Telehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face-to-face, in-person medical encounter. Technology advances ...and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care and outpatient settings. Patients with impaired mobility and those living in locations with reduced access to care may particularly benefit. Video-teleconferencing has been shown to be effective for management of burn patients during acute rehabilitation, including reduced health care use expenses and less disruptions to care. Telehealth can facilitate developing interprofessional care plans. Patients with neurologic conditions including stroke, spinal cord injury, traumatic brain injury, and amyotrophic lateral sclerosis may use telehealth to monitor symptoms and response to treatment. Telehealth also may facilitate occupational and physical therapy programs as well as improve weight management and skin care in patients with chronic conditions. Other applications include imaging review in sports medicine, symptom management and counseling in concussion, traumatic brain injury, and pain management programs. Limitations of telehealth include barriers in establishing relationship between medical provider and patient, ability to perform limited physical examination, and differences in payment models and liability coverage. The expansion of telehealth services is expected to grow and has potential to improve patient satisfaction by delivering high quality and value of care.
Some “classical” stochastic differential equations have been used in the theory of measurements continuous in time in quantum mechanics and, more generally, in quantum open system theory. In this ...paper, we introduce and study a class of such equations which allow us to achieve the same level of generality as the one obtained by the approach to continuous measurements based on semigroups of operators. To this aim, we have to study some linear and non-linear stochastic differential equations for processes in Hilbert spaces and in some related Banach spaces. By this stochastic approach we can also obtain new results on the evolution systems which substitute the semigroups of probability operators in the time inhomogeneous case.
The production of single- and multi-photon events has been studied in the reaction e(+) e(-) --> gamma(gamma) + invisible particles. The data collected with the DELPHI detector during the years 1999 ...and 2000 at centre-of-mass energies between 191 GeV and 209 GeV was combined with earlier data to search for phenomena beyond the Standard Model. The measured number of light neutrino families was consistent with three and the absence of an excess of events beyond that predicted by the Standard Model processes was used to set limits on new physics. Both model-independent searches and searches for new processes predicted by supersymmetric and extra-dimensional models have been made. Limits on new non-standard model interactions between neutrinos and electrons were also determined.
Electrodiagnostic evaluation of myopathies Paganoni, Sabrina; Amato, Anthony
Physical medicine and rehabilitation clinics of North America,
02/2013, Letnik:
24, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Electrodiagnostic studies play an important role in the evaluation of patients suspected of having a myopathic disorder. They are used to exclude alternative diagnoses, confirm the presence of muscle ...disease, narrow down the differential, and identify an appropriate biopsy site. The most informative part of the electrodiagnostic study is needle electromyography. This allows for the analysis of spontaneous activity and motor unit action potential morphology and recruitment patterns. This article proposes a practical electrodiagnostic approach and describes the electrophysiologic patterns of the most commonly encountered myopathies.
The double-differential production cross-section of positive pions, , measured in the HARP experiment is presented. The incident particles are 8.9 GeV/c protons directed onto a beryllium target with ...a thickness of 5% of a nuclear interaction length. The measured cross-section has a direct impact on the prediction of neutrino fluxes for the MiniBooNE and SciBooNE experiments at Fermilab. After cuts, 13 million protons on target produced about 96000 reconstructed secondary tracks which were used in this analysis. Cross-section results are presented in the kinematic range 0.75 GeV/c≤pπ≤ 6.5 GeV/c and 30 mrad≤θπ≤ 210 mrad in the laboratory frame.
We present the results obtained by testing in a beam sample of silica aerogel which is foreseen as one of the radiators for the Ring Imaging Cherenkov counter of LHCb. Pion and proton beams with ...momenta ranging from 6 to 10
GeV/
c traversed different thickness of aerogel. Two large diameter (12
cm) Hybrid Photodiodes with 2048 channels, produced at CERN, were used as photodetectors. The number of photoelectrons and the radius of the Cherenkov rings allowed pion–proton separation over the whole considered momentum range.
A 32-year-old man with keratoconus developed corneal melting 5 days after riboflavin/ultraviolet-A corneal collagen crosslinking (CXL). Corneal scraping was positive for Acanthamoeba. The patient was ...unaware that he was wearing a bandage contact lens and repeatedly rinsed his face and eyelids with tap water. Because of corneal perforation, a large therapeutic keratoplasty à chaud was performed. Although CXL is considered a safe procedure, this case emphasizes the potential risks. We discuss the potential effects of deepithelialization, contact lens placement, instillation of topical nonsteroidal antiinflammatory drugs and anesthetic agents, and the possible role of apoptosis when performing CXL treatment for keratoconus.
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