with his Times -- Chapter XXV: A Joyful Farewell -- Chapter XXVI: Gus Martin -- Chapter XXVII: Tiara Mystifies Us -- Chapter XXVIII: Poor Fellow -- Chapter XXIX: A Revelation -- Chapter XXX: Mr. A. Hostility -- Chapter XXXI: Two of a Kind -- Chapter XXXII: Working and WaitingChapter XXXIII: Back in Almaville -- Chapter XXXIV: A Great Day in Court -- Chapter XXXV: Eunice! Eunice! -- Chapter XXXVI: Enthusiastic John Blue -- Chapter XXXVII: Postponing his Shout of Triumph -- Chapter XXXVIII: He Cannot, But he Does! -- Chapter XXXIX: A Son of the New South -- Chapter XL: Sorrow and Gladness -- A Hindering Hand: Supplementary to The Hindered Hand: A Review of the Anti-Negro Crusade of Mr. Thomas Dixon, Jr. -- Notes to the Text -- Appendix A: The Original Version of Chapter 31 -- Appendix B: Notices for and Reviews of The Hindered Hand, 1905-1906 -- Appendix C: Sutton E. Griggs, Thomas Dixon Jr., the National Baptist Convention, and The Hindered Hand -- Appendix D: The February 7, 1904, Holbert Lynching -- Appendix E: African Americans in the Military, Sutton Griggs on Africa, and Race Relations in Nashville -- Bibliography -- BackcoverDescription based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries

    Jack Alive / Martin Dead : The Location of the "Author" in Jack London\u27s Martin Eden

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    This essay is an attempt to read Martin Eden, Jack Londonʼs autobiographical novel, in terms of the inextricable relationship between the author and the protagonist. Critics have often taken the unbalanced plot and the lack of ironic distance between narrator and character in Martin Eden as the technical weakness of London, but this paper argues that the achievement of this novel owes a great deal to the attachment of London to Martin. The unbalanced structure is a necessary product of the severe struggle of the author to kill his romantic alter ego. // Martin, who aspires to win Ruth Morse, tries to cross class boundaries by making a career of a writer. Even after realizing the emptiness of Ruth, who turns out to be nothing but a typical figure of the bourgeoisie, he somehow persists in loving her. The notion underlying here is that, for Martin, love, career and art are fundamentally inseparable. He objects to the aestheteʼs view of Brissenden on account of his separation of art from career. Martinʼs identity and life consist only in the triunity of love/career/art; the alternative is the repudiation of life. Thus, the unnatural delay of his disappointment in love can be regarded as Londonʼs strategy to set the suicide of Martin as the necessary consequence of the story. // By finishing the story and killing Martin, London finally detaches himself from Martin, reconstructs his self, and, unlike Martin, survives as a professional writer. In this sense, Martin Eden is a story about “writerʼs self-reconstruction.

    Object Dexterous Manipulation in Hand Based on Finite State Machine

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    Li Q, Meier M, Haschke R, Ritter H, Bolder B. Object Dexterous Manipulation in Hand Based on Finite State Machine. In: Proc. ICMA2012. 2012: 1185-1190

    Martin, Sam

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    Susie Martin - wifehttps://stars.library.ucf.edu/cfm-ch-memoranda-1942/1809/thumbnail.jp

    Robert Martin Tiffin's Mystery Man Newspaper Articles

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    Advertiser-Tribune newspaper clippings featuring a story about Robert Martin (written by Nancy Kleinhenz), a local author from Tiffin (Ohio) who wrote under the pseudonym of Lee Roberts, and two of his short stories. Martin wrote mystery novels in his spare time, creating more than 22 mystery novels. For more information about Robert Martin and a list of books go to http://www.mysteryfile.com/RMartin/JBennett.html
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