310 research outputs found
Trasferire efficacemente informazioni e responsabilità attraverso le consegne: revisione della letteratura
No full textLa trasmissione contemporanea e interattiva
di informazioni sulla situazione del paziente, da un
operatore a un altro, è definita handover. Trasferendo informazioni,
è trasferita anche la responsabilità del paziente e garantita
la sua sicurezza: tuttavia, le consegne scritte e/o verbali
sono spesso incomplete, inaccurate e di durata non sempre
sostenibile per le organizzazioni. Obiettivo. L’obiettivo della
revisione era individuare le strategie per assicurare una efficace
trasmissione delle informazioni cliniche attraverso le
consegne. Metodi. La ricerca della letteratura è stata eseguita
in Medline e Cinahl includendo gli articoli pubblicati in lingua
inglese e italiana, per la popolazione >19 anni, fino a
marzo 2011. Risultati. Sono stati reperiti 153 articoli e analizzati
44; con la ricerca manuale, sono stati individuati 11
articoli/siti/capitoli. Sono stati individuati numerosi metodi per
impostare le consegne e selezionare le informazioni. Il metodo
da preferire in ospedale è la consegna al letto del paziente,
ma è utilizzabile solo in determinate condizioni. Come atteso,
la scelta delle modalità di consegna deve tenere conto
di una serie di fattori locali, soprattutto del modello organizzativo.
Conclusioni. Occorre studiare come integrare correttamente
le informazioni scritte e verbali, per evitare ridondanze
e garantire la trasmissione delle informazioni essenziali per
la sicurezza del paziente e la pianificazione dell’assistenza
The History, Current Role, and Future of Music Therapy in India: International Interviews with Prof. Dr. Sumathy Sundar and Aastha Luthra
No full text印度音乐治疗的历史、现状与未来：与Sumathy Sundar教授博士和Aastha Luthra的国际访谈
这篇文章是基于一个研究生音乐治疗课程的作业，其中包括对Sumathy Sundar博士和Aastha Luthra教授的访谈，这两位教授都是目前在印度执业的音乐治疗师。这是一篇Sundar博士和Luthra博士私人交流和通信汇编成的文章，再加上Sangeeta Swamy博士关于印度音乐治疗的历史、当前角色和未来的一些额外背景。本文指出殖民的影响；概述当前的音乐治疗教育实践、理论取向、方法、乐器、人群和临床设置；尊重这个复杂国家的文化多样性；强调音乐也可以为音乐治疗师发挥个人作用。此外，本文还试图就印度音乐治疗未来建设的挑战和希望之源进一步探讨。
翻译：温蕴L\u27histoire, le Rôle Actuel et l\u27Avenir de la Musicothérapie en Inde: Entretiens Internationaux avec le Prof. Dr. Sumathy Sundar et Aastha Luthra
Cet article est basé sur un travail effectué pour un cours de musicothérapie de troisième cycle qui comprenait des entrevues avec le professeur Sumathy Sundar et Aastha Luthra, tous deux de la musicothérapeutes pratiquant actuellement en Inde. Il s\u27agit d\u27une compilation de communications personnelles et écrits du Prof. Dr. Sundar et Luthra, avec quelques informations supplémentaires du Dr Sangeeta Swamy, sur l\u27histoire, le rôle actuel et l\u27avenir de la musicothérapie en Inde. Cet article reconnaît les effets de la colonisation; décrit la musique actuelle pratiques pédagogiques thérapeutiques, orientations théoriques, méthodes, instruments, populations, et paramètres; rend hommage à la diversité culturelle de ce pays complexe; et faits saillants le rôle personnel que la musique peut également jouer pour les musicothérapeutes. De plus, ce document cherche à intensifier le dialogue sur les défis et les sources de l\u27espoir de construire l\u27avenir de la musicothérapie en Inde.
Mots-clés: musicothérapie, Inde, entretien
Traduit par Danielle JakubiakThis paper is based on an assignment conducted for a graduate music therapy course which included interviews with Prof. Dr. Sumathy Sundar and Aastha Luthra, both music therapists currently practicing in India. It is a compilation of personal communications and writings from Prof. Dr. Sundar and Luthra, with some additional background from Dr. Sangeeta Swamy, on the history, current role, and future of music therapy in India. It acknowledges the effects of colonization; outlines current music therapy educational practices, theoretical orientations, methods, instruments, populations, and settings; honors the cultural diversity of this complex country; and highlights the personal role that music can also play for music therapists. In addition, this paper seeks to increase the dialogue regarding both the challenges and sources of hope in building the future of music therapy in India.La storia, il ruolo corrente e il futuro della musicoterapia in India: interviste internazionali con le Prof. Dr. Sumathy Sundar e Aastha Luthra
Questo articolo si basa su un incarico condotto per un corso di laurea in musicoterapia che includeva interviste con le Prof. Dr. Sumathy Sundar e Aastha Luthra, entrambe musicoterapiste attualmente attive in India. Si tratta di una raccolta di comunicazioni personali e scritti delle Prof. Dr. Sundar e Luthra, con alcuni retroscena della Dr. Sangeeta Swamy, sulla storia, il ruolo attuale e il futuro della musicoterapia indiana. L’articolo riconosce gli effetti della colonizzazione; delinea attuali pratiche educative di musicoterapia, orientamenti teorici, metodi, strumenti, popolazioni e contesti; onora la diversità culturale di questo complesso paese; evidenzia il ruolo personale che la musica può svolgere anche per i musicoterapisti.
Inoltre, esso cerca di incrementare il dialogo sia sulle sfide che sulle fonti di speranza nella costruzione del futuro della musicoterapia in India.
Traduzione di Claudio ComimardiDie Geschichte, aktuelle Rolle und Zukunft der Musiktherapie in Indien:Internationale Interviews mit Prof. Dr. Sumathy Sundar und Aastha Luthra
ZusammenfassungDiese Arbeit basiert auf einem Aufsatz, der im Rahmen eines Musiktherapiestudiums entstanden ist und Interviews mit Prof. Dr. Sumathy Sundar und Aastha Luthra umfasste, beides Musiktherapeutinnen, die derzeit in Indien praktizieren. Es ist eine Zusammenstellung von persönlichen Mitteilungen und Aufzeichnungen von Prof. Dr. Sundar und Frau Luthra, mit einigen zusätzlichen Hintergrundinformationen von Dr. Sangeeta Swamy, über die Geschichte, die gegenwärtige Rolle und die Zukunft der Musiktherapie in Indien. Dieser Aufsatz erkennt die Auswirkungen der Kolonisierung an; er skizziert aktuelle musiktherapeutische Ausbildungspraktiken, theoretische Orientierungen, Methoden, Instrumente, Bevölkerungsgruppen und Schauplätze; er würdigt die kulturelle Vielfalt dieses komplexen Landes und hebt die persönliche Rolle hervor, die Musik auch für MusiktherapeutInnen spielen kann. Darüber hinaus versucht dieser Artikel, den Dialog zwischen Herausforderungen und Hoffnungsträgern beim künftigen Aufbau der Musiktherapie in Indien zu stärken.
Schlüsselbegriffe: Musiktherapie, Indien, Interview
Übersetzung: Josephine Geipe
Affordability of fruits and vegetables and dietary quality worldwide
No full textRefers to:\ud
\ud
Victoria Miller, Salim Yusuf, Clara K Chow, Mahshid Dehghan, Daniel J Corsi, Karen Lock, Barry Popkin, Sumathy Rangarajan, Rasha Khatib, Scott A Lear, Prem Mony, Manmeet Kaur, Viswanathan Mohan, Krishnapillai Vijayakumar, Rajeev Gupta, Annamarie Kruger, Lungiswa Tsolekile, Noushin Mohammadifard, Omar Rahman, Annika Rosengren, Alvaro Avezum, et al.\ud
Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels: findings from the Prospective Urban Rural Epidemiology (PURE) study\ud
The Lancet Global Health, Volume 4, Issue 10, October 2016, Pages e695-e70
Elements of Magical Realism in the Odyssey of Protagonist in Chithra Bannerjee Divakaruni’s THE MISTRESS OF SPICES
No full textAbstract
This paper defines magical realism and traces its origin. It states how Chitralekha Banerjee Divakaruni has dexterously employed this literary device in her novel The Mistress of Spices. In Divakaruni’s novels, the opposites co-exist but instead of contradicting, they only complement one another. Her vivid and engaging style strongly supports the character development of the protagonists. The coexistence of magical fantasy and the characteristics of hybrid culture with postcolonial or postmodern novelistic devices in her novels and short stories has often led the author to define her writing approach as magical realism. Circumstances are never very easy in any of Divakaruni’s novels or short stories. Tilo plays many roles and keeps on changing her names to befit her roles. This universalizes the complex problem of identity crisis that the Indians try to cope up with, in a foreign land. She has been changing her name from NayanTara as a daughter to Bhagyavati during her stay with the pirates, then to Tilo, and finally Maya when she finds her love. The name Maya is very interesting to note since it means illusion. One can pause and ask whether Maya is real or another illusion created by the author to enhance the magical suspense in the novel or whether it is the newly found identity of Tilo. The name is noteworthy since the novel has magical elements. The name ?Maya? reinforces the theme. KEY WORDS: Magic realism, identity crisis, hybrid culture, metamorphosis
Effects of Stenochlaena palustris leaf extract on growth and morphogenesis of food borne pathogen, Aspergillus niger
No full textSome synthetic preservatives have become controversial because they have been proven to cause health problems. These increased health concerns have led consumers to prefer food preservatives based on natural products. Hence, Stenochlaena palustris leaf extract was used in this study to evaluate the antifungal activity against food borne pathogen, Aspergillus niger. The value of minimum inhibitory concentration and minimum fungicidal concentration of leaf extract for this fungus grown on Potato Dextrose Agar medium was 50 mg/ml. IC50 value for the hyphal growth of A. niger was at a concentration of 17.41 mg/ml. Morphology changes of A. niger treated with the fern leaf extract was observed through scanning electron microscope. The thread-like and elongated hyphae cell wall was disrupted, with some appearing flattened and others being broken. Currently, there is growing interest in using natural food preservatives such as medicinal plant extracts for preserving foods to reduce outbreaks of foodborne pathogenic microorganisms. Hence, S. palustris appears to have promise as a safe alternative natural product-based food preservative for future generations
INSILICO CHARACTERIZATION OF GLUTATHIONE S-TRANSFERASES AND THEIR INTERACTION STUDY IN MULBERRY SILKWORM, BOMBYX MORI.
No full textThe Glutathione S-transferases are cytosolic enzymes that are found in both prokaryotes and eukaryotes. The GST multigene family are phase II detoxification enzymes that mainly helps to detoxify the large range of xenobiotic compounds in many organisms. These enzymes play a major role in detoxification pathway along with their related genes. We characterized the each GSTs class of silkworm such as Delta, Epsilon, Omega, Theta, Zeta and the phylogentic tree of GSTs were consructed. Further, we identified the conserved domains of GSTs such as thioredoxin_like and GST_C_family superfamily. Also, the G-site, H-site and dimer inferace of GSTs were identified. Around 10 conserved motifs were found by analyzing all GSTs of the silkworm. The silkworm genome sequences were mapped into the kegg pathway database and found the silkworm genes that are found in the xenobiotics metabolism pathway. Additionally, 128 protein-protein interactions of silkworm were found from the GSTs and their related genes of metabolic pathways. Further, functional enrichment analysis was shown. This study paves ways to understand the phase II detoxification enzymes, glutathione S-transferases and xenobiotics detoxification metabolic pathway of the mulberry silkworm.</p
Design, Control and Experimental Validation of a Robust Adaptive Feedback Linearization Controller for a Quadcopter Manipulator System
No full textA quadcopter manipulator system (QMS) is an aerial robot comprising a quadcopter with a
three degree of freedom manipulator mounted at the bottom of the vehicle. An aerial robot
can reach otherwise inaccessible locations, and the manipulator can execute a variety of tasks.
The presented thesis focuses on the design, control, and hardware implementation of a
quadcopter manipulator system, with a robust adaptive non-linear controller.
In the initial phase of the work, a thorough analysis of the workspace of the manipulator, which
is mounted at the bottom of the vehicle, is presented. The proposed robotic arm has an
extended workspace, allowing the end-effector to reach targets both above and below the
airframe. During tasks involving interaction with walls and other structures, the drone's thrust
can interact with the surroundings and cause counter moments on the system. A technique
based on drone and target positions is proposed to solve this problem.
A novel robust adaptive non-linear controller is designed and implemented in the second
phase. With uncertain time-varying parameters, the system has coupled non-linear dynamics. A
novel Augmented Adaptive Torque (AAT) control law is presented for the uncertain system,
which combines a model reference adaptive controller with a feedback linearization controller.
A strictly positive real-Lyapunov approach is used to create an adaptive law for estimating
unknown system parameters. Lyapunov theory is used to investigate the closed-loop system's
asymptotic stability. A bound on the parameter estimation error is derived utilizing the inputto-
state (ISS) stability concept.
The AAT control law is further combined with an estimate of the unknown bounded
disturbance to create the Robust Augmented Adaptive Torque (RAAT) control law, ensuring
robustness. The adaptive law is modified using a projection operator to ensure that the
estimates are bounded. To validate the theoretical conclusions and corroborate the
performance of the augmented adaptive torque control rule on the closed-loop system,
simulations in MATLAB and ROS/Gazebo are provided. A three DoF 3D printed robotic arm is
attached to an in-built quadcopter to create the QMS aerial robot, custom-built in the lab. To
assess the performance of the proposed controller, real-time experiments using QMS hardware
are carried out. The proposed method's efficiency is demonstrated by the aerial robot's
trajectory tracking and stability during real-time testing in field experiments
A Study on Serum Prolactin in reduced Bone Mineral Density.
No full textReduced bone mineral density is a universal problem of modern society;
It may not be the commonest of all diseases, but it is sufficiently common to be
Important. Osteopenia and osteoporosis are the two different grades of the
Condition with the density being much more reduced in osteoporosis which is a
Systemic skeletal disease characterized by low bone mass and micro
Architectural increase in bone fragility that renders bone more susceptible to
Fracture.
Osteoporosis is now considered as a major health care problem in india
With an estimated 50% of healthy women and 30% of men over 50 years
Having low bone mass. It is preventable and treatable, but there are no warning
Signs until fracture occurs. It is a silent risk factor for fracture just as
Hypertension is for `stroke'.
Hyperprolactinemia is found to be commonly associated with reduced
Bone mineral density. The osteoporotic effect of excessive prolactin are said to
Be due to hypoestrogenism, calcium mobilization from bone and direct effect of
Prolactin on bone.
By the year 2050, osteoporosis is likely to be a major demographic
Factor due to changes in the life style and the increase in the survival rate of the
Elderly. The incidence of fracture of the hip is likely to rise across the world to
6.26 millions and 71% of these fractures are likely to occur in the developing
World. Therefore the determination of bone mass has to be done constantly. At
Present bone mass determination is done only with the help of dexa scan.
(dual energy x-ray absorptiometry).
A developing nation like india cannot afford to diagnose fracture risk in
The general population with the help of dexa scan due to the high cost.
Therefore a test which will be less expensive and reliable should be opted for in
Our country.
As hyperprolactinemia has been found to be associated with
Osteoporosis, determination of serum prolactin can be an useful assessment in
The determination of reduced bone mineral density. Hence the interest
Developed to determine this hormone in the elderly who are `high risk'
Individuals prone to develop osteopenia and osteoporosis and the ensuring
Complication `fracture'.
The present study is to find out the association of hyperprolactinemia
With reduced bone mineral density and plan preventive and treatment protocols
To reduce the burden of osteoporosis on society
A clinical study of ocular motor nerve palsies
No full textINTRODUCTION:
The designation “Ocular motor system” refers to the entire somatic motor
system that controls the position and movements of the eyes. This system includes
the extraocular muscles, the cranial nerves and nuclei that innervate them and the
forces that stimulate and inhibit their actions. Restricted Ocular mobility could be the
result of paralysis of the nerves supplying the extra ocular muscles (neurogenic) or
due to the pathology in the muscle itself (myogenic) or there may be the pathology at
the myoneural junction (neuro muscular).
Since the treatment for these conditions is different from one another, it
becomes clinically important to differentiate them, thus avoiding elaborate
neurological investigations it is not necessary. AIM OF STUDY: • To find out the common etiology and incidence of the infra nuclear
neurological lesions of III, IV and VI cranial nerves. To study the pattern of recovery in each type of nerve palsy in these cases. To emphasize the importance of non invasive techniques in these cases to
clinch the localization of involvement and probable aetiology according to
localization. To find out the mode of treatment to be followed in cases of both recent and
established cases of neurological palsies involving III, IV and VI cranial
nerves. MATERIALS AND METHODS: This study was conducted in department of ophthalmology, Coimbatore
Medical College Hospital, Coimbatore. The study period was from august 2007 to
august 2009. All patients attending to ophthalmology department and referred cases
from other departments, who are having neurologic lesion of III, IV and VI cranial
nerves mainly infra nuclear neuropathic ocular movement disorder were included in
this study.
Patients with supra nuclear, nuclear, inter nuclear and myogenic types were
excluded from the study by doing suitable examination and investigations.
SUMMARY: Of the 170 cases of ocular cranial nerve palsies, 82.35% occurred between 20 –
70 years, the range being 1 ½ - 70 years. The maximum number of III nerve
palsies were found only between 60 – 69 years. All trochlear nerve palsies are
between 20 to 44 years of age. There is a wide distribution of cases of VI nerve
palsies, from 2nd to 7th decade and multiple cranial nerve palsies 50% of cases
fell between 40 – 60 years of age. CONCLUSION: From this study of 170 cases of cranial nerve palsies it is concluded that.
1. The VI cranial nerve is the most commonly affected nerve followed by III
nerves and multiple cranial nerves and lastly the IV cranial nerve.
2. All these Ocular motor nerves can be affected by various pathological
conditions.
3. Commonest presenting symptoms were diplopia, drooping of eye lid, pain and
headache especially on the affected side.
4. Among the systemic conditions, diabetes followed by hypertension form the
most commonly occurring association.
5. Closed head trauma even trivial is associated with trochlear nerve palsies
while forcible head trauma as in cases of RTA leading III & VI cranial nerve
palsies also.
6. There is no specific preponderance of infection in this series.
7. In 73 cases no specific cause could be made out
8. patients belonging to older age group were suffering from ocular motor cranial
nerve palsies due to micro angiopathic lesions while trauma was the main
cause in younger age group;
9. Non invasive procedures like CT & MRI were invaluable in diagnosis in
selected cases.
10. Cases due to non specific neuritis or due to micro angiopathic lesions
secondary to diabetes, hypertension etc recovered with in 4 months regardless
of the nerve affected.
11. Longer follow-up, better facilities to do MRI may help in finding out specific
aetiologies in these cases classified as nonspecific neuritis
Quadrotor-Based Aerial Manipulator Robotics
No full textAerial manipulators are being increasingly used in many applications. This paper surveys several quadrotor-based aerial manipulators (QAM) that have been designed and reported in the literature. After a brief review of the history of the developments in aerial manipulator systems, it presents the main components of the QAM system and the various challenges faced by designers in terms of controller design, the various methods used and some actual control system implementations. Finally, the paper presents a complete design and hardware field experiment of an in-house-designed QAM system.Validerad;2025;Nivå 2;2025-06-26 (u5);Full text license: CC BY</p
- …
