267 resultados para Monofilament Semmes-Weinstein
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Study Design. Development of an automatic measurement algorithm and comparison with manual measurement methods. Objectives. To develop a new computer-based method for automatic measurement of vertebral rotation in idiopathic scoliosis from computed tomography images and to compare the automatic method with two manual measurement techniques. Summary of Background Data. Techniques have been developed for vertebral rotation measurement in idiopathic scoliosis using plain radiographs, computed tomography, or magnetic resonance images. All of these techniques require manual selection of landmark points and are therefore subject to interobserver and intraobserver error. Methods. We developed a new method for automatic measurement of vertebral rotation in idiopathic scoliosis using a symmetry ratio algorithm. The automatic method provided values comparable with Aaro and Ho's manual measurement methods for a set of 19 transverse computed tomography slices through apical vertebrae, and with Aaro's method for a set of 204 reformatted computed tomography images through vertebral endplates. Results. Confidence intervals (95%) for intraobserver and interobserver variability using manual methods were in the range 5.5 to 7.2. The mean (+/- SD) difference between automatic and manual rotation measurements for the 19 apical images was -0.5 degrees +/- 3.3 degrees for Aaro's method and 0.7 degrees +/- 3.4 degrees for Ho's method. The mean (+/- SD) difference between automatic and manual rotation measurements for the 204 endplate images was 0.25 degrees +/- 3.8 degrees. Conclusions. The symmetry ratio algorithm allows automatic measurement of vertebral rotation in idiopathic scoliosis without intraobserver or interobserver error due to landmark point selection.
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Study Design. Prospective clinical case series. Objective. To evaluate the clinical outcome of anterior endoscopic instrumention for scoliosis using the SRS-24 questionnaire and to examine how these scores change over a 2-year follow-up period. Summary of Background Data. Anterior endoscopic instrumentation correction has several advantages compared with open procedures. However, the clinical results of this technique using a validated outcome measure have rarely been reported in the literature. Methods. A total of 83 consecutive patients underwent endoscopic anterior instrumentation performed at a single unit. Patients completed the SRS-24 questionnaire before surgery and at 3, 6, 12, and 24 months after surgery. The SRS-24 scores were compared between each of the follow-up intervals. Results. The pain, general self-image, and function from back condition domains improved after surgery (P < 0.05). Activity level significantly improved between 3 and 6 months, and both function domains improved between 6 and 12 months (P < 0.05). None of the domains increased significantly after 1 year. Conclusions. Endoscopic anterior instrumentation for scoliosis significantly improved pain, self-image, and function. The greatest improvement in function occurred between 6 and 12 months after surgery. The SRS-24 scores at 1 year from surgery may provide a good indicator of patient outcome in the long-term.
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Os 799 discentes presenciais cursando entre o 5º a 8º semestre que utilizam os jogos de empresas, inclusos nas 225 empresas ativas distribuídas entre os cursos de Administração geral; Comércio exterior; Administração financeira; Ciências contábeis e Ciências econômicas no campus Rudge Ramos da Universidade Metodista de São Paulo, foram submetidos a 6 cenários virtuais, com diferentes graus de complexidade, onde suas decisões foram investigadas sob a ótica dos aspectos heurísticos, contidos em finanças comportamentais, validando a hipótese de que suas decisões não são tomadas utilizando a teoria de mercado eficiente contida nas finanças tradicionais, modelo este que pressupõe que seus agentes são racionais e maximizadores de benefícios esperados, mas as tomam através das heurísticas comportamentais de efeito certeza, reflexão e isolamento, existentes no questionário da Teoria do Prospecto, Nobel de economia em 2002 por introduzir os insights da pesquisa psicológica na ciência econômica, especialmente no que diz respeito as avaliações e tomada de decisão sob incerteza, sugerindo uma mudança na função linear da predileção de perdas à ganhos, constantes em finanças tradicionais, para uma concavidade da função utilidade para ganhos e convexas para perdas, utilizadas em heurísticas comportamentais de Kahneman e Tversky (1979). Foi também efetuada uma análise de processos das 56 empresas virtuais contidas no 1º quartil, escalonadas em ordem decrescente, gerando duas proxys de confirmação dos resultados tabulados. Foi constatado uma superestimação de resultados possíveis ao invés de resultados prováveis, demonstrando fantasias das habilidades dos jogadores, equiparáveis com os resultados de Weinstein (1980), em até 71% acreditando serem melhores do que realmente são. Além de análise Qui-Quadrática que confirmaram que os resultados da teoria do prospecto são equiprováveis e equilibrados com o trabalho original, além do Teste-t entre amostras de variâncias equivalentes que geraram significância estatística, reforçando o modelo. Também foi efetuado uma análise das decisões por gênero nas respostas, para comprovar a irrelevância proposta por Hanna, Gutter e Fan (2001) quanto a predileção e aceitação ao risco.
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Poly(ε-caprolactone) (PCL) fibers produced by wet spinning from solutions in acetone under low-shear (gravity-flow) conditions resulted in fiber strength of 8 MPa and stiffness of 0.08 Gpa. Cold drawing to an extension of 500% resulted in an increase in fiber strength to 43 MPa and stiffness to 0.3 GPa. The growth rate of human umbilical vein endothelial cells (HUVECs) (seeded at a density of 5 × 104 cells/mL) on as-spun fibers was consistently lower than that measured on tissue culture plastic (TCP) beyond day 2. Cell proliferation was similar on gelatin-coated fibers and TCP over 7 days and higher by a factor of 1.9 on 500% cold-drawn PCL fibers relative to TCP up to 4 days. Cell growth on PCL fibers exceeded that on Dacron monofilament by at least a factor of 3.7 at 9 days. Scanning electron microscopy revealed formation of a cell layer on samples of cold-drawn and gelatin-coated fibers after 24 hours in culture. Similar levels of ICAM-1 expression by HUVECs attached to PCL fibers and TCP were measured using RT-PCR and flow cytometry, indicative of low levels of immune activation. Retention of a specific function of HUVECs attached to PCL fibers was demonstrated by measuring their immune response to lipopolysaccharide. Levels of ICAM-1 expression increased by approximately 11% in cells attached to PCL fibers and TCP. The high fiber compliance, favorable endothelial cell proliferation rates, and retention of an important immune response of attached HUVECS support the use of gravity spun PCL fibers for three-dimensional scaffold production in vascular tissue engineering. © Mary Ann Liebert, Inc.
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We report an extension of the procedure devised by Weinstein and Shanks (Memory & Cognition 36:1415-1428, 2008) to study false recognition and priming of pictures. Participants viewed scenes with multiple embedded objects (seen items), then studied the names of these objects and the names of other objects (read items). Finally, participants completed a combined direct (recognition) and indirect (identification) memory test that included seen items, read items, and new items. In the direct test, participants recognized pictures of seen and read items more often than new pictures. In the indirect test, participants' speed at identifying those same pictures was improved for pictures that they had actually studied, and also for falsely recognized pictures whose names they had read. These data provide new evidence that a false-memory induction procedure can elicit memory-like representations that are difficult to distinguish from "true" memories of studied pictures. © 2012 Psychonomic Society, Inc.
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This dissertation analyzes how marketers define markets in technology-based industries. One of the most important strategic decisions marketers face is determining the optimal market for their products. Market definition is critical in dynamic high technology markets characterized by high levels of market and technological uncertainty. Building on literature from marketing and related disciplines, this research is the first in-depth study of market definition in industrial markets. Using a national, probability sample stratified by firm size, 1,000 marketing executives in nine industries (automation, biotechnology, computers, medical equipment and instrumentation, pharmaceuticals, photonics, software, subassemblies and components, and telecommunications) were surveyed via a mail questionnaire. A 20.8% net response rate yielding 203 surveys was achieved. The market structure-conduct-performance (SCP) paradigm from industrial organization provided a conceptual basis for testing a causal market definition model via LISREL. A latent exogenous variable (competitive intensity) and four latent endogenous variables (marketing orientation, technological orientation, market definition criteria, and market definition success) were used to develop and test hypothesized relationships among constructs. Research questions relating to market redefinition, market definition characteristics, and internal (within the firm) and external (competitive) market definition were also investigated. Market definition success was found to be positively associated with a marketing orientation and the use of market definition criteria. Technological orientation was not significantly related to market definition success. Customer needs were the key market definition characteristic to high-tech firms (technology, competition, customer groups, and products were also important). Market redefinition based on changing customer needs was the most effective of seven strategies tested. A majority of firms regularly defined their market at the corporate and product-line level within the firm. From a competitive perspective, industry, industry sector, and product-market definitions were used most frequently.
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This paper relates key elements of andragogy (Knowles, 1970, 1984) to the intellectual origins of the Internet. Common to both are the principles of access, voluntary participation, self-direction, and learning webs. New opportunities for adult learners and educators in the emergent information ecosystem are discussed.
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We prove that the dimension of the 1-nullity distribution N(1) on a closed Sasakian manifold M of rankl is at least equal to 2l−1 provided that M has an isolated closed characteristic. The result is then used to provide some examples of k-contact manifolds which are not Sasakian. On a closed, 2n+1-dimensional Sasakian manifold of positive bisectional curvature, we show that either the dimension of N(1) is less than or equal to n+1 or N(1) is the entire tangent bundle TM. In the latter case, the Sasakian manifold Mis isometric to a quotient of the Euclidean sphere under a finite group of isometries. We also point out some interactions between k-nullity, Weinstein conjecture, and minimal unit vector fields.
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The purpose of this study was to examine the phenomenological aspect in the empowerment process of mothers of children with disabilities, and to determine if the coding categories used by Dunst & Trivette (1996) could be replicated. Three mothers of children with disabilities agreed to participate in the study. A semistructured interview was used to determine the specific events that lead to empowerment. Interviews were audio-taped and transcribed by the researcher. Fifteen coding categories and four majors themes of empowerment were identified. Triangulation was used to assure reliability and validity. The findings demonstrated that the coding stages of empowerment as outlined by Dunst & Trivette (1996) are reproducible, as well as the envisionment of the future for their children is the essence of empowerment for these mothers. Specific suggestions are made by which occupational therapists can facilitate the empowerment process of mothers who have children with disabilities.
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For any Legendrian knot in R^3 with the standard contact structure, we show that the existence of an augmentation to any field of the Chekanov-Eliashberg differential graded algebra over Z[t,t^{-1}] is equivalent to the existence of a normal ruling of the front diagram, generalizing results of Fuchs, Ishkhanov, and Sabloff. We also show that any even graded augmentation must send t to -1.
We extend the definition of a normal ruling from J^1(S^1) given by Lavrov and Rutherford to a normal ruling for Legendrian links in #^k(S^1\times S^2). We then show that for Legendrian links in J^1(S^1) and #^k(S^1\times S^2), the existence of an augmentation to any field of the Chekanov-Eliashberg differential graded algebra over Z[t,t^{-1}] is equivalent to the existence of a normal ruling of the front diagram. For Legendrian knots, we also show that any even graded augmentation must send t to -1. We use the correspondence to give nonvanishing results for the symplectic homology of certain Weinstein 4-manifolds.
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El servicio doméstico ocupa un lugar ambiguo entre los mundos público y privado. Desarrollado en el interior de los hogares de los empleadores, da lugar a relaciones en las que lo laboral y lo afectivo están imbricados. Los juicios laborales entre empleadores y trabajadoras domésticas constituyen un escenario privilegiado para observar el solapamiento de estas dimensiones. Si las demandas de las trabajadoras frente a las instituciones de justicia sitúan esta relación en el mundo público, las respuestas de los empleadores muchas veces buscan resituarlas en el orden privado. Por otra parte, en algunos escenarios, las demandas de las trabajadoras son también expresadas en un lenguaje que remite a lo privado. En este artículo analizamos las lógicas de la confl ictividad judicial establecidas en las estrategias de empleadores y trabajadoras frente al Tribunal del Trabajo Doméstico (TTD), un organismo creado en 1956 para atender los confl ictos individuales que derivan de las relaciones de trabajo de este sector en la ciudad de Buenos Aires. Tomamos dos horizontes temporales caracterizados por cambios en la regulación del trabajo, en general, y del servicio doméstico, en particular: el de los primeros años de funcionamiento del TTD y el cambio de siglo.
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El objetivo del artículo es realizar un diagnóstico sobre la percepción de los factores que intervienen en el rendimiento académico de los estudiantes de cinco carreras universitarias en una escuela de educación superior en México, para así reconocer las áreas de oportunidad que permitan sugerir políticas y estrategias para elevar su rendimiento. Se utilizó una muestra de 1651 estudiantes, se obtuvieron los datos a partir de un cuestionario con treinta preguntas que estudian la percepción del rendimiento académico en escala tipo Likert. Se realizó un análisis factorial exploratorio que permitiera reducir los datos, facilitar la interpretación y validar el instrumento. Se identificaron tres factores: a) el rol de los profesores, b) la evaluación y c) la motivación de los estudiantes. Se llevó a cabo un análisis comparativo por carrera. Se encontró que los estudiantes perciben que la mayoría de los maestros no se preocupan por la condición de los jóvenes en situación de reprobación. Además, casi no motivan y carecen de expresiones de sentimientos de orgullo por los logros académicos de los estudiantes. La mitad de los participantes piensa que los docentes no cubren el temario en su totalidad. Se detectó que los estudiantes poseen una alta motivación siendo esto positivo porque son alumnos dedicados y responsables. Se concluye realizando una serie de sugerencias y explicando las implicaciones que tiene este trabajo para las instituciones de educación superior.
Resumo:
Este trabajo presenta la reelaboración de un modelo de producción de textos escritos, publicado por el Grupo Didactext en 2003. Se sitúa en un marco sociocognitivo, lingüístico y didáctico, y está concebido desde la interacción de tres dimensiones simbolizadas por círculos concéntricos recurrentes. El primer círculo corresponde al ámbito cultural: las diversas esferas de la praxis humana en las que está inmersa toda actividad de composición escrita. El segundo se refiere a los contextos de producción, de los que forman parte el contexto social, el situacional, el físico, la audiencia y el medio de composición. El tercer círculo corresponde al individuo, en el que se tiene en cuenta el papel de la memoria en la producción de un texto desde el enfoque sociocultural, la motivación, las emociones y las estrategias cognitivas y metacognitivas, dentro de las cuales se conciben seis unidades funcionales que actúan en concurrencia: acceso al conocimiento, planificación, redacción, revisión y reescritura, edición, y presentación oral. La orientación didáctica se interesa por la enseñanza y el aprendizaje de la escritura académica en las aulas, así como por la investigación de la escritura en contextos de educación.