Search results for "41"
showing 10 items of 3365 documents
Clinical reasoning and critical reflection in physiotherapists’ examinations of patients with low back pain in its early phase : a qualitative study …
2017
Aim: The aim of this study was to deepen the current understanding of physiotherapists’ decision-making process and more specifically, to investigate their reflections on their clinical reasoning when examining low back pain patients. Method: Data were collected in interviews with six physiotherapists, were the stimulated recall method was used. Interviews were audio-recorded and transcribed and then analysed by content analysis. Results: Physiotherapists critically analysed and reflected their choices and decisions in clinical reasoning with patient’s symptoms, onset of pain, clinical test choices and results. They stopped to consider the adequacy of tests for drawing conclusions and their…
The early changes in trunk muscle strength and disability following lumbar spine fusion
2012
To analyze trunk muscle function pre- and postoperatively in patients undergoing lumbar spine fusion. Associations between changes in trunk muscle strength and disability were also studied.A total of 114 patients undergoing lumbar spine fusion participated in the study. The flexion and extension strength of the trunk was measured preoperatively and 3 months after surgery using a strain-gauge dynamometer. Disability and pain during the past week was evaluated with the Oswestry disability index (ODI) and visual analog scale (VAS), respectively.Preoperative trunk extension and flexion strength levels were 319 N and 436 N in males, respectively, and 160 N and 214 N in females, respectively. In …
Micromechanical Properties and Collagen Composition of Ruptured Human Achilles Tendon
2012
Background:The Achilles tendon is one of the strongest tendons in the human body, and yet it frequently ruptures, which is a substantial clinical problem. However, the cause of ruptures remains elusive.Hypothesis:Ruptured human Achilles tendon displays inferior biomechanical properties and altered collagen composition compared with noninjured tendon.Study Design:Controlled laboratory study.Methods:Biopsy specimens were obtained at the rupture site and the noninjured part of the tendon (internal controls) in 17 patients with acute Achilles tendon rupture. Age- and weight-matched human cadaveric Achilles tendons (external controls) were also obtained. Tendon samples were tested micromechanica…
Knee extensor and flexor muscle power explains stair ascension time in patients with unilateral late-stage knee osteoarthritis: a cross-sectional stu…
2014
To determine the extent of asymmetrical deficits in knee extensor and flexor muscles, and to examine whether asymmetrical muscle deficits are associated with mobility limitations in persons with late-stage knee osteoarthritis (OA).Cross-sectional.Research laboratory.A clinical sample (N=56; age range, 50-75y) of eligible persons with late-stage knee OA awaiting knee replacement.Not applicable.Knee extensor and flexor power and torque assessed isokinetically; thigh muscle cross-sectional area (CSA) assessed by computed tomography; mobility limitation assessed by walking speed and stair ascension time; and pain assessed with the Western Ontario and McMaster Universities Osteoarthritis Index q…
Recaída locorregional en mujeres con cáncer de mama portadoras de mutación BRCA tratadas mediante cirugía conservadora
2015
El cáncer de mama (CM) representa la quinta causa de muerte por cáncer en todo el mundo y la segunda en los países desarrollados. El conocimiento de los factores de riesgo que predisponen a padecerlo permite poder desarrollar una prevención primaria y secundaria adecuada, con el fin de disminuir la incidencia de CM en el primer caso y realizar un diagnóstico precoz en el segundo. Entre un 5-10% de los casos de CM presentan una causa hereditaria asociándose a mutaciones principalmente en los genes BRCA1 y BRCA2 ocasionando el conocido Síndrome de CM y cáncer de Ovario (CO) Hereditario. Las personas portadoras de estas alteraciones presentan un alto riesgo de padecer CM , que oscila entre el …
Comptabilité à base d'activités (ABC) et activités informatiques : une contribution à l'amélioration des processus informatiques d'une banque
2010
The aim of the paper is to describe the Activity-based Costing and Management methods applied in France. For that purpose, we use a literature review and a case study. In a first time, we analyse the origins of the methods and their diffusion. Then we present the French situation. Finally, we propose a case study that takes place in a French bank. Our paper shows that the ABC and ABM methods are as developed in France as in the Anglo-Saxon countries and that the methods are strategically oriented.
Uusliberalismi muuttaa naisten töitä julkisella sektorilla
2016
Uusliberalismi ja uusi julkisjohtamisen käytäntö valtaavat alaa julkisella sektorilla. Seurauksena on paitsi muutoksia naisvaltaisen hoiva-alan ammattilaisten työnkuvaan ja asemaan, myös hoivan laatuun.
In Silico Analysis of Microarray-Based Gene Expression Profiles Predicts Tumor Cell Response to Withanolides
2012
Withania somnifera (L.) Dunal (Indian ginseng, winter cherry, Solanaceae) is widely used in traditional medicine. Roots are either chewed or used to prepare beverages (aqueous decocts). The major secondary metabolites of Withania somnifera are the withanolides, which are C-28-steroidal lactone triterpenoids. Withania somnifera extracts exert chemopreventive and anticancer activities in vitro and in vivo. The aims of the present in silico study were, firstly, to investigate whether tumor cells develop cross-resistance between standard anticancer drugs and withanolides and, secondly, to elucidate the molecular determinants of sensitivity and resistance of tumor cells towards withanolides. Usi…
Naudas sods krimināltiesībās
2019
Bakalaura darbā autore apskata naudas sodu krimināltiesībās. Bakalaura darbā tiek analizēts naudas soda jēdziens , mērķis un piemērošana Latvijā, darbā tiek apskatīta arī ārvalstu regulējums, naudas soda attīstība Latvijā sākot ar 1903. gada Soda likumu. Naudas sods ir aktuāls temats Latvijā un arī citās valstīs, tāpēc autore pēta arī tā piemērošanas īpatnības ārvalstīs, apskatītas tiek Lietuvas, Igaunijas, Austrijas, Somijas, Bulgārijas, Horvātijas, Šveices un Vācijas naudas soda redakcijas. Darba pirmajā nodaļā tiek izklāstīta naudas soda attīstība Latvijā sākot ar 1903. gada Soda likumu, otrajā nodaļa autore pēta naudas sodu kā krimināltiesisku jēdzienu, tā mērķi, naudas sodu kā pamatsod…
Naudas sods
2018
Naudas sods krimināltiesībās ir piemērojams gan kā pamatsods, gan papildsods. Iepazīstoties ar pieejamajiem statistikas datiem, naudas sods tiek piemērots daudz retāk nekā piespiedu darbs vai brīvības atņemšana. Ar Krimināllikuma grozījumiem ir būtiski palielināts jau tā reti piemērojamā naudas soda apmērs, taču praksē lielākoties naudas sods tiek piemērots minimālajā apmērā. Maģistra darba mērķis ir veikt padziļinātu pētījumu par naudas soda tiesisko regulējumu Latvijā, ārvalstīs un tā piemērošanu praksē. Tika izvirzīti sekojoši uzdevumi: 1) izpētīt naudas soda attīstību no Latvijas neatkarības atjaunošanas līdz 2018.gadam; 2) izpētīt pieejamo informāciju saistībā ar naudas sodu; 3) izpētī…