WorldWideScience

Sample records for back

  1. Back Pain

    Science.gov (United States)

    ... Accessed May 29, 2015. Adult acute and subacute low back pain. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/low_back_pain/adult_low_back_pain__8.html. Accessed June ...

  2. Back Pain

    Science.gov (United States)

    ... addition, there doesn't appear to be one type of mattress that's best for people with back pain. It's probably a ... of Nondiscrimination Advertising Mayo Clinic is a not-for-profit organization ...

  3. Back Pain During Pregnancy

    Science.gov (United States)

    ... Page Navigation ▼ ACOG Pregnancy Book Back Pain During Pregnancy Patient Education FAQs Back Pain During Pregnancy Patient Education Pamphlets - Spanish Back Pain During Pregnancy FAQ115, January ...

  4. Prevent Back Pain

    Science.gov (United States)

    ... and prevent back pain: Do back-strengthening and stretching exercises at least 2 or 3 times a week. ... risk of back pain. Do back-strengthening and stretching exercises [PDF - 244 KB] at least 2 or 3 ...

  5. Back pain and low back pain

    International Nuclear Information System (INIS)

    Cotta, H.; Niethard, F.U.

    1983-01-01

    In patients with back pain there is only a poor correlation between clinical and radiological symptoms. Therefore the interpretation of radiological findings is only possible with respect to the natural history of the disease. Indication for radiological examination is given for early diagnosis and treatment of malinformation of the spine; diagnosis and treatment of functional disturbances of the spine with back- and low back pain and diagnosis and treatment of diseases which affect the stability of the vertebrae. (orig.)

  6. Back Injuries - Multiple Languages

    Science.gov (United States)

    ... Back Health and Safety - 简体中文 (Chinese, Simplified (Mandarin dialect)) Bilingual PDF Health Information Translations Exercises for Your Back - 简体中文 (Chinese, Simplified (Mandarin ...

  7. Low back pain - chronic

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007422.htm Low back pain - chronic To use the sharing features on this page, please enable JavaScript. Low back pain refers to pain that you feel in your ...

  8. Back pain - returning to work

    Science.gov (United States)

    Nonspecific back pain - work; Backache - work; Lumbar pain - work; Pain - back - chronic; Low back pain - work; Lumbago - work ... Exercise helps to prevent future back pain: Exercise a little ... keep your heart healthy and your muscles strong. If walking is ...

  9. Back Pain and Modic

    DEFF Research Database (Denmark)

    Manniche, Claus; Jordan, Alan; Mikkelsen, Connie

    a significant step forward with the advent of the new back pain diagnosis, ”Modic changes”. During the coming years, thousands of back pain patients will now be given a precise diagnosis as well as a useful treatment in cases where we previously we unable to provide either a diagnosis or a useful treatment......Long awaited breakthrough Approximately 25 years ago a few researchers managed to publish an article in the renowned medical journal, The Lancet. The article demonstrated that intensive exercise was most useful for patients with chronic back pain. Many of our colleagues found this difficult...... to accept, nonetheless, intensive exercise has for chronic back pain has spread across the world and has become – in different forms – the most commonly prescribed treatment for back pain patients. Since that time, there has not been much research based progress in back science, however, we have taken...

  10. Fall Back Equilibrium

    NARCIS (Netherlands)

    Kleppe, J.; Borm, P.E.M.; Hendrickx, R.L.P.

    2008-01-01

    Fall back equilibrium is a refinement of the Nash equilibrium concept. In the underly- ing thought experiment each player faces the possibility that, after all players decided on their action, his chosen action turns out to be blocked. Therefore, each player has to decide beforehand on a back-up

  11. Low back pain

    DEFF Research Database (Denmark)

    Buchbinder, Rachelle; van Tulder, Maurits; Öberg, Birgitta

    2018-01-01

    Low back pain is the leading worldwide cause of years lost to disability and its burden is growing alongside the increasing and ageing population.1 Because these population shifts are more rapid in low-income and middle-income countries, where adequate resources to address the problem might...... not exist, the effects will probably be more extreme in these regions. Most low back pain is unrelated to specific identifiable spinal abnormalities, and our Viewpoint, the third paper in this Lancet Series,2,3 is a call for action on this global problem of low back pain....

  12. Low Back Pain

    Science.gov (United States)

    ... an X-ray, computerized tomography (CT) scan, or magnetic resonance imaging (MRI). Tests help to diagnose the ... posture when you are sitting, standing, sleeping, or lifting. Severe cases of low back pain may require ...

  13. Epidural injections for back pain

    Science.gov (United States)

    ESI; Spinal injection for back pain; Back pain injection; Steroid injection - epidural; Steroid injection - back ... pillow under your stomach. If this position causes pain, you either sit up or lie on your ...

  14. MRI and low back pain

    Science.gov (United States)

    ... this page, please enable JavaScript. Back pain and sciatica are common health complaints. Almost everyone has back ... Back Pain Read more MRI Scans Read more Sciatica Read more A.D.A.M., Inc. is ...

  15. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup Jørgensen, Lene; Norlyk, Annelise

    , Silkeborg Regional Hospital, Regional Hospital Central Jutland, Silkeborg, Denmark 2. Health, Section for Nursing, Aarhus University, Aarhus, Denmark 3. University of Southern Denmark & Vejle Sygehus, Vejle, Denmark keywords:Back Patient, Narrative, Biomedical, Marginalisation, Self-Identity, Ethical......#296 Acknowledging The Back Patient. A Thematic Synthesis Of Qualitative Research. A Systematic Literature Review. Janne Brammer Damsgaard1, Lene Bastrup Jørgensen1, Annelise Norlyk2, Regner Birkelund3 1. Health, Section for Nursing, Aarhus University & Research Unit, Elective Surgery Centre....... Therefore, telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. But selfhood cannot be reduced to narrative identity since the identity of the self is only fully revealed the moment we include the ethical dimension including certain norms...

  16. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise

    Introduction: A thorough review of qualitative studies has revealed that telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. Thus, it has been the aim of this qualitative literature review to investigate what it feels like to be a b......Introduction: A thorough review of qualitative studies has revealed that telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. Thus, it has been the aim of this qualitative literature review to investigate what it feels like...... the back patient the narrative must be complemented by a different perspective that includes the issue of ethical responsibility. It is therefore also a question of adopting certain norms as binding; to be bound by obligation or loyalty. Thus, the literature review argues for a more process......-oriented patient approach that incorporates patients' narratives as an integral and ethical part of the care and treatment....

  17. Bringing "indigenous" ownership back

    DEFF Research Database (Denmark)

    Kragelund, Peter

    2012-01-01

    African economies are currently experiencing an upsurge in foreign ownership of key parts of their economies. This, however, is not new, and in the wake of independence several African countries pursued indigenisation policies to bring ownership back to their own citizens. Now indigenisation...... understanding of how processes of exclusion interact with domestic politics in Zambia. It argues that the Citizens Economic Empowerment Commission, a new institution to bring ownership back to Zambians, builds on a long tradition of nationalist policies in Zambia, while its actual work is strictly related...

  18. There and Back Again

    DEFF Research Database (Denmark)

    Danvy, Olivier; Goldberg, Mayer

    2002-01-01

    We present a programming pattern where a recursive function traverses a data structure---typically a list---at return time. The idea is that the recursive calls get us there (typically to a base case) and the returns get us back again while traversing the data structure. We name this programming ...

  19. Back to Work

    Science.gov (United States)

    Fernandez, Kim

    2010-01-01

    The economic downturn hit working America particularly hard, as agricultural, automotive, manufacturing, and retail jobs in many corners of the country all but evaporated. Consumers continue to cut back, and jobless rates in many states have eclipsed levels not seen in decades. Out of work and under pressure, many Americans are turning to the…

  20. Backed up and gone...

    CERN Multimedia

    Computer Security Team

    2013-01-01

    Remember how easy it is to lose your passwords for web applications (“Don’t let Chrome expose your passwords”)? This time we go bigger and discuss how easy it is to lose the passwords for every wireless access point you’ve visited. You just need to be running Android on your smartphone…   Apparently, Google was already capturing wireless access points during its Streetview campaign but was forced to stop this after complaints from data protection advocates. It was done “mistakenly”. With Google’s Android now dominating the smartphone market, they’re back to their old tricks. As a useful feature, Android (version 2.2 and higher) stores the identifiers (“SSIDs”) of wireless access points and credentials by default, so that you do not have to reissue them on every connection. The interesting part happens when the smartphone is automatically backed up to Google'...

  1. Back to School

    Directory of Open Access Journals (Sweden)

    Pamela Osmond

    2014-10-01

    Full Text Available The Back to School of the title refers to post- school or second chance education in America. Mike Rose’s focus is on adult remedial (sic and occupational education.  However, although he writes about America, it is hard not to read this little book without a constant alternative reading of second chance learning or Technical and Further Education in the Australian context.

  2. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise

    the back patient the narrative must be complemented by a different perspective that includes the issue of ethical responsibility. It is therefore also a question of adopting certain norms as binding; to be bound by obligation or loyalty. Thus, the literature review argues for a more process......-oriented patient approach that incorporates patients' narratives as an integral and ethical part of the care and treatment....

  3. Handout on Health: Back Pain

    Science.gov (United States)

    ... the disks in your back if you smoke. Smoker’s cough may also cause back pain. People who smoke are slow to heal, so back pain may last longer. Race. Black women are two to three times more likely than white women to have part of the lower spine ...

  4. Back to basics audio

    CERN Document Server

    Nathan, Julian

    1998-01-01

    Back to Basics Audio is a thorough, yet approachable handbook on audio electronics theory and equipment. The first part of the book discusses electrical and audio principles. Those principles form a basis for understanding the operation of equipment and systems, covered in the second section. Finally, the author addresses planning and installation of a home audio system.Julian Nathan joined the audio service and manufacturing industry in 1954 and moved into motion picture engineering and production in 1960. He installed and operated recording theaters in Sydney, Austra

  5. Roll back malaria update.

    Science.gov (United States)

    1999-10-01

    This article presents the activities under WHO's Roll Back Malaria (RBM) program in Asia, particularly in Nepal, Indonesia, India, Bangladesh, Sri Lanka and the Philippines. In India, the RBM program will start in 5 districts with a major malaria problem. A national committee has been formed by researchers, which will be able to provide operational and strategic support and research expertise in relation to malaria. In Bangladesh, the RBM program was initiated in the sparsely populated hill tract areas of Banderban and Chittagong where access to health care is very poor. At the district level, effective partnerships with private practitioners, politicians, community leaders, school teachers, the press and district Ministry of Health officials are operating to plan for rolling back malaria. In Myanmar, Cambodia, Lao People's Democratic Republic, Yunnan province of China, Vietnam, and Thailand, the focus of the RBM program was to move health care closer to the malaria-infected communities. WHO¿s Global Health Leadership Fellowship Programme, supported by the UN Foundation and Rockefeller Foundation, enables potential leaders to experience the work of UN agencies and contribute to the work of the organization for 2 years. Three out of four persons appointed to the RBM program received prestigious awards: Dr. Paola Marchesini of Brazil; Dr. Tieman Diarra of Mali; and Dr. Bob Taylor of the UK.

  6. Back from Sestriere

    CERN Multimedia

    2006-01-01

    Jean-Yves Le Meur during the Special Slalom at the Paralympic Winter Games on 19 March. (Photo credit: G. Place and B. Loyseau) CERN's Olympian, Jean-Yves Le Meur (IT Department), is back from Sestriere after competing in the Paralympic Winter Games in the sitting skiing competition. Ranked 14th after his first run in the Special Slalom, Jean-Yves had an excellent second run which brought him right up the field. He eventually finished ninth, 11 seconds off the gold medal place. In the Giant Slalom, he unfortunately fell in the final gates of his second run, having reached 10th position in his first run. With about 50 top athletes from all the competing nations contesting each event, the competition was stiff, and our warmest congratulations go to Jean-Yves for his participation and great performance!

  7. Trajectories of low back pain

    DEFF Research Database (Denmark)

    Axén, Iben; Leboeuf-Yde, Charlotte

    2013-01-01

    Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories...... indicates that the low back pain 'episode' is short lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long term, low back pain often runs a persistent course with around two-thirds of patients estimated to be in pain after 12 months. Some individuals never have...... low back pain, but most have it on and off or persistently. Thus, the low back pain 'condition' is usually a lifelong experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted...

  8. Low back pain during pregnancy

    OpenAIRE

    Carvalho, Maria Emília Coelho Costa; Lima, Luciana Cavalcanti; Terceiro, Cristovam Alves de Lira; Pinto, Deyvid Ravy Lacerda; Silva, Marcelo Neves; Cozer, Gustavo Araújo; Couceiro, Tania Cursino de Menezes

    2017-01-01

    Abstract Objective: Low back pain is a common complaint among pregnant women. It is estimated that about 50% of pregnant women complain of some form of back pain at some point in pregnancy or during the postpartum period. The aim of this study was to evaluate the frequency of low back pain during pregnancy and its characteristics. Methods: Cross-sectional study with low-risk pregnant women. After approval by the Human Research Ethics Committee and receiving written informed consent, we incl...

  9. [Low back pain during gestation].

    Science.gov (United States)

    Novaes, Flavia Silva; Shimo, Antonieta Keiko Kakuda; Lopes, Maria Helena Baena de Moraes

    2006-01-01

    This research qualitatively analyzed the contents of national and international scientific publications, indexed in the period from 1999 to 2005, about low back pain in gestation. Around 50 % of pregnant women complain about low back pain. The physiologic modifications that occur happen in pregnancy alter the posture of pregnant women and the largest incidence of low back pain usually happens in the last three months. Specific causes remain unknown. However, treatment involves analgesics, antiphlogistics, exercises and physiotherapy. Low back pain during gestation is a symptom that causes great discomfort and, depending on the level of pain, it generates motor disability and impairs daily activities, besides causing problems to take care of the baby after birth. Some discomfort of low back pain can continue for a period of up to three years after childbirth. We see a great need for further research in this subject area, in order to provide a better quality of life for pregnant women.

  10. Strong-back safety latch

    International Nuclear Information System (INIS)

    DeSantis, G.N.

    1995-01-01

    The calculation decides the integrity of the safety latch that will hold the strong-back to the pump during lifting. The safety latch will be welded to the strong-back and will latch to a 1.5-in. dia cantilever rod welded to the pump baseplate. The static and dynamic analysis shows that the safety latch will hold the strong-back to the pump if the friction clamps fail and the pump become free from the strong-back. Thus, the safety latch will meet the requirements of the Lifting and Rigging Manual for under the hook lifting for static loading; it can withstand shock loads from the strong-back falling 0.25 inch

  11. Strong-back safety latch

    Energy Technology Data Exchange (ETDEWEB)

    DeSantis, G.N.

    1995-03-06

    The calculation decides the integrity of the safety latch that will hold the strong-back to the pump during lifting. The safety latch will be welded to the strong-back and will latch to a 1.5-in. dia cantilever rod welded to the pump baseplate. The static and dynamic analysis shows that the safety latch will hold the strong-back to the pump if the friction clamps fail and the pump become free from the strong-back. Thus, the safety latch will meet the requirements of the Lifting and Rigging Manual for under the hook lifting for static loading; it can withstand shock loads from the strong-back falling 0.25 inch.

  12. Bring back the Glory!

    Directory of Open Access Journals (Sweden)

    James Q. Whitman

    2004-01-01

    Full Text Available This paper, drafted in response to Dr. Kiesow’s question, »Wozu Rechtsgeschichte?«, begins with a backward glance at the nineteenth century, when legal history played a leading role in the intellectual life of the western world. Since those great days, when legal history attracted figures like Karl Marx and Max Weber, the field has fallen on hard times. This is in large part the inevitable consequence of the declining prestige of law itself, which no longer seems to matter in the way that it did in the nineteenth century. Nevertheless, the paper pleads for something of a Return of Grand Theory in legal history. It is true that we can never bring back the glory years. But we can be figures of importance in the public debates of our time if we remain mindful of what it is that gives law itself its enduring social importance. Law reflects, in an unsystematic but telling way, some of the basic value commitments of society-commitments such as the contemporary American commitment to the free market, or the contemporary European commitment to »human dignity«. Law also reflects stylized histories of a given society’s past-histories like that of the American triumph over race slavery, or the European triumph over Nazism. These value commitments and stylized histories are the natural territory of legal historians, who can best claim a role for themselves in public debate if they think of themselves as historians of values, rather than as historians of social realities.

  13. Going back to Java.

    Science.gov (United States)

    Critchfield, R

    1985-01-01

    decline in the death rate, especially in infant mortality, and an increase in life expectancy have meant a rise in annual overall growth back to the present 1.9-2.2%. Despite the present disappointment, Indonesia's government-sponsored family planning campaigns have shown how village culture can be harnessed to promote change.

  14. Chiropractic care for back pain

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000416.htm Chiropractic care for back pain To use the sharing ... discussed in your first session. What Conditions Does Chiropractic Treat Best? Chiropractic treatment is most effective for: ...

  15. Imaging in mechanical back pain

    DEFF Research Database (Denmark)

    Hansen, Bjarke Brandt; Hansen, Philip; Carrino, John A

    2016-01-01

    Low back pain is common and relates to a variety of overlapping pathologies. Within the last few decades, almost every medical imaging modality has been applied in the evaluation of low back pain. Imaging of the spine has a high priority in the assessment of patients with low back pain, who seem...... to expect such procedures to be undertaken. However, the majority of conventional imaging techniques do not have adequate precision to identify the primary source of pain. Not only can this be frustrating to both clinicians and patients, but importantly, inadequate correlation between imaging findings...... and symptoms hampers the ability of clinicians to devise a specific treatment plan for the patient. Therefore, there is mounting interest in new imaging techniques of the lumbar spine that may increase the clinical correlation in low back pain. In this review, we will discuss the value and limitations...

  16. [Low back pain during pregnancy].

    Science.gov (United States)

    Carvalho, Maria Emília Coelho Costa; Lima, Luciana Cavalcanti; de Lira Terceiro, Cristovam Alves; Pinto, Deyvid Ravy Lacerda; Silva, Marcelo Neves; Cozer, Gustavo Araújo; Couceiro, Tania Cursino de Menezes

    Low back pain is a common complaint among pregnant women. It is estimated that about 50% of pregnant women complain of some form of back pain at some point in pregnancy or during the postpartum period. The aim of this study was to evaluate the frequency of low back pain during pregnancy and its characteristics. Cross-sectional study with low-risk pregnant women. After approval by the Human Research Ethics Committee and receiving written informed consent, we included pregnant women over 18 years of age and excluded those with psychiatric disorders, previous lumbar pathologies, and receiving treatment for low back pain. We interviewed 97 pregnant women. The frequency of low back pain was 68%. The mean age was 26.2 years and the median gestational age was 30 weeks. Fifty-eight pregnant women declared themselves as brown (58%). Most (88.6%) were married or living in common-law marriage, fifty-six (57.7%) worked outside the home, and 71 (73.2%) had completed high school. Low back pain was more frequent during the second trimester of pregnancy (43.9%), referred to as a "burning" sensation in 37.8% of patients, with intermittent frequency in 96.9% of the women. The symptoms got worse at night (71.2%). Resting reduced low back pain in 43.9% of pregnant women, while the standing position for a long time worsened it in 27.2% of patients. Low back pain is common in pregnant women, has specific characteristics, and is more frequent in the second trimester of pregnancy. This indicates the need for prevention strategies that enable better quality of life for pregnant women. Copyright © 2016 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  17. Linear Back-Drive Differentials

    Science.gov (United States)

    Waydo, Peter

    2003-01-01

    Linear back-drive differentials have been proposed as alternatives to conventional gear differentials for applications in which there is only limited rotational motion (e.g., oscillation). The finite nature of the rotation makes it possible to optimize a linear back-drive differential in ways that would not be possible for gear differentials or other differentials that are required to be capable of unlimited rotation. As a result, relative to gear differentials, linear back-drive differentials could be more compact and less massive, could contain fewer complex parts, and could be less sensitive to variations in the viscosities of lubricants. Linear back-drive differentials would operate according to established principles of power ball screws and linear-motion drives, but would utilize these principles in an innovative way. One major characteristic of such mechanisms that would be exploited in linear back-drive differentials is the possibility of designing them to drive or back-drive with similar efficiency and energy input: in other words, such a mechanism can be designed so that a rotating screw can drive a nut linearly or the linear motion of the nut can cause the screw to rotate. A linear back-drive differential (see figure) would include two collinear shafts connected to two parts that are intended to engage in limited opposing rotations. The linear back-drive differential would also include a nut that would be free to translate along its axis but not to rotate. The inner surface of the nut would be right-hand threaded at one end and left-hand threaded at the opposite end to engage corresponding right- and left-handed threads on the shafts. A rotation and torque introduced into the system via one shaft would drive the nut in linear motion. The nut, in turn, would back-drive the other shaft, creating a reaction torque. Balls would reduce friction, making it possible for the shaft/nut coupling on each side to operate with 90 percent efficiency.

  18. Back Pain with Leg Pain.

    Science.gov (United States)

    Vulfsons, Simon; Bar, Negev; Eisenberg, Elon

    2017-07-01

    The clinical diagnostic dilemma of low back pain that is associated with lower limb pain is very common. In relation to back pain that radiates to the leg, the International Association for the Study of Pain (IASP) states: "Pain in the lower limb should be described specifically as either referred pain or radicular pain. In cases of doubt no implication should be made and the pain should be described as pain in the lower limb." Bogduks' editorial in the journal PAIN (2009) helps us to differentiate and define the terms somatic referred pain, radicular pain, and radiculopathy. In addition, there are other pathologies distal to the nerve root that could be relevant to patients with back pain and leg pain such as plexus and peripheral nerve involvement. Hence, the diagnosis of back pain with leg pain can still be challenging. In this article, we present a patient with back and leg pain. The patient appears to have a radicular pain syndrome, but has no neurological impairment and shows signs of myofascial involvement. Is there a single diagnosis or indeed two overlapping syndromes? The scope of our article encompasses the common diagnostic possibilities for this type of patient. A discussion of treatment is beyond the scope of this article and depends on the final diagnosis/diagnoses made.

  19. Better backs by better beds?

    DEFF Research Database (Denmark)

    Bergholdt, Kim; Fabricius, Rasmus N; Bendix, Tom

    2008-01-01

    STUDY DESIGN: A "randomized"/stratified, single-blinded, parallel-group study. OBJECTIVE.: To evaluate 3 structurally different mattresses relative influence on patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA: In several advertisements, it is proclaimed that certain...... using the probably most relevant "worst case" data. There were no relevant difference between the effects of the water bed and the foam bed. CONCLUSION: The Waterbed and foam mattress' did influence back symptoms, function and sleep more positively as apposed to the hard mattress, but the differences...

  20. Back surgery: Modern medical pitfall.

    Science.gov (United States)

    Smith, Jc

    2002-01-01

    Medical iatrogenesis is at an all-time high with increasing deaths, disability, and costs compounded by unnecessary and ineffective surgeries despite the warnings from WHO, the US Public Health Service, and the Institute of Medicine. One area in particular, failed back surgeries, has drawn increasing attention by researchers due to disproved medical theories and surgical treatments. Paradoxically, while spinal manipulative therapy has been shown to achieve better results for this epidemic of low back pain in particular, medical and insurance programs often limit or boycott this inexpensive and effective treatment, indicating the solution to lowering medical costs and iatrogenesis now rests with political and economic factors primarily.

  1. Back Schools for chronic non-specific low back pain.

    Science.gov (United States)

    Parreira, Patrícia; Heymans, Martijn W; van Tulder, Maurits W; Esmail, Rosmin; Koes, Bart W; Poquet, Nolwenn; Lin, Chung-Wei Christine; Maher, Christopher G

    2017-08-03

    Many people with low back pain (LBP) become frequent users of healthcare services in their attempt to find treatments that minimise the severity of their symptoms. Back School consists of a therapeutic programme given to groups of people that includes both education and exercise. However, the content of Back School has changed over time and appears to vary widely today. This review is an update of a Cochrane review of randomised controlled trials (RCTs) evaluating the effectiveness of Back School. We split the Cochrane review into two reviews, one focusing on acute and subacute LBP, and one on chronic LBP. The objective of this systematic review was to determine the effect of Back School on pain and disability for adults with chronic non-specific LBP; we included adverse events as a secondary outcome. In trials that solely recruited workers, we also examined the effect on work status. We searched for trials in the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, two other databases and two trials registers to 15 November 2016. We also searched the reference lists of eligible papers and consulted experts in the field of LBP management to identify any potentially relevant studies we may have missed. We placed no limitations on language or date of publication. We included only RCTs and quasi-RCTs evaluating pain, disability, and/or work status as outcomes. The primary outcomes for this update were pain and disability, and the secondary outcomes were work status and adverse events. Two review authors independently performed the 'Risk of bias' assessment of the included studies using the 'Risk of bias' assessment tool recommended by The Cochrane Collaboration. We summarised the results for the short-, intermediate-, and long-term follow-ups. We evaluated the overall quality of evidence using the GRADE approach. For the outcome pain, at short-term follow-up, we found very low-quality evidence that Back School is more effective than no

  2. Back-to-School Health

    Science.gov (United States)

    ... turn JavaScript on. Feature: Planning For A Healthy School Year Back-to-School Health Past Issues / Fall 2015 Table of Contents ... improve eating and physical habits for a healthier school year. Talk about being healthy Take the time ...

  3. Pilates for low back pain

    NARCIS (Netherlands)

    Yamato, T.P.; Maher, C.G.; Saragiotto, B.T.; Hancock, M.J.; Ostelo, R.W.J.G.; Cabral, C.M.N.; Menezes Costa, L.C.; Costa, L.O.P.

    2015-01-01

    BACKGROUND: Non-specific low back pain is a major health problem worldwide. Interventions based on exercises have been the most commonly used treatments for patients with this condition. Over the past few years, the Pilates method has been one of the most popular exercise programmes used in clinical

  4. Pilates for low back pain

    NARCIS (Netherlands)

    Yamato, Tiê P.; Maher, Christopher G.; Saragiotto, Bruno T.; Hancock, Mark J.; Ostelo, Raymond W.J.G.; Cabral, Cristina M.N.; Menezes Costa, Luciola C.; Costa, Leonardo O.P.

    2016-01-01

    BACKGROUND: Non-specific low back pain is a major health problem worldwide. Interventions based on exercises have been the most commonly used treatments for patients with this condition. Over the past few years, the Pilates method has been one of the most popular exercise programmes used in clinical

  5. Coping with Low Back Pain.

    Science.gov (United States)

    Kindig, L. E.; Mrvos, S. R.

    Guidelines are offered for the prevention and relief of lower back pain. The structure of the spine is described, and the functions and composition of spinal disks are explained. A list is included of common causes of abnormalities of the spinal column, and injuries which may cause the fracture of the vertebrae are described. Factors causing low…

  6. Sociology Back to the Publics

    NARCIS (Netherlands)

    Ossewaarde, Marinus R.R.

    2007-01-01

    This article is a reading of the `new sociology' that is mainly identified with the works of C. Wright Mills and Alvin Gouldner. Its main argument is that during the past 40 years the new sociology gave back a public face to sociology. This distinguishes it from the `old sociology' that had not been

  7. BEAR AT THE BACK DOOR

    African Journals Online (AJOL)

    BEAR AT THE BACK DOOR. Deur generaal sir Walter Walker KCB, CBE,. D80. 8andton. Uitgegee deur Valiant Publis- hers. Verskyningsdatum Julie 1978. Prys R10.) Hierdie boek is 'n uitstekende aktuele geskrif ook. Suidelike Afrika se politieke en militere aspekte wat deur 'n a/gehele buitestaander nl 'n Britse. Generaal ...

  8. Approach to lower back pain

    African Journals Online (AJOL)

    an approach to this common symptom and how to distinguish the benign, mechanical type of back pain from the more sinister, but less frequently encountered ... Approach to management. Therapy or management of chronic LBP involves a multidisciplinary approach. The aim is to prevent a chronic vicious cycle by means of ...

  9. Low back pain and yoga.

    Science.gov (United States)

    Singh, Supreet

    2014-12-01

    ABSTRACT Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates. The topic addressed in this issue is chronic low back pain, one of the most common reasons to visit one's primary care doctor. Complementary approaches, including yoga, will be addressed.

  10. Correlations in back-to-back hadron production in SIDIS

    Energy Technology Data Exchange (ETDEWEB)

    Avakian, Harut [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Pisano, Silvia [National Inst. of Nuclear Physics (INFN), Frascati (Italy). National Lab. of Frascati (INFN-LNF)

    2016-08-01

    The Deep Inelastic Scattering (DIS) proved to be a great tool in testing of the theory of strong in- teractions. Semi-Inclusive DIS (SIDIS), with detection of an additional hadron allowed first stud- ies of 3D structure of the nucleon, moving the main focus from testing the QCD to understanding of strong interactions and quark gluon dynamics to address a number of puzzles accumulated in recent years. Detection of two hadrons in SIDIS, which is even more complicated, provides ac- cess to details of quark gluon interactions inaccessible in single-hadron SIDIS, providing a new avenue to study the complex nucleon structure. Large acceptance of the CLAS detector at Jef- ferson Lab, allowing detection of two hadrons, produced back-to-back (b2b) in the current and target fragmentation regions, provides a unique possibility to study the nucleon structure in target fragmentation region, and correlations of target and current fragmentation regions

  11. Laid Back Avant-Garde

    DEFF Research Database (Denmark)

    Degn Johansson, Troels

    2010-01-01

    controversial. Whereas Laid Back has been one of the largest commercial successes of the Danish music industry due to the success of a handful of pop hits (in Germany, mainly), the duo has never been recognized for its artistic contribution. A few years after his public statement, von Trier directed...... where Lars von Trier seeks to elaborate on his particular fondness of the values that this pop duo seems to represent for him; simplicity, popularity (in Danish “folkelighed”), and irony. In this sense, by promoting the Laid Back single by means of a music video, von Trier’s contribution leads us rather......; an interest which historically both evokes ideas of pop music and pop culture, the role of the artist in a national, social-democratic context, and the role of the avant-garde artist after the completion of such projects as situationism and the American neo-avant-garde. In this manner, the paper finally seeks...

  12. Laid Back Avant-Garde

    DEFF Research Database (Denmark)

    Degn Johansson, Troels

    2010-01-01

    skydiving music videos (e.g. Boards of Canada) and to von Trier’s work (e.g. Element of Crime) will be discussed by means of a perspective. The paper will draw on a collection of press material concerning von Triers life and work collected by the author until ca. the mid1990ies....... controversial. Whereas Laid Back has been one of the largest commercial successes of the Danish music industry due to the success of a handful of pop hits (in Germany, mainly), the duo has never been recognized for its artistic contribution. A few years after his public statement, von Trier directed...... the official music video for Laid Back’s Bakerman single, where the duo and a backing group dressed up as bakers is seen performing while skydiving. Rather than approaching this video as an illustration of the song, the paper suggests that the Bakerman video should be seen as the result of a curatorial act...

  13. Returning to sports after a back injury

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000518.htm Returning to sports after a back injury To use the sharing ... Back pain - returning to sports Which Type of Sport is Best? In deciding when and if to ...

  14. Placing piggy back: An easy way out

    Directory of Open Access Journals (Sweden)

    Abhay Kumar Jain

    2014-01-01

    Full Text Available Use of piggy back nickel-titanium (NiTi archwire with stainless steel base archwire is often a part of an orthodontic treatment mechanics. Here is an innovative method for securing the piggy back.

  15. Assessment of back pain in horses

    International Nuclear Information System (INIS)

    Cauvin, E.

    1997-01-01

    Back pain is common in horses yet, in many cases, a definitive diagnosis remains elusive. The aim of this article is to present a systematic approach to the patient with a suspected back problem. For the present purposes, back pain is defined as pain arising from the thoracolumbar or sacral spine and associated soft tissues. Examination of the pelvis is also included

  16. Low back pain across the life course

    DEFF Research Database (Denmark)

    Dunn, Kate M; Hestbæk, Lise; Cassidy, J David

    2013-01-01

    Back pain episodes are traditionally regarded as individual events, but this model is currently being challenged in favour of treating back pain as a long-term or lifelong condition. Back pain can be present throughout life, from childhood to older age, and evidence is mounting that pain experien...

  17. LHC Report: Back in operation

    CERN Multimedia

    2016-01-01

    With the machine back in their hands since Friday, 4 March, the LHC operators are now performing the powering tests on the magnets. This is a crucial step before receiving the first beams and restarting Run 2 for physics.   A Distribution Feed-Box (DFB) brings power to the LHC magnets and maintains the stability of the current in the superconducting circuits. The LHC was the last machine to be handed back to operators after the completion of maintenance work carried out during the Year-End Technical Stop (YETS) that had started on 14 December 2015. During the eleven weeks of scheduled maintenance activities, several operations took place in all the accelerators and beam lines. They included the maintenance in several points of the cryogenic system, the replacement of 18 magnets in the Super Proton Synchrotron; an extensive campaign to identify and remove thousands of obsolete cables; the replacement of the LHC beam absorbers for injection (TDIs) that are used to absorb the SPS b...

  18. Alternative Packaging for Back-Illuminated Imagers

    Science.gov (United States)

    Pain, Bedabrata

    2009-01-01

    An alternative scheme has been conceived for packaging of silicon-based back-illuminated, back-side-thinned complementary metal oxide/semiconductor (CMOS) and charge-coupled-device image-detector integrated circuits, including an associated fabrication process. This scheme and process are complementary to those described in "Making a Back-Illuminated Imager With Back-Side Connections" (NPO-42839), NASA Tech Briefs, Vol. 32, No. 7 (July 2008), page 38. To avoid misunderstanding, it should be noted that in the terminology of imaging integrated circuits, "front side" or "back side" does not necessarily refer to the side that, during operation, faces toward or away from a source of light or other object to be imaged. Instead, "front side" signifies that side of a semiconductor substrate upon which the pixel pattern and the associated semiconductor devices and metal conductor lines are initially formed during fabrication, and "back side" signifies the opposite side. If the imager is of the type called "back-illuminated," then the back side is the one that faces an object to be imaged. Initially, a back-illuminated, back-side-thinned image-detector is fabricated with its back side bonded to a silicon handle wafer. At a subsequent stage of fabrication, the front side is bonded to a glass wafer (for mechanical support) and the silicon handle wafer is etched away to expose the back side. The frontside integrated circuitry includes metal input/output contact pads, which are rendered inaccessible by the bonding of the front side to the glass wafer. Hence, one of the main problems is to make the input/output contact pads accessible from the back side, which is ultimately to be the side accessible to the external world. The present combination of an alternative packaging scheme and associated fabrication process constitute a solution of the problem.

  19. Looking Back at 'Purgatory Dune'

    Science.gov (United States)

    2005-01-01

    The wheels of NASA's Mars Exploration Rover Opportunity dug more than 10 centimeters (4 inches) deep into the soft, sandy material of a wind-shaped ripple in Mars' Meridiani Planum region during the rover's 446th martian day, or sol (April 26, 2005). Getting the rover out of the ripple, dubbed 'Purgatory Dune,' required more than five weeks of planning, testing, and carefully monitored driving. Opportunity used its navigation camera to capture this look back at the ripple during sol 491 (June 11, 2005), a week after the rover drove safely onto firmer ground. The ripple that became a sand trap is about one-third meter (one foot) tall and 2.5 meters (8 feet) wide.

  20. Back to the 80s

    CERN Document Server

    Fitness Club

    2010-01-01

    The fitness club is organizing a “Back to the 80s Party” in aid of the Haiti earthquake appeal on Saturday 26.06.2010 in the Pump Room.   There’s an 80s theme, so our pro DJ will be spinning 80s tunes (all tastes catered for), Morpho will be powering the visuals and the car club will be cooking-up a bbq in case you’re peckish. Fancy dress 1980s style is welcome, though not obligatory and it kicks off just after 'music on the lawn' finishes at 20.30. Its open to anyone working at CERN, friends and family. There’s a limited number of tickets and it’s entrance by ticket only, we are selling them on Thurs lunchtimes in R1 12.15 – 13.30 for 5CHF. For more information contact fitness.club@cern.ch.

  1. Back-contacted back-junction silicon solar cells

    Energy Technology Data Exchange (ETDEWEB)

    Mangersnes, Krister

    2010-10-15

    Conventional silicon solar cells have a front-side contacted emitter. Back-contacted back-junction (BC-BJ) silicon solar cells, on the other hand, have both the complete metallization and the active diffused regions of both polarities on the backside. World-record efficiencies have already been demonstrated for this type of cell design in production, both on cell and module level. However, the production of these cells is both complex and costly, and a further cost reduction in fabrication is needed to make electricity from BC-BJ silicon solar cells cost-competitive with electricity on the grid ('grid-parity'). During the work with this thesis, we have investigated several important issues regarding BC-BJ silicon solar cells. The aim has been to reduce production cost and complexity while at the same time maintaining, or increasing, the already high conversion efficiencies demonstrated elsewhere. This has been pursued through experimental work as well as through numerical simulations and modeling. Six papers are appended to this thesis, two of which are still under review in scientific journals. In addition, two patents have been filed based on the work presented herein. Experimentally, we have focused on investigating and optimizing single, central processing steps. A laser has been the key processing tool during most of the work. We have used the same laser both to structure the backside of the cell and to make holes in a double-layer of passivating amorphous silicon and silicon oxide, where the holes were opened with the aim of making local contact to the underlying silicon. The processes developed have the possibility of using a relatively cheap and industrially proven laser and obtain results better than most state-of-the-art laser technologies. During the work with the laser, we also developed a thermodynamic model that was able to predict the outcome from laser interaction with amorphous and crystalline silicon. Alongside the experimental work, we

  2. The effect of chronic low back pain on tactile suppression during back movements.

    Science.gov (United States)

    Van Damme, Stefaan; Van Hulle, Lore; Danneels, Lieven; Spence, Charles; Crombez, Geert

    2014-10-01

    The aim of the present study was to examine whether tactile suppression, the phenomenon whereby tactile perception is suppressed during movement, would occur in the context of back movements. Of particular interest, it was investigated if tactile suppression in the back would be attenuated in those suffering from chronic low back pain. Individuals with chronic low back pain (N = 30) and a matched control group (N = 24) detected tactile stimuli on three possible locations (back, arm, chest) while performing a back or arm movement, or no movement. We hypothesized that the movements would induce tactile suppression, and that this effect would be largest for low-intense stimuli on the moving body part. We further hypothesized that, during back movements, tactile suppression on the back would be less pronounced in the chronic low back pain group than in the control group. The results showed the expected general tactile suppression effects. The hypothesis of back-specific attenuation of tactile suppression in the chronic low back pain group was not supported. However, back-specific tactile suppression in the chronic low back pain group was less pronounced in those who performed the back movements more slowly. Copyright © 2014 Elsevier B.V. All rights reserved.

  3. MANAGEMENT OF PATIENT WITH LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    Doroteja Drobnič-Kovač

    2002-02-01

    Full Text Available Background. Low back pain is one of the most frequent reasons for consulting general practitioner. Little is known about etiology and pathogenesis of low back pain. General practitioner use different methods for the treatment of patients with low back pain. The choice of kind of therapy is not related with the used diagnostic method. A large variety of therapeutic interventions is available for the treatment of low back pain, but the effectiveness of most of them has not been demonstrated. The treatment of low back pain is mainly conservative and symptomatic.Conclusions. In the article are reviewed and critically evaluated different diagnostic and therapeutic methods used by physicians for the treatment of patients with low back pain. Results of existing studies suggest that applied therapeutic treatments mainly do not base on scientific based results.

  4. The Practical Realities of Giving Back

    Directory of Open Access Journals (Sweden)

    Ashton Bree Wesner

    2014-07-01

    Full Text Available In this thematic section, authors consider practical ways of giving back to the communities in which they conduct research. Each author discusses their evolving thoughts on how to give back in these practical ways. Some of these authors discuss giving back by giving money, food, rides, parties, and water bottles. In other cases, authors discuss giving back by creating jobs in the short or long term, grant writing, advocacy, and education. Story-telling is also a theme that many of the authors in this section discuss. For some authors, non-material forms of giving back are critical—simply maintaining social ties to the communities in which they worked, or sharing humor. The authors consider the utility of their attempts at giving back, and in some cases present their personal philosophy or guidelines on the subject.

  5. Negative beliefs about low back pain are associated with persistent high intensity low back pain.

    Science.gov (United States)

    Ng, Sin Ki; Cicuttini, Flavia M; Wang, Yuanyuan; Wluka, Anita E; Fitzgibbon, Bernadette; Urquhart, Donna M

    2017-08-01

    While previous cross-sectional studies have found that negative beliefs about low back pain are associated with pain intensity, the relationship between back beliefs and persistent low back pain is not well understood. This cohort study aimed to examine the role of back beliefs in persistent low back pain in community-based individuals. A hundred and ninety-two participants from a previous musculoskeletal health study were invited to take part in a two-year follow-up study. Beliefs about back pain were assessed by the Back Beliefs Questionnaire (BBQ) at baseline and low back pain intensity was measured by the Chronic Pain Grade Questionnaire at baseline and follow-up. Of the 150 respondents (78.1%), 16 (10.7%) reported persistent high intensity low back pain, 12 (8.0%) developed high intensity low back pain, in 16 (10.7%) their high intensity low back pain resolved and 106 (70.7%) experienced no high intensity low back pain. While participants were generally positive about low back pain (BBQ mean (SD) = 30.2 (6.4)), those with persistent high intensity pain reported greater negativity (BBQ mean (SD) = 22.6 (4.9)). Negative beliefs about back pain were associated with persistent high intensity low back pain after adjusting for confounders (M (SE) = 23.5 (1.6) vs. >30.1 (1.7), p back beliefs were associated with persistent high intensity low back pain over 2 years in community-based individuals. While further longitudinal studies are required, these findings suggest that targeting beliefs in programs designed to treat and prevent persistent high intensity low back pain may be important.

  6. Pilates for low back pain.

    Science.gov (United States)

    Yamato, Tiê P; Maher, Christopher G; Saragiotto, Bruno T; Hancock, Mark J; Ostelo, Raymond W J G; Cabral, Cristina M N; Costa, Luciola C Menezes; Costa, Leonardo O P

    2016-01-01

    Non-specific low back pain is a major health problem worldwide. Interventions based on exercises have been the most commonly used treatments for patients with this condition. Over the past few years, the Pilates method has been one of the most popular exercise programmes used in clinical practice. To determine the effects of the Pilates method for patients with non-specific acute, subacute or chronic low back pain. We conducted the searches in CENTRAL, MEDLINE, EMBASE, CINAHL, PEDro and SPORTDiscus from the date of their inception to March 2014. We updated the search in June 2015 but these results have not yet been incorporated. We also searched the reference lists of eligible papers as well as six trial registry websites. We placed no limitations on language or date of publication. We only included randomized controlled trials that examined the effectiveness of Pilates intervention in adults with acute, subacute or chronic non-specific low back pain. The primary outcomes considered were pain, disability, global impression of recovery and quality of life. Two independent raters performed the assessment of risk of bias in the included studies using the 'Risk of bias' assessment tool recommended by The Cochrane Collaboration. We also assessed clinical relevance by scoring five questions related to this domain as 'yes', 'no' or 'unclear'. We evaluated the overall quality of evidence using the GRADE approach and for effect sizes we used three levels: small (mean difference (MD) 20% of the scale). We converted outcome measures to a common 0 to 100 scale when different scales were used. The search retrieved 126 trials; 10 fulfilled the inclusion criteria and we included them in the review (a total sample of 510 participants). Seven studies were considered to have low risk of bias, and three were considered as high risk of bias.A total of six trials compared Pilates to minimal intervention. There is low quality evidence that Pilates reduces pain compared with minimal

  7. [Body image and low back pain].

    Science.gov (United States)

    Levenig, C G; Hasenbring, M I; Kleinert, J; Kellmann, M

    2016-10-01

    Many factors seem to be causal for non-specific low back pain and are sometimes controversially discussed. Some years ago the concept of subjective body image attracted attention but due to the inconsistent use of terms and concepts it is difficult to classify publications in the literature. Studies confirmed a difference between the body images of patients with low back pain and healthy controls so that an inclusion of body image concepts could be relevant for causation and therapy. This article presents an overview of the current state of research on the association between body image and low back pain and with respect to the allocation of body image in psychosocial concepts of low back pain. Relevant studies on body image and low back pain were reviewed and are discussed with respect to the different use of terms and concepts of body image. Moreover, an approach for integration of the body image into current psychosocial concepts and therapy of low back pain is presented. Finally, it is discussed whether consideration of the body image could be of value in the therapy of low back pain. Studies have shown that low back pain patients have a more negative body image compared to healthy controls. There is a lack of studies on clinical evidence for the application and effectiveness of interventions that influence the body image in low back pain. Further studies are necessary which include body image concepts as a possible psychosocial risk factor, in particular studies on the mechanism of body image procedures.

  8. Low back pain in competitive rhythmic gymnasts.

    Science.gov (United States)

    Cupisti, A; D'Alessandro, C; Evangelisti, I; Piazza, M; Galetta, F; Morelli, E

    2004-03-01

    It has been reported that rhythmic gymnasts are at risk of suffering from low back injuries, because of repetitive lumbar hyperextensions. On the other hand, this sport requires features of leanness, muscular strength and flexibility that should represent protective factors for back pain. This cross-sectional study aimed to assess the prevalence of low back pain in 67 club-level competitive rhythmic gymnasts aged 13-19 years. A standardized questionnaire was used to evaluate back-pain symptoms. Anthropometric measurements, time spent in physical activity, psychological testing results, smoking habits and age of menarche were recorded. One hundred and four age-matched general females served as control group. Low back pain complaints were reported by 7 rhythmic gymnasts and by 27 controls (10.4% vs 26.0%, pgymnasts and central in controls. Gymnasts had lower body weight, body mass index, fat body mass and delayed menarche. The females with low-back pain displayed higher body weight, body mass index, fat body mass, age, a greater smoking habit and more anxious/depressive behaviour, both in the gymnast and in the control group. Competitive, club-level rhythmic gymnasts show a reduced prevalence of low back-pain. Being younger in age, having greater leanness, not smoking, displaying less anxious/depressive behaviour, and developing increased muscle strength and flexibility, all can represent preventive factors for low back pain. This study suggests that rhythmic gymnastics is not a discipline at increased risk of low back pain.

  9. Neural network construction via back-propagation

    International Nuclear Information System (INIS)

    Burwick, T.T.

    1994-06-01

    A method is presented that combines back-propagation with multi-layer neural network construction. Back-propagation is used not only to adjust the weights but also the signal functions. Going from one network to an equivalent one that has additional linear units, the non-linearity of these units and thus their effective presence is then introduced via back-propagation (weight-splitting). The back-propagated error causes the network to include new units in order to minimize the error function. We also show how this formalism allows to escape local minima

  10. Paracetamol for low back pain.

    Science.gov (United States)

    Saragiotto, Bruno T; Machado, Gustavo C; Ferreira, Manuela L; Pinheiro, Marina B; Abdel Shaheed, Christina; Maher, Christopher G

    2016-06-07

    Analgesic medication is the most frequently prescribed treatment for low back pain (LBP), of which paracetamol (acetaminophen) is recommended as the first choice medication. However, there is uncertainty about the efficacy of paracetamol for LBP. To investigate the efficacy and safety of paracetamol for non-specific LBP. We conducted searches on the Cochrane Central Register of Controlled Trials (CENTRAL, which includes the Back and Neck Review Group trials register), MEDLINE, EMBASE, CINAHL, AMED, Web of Science, LILACS, and IPA from their inception to 7 August 2015. We also searched the reference lists of eligible papers and trial registry websites (WHO ICTRP and ClinicalTrials.gov). We only considered randomised trials comparing the efficacy of paracetamol with placebo for non-specific LBP. The primary outcomes were pain and disability. We also investigated quality of life, function, adverse effects, global impression of recovery, sleep quality, patient adherence, and use of rescue medication as secondary outcomes. Two review authors independently performed the data extraction and assessed risk of bias in the included studies. We also evaluated the quality of evidence using the GRADE approach. We converted scales for pain intensity to a common 0 to 100 scale. We quantified treatment effects using mean difference for continuous outcomes and risk ratios for dichotomous outcomes. We used effect sizes and 95% confidence intervals as a measure of treatment effect for the primary outcomes. When the treatment effects were smaller than 9 points on a 0 to 100 scale, we considered the effect as small and not clinically important. Our searches retrieved 4449 records, of which three trials were included in the review (n = 1825 participants), and two trials were included in the meta-analysis. For acute LBP, there is high-quality evidence for no difference between paracetamol (4 g per day) and placebo at 1 week (immediate term), 2 weeks, 4 weeks, and 12 weeks (short term) for

  11. Chinese energy demand falls back

    Energy Technology Data Exchange (ETDEWEB)

    Smil, V.

    1977-10-01

    China's growth in energy demand and production declined in 1976, partly because of difficulty of sustaining a rapid 5.4 percent growth and partly because of the disruptions caused by a major earthquake and the deaths of Mao Tse-Tung and Chou En-Lai. The earthquake, which damaged all mines, the power station, refineries, and transportation lines in the Tangshan area, has had serious economic consequences. The failure to back up a growing coal industry with adequate investments and mechanization was recognized in 1975 and prompted a 10-year modernization program. Progress has been made with new mine shafts, pulverizing equipment, and the use of small mines for local industries. Oil and gas production increased after the discovery of new fields and the use of new technology in the hydrocarbon industries. Ports and terminal facilities to handle large tankers will increase China's oil export traffic. Electricity generation increased with new power facilities, although China's dependence on human and animal power is still a major factor. Changes in energy consumption patterns are developing, but industry still represents 50 percent and transportation less than 10 percent. (DCK)

  12. A bad back needs help

    Directory of Open Access Journals (Sweden)

    Gotway MB

    2011-08-01

    Full Text Available No abstract available. Article truncated at 150 words. Case Presentation History of Present Illness A 61-year-old man was admitted to the hospital with a 2 month complaint of atraumatic back pain, worsening over the previous two weeks. The patient described his pain as sharp, 10/10 in intensity, radiating to his ribs, right hip, and right groin, and aggravated by coughing, weight lifting, and movement. His pain was worse in the supine and prone positions, with some relief provided by sitting, and relieved with high doses of pain medications, topical lidocaine, menthol-containing skin ointments, and chiropractic adjustments. Over the 2 days prior to admission, the patient became increasingly desperate as a result of his pain, and drank several pints of vodka.Past Medical and Social HistoryThe patient is a retired machinist whose medical history includes fibromyalgia and binge drinking. He smokes three-quarters of a pack of cigarettes per day.Physical ExaminationPhysical examination showed normal vital signs and …

  13. Back to school at CERN

    CERN Multimedia

    2007-01-01

    The Education Group is expanding its courses for teachers: over 700 secondary school teachers will be going back to school at CERN this year. Thirty-seven teachers from various countries participated in the High School Teachers at CERN programme, with Rolf Landua, the head of the Education Group, Mick Storr, the Education Group’s programme coordinator and Robert Aymar, the CERN Director-General.From 3 to 8 July, CERN hosted the runners-up from the finals of the British Physics Olympiad, the prize for the winners being a trip to the International Physics Olympiad in Iran. The five students were invited to visit CERN to attend the summer student programme for three days. "This gives us an opportunity to study new subjects that are not necessarily part of the school curriculum. Even though I’ve heard about the various types of research, it is a real plus to be able to attend these lectures", explains Oliver Mac Farlane, a young stu...

  14. Back Facts: A Training Workbook to Prevent Back Injuries in Nursing Homes

    Science.gov (United States)

    ... many people over age 85 as we have today. 5 More old people means more nursing homes. ... are high Prevention of back injuries is smart business. Management can save lots of money. Individual back ...

  15. Back care education on peasant farmers suffering from chronic mechanical low back pain

    OpenAIRE

    Olusola Ayanniyi; Olusoji G. Ige

    2015-01-01

    Objective: Low back pain (LBP) is a common health problem that cuts across various occupations. The objective of this study was to determine the effect of back care education on farmers suffering from chronic mechanical LBP. Methods: Male peasant farmers suffering from chronic LBP were purposively recruited and randomly assigned to back care education group (BG) and control group (CG). The participants in the BG were trained in back care education five times within eight weeks while parti...

  16. Prevention: The Best Treatment for Back Pain

    Science.gov (United States)

    ... of the top reasons for doctor visits. Back pain has many causes, including bad posture, excessive weight, poor workstation setup, lack of exercise and limited flexibility. Fortunately, many of them are preventable and ... can help prevent back pain. Depending on the cause, the pain can occur ...

  17. 33 CFR 117.523 - Back River.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Back River. 117.523 Section 117.523 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Maine § 117.523 Back River. The draw of the Maine Department of...

  18. Drain Back, Low Flow Solar Combi Systems

    DEFF Research Database (Denmark)

    Perers, Bengt; Furbo, Simon; Fan, Jianhua

    2014-01-01

    Drain Back systems with ETC collectors are tested and analyzed in a Danish - Chinese cooperation project. Experiences from early work at DTU, with drain back, low flow systems, was used to design two systems: 1) One laboratory system at DTU and 2) One demonstration system in a single family house...

  19. Backing warning sensors for tow plows.

    Science.gov (United States)

    2013-06-01

    Backup warning system devices were evaluated to determine if they would alert winter maintenance snow : plow drivers to obstacles directly behind the trailer and out of view of the driver when a unit is backed up. : When the sensors on the back of th...

  20. Attention modulates sensory suppression during back movements.

    Science.gov (United States)

    Van Hulle, Lore; Juravle, Georgiana; Spence, Charles; Crombez, Geert; Van Damme, Stefaan

    2013-06-01

    Tactile perception is often impaired during movement. The present study investigated whether such sensory suppression also occurs during back movements, and whether this would be modulated by attention. In two tactile detection experiments, participants simultaneously engaged in a movement task, in which they executed a back-bending movement, and a perceptual task, consisting of the detection of subtle tactile stimuli administered to their upper or lower back. The focus of participants' attention was manipulated by raising the probability that one of the back locations would be stimulated. The results revealed that tactile detection was suppressed during the execution of the back movements. Furthermore, the results of Experiment 2 revealed that when the stimulus was always presented to the attended location, tactile suppression was substantially reduced, suggesting that sensory suppression can be modulated by top-down attentional processes. The potential of this paradigm for studying tactile information processing in clinical populations is discussed. Copyright © 2013 Elsevier Inc. All rights reserved.

  1. Specificity of a back muscle exercise machine in healthy and low back pain subjects.

    Science.gov (United States)

    Larivière, Christian; DA Silva, Rubens A; Arsenault, A Bertrand; Nadeau, Sylvie; Plamondon, André; Vadeboncoeur, Roger

    2010-03-01

    To determine whether dynamic back muscle endurance exercises in a semisitting position induce more fatigue in back muscles than that in hip extensors in healthy controls as well as in patients with nonspecific chronic low back pain. Sixteen healthy volunteers and 18 volunteers with nonspecific chronic low back pain performed trunk flexion-extension cycles until exhaustion at 60% of their strength in a machine designed for back exercise in a semisitting position with knees' angle at 135 degrees . The number of cycles and perceived muscle fatigue (Borg CR-10 scale) at five areas (upper and lower back, gluteus, hamstrings, and quadriceps) were used as fatigue criteria. EMG signals were recorded bilaterally on four back muscles, two hip extensors (gluteus maximus and biceps femoris), and the vastus medialis. The slope values of the instantaneous median frequency values computed over time were retained as EMG indices of fatigue. The number of cycles was equivalent in healthy controls (n = 23 +/- 13) and patients with back pain (n = 27 +/- 16). EMG indices of fatigue disclosed evidence of muscle fatigue in all the back muscles and the vastus medialis, contrary to hip extensors. EMG revealed significantly more muscle fatigue of lower back muscles, which was further corroborated by the Borg scale assessment. No between-group difference was obtained in any EMG comparison. These results showed that this type of exercise machine can specifically train the back muscles, and this as much in subjects with nonspecific chronic low back pain as in healthy controls. This has implications for the training of back muscle endurance, especially in patients with back pain for whom poor back muscle endurance is sometimes of concern.

  2. [Which rehabilitation for which low back pain?].

    Science.gov (United States)

    Poiraudeau, S; Lefèvre-Colau, M M; Mayoux-Benhamou, M A; Revel, M

    2000-10-15

    Many rehabilitation technics for low back pain are available. Their aims are short time pain decrease, muscular strengthening in flexion or extension, increased hip and lumbar spine mobility, improved lumbar and pelvic proprioceptive sensibility, improved general fitness. During the past ten years, studies meeting widely accepted validity and applicability for therapeutic trials have addressed the clinical efficacy of rehabilitation in low back pain patients. Most studies assessing the back school approach have found no benefit. Spinal extension and flexion programs have yielded short-time improvements, without difference between the two methods. There is now strong evidence that functional restoration programs provide long-term benefits including better social and occupational outcomes.

  3. Interaction analysis of back-to-back mechanically stabilized earth walls

    Directory of Open Access Journals (Sweden)

    Sadok Benmebarek

    2016-10-01

    Full Text Available Back-to-back mechanically stabilized earth walls (BBMSEWs are encountered in bridge approaches, ramp ways, rockfall protection systems, earth dams, levees and noise barriers. However, available design guidelines for BBMSEWs are limited and not applicable to numerical modeling when back-to-back walls interact with each other. The objective of this paper is to investigate, using PLAXIS code, the effects of the reduction in the distance between BBMSEW, the reinforcement length, the quality of backfill material and the connection of reinforcements in the middle, when the back-to-back walls are close. The results indicate that each of the BBMSEWs behaves independently if the width of the embankment between mechanically stabilized earth walls is greater than that of the active zone. This is in good agreement with the result of FHWA design guideline. However, the results show that the FHWA design guideline underestimates the lateral earth pressure when back-to-back walls interact with each other. Moreover, for closer BBMSEWs, FHWA design guideline strongly overestimates the maximum tensile force in the reinforcement. The investigation of the quality of backfill material shows that the minor increase in embankment cohesion can lead to significant reductions in both the lateral earth pressure and the maximum tensile force in geosynthetic. When the distance between the two earth walls is close to zero, the connection of reinforcement between back-to-back walls significantly improves the factor of safety.

  4. Back to Back: A Focus on Reducing the Logistics Costs and Tax

    Directory of Open Access Journals (Sweden)

    Rogério João Lunkes

    2012-06-01

    Full Text Available The objective is to identify the main aspects related to the operation of Back to Back set out in international trade, which enables reduction of logistics costs and taxes. The operation of Back to Back is an excellent opportunity to increase foreign exchange gain and offer greater flexibility to commercial operations that the business requires. The methodology used in preparing this study was qualitative research according to the characteristics and nature of the problem. From the use of descriptive research study aims to demonstrate the main theoretical aspects underlying the subject in reference. This study aimed to identify the main aspects related to the operation of Back to Back set out in international trade and tax effects in an organization and logistics of industrial electronics segment of the State of Santa Catarina. The study demonstrated that the benefits of the operation of Back to Back is of paramount importance for companies having a positive impact in financial terms by reducing the need for tax payments and logistics costs which affect the processes of import and export. The results presented showed that the company studied the operation of Back to Back is essential for international negotiations.

  5. Core strengthening exercises for low back pain.

    Science.gov (United States)

    Baerga-Varela, Luis; Abréu Ramos, Antonio M

    2006-01-01

    Core strengthening concepts have gained increased popularity in low back rehabilitation. Traditional low back pain rehabilitation is based on a static spine stability model and is composed mostly of modalities, stretching and strengthening exercises. More recent theories, however, include newer concepts of dynamic spinal stability, coordination and neuromuscular control. Core strengthening exercises incorporate these new concepts. Although more research is necessary, the best available evidence suggests that a core strengthening program may be beneficial in reducing pain scores, functional disability and recurrences of acute low back pain episodes. This article reviews "core" anatomy, physiologic models of spinal stability, effects, of low back pain on spinal stability, evidence-based reasoning behind core strengthening and the basic concepts involved in designing a core strengthening program.

  6. Cellular Reprogramming–Turning the Clock Back

    Indian Academy of Sciences (India)

    Cellular Reprogramming - Turning the Clock Back - Nobel Prize in Physiology or Medicine, 2012. Deepa Subramanyam ... Keywords. Embryonic stem cells; pluripotency; reprogramming; differentiation; Nobel Prize 2012. ... National Centre for Cell Science University of Pune Campus Ganeshkhind Pune 411 007, India.

  7. The pharmacotherapy of low back pain

    African Journals Online (AJOL)

    Modern imaging techniques have contributed significantly to getting to the correct diagnosis. The following conditions may cause lower back pain: Cancer, Cauda Equina Syndrome, Herniated intervertebral disc, severe or progressive neurological deficits, spinal stenosis, vertebral compression fracture or vertebral infection.

  8. Cognitive behavioral therapy for back pain

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000415.htm Cognitive behavioral therapy for back pain To use the sharing features on this page, please enable JavaScript. Cognitive behavioral therapy (CBT) can help many people deal with chronic ...

  9. Generalized Back Propagation for Training Pattern Derivatives

    Czech Academy of Sciences Publication Activity Database

    Šíma, Jiří

    1994-01-01

    Roč. 4, č. 1 (1994), s. 91-98 ISSN 1210-0552 Grant - others:ALTEC(XE) IC-1000 Keywords : back propagation * smoothness constraints * multi-layered network * expert system * explicite kulle * trainning pattern derivatives * generalization

  10. Back Labor: Childbirth Myth or Reality?

    Science.gov (United States)

    ... Although not widely used, some research suggests that shallow injections of sterile water to the lower back ... shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo ...

  11. Cellular Reprogramming–Turning the Clock Back

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 18; Issue 6. Cellular Reprogramming - Turning the Clock Back - Nobel Prize in Physiology or Medicine, 2012. Deepa Subramanyam. General Article Volume 18 Issue 6 June 2013 pp 514-521 ...

  12. Acne, vulgaris on the back (image)

    Science.gov (United States)

    Acne frequently occurs on the back. Here, there are 2 to 6 millimeter wide erythematous (red) pustules ... Permanent scarring may follow a severe case of acne. Men are more often affected on their shoulders ...

  13. Low back pain in elite rhythmic gymnasts.

    Science.gov (United States)

    Hutchinson, M R

    1999-11-01

    Rhythmic gymnastics is a sport that blends the athleticism of a gymnast with the grace of a ballerina. The sport demands both the coordination of handling various apparatus and the flexibility to attain positions not seen in any other sport. To attain perfection and reproducibility of their routines, the athletes must practice and repeat the basic elements of their routines thousands of times. In so doing, the athlete places herself at risk of a myriad of overuse injuries, the most common being low back pain. To document the presence and severity of low back pain in elite rhythmic gymnasts, a prospective study of seven national team members was undertaken that documented injuries and complaints with daily medical reports over a 7-wk period. These findings were correlated with a retrospective review of 11 elite level gymnasts followed over a 10-month period whose complaints ultimately required evaluation by a physician. Eighty-six percent of the gymnasts in the prospective study complained of back pain at some point over the course of the study. The only injury recorded that required a time loss from sport was a low back injury. The most common complaint requiring a physician's evaluation was low back pain with the diagnoses varying from muscle strains to bony stress reaction or complete fracture of the pars inter-articularis (spondylolysis). No athlete had a spondylolisthesis or ruptured disk. Two had mild scolioses which did not appear to be associated with their low back pain. It would appear that rhythmic gymnasts are at relative increased risk of suffering low back complaints secondary to their sport.

  14. Low back pain recurrence in occupational environments.

    Science.gov (United States)

    Marras, William S; Ferguson, Sue A; Burr, Deborah; Schabo, Pete; Maronitis, Anthony

    2007-10-01

    Prospective assessment of return to work after low back pain. To determine which factors or combination of factors best predict recurrence of low back pain (defined 4 different ways) when returning to full-duty work. Recurrent back pain is one of the more costly health problems facing industry today. Few systematic evaluations of the various factors suspected of exacerbating low back pain have been reported in the literature. A total of 206 workers who reported low back pain were evaluated as they returned to full-duty work. Five types of assessments were performed including: 1) a low back kinematic functional assessments, 2) evaluation of job physical demands, 3) psychosocial assessment of the job environment, 4) self-reported impairment including perception of symptoms and psychological measures, and 5) personal (individual) factors. One year after return to full duty workers were interviewed to assess who had a recurrence of low back pain according to 4 different definitions of low back pain (symptom reports, medical visits, self-reported lost days, and employer-reported lost days due to back pain). Multiple logistic regression models were developed to assess the best combinations of predictors. The most liberal definition of recurrence, recurrent symptoms, had a significantly greater recurrence rate at 58% than all other outcome measures (P = 0.0001). The medical visit recurrence rate of 36% was significantly greater than the more conservative lost time measures (P = 0.0001). The recurrence rate for self-reported lost time was 15%, whereas the more conservative employer confirmed lost time measure was significantly lower at 10% (P = 0.0077). Multivariate predictive models associated with the various recurrence definitions yielded sensitivities varying between 78% and 80% and specificity between 73% and 80%. Recurrence is greatly dependent on how one defines recurrence with symptom reporting yielding 5.5 times as many recurrences compared with employer confirmed

  15. Physical deconditioning in chronic low back pain.

    Science.gov (United States)

    Duque, Ivan; Parra, José-Hernán; Duvallet, Alain

    2009-03-01

    To establish the level of cardiorespiratory fitness and the rate of decrease in maximal aerobic capacity according to age in patients with chronic low back pain and compare these with normative data. Prospective case series with historical controls. Seventy patients with chronic low back pain. A maximal cycle ergometer protocol was used to measure VO2max, heart rate, respiratory exchange ratio and blood lactate levels. Seventy patients achieved absolute and normalized for weight VO2max values of 2.17 (standard deviation (SD) 0.65) l/min and 30.79 (SD 7.77) ml/kg/min, respectively. Absolute VO2max was poorly related to age in both men and women with chronic low back pain (r = -0.22 and r = -0.28, respectively). VO2max normalized for weight was also inversely related to age in both men and women (r = -0.36 and r = -0.42, respectively). The rate of VO2max decline between 20 and 59 years was -3.3 ml/kg/min/decade for the entire population and -1.2 and -5.4 ml/kg/min/decade in men and women, respectively. The level of physical fitness of patients with chronic low back pain is comparable to the physical fitness of healthy, but poorly conditioned subjects. Patients with chronic low back pain show a VO2max decline with ageing that is slower than of active subjects.

  16. Optimal back-to-front airplane boarding.

    Science.gov (United States)

    Bachmat, Eitan; Khachaturov, Vassilii; Kuperman, Ran

    2013-06-01

    The problem of finding an optimal back-to-front airplane boarding policy is explored, using a mathematical model that is related to the 1+1 polynuclear growth model with concave boundary conditions and to causal sets in gravity. We study all airplane configurations and boarding group sizes. Optimal boarding policies for various airplane configurations are presented. Detailed calculations are provided along with simulations that support the main conclusions of the theory. We show that the effectiveness of back-to-front policies undergoes a phase transition when passing from lightly congested airplanes to heavily congested airplanes. The phase transition also affects the nature of the optimal or near-optimal policies. Under what we consider to be realistic conditions, optimal back-to-front policies lead to a modest 8-12% improvement in boarding time over random (no policy) boarding, using two boarding groups. Having more than two groups is not effective.

  17. Acknowledging the patient with back pain

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Jørgensen, Lene Bastrup; Norlyk, Annelise

    2015-01-01

    Rationale and aims: Research shows that back patients’ illness experiences affect their interaction with the healthcare system. It is important to examine the exact nature of these experiences in order to shed valuable light on how back patients perceive their illness and hospitalisation. The aim....... The body can never be understood merely as a biological entity, and therefore illness is far more than having symptoms, diagnoses, and treatment. The synthesis thus proposes an acknowledgment of this and a more holistic approach....... of this literature review is to gain a better understanding of back patients’ illness experiences and to identify, systematise and integrate the findings of different qualitative studies that may elucidate barriers, consequences or focal points in connection with the care and treatment. Methods: The methodology...

  18. Optimal back-to-front airplane boarding

    Science.gov (United States)

    Bachmat, Eitan; Khachaturov, Vassilii; Kuperman, Ran

    2013-06-01

    The problem of finding an optimal back-to-front airplane boarding policy is explored, using a mathematical model that is related to the 1+1 polynuclear growth model with concave boundary conditions and to causal sets in gravity. We study all airplane configurations and boarding group sizes. Optimal boarding policies for various airplane configurations are presented. Detailed calculations are provided along with simulations that support the main conclusions of the theory. We show that the effectiveness of back-to-front policies undergoes a phase transition when passing from lightly congested airplanes to heavily congested airplanes. The phase transition also affects the nature of the optimal or near-optimal policies. Under what we consider to be realistic conditions, optimal back-to-front policies lead to a modest 8-12% improvement in boarding time over random (no policy) boarding, using two boarding groups. Having more than two groups is not effective.

  19. Clinical classification in low back pain

    DEFF Research Database (Denmark)

    Petersen, Tom; Laslett, Mark; Juhl, Carsten Bogh

    2017-01-01

    BACKGROUND: Clinical examination findings are used in primary care to give an initial diagnosis to patients with low back pain and related leg symptoms. The purpose of this study was to develop best evidence Clinical Diagnostic Rules (CDR] for the identification of the most common patho...... searching and citation tracking to identify eligible studies. Criteria for inclusion were: persons with low back pain with or without related leg symptoms, history or physical examination findings suitable for use in primary care, comparison with acceptable reference standards, and statistical reporting...

  20. Uncertainty Analyses for Back Projection Methods

    Science.gov (United States)

    Zeng, H.; Wei, S.; Wu, W.

    2017-12-01

    So far few comprehensive error analyses for back projection methods have been conducted, although it is evident that high frequency seismic waves can be easily affected by earthquake depth, focal mechanisms and the Earth's 3D structures. Here we perform 1D and 3D synthetic tests for two back projection methods, MUltiple SIgnal Classification (MUSIC) (Meng et al., 2011) and Compressive Sensing (CS) (Yao et al., 2011). We generate synthetics for both point sources and finite rupture sources with different depths, focal mechanisms, as well as 1D and 3D structures in the source region. The 3D synthetics are generated through a hybrid scheme of Direct Solution Method and Spectral Element Method. Then we back project the synthetic data using MUSIC and CS. The synthetic tests show that the depth phases can be back projected as artificial sources both in space and time. For instance, for a source depth of 10km, back projection gives a strong signal 8km away from the true source. Such bias increases with depth, e.g., the error of horizontal location could be larger than 20km for a depth of 40km. If the array is located around the nodal direction of direct P-waves the teleseismic P-waves are dominated by the depth phases. Therefore, back projections are actually imaging the reflection points of depth phases more than the rupture front. Besides depth phases, the strong and long lasted coda waves due to 3D effects near trench can lead to additional complexities tested here. The strength contrast of different frequency contents in the rupture models also produces some variations to the back projection results. In the synthetic tests, MUSIC and CS derive consistent results. While MUSIC is more computationally efficient, CS works better for sparse arrays. In summary, our analyses indicate that the impact of various factors mentioned above should be taken into consideration when interpreting back projection images, before we can use them to infer the earthquake rupture physics.

  1. Predictors of isokinetic back muscle strength in patients with low back pain.

    Science.gov (United States)

    Keller, A; Johansen, J G; Hellesnes, J; Brox, J I

    1999-02-01

    Testing for trunk muscle strength was performed on 105 patients with chronic low back pain. To investigate prediction of isokinetic back muscle strength in patients with low back pain. The clinical evaluation of patients with chronic low back pain often in difficult because of discrepancy between disability and impairment. The isokinetic trunk device was developed as a tool for objective assessment of back muscle strength. However, the performance of patients depends on radiologic abnormalities of the spine, conditions of the back muscles, and various psychosocial factors. Studies are warranted that address how these variables influence back muscle strength. The patients with chronic low back pain were tested by an isokinetic trunk muscle strength test (Cybex TEF, Ronkonkoma, NY). In addition, the following variables were recorded: gender, age, body mass index, emotional distress, pain on exertion, self-efficacy for pain, degenerative changes of the lumbar spine, cross-sectional area, and density of the erector spinae muscles. The three latter variables were estimated by computed tomography scans. The sum of the total work performed during isokinetic extension strength test was the dependent variable in a multiple regression analysis, and anthropometric, demographic, psychological, and radiologic factors were independent variables. Gender, cross-sectional muscle area, and pain on exertion were the most powerful predictors of isokinetic back muscle strength. The final regression model, which included these variables, could account for approximately 40% of the variability in back muscle strength. For assessing the results of an isokinetic trunk muscle strength test, cross-sectional muscle area, gender, and pain on exertion should be taken into account.

  2. Low back pain and the post-laminectomy pain syndrome.

    Science.gov (United States)

    Shipton, E A

    1989-07-01

    Back pain is one of the most common disorders seen in general practice. Patients with chronic low back pain form a large proportion of the work of any pain relief unit. The aetiology of low back pain and the post-laminectomy pain syndrome are briefly presented and treatment of the 'failed back surgery patient' and the patient with arachnoiditis are discussed.

  3. Lumbar supports for prevention and treatment of low back pain

    NARCIS (Netherlands)

    van Duijvenbode, I. C. D.; Jellema, P.; van Poppel, M. N. M.; van Tulder, M. W.

    2008-01-01

    Lumbar supports are used in the treatment of low-back pain patients, to prevent the onset of low-back pain (primary prevention) or to prevent recurrences of a low-back pain episode (secondary prevention). To assess the effects of lumbar supports for prevention and treatment of non-specific low-back

  4. Postural balance in low back pain patients

    DEFF Research Database (Denmark)

    Maribo, Thomas; Schiøttz-Christensen, Berit; Jensen, Lone Donbæk

    2012-01-01

    INTRODUCTION: Altered postural control has been observed in low back pain (LBP) patients. They seem to be more dependent on vision when standing. The objective of the study was to determine concurrent and predictive validity of measures of postural stability in LBP patients. MATERIALS AND METHODS...

  5. Low back pain (non-specific).

    NARCIS (Netherlands)

    Krismer, M.; van Tulder, M.W.

    2007-01-01

    Low back pain (LBP) is defined as pain localised between the 12th rib and the inferior gluteal folds, with or without leg pain. Most cases are non-specific, but in about 10% of cases a specific cause is identified. Red flags are typical signs or symptoms that are frequently associated with specific

  6. Paschen-Back effect in dyonium

    International Nuclear Information System (INIS)

    Akers, D.

    1987-01-01

    A formulation of the Pashen-Back effect in dyonium is discussed to explain the recent evidence for a magnetic monopole of mass 2397 MeV and Dirac charge g = (137/2)e. The masses for isospin I = 0 mesons are estimated and compared with experiment

  7. Teaching Communication: Back to the 60s

    Science.gov (United States)

    Palmer, Adrian

    2012-01-01

    This piece, a preface to a reprinted 1971 article on communication practice, focuses on the need for real communication in the language classroom. In this article, the author drifts back to inspiring times in the 1960s and reflects on some events that prompted him to write the article in the first place.

  8. Imaging in mechanical back pain: Anything new?

    Science.gov (United States)

    Hansen, Bjarke Brandt; Hansen, Philip; Carrino, John A; Fournier, Gilles; Rasti, Zoreh; Boesen, Mikael

    2016-08-01

    Low back pain is common and relates to a variety of overlapping pathologies. Within the last few decades, almost every medical imaging modality has been applied in the evaluation of low back pain. Imaging of the spine has a high priority in the assessment of patients with low back pain, who seem to expect such procedures to be undertaken. However, the majority of conventional imaging techniques do not have adequate precision to identify the primary source of pain. Not only can this be frustrating to both clinicians and patients, but importantly, inadequate correlation between imaging findings and symptoms hampers the ability of clinicians to devise a specific treatment plan for the patient. Therefore, there is mounting interest in new imaging techniques of the lumbar spine that may increase the clinical correlation in low back pain. In this review, we will discuss the value and limitations of various lumbar spine imaging techniques with focus on new emerging technologies. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Solar cell with back side contacts

    Science.gov (United States)

    Nielson, Gregory N; Okandan, Murat; Cruz-Campa, Jose Luis; Resnick, Paul J; Wanlass, Mark Woodbury; Clews, Peggy J

    2013-12-24

    A III-V solar cell is described herein that includes all back side contacts. Additionally, the positive and negative electrical contacts contact compoud semiconductor layers of the solar cell other than the absorbing layer of the solar cell. That is, the positive and negative electrical contacts contact passivating layers of the solar cell.

  10. Mediastinal bronchogenic cyst with back pain

    African Journals Online (AJOL)

    [11]. Conclusion. A case of a 31-year-old man with congenital bronchogenic cyst associated with severe back pain has been presented. The diagnosis made by chest radiograph and chest CT was confirmed by pathology. The clinical presentation, radiologic features and treatment of bronchogenic cyst have been discussed.

  11. Brook Trout Back in Aaron Run

    Science.gov (United States)

    Following a series of acid mine drainage (AMD) projects funded largely by EPA’s Clean Water Act Section 319 non-point source program, the pH level in Aaron Run is meeting Maryland’s water quality standard – and the brook trout are back.

  12. Herbal medicine for low-back pain

    NARCIS (Netherlands)

    Oltean, H.; Robbins, C.S.; van Tulder, M.W.; Berman, B.M.; Bombardier, C.; Gagnier, J.J.

    2014-01-01

    BACKGROUND: Low-back pain (LBP) is a common condition and imposes a substantial economic burden upon people living in industrialized societies. A large proportion of people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines

  13. Non-specific low back pain.

    Science.gov (United States)

    Maher, Chris; Underwood, Martin; Buchbinder, Rachelle

    2017-02-18

    Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Management guidelines endorse triage to identify the rare cases of low back pain that are caused by medically serious pathology, and so require diagnostic work-up or specialist referral, or both. Because non-specific low back pain does not have a known pathoanatomical cause, treatment focuses on reducing pain and its consequences. Management consists of education and reassurance, analgesic medicines, non-pharmacological therapies, and timely review. The clinical course of low back pain is often favourable, thus many patients require little if any formal medical care. Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided. The overuse of imaging, opioids, and surgery remains a widespread problem. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Peralta's "Operation Call Back": Demonstrating People Power

    Science.gov (United States)

    Fryer, Thomas W., Jr.; Mitchell, Beverly

    1975-01-01

    To avoid declining enrollments, Peralta identified 50,000 former students and launched a massive campaign to contact and re-recruit them. This, combined with the mailing of a brochure to all 190,000 local households, posters mounted on the backs of 50 local buses, and other advertising methods led to a second semester enrollment increase of over…

  15. The natural course of low back pain

    DEFF Research Database (Denmark)

    Lemeunier, Nadège; Leboeuf-Yde, Charlotte; Gagey, Olivier

    2012-01-01

    Most patients in the secondary care sector consulting for low back pain (LBP) seem to have a more or less constant course of pain during the ensuing year. Fewer patients with LBP in the primary care sector report continual pain over a one-year period. However, not much is known about the long...

  16. Looking back on 10 RESIM workshops

    NARCIS (Netherlands)

    de Boer, Pieter-Tjerk

    This year sees the 10th RESIM workshop, which is a good moment to look back on this series of workshops. Partially, this will be a "trip down memory lane": remembering all the meetings and venues. Partially, it will be more serious. Can we see any trends in the topics discussed in the workshops? Are

  17. Taking care of your back at home

    Science.gov (United States)

    ... physical therapist says it is OK: Jogging Contact sports Racquet sports Golf Dancing Weight lifting Leg lifts when lying ... Chou R, Loeser JD, Owens DK, et al. Interventional therapies, surgery, and ... for low back pain: an evidence-based clinical practice ...

  18. Augmented Reality: Simulasi Terapi Low Back Pain

    Directory of Open Access Journals (Sweden)

    Rakhmi Khalida

    2017-10-01

    Full Text Available Saat ini telah berkembang ilmu layanan kesehatan yang dilakukan dari jarak jauh atau telemedicine. Telemedicine adalah praktek kesehatan dengan memakai komunikasi audio, visual dan data. termasuk perawatan, diagnosis, konsultasi dan pengobatan serta pertukaran data medis dan diskusi ilmiah jarak jauh dengan melibatkan dokter, pasien dan pihak-pihak lain. Augmented Reality merupakan pemodelan simulasi virtual, Augmented Reality adalah teknologi yang menggabungkan antara dunia nyata dengan virtual. Teknologi Augmented Reality dapat diterapkan pada telemedicine, Secara sederhana, telemedicine sesungguhnya telah diaplikasikan ketika terjadi simulasi model virtual pada sebuah tindakan operasi. Pada penelitian ini akan dibahas mengenai media Augmented Reality yang diterapkan pada bidang kesehatan yaitu pada penyakit low back pain dan penyembuhannya melalui terapi mandiri. Penyalit low back pain mempunyai prevalensi yang tinggi namun penyakit ini dapat sembuh dengan sendirinya. Tahapan pengerjaan dalam penelitian ini dimulai identifikasi kandidat prototype, lalu rancang bangun prototype. Tahap yang ketiga yaitu rancang bangun prototype yaitu proses pembuatan model 3D dan interface flash, proses rendering, dan integrasi antara model dan Augmented Reality. Tahap yang keempat adalah uji coba prototype yaitu Teknologi Augmented Reality yang diterapkan pada terapi low back pain. Tahap yang terakhir adalah evaluasi dan diharapkan berhasil mencapai sasaran, maka peningkatan derajat kesehatan masyarakat dapat dipercepat. Implementasi aplikasi simulasi terapi Low Back Pain dengan metode Augmented Reality menunjukan dapat digunakan oleh seluruh masyarakat karena penggunaa merasa mudah mengoperasikannya, desain aplikasi menarik, dan mudah disebar-luaskan.

  19. Putting the Critical Back in Critical Infrastructure

    Science.gov (United States)

    2015-12-01

    CRITICAL BACK IN CRITICAL INFRASTRUCTURE by Bradford C. Mason December 2015 Thesis Advisor: Rudolph P. Darken Second Reader: Thomas Mackin...NAVAL POSTGRADUATE SCHOOL December 2015 Approved by: Rudolph P. Darken Thesis Advisor Thomas Mackin, California Polytechnic State...critical infrastructure resilience CIRGP Critical Infrastructure Resilience Grant Program CMI Consequences Measurement Index COAG Council of Australian

  20. Back pain as a lifestyle disease

    Directory of Open Access Journals (Sweden)

    Kamil Koszela

    2017-09-01

    Full Text Available The frequency in which back pain is diagnosed and treated has markedly increased in the recent years. At present, back pain and dysfunction syndrome is becoming a lifestyle disease, along with hypertension and diabetes. It affects more and more people. Low back pain is currently one of the most common complaints with which patients report to the doctor, including a primary care physician. Depending on the affected part of the spinal motion segment, we can distinguish: discogenic pain, radicular pain, facet joint pain and muscle pain. Unambiguous determination of its aetiology is generally difficult since, usually, several overlapping pathologies are involved. The aim of this paper is to draw attention to the problems associated with back pain and the complexity of its pathomechanism as treatment is adjusted to the site of pathology. This article is based on data from international, broadly cited literature on spinal dysfunctions. Back pain is not usually a very severe condition and can be treated conservatively in most cases. Despite this, it affects a vast number of people and constitutes a considerable financial burden for the state budget. This is associated with costs of medical procedures, but most of all, with absence at work and early opinions of incapacity for work.

  1. The bra-line back lift: a simple approach to correcting severe back rolls.

    Science.gov (United States)

    Hunstad, Joseph P; Khan, Phillip D

    2014-10-01

    Anatomic sequelae of the upper back that occur with age or weight loss have been somewhat underserved in the plastic surgery literature. Zones of adherence in the upper posterior trunk create overhanging folds of skin and subcutaneous tissue, which are disturbing to the patient both functionally and cosmetically. These adherence points prove challenging in that they prevent contouring of the upper back with procedures such as traditional abdominoplasty or lower body lift. The bra line back lift provides a reliable and consistent method of addressing these issues by eliminating excess redundant skin and adiposity from the region. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Power flow controller with a fractionally rated back-to-back converter

    Science.gov (United States)

    Divan, Deepakraj M.; Kandula, Rajendra Prasad; Prasai, Anish

    2016-03-08

    A power flow controller with a fractionally rated back-to-back (BTB) converter is provided. The power flow controller provide dynamic control of both active and reactive power of a power system. The power flow controller inserts a voltage with controllable magnitude and phase between two AC sources at the same frequency; thereby effecting control of active and reactive power flows between the two AC sources. A transformer may be augmented with a fractionally rated bi-directional Back to Back (BTB) converter. The fractionally rated BTB converter comprises a transformer side converter (TSC), a direct-current (DC) link, and a line side converter (LSC). By controlling the switches of the BTB converter, the effective phase angle between the two AC source voltages may be regulated, and the amplitude of the voltage inserted by the power flow controller may be adjusted with respect to the AC source voltages.

  3. The development and exploratory analysis of the Back Pain Attitudes Questionnaire (Back-PAQ).

    Science.gov (United States)

    Darlow, Ben; Perry, Meredith; Mathieson, Fiona; Stanley, James; Melloh, Markus; Marsh, Reginald; Baxter, G David; Dowell, Anthony

    2014-05-23

    To develop an instrument to assess attitudes and underlying beliefs about back pain, and subsequently investigate its internal consistency and underlying structures. The instrument was developed by a multidisciplinary team of clinicians and researchers based on analysis of qualitative interviews with people experiencing acute and chronic back pain. Exploratory analysis was conducted using data from a population-based cross-sectional survey. Qualitative interviews with community-based participants and subsequent postal survey. Instrument development informed by interviews with 12 participants with acute back pain and 11 participants with chronic back pain. Data for exploratory analysis collected from New Zealand residents and citizens aged 18 years and above. 1000 participants were randomly selected from the New Zealand Electoral Roll. 602 valid responses were received. The 34-item Back Pain Attitudes Questionnaire (Back-PAQ) was developed. Internal consistency was evaluated by the Cronbach α coefficient. Exploratory analysis investigated the structure of the data using Principal Component Analysis. The 34-item long form of the scale had acceptable internal consistency (α=0.70; 95% CI 0.66 to 0.73). Exploratory analysis identified five two-item principal components which accounted for 74% of the variance in the reduced data set: 'vulnerability of the back'; 'relationship between back pain and injury'; 'activity participation while experiencing back pain'; 'prognosis of back pain' and 'psychological influences on recovery'. Internal consistency was acceptable for the reduced 10-item scale (α=0.61; 95% CI 0.56 to 0.66) and the identified components (α between 0.50 and 0.78). The 34-item long form of the scale may be appropriate for use in future cross-sectional studies. The 10-item short form may be appropriate for use as a screening tool, or an outcome assessment instrument. Further testing of the 10-item Back-PAQ's construct validity, reliability

  4. Analysis of Back-to-Back MMC for Medium Voltage Applications under Faulted Condition

    DEFF Research Database (Denmark)

    Bose, Anurag; Martins, Joäo Pedro Rodrigues; Chaudhary, Sanjay K.

    2017-01-01

    This paper analyzes a 10MW medium voltage Back-to-Back (BTB) Modular Multilevel Converter (MMC) without a DC-Link capacitor with halfbridge submodules. It focusses on the system behavior under single-line-to-ground (SLG) fault when there is no capacitor on the DC-Link.The fault current is computed...... to prevent DC overvoltages in the sub-modules during faults....

  5. The effect of sex and chronic low back pain on back muscle reflex responses.

    Science.gov (United States)

    Larivière, Christian; Forget, Robert; Vadeboncoeur, Roger; Bilodeau, Martin; Mecheri, Hakim

    2010-07-01

    Different back muscle reflex assessment protocols have shown abnormally longer reflex latency responses of back muscles in chronic low back pain (CLBP). However, many confounding variables are difficult to control, such as the load magnitude and the preactivation of trunk muscles. The aims of this study were to evaluate, in 30 subjects with CLBP and 30 healthy controls, the activation levels of back muscles during pre-loading and their reflex responses to sudden loading. After subjected to six practice perturbations, 20 sudden and unexpected forward perturbations of the trunk were applied in 30 CLBP subjects (14 women) and 31 controls (17 women), while attempting to minimize the confounding effect of preactivation level and perturbation amplitude. Reflex latency and amplitudes were computed from the surface EMG signals of four back muscles (bilaterally at L5, L3, L1, T10 vertebral levels). EMG was also collected from abdominal muscles. Subjects with CLBP significantly increased the preactivation of back muscles (abdominal preactivation the same) relative to controls while no sex effect was observed. While adjusting statistically for these differences, reflex amplitude was significantly higher in subjects with CLBP and men, compared to healthy controls and women, respectively. Interestingly, contrary to most of the literature available, no between-group effects were detected for reflex latency, which could potentially be explained by an appropriate control of confounding variables, but this remains to be clarified in future research.

  6. Back pain and body posture evaluation instrument (BackPEI): development, content validation and reproducibility.

    Science.gov (United States)

    Noll, Matias; Tarragô Candotti, Cláudia; Vieira, Adriane; Fagundes Loss, Jefferson

    2013-08-01

    Following a search conducted in several databases, no instrument was found that jointly evaluates the prevalence of back pain and its associated demographic, social-economic, hereditary, behavioral and postural risk factors. Thus, the present study aims to develop the Back Pain and Body Posture Evaluation Instrument (BackPEI) for school-age children and verify its validity and reproducibility. Twenty-one questions were elaborated to compose the BackPEI instrument, eight experts checked the content validity, and its reproducibility was tested by applying the questionnaire to 260 primary schoolchildren, at two different times with a 7-day interval. The reproducibility data for the first 20 questions, analyzed using the kappa (k) coefficient, were classified as "very good" (k > 0.8) or "good" (0.6 pain intensity question, analyzed using the Wilcoxon test and the intraclass correlation coefficients (ICC), demonstrated that there was no difference between the averages (p = 0.251) and the responses were highly correlated (ICC = 0.937) for these two tests. The BackPEI constitutes a valid and reproducible instrument which is relevant for the evaluation of back pain and its associated risk factors.

  7. ["Round back" in children and adolescents].

    Science.gov (United States)

    Garoflid, N; Fragnière, B; Dutoit, M

    2000-10-01

    The hyper-kyphosis or "the postural round back" is one of the most common complaints in orthopedic practice. In the majority of cases, the thoracic kyphosis are painless and flexible. The vertebral bodies are normal on radiograms. This is "the kyphotic attitude" or postural round-back. A medical treatment is not the necessary rule. Life hygiene, sports and simple supervision are needed. Nevertheless, there are still pathological fixed kyphosis, induced in the majority of cases by Scheuermann's disease. The other possible etiologies (congenital, paralytic, post-traumatic, Pott's disease, postradiation, or metabolic origin) are a lot rare ones and will be excluded by clinical examination and imaging studies. The structural hyper-kyphosis require treatment. We will approach successively steps of the diagnosis and treatment of the hyper-kyphosis of the adolescent.

  8. The Cernettes are back at the Hardronic!

    CERN Multimedia

    CERN MusiClub

    2017-01-01

    Five years after their last epic performance, at the Hardronic Festival 2012, “Les Horribles Cernettes” (the rockin’ LHC) will be singing and dancing again on the planks of the CERN Festival on July 15th. The band’s comeback is a real challenge, since the four singers are scattered as far as Washington DC and Mauritius, passing through Glasgow and Montecarlo. The backing musicians too, live in Tenerife, Mauritius, London. So to make their comeback this summer, CERN’s favourite High Energy Band needs to raise funds for travel. The good news is, we’re half way there, and if you click on the donate button on their website, you can help make every fan’s dream come true. Get the Cernettes back at CERN!                      www.cernettes.com #cernettescomeback

  9. Being back home after intermediate care

    DEFF Research Database (Denmark)

    Martinsen, Bente; Harder, Ingegerd; Norlyk, Annelise

    2015-01-01

    Older people may face many challenges and experience insecurity after discharge from hospital to home. To bridge the potential gap between general hospital and home, the concept ‘Intermediate Care’ (IC) was developed at the beginning of 2000. IC aims to safeguard older people from being discharged...... to their home before they have sufficiently recovered, but knowledge within this area is sparse. In particular the experience of older people is yet to be explored. The aim of this study was to explore older people’s experiences of being back home after a stay in an IC unit. Data were drawn from 12 interviews....... Transcripts were analysed using a phenomenological approach. The essential meaning of being back home after a stay in an IC unit was characterised by ‘uncertainty’. Four constituents emerged: ‘in a state of shock about coming home’, ‘dependence on informal helpers’, ‘a sense of isolation’, and ‘fear of losing...

  10. Cholelithiasis presented as chronic right back pain.

    Science.gov (United States)

    Bobé-Armant, Francesc; Buil-Arasanz, Maria Eugenia; Trubat-Muñoz, Griselda; Llor-Vilà, Carles; Vicente-Guillen, Vicente

    2014-01-01

    Chronic right back pain is a symptom in both biliary lithiasis and chronic cholecystitis. Ten percent of the population in the world suffers from biliary lithiasis. Only 20% are symptomatic. The first diagnostic test of choice is an abdominal ultrasound. When a suggestive clinical sign of biliary colic with negative abdominal ultrasound is identified, we should consider the option of carrying out an endoscopic ultrasound in order to rule out microlithiasis. The case discussed in the report presented with chronic right back pain, which is an atypical manifestation of biliary lithiasis and chronic cholecystitis. It is important to know about the atypical manifestations of the prevalent illnesses as well as the limits of the diagnostic tests, in order to avoid diagnostic delays which may cause complications that could worsen a patient's prognosis. This case should contribute to the medical knowledge and must have educational value or highlight the need for a change in clinical practice, especially in primary care.

  11. Management of patients with low back pain

    DEFF Research Database (Denmark)

    Debarle, Michel; Aigron, Rémi; Depernet, Laure

    2014-01-01

    strategies were identified for each scenario. Appropriateness of the chosen management strategy was assessed using predetermined "best practice" for each scenario. Consensus was arbitrarily defined as "moderate" when 50- 69% of respondents agreed on the same management choice for a scenario, and "excellent......BACKGROUND: Little is known about the level of consensus within the French chiropractic profession regarding management of clinical issues. A previous Swedish study showed that chiropractors agreed relatively well on the management strategy for nine low back pain scenarios. We wished to investigate...... whether those findings could be reproduced among French chiropractors.Objectives: 1. To assess the level of consensus among French chiropractors regarding management strategies for nine different scenarios of low back pain. 2. To assess whether the management choices of the French chiropractors appeared...

  12. Nordic walking and chronic low back pain

    DEFF Research Database (Denmark)

    Morsø, Lars; Hartvigsen, Jan; Puggaard, Lis

    2006-01-01

    activity provide similar benefits. Nordic Walking is a popular and fast growing type of exercise in Northern Europe. Initial studies have demonstrated that persons performing Nordic Walking are able to exercise longer and harder compared to normal walking thereby increasing their cardiovascular metabolism....... Until now no studies have been performed to investigate whether Nordic Walking has beneficial effects in relation to low back pain. The primary aim of this study is to investigate whether supervised Nordic Walking can reduce pain and improve function in a population of chronic low back pain patients...... when compared to unsupervised Nordic Walking and advice to stay active. In addition we investigate whether there is an increase in the cardiovascular metabolism in persons performing supervised Nordic Walking compared to persons who are advised to stay active. Finally, we investigate whether...

  13. Back extrusion of vocadlo-type fluids

    Czech Academy of Sciences Publication Activity Database

    David, Jiří; Filip, Petr; Kharlamov, Alexander

    2013-01-01

    Roč. 23, č. 4 (2013), , 45366-1-45366-8 ISSN 1430-6395 R&D Projects: GA ČR GA103/09/2066 Institutional support: RVO:67985874 Keywords : viscosity * back extrusion * annular pumping * vocadlo model * Robertson-stiff model Subject RIV: CD - Macromolecular Chemistry Impact factor: 1.592, year: 2013 http://www.ar.ethz.ch/TMPPDF/23840225602.368/ApplRheol_23_45366.pdf

  14. Low back pain and degenerative disc disease

    OpenAIRE

    Jandrić Slavica; Antić Branislav

    2006-01-01

    Introduction. Various clinical conditions can cause low back pain, and in most cases it is of a degenerative origin. Degenerative disc disease is a common condition which affects young to middle-aged men and women equally. Changes in the mechanical properties of the disc lead to degenerative arthritis in the intervertebral joints, osteophytes, and narrowing the intervertebral foramen or the spinal canal. Pathophysiology. Degenerative cascade, described by Kirkaldy-Willis, is the widely accept...

  15. BackTrack testing wireless network security

    CERN Document Server

    Cardwell, Kevin

    2013-01-01

    Written in an easy-to-follow step-by-step format, you will be able to get started in next to no time with minimal effort and zero fuss.BackTrack: Testing Wireless Network Security is for anyone who has an interest in security and who wants to know more about wireless networks.All you need is some experience with networks and computers and you will be ready to go.

  16. Body posture and syndromes of back pain.

    Science.gov (United States)

    Nowotny, Janusz; Nowotny-Czupryna, Olga; Brzęk, Anna; Kowalczyk, Anna; Czupryna, Krzysztof

    2011-01-01

    The effects of faulty postures include disturbances of the symmetric distribution of compressive and tensile forces acting on both sides of the body axis and the emergence of harmful shear forces. The torques of antigravity muscles also change unfavourably. This may lead to the development of a repetitive strain syndrome, stenosis of intervertebral foramina, compression of nerve roots and back pain. The development of back pain syndromes is significantly affected by the performance of various work-related tasks in non-ergonomic positions. The aim of the study was to investigate the association between back pain syndromes and the quality of body posture, especially in the context of work ergonomics. The study enrolled 125 persons: 39 adults with a childhood history of scoliosis, 39 midwives, and 47 physiotherapists. Body posture was assessed in all participants. In midwives and physiotherapists, body position during the performance of work-related tasks was also evaluated. The frequency and severity of pain was assessed with the Jackson-Moskowitz measure. The study revealed that over 80% of the participants suffered from spinal pain. In most cases, the pain was intermittent and was felt in the lumbar spine. The occurrence of pain among midwives and physiotherapists was not directly dependent on the predominant type of abnormal spinal position assumed during the performance of occupational tasks or the quality of body posture. The complaint was also reported by ca. 85% of persons with a history of scoliosis. An incorrect body posture (especially scoliosis) and performance of work-related tasks in non-ergonomic positions increase the probability of back pain.

  17. MRI in patients with low back pain

    DEFF Research Database (Denmark)

    Jensen, Rikke Krüger; Manniche, Claus; Leboeuf-Yde, Charlotte

    MRI in LBP patients: good or bad? Background: The routine use of radiology is presently discouraged in patients with low back pain (LBP). MRI provides clinicians and patients with detailed knowledge of the spinal structures and has no known physical side effects. It is possible that detailed insi......, the management strategy of performing an MRI already at the start of the treatment did reduce the duration of treatment and number of contacts with clinicians, thus saving both time and money....

  18. Cholelithiasis Presented as Chronic Right Back Pain

    OpenAIRE

    Bob?-Armant, Francesc; Buil-Arasanz, Maria Eugenia; Trubat-Mu?oz, Griselda; Llor-Vil?, Carles; Vicente-Guillen, Vicente

    2014-01-01

    Chronic right back pain is a symptom in both biliary lithiasis and chronic cholecystitis. Ten percent of the population in the world suffers from biliary lithiasis. Only 20% are symptomatic. The first diagnostic test of choice is an abdominal ultrasound. When a suggestive clinical sign of biliary colic with negative abdominal ultrasound is identified, we should consider the option of carrying out an endoscopic ultrasound in order to rule out microlithiasis. The case discussed in the report pr...

  19. Lombalgia ocupacional Occupational low back pain

    Directory of Open Access Journals (Sweden)

    Milton Helfenstein Junior

    2010-01-01

    Full Text Available A lombalgia ocupacional apresenta etiologia multifatorial, elevada prevalência e incidência. Caracterizada por quadro de dor de variada duração e intensidade, a dor lombar pode levar à incapacidade laborativa e à invalidez. A lombalgia acarreta sofrimento aos trabalhadores, custos às empresas, aos sistemas previdenciário e assistencial de saúde. Os autores, pela relevância do tema, elaboraram este artigo de revisão bibliográfica dando ênfase ao embasamento teorico-conceitual e à experiência de especialistas.The occupational low back pain presents multifactorial aetiology, important prevalence and incidence. Characterized by pain of varying duration and intensity, low back pain may lead to disability. Low back pain causes suffering to workers, implies costs to companies, to the social security and health assistance system. Because of the theme's relevance, the authors have elaborated this review of literature with emphasis on a theoretical and conceptual basis, as well as experience of experts.

  20. PROTOCOL OF TREATMENT IN LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    Alisson Guimbala dos Santos Araujo

    2013-09-01

    Full Text Available Low back pain can be considered as one of the main factors that lead to decreased functional capacity of the human being. Being a frequent dysfunction in people, causing a decrease in quality of life, productivity and functional disability and is associated with important social and economic impact. Therefore the objective of the research was to assess the treatment protocols in low back pain. The study is characterized by being a literature of scientific articles, based on data published in PubMed, SciELO, BIREME and Cochrane from 2000 to 2012. We found eight scientific articles that addressed physical therapy methods in the treatment of low back pain, including a literature review. Related Articles show variation from one to 55 patients in groups, with a total of 185 patients studied. It was concluded then that it hasn’t met a specific treatment that is placed as the most effective for this pathology, although all include electrotherapy, manual therapy, exercise and RPG they show significant results in pain relief, quality of life thereby increasing functionality.

  1. Back to work for the PS

    CERN Multimedia

    2006-01-01

    On 22 June, the PS's rotating machine started turning again for the first time since its enforced shutdown one month ago (see Bulletin No. 23-24/2006) - and the PS was back in operation the very next day! A team from Siemens worked their socks off, 6 days a week for one month (including public holidays), to repair the electrical power supply in collaboration with the AB/PO Group's Main Power Converters (MPC) Section. The generator's faulty rotor was dismantled and replaced by the renovated spare rotor. The multitude of electrical and mechanical connections together with the sheer weight of the rotor (80 tonnes) made this an extremely complex job. The AB/PO Group used the shutdown to test a back-up solution for the PS power supply. The accelerator was directly wired up to the 18 kV electrical network via a 13 MVA transformer, installed at the end of the 1970s but never used. This solution succeeded in bringing the PS back into operation but at limited energy and frequency. Just 14 GeV could be achieved, whic...

  2. Prevalence of low back pain in alpine ski instructors.

    Science.gov (United States)

    Peacock, Nola; Walker, James A; Fogg, Reed; Dudley, Kurt

    2005-02-01

    Mailed survey to random sample of a specific population. To examine the lifetime and point prevalence of low back pain among alpine ski instructors. The lifetime prevalence for back pain is up to 60% among some athletes. Published literature documents back pain among athletes participating in many sports. However, the prevalence of low back pain among alpine ski instructors has not been established. Surveys were mailed to 500 randomly selected members of the Professional Ski Instructors of America. The lifetime and point prevalence were determined by respondents' report regarding history of low back pain and current back pain. Two hundred four (75% of the 272 respondents) reported a history of low back pain. Eighty-five of those who responded (31%) reported current back pain. Over 9% of respondents missed 10 or more days of work because of back pain. The lifetime prevalence of back pain among respondents was similar to the general population. The respondents reported more lifetime prevalence of back pain than athletes of many other sports. The high prevalence of back pain among ski instructors may increase cost and decrease revenue for the employer. Prevention training in this population may decrease the prevalence of back pain and lessen costs to the employer and the alpine ski instructor.

  3. Exercise and arthritis. Exercise and the back.

    Science.gov (United States)

    Liemohn, W

    1990-11-01

    Some of the positive benefits from participating in aerobic activity have already been addressed. However, an individual's ability to participate in many aerobic activities may be contingent on the ability to maintain a neutral or a stabilized spine. For example, the individual for whom jogging has been painful may be able to jog after he or she has learned trunk stabilization and is able to keep the spine in his or her pain-free position. Although Williams contended that jogging was an inappropriate activity for the individual with a low-back problem, contrary to this notion, White believes that jogging is more apt to protect a person from low-back pain than to cause it. Although no association was found between mileage run and osteoarthritis, jogging is not for all individuals who present with LBP or related arthritic conditions. Moreover, poor biomechanics in running can exacerbate existing low-back problems as well as bring about new ones as compensatory adaptations are made. For example, poor running technique might include excessive forward lean; this must be counterbalanced by contraction of the back extensors, which then may become overly tired or produce high intersegmental forces on the discs. We advocate an upright posture with minimal forward lean. The biomechanics of running also are most important from the perspective of shock absorption. Factors to consider in addition to running within the neutral spine excursion include cushioning footstrike by "giving" at the ankle, knee, and hip joints. In addition to good biomechanics, it would also be important to use an excellent quality training shoe and to run on a soft track as opposed to harder surfaces; hills should probably be avoided for most symptomatic individuals until they become strong. Nachemson indicates that in addition to recommending jogging for LBP, he most commonly recommends backstroke swimming, brisk walking, and stairclimbing. Bicycle riding (stationary or actual) would be another good

  4. Prolotherapy: An Effective Treatment for Low Back Pain?

    Science.gov (United States)

    ... pain? Is prolotherapy an effective treatment for chronic low back pain? Answers from Brent A. Bauer, M.D. Prolotherapy is ... reduced pain. Studies of prolotherapy in people with low back pain have had mixed results. A combination of prolotherapy ...

  5. Lower Back Tattoo: OK to Have an Epidural?

    Science.gov (United States)

    ... and delivery, postpartum care Could a lower back tattoo keep me from having an epidural during labor? ... Yvonne Butler Tobah, M.D. A lower back tattoo won't necessarily prevent you from having an ...

  6. The course of low back pain from adolescence to adulthood

    DEFF Research Database (Denmark)

    Hestbaek, Lise; Leboeuf-Yde, Charlotte; Kyvik, Kirsten Ohm

    2006-01-01

    STUDY DESIGN: Prospective study with 8-year follow-up. OBJECTIVE: To describe the evolution of low back pain from adolescence into adulthood. SUMMARY OF BACKGROUND DATA: High prevalence rates of low back pain among children and adolescents have been demonstrated in several studies, and it has been...... questionnaires in 1994 and again in 2002. The questionnaires dealt with various aspects of general health, including the prevalence of low back pain, classified according to number of days affected (0, 1-7, 8-30, >30). RESULTS: Low back pain in adolescence was found to be a significant risk factor for low back...... than 30 days with low back pain during the follow-up year. This was true for only 9% of the rest of the sample. CONCLUSIONS: Our study clearly demonstrates correlations between low back pain in childhood/adolescence and low back pain in adulthood. This should lead to a change in focus from the adult...

  7. Low back pain among patients attending rheumatology clinic in the ...

    African Journals Online (AJOL)

    Generally, causes of back pain include osteoarthritis (spondylosis), disc degeneration, osteoporotic fracture, and non-specific low back pain. Objective: To determine the pattern of low back pain among the people living in the South West Nigeria. Design: Prospective study. Methods: All the patients that presented with low ...

  8. Assessment of postural load on the back in occupational epidemiology

    NARCIS (Netherlands)

    A. Burdorf (Alex)

    1992-01-01

    textabstractLow-back pain is a common symptom among workers, nearly everyone will be affected by low-back pain at some point in life. This opening line may sound deceptive since low-back pain is usually a self-limiting condition, where recovery without a physician's consultation can be demonstrated

  9. Exercise therapy for chronic nonspecific low-back pain

    NARCIS (Netherlands)

    van Middelkoop, Marienke; Rubinstein, Sidney M; Verhagen, Arianne P; Ostelo, Raymond W; Koes, Bart W; van Tulder, Maurits W

    Exercise therapy is the most widely used type of conservative treatment for low back pain. Systematic reviews have shown that exercise therapy is effective for chronic but not for acute low back pain. During the past 5 years, many additional trials have been published on chronic low back pain. This

  10. Occupational low back load assessment using a video analysis method

    NARCIS (Netherlands)

    Coenen, P.; Kingma, I.; Boot, C.R.L.; Twisk, J.W.R.; Bonger, P.M.; Dieën, J.H. van

    2011-01-01

    Much research has been performed on associations of physical exposures (e.g. lifting, trunk flexion or body vibrations) with low back pain (LBP). However, information on the effect of doses (e.g. spinal force or low back moments) on LBP is lacking. Cumulative low back load is significantly

  11. Comparison of Cardiorespiratory fitness of Nigerians with Low back ...

    African Journals Online (AJOL)

    The objective of this study was to compare Cardiorespiratory fitness (CRF) of Nigerians with low back pain (LBP) and apparently healthy counterparts. A total of Seventy (70) subjects participated in the study; 35 of them were low back pain patients, while the remaining 35 were apparently healthy adults. For low back pain ...

  12. Acute non-specific low back pain in primary care

    African Journals Online (AJOL)

    disability and absenteeism from work. Routine imaging is not required when making a diagnosis of non-specific or simple low back pain. A comprehensive history and physical examination usually suffice. This contrasts with back pain associated with radiculopathy or spinal stenosis, or back pain associated with serious ...

  13. Open-Switch Fault Detection Method of a Back-to-Back Converter Using NPC Topology for Wind Turbine Systems

    DEFF Research Database (Denmark)

    Lee, June-Seok; Lee, Kyo_Beum; Blaabjerg, Frede

    2015-01-01

    In wind turbine generation (WTG) systems, a back-to-back converter with a neutral-point-clamped (NPC) topology is widely used because this topology has more advantages than a conventional two-level topology, particularly when operating at high power. There are 12 switches in the NPC topology....... An open-switch fault in the NPC rectifier of the back-to-back converter leads to the distortion of the input current and torque vibration in the system. Additionally, an open-switch fault in the NPC inverter of the back-to-back converter causes the distortion of the output current. Furthermore, the WTG...... system can break down in the worst case scenario. To improve the reliability of WTG systems, an open-switch fault detection method for back-to-back converters using the NPC topology is required. This study analyzes effects of inner and outer open-switch faults of the NPC rectifier and inverter...

  14. Effects of back warming in cocoon stars

    International Nuclear Information System (INIS)

    Donnison, J.R.; Williams, I.P.

    1976-01-01

    It is stated that dust shells frequently surround young stars, and attempts have been made to determine some of the properties of these shells. It is probable that the dust absorbs the outgoing radiation from the star and re-emits it in the infrared. If the dust shell does absorb radiation both its inner and outer surfaces will re-emit a certain proportion and some radiation will return to the central star, causing what amounts to 'warming of its own back'. It is interesting to consider how such a star evolves, compared with evolution of a normal pre-main-sequence star. A model for a contracting star that is receiving radiation from an external source has been developed by the authors in connection with the evolution of Jupiter within the radiation field of the Sun (Astrophys. Space Sci., 29:387 (1974)), and this model is here applied to the situation just described. It is emphasised that the discussion is concerned only with the evolution of the central star, the dust being regarded merely as a means of redirecting radiation back on to the surface of this star. Amongst conclusions reached is that a thin shell will cause no significant change in the structure and evolution of the central star, whilst the presence of a thick shell has a substantial effect on the star, slowing down is evolution. Whilst a dust shell is present the star cannot be seen, but only the dust shell emitting in the infrared, but once the dust shell clears the star is seen in a position and with an age that differs considerably from what it would have had if it had evolved without 'back warming' from the dust shell. (U.K.)

  15. A new fabrication technique for back-to-back varactor diodes

    Science.gov (United States)

    Smith, R. Peter; Choudhury, Debabani; Martin, Suzanne; Frerking, Margaret A.; Liu, John K.; Grunthaner, Frank A.

    1992-01-01

    A new varactor diode process has been developed in which much of the processing is done from the back of an extremely thin semiconductor wafer laminated to a low-dielectric substrate. Back-to-back BNN diodes were fabricated with this technique; excellent DC and low-frequency capacitance measurements were obtained. Advantages of the new technique relative to other techniques include greatly reduced frontside wafer damage from exposure to process chemicals, improved capability to integrate devices (e.g. for antenna patterns, transmission lines, or wafer-scale grids), and higher line yield. BNN diodes fabricated with this technique exhibit approximately the expected capacitance-voltage characteristics while showing leakage currents under 10 mA at voltages three times that needed to deplete the varactor. This leakage is many orders of magnitude better than comparable Schottky diodes.

  16. The discriminative value of inflammatory back pain in patients with persistent low back pain

    DEFF Research Database (Denmark)

    Arnbak, B.; Hendricks, O.; Horslev-Petersen, K.

    2016-01-01

    OBJECTIVES: To estimate the prevalence of inflammatory back pain (IBP) characteristics and analyse the discriminative value of IBP relative to axial spondyloarthritis (SpA) according to the Assessment of SpondyloArthritis international Society (ASAS) criteria. METHOD: Patients who had low back pain...... the pain characteristics included in the Calin, Berlin, and ASAS IBP definitions. RESULTS: Of the 759 included patients, 99% [95% confidence interval (CI) 98-100] had at least one IBP characteristic. The prevalence of the single IBP characteristics ranged from 10% (95% CI 7-12) for 'pain worst...... value was low, as IBP could not differentiate patients with SpA according to ASAS criteria from patients with other causes of back pain....

  17. Automated back titration method to measure phosphate

    International Nuclear Information System (INIS)

    Comer, J.; Tehrani, M.; Avdeef, A.; Ross, J. Jr.

    1987-01-01

    Phosphate was measured in soda drinks and as an additive in flour, by a back titration method in which phosphate was precipitated with lanthanum, and the excess lanthanum was titrated with fluoride. All measurements were performed using the Orion fluoride electrode and the Orion 960 Autochemistry System. In most commercial automatic titrators, the inflection point of the titration curve, calculated from the first derivative of the curve, is used to find the equivalence polar of the titration. The inflection technique is compared with a technique based on Gran functions, which uses data collected after the end point and predicts the equivalence point accordingly

  18. Hybrid emitter all back contact solar cell

    Science.gov (United States)

    Loscutoff, Paul; Rim, Seung

    2016-04-12

    An all back contact solar cell has a hybrid emitter design. The solar cell has a thin dielectric layer formed on a backside surface of a single crystalline silicon substrate. One emitter of the solar cell is made of doped polycrystalline silicon that is formed on the thin dielectric layer. The other emitter of the solar cell is formed in the single crystalline silicon substrate and is made of doped single crystalline silicon. The solar cell includes contact holes that allow metal contacts to connect to corresponding emitters.

  19. Einstein wrote back my life in physics

    CERN Document Server

    Moffat, John W

    2012-01-01

    John W. Moffat was a poor student of math and science. That is, until he read Einstein's famous paper on general relativity. Realizing instantly that he had an unusual and unexplained aptitude for understanding the complex physics described in the paper, Moffat wrote a letter to Einstein that would change the course of his life. Einstein Wrote Back tells the story of Moffat's unusual entry into the world of academia and documents his career at the frontlines of twentieth-century physics as he worked and associated with some of the greatest minds in scientific history, including Niels Bohr,

  20. Research methods for subgrouping low back pain

    DEFF Research Database (Denmark)

    Kent, Peter; Keating, Jennifer L; Leboeuf-Yde, Charlotte

    2010-01-01

    important distinctions in their treatment needs or prognoses. Due to a proliferation of research methods and variability in how subgrouping results are interpreted, it is timely to open discussion regarding a conceptual framework for the research designs and statistical methods available for subgrouping...... studies (a method framework). The aims of this debate article are: (1) to present a method framework to inform the design and evaluation of subgrouping research in low back pain, (2) to describe method options when investigating prognostic effects or subgroup treatment effects, and (3) to discuss...... the strengths and limitations of research methods suitable for the hypothesis-setting phase of subgroup studies....

  1. Back to the Future of Dental Education

    Science.gov (United States)

    Reynolds, Patricia A

    2014-01-01

    Our students are like beacons, a bright light on the horizon, but with some way to go. Our educational methods that bring them safely into harbour have seen the test of time, but do we allow them enough freedom and creativity to sail their boats in the climate change of the digital era? Our students are chosen because they are smart and capable and we hope will bring credit to our institutions, but do we maximize their potential educationally? We need to go back to the future to begin to consider this. PMID:27688345

  2. [Low back pain and degenerative disc disease].

    Science.gov (United States)

    Jandrić, Slavica; Antić, Branislav

    2006-01-01

    Various clinical conditions can cause low back pain, and in most cases it is of a degenerative origin. Degenerative disc disease is a common condition which affects young to middle-aged men and women equally. Changes in the mechanical properties of the disc lead to degenerative arthritis in the intervertebral joints, osteophytes, and narrowing the intervertebral foramen or the spinal canal. Degenerative cascade, described by Kirkaldy-Willis, is the widely accepted pathophysiologic model describing the degenerative process as it affects the lumbar spine in 3 phases. There are two forms of low back pain secondary to degenerative disc disease: a) lumbalgia and b) lumbar radiculopathy. Limitation of movement, problems with balance, pain, loss of reflexes in the extremities, muscle weakness, loss of sensation or other signs of neurological damage can be found on physical examination. For accurate diagnosis, it is often necessary to combine clinical examination and sophisticated technology. Coservative treatment consists of rest, physical therapy, pharmacological therapy and injection therapy. Physical rehabilitation with active patient participation is a key approach to treatment of patients with discogenic pain. Physical therapy, occupational therapy and kinesitherapy are important for improving muscle strength, endurance, and flexibility. Disc surgery is performed if surgical intervention is required.

  3. LS1 Report: PS beams are back!

    CERN Multimedia

    Katarina Anthony & Anaïs Schaeffer

    2014-01-01

    For the first time in over 15 months, there are beams back in the PS. Making their first tour of the accelerator today, 20 June, their injection marks the end of weeks of cold checkouts and hardware commissioning in the PS.   The CERN Control Centre (CCC) is back in business: people gather to restart the LHC injectors, today the PS. Since hardware commissioning was wrapped up on 23 May, the Operations Group (BE-OP) has been conducting cold checkouts on the PS. This involves switching on all of the machine's systems, verifying that they respond to commands by OP and ensuring they are calibrated to beam timings. "These verifications were done, in part, during the hardware commissioning dry runs," says Rende Steerenberg, PS section leader. "But the cold checkouts are on a much larger scale, as we act as if there is beam in the whole machine. We placed a full load on the controls system, cooling, networks, etc. in order to setup the accelerator in the most realis...

  4. Cholelithiasis presented as chronic right back pain

    Directory of Open Access Journals (Sweden)

    Francesc Bobé-Armant

    2014-01-01

    Full Text Available Chronic right back pain is a symptom in both biliary lithiasis and chronic cholecystitis. Ten percent of the population in the world suffers from biliary lithiasis. Only 20% are symptomatic. The first diagnostic test of choice is an abdominal ultrasound. When a suggestive clinical sign of biliary colic with negative abdominal ultrasound is identified, we should consider the option of carrying out an endoscopic ultrasound in order to rule out microlithiasis. The case discussed in the report presented with chronic right back pain, which is an atypical manifestation of biliary lithiasis and chronic cholecystitis. It is important to know about the atypical manifestations of the prevalent illnesses as well as the limits of the diagnostic tests, in order to avoid diagnostic delays which may cause complications that could worsen a patient′s prognosis. This case should contribute to the medical knowledge and must have educational value or highlight the need for a change in clinical practice, especially in primary care.

  5. Low-back pain in athletes.

    Science.gov (United States)

    Bono, Christopher M

    2004-02-01

    While most occurrences of low-back pain in athletes are self-limited sprains or strains, persistent, chronic, or recurrent symptoms are frequently associated with degenerative lumbar disc disease or spondylolytic stress lesions. The prevalence of radiographic evidence of disc degeneration is higher in athletes than it is in nonathletes; however, it remains unclear whether this correlates with a higher rate of back pain. Although there is little peer-reviewed clinical information on the subject, it is possible that chronic pain from degenerative disc disease that is recalcitrant after intensive and continuous nonoperative care can be successfully treated with interbody fusion in selected athletes. In general, the prevalence of spondylolysis is not higher in athletes than it is in nonathletes, although participation in sports involving repetitive hyperextension maneuvers, such as gymnastics, wrestling, and diving, appears to be associated with disproportionately higher rates of spondylolysis. Nonoperative treatment of spondylolysis results in successful pain relief in approximately 80% of athletes, independent of radiographic evidence of defect healing. In recalcitrant cases, direct surgical repair of the pars interarticularis with internal fixation and bone-grafting can yield high rates of pain relief in competitive athletes and allow a high percentage to return to play. Sacral stress fractures occur almost exclusively in individuals participating in high-level running sports, such as track or marathon. Treatment includes a brief period of limited weight-bearing followed by progressive mobilization, physical therapy, and return to sports in one to two months, when the pain has resolved.

  6. Biomechanics of front and back squat exercises

    International Nuclear Information System (INIS)

    Braidot, A A; Brusa, M H; Lestussi, F E; Parera, G P

    2007-01-01

    Squat constitutes one of the most popular exercises to strengthen the muscles of the lower limbs. It is considered one of the most widely spread exercises for muscle sport training and is part of the competition movements comprised within olympic weight-lifting. In physical rehabilitation, squats are used for muscular recovery after different injuries of the lower limbs, especially the knee. In previous anterior cruciate ligament injuries, the mini-squats are generally used, in a knee flexion motion range from 0 deg. to 50 deg. because in this range the shear forces, the tibiofemoral and patellofemoral compression forces decrease related to greater flexion angles. The aim of this work is to make a comparative bidimensional study of the kinematic and dynamic variables of the excecution of the parallel squat exercise with the front and back bar. It is observed in the knee a better development of energy with the front bar, allowing a better muscular exercise with the same load. The mean power absorbed by the hip with the back bar is considerably greater, associated to the speed of the gesture

  7. Biomechanics of front and back squat exercises

    Energy Technology Data Exchange (ETDEWEB)

    Braidot, A A [Laboratorio de Biomecanica FI-UNER. Ruta 11 Km 10 Oro Verde Entre Rios (Argentina); Brusa, M H [Laboratorio de Biomecanica FI-UNER. Ruta 11 Km 10 Oro Verde Entre Rios (Argentina); Lestussi, F E [Laboratorio de Biomecanica FI-UNER. Ruta 11 Km 10 Oro Verde Entre Rios (Argentina); Parera, G P [Licenciatura en KinesiologIa y FisiatrIa Universidad Abierta Interamericana. Sede Regional Rosario (Argentina)

    2007-11-15

    Squat constitutes one of the most popular exercises to strengthen the muscles of the lower limbs. It is considered one of the most widely spread exercises for muscle sport training and is part of the competition movements comprised within olympic weight-lifting. In physical rehabilitation, squats are used for muscular recovery after different injuries of the lower limbs, especially the knee. In previous anterior cruciate ligament injuries, the mini-squats are generally used, in a knee flexion motion range from 0 deg. to 50 deg. because in this range the shear forces, the tibiofemoral and patellofemoral compression forces decrease related to greater flexion angles. The aim of this work is to make a comparative bidimensional study of the kinematic and dynamic variables of the excecution of the parallel squat exercise with the front and back bar. It is observed in the knee a better development of energy with the front bar, allowing a better muscular exercise with the same load. The mean power absorbed by the hip with the back bar is considerably greater, associated to the speed of the gesture.

  8. Space Adaptation Back Pain: A Retrospective Study

    Science.gov (United States)

    Kerstman, Eric

    2009-01-01

    Astronaut back pain is frequently reported in the early phase of space flight as they adapt to microgravity. The epidemiology of space adaptation back pain (SABP) has not been well established. This presentation seeks to determine the exact incidence of SABP among astronauts, develop a case definition of SABP, delineate the nature and pattern of SABP, review available treatments and their effectiveness in relieving SABP; and identify any operational impact of SABP. A retrospective review of all available mission medical records of astronauts in the U.S. space program was performed. It was revealed that the incidence of SABP has been determined to be 53% among astronauts in the U.S. space program; most cases of SABP are mild, self-limited, or respond to available treatment; there are no currently accepted preventive measures for SABP; it is difficult to predict who will develop SABP; the precise mechanism and spinal structures responsible for SABP are uncertain; there was no documented evidence of direction operational mission impact related to SABP; and, that there was the potential for mission impact related to uncontrolled pain, sleep disturbance, or the adverse side effects pf anti-inflammatory medications

  9. Scintillation investigation of the straight back syndrome

    International Nuclear Information System (INIS)

    Ebaid, M.; Serro Azul, L.G.; Kedor, H-H.; Papaleo Netto, M.; Mignone, C.A.; Carvalho, N. de

    1976-01-01

    Scintigraphic study of the lungs was undertaken in 17 patients with the straight back syndrome divided in three groups: I. mild form; II. moderate form and III. severe form. The results showed that: a) there is a decreased flow through the pulmonary arteries; b) bilateral morphological alterations are most common (64.6%); c) the compression of the chest cause an increased cardiac silhouette in groups II (22.2%) and III (50%) besides widening of the mediastinum in all groups (25%, 44.4% and 75%, respectively); d. functional restriction is moderate in 61.5% and severe in 38.4% of the patients in the first two groups; in group III, moderate restriction is observed in 75% of the patients and severe restriction in 25%. Results indicate that the alterations observed in the scintigraphic study of the strainght back syndrome are caused by the effects of the deformed chest on the arterial perfusion of the lung. However, the severity of the anomaly and the decrease in the pulmonary circulation could not be correlated statistically [pt

  10. Low back pain and everyday activities : the influence of axial rotation on low back pain

    NARCIS (Netherlands)

    L.L.J.M. van Deursen (Leo)

    2003-01-01

    textabstractLow back pain (LBP) is a major problem in the industrialized world. The aetiology of LBP is multicausal: heavy physical workload, sedentary work, whole body vibration, smoking, as well as minimal influence over work conditions, poor social relations and psychological factors all play

  11. Effect of Togu-exercise on Lumbar Back Strength of Women with Chronic Low Back Pain.

    Science.gov (United States)

    Seo, Dong-Hyun; Park, Gi Duck

    2014-05-01

    [Purpose] The present study analyzed the effect of the Togu exercise program on the lumbar back strength of middle-aged women who did not perform regular exercise, and presents an effective exercise method for middle-aged women with chronic low back pain symptom. [Subjects] The subjects were 16 women with chronic low back pain attending N University, Chungcheong-do, Korea. [Methods] Height, weight, body fat, and body mass index (BMI) were measured using a body composition analyzer (Inbody 720, Biospace, Korea), which utilizes bioelectrical impedance analysis. Using isokinetic lumbar muscle strength measurement equipment [Isomed 2000, Back system, (Germany)], peak torque/body weight, total work and average power of flexion and extension of the lumbar region were measured. For lumbar stabilization exercises, an air cushion (Germany), jumper (Germany), and aero step (Germany) were employed. First, warm-up exercise was conducted for 10 minutes, followed by 10 sets of the 3 main exercises using the above tools with 10-second rest intervals. The main exercise was done for 40 minutes in total. [Results] The paired sample t-test showed significant in the Togu exercise group peak torque of flexion, peak torque of extension, total work of flexion, total work of extension, average power of flexion, average power of extension, after the exercise showed a significant difference in the Togu exercise group. [Conclusion] The trunk muscle actiation program for middle-aged women had a significant effect on muscle strength and low back pain. Therefore the trunk muscle activation program is effective at increasing muscular strength of middle-aged women, and the results suggest improve muscle strength is effectively stabilizaties the lumbar region.

  12. A COMPARITIVE STUDY TO KNOW THE EFFECTIVENESS OF PRONE BACK EXTENSION EXRECISES AND SWISS BALL EXERCISES ON BACK EXTENSOR MUSCLES PERFORMANCE

    OpenAIRE

    Subhanjan Das; C. K. Senthil Kumar; Abhijit Dutta

    2016-01-01

    Background: Endurance of the back muscles is important for stability of the trunk and therefore essential for normal functioning of an individual. Prone back extension exercises are traditional measures to improve back endurance. More recently Swiss ball exercises have become popular as a means to improve back endurance. Purpose of this study is to compare Prone back extension exercises with back extension exercise on Swiss ball on the improvement of the back extensor muscles performance, and...

  13. Surface electromyography assessment of back muscle intrinsic properties.

    Science.gov (United States)

    Larivière, Christian; Arsenault, A Bertrand; Gravel, Denis; Gagnon, Denis; Loisel, Patrick

    2003-08-01

    The purpose of this study was to assess (1) the reliability and (2) the sensitivity to low back pain status and gender of different EMG indices developed for the assessment of back muscle weakness, muscle fiber composition and fatigability. Healthy subjects (men and women) and chronic low back pain patients (men only) performed, in a static dynamometer, maximal and submaximal static trunk extension tasks (short and long duration) to assess weakness, fiber composition and fatigue. Surface EMG signals were recorded from four (bilateral) pairs of back muscles and three pairs of abdominal muscles. To assess reliability of the different EMG parameters, 40 male volunteers (20 controls and 20 chronic low back pain patients) were assessed on three occasions. Reliable EMG indices were achieved for both healthy and chronic low back pain subjects when specific measurement strategies were applied. The EMG parameters used to quantify weakness and fiber composition were insensitive to low back status and gender. The EMG fatigue parameters did not detect differences between genders but unexpectedly, healthy men showed higher fatigability than back pain patients. This result was attributed to the smaller absolute load that was attributed to the patients, a load that was defined relative to their maximal strength, a problematic measure with this population. An attempt was made to predict maximal back strength from anthropometric measurements but this prediction was prone to errors. The main difficulties and some potential solutions related to the assessment of back muscle intrinsic properties were discussed.

  14. [Low back pain during pregnancy. Multidisciplinary approach].

    Science.gov (United States)

    Gallo-Padilla, D; Gallo-Padilla, C; Gallo-Vallejo, F J; Gallo-Vallejo, J L

    2016-09-01

    After explaining that low back pain is considered the most common pregnancy complication, its pathogenesis, risk factors and the clinical characteristics of the very painful symptoms of this condition are described. As for its approach, it is stressed that it must be multidisciplinary, introducing very important preventive measures, including proper postural hygiene. For its treatment, the methods may be based on non-surgical or pharmacological interventions of a conservative non-invasive nature. Thus, physiotherapy, osteopathic manipulation, multimodal intervention (exercise and education), exercises performed in water environment, acupuncture, etc., have proven to be effective. Finally, it is emphasised that given the significant impact on their quality of life, different health professionals must be proactive and treat the lumbar disease in pregnant women. Copyright © 2015 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  15. Postural balance in low back pain patients

    DEFF Research Database (Denmark)

    Maribo, Thomas; Stengaard-Pedersen, Kristian; Jensen, Lone Donbæk

    2011-01-01

    Low back pain (LBP) patients have poorer postural control compared to healthy controls, and the importance of assessing and addressing balance is a matter of debate. In the clinic, balance is often tested by means of the one leg stand test (OLST) while research often employs center of pressure (CoP...... Ratio) might be of clinical interest. This study aimed to assess postural balance in LBP patients by analyzing intra-session reliability of CoP parameters on a portable force platform, the Romberg Ratio, and the OLST. Furthermore, we aimed to determine whether CoP parameters and OLST measure identical...... aspects of postural stability. We examined 49 LBP patients and found acceptable reliability of the CoP parameters' trace length and velocity, whereas reliability regarding C90 area, the Romberg Ratio, and the OLST was poor. Correlations between the CoP parameters and OLST were insignificant. Reliability...

  16. From vaccines to memory and back.

    Science.gov (United States)

    Sallusto, Federica; Lanzavecchia, Antonio; Araki, Koichi; Ahmed, Rafi

    2010-10-29

    Vaccines work by eliciting an immune response and consequent immunological memory that mediates protection from infection or disease. Recently, new methods have been developed to dissect the immune response in experimental animals and humans, which have led to increased understanding of the molecular mechanisms that control differentiation and maintenance of memory T and B cells. In this review we will provide an overview of the cellular organization of immune memory and underline some of the outstanding questions on immunological memory and how they pertain to vaccination strategies. Finally we will discuss how we can learn about antigen design from the interrogation of our memory T and B cells-a journey from vaccines to memory and back. Copyright © 2010 Elsevier Inc. All rights reserved.

  17. Getting Context Back in Engineering Education

    DEFF Research Database (Denmark)

    Buch, Anders; Bucciarelli, Louis

    2013-01-01

    and it is in fact counterproductive to let tight disciplinary framings- and strict 'object world' perspectives - be the only avenue to 'problem solving'. By introducing cases from engineering and scientific practice we will illustrate how the perspectives of the Humanities and Social Sciences can be brought to bear......History reveals a number academically inclined engineers and others who have found engineering education lacking. The critics support their claim with diverse arguments and propose different reform initiatives (Buch 2012). Though the motivation varies the critics seems to agree on broadening...... engineering education. In this paper we will discuss issues of curriculum, pedagogics and - most importantly learning - in engineering education. We tend to agree with the critics that there is a need to broaden engineering education. We also suggest that this broadening of the curriculum should be backed up...

  18. Psychological Distress in Acute Low Back Pain

    DEFF Research Database (Denmark)

    Shaw, William S; Hartvigsen, Jan; Woiszwillo, Mary J

    2016-01-01

    OBJECTIVE: To characterize the measurement scales and levels of psychological distress reported among published studies of acute low back pain (LBP) in the scientific literature. DATA SOURCES: Peer-reviewed scientific literature found in 8 citation index search engines (CINAHL, Embase, MANTIS, Psyc......INFO, PubMed, Web of Science, AMED, and Academic Search Premier) for the period from January 1, 1966, to April 30, 2015, in English, Danish, Norwegian, and Swedish languages. STUDY SELECTION: Cross-sectional, case-control, cohort, or randomized controlled trials assessing psychological distress....... CONCLUSIONS: Based on the high consistency across studies using valid measures with a low to moderate risk of bias, there is strong evidence that psychological distress is elevated in acute LBP....

  19. Turned Back: Mad Men as Intermedial Melodrama

    Directory of Open Access Journals (Sweden)

    Monique Rooney

    2012-09-01

    Full Text Available This essay draws on definitions of gesture (Giorgio Agamben and Peter Brooks and catachresis (Peter Brooks, Jacques Derrida to examine the primacy of non-verbal signifiers as communicators of meaning in AMC’s Mad Men. Beginning with an analysis of Mad Men’s credit sequence, it draws attention to Mad Men’s use of gesture and catachresis in relation to melodrama’s privileging of non-verbal and naturalistic expression and its persistence as an intermedial mode that has moved back and forth between various media (theatre, novel, cinema, television and now digital formats. It argues that Mad Men’s melodramatic aesthetic is one that obliquely, and via a gestural and rhetorical ‘turned back’, communicates its relation to the past and the present.

  20. Low Back Pain in Primary Care

    DEFF Research Database (Denmark)

    Hestbæk, Lise; Munck, Anders; Hartvigsen, Lisbeth

    2014-01-01

    Study Design. Baseline description of a multicenter cohort study. Objective. To describe patients with low back pain (LBP) in both chiropractic and general practice in Denmark. Background. To optimize standards of care in the primary healthcare sector, detailed knowledge of the patient populations...... in different settings is needed. In Denmark, most LBP-patients access primary healthcare through chiropractic or general practice. Methods. Chiropractors and general practitioners recruited adult patients seeking care for LBP. Extensive baseline questionnaires were obtained and descriptive analyses presented...... separately for general and chiropractic practice patients, Mann-Whitney rank sum test and Pearson's chi-square test, were used to test for differences between the two populations. Results. Questionnaires were returned from 934 patients in chiropractic practice and 319 patients from general practice. Four out...

  1. Procedure and apparatus for back projection

    International Nuclear Information System (INIS)

    1977-01-01

    (1) The procedure is for back projection in the form of a tomographic picture of a member, characterised in that the strip pictures are written onto the signal plate by a conversion pick-up unit; and that to the address inputs of the pick-up unit voltages are applied that represent a rotating coordinate system. (2) Procedure following claim 1 characterised by the fact that the voltages are respectively applied as sawtooth waveform horizontal and vertical television deflections. (3) Procedure following claims 1 and 2, characterised that in order to correct the television deflection voltages for the effect of a fan shaped radiation beam, first one and then the other of the amplitudes is modulated. (G.C.)

  2. Recommended protocol for failed back surgery syndrome

    Directory of Open Access Journals (Sweden)

    Fakhr Tabatabaei SA

    1996-06-01

    Full Text Available Failed back surgery syndrome (FBSS is many a times an intractable problem confronted in patients with surgical disease of lumbar spine and at the same time is a pressing problem for the physicians as well. This clinical entity is defined as continuation of pain in the lumbar region and lower extremities following surgery of the lumbar spine. Knowledge of the etiological factors and their prevention is the best line of treatment to overcome the evolution of this syndrome. During this study, which was conducted in Imam Khomeini hospital Tehran from the year 1989 till 1990, 43 out of 114 patients developed "FBSS". 23 cases responded to conservative treatment and psychotherapy whereas medical treatment failed to achieve fruitful results in the rest. The latter underwent extensive radiological investigations and repeat surgery. According to this study, we recommend that in the initial management of these patients. The surgeon should observe the dictum of "5-mis" to overcome and minimize the "FBSS" entity

  3. Method to reduce damage to backing plate

    Science.gov (United States)

    Perry, Michael D.; Banks, Paul S.; Stuart, Brent C.

    2001-01-01

    The present invention is a method for penetrating a workpiece using an ultra-short pulse laser beam without causing damage to subsequent surfaces facing the laser. Several embodiments are shown which place holes in fuel injectors without damaging the back surface of the sack in which the fuel is ejected. In one embodiment, pulses from an ultra short pulse laser remove about 10 nm to 1000 nm of material per pulse. In one embodiment, a plasma source is attached to the fuel injector and initiated by common methods such as microwave energy. In another embodiment of the invention, the sack void is filled with a solid. In one other embodiment, a high viscosity liquid is placed within the sack. In general, high-viscosity liquids preferably used in this invention should have a high damage threshold and have a diffusing property.

  4. Patient transfers and risk of back injury

    DEFF Research Database (Denmark)

    Vinstrup, Jonas; Madeleine, Pascal; Jakobsen, Markus Due

    2017-01-01

    which type of assistive devices most efficiently prevent LBP, exposure assessments using technological advancements allow for quantification of muscle load and body positions during common work tasks. OBJECTIVE: The main objectives of this study are (1) to quantify low back and neck/shoulder muscle load...... in Danish nurses during patient transfers performed with different types of assistive devices, and (2) to combine the exposure profile for each type of assistive device with fortnightly questionnaires to identify the importance of muscle load (intensity and frequency of transfers) and body position (degree...... will be comprised of surface electromyography and accelerometers, with the aim of quantifying muscle load and body positions during various patient transfers, including different types of assistive devices throughout a workday. The study will thereby gather measurements during real-life working conditions...

  5. Topical tar: Back to the future

    Energy Technology Data Exchange (ETDEWEB)

    Paghdal, K.V.; Schwartz, R.A. [University of Medicine & Dentistry of New Jersey, Newark, NJ (United States)

    2009-08-15

    The use of medicinal tar for dermatologic disorders dates back to the ancient times. Although coal tar is utilized more frequently in modern dermatology, wood tars have also been widely employed. Tar is used mainly in the treatment of chronic stable plaque psoriasis, scalp psoriasis, atopic dermatitis, and seborrheic dermatitis, either alone or in combination therapy with other medications, phototherapy, or both. Many modifications have been made to tar preparations to increase their acceptability, as some dislike its odor, messy application, and staining of clothing. One should consider a tried and true treatment with tar that has led to clearing of lesions and prolonged remission times. Occupational studies have demonstrated the carcinogenicity of tar; however, epidemiologic studies do not confirm similar outcomes when used topically. This article will review the pharmacology, formulations, efficacy, and adverse effects of crude coal tar and other tars in the treatment of selected dermatologic conditions.

  6. The hyperfine Paschen–Back Faraday effect

    International Nuclear Information System (INIS)

    Zentile, Mark A; Andrews, Rebecca; Weller, Lee; Adams, Charles S; Hughes, Ifan G; Knappe, Svenja

    2014-01-01

    We investigate experimentally and theoretically the Faraday effect in an atomic medium in the hyperfine Paschen–Back regime, where the Zeeman interaction is larger than the hyperfine splitting. We use a small permanent magnet and a micro-fabricated vapour cell, giving magnetic fields of the order of a tesla. We show that for low absorption and small rotation angles, the refractive index is well approximated by the Faraday rotation signal, giving a simple way to measure the atomic refractive index. Fitting to the atomic spectra, we achieve magnetic field sensitivity at the 10 −4 level. Finally we note that the Faraday signal shows zero crossings which can be used as temperature insensitive error signals for laser frequency stabilization at large detuning. The theoretical sensitivity for 87 Rb is found to be ∼40 kHz °C −1 . (paper)

  7. CERN firefighters have got your back covered

    CERN Document Server

    The Fire Brigade

    2011-01-01

    There’s not much room in the centre of a detector. Ensuring the safety of technicians who have to work on components close to the collision point is an absolute priority. With this firmly in mind, the Fire Brigade has recently acquired a back immobilisation device known as a spine splint.   CERN firefighters show off their new spine splint. Conscious of the potential safety hazards for personnel working on ALICE’s inner detectors, the collaboration’s GLIMOS, Fernando Pedrosa, asked the Fire Brigade to organise an exercise in March to simulate the emergency evacuation of a person from the centre of the detector. Despite the exceptionally limited space available in the centre of ALICE, the Fire Brigade successfully met the challenge. However, although specially designed for emergency evacuations, the cumbersome dimensions of the stretcher used in this first exercise caused many problems.   Following the exercise, the Fire Brigade therefore inves...

  8. Why and how back pain interventions work

    DEFF Research Database (Denmark)

    Mansell, Gemma; Kamper, Steven J; Kent, Peter

    2013-01-01

    Mediation analysis is a useful research method that potentially allows identification of the mechanisms through which treatments affect patient outcomes. This chapter reviews the theoretical framework, research designs and statistical approaches used in mediation analysis. It describes what can...... be learnt from previous mediation research, much of which has investigated mediating factors of psychosocial interventions in other health conditions. It also summarises the few treatment-mediation studies of psychosocial interventions conducted in back pain. This chapter shows that there is emerging...... evidence about the role of some psychological factors as potential treatment mediators, such as self-efficacy and catastrophising. Mediation analysis can equally be applied to non-psychological factors. Pre-planned and appropriately conducted mediation analysis in adequately powered clinical trials would...

  9. Expectation of recovery from low back pain

    DEFF Research Database (Denmark)

    Kongsted, Alice; Vach, Werner; Axø, Marie

    2014-01-01

    participants completed questionnaires at their first consultation due to LBP and 78% were followed for 3 months. At baseline, recovery expectations were measured on a 0-10 scale. Outcome measures were LBP intensity and Global Perceived Effect (GPE). Associations were tested in regression models......Study Design. A prospective cohort study conducted in general practice (GP) and chiropractic practice (CP).Objectives. To explore which patient characteristics were associated with recovery expectations in low back pain (LBP) patients, whether expectations predicted 3-month outcome, and to what...... extent expectations were associated with empirical prognostic factors.Summary of Background Data. Patients' recovery expectations have been associated with prognosis, but it is largely unknown why patients expect what they do, and how expectations relate to other prognostic factors.Methods. 1169...

  10. Verification of aspheric contact lens back surfaces.

    Science.gov (United States)

    Dietze, Holger H; Cox, Michael J; Douthwaite, William A

    2003-08-01

    To suggest a tolerance level for the degree of asphericity of aspheric rigid gas-permeable contact lenses and to find a simple method for its verification. Using existing tolerances for the vertex radius, tolerance limits for eccentricity and p values and were calculated. A keratometer-based method and a method based on sag measurements were used to measure the vertex radius and eccentricity of eight concave progressively aspheric surfaces and six concave ellipsoidal surfaces. The results were compared with a gold standard measurement made using a high-precision mechanical instrument (Form Talysurf). The suggested tolerance for eccentricity and p value and is +/-0.05. The keratometer method was very accurate and precise at measuring the vertex radius (mean deviation +/- SD from Talysurf results, -0.002 +/- 0.008 mm). The keratometer was more precise than and similar in accuracy to the sag method for measurement of asphericity (mean deviation of keratometer method results from Talysurf results, 0.017 +/- 0.018; mean deviation of sag method results from Talysurf results using five semichords, -0.016 +/- 0.032). Neither method was precise enough to verify the asphericity within the suggested tolerance. The keratometer can be efficiently used to verify the back vertex radius within its International Organization for Standardization tolerance and the back surface asphericity within an eccentricity/p value tolerance of +/-0.1. The method is poor for progressive aspheres with large edge blending zones. Deriving the eccentricity from sag measurements is a potential alternative if the mathematical description of the surface is known. The limiting factor of this method is the accuracy and precision of individual sag measurements.

  11. Combination of taping with Back School in patients with chronic low back pain: a randomized controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Andres Tana

    2016-11-01

    Full Text Available Introduction: 70-85% of the general population suffers from back pain. Back School programs have being effective in the treatment of chronic low back pain. Taping may be useful in reducing pain and normalizing muscle function. The objective of this study was to evaluate the effectiveness of the combination of taping with Back School at short- and long-term. Methods: Randomized controlled clinical trial. The experimental group used tape and made Back Scholl and the control group only made Back School. At the beginning and the end of treatment, pain was evaluated with a visual analogue scale, the flexibility determined with the Modified Finger Tip-to-Floor Test and functionality was calculated with the Roland Morris Disability Questionnaire. Depression was recorded with the Depression Beck Inventory just at the beginning. Results: 220 patients were enrolled, only 42 in the experimental group and 33 in the control group completed the treatment. The variation of pain between the first and the fifth session showed no differences between groups regardless of time (p = 0.329. There were no differences between groups in functionality (p = 0.75, flexibility (p = 0.20 and depression. Conclusion: The combination of taping and Back School compared with only Back School was not more effective in reducing pain, increasing functionality and flexibility in patients with chronic low back pain. Key words: Taping; chronic low back pain; spine school; therapy exercises; flexibility; depression.

  12. Compound Half-Backed Weave Design For Digital Jacquard Fabric

    Science.gov (United States)

    Zhang, Meng; Zhou, Jiu

    2017-12-01

    Based on layered-combination design mode and compound structure, this paper presents a design method, named compound half-backed weave in order to achieve innovating weave structure and surface effect of fabric. This design method includes primary weaves chosen, half-backed technical points set up and half-backed weave databases established. The fabric produced using compound half-backed weave designed by this method can exhibit a unique half-backed effect that only half of the threads on the fabric surface remain in a state of being covered by adjacent wefts. Compound half-backed weave can not only meets the design need of jacquard fabric with different digital images and effectively improves the efficiency of structural design, but also puts forward new theory and method for innovative design of digital jacquard fabric.

  13. Low back pain in an urban population in Southwest Nigeria.

    Science.gov (United States)

    Omokhodion, Folashade O

    2004-01-01

    This cross-sectional study was designed to determine the prevalence and risk factors for low back pain in an urban community. A house-to-house enquiry was conducted using a questionnaire administered by trained interviewers. Four hundred and seventy-four respondents, 271 men (57%) and 203 women (43%) participated in the study. The 12-month prevalence of low back pain was 44%, while the point prevalence was 39%. Back pain was more prevalent among men (49%) than women (39%). It was also associated with a history of trauma and low educational status. The prevalence of back pain was highest among farmers (85%) and lowest among housewives (32%). The prevalence of low back pain in this community is comparable to levels recorded in industrialized countries. However, in this study low back pain did not feature as a main cause of morbidity, accounting for a mean of 3 days off work per person per year.

  14. [Descriptive epidemiology of low-back pain in Algiers].

    Science.gov (United States)

    Bezzaoucha, A

    1992-02-01

    A survey by polling of households was undertaken in Algiers with the aim of measuring the incidence of ordinary low back pain and to assess its consequences from the standpoint of the handicap caused. 1,301 households were polled, i.e. 6,956 individuals aged 15 and over in whom the existence of low back pain was sought by questioning. The overall incidence rate of low back pain was 90.9 per thousand. The incidence of low back pain increased markedly with age, exceeding 250 per thousand in women aged 50 to 59. There was no significant difference in incidence between different socio-occupational groups. Almost 45% of cases of low back pain had been present for more than 5 years. More than 90% of low back pain sufferers were totally independent. The proportion of severe handicaps, partially possibly due to the advanced age of the individuals concerned, was relatively low.

  15. The Areva Group back-end division - challenges and prospects

    International Nuclear Information System (INIS)

    2004-06-01

    This document presents the Areva Group back-end division challenges and prospects. Areva, a world nuclear industry leader, analyzes in this document, the high-profile mix of complementary activities of the nuclear energy industry, concerning the back-end division the full range of services for the end of the fuel cycle, the fuel cycle back-end markets, the economic and financial associated considerations. (A.L.B.)

  16. The Scope of Back Pain in Navy Helicopter Pilots

    Science.gov (United States)

    2011-03-01

    Stigma on Pilots with Back and/or Neck Pain ....... 36  6.  Include Chiropractic Care and Message Therapy for Pilots...provides their suggestions regarding flight gear. 5. Reduce Stigma on Pilots with Back and/or Neck Pain Reduce the stigma of pilots going to see the...that the back pain just usually fatigues both myself and my co-pilot more quickly and that is what usually causes the break down in SA. I had to abort

  17. Advanced Control Strategy of Back-to-Back PWM Converters in PMSG Wind Power System

    Directory of Open Access Journals (Sweden)

    Tan Luong Van

    2015-01-01

    Full Text Available This paper proposes a control scheme of back-to-back PWM converters for the permanent magnet synchronous generator (PMSG wind turbine system. The DC-link voltage can be controlled at the machine-side converter (MSC, while the grid-side converter (GSC controls the grid active power for a maximum power point tracking (MPPT. At the grid fault condition, the DC-link voltage controller is designed using a feedback linearization (FL theory. For the MPPT, a proportional control loop is added to the torque control to reduce the influence of the inertia moment in the wind turbines, which can improve its dynamic performance. The validity of this control algorithm has been verified by the simulation of the 2-MW PMSG wind turbine system.

  18. Studies of the nucleon structure in back-to-back SIDIS

    Energy Technology Data Exchange (ETDEWEB)

    Avakian, Harut [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States)

    2016-03-01

    The Deep Inelastic Scattering (DIS) proved to be a great tool in testing of the theory of strong interactions, which was a major focus in last decades. Semi-Inclusive DIS (SIDIS), with detection of an additional hadron allowed first studies of 3D structure of the nucleon, moving the main focus from testing the QCD to understanding of strong interactions and quark gluon dynamics to address a number of puzzles accumulated in recent years. Detection of two hadrons in SIDIS, which is even more complicated, provides access to details of quark gluon interactions inaccessible in single-hadron SIDIS, providing a new avenue to study the complex nucleon structure. Large acceptance of the Electron Ion Collider, allowing detection of two hadrons, produced back-to-back in the current and target fragmentation regions, combined with clear separation of two regions, would provide a unique possibility to study the nucleon structure in target fragmentation region, and correlations of target and current fragmentation regions.

  19. Assessment of postural load on the back in occupational epidemiology

    OpenAIRE

    Burdorf, Alex

    1992-01-01

    textabstractLow-back pain is a common symptom among workers, nearly everyone will be affected by low-back pain at some point in life. This opening line may sound deceptive since low-back pain is usually a self-limiting condition, where recovery without a physician's consultation can be demonstrated in the vast majority of all episodes. Yet, there is ample evidence that the symptom of back pain is recurrent, with one-year recurrence rates reported of more than 60%. In many industrial populatio...

  20. Physical activity associate low back pain and intervention program: Review

    Science.gov (United States)

    Ibrahim, Muhamad Aizat Mat; Hasbollah, Hasif Rafidee; Ibrahim, Mohd Asrul Hery; Marican, Nor Dalila; Halim, Muhd Hafzal Abdul; Rashid, Ahmad Faezi Ab.; Yasin, Nurul Hafizah Mohd

    2017-10-01

    The person who have low back pain often report impaired disability to performance daily activities which passive movement of daily life. The effects of low back pain on daily function of patients can describe as a patients level of disability or reduction in physical function it interferes with the movement of patients for running a daily lives. Therefore, the aim of this study was to conduct a review to examine the relationship between physical activity and low back pain. Besides that, the suggestion prevention program to patient who has low back pain. This systematic review study was used internet to find databases and search engines. Data were collected using Wiley online library, Bioline International, SAGE, Science Direct, NCBI, ProQuest, Biomed central, American Diabetes Association, PLOS One and Springer. The search was performed using keywords of "physical activity", "low back pain", "back pain", "activity level" and "intervention". The study was reviewed the resources and the results were classified in different section The results were classified based on several sections including years of reporting, who were reporting, the origins of articles and their health criteria about physical activity and low back pain. There are positive associate physical activity and low back pain from the systematic review. Future intervention treatment can reduce associate physical activity to low back pain.

  1. Fluorinated tin oxide back contact for AZTSSe photovoltaic devices

    Science.gov (United States)

    Gershon, Talia S.; Gunawan, Oki; Haight, Richard A.; Lee, Yun Seog

    2017-03-28

    A photovoltaic device includes a substrate, a back contact comprising a stable low-work function material, a photovoltaic absorber material layer comprising Ag.sub.2ZnSn(S,Se).sub.4 (AZTSSe) on a side of the back contact opposite the substrate, wherein the back contact forms an Ohmic contact with the photovoltaic absorber material layer, a buffer layer or Schottky contact layer on a side of the absorber layer opposite the back contact, and a top electrode on a side of the buffer layer opposite the absorber layer.

  2. Low back pain in women before and after menopause

    OpenAIRE

    Kozinoga, Mateusz; Majchrzycki, Marian; Piotrowska, Sylwia

    2015-01-01

    Low back pain is a massive problem in modern population, both in social and economic terms. It affects large numbers of women, especially those aged 45-60. Going through a perimenopausal period is associated with many symptoms, including low back pain. This paper is a review of published research on the association between the perimenopausal age and low back pain. PubMed databases were investigated. After the search was narrowed to “menopausal status, back pain”, 35 studies were found. Se...

  3. Diagnosis, treatment and prognosis in patients with low back pain.

    Science.gov (United States)

    Margo, K

    1994-01-01

    Patients with chronic low back pain can present a treatment dilemma for the family physician. Low back pain is one of the most common symptoms bringing patients to physicians. Despite its high prevalence, low back pain is often difficult to treat. In most patients, the pain cannot be pinpointed at a specific anatomic lesion, and plain radiographs, computed tomographic scans and magnetic resonance imaging studies are not useful. While most people with low back pain improve regardless of the type of intervention, some evidence shows that McKenzie exercises, manipulation and injection therapy are helpful for patients who do not recover spontaneously.

  4. Predicting low back pain outcome following rehabilitation for low back pain.

    Science.gov (United States)

    Roberts, Andrew J; Dew, Angela; Bridger, Robert; Etherington, John; Kilminster, Shaun

    2015-01-01

    Psychosocial factors are known to play a key role in determining the progress of back pain patients. However, it is not known whether these factors are applicable to military personnel, who tend to be fitter than the general population. The aim was to identify physical and psychological predictors in a prospective study of the outcome of back pain rehabilitation over 6 months and a longer follow-up time of between 15 and 32 months. Two hundred and fifty military personnel reporting for a residential rehabilitation programme completed a battery of physical and psychological tests. The physical tests included 800 m run time and the Biering-Sorensen test. The psychological/psychosocial measures included items on fear avoidance, self efficacy, anxiety and depression and occupational psychosocial factors such as job satisfaction. Self efficacy and 800 m run time predicted self-reported functional ability at 6 months and medical discharge/return to full fitness at 15–32 months. Patients with 800 m run times of more than 3 minutes 31 seconds had a four times greater chance of medical discharge from the Armed forces. Eight hundred metre run time and self-efficacy were independent predictors of both self-reported functional ability at 6 months and return to full fitness/medical discharge at 15–32 months. Self-efficacy also predicted 40% of the variance in the intensity of back pain and 10% of other non-back pain. Rehabilitation should include greater emphasis on physical fitness and on improving self-efficacy.

  5. Vertebroplasty in the treatment of back pain

    International Nuclear Information System (INIS)

    Muto, Mario; Muto, Emanuale; Izzo, Roberto; Diano, Alvaro Antonio; Lavagna, Arcangelo; Di Furia, Ugo

    2005-01-01

    Purpose: The aim of this study is to show the utility of vertebroplasty in the treatment of some types of back pain. Vertebroplasty is a venous embolisation of the vertebral body performed under computed tomography (CT) or fluoroscopy guidance with transpedicular, anterolateral, intercostovertebral or posterolateral approach with acrylic element. Materials and methods: We report our experience in 85 patients suffering from low back and thoracic pain and treated with percutaneous vertebroplasty owing to osteoporotic vertebral compression fractures, vertebral haemangiomas or secondary lytic lesions of the spine. Patient selection was performed on the basis of physical examination, magnetic resonance or less frequently, with bone scan. CT has a minor role in selected cases to evaluate the integrity of the posterior wall. We treated 55 patients affected by acute osteoporotic vertebral compression fracture, 10 patients with vertebral haemangioma and 20 patients with metastatic lesions. The patients were placed in the prone position and the procedure was performed under fluoroscopy guidance in 80 patients and under CT guidance in 5 patients affected by metastatic lesions. In no case was phlebography performed before the treatment. The approach adopted was bilateral in 45 patients and unilateral in the remaining 30 cases. Injection with a low viscosity cement was performed under fluoroscopy guidance with extreme precision in all cases. The amount of cement injected ranged from 4 ml (thoracic level) up to 12 ml (lumbar level). Results: The results were better for osteoporotic cases (95%) and patients with vertebral haemangioma (90%) than with metastatic lesions (77%), with improvement within 24-72 hours after the treatment. We noted asymptomatic cement leakage in 39 cases but only in 2 cases was there an acute radiculopathy due to epidural cement leakage, which was treated and resolved medically in 1 month. At follow-up no cases were noted of fractures of vertebral bodies

  6. Disaster: would your community bounce back?

    Energy Technology Data Exchange (ETDEWEB)

    Sims, Benjamin H [Los Alamos National Laboratory

    2011-01-12

    What makes some communities or organizations able to quickly bounce back from a disaster, while others take a long time to recover? This question has become very important for emergency planners in federal, state, and local government - particularly since the 9/11 attacks and Hurricane Katrina, which nearly destroyed New Orleans five years ago. These events have made people aware that we can't always prevent disasters, but might be able to improve the ability of communities and regions to respond to and bounce back from major disruptions. Social scientists have found that most communities are, in fact, quite resilient to most disasters. People tend to work together, overcome divisions, identify problems, and develop improvised solutions. This often leads to a greater sense of community and a sense of personal accomplishment. Long-term recovery can be harder, but rebuilding can create jobs and stimulate economies. Communities may even end up better than they were before. But there are some disturbing exceptions to this trend, including Hurricane Katrina. The hurricane killed many people, the federal and local emergency response was not effective, people who could not evacuate were housed in the Superdome and Convention Center in terrible conditions, crime was prevalent, and local government did not appear to have control over the situation. A significant portion of the population was eventually evacuated to other cities. Even five years later, many people have not returned, and large parts of the city have not been rebuilt. Clearly, New Orleans lacked sufficient resilience to overcome a disaster of the magnitude of Katrina. There are four factors that social scientists are beginning to agree are important for community resilience: (1) A strong, diverse economy - Stable jobs, good incomes, diversity of industries, personal savings; (2) Robust social networks - Community members know each other, help each other, and have connections outside the community; (3

  7. Glide back booster wind tunnel model testing

    Science.gov (United States)

    Pricop, M. V.; Cojocaru, M. G.; Stoica, C. I.; Niculescu, M. L.; Neculaescu, A. M.; Persinaru, A. G.; Boscoianu, M.

    2017-07-01

    Affordable space access requires partial or ideally full launch vehicle reuse, which is in line with clean environment requirement. Although the idea is old, the practical use is difficult, requiring very large technology investment for qualification. Rocket gliders like Space Shuttle have been successfullyoperated but the price and correspondingly the energy footprint were found not sustainable. For medium launchers, finally there is a very promising platform as Falcon 9. For very small launchers the situation is more complex, because the performance index (payload to start mass) is already small, versus medium and heavy launchers. For partial reusable micro launchers this index is even smaller. However the challenge has to be taken because it is likely that in a multiyear effort, technology is going to enable the performance recovery to make such a system economically and environmentally feasible. The current paper is devoted to a small unitary glide back booster which is foreseen to be assembled in a number of possible configurations. Although the level of analysis is not deep, the solution is analyzed from the aerodynamic point of view. A wind tunnel model is designed, with an active canard, to enablea more efficient wind tunnel campaign, as a national level premiere.

  8. Oil and resource-backed aggression

    International Nuclear Information System (INIS)

    Colgan, Jeff

    2011-01-01

    A common misperception about oil politics is that it has a uniform, monolithic effect on policy development. This paper argues that in fact the net political effect of oil varies dramatically depending on the nature of the petrostate. It shows that oil income, when combined with revolutionary governments in petrostates, generates strong incentives for foreign policy aggression and international conflict. The aggressiveness of petro-revolutionary states is shown to have consequences in both military and economic spheres of international relations. Militarily, the aggressiveness of this type of state leads to a high rate of armed conflicts. Economically, the aggressiveness of petro-revolutionary states shapes global oil markets and international economic relations. The argument is tested using statistical analysis of international conflicts and economic sanctions. The policy implications are then considered, focusing on the negative global impacts of dependence on oil consumption. - Research highlights: → A radical reconsideration of the link between oil and international conflict is needed. → Resource-backed aggression, not resource-competition, is the major source of conflict. → Petro-revolutionary states instigate 250% more military conflicts than typical states. → Petro-revolutionary states are also more frequently targeted for economic sanctions.

  9. Medial branch neurotomy in low back pain

    Energy Technology Data Exchange (ETDEWEB)

    Masala, Salvatore; Mammucari, Matteo; Simonetti, Giovanni [Interventional Radiology and Radiotherapy University ' ' Tor Vergata' ' , Department of Diagnostic and Molecular Imaging, Rome (Italy); Nano, Giovanni [Interventional Radiology and Radiotherapy University ' ' Tor Vergata' ' , Department of Diagnostic and Molecular Imaging, Rome (Italy); University ' ' Tor Vergata' ' , Department of Radiology, Rome (Italy); Marcia, Stefano [S. Giovanni di Dio Hospital, Department of Diagnostic and Molecular Imaging, Cagliari (Italy)

    2012-07-15

    This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome. From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months. In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case. Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients. (orig.)

  10. Medial branch neurotomy in low back pain

    International Nuclear Information System (INIS)

    Masala, Salvatore; Mammucari, Matteo; Simonetti, Giovanni; Nano, Giovanni; Marcia, Stefano

    2012-01-01

    This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome. From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months. In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case. Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients. (orig.)

  11. LHC Report: Back to record performance

    CERN Multimedia

    Jan Uythoven for the LHC Team

    2012-01-01

    The technical issues that caused a rocky re-start after the technical stop and a relatively low performance of the machine have been tackled and resolved in the past days. The LHC is back to record collision rates and matching the 2011 data set now seems within reach for the summer conferences.   The technical stop at the end of April was followed by a period in which increased beam losses were observed before the beams were brought into collision, causing reduced peak luminosities. This issue was tackled by optimising the beams in the injector chain, making a fine adjustment of the orbit during the energy ramp-up and ensuring precise bunch collisions in ATLAS and CMS. These measures brought the peak luminosity at the beginning of a fill up to record levels of 6 x1033 cm-2s-1, but the fills were short as there were still sudden losses of some bunches that triggered the beam dump. The lost bunches were identified as bunches that only collide in LHCb. These bunches see fewer collisions, so the &am...

  12. Stress and back pain: who can escape?

    CERN Multimedia

    2013-01-01

    On 28 April each year, the International Labour Organization and the World Health Organization organise a World Day for Safety and Health at Work.   For the third consecutive year, CERN will be celebrating the World Day through events and initiatives coordinated by the BE Safety Unit, the HSE Unit, the CERN Medical Service and finally the Fire Brigade. Two main themes that will be highlighted this year are: work stress and musculoskeletal disorders. These two frightening items actually refer to situations that we may all be experiencing. On the day of the event, you will be given information and tips on how to reduce daily stress. You will also be invited to follow a “back pain” course that will bring to light all the activities you can try out in order to fight this affliction and reduce its consequences. The Fire Brigade will also be present to show you how to use the “portoire” chair. Don’t know what a “portoire” chair ...

  13. Biomechanical aspects of nonspecific back pain

    Directory of Open Access Journals (Sweden)

    Ridwan Harrianto

    2010-12-01

    Full Text Available Low back pain (LBP is a common problem in adult life, since despite its benign nature it is commonly associated with incapacity, productivity loss due to sick leave, and correspondingly high costs to the individual worker. Psychosocial and lifestyle factors and work-place exposures have been implicated in the onset of symptoms. Heavy physical work, static work postures, frequent bending and twisting, lifting and postural movements, repetitive work, and whole body vibrations are occupational factors associated with LBP. The usual classification of LBP is related to the duration of the complaints (acute, subacute, and chronic. However, these terms fail to take into account several clinically important aspects of the course of LBP, which is frequently recurrent and thus neither acute nor chronic. More realistically, LBP should be classified as specific and nonspecific. Approximately 90% of LBP cases have no identifiable cause and is designated nonspecific LBP. However, despite its high prevalence, the etiology and nature of nonspecific LBP are not yet well understood. Its pathophysiology remains complex and multifaceted. Multiple anatomic structures and elements of the lumbar spine (e.g. bones, ligaments, tendons, discs, and muscles are all suspected of playing a role. Many of these components of the lumbar spine have sensory innervations that can generate nociceptive signals in response to tissue-damaging stimuli. Other causes could be neuropathic (e.g. sciatica. Some cases of LBP most likely involve mixed nociceptive and neuropathic etiologies.

  14. Back end of an enduring fuel cycle

    International Nuclear Information System (INIS)

    Pillay, K.K.S.

    1998-03-01

    An enduring nuclear fuel cycle is an essential part of sustainable consumption, the process whereby world's riches are consumed in a responsible manner so that future generations can continue to enjoy at least some of them. In many countries, the goal of sustainable development has focused attention on the benefits of nuclear technologies. However, sustenance of the nuclear fuel cycle is dependent on sensible management of all the resources of the fuel cycle, including energy, spent fuels, and all of its side streams. The nuclear fuel cycle for energy production has suffered many traumas since the mid seventies. The common basis of technologies producing nuclear explosives and consumable nuclear energy has been a preoccupation for some, predicament for others, and a perception problem for many. It is essential to reestablish a reliable back end of the nuclear fuel cycle that can sustain the resource requirements of an enduring full cycle. This paper identifies some pragmatic steps necessary to reverse the trend and to maintain a necessary fuel cycle option for the future

  15. Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in ...

    African Journals Online (AJOL)

    Evaluation of low back pain for prolapsed intervertebral disk (PID) is based on history, physical findings and im- aging examination such as Computerized Tomography. (CT) scan or Magnetic Resonance Imaging (MRI). In pa- tients with recurrent low back pain, reflex sciatica, strik- ing tenderness on spinal processes or ...

  16. Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in ...

    African Journals Online (AJOL)

    Background Accurate evaluation of low back pain is essential for its rational management. The extent of use of clinical and imaging findings in identification of prolapsed intervertebral disk varies between centers. In Kenya, the diagnostic procedure is obscure. Objective To assess the evaluation of low back pain patients for ...

  17. UBC researcher's back-pain studies focus on space travel.

    OpenAIRE

    Robinson, M

    1996-01-01

    Researchers at the University of British Columbia have been studying back pain that develops in astronauts in space. Their findings not only may help astronauts cope with future space travel, but also lead to new treatments for Earth-bound patients who experience back pain.

  18. Atypical back pain in a child: subcutaneous lumbar abscess ...

    African Journals Online (AJOL)

    weight-bear because of back pain and the left arm had become cellulitic from the elbow to the wrist. There was no evidence of a collection on admission, and the child was treated for systemic malaise secondary to chickenpox. Broad-spectrum intravenous antibiotics failed to resolve the child's pyrexia, and his lower back ...

  19. Back Pain at Work: Preventing Pain and Injury

    Science.gov (United States)

    ... or a desk job can contribute to back pain, especially if you have poor posture or sit all day in a chair with ... can take steps to avoid and prevent back pain and injuries at work. For example: Pay attention to posture. When standing, balance your weight evenly on your ...

  20. Frequency Selective Surfaces for extended Bandwidth backing reflector functions

    NARCIS (Netherlands)

    Pasian, M.; Neto, A.; Monni, S.; Ettorre, M.; Gerini, G.

    2008-01-01

    This paper deals with the use of Frequency Selective Surfaces (FSS) to increase the Efficiency × Bandwidth product in Ultra-Wide Band (UWB) antenna arrays whose efficiency is limited by the front-to-back ratio. If the backing reflector is realized in one metal plane solution its location will be

  1. Students' Use of "Look Back" Strategies in Multiple Solution Methods

    Science.gov (United States)

    Lee, Shin-Yi

    2016-01-01

    The purpose of this study was to investigate the relationship between both 9th-grade and 1st-year undergraduate students' use of "look back" strategies and problem solving performance in multiple solution methods, the difference in their use of look back strategies and problem solving performance in multiple solution methods, and the…

  2. Disability associated with low back pain in Mulago Hospital ...

    African Journals Online (AJOL)

    204 patients with mechanical back pain were enrolled in the study, after screening all consecutive new adult patients referred with low back pain as the major complaint. A validated modified Oswestry instrument was used to collect data. Nine daily activities: sleep, sex, lifting, traveling, social and recreational activities, ...

  3. Atypical back pain in a child: subcutaneous lumbar abscess ...

    African Journals Online (AJOL)

    ... potentially life-threatening musculoskeletal complications. We discuss the extremely unusual case of a child with an extensive subcutaneous lumbar abcess who presented with severe back pain associated with active chickenpox infection. Keywords: abscess, back pain, chickenpox, group A β-haemolytic streptococcus, ...

  4. Frobenius Pull Backs of Vector Bundles in Higher Dimensions

    Indian Academy of Sciences (India)

    We prove that for a smooth projective variety of arbitrary dimension and for a vector bundle over , the Harder–Narasimhan filtration of a Frobenius pull back of is a refinement of the Frobenius pull back of the Harder–Narasimhan filtration of , provided there is a lower bound on the characteristic (in terms of rank of ...

  5. Frobenius pull backs of vector bundles in higher dimensions

    Indian Academy of Sciences (India)

    ... of a Frobenius pull back of is a refinement of the Frobenius pull back of the Harder–Narasimhan filtration of , provided there is a lower bound on the characteristic (in terms of rank of and the slope of the destabilizing sheaf of the cotangent bundle of ). We also recall some examples, due to Raynaud and Monsky, ...

  6. Ethics and Epistemology: Giving Back in the Klamath

    Directory of Open Access Journals (Sweden)

    Daniel Reid Sarna-Wojcicki

    2014-07-01

    Full Text Available This research note is part of the thematic section, Giving Back Through Collaboration in Practice, in the special issue titled “Giving Back in Field Research,” published as Volume 10, Issue 2 in the Journal of Research Practice.

  7. Antidepressants for non-specific low back pain

    NARCIS (Netherlands)

    Urquhart, D. M.; Hoving, J. L.; Assendelft, W. W. J. J.; Roland, M.; van Tulder, M. W.

    2008-01-01

    BACKGROUND: Antidepressants are commonly used in the management of low-back pain. However, their use is controversial. OBJECTIVES: The aim of this review was to determine whether antidepressants are more effective than placebo for the treatment of non-specific low-back pain. SEARCH STRATEGY:

  8. Lumbar CT findings of patients with low back pain

    International Nuclear Information System (INIS)

    Lee, Yong Chul; Kim, Yang Soo; Kim, Kyun Sang

    1986-01-01

    Low back pain is probably the second most common disease entity to upper respiratory infection in developed country. We were missing at least 50% of the pathologic conditions by using conventional diagnostic modalities in low back pain. They did tell us nothing or little about facet abnormalities, lateral recesses, vertebral canal and soft tissue surrounding lumbar spines. High resolutional CT has been the biggest turning point in the diagnosis and management of low back pain. CT make a contribution to reducing the morbidity and probably the cost of evaluating patients with low back pain, and to increasing diagnostic accuracy. We observed 100 cases of lumbar CT using TCT 80A scanner for the evaluation of low back pain during the period from Apr. 1985 to Sept. 1985 at Chung-Ang University Hospital. Lumbar CT scan reveals high-positive findings (98%) in low back pain patients. Common low back disorders in CT are disc bulging (53%), herniated nucleus pulposus (32%), degenerative arthritis in posterior facet joints (27%), spinal stenosis (20%) and postoperative spines (15%). Uncommon low back disorders in CT are compression fracture of vertebral bodies, spondylolysis or spondylolisthesis, tropism, transitional vertebra, Scheueman's disease, limbic fracture, transverse process or articular process fracture, sacroiliac joint subluxation, conjoined nerve root and meningocele.

  9. CONTROL AND ECOLOGY OF THE BLACK-BACKED JACKAL The ...

    African Journals Online (AJOL)

    CONTROL AND ECOLOGY OF THE BLACK-BACKED JACKAL. CANIS MESOMELAS IN THE TRANSVAAL. J. DU ~. BOTHMA. • Transvaal Nature Conservation Division. INTRODUCTION. The black-backed jackal Canis mesomelas is the most important problem animal in sheep- farming areas of the Transvaal (Van ...

  10. Solidification with back-diffusion of irregular eutectics

    Directory of Open Access Journals (Sweden)

    M. Trepczyńska-Łent

    2008-10-01

    Full Text Available The definition of the α - parameter back-diffusion has been introduced in the work. The alternative models of solidification were describedtaking into consideration back-diffusion process. The possibility of using those models for eutectic alloys solidification is worthyof interest.

  11. Back pain during different sequential treatment regimens of teriparatide

    DEFF Research Database (Denmark)

    Lyritis, George; Marin, Fernando; Barker, Clare

    2010-01-01

    To investigate changes in back pain in postmenopausal women with severe osteoporosis who received teriparatide for 24 months or switched at 12 months to raloxifene or no active treatment.......To investigate changes in back pain in postmenopausal women with severe osteoporosis who received teriparatide for 24 months or switched at 12 months to raloxifene or no active treatment....

  12. Nursery function of tropical back-reef systems

    NARCIS (Netherlands)

    Adams, A.J.; Dahlgren, C.P.; Kellison, G.T.; Kendall, M.S.; Layman, C.A.; Ley, J.A.; Nagelkerken, I.; Serafy, J.E.

    2006-01-01

    Similar to nearshore systems in temperate latitudes, the nursery paradigm for tropical back-reef systems is that they provide a habitat for juveniles of species that subsequently make ontogenetic shifts to adult populations on coral reefs (we refer to this as the nursery function of back-reef

  13. Herbal medicine for low back pain: a Cochrane review

    NARCIS (Netherlands)

    Gagnier, J.J.; van Tulder, M.W.; Berman, B.; Bombardier, C.

    2007-01-01

    STUDY DESIGN. A systematic review of randomized controlled trials. OBJECTIVES. To determine the effectiveness of herbal medicine compared with placebo, no intervention, or "standard/accepted/conventional treatments" for nonspecific low back pain. SUMMARY OF BACKGROUND DATA. Low back pain is a common

  14. Observations of White-backed Vultures eating plant material in ...

    African Journals Online (AJOL)

    campbell

    diet, known to include refuse and human excrement. However, with two Namibian reports of White- backed Vultures exhibiting this behaviour, it is possibly more likely the Cape Griffon, which has a diet similar to that of the White- backed Vulture. Anderson (1997), sceptical of the reports of vultures eating plant material ...

  15. Back School: The Development of A Nigerian Urban Model | Odebiyi ...

    African Journals Online (AJOL)

    The first part of the video documentary provides information on the epidemiology and causes of back pain, structures and functions of the back while the second and third parts consist of demonstrations of wrong and correct resting and working postures assumed during everyday life activities and simple exercises for the ...

  16. Feldenkrais method empowers adults with chronic back pain.

    Science.gov (United States)

    Pugh, Judith Dianne; Williams, Anne M

    2014-01-01

    A phenomenological approach was used to explore the experiences of 11 adults attending Awareness Through Movement lessons in the Feldenkrais Method to manage chronic-episodic back pain. Semistructured interviews were analyzed. The results suggest improving self-efficacy through somatic education and awareness potentially offers a way forward given the back pain epidemic.

  17. Aetiology of low back pain in Mulago Hospital, Uganda | Galukande ...

    African Journals Online (AJOL)

    Background: Low back pain exists in epidemic proportions in the western world and is on the increase. Its cause is mostly nonspecific. Not much is known about it in the developing world because the data is scanty. This study was set out to investigate the possible causes of low back pain and prevalence. Objective: To ...

  18. Disability associated with low back pain in Mulago Hospital ...

    African Journals Online (AJOL)

    Background: Low back pain is sufficiently disabling and a common cause of disability particularly during the productive middle years of adult life. Disability implies interference with daily activities. Objective: To assess and document the disability associated with low back pain in terms of sick leave days, interference with ...

  19. Management for failed back surgery syndrome: three-in-one ...

    African Journals Online (AJOL)

    Management for failed back surgery syndrome: three-in-one procedure versus percutaneous spinal fixation alone .... unchanged; Fair: definite relief of some preoperative symptoms, while other symptoms were either .... spinal fixation procedure alone for management of pain and handicap after failed back spinal surgery ...

  20. Lumbar CT findings of patients with low back pain

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Chul; Kim, Yang Soo; Kim, Kyun Sang [Chung-Ang University, Seoul (Korea, Republic of)

    1986-04-15

    Low back pain is probably the second most common disease entity to upper respiratory infection in developed country. We were missing at least 50% of the pathologic conditions by using conventional diagnostic modalities in low back pain. They did tell us nothing or little about facet abnormalities, lateral recesses, vertebral canal and soft tissue surrounding lumbar spines. High resolutional CT has been the biggest turning point in the diagnosis and management of low back pain. CT make a contribution to reducing the morbidity and probably the cost of evaluating patients with low back pain, and to increasing diagnostic accuracy. We observed 100 cases of lumbar CT using TCT 80A scanner for the evaluation of low back pain during the period from Apr. 1985 to Sept. 1985 at Chung-Ang University Hospital. Lumbar CT scan reveals high-positive findings (98%) in low back pain patients. Common low back disorders in CT are disc bulging (53%), herniated nucleus pulposus (32%), degenerative arthritis in posterior facet joints (27%), spinal stenosis (20%) and postoperative spines (15%). Uncommon low back disorders in CT are compression fracture of vertebral bodies, spondylolysis or spondylolisthesis, tropism, transitional vertebra, Scheueman's disease, limbic fracture, transverse process or articular process fracture, sacroiliac joint subluxation, conjoined nerve root and meningocele.

  1. Effects of backing board materials on wood combustion performance

    Science.gov (United States)

    Mathew J. Hagge; Kenneth M. Bryden; Mark A. Dietenberger

    2004-01-01

    Cone calorimeter tests show that backing board materials do not affect the ignition time, initial heat release rate, or the total heat released of combustion for redwood slabs. However, it has been observed that backing board materials alter combustion performance by altering the secondary heat release peak observed when the pyrolysis reaction front nears the unheated...

  2. Research Data Management - Back-up, Storage and Sharing presentation

    OpenAIRE

    Collins, Anna

    2013-01-01

    This short (8 slide) presentation "Back-up, Storage and Sharing - Helping you out in practice what you know you ought to be doing" is aimed at researchers and covers information about and tips for backing up as well as cloud based storage and encryption. Created under a CC-BY-NC_SA in March 2013 it is still highly relevant

  3. Adolescent low back pain among secondary school students in ...

    African Journals Online (AJOL)

    Abstract. Background: Adolescent low back pain (ALBP) can be considered a signal or precursor of a serious organic disease or tell- tale sign of future incidence of low back pain in adulthood. Published articles on ALBP in Nigeria are not readily available. Objectives: The study's objectives were to investigate the ...

  4. The effect of back school integrated with core strengthening in patients with chronic low-back pain.

    Science.gov (United States)

    Yang, Eun Joo; Park, Won-Beom; Shin, Hyung-Ik; Lim, Jae-Young

    2010-09-01

    To assess the effect of back school integrated with core-strengthening exercises on back-specific disability and pain-coping strategies and to examine how reactions to pain affect the outcomes of back school in patients with chronic low back pain. A single-center prospective trial was conducted with 142 participants with chronic low-back pain (38 men and 104 women) who completed a back school program at the spine center of a university hospital. The subjects participated in a 4-wk program integrated with core-strengthening exercises. Back-specific disabilities were measured as a primary outcome before and after the program. Secondary outcomes were pain, Chronic Pain Coping Inventory, general health status assessed by the SF-36, and quantitative functional evaluations of factors, such as trunk muscle strength, endurance, and the back performance scale. A subgroup of 28 subjects (12 men and 16 women) of the total sample of 142 subjects was used to analyze the longitudinal association between coping strategies and the primary outcome in a long-term follow-up study. These participants were divided into three groups (much improved, slightly improved, and unimproved) based on changes in back-specific disability scores. Participants improved significantly in terms of back-specific disability, pain, general health, and quantitative functional tests according to the short-term evaluation. They used more relaxation and exercise/stretching techniques as coping strategies. Of the groups participating in the longer-term follow-up (T3), the much-improved group showed significant improvement between T1 (before back school) and T2 (after back school) in scores for relaxation (1.6 +/- 1.0 vs. 2.6 +/- 1.1), task persistence (2.9 +/- 1.2 vs. 3.7 +/- 1.2), and exercise (3.3 +/- 1.1 vs. 5.2 +/- 1.9), but the coping strategies of those in the slightly improved and unimproved groups did not change significantly at T2. Our back school program may help patients with chronic low back pain

  5. Inkjet Printing of Back Electrodes for Inverted Polymer Solar cells

    DEFF Research Database (Denmark)

    Angmo, Dechan; Sweelssen, Jorgen; Andriessen, Ronn

    2013-01-01

    employed method in the ambient processing of back electrode, is demonstrated and discussed. Both inkjet printing and screen printing of back electrodes are studied for their impact on the photovoltaic properties of the polymer solar cells measured under 1000 Wm−2 AM1.5. Each ambient processing technique...... in an otherwise fast roll-to-roll production line. In this paper, the applicability of inkjet printing in the ambient processing of back electrodes in inverted polymer solar cells with the structure ITO/ZnO/P3HT:PCBM/PEDOT:PSS/ Ag is investigated. Furthermore, the limitation of screen printing, the commonly...... is compared with evaporation in the processing of back electrode. Laser beam induced current (LBIC) imaging is used to investigate the impact of the processing techniques on the current collection in the devices. We report that inkjet printing of back electrode delivers devices having photovoltaic performance...

  6. Central sensitization in chronic low back pain: A narrative review.

    Science.gov (United States)

    Sanzarello, Ilaria; Merlini, Luciano; Rosa, Michele Attilio; Perrone, Mariada; Frugiuele, Jacopo; Borghi, Raffaele; Faldini, Cesare

    2016-11-21

    Low back pain is one of the four most common disorders in all regions, and the greatest contributor to disability worldwide, adding 10.7% of total years lost due to this health state. The etiology of chronic low back pain is, in most of the cases (up to 85%), unknown or nonspecific, while the specific causes (specific spinal pathology and neuropathic/radicular disorders) are uncommon. Central sensitization has been recently recognized as a potential pathophysiological mechanism underlying a group of chronic pain conditions, and may be a contributory factor for a sub-group of patients with chronic low back pain. The purposes of this narrative review are twofold. First, to describe central sensitization and its symptoms and signs in patients with chronic pain disorders in order to allow its recognition in patients with nonspecific low back pain. Second, to provide general treatment principles of chronic low back pain with particular emphasis on pharmacotherapy targeting central sensitization.

  7. The effects of shiatsu on lower back pain.

    Science.gov (United States)

    Brady, L H; Henry, K; Luth, J F; Casper-Bruett, K K

    2001-03-01

    Shiatsu, a specific type of massage, was used as an intervention in this study of 66 individuals complaining of lower back pain. Each individual was measured on state/trait anxiety and pain level before and after four shiatsu treatments. Each subject was then called 2 days following each treatment and asked to quantify the level of pain. Both pain and anxiety decreased significantly over time. Extraneous variables such as gender, age, gender of therapist, length of history with lower back pain, and medications taken for lower back pain did not alter the significant results. These subjects would recommend shiatsu massage for others suffering from lower back pain and indicated the treatments decreased the major inconveniences they experienced with their lower back pain.

  8. Back pain prevalence in adolescent athletes.

    Science.gov (United States)

    Müller, J; Müller, S; Stoll, J; Fröhlich, K; Otto, C; Mayer, F

    2017-04-01

    The research aimed to investigate back pain (BP) prevalence in a large cohort of young athletes with respect to age, gender, and sport discipline. BP (within the last 7 days) was assessed with a face scale (face 1-2 = no pain; face 3-5 = pain) in 2116 athletes (m/f 61%/39%; 13.3 ± 1.7 years; 163.0 ± 11.8 cm; 52.6 ± 13.9 kg; 4.9 ± 2.7 training years; 8.4 ± 5.7 training h/week). Four different sports categories were devised (a: combat sports, b: game sports; c: explosive strength sport; d: endurance sport). Analysis was described descriptively, regarding age, gender, and sport. In addition, 95% confidence intervals (CI) were calculated. About 168 (8%) athletes were allocated into the BP group. About 9% of females and 7% of males reported BP. Athletes, 11-13 years, showed a prevalence of 2-4%; while prevalence increased to 12-20% in 14- to 17-year olds. Considering sport discipline, prevalence ranged from 3% (soccer) to 14% (canoeing). Prevalences in weight lifting, judo, wrestling, rowing, and shooting were ≥10%; in boxing, soccer, handball, cycling, and horse riding, ≤6%. 95% CI ranged between 0.08-0.11. BP exists in adolescent athletes, but is uncommon and shows no gender differences. A prevalence increase after age 14 is obvious. Differentiated prevention programs in daily training routines might address sport discipline-specific BP prevalence. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Imaging studies for failed back surgery syndrome

    International Nuclear Information System (INIS)

    Cosnard, G.; Cordoliani, Y.S.; Sarrazin, J.L.; Soulie, D.

    1995-01-01

    In patients with failed back surgery syndrome, magnetic resonance imaging (MRI) can be the best first-line imaging study because it simplifies the diagnosis. This update is based on over 600 cases. MRI shows the scar tissue at the surgical site, persistent evidence of disk herniation for several weeks after surgery, and evidence of local and regional edema in one-fourth of cases. The edema is most marked between two months and two years after the operation and can misleadingly suggest discitis. MRI is the best investigation for detecting recurrent herniation at the same vertebral level or another level. Herniated disk material is seen as a mass that does not enhance after gadolinium, in contrast to the vascularized scar tissue. Free fragments are often clearly visible within the scar tissue. Fragments that migrate to the epidural space can give rise to granulomatous reactions. Scar tissue can be seen in the epidural space and within the disk; it can show enhancement after gadolinium for several years. The scar can be atrophic or hypertrophic and can encase or impinge on the dural sac and nerve roots. Pathological fibrosis cannot be differentiated from ordinary scar tissue. Arachnoiditis causing adherence of the nerve roots to the dura mater or to each other occurs in 5 % to 10 % of cases. Nerve root enhancement after gadolinium is seen in three-fourths of cases. Bone lesions are common, especially some time after surgery; they are usually accompanied with other lesions. Hematomas are seen in less than 10 % of cases. Infections are similarly rare (0.25 % each for discitis and epiduritis). The diagnosis of discitis is difficult and requires percutaneous biopsy of the disk, especially when MRI shows fluid within the disk, with decreased signal intensity on T2 images, and non enhancement after intravenous gadolinium. (authors). 19 refs., 7 figs

  10. Low back pain among Irish farmers.

    Science.gov (United States)

    O'Sullivan, Deirdre; Cunningham, Caitriona; Blake, Catherine

    2009-01-01

    Despite farming being regarded as a high-risk activity for low back pain (LBP), little LBP research exists for this work sector. To establish LBP prevalence, beliefs regarding LBP, perceived LBP risk factors, related health service utilization, awareness and participation in manual-handling training among farmers in Ireland. A cross-sectional questionnaire survey was distributed to 200 farmers in Ireland via five Irish veterinary practices. Data were entered onto the Statistical package for the Social Sciences (version 12.0.1) and analysed using descriptive statistics while qualitative data were coded and analysed for common themes. The response rate was 52% (n = 104). Lifetime, annual and point prevalence of LBP was 74% (n = 77), 54% (n = 56) and 27% (n = 28), respectively. Of respondents with a history of LBP, 72% (n = 55) stated that farming had contributed to their problem. Sixty-three per cent (n = 31) identified lifting as a contributory factor to their LBP. The majority of respondents (86%, n = 66) with LBP sought some form of treatment, with 73% (n = 56) of these having attended a general practitioner (GP). Few respondents (13%, n = 14) had ever attended a manual-handling course. A high prevalence of LBP was found among farmers, with lifting being reported as the major contributing factor. GPs were the most commonly utilized healthcare practitioner for LBP. Farmers do not commonly attend manual-handling courses with many noting they were not widely accessible or adequately publicized. There is a need for high-quality studies to examine the effectiveness of different interventions to prevent LBP among the Irish farming population.

  11. Feed-Back Regulation of Haemopoiesis

    International Nuclear Information System (INIS)

    Feldman, M.

    1968-01-01

    Studies ate reported on the feed-back regulation of erythropoiesis by means of the intrasplenic cloning system of haemopoietic cells. Polycythaemia, produced by passive transfusion of synzeneic, allogeneic or xenogeneic red blood cells, inhibited the formation of bone-marrow derived erythroid clones. Polycythaemia also inhibited the formation of erythroid clones of endogenous stem cells. Oxygen overloading was found to be a necessary factor in the suppression of erythroid clone formation: no suppression of erythroid colonies was observed when polycythaemic animals were kept under hypoxic conditions. Erythropoietin, either of exogenous or of endogenous origin, elicited a reformation of erythroid clones in 'suppressed' animals. Studies on the kinetics of reformation of erythroid clones after the administration of erythropoietin suggested that the colony-forming stem cell can replicate a few times in the absence of erythropoietin and the cell progeny thus formed are the target cells for erythropoietin action. If, indeed, the colony-forming cell replicates in the absence of the specific inducer, then the cells thus formed should themselves be stem cells. This was substantiated by demonstrating that the cloning efficiency of spleens of polycythaemic recipients was higher than that of non-polycythaemic animals. Experiments indicating that erythroid clones produced by erythropoietin in polycythaemic animals disappeared after the discontinuance of erythropoietin application demonstrated the distinction between the 'mitogenic' and the 'morphogenetic' effects of erythropoietin. The latter seemed to be operated by an early transcription of RNA for proteins necessary for the complete maturation of the red blood cell, Erythroid clones produced by foetal haemopoietic stem cells seemed to be regulated by a different mechanism from that which controls the formation of bone-marrow derived clones. Clones produced by foetal cells were only partially suppressed in the polycythaemic

  12. Back school programs. The young patient.

    Science.gov (United States)

    Farrell, J P; Drye, C D

    1992-01-01

    CC's treatment goals were all met with the exception of eliminating the AMNT sign. Slump-sit right knee extension (-15 degrees), right SLR (80 degrees coupled with dorsiflexion), and lumbar flexion (85% coupled with neck flexion) all continued to reproduce right buttock cramping and pain. Currently he is playing basketball without restriction, performing an individualized exercise program that emphasizes lower extremity muscle stretching, AMNT stretching, and advanced truncal stabilization exercises. He has a very good understanding of body mechanics and an awareness of safe SFP during activities of daily living and on the basketball court. His motivation, along with the motivation of parents, coaches, athletic trainer, and physical therapist, greatly assisted CC in returning to competitive basketball. CC is intermittently evaluated to monitor the AMNT sign and the effectiveness of the home exercise program. Currently CC's AMNT appears to regress if he is not monitored on a monthly basis; thus he warrants intermittent treatment. Monitoring of the patient is an integral aspect of long-term management of chronic discogenic disease that is often neglected. It can be hypothesized that monitoring may prevent serious complications in the future for many patients. CC is a patient who needed specific therapeutic intervention beyond rest, general instructions about body mechanics and exercise, modalities, and traditional back school. The history of this patient's problem revealed that rest and general exercises had failed, thus necessitating specific therapeutic treatment. This patient is an excellent example of how physical therapy in the form of manual therapy, specific therapeutic exercise, education through repetition of functional tasks, and the team approach to patient care can lead to a successful treatment outcome.

  13. Is your client's back pain "rapidly reversible"? Improving low back care at its foundation.

    Science.gov (United States)

    Donelson, Ronald

    2008-01-01

    To convey a valuable and greatly misunderstood paradigm for evaluating and treating low back pain (LBP) and its extensive scientific evidence. Low back pain is a highly prevalent and very expensive health dilemma. But by using a paradigm called Mechanical Diagnosis and Therapy (a.k.a. McKenzie methods), it is now possible to identify a very large LBP subgroup whose pain is rapidly reversible, meaning that it can often be eliminated quickly, with return to full function using a single, patient-specific direction of simple, yet precise, end-range low back exercises and some posture modifications. This interesting subgroup includes patients with both acute and chronic LBP as well as both LBP-only and sciatica with neural deficits. This special form of clinical assessment can detect which patients are in this large, rapidly reversible subgroup and which ones are not. Of the numerous studies targeting Mechanical Diagnosis and Therapy (MDT), three have focused on patients whose persisting pain had led to recommendations of disc surgery where 50% were then found to still have a rapidly reversible disc problem with high rates of nonsurgical rapid recovery. If patients are never assessed in this way, this reversibility remains undiscovered and these patients commonly undergo potentially unnecessary surgery. Armed with knowledge of this subgroup, how to identify it, the considerable supportive scientific evidence and strongly beneficial implications of utilizing this MDT paradigm, case managers are positioned to have an immensely positive impact on the care of LBP. Tremendous cost savings and greatly improved clinical outcomes are available by utilizing this form of evidence-based MDT care.

  14. Improved interoceptive awareness in chronic low back pain: a comparison of Back school versus Feldenkrais method.

    Science.gov (United States)

    Paolucci, Teresa; Zangrando, Federico; Iosa, Marco; De Angelis, Simona; Marzoli, Caterina; Piccinini, Giulia; Saraceni, Vincenzo Maria

    2017-05-01

    To determine the efficacy of the Feldenkrais method for relieving pain in patients with chronic low back pain (CLBP) and the improvement of interoceptive awareness. This study was designed as a single-blind randomized controlled trial. Fifty-three patients with a diagnosis of CLBP for at least 3 months were randomly allocated to the Feldenkrais (mean age 61.21 ± 11.53 years) or Back School group (mean age 60.70 ± 11.72 years). Pain was assessed using the visual analog scale (VAS) and McGill Pain Questionnaire (MPQ), disability was evaluated with the Waddel Disability Index, quality of life was measured with the Short Form-36 Health Survey (SF-36), and mind-body interactions were studied using the Multidimensional Assessment of Interoceptive Awareness Questionnaire (MAIA). Data were collected at baseline, at the end of treatment, and at the 3-month follow-up. The two groups were matched at baseline for all the computed parameters. At the end of treatment (Tend), there were no significant differences between groups regarding chronic pain reduction (p = 0.290); VAS and MAIA-N sub scores correlated at Tend (R = 0.296, p = 0.037). By the Friedman analysis, both groups experienced significant changes in pain (p Feldenkrais method has comparable efficacy as Back School in CLBP. Implications for rehabilitation The Feldenkrais method is a mind-body therapy that is based on awareness through movement lessons, which are verbally guided explorations of movement that are conducted by a physiotherapist who is experienced and trained in this method. It aims to increase self-awareness, expand a person's repertoire of movements, and to promote increased functioning in contexts in which the entire body cooperates in the execution of movements. Interoceptive awareness, which improves with rehabilitation, has a complex function in the perception of chronic pain and should be investigated further in future research. The efficacy of the Feldenkrais method is

  15. Back strength predicts walking improvement in obese, older adults with chronic low back pain.

    Science.gov (United States)

    Vincent, Heather K; Vincent, Kevin R; Seay, Amanda N; Conrad, Bryan P; Hurley, Robert W; George, Steven Z

    2014-05-01

    To compare the effects of 4 months of isolated lumbar resistance exercise and total body resistance exercise on walking performance in obese, older adults with chronic low back pain. A secondary analysis examined whether responsiveness to training modulated walking improvement. Randomized, controlled trial. Research laboratory affiliated with tertiary care facility. Participants (N = 49; 60-85 years) were randomized into a 4-month resistance exercise intervention (TOTRX), lumbar extensor exercise intervention (LEXT), or a control group (CON). Walking performance, maximal low back strength and leg strength, and average resting and low back pain severity score (from an 11-point numerical pain rating scale; NRSpain) were collected at baseline and month 4. The TOTRX and LEXT improved lumbar extensor strength relative to CON, and the TOTRX (P vs 3.7 ± 2.6 points and 4.6 ± 2.4 points; P strength gains that achieved ≥20% greater than baseline values. Although the TOTRX demonstrated the greatest improvement in walking endurance among the intervention groups, this did not reach significance (10.1 ± 12.2% improvement in TOTRX vs 7.4 ± 30.0% LEXT and -1.7 ± 17.4% CON; P = .11). Gait speed increased most in the TOTRX (9.0 ± 13.5%) compared with the LEXT and CON groups (P strength explained 10.6% of the variance of the regression model for the change in walking endurance (P = .024). The use of LEXT and TOTRX produced similar modest improvements in patients' walking endurance. Lumbar extensor strength gain compared with leg strength gain is a moderate but important contributor to walking endurance in obese older adults with chronic low back pain. Responders to resistance exercise programs (event those with only lumbar extension exercise) who make at least a 20% improvement in strength can expect better improvement in walking endurance than those who do not achieve this strength improvement. Copyright © 2014 American Academy of Physical Medicine and

  16. Do illness perceptions of people with chronic low back pain differ from people without chronic low back pain?

    NARCIS (Netherlands)

    van Wilgen, C. Paul; van Ittersum, Miriam W.; Kaptein, Ad A.

    Objectives To determine why some people develop chronic low back pain, and whether illness perceptions are an important risk factor in the transition from acute to chronic low back pain. Design Cross-sectional study. Participants Four hundred and two members of the general Dutch population, with and

  17. Cumulative Low Back Load at Work as a Risk Factor of Low Back Pain: A Prospective Cohort Study

    NARCIS (Netherlands)

    Coenen, P.; Kingma, I.; Boot, C.R.L.; Twisk, J.W.R.; Bongers, P.M.; Dieën, J.H. van

    2013-01-01

    Purpose Much research has been performed on physical exposures during work (e.g. lifting, trunk flexion or body vibrations) as risk factors for low back pain (LBP), however results are inconsistent. Information on the effect of doses (e.g. spinal force or low back moments) on LBP may be more

  18. Electrophysiological assessment of piano players’ back extensor muscles on a regular piano bench and chair with back rest

    Science.gov (United States)

    Honarmand, Kavan; Minaskanian, Rafael; Maboudi, Seyed Ebrahim; Oskouei, Ali E.

    2018-01-01

    [Purpose] Sitting position is the dominant position for a professional pianist. There are many static and dynamic forces which affect musculoskeletal system during sitting. In prolonged sitting, these forces are harmful. The aim of this study was to compare pianists’ back extensor muscles activity during playing piano while sitting on a regular piano bench and a chair with back rest. [Subjects and Methods] Ten professional piano players (mean age 25.4 ± 5.28, 60% male, 40% female) performed similar tasks for 5 hours in two sessions: one session sitting on a regular piano bench and the other sitting on a chair with back rest. In each session, muscular activity was assessed in 3 ways: 1) recording surface electromyography of the back-extensor muscles at the beginning and end of each session, 2) isometric back extension test, and 3) musculoskeletal discomfort questionnaire. [Results] There were significantly lesser muscular activity, more ability to perform isometric back extension and better personal comfort while sitting on a chair with back rest. [Conclusion] Decreased muscular activity and perhaps fatigue during prolonged piano playing on a chair with back rest may reduce acquired musculoskeletal disorders amongst professional pianists. PMID:29410569

  19. Electrophysiological assessment of piano players' back extensor muscles on a regular piano bench and chair with back rest.

    Science.gov (United States)

    Honarmand, Kavan; Minaskanian, Rafael; Maboudi, Seyed Ebrahim; Oskouei, Ali E

    2018-01-01

    [Purpose] Sitting position is the dominant position for a professional pianist. There are many static and dynamic forces which affect musculoskeletal system during sitting. In prolonged sitting, these forces are harmful. The aim of this study was to compare pianists' back extensor muscles activity during playing piano while sitting on a regular piano bench and a chair with back rest. [Subjects and Methods] Ten professional piano players (mean age 25.4 ± 5.28, 60% male, 40% female) performed similar tasks for 5 hours in two sessions: one session sitting on a regular piano bench and the other sitting on a chair with back rest. In each session, muscular activity was assessed in 3 ways: 1) recording surface electromyography of the back-extensor muscles at the beginning and end of each session, 2) isometric back extension test, and 3) musculoskeletal discomfort questionnaire. [Results] There were significantly lesser muscular activity, more ability to perform isometric back extension and better personal comfort while sitting on a chair with back rest. [Conclusion] Decreased muscular activity and perhaps fatigue during prolonged piano playing on a chair with back rest may reduce acquired musculoskeletal disorders amongst professional pianists.

  20. Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain

    NARCIS (Netherlands)

    A. el Barzouhi (Abdelilah); C.L.A.M. Vleggeert-Lankamp (Carmen); G.J.L.A. Nijeholt (Geert J. Lycklama A); B.F.W. van der Kallen (Bas); W.B. van den Hout (Wilbert); B.W. Koes (Bart); W.C. Peul (Wilco)

    2014-01-01

    textabstractBackground: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back pain. Methods: The study population

  1. Prevalence of Neck and Back Pain amongst Aircrew at the Extremes of Anthropometric Measurements

    Science.gov (United States)

    2012-09-06

    severe enough to require epidural, two required opiates, four required muscle relaxants, ten used non- steroidal anti inflammatory drugs (NSAIDs) and...exercises Back Stay fit (working out in the gym ) Neck and back Motrin Exercise Neck and back Push less pallets 40 Back or neck...Back Sleeping, driving Neck and Back Sleep, drive, run, and workouts at gym . Neck and Back Reduces ability to do certain activities/ need extra

  2. Effect of back school protocol on the referral rate of patients with low back pain to an industrial physiotherapy clinic

    Directory of Open Access Journals (Sweden)

    D. O. Odebiyi

    2006-02-01

    Full Text Available Back schools are educational programmes originally developed in a work place (Volvo factory in Sweden for patients with back pain, to enable them to manage their own back problems better. ‘Back school’ was originally aimed at modifying the behaviours of patients with low back pain (LBP, with the view to prevent relapses. In an effort to encourage and stimulate the use of ‘back school’ among health workers in Nigeria, this study was designed to evaluate the efficacy of a back school protocol in a Soap Making Industry in Lagos, Nigeria. One hundred and ten (110 workers of a Soap Making Industry in Lagos, Nigeria,  participated in this study. A pre-test, post-test experimental design was employed. The participants were divided into two groups - office workers and factory workers for the purpose of the training in the content of the back school protocol. The ‘back school’ consisted of classroom teaching and the use of two videotapes titled “lifting technique” and “back pain”. Data on demographic information, knowledge of back structures and back care were collected using a questionnaire with closed ended questions, which was completed before, immediately after and 8 weeks after the administrations of the contents of the back school protocol (Akinpelu and Odebiyi, 2004. The records of the factory’s clinic were also reviewed for the 12-months before and 12 months after the study. The mean values of the participants’ age, height, weight and body mass index (BMI were 36.60 ± 9.10 years, 1.65 ± 0.10 m,69.13 ± 7.70 kg and 25.40 ± 3.30 kg/m2 respectively. The results showed that the 12-months prevalence of low back pain (LBP among the workers was 71%. The result also showed that over 50% of the participants never had any  information or lesson on back care, and those that had some form of information obtained it by chance. There was 23% reduction in referral for care of back pain 12 months after the administration of the back

  3. Non-Linear Back-propagation: Doing Back-Propagation withoutDerivatives of the Activation Function

    DEFF Research Database (Denmark)

    Hertz, John; Krogh, Anders Stærmose; Lautrup, Benny

    1997-01-01

    The conventional linear back-propagation algorithm is replaced by a non-linear version, which avoids the necessity for calculating the derivative of the activation function. This may be exploited in hardware realizations of neural processors. In this paper we derive the non-linear back-propagatio......-propagation algorithms in the framework of recurrent back-propagation and present some numerical simulations of feed-forward networks on the NetTalk problem. A discussion of implementation in analog VLSI electronics concludes the paper.......The conventional linear back-propagation algorithm is replaced by a non-linear version, which avoids the necessity for calculating the derivative of the activation function. This may be exploited in hardware realizations of neural processors. In this paper we derive the non-linear back...

  4. Development and Validation of the Behavioral Avoidance Test-Back Pain (BAT-Back) for Patients With Chronic Low Back Pain.

    Science.gov (United States)

    Holzapfel, Sebastian; Riecke, Jenny; Rief, Winfried; Schneider, Jessica; Glombiewski, Julia A

    2016-11-01

    Pain-related fear and avoidance of physical activities are central elements of the fear-avoidance model of musculoskeletal pain. Pain-related fear has typically been measured by self-report instruments. In this study, we developed and validated a Behavioral Avoidance Test (BAT) for chronic low back pain (CLBP) patients with the aim of assessing pain-related avoidance behavior by direct observation. The BAT-Back was administered to a group of CLBP patients (N=97) and pain-free controls (N=31). Furthermore, pain, pain-related fear, disability, catastrophizing, and avoidance behavior were measured using self-report instruments. Reliability was assessed with intraclass correlation coefficient and Cronbach α. Validity was assessed by examining correlation and regression analysis. The intraclass correlation coefficient for the BAT-Back avoidance score was r=0.76. Internal consistency was α=0.95. CLBP patients and controls differed significantly on BAT-Back avoidance scores as well as self-report measures. BAT-Back avoidance scores were significantly correlated with scores on each of the self-report measures (rs=0.27 to 0.54). They were not significantly correlated with general anxiety and depression, age, body mass index, and pain duration. The BAT-Back avoidance score was able to capture unique variance in disability after controlling for other variables (eg, pain intensity and pain-related fear). Results indicate that the BAT-Back is a reliable and valid measure of pain-related avoidance behavior. It may be useful for clinicians in tailoring treatments for chronic pain as well as an outcome measure for exposure treatments.

  5. Predictors of Persistent Disability and Back Pain in Older Adults with a New Episode of Care for Back Pain.

    Science.gov (United States)

    Rundell, Sean D; Sherman, Karen J; Heagerty, Patrick J; Mock, Charles N; Dettori, Nathan J; Comstock, Bryan A; Avins, Andrew L; Nedeljkovic, Srdjan S; Nerenz, David R; Jarvik, Jeffrey G

    2017-06-01

     To identify predictors of persistent disability and back pain in older adults.  Prospective cohort study.  Back pain outcomes using longitudinal data registry.  Five thousand two hundred twenty adults age 65 years and older with a new primary care visit for back pain.  Baseline measurements included: demographics, health, and back pain characteristics. We abstracted imaging findings from 348 radiology reports. The primary outcomes were the Roland-Morris Disability Questionnaire (RMDQ) and back pain intensity. We defined persistent disability as RMDQ of 4/24 or higher at both six and 12 months and persistent back pain as pain 3/10 or higher at both six and 12 months.  There were 2,498 of 4,143 (60.3%) participants with persistent disability, and 2,099 of 4,144 (50.7%) had persistent back pain. Adjusted analyses showed the following characteristics most strongly predictive of persistent disability and persistent back pain: sex, race, worse baseline clinical characteristics of back pain, leg pain, back-related disability and duration of symptoms, smoking, anxiety symptoms, depressive symptoms, a history of falls, greater number of comorbidities, knee osteoarthritis, wide-spread pain syndromes, and an index diagnosis of lumbar spinal stenosis. Within the imaging data subset, central spinal stenosis was not associated with disability or pain.  We found that many predictors in older adults were similar to those for younger populations. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  6. Studies of the nucleon structure in back-to-back SIDIS

    International Nuclear Information System (INIS)

    Avakian, H.

    2016-01-01

    The Deep Inelastic Scattering (DIS) proved to be a great tool in testing of the theory of strong interactions, which was a major focus in last decades. Semi-Inclusive DIS (SIDIS), with detection of an additional hadron allowed first studies of 3D structure of the nucleon, moving the main focus from testing the QCD to understanding of strong interactions and quark gluon dynamics to address a number of puzzles accumulated in recent years. Detection of two hadrons in SIDIS, which is even more complicated, provides access to details of quark gluon interactions inaccessible in single-hadron SIDIS, providing a new avenue to study the complex nucleon structure. Large acceptance of the Electron Ion Collider, allowing detection of two hadrons, produced back-to-back in the current and target fragmentation regions, combined with clear separation of two regions, would provide a unique possibility to study the nucleon structure in target fragmentation region, and correlations of target and current fragmentation regions. (authors)

  7. Back-to-back heavy quark pair production in semi-inclusive DIS

    Science.gov (United States)

    Zhang, Guang-Peng

    2017-11-01

    The one-loop correction to heavy quark pair back-to-back production in unpolarized semi-inclusive deep inelastic scattering is given in this work in the framework of transverse momentum dependent(TMD) factorization. Both unpolarized and linearly polarized TMD gluon distribution functions are taken into account. A subtraction method based on diagram expansion is used to get finite hard coefficients. It is found the soft and collinear divergences of one-loop amplitude is proportional to tree level ones and can be expressed through several basic scalar triangle and bubble integrals. The subtraction of these divergences is spin independent. Beyond tree level an additional soft factor related to final heavy quark pair must be added into the factorization formula. This soft factor affects the azimuthal angle distribution of virtual photon in a nonperturbative way. Integrating over virtual photon azimuthal angle we construct three weighted cross sections, which depend on only three additional integrated soft factors. These weighted cross sections can be used to extract linearly polarized gluon distribution function. In addition, lepton azimuthal angle is unintegrated in this work, which provides more observables. All hard coefficients relevant to lepton and virtual photon azimuthal angle distributions are given at one-loop level.

  8. Nonlinear Control of Back-to-Back VSC-HVDC System via Command-Filter Backstepping

    Directory of Open Access Journals (Sweden)

    Jie Huang

    2017-01-01

    Full Text Available This paper proposed a command-filtered backstepping controller to improve the dynamic performance of back-to-back voltage-source-converter high voltage direct current (BTB VSC-HVDC. First, the principle and model of BTB VSC-HVDC in abc and d-q frame are described. Then, backstepping method is applied to design a controller to maintain the voltage balance and realize coordinated control of active and reactive power. Meanwhile, command filter is introduced to deal with the problem of input saturation and explosion of complexity in conventional backstepping, and a filter compensation signal is designed to diminish the adverse effects caused by the command filter. Next, the stability and convergence of the whole system are proved via the Lyapunov theorem of asymptotic stability. Finally, simulation results are given to demonstrate that proposed controller has a better dynamic performance and stronger robustness compared to the traditional PID algorithm, which also proves the effectiveness and possibility of the designed controller.

  9. Persian Back Channel Responses in Formal versus Informal Contexts

    Directory of Open Access Journals (Sweden)

    Shahla Sharifi

    2012-01-01

    Full Text Available Utterances like /xob/ (okay, /doroste/ (right, /hmm/, /ee/, /?re/ (yeah, occur frequently in Persian conversations, but have thus far escaped from the systematic studies. Good listeners generally produce these short utterances, called "back channel responses", in appropriate times to show their participation in the conversation, but the rules governing back channeling vary from one context to another. The usage of back channel responses is different in various contexts, due to politeness or formality. This paper studies the types and functions of the back channel responses in both formal and informal settings and provides a comparison of the usage of these responses in these two kinds of contexts. The results show /bale/ (yes and /doroste/ (right are used with formal or polite verbal form, while /xob/ (okay is used with the informal style of speech and less polite verbal form. With respect to the function of back channels, signaling the understanding is the main function of back channels in informal contexts. Also, back channels signaling agreement are more frequent in formal contexts, where emotional function is less likely.

  10. Text mining a self-report back-translation.

    Science.gov (United States)

    Blanch, Angel; Aluja, Anton

    2016-06-01

    There are several recommendations about the routine to undertake when back translating self-report instruments in cross-cultural research. However, text mining methods have been generally ignored within this field. This work describes a text mining innovative application useful to adapt a personality questionnaire to 12 different languages. The method is divided in 3 different stages, a descriptive analysis of the available back-translated instrument versions, a dissimilarity assessment between the source language instrument and the 12 back-translations, and an item assessment of item meaning equivalence. The suggested method contributes to improve the back-translation process of self-report instruments for cross-cultural research in 2 significant intertwined ways. First, it defines a systematic approach to the back translation issue, allowing for a more orderly and informed evaluation concerning the equivalence of different versions of the same instrument in different languages. Second, it provides more accurate instrument back-translations, which has direct implications for the reliability and validity of the instrument's test scores when used in different cultures/languages. In addition, this procedure can be extended to the back-translation of self-reports measuring psychological constructs in clinical assessment. Future research works could refine the suggested methodology and use additional available text mining tools. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  11. [Nonspecific low back pain in young adults: associated risk factors].

    Science.gov (United States)

    Furtado, Rita Neli Vilar; Ribeiro, Luiza Helena; Abdo, Bruno de Arruda; Descio, Fernanda Justo; Martucci, Celso Eduardo; Serruya, Débora Coutinho

    2014-01-01

    The aim of the study was to evaluate potential risk factors related to low back pain in the daily routines of two sets of youths: individuals complaining of chronic low back pain and a control group. The sample consisted of 198 university-age students (male and female) aged between 18 and 29. In accordance with back pain diagnoses, they were separated into two groups: with or without nonspecific chronic low back pain. Both groups were evaluated by a "blinded" observer with no knowledge to the presence or otherwise of lower back pain. Questionnaires concerning clinical-demographic characteristics, life style, quality of life (SF-36 questionnaire), pain visual analogical scales (VAS), and physical examination were applied. A univariate analysis showed a statistically significant association (P<0.05) with the presence of low back pain and some factors. There was a negative association between low back pain and the following variables: BMI, health self-assessment, VAS and some SF-36 domains (physical functioning, body pain, general health, vitality, social functioning). There was a positive correlation with the following variables: global pain by VAS, presence of diffuse pain and number of tender points. However, the multivariate analysis showed statistically significant correlations (P<0.05) between low back pain and few variables: global pain VAS and number of tender points. Some variables related to chronic diffuse pain and lower quality of life might be associated to chronic low back pain in young adults. However, longitudinal studies are necessary. Copyright © 2014 Elsevier Editora Ltda. All rights reserved.

  12. Low back pain and musculoskeletal symptoms among Kansas farmers.

    Science.gov (United States)

    Rosecrance, John; Rodgers, Gina; Merlino, Linda

    2006-07-01

    Farming continues to rank as one of the most dangerous occupations in the United States. The purpose of this study was to determine the prevalence of low back pain and other musculoskeletal disorders (MSDs) among the farmers and to examine the factors associated with occupational back pain. Farmers in a predominately corn and soybean growing region of Kansas served as the study sample. Questionnaires were mailed out to 499 active farmers of a Farmers' Cooperative in Southeast Kansas. The self-administered questionnaire was used to determine the prevalence of self-reported symptoms of back pain and other MSDs and to determine the strength of associations between back pain and work factors. The participation rate was 57.2%. The low back was the anatomical area with the highest prevalence of self-reported work-related pain (37.5%), followed by the shoulders (25.9%), knees (23.6%), and neck (22.4%). Close to 60% of the farmers reported that they experienced farm work-related MSD symptoms in at least one of the nine body areas in the previous year. Nearly one quarter of the farmers reported seeing a physician for their low back symptoms, and one in five farmers had to modify their work habits due to low back symptoms during the previous year. Low back pain and other musculoskeletal conditions are a significant problem for Kansas farmers. This group of Kansas farmers experienced low back pain at a much higher rate than the general working population and higher than other groups of farmers previously studied. (c) 2006 Wiley-Liss, Inc.

  13. Looking Forwards and Looking Back (Editorial

    Directory of Open Access Journals (Sweden)

    Alison Brettle

    2012-03-01

    Full Text Available Welcome to the seventh volume of Evidence Based Library and Information Practice. This is my first issue in my new role of Editor-in-Chief, and I’m honoured and delighted to take over the position. As many of you may know, I’ve been involved with the journal almost since its inception, primarily as Associate Editor (Articles. During that time, I’ve sincerely enjoyed working with the supportive EBLIP team, as well as many authors throughout the world, and I’m looking forward to continuing that work in my new role.Spring is traditionally a time of new growth and change, and the EBLIP journal is no different. In the last issue, Denise Koufogiannakis reflected on how the journal had grown and developed during its first 6 years, and I look forward to contributing to its continued success. There have been a number of changes in the editorial team. I welcome Wayne Jones from Carleton University, Canada, who has taken over as Associate Editor (Articles and brings a wealth of editorial experience. Heather Pretty has taken over as lead copyeditor and is joining our editorial meetings to help ensure the continued quality and consistency of the journal. As part of quality assurance and development, the editorial team is examining and revising our journal guidelines, so look for those in forthcoming months. Our former Editor-in-Chief, Denise Koufogiannakis, is developing a new role as Associate Editor (Reviews. As a keen advocate of reviews for providing evidence, developing skills for research and evidence based practice, and documenting and establishing an evidence base for our profession, I’m looking forward to the first review which is likely to be published in the next issue. Too much change can be disruptive, so I’m pleased that both Lorie Kloda and Jonathan Eldredge are maintaining their positions as Associate Editors for Evidence Summaries and Classics, respectively.When starting something new, it is often useful to look back (to build on

  14. Herbal medicine for low-back pain.

    Science.gov (United States)

    Oltean, Hanna; Robbins, Chris; van Tulder, Maurits W; Berman, Brian M; Bombardier, Claire; Gagnier, Joel J

    2014-12-23

    Low-back pain (LBP) is a common condition and imposes a substantial economic burden upon people living in industrialized societies. A large proportion of people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported for use in treating people with LBP. This is an update of a Cochrane Review first published in 2006. To determine the effectiveness of herbal medicine for non-specific LBP. We searched the following electronic databases up to September 2014: MEDLINE, EMBASE, CENTRAL, CINAHL, Clinical Trials.gov, World Health Organization International Clinical Trials Registry Portal and PubMed; checked reference lists in review articles, guidelines and retrieved trials; and personally contacted individuals with expertise in this area. We included randomized controlled trials (RCTs) examining adults (over 18 years of age) suffering from acute, sub-acute, or chronic non-specific LBP. The interventions were herbal medicines which we defined as plants used for medicinal purposes in any form. Primary outcome measures were pain and function. A library scientist with the Cochrane Back Review Group conducted the database searches. One review author contacted content experts and acquired relevant citations. We downloaded full references and abstracts of the identified studies and retrieved a hard copy of each study for final inclusion decisions. Two review authors assessed risk of bias, GRADE criteria (GRADE 2004), and CONSORT compliance and a random subset were compared to assessments by a third individual. Two review authors assessed clinical relevance and resolved any disagreements by consensus. We included 14 RCTs (2050 participants) in this review. One trial on Solidago chilensis M. (Brazilian arnica) (20 participants) found very low quality evidence of reduction in perception of pain and improved flexibility with application of Brazilian arnica-containing gel twice daily as compared

  15. Comet Tempel 1 Went Back to Sleep

    Science.gov (United States)

    2005-07-01

    Astronomers Having Used ESO Telescopes Start Analysing Unique Dataset on the Comet Following the Deep Impact Mission Ten days after part of the Deep Impact spacecraft plunged onto Comet Tempel 1 with the aim to create a crater and expose pristine material from beneath the surface, astronomers are back in the ESO Offices in Santiago, after more than a week of observing at the ESO La Silla Paranal Observatory. In this unprecedented observing campaign - among the most ambitious ever conducted by a single observatory - the astronomers have collected a large amount of invaluable data on this comet. The astronomers have now started the lengthy process of data reduction and analysis. Being all together in a single place, and in close contacts with the space mission' scientific team, they will try to assemble a clear picture of the comet and of the impact. The ESO observations were part of a worldwide campaign to observe this unique experiment. During the campaign, ESO was connected by phone, email, and videoconference with colleagues in all major observatories worldwide, and data were freely exchanged between the different groups. This unique collaborative spirit provides astronomers with data taken almost around the clock during several days and this, with the largest variety of instruments, making the Deep Impact observing campaign one of the most successful of its kind, and thereby, ensuring the greatest scientific outcome. From the current analysis, it appears most likely that the impactor did not create a large new zone of activity and may have failed to liberate a large quantity of pristine material from beneath the surface. ESO PR Photo 22/05 ESO PR Photo 22/05 Evolution of Comet Tempel 1 (FORS2/VLT) [Preview - JPEG: 400 x 701 pix - 128k] [Normal - JPEG: 800 x 1401 pix - 357k] ESO PR Photo 22/05 Animated Gif Caption: ESO PR Photo 22/05 shows the evolution of Comet Tempel 1 as observed with the FORS2 instrument on Antu (VLT). The images obtained at the VLT show that

  16. Back to the basics: Birmingham, Alabama, measurement and scale

    Science.gov (United States)

    Handley, L.R.; Lockwood, C.M.; Handley, N.

    2005-01-01

    Back to the Basics: Birmingham, Alabama is the fourth in a series of workshops that focus on teaching foundational map reading and spatial differentiation skills. It is the second published exercise from the Back to the Basics series developed by the Wetland Education through Maps and Aerial Photography (WETMAAP) Program (see Journal of Geography 103, 5: 226-230). Like its predecessor, the current exercise is modified from the Birmingham Back to the Basics workshop offered during the annual National Council for Geographic Education meeting. The focus of this exercise is on scale and measurement, foundational skills for spatial thinking and analysis. ?? 2005 National Council for Geographic Education.

  17. Patterns of Low Back Pain in children/adolescents

    DEFF Research Database (Denmark)

    Kjær, Per; Wedderkopp, Niels; Korsholm, Lars

    Background: It is generally acknowledged that low back pain (LBP) is a common condition already in childhood. However, not many studies have looked at the way LBP tracks over age and how common it is until early adulthood. Purposes: The purposes of this presentation are to show the prevalence...... as having had reported pain in the lower back within the past month. The prevalence estimates and the various patterns of LBP reporting over time are presented as percentages. Results: Of the 771 children sampled, 62%, 57%, and 58% participated in the three back surveys. The three prevalence estimates...

  18. Prepayment and the Valuation of Danish Mortgage-Backed Bonds

    DEFF Research Database (Denmark)

    Jakobsen, Svend

    Ph.D. thesis on prepayment modelling and valuation of Danish mortgage backed bonds. The thesis discusses several aspects of mortgage backed bonds including after-tax valuation, the special Danish delivery option, rational prepayment behavior, transaction costs and heterogenous borrowers. The thesis...... proposes a so-called required gain model with heterogenous borrowers, who differ with respect to the present value gain required for prepayment. The thesis shows how to perform arbitrage-free valuation of mortgage-backed bonds using a prepayment function estimated from Danish prepayment data. The thesis...

  19. Induction of die-back resistant mutation in mulberry

    International Nuclear Information System (INIS)

    Katagiri, Koitsu; Wada, Minoru; Nakajima, Kenji; Hazama, Kazuo; Fujita, Haruhiko.

    1980-01-01

    Two kinds of work for the induction of die-back resistant mutation were conducted. The first is mutation induction by chronic gamma irradiation using four varieties. Four resistant mutants were obtained from variety Kenmochi through the screening test for die-back resistance in heavy snowfall region. The second is mutation induction by colchicine treatments with variety Kenmochi. The mutants showing tetraploidy in inner layers, such as 2-4-4-4 and 4-4-4-4, were resistant as compared with those tetraploidy only in the outest layer. Gamma-rays and colchicine considered to be useful tools for induction of die-back resistant mulberry mutations. (author)

  20. Space Vector Modulation for DC-Link Current Ripple Reduction in Back-To-Back Current Source Converters for Microgrid Applications

    DEFF Research Database (Denmark)

    Guo, Xiaoqiang; Xu, David; Guerrero, Josep M.

    2015-01-01

    Back-to-back converters have been typically used to interconnect the microgrids. For a back-to-back current source converter, the dc-link current ripple is one of the important parameters. A large ripple will cause the electromagnetic interference, undesirable high-frequency losses, and system...

  1. Predictive Validity of the STarT Back Tool for Risk of Persistent Disabling Back Pain in a United States Primary Care Setting.

    Science.gov (United States)

    Suri, Pradeep; Delaney, Kristin; Rundell, Sean D; Cherkin, Daniel C

    2018-04-03

    To examine the predictive validity of the STarT Back tool for classifying people with back pain into categories of low, medium, and high risk of persistent disabling back pain, in US primary care. Secondary analysis of data from participants receiving usual care in a randomized clinical trial. Primary care clinics. 1109 adults with back pain ≥18 years of age. Those with specific causes of back pain (pregnancy, disc herniation, vertebral fracture, spinal stenosis) and work-related injuries were not included. N/A MAIN OUTCOME MEASURES: The original 9-item version of the STarT Back tool, administered at baseline, stratified patients by their risk (low, medium, high) of persistent disabling back pain ('STarT Back risk group'). Persistent disabling back pain was defined as Roland-Morris Disability Questionnaire scores of ≥7 at 6-month follow-up. STarT Back risk group was a significant predictor of persistent disabling back pain (pSTarT Back risk groups successfully separated people with back pain into distinct categories of risk for persistent disabling back pain at 6-month follow-up in US primary care. These results were very similar to those seen in the original STarT Back validation study. This validation study is a necessary first step towards identifying whether the entire STarT Back approach, including matched/targeted treatment, can be effectively used for primary care in the US. Copyright © 2018. Published by Elsevier Inc.

  2. Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain.

    Directory of Open Access Journals (Sweden)

    Abdelilah el Barzouhi

    Full Text Available BACKGROUND: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI findings between sciatica patients with and without disabling back pain. METHODS: The study population contained patients with sciatica who underwent a baseline MRI to assess eligibility for a randomized trial designed to compare the efficacy of early surgery with prolonged conservative care for sciatica. Two neuroradiologists and one neurosurgeon independently evaluated all MR images. The MRI readers were blinded to symptom status. The MRI findings were compared between sciatica patients with and without disabling back pain. The presence of disabling back pain at baseline was correlated with perceived recovery at one year. RESULTS: Of 379 included sciatica patients, 158 (42% had disabling back pain. Of the patients with both sciatica and disabling back pain 68% did reveal a herniated disc with nerve root compression on MRI, compared to 88% of patients with predominantly sciatica (P<0.001. The existence of disabling back pain in sciatica at baseline was negatively associated with perceived recovery at one year (Odds ratio [OR] 0.32, 95% Confidence Interval 0.18-0.56, P<0.001. Sciatica patients with disabling back pain in absence of nerve root compression on MRI at baseline reported less perceived recovery at one year compared to those with predominantly sciatica and nerve root compression on MRI (50% vs 91%, P<0.001. CONCLUSION: Sciatica patients with disabling low back pain reported an unfavorable outcome at one-year follow-up compared to those with predominantly sciatica. If additionally a clear herniated disc with nerve root compression on MRI was absent, the results were even worse.

  3. THE EFFECTS OF BACK EXTENSION TRAINING ON BACK MUSCLE STRENGTH AND SPINAL RANGE OF MOTION IN YOUNG FEMALES

    Directory of Open Access Journals (Sweden)

    Yıldız Yaprak

    2013-04-01

    Full Text Available The objective of this study was to determine the effects of a 10-week dynamic back extension training programme and its effects on back muscle strength, back muscle endurance and spinal range of motion (ROM for healthy young females. Seventy-three young females (age: 19.32±1.80 years, height: 158.89±4.71 cm, body weight: 55.67±6.30 kg volunteered for the study. Prior to the training period, all participants completed anthropometric measurements, back muscle strength and endurance test, lateral bending and spinal ROM measurements. After measurements, the participants were divided into two groups. The exercise group (N:35 performed the dynamic back extension exercise 3 days per week for 10 weeks. The control group (N:38 did not participate in any type of exercise. The mixed design ANOVA (group x time was used to determine the difference in pre- and post-training values. The present findings show that there were significant differences between pre-training and post-training values for back muscle strength and spinal ROM in the exercise group. Following the dynamic strength training programme, back muscle strength and spine ROM values except flexion of the lumbar 5-sacrum 1 (L5-S1 segment of the exercise group showed a significant increase when compared with the pre test values. The control group did not show any significant changes when compared with the pre-training values. The results demonstrate that the 10-week dynamic strength training programme was effective for spinal extension ROM and back muscle strength, but there was no change in back muscle endurance. In this context, this programme could potentially be used to prevent the decrease of spinal ROM as well as provide an increase in the fitness parameters of healthy individuals.

  4. Massage for low-back pain.

    Science.gov (United States)

    Furlan, Andrea D; Giraldo, Mario; Baskwill, Amanda; Irvin, Emma; Imamura, Marta

    2015-09-01

    Low-back pain (LBP) is one of the most common and costly musculoskeletal problems in modern society. It is experienced by 70% to 80% of adults at some time in their lives. Massage therapy has the potential to minimize pain and speed return to normal function. To assess the effects of massage therapy for people with non-specific LBP. We searched PubMed to August 2014, and the following databases to July 2014: MEDLINE, EMBASE, CENTRAL, CINAHL, LILACS, Index to Chiropractic Literature, and Proquest Dissertation Abstracts. We also checked reference lists. There were no language restrictions used. We included only randomized controlled trials of adults with non-specific LBP classified as acute, sub-acute or chronic. Massage was defined as soft-tissue manipulation using the hands or a mechanical device. We grouped the comparison groups into two types: inactive controls (sham therapy, waiting list, or no treatment), and active controls (manipulation, mobilization, TENS, acupuncture, traction, relaxation, physical therapy, exercises or self-care education). We used standard Cochrane methodological procedures and followed CBN guidelines. Two independent authors performed article selection, data extraction and critical appraisal. In total we included 25 trials (3096 participants) in this review update. The majority was funded by not-for-profit organizations. One trial included participants with acute LBP, and the remaining trials included people with sub-acute or chronic LBP (CLBP). In three trials massage was done with a mechanical device, and the remaining trials used only the hands. The most common type of bias in these studies was performance and measurement bias because it is difficult to blind participants, massage therapists and the measuring outcomes. We judged the quality of the evidence to be "low" to "very low", and the main reasons for downgrading the evidence were risk of bias and imprecision. There was no suggestion of publication bias. For acute LBP, massage

  5. Physical characteristics of the back are not predictive of low back pain in healthy workers: A prospective study

    Directory of Open Access Journals (Sweden)

    Masschelein Raphael

    2009-01-01

    Full Text Available Abstract Background In the working population, back disorders are an important reason for sick leave and permanent work inability. In the context of fitting the job to the worker, one of the primary tasks of the occupational health physician is to evaluate the balance between work-related and individual variables. Since this evaluation of work capacity often consists of a physical examination of the back, the objective of this study was to investigate whether a physical examination of the low back, which is routinely performed in occupational medicine, predicts the development of low back pain (LBP. Methods This study is part of the Belgian Low Back Cohort (BelCoBack Study, a prospective study to identify risk factors for the development of low back disorders in occupational settings. The study population for this paper were 692 young healthcare or distribution workers (mean age of 26 years with no or limited back antecedents in the year before inclusion. At baseline, these workers underwent a standardised physical examination of the low back. One year later, they completed a questionnaire on the occurrence of LBP and some of its characteristics. To study the respective role of predictors at baseline on the occurrence of LBP, we opted for Cox regression with a constant risk period. Analyses were performed separately for workers without any back antecedents in the year before inclusion ('asymptomatic' workers and for workers with limited back antecedents in the year before inclusion ('mildly symptomatic' workers. Results In the group of 'asymptomatic' workers, obese workers showed a more than twofold-increased risk on the development of LBP as compared to non-obese colleagues (RR 2.57, 95%CI: 1.09 – 6.09. In the group of 'mildly symptomatic' workers, the self-reports of pain before the examination turned out to be most predictive (RR 3.89, 95%CI: 1.20 – 12.64. Conclusion This study showed that, in a population of young workers wh no or

  6. Physical characteristics of the back are not predictive of low back pain in healthy workers: a prospective study.

    Science.gov (United States)

    Van Nieuwenhuyse, An; Crombez, Geert; Burdorf, Alex; Verbeke, Geert; Masschelein, Raphael; Moens, Guido; Mairiaux, Philippe

    2009-01-05

    In the working population, back disorders are an important reason for sick leave and permanent work inability. In the context of fitting the job to the worker, one of the primary tasks of the occupational health physician is to evaluate the balance between work-related and individual variables. Since this evaluation of work capacity often consists of a physical examination of the back, the objective of this study was to investigate whether a physical examination of the low back, which is routinely performed in occupational medicine, predicts the development of low back pain (LBP). This study is part of the Belgian Low Back Cohort (BelCoBack) Study, a prospective study to identify risk factors for the development of low back disorders in occupational settings. The study population for this paper were 692 young healthcare or distribution workers (mean age of 26 years) with no or limited back antecedents in the year before inclusion. At baseline, these workers underwent a standardised physical examination of the low back. One year later, they completed a questionnaire on the occurrence of LBP and some of its characteristics. To study the respective role of predictors at baseline on the occurrence of LBP, we opted for Cox regression with a constant risk period. Analyses were performed separately for workers without any back antecedents in the year before inclusion ('asymptomatic' workers) and for workers with limited back antecedents in the year before inclusion ('mildly symptomatic' workers). In the group of 'asymptomatic' workers, obese workers showed a more than twofold-increased risk on the development of LBP as compared to non-obese colleagues (RR 2.57, 95%CI: 1.09 - 6.09). In the group of 'mildly symptomatic' workers, the self-reports of pain before the examination turned out to be most predictive (RR 3.89, 95%CI: 1.20 - 12.64). This study showed that, in a population of young workers wh no or limited antecedents of LBP at baseline, physical examinations, as

  7. LOW BACK PAINS –THE ORTHOPAEDIC SURGEON'S ENIGMA

    African Journals Online (AJOL)

    outcome and success rates. The none surgical modalities available include medications, injections preolytic. LOW BACK PAINS –THE ORTHOPAEDIC SURGEON'S ENIGMA enzymes, laser therapy, radiofrequency denervation, intradiscal electro thermal therapy, percutaneous intradiscal radiofrequency thermoregulation ...

  8. Interrelations of risk factors and low back pain in scaffolders

    NARCIS (Netherlands)

    A. Burdorf (Alex); L.A.M. Elders (Leo)

    2001-01-01

    textabstractOBJECTIVES: To assess with a cross sectional study the interrelations between physical, psychosocial, and individual risk factors and different end points of low back pain. METHODS: In total, 229 scaffolders and 59 supervisors completed a questionnaire about manual

  9. RFI mitigating receiver back end for radiometers, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — This SBIR Phase I proposal requests support for Alphacore, Inc. to design and a low power application specific integrated circuit (ASIC) RFI mitigating receiver back...

  10. Meningoradiculitis due to borreliosis presenting as low back pain only

    International Nuclear Information System (INIS)

    Demaerel, P.; Crevits, I.; Baert, A.L.; Casteels-Van Daele, M.

    1998-01-01

    We report a child with Borrelia burgdorferi meningoradiculitis. This entity, also known as Bannwarth syndrome, is rare and its presentation with low back pain only is even more unusual. The MRI findings can suggest the diagnosis. (orig.)

  11. Back-to-School Health Tips: Exercise and Sleep

    Science.gov (United States)

    ... Feature: Back-to-School Health Tips: Exercise and Sleep Past Issues / Fall 2014 Table of Contents 6 " ... healthy weight Build sturdy muscles, bones, and joints Sleep better at night More time in front of ...

  12. Picosecond supercontinuum generation with back seeding of different spectral parts

    DEFF Research Database (Denmark)

    Moselund, Peter Morten; Frosz, Michael Henoch; Thomsen, C.L.

    2008-01-01

    We study supercontinuum generation with picosecond pumping and the spectrum obtained when coupling back the part of the output around 1200-1700 nanometres or the part around 700-900 nanometres with a variable time delay....

  13. The Effects of Spiral Taping Treatment on Low Back Pain

    Directory of Open Access Journals (Sweden)

    Hwang Jae-Ok

    2006-02-01

    Full Text Available Objective : The purpose of this study is to estimate the effects of spiral taping treatment on low back pain. Methods : 420 low back pain patients were treated with spiral taping or spiral taping plus herbal medicine, and no other treatments such as acupuncture, herbal acupuncture, and chiropractic therapy were added. We evaluated the improvement by physical examination and pain. Results : 364 patients felt no pain or inconvenience of daily life and 43 patients showed improvement of pain or symptom after 1 month of treatment. 13 patients showed same pain with before treatment. Conclusions : These results suggest spiral taping treatments contribute to the improvement of low back pain. Further study is needed for the confirmation of this effect of spiral taping treatments on low back pain.

  14. When you are drinking too much - tips for cutting back

    Science.gov (United States)

    Alcohol - drinking too much; Alcohol use disorder - drinking too much; Alcohol abuse - drinking too much; Risky drinking - cutting back ... 2016. National Institute on Alcohol Abuse and Alcoholism. Alcohol use disorder. www.niaaa.nih.gov/alcohol-health/overview-alcohol- ...

  15. Moda opjat vernulas v Tallinn - Fashion Is Back In Tallinn

    Index Scriptorium Estoniae

    2008-01-01

    Moeüritus Fashion is Back in Tallinn (FIBIT) Viru Keskuses Tallinnas. Gala-etendusel "Sinine, Must ja Valge" esitletud Anu Samarüütel-Longi, Tanel Veenre ja Arne Niidu moekollektsioonidest. Lisaks värvilised fotod

  16. Prediction of tides using back-propagation neural networks

    Digital Repository Service at National Institute of Oceanography (India)

    Mandal, S.

    Prediction of tides is very much essential for human activities and to reduce the construction cost in marine environment. This paper presents an application of the artificial neural network with back-propagation procedures for accurate prediction...

  17. Rubbia proposes a speedier voyage to Mars and back

    CERN Multimedia

    Abbott, A

    1999-01-01

    Carlo Rubbia has designed a propulsion engine that uses fission fragments of americium to directly heat a propulsion gas. He estimates it would allow a manned trip to Mars and back in around a year (8 paragraphs).

  18. Prevalence of low back pain in former rhythmic gymnasts.

    Science.gov (United States)

    Piazza, M; Di Cagno, A; Cupisti, A; Panicucci, E; Santoro, G

    2009-09-01

    It is still debated as to whether rhythmic gymnastics is a discipline at risk of low back pain, because the concern for the extreme and repetitive hyperextension of the column may be counteracted by protective factors which are distinctive of rhythmic gymnasts, namely: leanness, lumbar flexibility and muscle strength. This study aimed to assess the prevalence of low back pain in a cohort of former elite-level rhythmic gymnasts of the Rhythmic Gymnastics National Team. The Study Group included 60 adult females who were former rhythmic gymnasts of the Italian National Team. The Control Group included 60 adult females comparable for age, who were never involved in high level sport competitions. A standardized questionnaire was used to evaluate low back-pain symptoms. Low back pain complaints were reported by 22 former rhythmic gymnasts and by 28 controls (36.6% vs. 46.6%, p: n.s.); in the ex-gymnasts the age of onset of pain was earlier than in controls. The former rhythmic gymnasts complaining low back pain reported a higher prevalence of symptoms also during the time of competitions, and retired earlier than those without pain. Former elite rhythmic gymnasts reported a prevalence of low back-pain similar to sex and age matched general population. However, the rhythmic gymnasts who complained back pain during the sport activity are at risk of an early onset of symptoms after the retire from competitions. This study suggests that rhythmic gymnastics is not associated with increased risk of low back pain in the adult age.

  19. LOW BACK PAIN IN A COMPETITIVE CRICKET ATHLETE

    OpenAIRE

    Merlino, Justin; Perisa, Jack

    2012-01-01

    Physical therapists treating adolescent and young adult athletes with low back pain complaints should have a high level of clinical suspicion of the possibility for spondylolysis, spondylolisthesis, or developing stress reactions of the pars interarticularis. This case outlines the use of conventional radiography, computerized tomography, and Single photon emission computed tomography (SPECT) in the differential diagnosis for an adolescent cricket athlete with low back pain.

  20. Exchange interpretation of anomalous back angle heavy ion elastic scattering

    International Nuclear Information System (INIS)

    Zisman, M.S.

    1977-10-01

    Anomalous back angle oscillations in the angular distributions obtained in the elastic scattering of 16 O + 28 Si and 12 C + 28 Si have been interpreted in terms of an elastic cluster transfer comparable to that observed in other heavy ion reactions. The calculations appear to at least qualitatively explain the data with respect to the existence and phase of the back angle oscillations. The results indicate that an exchange mechanism may play an important role in the oscillations

  1. $1000 Cash Back: Asymmetric Information in Auto Manufaturer Promotions

    OpenAIRE

    Meghan Busse; Florian Zettelmeyer; Jorge Silva-Risso

    2004-01-01

    Automobile manufacturers make frequent use of promotions that give cash-back payments. Two common types of cash-back promotions are rebates to customers, which are widely publicized to potential customers, and discounts to dealers, which are not publicized. While the payments nominally go entirely to one party or the other, the real division of the manufacturer-supplied surplus between dealer and customer depends on what price the two parties negotiate. These two types of promotions thus form...

  2. SOLA-LOOP analysis of a back pressure check valve

    International Nuclear Information System (INIS)

    Travis, J.R.

    1984-01-01

    The SOLA-LOOP computer code for transient, nonequilibrium, two-phase flows in networks has been coupled with a simple valve model to analyze a feedwater pipe breakage with a back-pressure check valve. Three tests from the Superheated Steam Reactor Safety Program Project (PHDR) at Kahl, West Germany, are analyzed, and the calculated transient back-pressure check valve behavior and fluid dynamics effects are found to be in excellent agreement with the experimentally measured data

  3. Compacted cancellous bone has a spring-back effect

    DEFF Research Database (Denmark)

    Kold, S; Bechtold, JE; Ding, Ming

    2003-01-01

    A new surgical technique, compaction, has been shown to improve implant fixation. It has been speculated that the enhanced implant fixation with compaction could be due to a spring-back effect of compacted bone. However, such an effect has yet to be shown. Therefore we investigated in a canine....... Thus we found a spring-back effect of compacted bone, which may be important for increasing implant fixation by reducing initial gaps between the implant and bone....

  4. Inspiratory muscle training affects proprioceptive use and low back pain.

    Science.gov (United States)

    Janssens, Lotte; McConnell, Alison K; Pijnenburg, Madelon; Claeys, Kurt; Goossens, Nina; Lysens, Roeland; Troosters, Thierry; Brumagne, Simon

    2015-01-01

    We have shown that individuals with recurrent nonspecific low back pain (LBP) and healthy individuals breathing against an inspiratory load decrease their reliance on back proprioceptive signals in upright standing. Because individuals with LBP show greater susceptibility to diaphragm fatigue, it is reasonable to hypothesize that LBP, diaphragm dysfunction, and proprioceptive use may be interrelated. The purpose of this study was to investigate whether inspiratory muscle training (IMT) affects proprioceptive use during postural control in individuals with LBP. Twenty-eight individuals with LBP were assigned randomly into a high-intensity IMT group (high IMT) and low-intensity IMT group (low IMT). The use of proprioception in upright standing was evaluated by measuring center of pressure displacement during local muscle vibration (ankle, back, and ankle-back). Secondary outcomes were inspiratory muscle strength, severity of LBP, and disability. After high IMT, individuals showed smaller responses to ankle muscle vibration, larger responses to back muscle vibration, higher inspiratory muscle strength, and reduced LBP severity (P 0.05). No changes in disability were observed in either group (P > 0.05). After 8 wk of high IMT, individuals with LBP showed an increased reliance on back proprioceptive signals during postural control and improved inspiratory muscle strength and severity of LBP, not seen after low IMT. Hence, IMT may facilitate the proprioceptive involvement of the trunk in postural control in individuals with LBP and thus might be a useful rehabilitation tool for these patients.

  5. Mediators of Yoga and Stretching for Chronic Low Back Pain

    Directory of Open Access Journals (Sweden)

    Karen J. Sherman

    2013-01-01

    Full Text Available Although yoga is an effective treatment for chronic low back pain, little is known about the mechanisms responsible for its benefits. In a trial comparing yoga to intensive stretching and self-care, we explored whether physical (hours of back exercise/week, cognitive (fear avoidance, body awareness, and self-efficacy, affective (psychological distress, perceived stress, positive states of mind, and sleep, and physiological factors (cortisol, DHEA mediated the effects of yoga or stretching on back-related dysfunction (Roland-Morris Disability Scale (RDQ. For yoga, 36% of the effect on 12-week RDQ was mediated by increased self-efficacy, 18% by sleep disturbance, 9% by hours of back exercise, and 61% by the best combination of all possible mediators (6 mediators. For stretching, 23% of the effect was mediated by increased self-efficacy, 14% by days of back exercise, and 50% by the best combination of all possible mediators (7 mediators. In open-ended questions, ≥20% of participants noted the following treatment benefits: learning new exercises (both groups, relaxation, increased awareness, and the benefits of breathing (yoga, benefits of regular practice (stretching. Although both self-efficacy and hours of back exercise were the strongest mediators for each intervention, compared to self-care, qualitative data suggest that they may exert their benefits through partially distinct mechanisms.

  6. [Low back pain: when and what to do].

    Science.gov (United States)

    Illés, S Tamás

    2015-08-16

    The low back pain has become one of the greatest public health problems worldwide. The author based on the current international standards summarizes the knowledge necessary for every day treatment of low back pain. In acute low back pain the author underlines the necessity of the rapid, accurate diagnosis and separation for specific and non-specific low back pain. In specific acute low back pain the treatment should focus on to eliminate the root causes. In non-specific cases pain killing treatment and early active mobilization is the choice for the therapeutic process. Beside analgesia, the primary goal of the treatment is to prevent becoming chronic the symptomatology. Objectives of the management of chronic low back pain are effective pain reduction, continuous maintainance of physical activity, prevention of permanent disability, and restoration of working ability. Analgesics, non steroid anti-inflammatory drugs, and muscle relaxants reduce pain, while multidisciplinary management programs, personalized and guided physiotherapy, cognitive behavioral therapy, as well as short training programs will help to restore function. Surgical treatment is only indicated in degenerative cases and only after the failure of conservative therapy.

  7. Low back pain during pregnancy and Kinesio tape application.

    Science.gov (United States)

    Reyhan, Aycan Çakmak; Dereli, Elif Elçin; Çolak, Tuğba Kuru

    2017-01-01

    Low back pain is a common problem during pregnancy. Although the pain usually occurs in the third trimester, it might be seen in the first trimester, too. There are various types of applications for the treatment of low back pain during pregnancy. However, there is a lack of evidence for the effectiveness of each method. If there is not an obvious deficit, bed rest, exercise, conventional physiotherapy, using protective principles for the lumbar area are recommended, since the main and the only complaint is low back pain. It is aimed in the current review to investigate the use of Kinesio tape in the low back pain seen during pregnancy and to review the literature related to this subject. There are only a few studies investigating the effect of Kinesio tape during pregnancy in the literature and they mostly did not aim to study the low back pain, further evidence and studies are needed to investigate the use of Kinesio tape for the low back pain seen during pregnancy as there is not evidence strong enough. Kinesiotape application aims to increase circulation and mobility, and regarding these gains decreased pain and increased performance are expected.

  8. Lower back pain and absenteeism among professional public transport drivers.

    Science.gov (United States)

    Kresal, Friderika; Roblek, Vasja; Jerman, Andrej; Meško, Maja

    2015-01-01

    Drivers in public transport are subjected to lower back pain. The reason for the pain is associated with the characteristics of the physical position imposed on the worker while performing the job. Lower back pain is the main cause of absenteeism among drivers. The present study includes 145 public transport drivers employed as professional drivers for an average of 14.14 years. Analysis of the data obtained in the study includes the basic descriptive statistics, χ(2) test and multiple regression analysis. Analysis of the incidence of lower back pain showed that the majority of our sample population suffered from pain in the lower back. We found that there are no statistically significant differences between the groups formed by the length of service as a professional driver and incidence of lower back pain; we were also interested in whether or not the risk factors of lower back pain affects the absenteeism of city bus drivers. Analysis of the data has shown that the risk factors of pain in the lower part of the spine do affect the absenteeism of city bus drivers.

  9. Physical characteristics of the back are not predictive of low back pain in healthy workers: A prospective study

    OpenAIRE

    Nieuwenhuyse, An; Crombez, Geert; Burdorf, Alex; Verbeke, Geert; Masschelein, Raphael; Moens, Guido; Mairiaux, Philippe

    2009-01-01

    Abstract Background In the working population, back disorders are an important reason for sick leave and permanent work inability. In the context of fitting the job to the worker, one of the primary tasks of the occupational health physician is to evaluate the balance between work-related and individual variables. Since this evaluation of work capacity often consists of a physical examination of the back, the objective of this study was to investigate whether a physical examination of the low...

  10. Patients' Attitudes Toward Nonphysician Screening of Low Back and Low Back Related Leg Pain Complaints Referred for Surgical Assessment.

    Science.gov (United States)

    Rempel, Joshua; Busse, Jason W; Drew, Brian; Reddy, Kesava; Cenic, Aleksa; Kachur, Edward; Murty, Naresh; Candelaria, Henry; Moore, Ainsley E; Riva, John J

    2017-03-01

    A questionnaire survey. The aim of this study was to explore patient attitudes toward screening to assess suitability for low back surgery by nonphysician health care providers. Canadian spine surgeons have shown support for nonphysician screening to assess and triage patients with low back pain and low back related leg pain. However, patients' attitudes toward this proposed model are largely unknown. We administered a 19-item cross-sectional survey to adults with low back and/or low back related leg pain who were referred for elective surgical assessment at one of five spine surgeons' clinics in Hamilton, Ontario, Canada. The survey inquired about demographics, expectations regarding wait time for surgical consultation, as well as willingness to pay, travel, and be screened by nonphysician health care providers. Eighty low back patients completed our survey, for a response rate of 86.0% (80 of 93). Most respondents (72.5%; 58 of 80) expected to be seen by a surgeon within 3 months of referral, and 88.8% (71 of 80) indicated willingness to undergo screening with a nonphysician health care provider to establish whether they were potentially a surgical candidate. Half of respondents (40 of 80) were willing to travel >50 km for assessment by a nonphysician health care provider, and 46.2% were willing to pay out-of-pocket (25.6% were unsure). However, most respondents (70.0%; 56 of 80) would still want to see a surgeon if they were ruled out as a surgical candidate, and written comments from respondents revealed concern regarding agreement between surgeons' and nonphysicians' determination of surgical candidates. Patients referred for surgical consultation for low back or low back related leg pain are largely willing to accept screening by nonphysician health care providers. Future research should explore the concordance of screening results between surgeon and nonphysician health care providers. 3.

  11. Work and back pain: a prospective study of psychological, social and mechanical predictors of back pain severity.

    Science.gov (United States)

    Christensen, J O; Knardahl, S

    2012-07-01

    Studies relating occupational psychological and social factors to back pain have traditionally investigated a small number of exposure factors. The current study explored longitudinally a comprehensive set of specific psychological/social and mechanical work factors as predictors of back pain severity (defined as the product of back pain intensity and duration). Employees from 28 organizations in Norway, representing a wide variety of occupations, were surveyed with a follow-up period of 2 years. Several designs were tested: (1) cross-sectional analyses at baseline and follow-up; (2) prospective analyses with baseline exposure; (3) prospective analyses with average exposure over time [(T1+T2)/2]; and (4) prospective analyses with measures of change in exposure from T1 to T2. A total of 2808 employees responded at both time points. Fourteen psychological/social and two mechanical exposures were measured. Odds ratios (ORs) were computed by ordinal logistic regressions. Several psychological/social factors predicted back pain severity. After adjustment for age, sex, skill level, back pain severity at T1 and other exposure factors estimated to be potential confounders, the most consistent predictors of back pain were the protective factors decision control [lowest OR 0.68; 99% confidence interval (CI): 0.49-0.95], empowering leadership (lowest OR 0.59; 99% CI: 0.38-0.91) and fair leadership (lowest OR 0.54; 99% CI: 0.34-0.87). Some of the most important predictors included in this study were factors that have previously received little attention in back pain research. This emphasizes the importance of extending the list of factors possibly contributing to back pain. © 2011 National Institute of Occupational Health, Norway European Journal of Pain © 2011 European Federation of International Association for the Study of Pain Chapters.

  12. Electrophysiological assessment of piano players’ back extensor muscles on a regular piano bench and chair with back rest

    OpenAIRE

    Honarmand, Kavan; Minaskanian, Rafael; Maboudi, Seyed Ebrahim; Oskouei, Ali E.

    2018-01-01

    [Purpose] Sitting position is the dominant position for a professional pianist. There are many static and dynamic forces which affect musculoskeletal system during sitting. In prolonged sitting, these forces are harmful. The aim of this study was to compare pianists’ back extensor muscles activity during playing piano while sitting on a regular piano bench and a chair with back rest. [Subjects and Methods] Ten professional piano players (mean age 25.4 ± 5.28, 60% male, 40% female) performed s...

  13. Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain.

    Science.gov (United States)

    el Barzouhi, Abdelilah; Vleggeert-Lankamp, Carmen L A M; Lycklama à Nijeholt, Geert J; Van der Kallen, Bas F; van den Hout, Wilbert B; Koes, Bart W; Peul, Wilco C

    2014-01-01

    Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back pain. The study population contained patients with sciatica who underwent a baseline MRI to assess eligibility for a randomized trial designed to compare the efficacy of early surgery with prolonged conservative care for sciatica. Two neuroradiologists and one neurosurgeon independently evaluated all MR images. The MRI readers were blinded to symptom status. The MRI findings were compared between sciatica patients with and without disabling back pain. The presence of disabling back pain at baseline was correlated with perceived recovery at one year. Of 379 included sciatica patients, 158 (42%) had disabling back pain. Of the patients with both sciatica and disabling back pain 68% did reveal a herniated disc with nerve root compression on MRI, compared to 88% of patients with predominantly sciatica (Psciatica at baseline was negatively associated with perceived recovery at one year (Odds ratio [OR] 0.32, 95% Confidence Interval 0.18-0.56, PSciatica patients with disabling back pain in absence of nerve root compression on MRI at baseline reported less perceived recovery at one year compared to those with predominantly sciatica and nerve root compression on MRI (50% vs 91%, PSciatica patients with disabling low back pain reported an unfavorable outcome at one-year follow-up compared to those with predominantly sciatica. If additionally a clear herniated disc with nerve root compression on MRI was absent, the results were even worse.

  14. PELATIHAN LARI SAMBUNG BACK TO BACK 20 METER ENAM REPETISI EMPAT SET DAN LARI SAMBUNG BACK TO BACK 30 METER EMPAT REPETISI EMPAT SET MENINGKATKAN KECEPATAN LARI 80 METER SISWA PUTRA SMP DHARMA PRAJA BADUNG

    Directory of Open Access Journals (Sweden)

    Gimbar Adiputra

    2015-08-01

    Full Text Available Type of 80 meters ran is one of the numbers on athletics competed in early age of child. In early age, the physical condition and mind can still be developed continuously and systematically. The exercise in early age should be an element of play and competition, thus this exercise is attempted to develop the speed by two types of exercise: back to back relay run of 20 meters six reps four sets and back to back relay run of 30 meters four reps four sets. The aim of research is to know the increasing of 80 meters speed of run. The exercise was conducted for six weeks with a frequency of three times a week with the aim to increasing the speed. The numbered of sample was 24 people selected randomly from junior high school students of Dharma Praja Badung that meets the requirements of inclusion and exclusion. The numbered of each group consists of twelve people. Each group was given a different treatment i.e. group I was treated by back to back relay run of 20 meters six reps and four sets and group II treated by back to back relay run of 30 meters four reps four sets. Data derived from the duration time of 80 meters ran before and after exercise, with t paired test to determine the difference average speed of duration time before and after exercise in each group. The t Unpaired test for the difference average of increased speed between two groups with significance limit of 0.05. The differences of speed in 80 meters ran after exercise in both groups showed significant differences, i.e. p = 0.000 (p <0.05. The average of duration time of 80 meters ran in Group I before exercise was 13.51 sec and after exercise was 12.31 sec by difference of 1.16 seconds show significant differences, while Group 2 the average of duration time in 80 meters ran before exercise and after exercise was 13.66 and after 12, 67 by a difference of 0.98 seconds showed significant differences due to differences in distance and number of repetitions between Group I and Group II

  15. Back pain in ophthalmology: National survey of Indian ophthalmologists

    Directory of Open Access Journals (Sweden)

    Ramesh Venkatesh

    2017-01-01

    Full Text Available Purpose: The aim is to assess the prevalence, severity, and associations of back pain among Indian ophthalmologists. Methods: A self-reporting questionnaire was sent to ophthalmologists with valid e-mail addresses registered with the All India Ophthalmological Society. The survey was open for responses for 2 months. Results: A total of 651 (5.96% responses were obtained; 394 (61% males and 257 (39% females. Half (50% of responses were obtained from doctors belonging to 31–40 years' age group. Two hundred and thirty (35% of the ophthalmologists had height ranging from 161 to 170 cm and 443 (68% had weight ranging from 51 to 75 kg. Four hundred and eighty-one (73.8% of the respondents had <15 years of ophthalmic experience. Cataract (346; 53.1% and general ophthalmology (342; 52.5% were commonly practised by the ophthalmologists. Time spent in the outpatient department (OPD was 39.37 ± 16.32 h/week and in the operating theater 13.64 ± 9.89 h/week, respectively. Self-reported prevalence of back pain was 70.5%. Fully 49% of respondents had low back pain, followed by neck pain (33% and upper extremity symptoms (16%. Age <50 years (odds ratio [OR] = 2.4485, female gender (OR = 2.0265, long working hours in OPD (OR = 1.6524, and performing retinal lasers and indirect ophthalmoscopy (OR = 3.3251 showed positive association with back pain. The intolerable back pain was noted in <7% of the respondents. Around 398 (61% respondents felt that their back pain was exacerbated while doing work and 86.6% felt that up to 5 h/week was lost due to persistent backache. Yoga and some form of exercise (74.3% was practised to alleviate back pain. Conclusion: Back pain symptoms appear to be common among ophthalmologists. Awkward posture and prolonged working hours are responsible for developing back pain among ophthalmologists. Performing yoga and regular exercises, modifications in instrumentation and creating a larger workforce of eye care practitioners are needed

  16. Back muscle strength and fatigue in healthy and chronic low back pain subjects: a comparative study of 3 assessment protocols.

    Science.gov (United States)

    da Silva, Rubens A; Arsenault, A Bertrand; Gravel, Denis; Larivière, Christian; de Oliveira, Eros

    2005-04-01

    To compare the sensitivity of 3 different back test protocols in measuring differences in strength and fatigue between subjects with and without chronic low back pain (CLBP). Descriptive study using a repeated-measures design. A research laboratory within a rehabilitation center. Eighteen healthy subjects and 13 subjects with CLBP were assessed in a single session to compare the 3 protocols. The protocols were an upright position test (UPP), a semicrouched lifting test (LIF), and the Sorensen fatigue test. Not applicable. Moments of force and surface electromyography were recorded bilaterally from 4 homologous back muscles while the subjects performed static trunk extension efforts for each protocol. Fatigue was quantified by the slopes of the linear regression of electromyography time-series. The back muscle fatigue and strength scores did not differ significantly for the 2 subject groups for any of the 3 protocols. The electromyography fatigue indices revealed that the Sorensen fatigue test and UPP produced more fatigue in the back muscles than the LIF. It was impossible to specify which protocol is more sensitive to low back status because no between-group difference was observed for any of the 3 tests.

  17. Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession

    Directory of Open Access Journals (Sweden)

    Siddharth Agrawal

    2017-01-01

    Full Text Available Purpose: This study aims to describe and compare modified hang-back recession with the conventional hang-back recession in large angle comitant exotropia (XT. Methods: A prospective, interventional, double-blinded, randomized study on adult patients (>18 years undergoing single eye recession-resection for large angle (>30 prism diopters constant comitant XT was conducted between January 2011 and December 2015. Patients in Group A underwent modified hang-back lateral rectus recession with adjustable knot while in Group B underwent conventional hang-back recession with an adjustable knot. Outcome parameters studied were readjustment rate, change in deviation at 6 weeks, complications and need for resurgery at 6 months. Results: The groups were comparable in terms of age and preoperative deviation. The patients with the modified hang back (Group A fared significantly better (P < 0.05 than those with conventional hang back (Group B in terms of lesser need for adjustment, greater correction in deviation at 6 weeks and lesser need for resurgery at 6 months. Conclusion: This modification offers several advantages, significantly reduces resurgery requirement and has no added complications.

  18. Element nodes of sports equipment double back flip factions and double back flip hunched performed gymnast in floor exercise

    Directory of Open Access Journals (Sweden)

    V.A. Potop

    2014-07-01

    Full Text Available Purpose: to identify the node elements of sports equipment double back somersault tuck and double back flip bent. To compare the two types of nodes for double somersault. Material : the study involved eight gymnasts (age 12 - 14 years. All finalists in the competition floor exercise - reserve team Romania. The method of video - computer research and method of postural orientation movements. Results : identified nodal elements of sports equipment double back somersault tuck and double back flip bent. In the preparatory phase of motor actions - launcher body posture for reaching is repulsive to flip. In the phase of basic motor action - animation body postures (double back somersault tuck and bent (bent double back flip. Exercises are performed on the ascending and descending parts of the flight path of the demonstration of individual maximum lift height common center of mass. In the final phase of motor actions - final body posture - steady landing. Conclusions : indicators of key elements of sports equipment acrobatic exercises contain new scientific facts kinematic and dynamic structures of motor actions. They are necessary for the development of modern training programs acrobatic exercises in step specialized base preparation.

  19. Psychosocial risks for disability in children with chronic back pain.

    Science.gov (United States)

    Lynch, Anne M; Kashikar-Zuck, Susmita; Goldschneider, Kenneth R; Jones, Benjamin A

    2006-04-01

    Psychosocial factors related to disability in adults with chronic back pain have been well studied, but little is known about factors associated with functional impairment in pediatric patients with chronic back pain. The purpose of this study was to examine whether 2 potential risk factors-use of catastrophizing as a coping technique and presence of a familial pain history-were associated with disability in pediatric back pain patients. Participants were 65 patients (ages 8-18) with chronic back pain seen at a multidisciplinary pain clinic. Patients completed measures of pain (visual analog scales), disability (Functional Disability Inventory), and catastrophizing (Internalizing/Catastrophizing subscale of the Pain Coping Questionnaire). Parents provided demographic information and familial pain history. Patients reported that chronic back pain caused disruptions in their daily functioning and they missed, on average, 2.5 days of school every month. Catastrophizing and familial chronic pain history both were significantly associated with greater disability, with use of catastrophizing being the stronger predictor of disability. This study presents important findings on potential psychosocial risk factors of functional disability in children and adolescents with chronic back pain. Future research might clarify mechanisms by which such coping styles are developed and explore how familial communication about pain might influence a child's coping ability. Pediatric patients seeking treatment for chronic back pain often present with substantial functional impairment that is not well explained by disease variables or pain intensity. Two important psychosocial variables (catastrophizing and familial pain history) may provide a context for a better understanding of pain-related disability in children.

  20. Temporal relationships between job strain and low-back pain.

    Science.gov (United States)

    Magnusson Hanson, Linda L; Madsen, Ida Eh; Rugulies, Reiner; Peristera, Paraskevi; Westerlund, Hugo; Descatha, Alexis

    2017-09-01

    Objectives Psychosocial working conditions are suggested risk factors for low-back pain, but it is unclear whether these associations are causal. The present study examined whether there are lagged and bidirectional associations between job strain and low-back pain and further controlled for unmeasured time-invariant confounding. Methods The study was based on four biennial waves of data from the Swedish Longitudinal Occupational Survey of Health (SLOSH), including 3084 men and women. Cross-lagged analyses using structural equation modeling (SEM) were conducted on job strain, a combination of high job demands and low control, and any as well as low-back pain severity (how much any problems affected the respondents life). Analogous SEM (dynamic panel) models with fixed effects were also fitted to remove confounding from time-invariant factors (such as non-observed individual and environmental factors, eg, genetics, childhood conditions, personality). Results The SEM models indicated bidirectional associations between job strain and any back pain over a 2-year time lag (β=0.21 and 0.19, Plow-back pain severity and vice versa. However, the SEM models with fixed-effects showed no statistically significant lagged relationships between job strain and any or low-back pain severity (β=-0.05 and β=0.00, respectively). Conclusions This study suggests that associations between job strain and low-back pain with a lag of years may be due to residual confounding by time invariant characteristics. Further studies are, however, needed to elucidate short-term relationships.

  1. Rising prevalence of back pain in Austria: considering regional disparities.

    Science.gov (United States)

    Großschädl, Franziska; Stolz, Erwin; Mayerl, Hannes; Rásky, Éva; Freidl, Wolfgang; Stronegger, Willibald J

    2016-01-01

    Back pain is the most common form of musculoskeletal conditions and leads to high health care costs. Information about geographic variations in highly prevalent diseases/disorders represents important implications for public health planning to face structural challenges. The present study aims to investigate regional trends in the prevalence of back pain and the role of obesity and social inequalities among Austrian adults. A secondary data analysis based on five nationally representative cross-sectional surveys (1973-2007) was carried out (N = 178,818). Back pain was measured as self-reported presence. Obesity (BMI ≥ 30 kg/m²) was adjusted for self-report bias. For the regional analyses, Austria was divided into Western, Central and Eastern Austria. A relative index of inequality (RII) was computed to quantify the extent of social inequality. A continuous rise in back pain prevalence was observed in the three regions and among all investigated subgroups. In 2007 the age-standardised prevalence was similar in Central (36.9 %), Western (35.2 %) and Eastern Austria (34.3 %). The absolute change in back pain prevalence was highest among obese subjects in Central Austria (women: + 29.8 %, men: + 32.5 %). RIIs were unstable during the study period and in 2007 highest in Eastern Austria. Variation and trends in back pain are not attributable to geographic variation in Austria: an assumed East-West gradient in Austria has not been confirmed. Nevertheless our study confirms that back pain dramatically increased in all Austrian regions and investigated subgroups. This worrying trend should be further monitored and public health interventions should be implemented increasingly, especially among obese women and men.

  2. Flexible distribution systems through the application of multi back-to-back converters. Concept, implementation and experimental verification

    Energy Technology Data Exchange (ETDEWEB)

    De Graaff, R.A.A.

    2010-05-26

    The objective of the research project is to investigate the use of a multi back-to-back converter to support the transition to active distribution networks. The investigation must explicitly not focus on finding the optimal power electronics topology, but rather on defining the role that such a device can play in a power distribution system and on the proof of principle. The possible tasks of this device are to actively control power flow and to maintain power quality and stability, both during normal operation and during fault conditions in medium voltage networks with distributed generation. The combination of this versatile converter system and the control and protection systems that define its functionality are in this thesis denoted as the Intelligent Node (IN). Research questions are: (1) Which are the main benefits of multi back-to-back converter devices in distribution systems?; (2) How and under which conditions can these benefits be achieved? What controls should be adopted?; (3) Which are the specific aspects that distinguish the application of the multi back-to-back devices in distribution systems from similar applications in transmission systems?; (4) Can this be demonstrated on a laboratory-scale set-up?Chapter 2 Distribution systems The relevant aspects of distribution systems are discussed. This includes power quality considerations, redundancy aspects, and voltage control methods. Chapter 3 (FACTS in distribution systems) describes power flow control principles. Also an overview is given of the state-of-the-art of power electronic applications for power flow control in electrical power systems. Chapter 4 (Functional concept of the Intelligent Node) gives the proposed functional concept for the application of a multi back-to-back converter device as IN (Intelligent Node). The applications are developed on a functional level, with the device at a black-box level. To satisfy the resulting requirements several technology options are analyzed, ending

  3. WITHDRAWN: Spinal manipulative therapy for low-back pain.

    Science.gov (United States)

    Assendelft, Willem Jj; Morton, Sally C; Yu, Emily I; Suttorp, Marika J; Shekelle, Paul G

    2013-01-31

    Low-back pain is a costly illness for which spinal manipulative therapy is commonly recommended. Previous systematic reviews and practice guidelines have reached discordant results on the effectiveness of this therapy for low-back pain. To resolve the discrepancies related to the use of spinal manipulative therapy and to update previous estimates of effectiveness, by comparing spinal manipulative therapy with other therapies and then incorporating data from recent high-quality randomized, controlled trials (RCTs) into the analysis. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and CINAHL were electronically searched from their respective beginning to January 2000, using the Back Group search strategy; references from previous systematic reviews were also screened. Randomized, controlled trials (RCT) that evaluated spinal manipulative therapy for patients with low-back pain, with at least one day of follow-up, and at least one clinically-relevant outcome measure. Two authors, who served as the authors for all stages of the meta-analysis, independently extracted data from unmasked articles. Comparison treatments were classified into the following seven categories: sham, conventional general practitioner care, analgesics, physical therapy, exercises, back school, or a collection of therapies judged to be ineffective or even harmful (traction, corset, bed rest, home care, topical gel, no treatment, diathermy, and minimal massage). Thirty-nine RCTs were identified. Meta-regression models were developed for acute or chronic pain and short-term and long-term pain and function. For patients with acute low-back pain, spinal manipulative therapy was superior only to sham therapy (10-mm difference [95% CI, 2 to 17 mm] on a 100-mm visual analogue scale) or therapies judged to be ineffective or even harmful. Spinal manipulative therapy had no statistically or clinically significant advantage over general practitioner care, analgesics, physical therapy

  4. Hyper Mobility and Low Back Pain in the Athletic Population

    Directory of Open Access Journals (Sweden)

    Afsun Nodehi moghadam

    2015-09-01

    Full Text Available Objectives: It is important to recognize any risk factors for the development of injuries in the athletic population. The aim of this study was to investigate the association between joint hyper mobility and low back pain in Iranian hyper mobile and non-hyper mobile athletes. Methods: 50 athletic patients with low back pain (age=23.20±12.79 years and 51 healthy athletes (age=24.28±13.70 from Iranian athletic teams were screened for hyper mobility using the Beighton score (0-9, with higher scores indicating increasing hyper mobility. The athletes’ profiles, medical histories and chosen sport were collected by means of a questionnaire. Results: The mean (SD Beighton score in females with low back pain and healthy subjects were 5.07±2.30 and 4.93±1.79 respectively. However, no significant difference was found between the two groups (P=0.54. The mean (SD Beighton score in males with low back pain was also higher (5.11±1.72 than in healthy subjects (4.36±1.82. However, the result of an independent t test showed no significant difference between the two groups (P=0.07. Discussion: Further studies are needed to determine the effects of hyper mobility on low back kinematics and injuries in different sport types.

  5. Titanium Alloy Strong Back for IXO Mirror Segments

    Science.gov (United States)

    Byron, Glenn P.; Kai-Wang, Chan

    2011-01-01

    A titanium-alloy mirror-holding fixture called a strong back allows the temporary and permanent bonding of a 50 degree D263 glass x-ray mirror (IXO here stands for International X-ray Observatory). The strong back is used to hold and position a mirror segment so that mounting tabs may be bonded to the mirror with ultra-low distortion of the optical surface. Ti-15%Mo alloy was the material of choice for the strong back and tabs because the coefficient of thermal expansion closely matches that of the D263 glass and the material is relatively easy to machine. This invention has the ability to transfer bonded mounting points from a temporary location on the strong back to a permanent location on the strong back with minimal distortion. Secondly, it converts a single mirror segment into a rigid body with an acceptable amount of distortion of the mirror, and then maneuvers that rigid body into optical alignment such that the mirror segment can be bonded into a housing simulator or mirror module. Key problems are that the mirrors are 0.4-mm thick and have a very low coefficient of thermal expansion (CTE). Because the mirrors are so thin, they are very flexible and are easily distorted. When permanently bonding the mirror, the goal is to achieve a less than 1-micron distortion. Temperature deviations in the lab, which have been measured to be around 1 C, have caused significant distortions in the mirror segment.

  6. Prevalence and causes of back pain syndromes in children

    Directory of Open Access Journals (Sweden)

    A.A. Smirnova

    2014-01-01

    Full Text Available We present a review of literature devoted to epidemiology, and the nosological and syndromal structure of back pain in children. The data of our own study of school-aged children with back pain are presented. The structure of back pain syndromes in 105 children has been analyzed using the medical aid appealability data. The results of a comprehensive clinical and instrumental study demonstrated that the children mostly had lumbosacral pain (52.4% of cases; neck pain was observed in 29.5% of cases; while thoracic pain syndromes were observed in 18.1% of cases. Congenital defect of the connective tissue was diagnosed in 16.19% of children; congenital abnormalities of the spine, in 15.2%; scoliosis (idiopathic and secondary, in 8.6%; and Scheuermann-Mau's disease, in 5.71%. The conclusion has been made about the high prevalence of back pain in schoolchildren. Muscular tonic syndromes were prevailing in the clinical structure in children; radicular syndromes were less frequent. Musculoskeletal disorders were the main causes of back pain. Congenital defect of the connective tissue was often observed, which was revealed as functional instability of the vertebral motor segment, spondylolisthesis due to weak ligaments, and disc protrusions. Congenital abnormalities of the spine, scoliosis, and Scheuermann-Mau' disease were observed less often. 

  7. Acupuncture therapy for chronic lower back pain: a systematic review.

    Science.gov (United States)

    Trigkilidas, Dionysios

    2010-10-01

    Chronic low back pain is a common condition affecting a significant proportion of the population and has large economic implications on the society. Acupuncture has grown in popularity as an alternative therapy for chronic low back pain. Recent National Institute for Health and Clinical Excellence (NICE) guidelines on low back pain offer a course of acupuncture as a baseline treatment option according to patient preference. The aim of this systematic review was to evaluate if this treatment option is justified in view of recent evidence available on the efficacy of acupuncture. Studies included were identified by a PubMed search for relevant, randomised, controlled trials on the 23 July 2009. A systematic review was performed. Fifteen randomised controlled trials were identified. Of these, four met the eligibility criteria and were critically appraised. These trials suggest acupuncture can be superior to usual care in treating chronic low back pain, especially, when patients have positive expectations about acupuncture. NICE guidelines of a course of acupuncture, offered according to patient preference as a treatment option for chronic low back pain, are justified.

  8. Psychometric Properties of the Japanese Version of the STarT Back Tool in Patients with Low Back Pain.

    Science.gov (United States)

    Matsudaira, Ko; Oka, Hiroyuki; Kikuchi, Norimasa; Haga, Yuri; Sawada, Takayuki; Tanaka, Sakae

    2016-01-01

    The STarT Back Tool uses prognostic indicators to classify patients with low back pain into three risk groups to guide early secondary prevention in primary care. The present study aimed to evaluate the psychometric properties of the Japanese version of the tool (STarT-J). An online survey was conducted among Japanese patients with low back pain aged 20-64 years. Reliability was assessed by examining the internal consistency of the overall and psychosocial subscales using Cronbach's alpha coefficients. Spearman's correlation coefficients were used to evaluate the concurrent validity between the STarT-J total score/psychosocial subscore and standard reference questionnaires. Discriminant validity was evaluated by calculating the area under the curves (AUCs) for the total and psychosocial subscale scores against standard reference cases. Known-groups validity was assessed by examining the relationship between low back pain-related disability and STarT-J scores. The analysis included data for 2000 Japanese patients with low back pain; the mean (standard deviation [SD]) age was 47.7 (9.3) years, and 54.1% were male. The mean (SD) STarT-J score was 2.2 (2.1). The Cronbach's alpha coefficient was 0.75 for the overall scale and 0.66 for the psychosocial subscale. Spearman's correlation coefficients ranged from 0.30 to 0.59, demonstrating moderate to strong concurrent validity. The AUCs for the total score ranged from 0.65 to 0.83, mostly demonstrating acceptable discriminative ability. For known-groups validity, participants with more somatic symptoms had higher total scores. Those in higher STarT-J risk groups had experienced more low back pain-related absences. The overall STarT-J scale was internally consistent and had acceptable concurrent, discriminant, and known-groups validity. The STarT-J can be used with Japanese patients with low back pain.

  9. Migration of red-backed shrikes from the Iberian Peninsula

    DEFF Research Database (Denmark)

    Tøttrup, Anders P.; Pedersen, Lykke; Onrubia, Alejandro

    2017-01-01

    e current Northern Hemisphere migration systems are believed to have arisen since the last glaciation. In many cases, birds do not migrate strait from breeding to non-breeding areas but fly via a detour. All western European populations of red-backed shrikes Lanius collurio are assumed to reach...... their southern African wintering grounds detouring via southeast Europe. Based on theoretical considerations under an optimality framework this detour is apparently optimal. Here, we use individual geolocator data on red-backed shrikes breeding in Spain to show that these birds do indeed detour via southeast...... Europe en route to southern Africa where they join other European populations of red-backed shrikes and return via a similar route in spring. Disregarding potential wind assistance, the routes taken for the tracked birds in autumn were not optimal compared to crossing the barrier directly. For spring...

  10. Recurrent acute low back pain secondary to lumbar epidural calcification

    Energy Technology Data Exchange (ETDEWEB)

    Ziade, M.; Zufferey, P.; So, A.K.L. [Centre Hospitalier Vaudois, Service de Rhumatologie, Lausanne (Switzerland)

    2007-06-15

    Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously. We describe a patient with acute low back pain and signs of lumbar nerve root compression due to epidural calcification, as demonstrated by CT-scan and MRI. Radiological signs of spondylodiscitis led to a search for an infectious cause, which was negative, and her symptoms responded rapidly to NSAID treatment alone. Her symptoms recurred 18 months later, and further imaging studies again revealed epidural calcification, but with a changed distribution. Her symptoms were relieved once more by NSAID treatment alone. We propose that epidural calcification secondary to aseptic spondylodiscitis is the main cause of acute back pain in this patient. A possible mechanism may be the pro-inflammatory effects of calcium pyrophosphate or hydroxyapatite crystal deposition within the epidural space. (orig.)

  11. Quality of primary care guidelines for acute low back pain

    DEFF Research Database (Denmark)

    van Tulder, Maurits W.; Tuut, Mariska; Pennick, Victoria

    2004-01-01

    STUDY DESIGN: Systematic review of clinical guidelines. OBJECTIVES: To assess the methodologic quality of existing guidelines for the management of acute low back pain. SUMMARY OF BACKGROUND DATA: Guidelines are playing an increasingly important role in evidence-based practice. After publication...... of the Quebec Task Force in Canada in 1987 and the Agency for Health Care Policy and Research guidelines in the United States in 1994, guidelines for acute low back pain were developed in many other countries. However, little is known about the methodologic quality of these guidelines. METHODS: Guidelines were...... selected by electronically searching MEDLINE and the Internet and through personal communication with experts in the field of low back pain research in primary care. The methodologic quality of the guidelines was assessed by two authors independently using the AGREE instrument. RESULTS: A total of 17...

  12. BACK and DRAW activities for improving writing skills

    Directory of Open Access Journals (Sweden)

    Muhammad Lukman Syafii

    2017-09-01

    Full Text Available This present paper addresses the issue of writing as an important aspect of EFL instruction. Writing as one of the four basic language skills plays a pivotal role in the context of English teaching as a foreign language in Indonesia. Considering these problems, it is important to modify the writing process in such a way to cope the writing. The process of writing the writer means is BACK and DRAW activities. What the writer termed as BACK and DRAW is a set of writing activities involving students’ active participation in the process, their intense learning experience in producing a required text, as well as their interactive work with peers and the teacher. BACK and DRAW stands for Brainstorming, Attaching, Correcting, Keeping, Developing, Revising, Arranging, and Wow! Or Wonderful! Or Well done!. These activities are good ways to improve the writing Ability.

  13. Hartford's gun buy-back program: are we on target?

    Science.gov (United States)

    Marinelli, Laura W; Thaker, Shefali; Borrup, Kevin; Shapiro, David S; Bentley, George C; Saleheen, Hassan; Lapidus, Garry; Campbell, Brendan T

    2013-09-01

    Gunbuy-backprograms have been proposed as away to remove unwanted firearms from circulation, but remain controversial because their ability to prevent firearm injuries remains unproven. The purpose of this study is to describe the demographics of individuals participating in Connecticut's gun buy-backprogram in the context of annual gun sales and the epidemiology of firearm violence in the state. Over four years the buy-back program collected 464 firearms, including 232 handguns. In contrast, 91,602 firearms were sold in Connecticut during 2009 alone. The incidence of gun-related deaths was unchanged in the two years following the inception of the buy-back program. Suicide was associated with older age (mean = 51 +/- 18years) and Caucasian race (n = 539, 90%). Homicide was associated with younger age (mean = 30 +/- 12 years) and minority race (n = 425, 81%). A gun buy-back program alone is not likely to produce a measurable decrease in firearm injuries and deaths.

  14. A rare presentation of sarcoidosis, back pain and spondylolisthesis.

    Science.gov (United States)

    Morgan, S S; Aslam, M B; Mukkanna, K S; Ampat, G

    2008-02-01

    A 48-year old man presented with back pain that was resistant to treatment. An MR scan showed spondylolisthesis at L4-5 and narrowing of the exit foraminae. He had a posterior fusion which did not relieve his symptoms. He continued to have back pain and developed subcutaneous nodules in both forearms. Biopsy from the skin revealed cutaneous sarcoidosis, and one from the lumbar spine showed sarcoidosis granuloma between the bone trabeculae. A CT scan of the abdomen and chest revealed axillary lymphadenopathy, mediastinal enlarged nodes, apical nodular nodes and splenomegaly. The patient was started on large doses of methotrexate and steroids. His angiotensin-converting enzyme and calcium levels returned to normal and the back pain resolved.

  15. Low back pain post partum - A case report.

    LENUS (Irish Health Repository)

    2012-02-23

    Sacral stress fracture is an unusual source of low back pain and can be easily confused with a number of other clinical conditions seen in physiotherapy clinics. The purpose of this case report is to describe the case of a patient presenting with low back pain post partum illustrating pertinent aspects of differential diagnosis and issues of management. A 31 year old female presented complaining of low back pain since the birth of her second child 11 months earlier. Subjective and objective examination led the Therapist to consider a diagnosis of sacral stress fracture. This diagnosis was confirmed by MRI. Three months after presenting to physiotherapy the patient was pain free and had returned to all aspects of her daily life without any difficulties. Clinicians must be aware of the less common pathologies in any hypotheses development. A careful history and physical examination and broad hypotheses generation will ensure that patients are accurately diagnosed and receive appropriate and effective treatments.

  16. Drain Back Systems in Laboratory and in Practice

    DEFF Research Database (Denmark)

    Perers, Bengt; Furbo, Simon; Fan, Jianhua

    2015-01-01

    Drain Back systems with ETC collectors are tested and analyzed in a Danish - Chinese cooperation project. Experiences from early work at DTU, with drain back, low flow systems, was used to design two systems: 1) One laboratory system at DTU. 2) One demonstration system in a single family house...... in Sorö Denmark. Detailed monitoring and modelling/validation of the system in the DTU lab is done, to be able to generalize the results, to other climates and loads by simulation and to make design optimizations. The advantage with drain back, low flow systems, is that the system can be made more simple...... in the collector loop to have a safe reliable operation. The components should also be designed and marked so that only one correct mounting option is possible, like forward and return pipes to/from the collector of slightly different sizes or color. Adapted installer education and training is a very important...

  17. Is it all about a pain in the back?

    DEFF Research Database (Denmark)

    Hartvigsen, Jan; Natvig, Bard; Ferreira, Manuela

    2013-01-01

    functional status, a poorer prognosis and respond less favourably to treatment. Evidence also suggests that the more pain sites a patient reports, the more reduced their physical and mental function will be regardless of location of pain. At the same time, evidence suggests that strategies for diagnosis...... propose a conceptual framework for a common stepwise approach to the diagnosis and management of back and musculoskeletal pain.......Multisite musculoskeletal pain is common among people suffering from low back pain. Although the mechanisms behind co-occurrence of multiple somatic symptoms and musculoskeletal pain are still unknown, patients with co-morbidities and co-occurring musculoskeletal symptoms tend to have worse...

  18. Intercalibration of the ZEUS high resolution and backing calorimeters

    International Nuclear Information System (INIS)

    Abramowicz, H.; Czyrkowski, H.; Derlicki, A.; Krzyzanowski, M.; Kudla, I.; Kusmierz, W.; Nowak, R.J.; Pawlak, J.M.; Rajca, A.; Stopczynski, A.; Walczak, R.; Zarnecki, A.F.; Kowalski, T.Z.

    1992-01-01

    We have studied the combined performance of two calorimeters, the high resolution uranium-scintillator prototype of the ZEUS forward calorimeter (FCAL), followed by a prototype of the coarser ZEUS backing calorimeter (BAC), made out of thick iron plates interleaved with planes of aluminium proportional chambers. The test results, obtained in an exposure of the calorimeter system to a hadron test beam at the CERN SPS, show that the backing calorimeter does fulfil its role of recognizing the energy leaking out of the FCAL calorimeter. The measurement of this energy is feasible, if an appropriate calibration of the BAC calorimeter is performed. (orig.)

  19. Low back pain in young athletes. A practical approach.

    Science.gov (United States)

    Harvey, J; Tanner, S

    1991-12-01

    Lumbar spine pain accounts for 5 to 8% of athletic injuries. Although back pain is not the most common injury, it is one of the most challenging for the sports physician to diagnose and treat. Factors predisposing the young athlete to back injury include the growth spurt, abrupt increases in training intensity or frequency, improper technique, unsuitable sports equipment, and leg-length inequality. Poor strength of the back extensor and abdominal musculature, and inflexibility of the lumbar spine, hamstrings and hip flexor muscles may contribute to chronic low back pain. Excessive lifting and twisting may produce sprains and strains, the most common cause of low back pain in adolescents. Blows to the spine may create contusions or fractures. Fractures in adolescents from severe trauma include compression fracture, comminuted fracture, fracture of the growth plate at the vertebral end plate, lumbar transverse process fracture, and a fracture of the spinous process. Athletes who participate in sports involving repeated and forceful hyperextension of the spine may suffer from lumbar facet syndrome, spondylolysis, or spondylolisthesis. The large sacroiliac joint is also prone to irritation. The signs and symptoms of disc herniation in adolescents may be more subtle than in adults. Disorders simulating athletic injury include tumours and inflammatory connective tissue disease. Often, however, a specific diagnosis cannot be made in the young athlete with a low back injury due to the lack of pain localisation and the anatomic complexity of the lumbar spine. A thorough history and physical examination are usually more productive in determining a diagnosis and guiding treatment than imaging techniques. Diagnostic tests may be considered, though, for the adolescent athlete whose back pain is severe, was caused by acute trauma, or fails to improve with conservative therapy after several weeks. Radiographs, bone scanning, computed tomography, and magnetic resonance imaging may

  20. Low back pain and the post-laminectomy pain syndrome | Shipton ...

    African Journals Online (AJOL)

    Back pain is one of the most common disorders seen in general practice. Patients with chronic low back pain form a large proportion of the work of any pain relief unit. The aetiology of low back pain and the post-laminectomy pain syndrome are briefly presented and treatment of the 'failed back surgery patient' and the ...

  1. Non-steroidal anti-inflammatory drugs for chronic low back pain

    NARCIS (Netherlands)

    W.T.M. Enthoven (Wendy); P.D.D.M. Roelofs (Pepijn); R.A. Deyo (Richard); M.W. van Tulder (Maurits); B.W. Koes (Bart)

    2016-01-01

    textabstractBackground: Chronic back pain is an important health problem. Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used to treat people with low back pain, especially people with acute back pain. Short term NSAID use is also recommended for pain relief in people with chronic back

  2. Chronic Widespread Back Pain is Distinct From Chronic Local Back Pain: Evidence From Quantitative Sensory Testing, Pain Drawings, and Psychometrics.

    Science.gov (United States)

    Gerhardt, Andreas; Eich, Wolfgang; Janke, Susanne; Leisner, Sabine; Treede, Rolf-Detlef; Tesarz, Jonas

    2016-07-01

    Whether chronic localized pain (CLP) and chronic widespread pain (CWP) have different mechanisms or to what extent they overlap in their pathophysiology is controversial. The study compared quantitative sensory testing profiles of nonspecific chronic back pain patients with CLP (n=48) and CWP (n=29) with and fibromyalgia syndrome (FMS) patients (n=90) and pain-free controls (n = 40). The quantitative sensory testing protocol of the "German-Research-Network-on-Neuropathic-Pain" was used to measure evoked pain on the painful area in the lower back and the pain-free hand (thermal and mechanical detection and pain thresholds, vibration threshold, pain sensitivity to sharp and blunt mechanical stimuli). Ongoing pain and psychometrics were captured with pain drawings and questionnaires. CLP patients did not differ from pain-free controls, except for lower pressure pain threshold (PPT) on the back. CWP and FMS patients showed lower heat pain threshold and higher wind-up ratio on the back and lower heat pain threshold and cold pain threshold on the hand. FMS showed lower PPT on back and hand, and higher comorbidity of anxiety and depression and more functional impairment than all other groups. Even after long duration CLP presents with a local hypersensitivity for PPT, suggesting a somatotopically specific sensitization of nociceptive processing. However, CWP patients show widespread ongoing pain and hyperalgesia for different stimuli that is generalized in space, suggesting the involvement of descending control systems, as also suggested for FMS patients. Because mechanisms in nonspecific chronic back pain with CLP and CWP differ, these patients should be distinguished in future research and allocated to different treatments.

  3. The Japanese version of the STarT Back Tool predicts 6-month clinical outcomes of low back pain.

    Science.gov (United States)

    Matsudaira, Ko; Oka, Hiroyuki; Kikuchi, Norimasa; Haga, Yuri; Sawada, Takayuki; Tanaka, Sakae

    2017-03-01

    The STarT Back Tool classifies patients into low-, medium-, or high-risk groups according to risk for chronic low back pain. The Japanese version of the STarT Back Tool (STarT-J) has been translated and psychometrically validated. The present analysis investigated the predictive ability of the STarT-J. Baseline data were collected through an online survey conducted with Japanese patients with low back pain. Long-term outcomes were assessed in a 6-month follow-up survey. Clinical outcomes at 6 months were evaluated with a pain numerical rating scale, the Roland-Morris Disability Questionnaire, and the EuroQol 5 Dimension. Differences in these scores among the three STarT-J risk groups were analyzed. Participants' perceived changes in low back pain and overall health status were examined to determine associations between the chronicity of low back pain at 6 months and STarT-J risk groups. Data of 1228 volunteers who responded to the baseline and follow-up surveys were included in this analysis. Mean ± standard deviation (SD) scores for the pain numerical rating scale and the Roland-Morris Disability Questionnaire were highest in the high-risk group (5.6 ± 1.9 and 9.6 ± 7.5) and lowest in the low-risk group (3.9 ± 1.6 and 2.1 ± 3.5). Mean ± SD EuroQol 5 Dimension index scores were lowest in the high-risk group (0.66 ± 0.20) and highest in the low-risk group (0.86 ± 0.14). A small percentage of high-risk patients (5.3%) perceived improvement in low back pain at the 6-month follow-up. The STarT-J predicted 6-month pain and disability outcomes. The STarT-J is an easy-to-use tool to screen for patients who are more likely to have chronic low back pain, and may be useful to initiate stratified care in primary care settings. Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

  4. Capacitance Estimation for DC-link Capacitors in a Back-to-Back Converter Based on Artificial Neural Network Algorithm

    DEFF Research Database (Denmark)

    Soliman, Hammam Abdelaal Hammam; Wang, Huai; Blaabjerg, Frede

    2016-01-01

    The reliability of dc-link capacitors in power electronic converters is one of the critical aspects to be considered in modern power converter design. The observation of their ageing process and the estimation of their health status have been an attractive subject for the industrial field and hence...... of the aforementioned challenges and shortcomings. In this paper, a pure software condition monitoring method based on Artificial Neural Network (ANN) algorithm is proposed. The implemented ANN estimates the capacitance of the dc-link capacitor in a back-to-back converter. The error analysis of the estimated results...

  5. Relationship between STarT Back Screening Tool and prognosis for low back pain patients receiving spinal manipulative therapy

    OpenAIRE

    Field, Jonathan; Newell, Dave

    2012-01-01

    Abstract Background Low back pain (LBP) is common and costly and few treatments have been shown to be markedly superior to any other. Effort has been focused on stratifying patients to better target treatment. Recently the STarT Back Screening Tool (SBT) has been developed for use in primary care to enable sub grouping of patients based on modifiable baseline characteristics and has been shown to be associated with differential outcomes. In the UK the SBT is being recommended to assist in car...

  6. Study of a Back-To-Back (BTB) System Using Modular Multilevel Cascade Converters for Power Distribution Systems

    OpenAIRE

    KHAMPHAKDI, PRACHA; KHAMPHAKDI, PRACHA

    2015-01-01

    This dissertation describes a modular multilevel cascade converter based on double-star chopper-cells (MMCC-DSCC). It is used to form a BTB (Back-To-Back) system installed between two 6.6-kV power distribution feeders with many distributed power generators. It is also referred to as the so-called “loop power flow controller.” A conventional BTB system employs bulky line-frequency transformers and dc-link capacitors, whereas this DSCC-based BTB system does not require either of them, thereby r...

  7. Does magnetic resonance imaging predict future low back pain?

    DEFF Research Database (Denmark)

    Steffens, D; Hancock, M J; Maher, C G

    2014-01-01

    Magnetic resonance imaging (MRI) has the potential to identify pathology responsible for low back pain (LBP). However, the importance of findings on MRI remains controversial. We aimed to systematically review whether MRI findings of the lumbar spine predict future LBP in different samples with a...

  8. Salmon tracing: Genotyping to trace back escapees from salmon aquaculture

    NARCIS (Netherlands)

    Blonk, R.J.W.

    2014-01-01

    The overall objective of the project is to assign an escaped salmon back to the farm responsible for the escape with near 100% accuracy. In this report, the potential of a set of genetic markers to assign an escaped salmon was determined for a set of 12 polymorphic microsatellite markers, provided

  9. Hooded Vulture Necrosyrtes monachus and African White-backed ...

    African Journals Online (AJOL)

    Basic ecological information is still lacking for many species of African vultures. The Hooded Vulture Necrosyrtes monachus is known as a rare breeding resident in north-eastern South Africa. This study set out to monitor the nests of Hooded Vultures and, secondarily, White-backed Vultures Gyps africanus in the Olifants ...

  10. Medical back belt with integrated neuromuscular electrical stimulation

    NARCIS (Netherlands)

    Bottenberg, E. (Eliza); Brinks, G.J. (Ger); Hesse, J. (Jenny)

    2014-01-01

    The medical back belt with integrated neuromuscular electrical stimulation is anorthopedic device, which has two main functions. The first function is to stimulate the backmuscles by using a neuromuscular electrical stimulation device that releases regular,electrical impulses. The second function of

  11. Prevalence of Low Back Pain among Adolescent Students in a ...

    African Journals Online (AJOL)

    Oyewoleye

    SUMMARY. This school-based survey was aimed at determining the prevalence of low-back pain (LBP) among adolescent students of selected secondary schools in Ibadan, Nigeria. Nine hundred secondary schools students, comprising 415 boys and 485 girls, with age range 12-17 years were surveyed. They were ...

  12. Rock Mechanics Aspects of Stoping Without Back-area Support

    CSIR Research Space (South Africa)

    King, RG

    1989-06-01

    Full Text Available The report describes an experiment carried out at Hartebeesfontein Gold Mine, No. 6 Shaft, 77 N 25 Stope between October 1985 and November 1986, which involved mining two panels without back-area support and with different support resistances...

  13. Prevalence of low back pain among filling stations attendants in ...

    African Journals Online (AJOL)

    Low back pain has been found to be common among workers of some certain industries and occupation, however little is known about its prevalence among filling stations attendants who are perceived to belong to the group that are exposed to high occupational risk. This study was designed to determine the prevalence ...

  14. Objective Measures for Pregnancy Related Low Back and Pelvic Pain

    NARCIS (Netherlands)

    M. de Groot (Mirthe)

    2005-01-01

    textabstractPain in the lumbar spine and pelvic region is a frequent complication of pregnancy and delivery. The prevalence of pregnancy related low back and pelvic pain (PLBP) varies between 14.2 and 56%. In 6 to 15% the pain is so severe that it impedes daily life activities. The symptoms of

  15. Bear at the back door | Prinsloo | Scientia Militaria: South African ...

    African Journals Online (AJOL)

    Scientia Militaria: South African Journal of Military Studies. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 9, No 3 (1979) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Bear at the back door. C Prinsloo ...

  16. A comparative study of multiple regression analysis and back ...

    Indian Academy of Sciences (India)

    Abhijit Sarkar

    Also, ANN model was accomplished with the back propagation approach in MATLAB program to predict bead geometry and HAZ width. Finally, the results of two prediction models were compared and analyzed. It is found that the error related to the prediction of bead geometry and HAZ width is smaller in ANN than MRA.

  17. Improved Starting Materials for Back-Illuminated Imagers

    Science.gov (United States)

    Pain, Bedabrata

    2009-01-01

    An improved type of starting materials for the fabrication of silicon-based imaging integrated circuits that include back-illuminated photodetectors has been conceived, and a process for making these starting materials is undergoing development. These materials are intended to enable reductions in dark currents and increases in quantum efficiencies, relative to those of comparable imagers made from prior silicon-on-insulator (SOI) starting materials. Some background information is prerequisite to a meaningful description of the improved starting materials and process. A prior SOI starting material, depicted in the upper part the figure, includes: a) A device layer on the front side, typically between 2 and 20 m thick, made of p-doped silicon (that is, silicon lightly doped with an electron acceptor, which is typically boron); b) A buried oxide (BOX) layer (that is, a buried layer of oxidized silicon) between 0.2 and 0.5 m thick; and c) A silicon handle layer (also known as a handle wafer) on the back side, between about 600 and 650 m thick. After fabrication of the imager circuitry in and on the device layer, the handle wafer is etched away, the BOX layer acting as an etch stop. In subsequent operation of the imager, light enters from the back, through the BOX layer. The advantages of back illumination over front illumination have been discussed in prior NASA Tech Briefs articles.

  18. Pregnancy Related Low Back and Pelvic Pain: a surgical approach

    NARCIS (Netherlands)

    C.M.A. Zwienen

    2005-01-01

    textabstractMore than half of all pregnant women experience low back and/or pelvic pain of whom one-third has severe complaints. In most cases the pelvic pain disap­pears within a few months after delivery, either spontaneously or after con­servative treatment. In a minority of patients the pain

  19. Self-management of chronic low back pain and osteoarthritis.

    Science.gov (United States)

    May, Stephen

    2010-04-01

    Chronic low back pain and osteoarthritis are two musculoskeletal problems that are highly prevalent in the general population, are frequently episodic and persistent, and are associated with high costs to society, both direct and indirect. This epidemiological picture provides the background that justifies the use of self-management strategies in managing these problems. For this Review, relevant systematic reviews were included that related to effectiveness; other study designs were included that addressed other aspects of the topic. The accepted definition of self-management includes liaison between health professionals and individuals with these problems, as well as independent health-promotion activities. Independent self-management strategies, such as exercise and self-medication, are practiced by individuals in the general population. Consistent evidence shows that self-management programs for osteoarthritis are effective in addressing pain and function, but effect sizes are small and might be clinically negligible. Educational programs for patients with back pain are effective in an occupational setting and if combined with an exercise program. Exercise is an effective strategy in the management of both chronic low back pain and osteoarthritis, although it is unclear what the optimum exercise is. Exercise, supported by advice and education, should be at the core of self-management strategies for chronic low back pain and osteoarthritis.

  20. Quality of primary care guidelines for acute low back pain.

    NARCIS (Netherlands)

    van Tulder, Maurits W.; Tuut, Mariska; Pennick, Victoria; Bombardier, Claire; Assendelft, Willem J J

    2004-01-01

    STUDY DESIGN: Systematic review of clinical guidelines. OBJECTIVES: To assess the methodologic quality of existing guidelines for the management of acute low back pain. SUMMARY OF BACKGROUND DATA: Guidelines are playing an increasingly important role in evidence-based practice. After publication of

  1. Why Should Scholars Keep Coming Back to John Dewey?

    Science.gov (United States)

    Gordon, Mordechai

    2016-01-01

    This essay attempts to explain why philosophers, philosophers of education, and scholars of democracy should keep coming back to John Dewey for insights and inspiration on issues related to democracy and education. Mordechai Gordon argues that there are four major reasons that contribute to scholars' need to keep returning to Dewey for inspiration…

  2. Deconvolution: It Fans Back, Out, and Ahead [Retrospectroscope].

    Science.gov (United States)

    Gonzalez, Sergio A; Valentinuzzi, Max E; Arini, Pedro D

    2016-01-01

    The origins of convolution and its further and rather complex historical development were dealt with in detail by Alejandro Dominguez in a previous article [1]. We saw there that it can be traced back to the middle of the 18th century; however, its modern form and use are not more than 50 or 60 years old.

  3. Unions Striking Back at Bills to Curb Labor

    Science.gov (United States)

    Sawchuk, Stephen

    2011-01-01

    Besieged by state proposals to eviscerate collective bargaining, eliminate teacher tenure, and make it harder to collect dues, teachers' unions are fighting back. Lawsuits supported by local union affiliates have for now blocked anti-union legislation in Alabama and Wisconsin. E-mail "blasts," phone banks, and rallies are also among the…

  4. Active lifestyle protects against incident low back pain in seniors

    DEFF Research Database (Denmark)

    Hartvigsen, Jan; Christensen, Kaare

    2007-01-01

    STUDY DESIGN: Prospective cohort study of twins. OBJECTIVES: To investigate associations between physical activity, physical function, and incident low back pain (LBP) in an elderly population. SUMMARY OF BACKGROUND DATA: The relationship between an active lifestyle and LBP in seniors is unknown...

  5. Prevalence, perception and correlates of low back pain among ...

    African Journals Online (AJOL)

    Background: Low back pain (LBP) is a common cause of disability worldwide. Healthcare workers are particularly prone to it because of the physical and emotional factors associated with their profession. Objectives: To determine the prevalence, perception and correlates of LBP among healthcare workers in tertiary health ...

  6. ORIGINAL ARTICLES Back injuries in young fast bowlers - a ...

    African Journals Online (AJOL)

    Objective. To demonstrate the efficacy of various radiological diagnostic modalities in assessing lower back pain in young fast bowlers. Methods. Ten cricketers who presented to either a physiotherapist or a doctor with suspected spondylolysis underwent an X-ray, a single photon emission computed tomography (SPECT) ...

  7. Epidemiology of Low Back Pain in Enugu, Nigeria | Eyichukwu ...

    African Journals Online (AJOL)

    Background: Low back pain (LBP) is one of the most frequently reported chronic health problems affecting the adult population. It is the most prevalent musculoskeletal condition in ... Patients with vertebral fractures and spinal cord injuries in the lumber region were excluded. Results: Three thousand two hundred patients' ...

  8. Low back pain patients' responses to videos of avoided movements.

    Science.gov (United States)

    Pincus, T; Henderson, J

    2013-02-01

    Fear avoidance (FA) has been identified as a risk factor for poor prognosis and a target for intervention in patients with low back pain (LBP), but the mechanisms involved need clarification. Experimental studies would benefit from the use of carefully developed and controlled stimuli representing avoided movements in back pain, and matched stimuli of movements to provide a credible control stimuli. Existing stimuli depicting avoided movements in LBP are static, do not include a set of control stimuli and do not control for possible systematic observer biases. Two studies were carried out aiming to develop and test LBP patients' responses to videos of models depicting commonly avoided movements associated with back pain, and those associated with a control condition, wrist pain. Two samples of LBP patients rated how much pain and harm each movement would cause them. They also reported how often they avoided the movement. The findings from the first study (n = 99) indicate that using videos of commonly avoided movements in low back pain is viable, and that movements associated with wrist pain provide an acceptable control stimuli. Participants in the second study (n = 85) consistently rated movements depicted by females as causing more harm, and more frequently avoided than the same movements depicted by males. The use of video stimuli could advance research into the processes associated with FA through experimental paradigms. However, although small, the model gender effects should be carefully considered. © 2012 European Federation of International Association for the Study of Pain Chapters.

  9. Trekking Back to Mainstream for Inclusive Education, Is It There?

    Science.gov (United States)

    Kalenga, Rosemary Chimbala; Fourie, Elsa

    2012-01-01

    This paper explores the ecosystemic management strategies for inclusive schools due to challenges faced by the schools in the mainstream school where learners from the specialised institutions are referred back to mainstream for inclusive education. Ecosystemic perspective on inclusive education, ecological theories and systems theories underpin…

  10. Meningoradiculitis due to borreliosis presenting as low back pain only

    Energy Technology Data Exchange (ETDEWEB)

    Demaerel, P.; Crevits, I.; Baert, A.L. [Department of Radiology, University Hospitals, Leuven (Belgium); Casteels-Van Daele, M. [Department of Paediatrics, University Hospitals, Leuven (Belgium)

    1998-02-01

    We report a child with Borrelia burgdorferi meningoradiculitis. This entity, also known as Bannwarth syndrome, is rare and its presentation with low back pain only is even more unusual. The MRI findings can suggest the diagnosis. (orig.) With 1 fig., 3 refs.

  11. Approach to lower back pain | Moosajee | South African Medical ...

    African Journals Online (AJOL)

    Lower back pain is one of the most common symptoms – and the most common musculoskeletal problem – seen by general practitioners. It is also a common cause of disability and an expensive condition in terms of economic impact because of absenteeism. This article discusses an approach to this common symptom and ...

  12. Case Report-Progressive immobilising back and joint pain

    African Journals Online (AJOL)

    in clinic, having run out of medication and been unable to travel earlier due to lack of funds. At this point, although there was no joint swelling, back pain was considerable. Spirometry performed as an outpatient showed: FEV1. 1.78 (60% of predicted), FVC 1.85 (53% predicted), PEFR. 7.77 (92% predicted), FEV1/FVC 0.96.

  13. Back propagation and Monte Carlo algorithms for neural network computations

    International Nuclear Information System (INIS)

    Junczys, R.; Wit, R.

    1996-01-01

    Results of teaching procedures for neural network for two different algorithms are presented. The first one is based on the well known back-propagation technique, the second is an adopted version of the Monte Carlo global minimum seeking method. Combination of these two, different in nature, approaches provides promising results. (author) nature, approaches provides promising results. (author)

  14. Modulation of back geometry in children with spastic diplegic ...

    African Journals Online (AJOL)

    Gehan H. El-Meniawy

    2011-11-29

    Nov 29, 2011 ... Modulation of back geometry in children with spastic diplegic cerebral palsy via hippotherapy training. Gehan H. El-Meniawy, Nahed S. Thabet *. Department of Physical Therapy for Growth and Developmental Disorders in Children and its Surgery, Faculty of. Physical Therapy, Cairo University, Egypt.

  15. Back-thrusting in Lesser Himalaya: Evidences from magnetic fabric ...

    Indian Academy of Sciences (India)

    Back-thrusting in Lesser Himalaya: Evidences from magnetic fabric studies in parts of Almora crystalline zone, Kumaun Lesser Himalaya. Amar Agarwal, K K Agarwal, R Bali, Chandra Prakash and Gaurav Joshi. Supplementary data. Table S1. AMS data, representing mean of values from cores (N) collected from each site ...

  16. Low back pain as a common hypokinetic problem | Masipa | African ...

    African Journals Online (AJOL)

    Low back pain as a common hypokinetic problem. MDS Masipa. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/ajpherd.v9i1.46323 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians ...

  17. Algoriphagus shivajiensis sp. nov., isolated from Cochin back water, India

    Digital Repository Service at National Institute of Oceanography (India)

    AnilKumar, P.; Bhumika, V.; Ritika, C.; VijayaBhaskar, Y.; Priyashanth, P.; Aravind, R.; Bindu, E.; Srinivas, T.N.R.

    Novel orange-pigmented, Gram-negative, rod-shaped, non-motile bacteria, designated strains NIO-S3 sup(T) and NIO-S4, were isolated from a water sample collected from Cochin back waters, Thanneermukkom and Arookutty, Kerala, India. Both strains were...

  18. Tc-DMSA (V) imaging for subacute back pain

    International Nuclear Information System (INIS)

    Baldey, A.; Salehi, N.; Thomas, C.; Schlict, S.; Lichtenstein, M.

    1997-01-01

    Full text: Background: Low back pain is a common disabling illness in the Western world creating $25 billion medical costs in the USA alone. The overall outcome of back pain has not been shown to be influenced by the currently available treatments. Diagnostic techniques are also imprecise. Some back pain may be due to minor currently undetectable ligamentous tears which generate a scarring fibrotic reaction. Aim: To detect minor ligamentous tears and ultimately assess steroid injection treatment using scintigraphic techniques. Methods: Technetium [valency (5)] dimercaptosuccinic acid [ 99m Tc (V) DMSA] is a radiopharmaceutical which has been demonstrated to accumulate in fibrotic tissues 2- Technetium-99m (V) DMSA single photon emission computed tomographic (SPECT) scans were performed in ten patients with subacute (2-12 months duration) back pain. These scans were compared to SPECT bone scans also performed in these patients. Results: One patient was excluded post imaging due to likely infection or tumour. Of the nine patients remaining, five showed lesions presumed to be due to healing scars. Hence new abnormalities are detectable by this technique. Conclusion: Accrual is continuing but definitive results will not be available until the clinical results of scan directed steroid injections are evaluated

  19. Options in Education. Program #65. Back to Basics.

    Science.gov (United States)

    George Washington Univ., Washington, DC. Inst. for Educational Leadership.

    In this transcript of "Options in Education," a weekly feature on National Public Radio, a group of experts--George Weber, Reed Whittemore, Goodman Ace, Herbert O. Reid, Albert Shanker, Harold Hodgkinson, Zachary Clements, Joseph Cronin, John Pittenger, and Richard King--interpret the back-to-basics movement. (IRT)

  20. Communication context of Roll Back Malaria and HIV and AIDS ...

    African Journals Online (AJOL)

    With malaria endemic and HIV and AIDS transmuting into a pandemic, the disease burden posed by the two have made them the focus of national and global attention. This necessitated a comparative scrutiny of the communication component of the Roll Back Malaria and HIV and AIDS programmes in Nigeria; and the ...

  1. Chronic low back pain among tobacco farmers in southern Brazil.

    Science.gov (United States)

    Meucci, Rodrigo D; Fassa, Anaclaudia G; Faria, Neice M X; Fiori, Nadia S

    2015-01-01

    Despite tobacco farming involving intensive manual labor, chronic low back pain (CLBP) prevalence and associated factors are unknown among this occupational group. This was a cross-sectional study conducted in southern Brazil. A random sample of tobacco farmers was interviewed. Socioeconomic and individual characteristics, occupational tasks, workloads, and comorbidities were investigated. Chronic low back pain prevalence was described in relation to independent variables, and associations were examined with Poisson regression. Chronic low back pain prevalence was 8·4%. Increasing age, rearing two or more species of livestock (PR 1·65), exposure to tasks that require heavy physical exertion (PR 2·00), working in awkward postures (PR 1·36), green tobacco sickness (GTS) (PR 1·63), pesticide poisoning (PR 2·37), and minor psychiatric disorders (PR 2·55) were associated with CLBP. This study found that CLBP is a relevant health problem among tobacco farmers and highlights understudied risk factors such as pesticide poisoning and GTS. Policies to minimize exposure to physiological and chemical workloads in tobacco planting to prevent CLBP are needed. Health professionals should be trained to diagnose and prevent acute low back pain episodes and thus prevent/minimize limitations and disabilities due to CLBP.

  2. Low back pain related to bowing posture of greenhouse farmers.

    Science.gov (United States)

    Maeda, K; Okazaki, F; Suenaga, T; Sakurai, T; Takamatsu, M

    1980-12-01

    Farming by means of greenhouses has spread in different parts of Japan during the past 20 years. Low back pain, an important health problem for farmers, affects those working inside a greenhouse as a result of their taking up particular postures. In order to analyze ergonomic problems of greenhouse farming relevant to low back pain, localized fatigue complaints and parts of the body where fatigue was felt during fruit picking were studied among 49 female farmers engaged in greenhouse strawberry culture and 53 female farmers engaged in greenhouse eggplant culture. Furthermore, the bowing posture for strawberry picking was compared with that of eggplant picking using newly devised posture-pattern recording equipment. More than 50% of strawberry or eggplant farmers complained of fatigue in the lower back and shoulders. The prevalence of low back pain was significantly higher among strawberry farmers than among eggplant farmers, probably due to the deep bowing posture of the farmer during picking work. The new posture-pattern recording equipment proved useful for investigating changes of work postures.

  3. Measuring Value at Risk for Mortgage Backed Securities

    DEFF Research Database (Denmark)

    Jakobsen, Svend

    1996-01-01

    This paper investigates the computation of Value-at-Risk (VaR) measures for mortgage backed securities (MBSs) using data for the Danish MBS market. The current RiskMetrics proposal from J.P. Morgan is used as a reference point throughout, but the study diverge somewhat from their proposal...... provided in the RiskMetrics dataset might yield better results....

  4. A comparative study of multiple regression analysis and back ...

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana; Volume 41; Issue 5. A comparative study of multiple regression analysis and back propagation neural network approaches on plain carbon steel in submerged-arc welding. ABHIJIT SARKAR PRASENJIT DEY R N RAI SUBHAS CHANDRA SAHA. Volume 41 Issue 5 May 2016 pp 549-559 ...

  5. FOOD OF THE BLACK-BACKED JACKAL: A PRELIMINARY ...

    African Journals Online (AJOL)

    REPORT. R. N. GRAFTON. S.A. Lombard Nature Reserve, Bloemhof. INTRODUCTION. The black-backed jackal Canis mesomelas has long been known to ..... domestic stock. ACKNOWLEDGEMENTS. The writer is grateful to R. D. J. van Rensburg and I. M. Prinsloo of the Vermin Research. Section staff who assisted at ...

  6. Looking Back to Move Forward with Guided Reading

    Science.gov (United States)

    Ford, Michael P.; Opitz, Michael F.

    2011-01-01

    Guided reading is used in classrooms across the country and, while it is fairly new, it is anything but revolutionary. In this article, and in honor of the 50th volume of "Reading Horizons," the authors take a look back at the 50-year history of this practice, provide a definition of guided reading, analyze what caused the practice to…

  7. Lumbar motion changes in chronic low back pain patients

    DEFF Research Database (Denmark)

    Mieritz, Rune M; Hartvigsen, Jan; Boyle, Eleanor

    2014-01-01

    /SETTING: Secondary analysis of a subset of participants from a randomized clinical trial. PATIENT SAMPLE: 199 study participants with low back pain of more than six weeks' duration who had spinal motion measures obtained before and after the period of intervention. OUTCOME MEASURES: Lumbar region spinal kinematics...

  8. Prevalence and Pattern of Back Pain among Pregnant Women ...

    African Journals Online (AJOL)

    Dr S.B. OLALEYE

    Data obtained was analyzed using both descriptive and inferential statistics of mean, standard deviation, and inferential statistics ... Postural modification relieved the back pain in about 50% of the subjects across the three .... analysis of variance for the mean age of the subjects across the the four groups was not significant ...

  9. Back-end of the nuclear fuel cycle

    International Nuclear Information System (INIS)

    Choi, J.S.

    2002-01-01

    Current strategies of the back-end nuclear fuel cycles are: (1) direct-disposal of spent fuel (Open Cycle), and (2) reprocessing of the spent fuel and recycling of the recovered nuclear materials (Closed Cycle). The selection of these strategies is country-specific, and factors affecting selection of strategy are identified and discussed in this paper. (author)

  10. Prevalence of Low Back Pain among Adolescent Students in a ...

    African Journals Online (AJOL)

    This school-based survey was aimed at determining the prevalence of low-back pain (LBP) among adolescent students of selected secondary schools in Ibadan, Nigeria. Nine hundred secondary schools students, comprising 415 boys and 485 girls, with age range 12-17 years were surveyed. They were required to ...

  11. Prognostic factors and underlying mechanisms in chronic low back pain

    NARCIS (Netherlands)

    Vos-van der Hulst, Marije

    2009-01-01

    Low back pain (LBP) is defined as pain localised between the 12th rib and the inferior gluteal folds. At any moment, about 15% of adults have LBP. In the majority of the cases, LBP is a self-limiting disease and 90% of the attacks of LBP recover within 6-8 weeks. A minority of subjects with

  12. Management of low back pain: knowledge and adherence to clinical ...

    African Journals Online (AJOL)

    Objective: The therapeutic management of patients with Low Back Pain (LBP) has long been characterized by considerable variation among physiotherapists within and between countries. Over the past decade, systematic reviews have been written, and clinical practice guidelines have been made available. However ...

  13. Prevalence of Low Back Pain Complaints among Commercial ...

    African Journals Online (AJOL)

    motorcycling has become the self heaven to most unemployed youths in Nigeria, especially in Kano, Northwest, Nigeria. Data on the prevalence of Low Back Pain (LBP) on commercial motorcyclists is unknown. This study examined the prevalence of LBP among commercial motorcyclists in urban Kano, northwest, Nigeria.

  14. The pharmacotherapy of low back pain | Greeff | South African ...

    African Journals Online (AJOL)

    South African Family Practice. Journal Home · ABOUT · Advanced Search · Current Issue · Archives · Journal Home > Vol 58, No 4 (2016) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. The pharmacotherapy of low back pain. Oppel B W Greeff. Abstract.

  15. Back injuries in young fast bowlers - a radiological investigation of ...

    African Journals Online (AJOL)

    Objective. To demonstrate the efficacy of various radiological diagnostic modalities in assessing lower back pain in young fast bowlers. Methods. Ten cricketers who presented to either a physiotherapist or a doctor with suspected spondylolysis underwent an X-ray, a single photon emission computed tomography (SPECT) ...

  16. Back pain in the Workplace. Management of Disability in ...

    African Journals Online (AJOL)

    of Disability in Nonspecific Conditions. A report of the Task Force on Pain in the Warkplace of ... non-specific low back pain disability in the industrialised world, but no corresponding increase in the prevalence or ... history taking, patient education, prescribing of medication and Clinical performance. My overall impression is ...

  17. Complementary and alternative therapies for back pain II.

    NARCIS (Netherlands)

    Furlan, Andrea D.; Yazdi, Fatemeh; Tsertsvadze, Alexander; Gross, Anita; Van Tulder, Maurits; Santaguida, Lina; Cherkin, Dan; Gagnier, Joel J.; Ammendolia, Carlo; Ansari, Mohammed T.; Ostermann, Thomas; Dryden, Trish; Doucette, Steve; Skidmore, Becky; Daniel, Raymond; Tsouros, Sophia; Weeks, Laura; Galipeau, James

    2010-01-01

    Back and neck pain are important health problems with serious societal and economic implications. Conventional treatments have been shown to have limited benefit in improving patient outcomes. Complementary and Alternative Medicine (CAM) therapies offer additional options in the management of low

  18. Back-thrusting in Lesser Himalaya: Evidences from magnetic fabric ...

    Indian Academy of Sciences (India)

    Back-thrusts originated below the Lesser Himalayan rocks, probably from the Main Boundary Thrust, and propagated across the sedimentary ... and Asian plates, ∼55 Ma ago, motored the evolution of the ∼2400 km long belt of the ...... earthquakes along the Himalayan Arc and long term forecasting; Earthq. Predict., pp.

  19. Prevalence and tracking of back pain from childhood to adolescence

    DEFF Research Database (Denmark)

    Kjær, Per; Wedderkopp, Niels; Korsholm, Lars

    2011-01-01

    It is generally acknowledged that back pain (BP) is a common condition already in childhood. However, the development until early adulthood is not well understood and, in particular, not the individual tracking pattern. The objectives of this paper are to show the prevalence estimates of BP, low ...

  20. Geophysical investigation of abandoned back-filled railway line ...

    African Journals Online (AJOL)

    A geophysical investigation was carried out on a back-filled segment of an abandoned railway route at Okebadan Estate, Ibadan using electrical resistivity imaging. The study is aimed at depicting the cause(s) of settlement that led to building foundation failure. Five profile lines were established during the study and the ...

  1. Ascending back pain and headache during attempted epidural placement.

    Science.gov (United States)

    Kreitzer, J M; Reed, A P; Dauro, A T; Brodman, M L; Bronster, D J

    1991-01-01

    A 30-year-old parturient requested epidural analgesia during labor. Immediately after the epidural space was presumably identified using the loss-of-resistance-to-air technique, she reported severe back pain, followed by neck pain, which progressed to severe unrelenting headache. An emergency computerized tomographic (CT) scan performed during labor showed air in the intracranial subarachnoid space.

  2. POSTUR KERJA DAN RISIKO LOW BACK PAIN PADA PEKERJA PASIRAN

    Directory of Open Access Journals (Sweden)

    Denny Nurkertamanda

    2017-10-01

    Full Text Available Salah satu pekerjaan angkat angkut adalah pekerjaan menurunkan pasir dari atas truk. Dalam bekerja, pekerja menggunakan alat bantu berupa enggrong yang merupakan sekop dengan gagang pendek. Akibat penggunaan enggrong, pekerja bekerja dengan postur tubuh membungkuk. Postur kerja ini menimbulkan potensi low back pain pada pekerja. Penelitian ini merupakan penelitian cross sectional dengan jumlah sampel 9 partisipan. Tujuan dari penelitian adalah untuk mengetahui potensi risiko low back pain berdasarkan sudut kemiringan trunk ketika pekerja bekerja menurunkan pasir dengan enggrong. Sudut kemiringan trunk yang diprediksi meliputi: 1 sudut kemiringan trunk flexion, 2 sudut kemiringan trunk bending, dan 3 sudut kemiringan trunk twisting. Data postur kerja diambil dengan menggunakan kamera 3D Microsoft KinectTM dan dianalisis dengan menggunakan software Siemen Jack metode 3D Static Strength Prediction Program (3DSSPP untuk memprediksi sudut kemiringan trunk. Hasil analisis dari ke-6 postur kerja menunjukkan postur-postur kerja yang sering dilakukan pekerja mempunyai rerata sudut kemiringan trunk flexion sebesar 61,10 ± 10,090, sudut kemiringan trunk bending sebesar 19,80 ± 6,740 dan sudut kemiringan trunk twisting sebesar 20,00 ± 9,030. Rerata sudut kemiringan trunk flexion yang mencapai 87,28 %  dari sudut kemiringan maksimal merupakan penyebab utama risiko low back pain. Sehingga dapat disimpulkan potensi terjadinya low back pain pada pekerja pasiran dapat terjadi. Perlu intervensi ergonomi untuk mencegah dan mengurangi potensi risiko terjadi low back pain pada pekerja pasiran.   Abstract One of the manual matrial handling jobs is the derivative work from the top of the truck. In working the workers use a tool that enggrong which is a short-handed shovel. Due to the use of employee enggrong work with stooped posture. This work posture raises the potential for low back pain in workers. This study is a cross sectional study with a sample of 9

  3. Bifurcation Instability of sheet metal during spring-back

    Science.gov (United States)

    Kim, Jong-Bong; Yang, Dong-Yol; Yoon, Jeong Whan

    2013-05-01

    In automotive and home appliance industries, there are many complex-shaped sheet metal components which need to be fabricated in multiple stamping operations. For example, the manufacturing of an outer case of washing machine consists of stamping followed by a bending operation. After the first stage of the stamping process, a large amount of spring-back takes place, and therefore, it is difficult to proceed to the next stage of the bending process. In the stamping process of that kind of sheet component with low geometric constraint, the forming area is large compared to the forming depth. Therefore, the formed part is in an unstable state and is less geometrically constrained, which causes a large amount of spring-back. To investigate this phenomenon, finite element analyses are carried out. During a spring-back analysis after forming, bifurcation takes place and the finite element solution procedure using the Newton-Raphson scheme becomes unstable. To get a stable post-bifurcation solution, a bifurcation algorithm is introduced at the bifurcation point. The deformed shapes obtained from finite element analyses are in good agreement with the experimental data. From this study, it is shown that the bifurcation behaviour enlarges the spring-back and the degree of dimensional error. To obtain additional possible post-bifurcation solutions, non-bifurcation analyses using initial guesses obtained in a modal analysis are carried. For the initial guesses, lowed four eigenmodes are utilized. Finally, the post-bifurcation behaviour and spring-back amount are investigated for various process parameters including the forming depth, punch width and corner radius.

  4. Which Patients With Low Back Pain Benefit From Deadlift Training?

    Science.gov (United States)

    Berglund, Lars; Aasa, Björn; Hellqvist, Jonas; Michaelson, Peter; Aasa, Ulrika

    2015-07-01

    Recent studies have indicated that the deadlift exercise may be effective in decreasing pain intensity and increasing activity for most, but not all, patients with a dominating pattern of mechanical low back pain. This study aimed to evaluate which individual factors measured at baseline could predict activity, disability, and pain intensity in patients with mechanical low back pain after an 8-week training period involving the deadlift as a rehabilitative exercise. Thirty-five participants performed deadlift training under the supervision of a physical therapist with powerlifting experience. Measures of pain-related fear of movement, hip and trunk muscle endurance, and lumbopelvic movement control were collected at baseline. Measures of activity, disability, and pain intensity were collected at baseline and at follow-up. Linear regression analyses were used to create models to predict activity, disability, and pain intensity at follow-up. Results showed that participants with less disability, less pain intensity, and higher performance on the Biering-Sørensen test, which tests the endurance of hip and back extensor muscles, at baseline benefit from deadlift training. The Biering-Sørensen test was the most robust predictor because it was included in all predictive models. Pain intensity was the next best predictor as it was included in 2 predictive models. Thus, for strength and conditioning professionals who use the deadlift as a rehabilitative exercise for individuals with mechanical low back pain, it is important to ensure that clients have sufficient back extensor strength and endurance and a sufficiently low pain intensity level to benefit from training involving the deadlift exercise.

  5. Physical characteristics of the back are not predictive of low back pain in healthy workers: A prospective study

    NARCIS (Netherlands)

    A. van Nieuwenhuyse (An); G. Crombez (Geert); A. Burdorf (Alex); G. Verbeke (Geert); R. Masschelein (Raphael); G. Moens (Guido); P. Mairiaux (Philippe)

    2009-01-01

    textabstractBackground. In the working population, back disorders are an important reason for sick leave and permanent work inability. In the context of fitting the job to the worker, one of the primary tasks of the occupational health physician is to evaluate the balance between work-related and

  6. Low Back Pain in 17 Countries, a Rasch Analysis of the ICF Core Set for Low Back Pain

    Science.gov (United States)

    Roe, Cecilie; Bautz-Holter, Erik; Cieza, Alarcos

    2013-01-01

    Previous studies indicate that a worldwide measurement tool may be developed based on the International Classification of Functioning Disability and Health (ICF) Core Sets for chronic conditions. The aim of the present study was to explore the possibility of constructing a cross-cultural measurement of functioning for patients with low back pain…

  7. Disability in older adults with acute low back pain: the study Back Complaints in the Elderly - (Brazil).

    Science.gov (United States)

    Aguiar, Alessandra Regina Silva Araujo; Ribeiro-Samora, Giane Amorim; Pereira, Leani Souza Maximo; Godinho, Larissa Birro; Assis, Marcella Guimarães

    The increase in the older adult and oldest old population in Brazil is growing. This phenomenon may be accompanied by an increase in musculoskeletal symptoms such as low back pain. This condition is usually associated with disability. To verify the association between pain intensity and disability in older adults with acute low back pain and assess whether these variables differ depending on the age group and marital status. This is a cross-sectional study conducted with 532 older adults with acute low back pain episodes. Pain intensity was assessed through the Numeric Pain Scale and disability through the Late Life Function and Disability Instrument, which shows two dimensions: "frequency" and "limitation" in performing activities. The association between pain and disability was analyzed. For the interaction effect between age groups and marital status, we found that the oldest old living with a partner performed activities of the personal domain less often compared to the oldest old living alone. The oldest old group living with a partner had a lower frequency of performing activities, but did not report feeling limited. The association of pain with disability was minimal (rholow back pain was influenced by the interaction between age groups and marital status and is not associated with pain intensity. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

  8. Experimental low back pain decreased trunk muscle activity in currently asymptomatic recurrent low back pain patients during step tasks

    DEFF Research Database (Denmark)

    Larsen, Lars Henrik; Hirata, Rogerio Pessoto; Graven-Nielsen, Thomas

    2018-01-01

    Low back pain (LBP) patients demonstrate reorganized trunk muscle activity but if similar changes are manifest in recurrent LBP patients (R-LBP) during asymptomatic periods remains unknown. In 26 healthy and 27 currently asymptomatic R-LBP participants electromyographic activity (EMG) was recorde...

  9. Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A study protocol of a randomized controlled trial.

    Science.gov (United States)

    Miranda, Iã Ferreira; Souza, Catiane; Schneider, Alexandre Tavares; Chagas, Leandro Campos; Loss, Jefferson Fagundes

    2018-05-01

    There is some evidence in the literature about the effectiveness of the Pilates methods in the low back pain. Moreover, Pilates focus on exercises that empathizes the stability and/or mobility of the spine. Therefore, it is discussed in the literature whether higher levels of stability or mobility of the lumbar spine generates better results, both in performance and rehabilitation for low back pain. Compare the effects of the low back mobility and stability exercises from Pilates Method on low back pain, disability and movement functionality in individuals with non-specific chronic low back pain. 28 participants will be randomized into two exercise protocol from Pilates methods, one focusing on low back stability and other on low back mobility. Low back pain (visual analogic scale), low back disability (Oswestry) and movement functionality (7 functional movement tasks) will be evaluated before and after 10 sessions of Pilates exercise by the same trained assessor. A mixed designed ANOVA with two factors will be used. This study is the first to compare these outcomes for chronic low back pain participants with two exercises protocol focusing on low back mobility and stability and the results will evaluate what to prioritize with Pilates exercises to give better results for that population. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Complementary and alternative therapies for back pain II.

    Science.gov (United States)

    Furlan, Andrea D; Yazdi, Fatemeh; Tsertsvadze, Alexander; Gross, Anita; Van Tulder, Maurits; Santaguida, Lina; Cherkin, Dan; Gagnier, Joel; Ammendolia, Carlo; Ansari, Mohammed T; Ostermann, Thomas; Dryden, Trish; Doucette, Steve; Skidmore, Becky; Daniel, Raymond; Tsouros, Sophia; Weeks, Laura; Galipeau, James

    2010-10-01

    Back and neck pain are important health problems with serious societal and economic implications. Conventional treatments have been shown to have limited benefit in improving patient outcomes. Complementary and Alternative Medicine (CAM) therapies offer additional options in the management of low back and neck pain. Many trials evaluating CAM therapies have poor quality and inconsistent results. To systematically review the efficacy, effectiveness, cost-effectiveness, and harms of acupuncture, spinal manipulation, mobilization, and massage techniques in management of back, neck, and/or thoracic pain. MEDLINE, Cochrane Central, Cochrane Database of Systematic Reviews, CINAHL, and EMBASE were searched up to 2010; unpublished literature and reference lists of relevant articles were also searched. study selection: All records were screened by two independent reviewers. Primary reports of comparative efficacy, effectiveness, harms, and/or economic evaluations from randomized controlled trials (RCTs) of the CAM therapies in adults (age ≥ 18 years) with back, neck, or thoracic pain were eligible. Non-randomized controlled trials and observational studies (case-control, cohort, cross-sectional) comparing harms were also included. Reviews, case reports, editorials, commentaries or letters were excluded. Two independent reviewers using a predefined form extracted data on study, participants, treatments, and outcome characteristics. 265 RCTs and 5 non-RCTs were included. Acupuncture for chronic nonspecific low back pain was associated with significantly lower pain intensity than placebo but only immediately post-treatment (VAS: -0.59, 95 percent CI: -0.93, -0.25). However, acupuncture was not different from placebo in post-treatment disability, pain medication intake, or global improvement in chronic nonspecific low back pain. Acupuncture did not differ from sham-acupuncture in reducing chronic non-specific neck pain immediately after treatment (VAS: 0.24, 95 percent CI: -1

  11. A COMPARITIVE STUDY TO KNOW THE EFFECTIVENESS OF PRONE BACK EXTENSION EXRECISES AND SWISS BALL EXERCISES ON BACK EXTENSOR MUSCLES PERFORMANCE

    Directory of Open Access Journals (Sweden)

    Subhanjan Das

    2016-08-01

    Full Text Available Background: Endurance of the back muscles is important for stability of the trunk and therefore essential for normal functioning of an individual. Prone back extension exercises are traditional measures to improve back endurance. More recently Swiss ball exercises have become popular as a means to improve back endurance. Purpose of this study is to compare Prone back extension exercises with back extension exercise on Swiss ball on the improvement of the back extensor muscles performance, and thereby to find out which one is more appropriate for the prevention of back pain resulting from low extensor endurance. Back endurance can be measured by Bierring Sorensen endurance test. A low Sorensen score indicates low back endurance, which is associated with incidence of back pain. Methods: This study included 60 undergraduate students aged 18 to 23 years. The subjects were randomly divided into 2 equal groups. Pretest assessment was done by measurement of endurance of back extensors using Sorensen test. One group was given a series of prone back extension exercises on floor consisting of 5 levels. The second group was given a series of 5 exercises on Swiss ball. Each subject was assessed at the end of six weeks of intervention and after two weeks of finishing the regime (follow up to compare the effectiveness of Prone back extension exercises with Swiss ball exercises. Results: The results indicated that both the groups showed improvement in Sorensen score after 6 weeks of exercise. The average improvements of Prone back extension exercises and Swiss ball groups were 60.83 seconds and 66 seconds respectively. At two weeks follow up there is a slight change in the Sorensen score, with an average reduction of 1.34% and 0.95% for Prone back extension exercises and Swiss ball group respectively. However comparison of improvements in Sorensen score of Prone back extension exercises with Swiss ball exercises showed there is no significant difference

  12. Cross-sectional survey of attitudes and beliefs about back pain in New Zealand

    Science.gov (United States)

    Darlow, Ben; Perry, Meredith; Stanley, James; Mathieson, Fiona; Melloh, Markus; Baxter, G David; Dowell, Anthony

    2014-01-01

    Objectives To explore the prevalence of attitudes and beliefs about back pain in New Zealand and compare certain beliefs based on back pain history or health professional exposure. Design Population-based cross-sectional survey. Setting Postal survey. Participants New Zealand residents and citizens aged 18 years and above. 1000 participants were randomly selected from the New Zealand Electoral Roll. Participants listed on the Electoral Roll with an overseas postal address were excluded. 602 valid responses were received. Measures Attitudes and beliefs about back pain were measured with the Back Pain Attitudes Questionnaire (Back-PAQ). The interaction between attitudes and beliefs and (1) back pain experience and (2) health professional exposure was investigated. Results The lifetime prevalence of back pain was reported as 87% (95% CI 84% to 90%), and the point prevalence as 27% (95% CI 24% to 31%). Negative views about the back and back pain were prevalent, in particular the need to protect the back to prevent injury. People with current back pain had more negative overall scores, particularly related to back pain prognosis. There was uncertainty about links between pain and injury and appropriate physical activity levels during an episode of back pain. Respondents had more positive views about activity if they had consulted a health professional about back pain. The beliefs of New Zealanders appeared to be broadly similar to those of other Western populations. Conclusions A large proportion of respondents believed that they needed to protect their back to prevent injury; we theorise that this belief may result in reduced confidence to use the back and contribute to fear avoidance. Uncertainty regarding what is a safe level of activity during an episode of back pain may limit participation. People experiencing back pain may benefit from more targeted information about the positive prognosis. The provision of clear guidance about levels of activity may enable

  13. Demystifying back scatter interferometry: a sensitive refractive index detector

    DEFF Research Database (Denmark)

    Jepsen, Søren Terpager; Jørgensen, Thomas Martini; Trydal, Torleif

    2014-01-01

    acting like a common-path interferometer. METHODS: A HeNe laser is directed at a glass capillary with inner diameter of 1.4 mm and reflected light from air/glass and liquid/glass interfaces interfere to form an RI dependent intensity fringe pattern at a CCD detector. The fringe shift relative......BACKGROUND: Back Scatter Interferometry (BSI) is a sensitive method for detecting changes of the refractive index (RI) in small capillaries. The method was originally developed as an off-axial column detector for use in Liquid Chromatography or Capillary Electrophoresis systems, but it has been...... a set of NaCl standard solutions. RESULTS: Ray-tracing show that the basic interference pattern recorded with BSI can be fully described by two beams, one reflected from the surface of the capillary and a beam reflected from the back of the capillary wall. In accordance we find that the interferometric...

  14. Diffuse Pigmentation of Back and Arms: Macular Amyloidosis or Other?

    Directory of Open Access Journals (Sweden)

    Masood Asgrai

    2013-05-01

    Full Text Available The study was undertaken to answer the question that how many patients with pigmentation of back and arms actually have amyloid deposits in pathology. 44 patients presenting with diffuse pigmentation of back and arms (DPOBA were selected. Skin biopsies were performed in all cases from the affected sites. On all formalin fixed and paraffin embedded specimens, the following histochemical stains were performed: Haematoxylin and eosin (H&E, Congo red and immunohistochemical staining using anti-cytokeratin monoclonal antibody. In 9 of 44 cases (20%, amyloid deposits were found. In the remaining 35 cases (80%, H&E, Congo red and immunohistochemical staining failed to show any amyloid deposition. We were unable to find amyloid deposition in most of the patients presented with DPOBA. It seems that the signs may be attributable other disorders with similar clinical but different pathophysiologic aspects

  15. Linguistic phylogenies support back-migration from Beringia to Asia.

    Science.gov (United States)

    Sicoli, Mark A; Holton, Gary

    2014-01-01

    Recent arguments connecting Na-Dene languages of North America with Yeniseian languages of Siberia have been used to assert proof for the origin of Native Americans in central or western Asia. We apply phylogenetic methods to test support for this hypothesis against an alternative hypothesis that Yeniseian represents a back-migration to Asia from a Beringian ancestral population. We coded a linguistic dataset of typological features and used neighbor-joining network algorithms and Bayesian model comparison based on Bayes factors to test the fit between the data and the linguistic phylogenies modeling two dispersal hypotheses. Our results support that a Dene-Yeniseian connection more likely represents radiation out of Beringia with back-migration into central Asia than a migration from central or western Asia to North America.

  16. Prediction of low back pain with two expert systems.

    Science.gov (United States)

    Sari, Murat; Gulbandilar, Eyyup; Cimbiz, Ali

    2012-06-01

    Low back pain (LBP) is one of the common problems encountered in medical applications. This paper proposes two expert systems (artificial neural network and adaptive neuro-fuzzy inference system) for the assessment of the LBP level objectively. The skin resistance and visual analog scale (VAS) values have been accepted as the input variables for the developed systems. The results showed that the expert systems behave very similar to real data and that use of the expert systems can be used to successfully diagnose the back pain intensity. The suggested systems were found to be advantageous approaches in addition to existing unbiased approaches. So far as the authors are aware, this is the first attempt of using the two expert systems achieving very good performance in a real application. In light of some of the limitations of this study, we also identify and discuss several areas that need continued investigation.

  17. Imaging-guided hyperstimulation analgesia in low back pain

    Directory of Open Access Journals (Sweden)

    Gorenberg M

    2013-06-01

    Full Text Available Miguel Gorenberg,1,2 Kobi Schwartz31Department of Nuclear Medicine, B'nai Zion Medical Center, Haifa, Israel; 2The Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; 3Department of Physical Therapy, B'nai Zion Medical Center, Haifa, IsraelAbstract: Low back pain in patients with myofascial pain syndrome is characterized by painful active myofascial trigger points (ATPs in muscles. This article reviews a novel, noninvasive modality that combines simultaneous imaging and treatment, thus taking advantage of the electrodermal information available from imaged ATPs to deliver localized neurostimulation, to stimulate peripheral nerve endings (Aδ fibers and in turn, to release endogenous endorphins. "Hyperstimulation analgesia" with localized, intense, low-rate electrical pulses applied to painful ATPs was found to be effective in 95% patients with chronic nonspecific low back pain, in a clinical validation study.Keywords: myofascial, noninvasive, electrical, impedance

  18. Biophysical approach to low back pain: a pilot report.

    Science.gov (United States)

    Foletti, Alberto; Pokorný, Jiry

    2015-01-01

    Since biophysical treatment has been reported to be effective in the general management of pain, we decided to assess the specific effect and treatment duration of this therapeutic strategy in low back pain. We were interested in verifying the possibility that a single clinical procedure could reduce pain and improve patients' quality of life within a period of three months. An Electromagnetic Information Transfer Through Aqueous System was employed to record endogenous therapeutic signals from each individual using an electromagnetic recording device (Med Select 729). A highly significant reduction in the Roland Morris low back pain and disability questionnaire score was observed after 3 months following a single biophysical intervention (11.83 ± 6 at baseline versus 2.3 ± 3.25 at 3 months, p < 0.0001). This preliminary report provides further evidence of the theoretical implications and clinical applications of Quantum Electro Dynamic concepts in biology and medicine.

  19. Geometric control theory for quantum back-action evasion

    International Nuclear Information System (INIS)

    Yokotera, Yu; Yamamoto, Naoki

    2016-01-01

    Engineering a sensor system for detecting an extremely tiny signal such as the gravitational-wave force is a very important subject in quantum physics. A major obstacle to this goal is that, in a simple detection setup, the measurement noise is lower bounded by the so-called standard quantum limit (SQL), which is originated from the intrinsic mechanical back-action noise. Hence, the sensor system has to be carefully engineered so that it evades the back-action noise and eventually beats the SQL. In this paper, based on the well-developed geometric control theory for classical disturbance decoupling problem, we provide a general method for designing an auxiliary (coherent feedback or direct interaction) controller for the sensor system to achieve the above-mentioned goal. This general theory is applied to a typical opto-mechanical sensor system. Also, we demonstrate a controller design for a practical situation where several experimental imperfections are present. (orig.)

  20. Geometric control theory for quantum back-action evasion

    Energy Technology Data Exchange (ETDEWEB)

    Yokotera, Yu; Yamamoto, Naoki [Keio University, Department of Applied Physics and Physico-Informatics, Yokohama (Japan)

    2016-12-15

    Engineering a sensor system for detecting an extremely tiny signal such as the gravitational-wave force is a very important subject in quantum physics. A major obstacle to this goal is that, in a simple detection setup, the measurement noise is lower bounded by the so-called standard quantum limit (SQL), which is originated from the intrinsic mechanical back-action noise. Hence, the sensor system has to be carefully engineered so that it evades the back-action noise and eventually beats the SQL. In this paper, based on the well-developed geometric control theory for classical disturbance decoupling problem, we provide a general method for designing an auxiliary (coherent feedback or direct interaction) controller for the sensor system to achieve the above-mentioned goal. This general theory is applied to a typical opto-mechanical sensor system. Also, we demonstrate a controller design for a practical situation where several experimental imperfections are present. (orig.)

  1. Linguistic Phylogenies Support Back-Migration from Beringia to Asia

    Science.gov (United States)

    Sicoli, Mark A.; Holton, Gary

    2014-01-01

    Recent arguments connecting Na-Dene languages of North America with Yeniseian languages of Siberia have been used to assert proof for the origin of Native Americans in central or western Asia. We apply phylogenetic methods to test support for this hypothesis against an alternative hypothesis that Yeniseian represents a back-migration to Asia from a Beringian ancestral population. We coded a linguistic dataset of typological features and used neighbor-joining network algorithms and Bayesian model comparison based on Bayes factors to test the fit between the data and the linguistic phylogenies modeling two dispersal hypotheses. Our results support that a Dene-Yeniseian connection more likely represents radiation out of Beringia with back-migration into central Asia than a migration from central or western Asia to North America. PMID:24621925

  2. Interventional radiological therapy of benign low back pain syndromes

    International Nuclear Information System (INIS)

    Huegli, R.W.; Jacob, A.L.; Steinbrich, W.

    2007-01-01

    Spinal affections belong to the most widespread sources of back pain. Beside medical history and clinical examination, the radiological investigation plays an important rote in the clinical workup especially with the modern Cross sectional imaging methods such as computed and magnetic resonance tomography. After exclusion of a malignant disease usually a conservative therapeutic approach is the first line treatment option. If the conservative treatment approach falls a minimalinvasive image guided diagnostic or therapeutic infiltration may be considered. Thereby the interventional radiologist should be a member of the team which decides the clinical strategy. This article describes epidemiology and pathophysiology, common pre-interventional diagnostic strategies, drugs, indications, possible complications and the impact of diagnostic and therapeutic minimally invasive image guided techniques in low back pain. In this context facet joint blockade, periradicular and peridural therapy as well as sacroiliac joint blockades are discussed

  3. Inflammatory spine disease as a cause of back pain

    International Nuclear Information System (INIS)

    Schlossbauer, T.; Panteleon, A.; Becker-Gaab, C.

    2006-01-01

    The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-α antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-α antagonists is based on clinical and laboratory criteria, and signs of inflammation in MRI. MRI is useful for assessment of the effectiveness of anti-inflammatory therapy. (orig.) [de

  4. Elodontoma in captive southern red-backed voles (Myodes gapperi)

    Science.gov (United States)

    Rodriguez-Ramos Fernandez, Julia; Pinkerton, Marie E.; Heisey, Dennis M.; Drees, Randi; Schneider, Jay; Stickney, Lacey; Hofmeister, Erik K.; Sanchez-Migallon Guzman, David

    2010-01-01

    Five southern red-backed voles (Myodes gapperi) of the first generation of a wild-caught breeding colony were presented with lesions at the maxillary incisors consistent with elodontoma. The affected animals had a history of chronic weight loss, were >16 months of age, and were siblings. Radiographs of the head showed multiglobular to irregularly outlined mineral opacity masses at the apices of the maxillary incisors. On necropsy, maxillary incisor teeth were not grossly visible, and a gingival ulceration was observed at the expected site of eruption. Microscopically, the apical region of the maxillary incisors was thickened or replaced by irregular dental tissue masses consistent with elodontoma. This is the first report to describe elodontoma in red-backed voles.

  5. N-Back auditory test performance in normal individuals

    Directory of Open Access Journals (Sweden)

    Vanessa Tomé Gonçalves

    Full Text Available Abstract The working memory construct refers to the capacity to maintain information for a limited time. Objectives: To devise stimuli and adapt the 5-back test and to verify the effect of age in normal Brazilian individuals. Methods: 31 healthy adults (15 young adults and 16 older adults were evaluated by batteries of auditory stimuli to verify the inter-group differences (age effect in working memory span, total correct answers and intrusions, and the intra-group effect of type of stimulus. Results: There was no intra-group stimulus effect. Individuals from both groups processed di and tri-syllables similarly. No difference between groups (no age effect was observed for any N-Back parameters: total score, span, number of intrusions, in either di or tri-syllable presentation. Conclusion: the processing capacity of 5 elements in phonological working memory was not affected by age.

  6. Deployment-related risk factors of low back pain

    DEFF Research Database (Denmark)

    Nissen, Lars Ravnborg; Marott, Jacob Louis; Gyntelberg, Finn

    2014-01-01

    Where much is known about the consequences of spinal and low back pain (LBP) during military deployments, there is lesser knowledge of risk factors for LBP among the deployed forces. The objective of this study was to identify deployment-related exposures associated with LBP. The study was a ques......Where much is known about the consequences of spinal and low back pain (LBP) during military deployments, there is lesser knowledge of risk factors for LBP among the deployed forces. The objective of this study was to identify deployment-related exposures associated with LBP. The study...... was a questionnaire-based cohort study among 1,931 Danish soldiers deployed to Iraq. Of the 680 respondents, 175 (26%) reported LBP. The population of respondents was adjusted for potential nonresponse bias. The associations between LBP and explanatory variables were analyzed using ordinal logistic regression models...

  7. Diagnosis and management of low back pain and sciatica.

    Science.gov (United States)

    Wheeler, A H

    1995-10-01

    Acute low back pain with associated sciatica is usually a benign, self-limited disorder. Appropriate medical treatment may include passive forms of physical therapy, including McKenzie exercises, manipulation, medication and therapeutic injections. After pain is controlled, the patient should be taught self-management techniques, including exercises and ergonomic protection of the spine. Evidence is increasing that exercise programs are effective, although the optimal regimen has yet to be defined and may vary from patient to patient. Chronic low back pain is a complex disorder that must be managed aggressively with a multidisciplinary approach that addresses physical, psychologic and socioeconomic aspects of the illness. Self-administered traction, corsets, medications and other treatment methods may prove to be useful adjuncts to an active program of exercise and education that promotes functional restoration.

  8. Back-dropout Transfer Learning for Action Recognition

    DEFF Research Database (Denmark)

    Ren, Huamin; Kanhabua, Nattiya; Møgelmose, Andreas

    2018-01-01

    , but from different datasets, are not classified as the same. To address this problem, we propose a transfer learning algorithm which takes advantage of misclassified images and applies back-dropout strategy to punish errors. We call this Negative Back-dropout Transfer Learning (NB-TL). Experimental results......Transfer learning aims at adapting a model learned from source dataset to target dataset. It is a beneficial approach especially when annotating on the target dataset is expensive or infeasible. Transfer learning has demonstrated its powerful learning capabilities in various vision tasks. Despite...... transfer learning being a promising approach, it is still an open question how to adapt the model learned from the source dataset to the target dataset. One big challenge is to prevent the impact of category bias on classification performance. Dataset bias exists when two images from the same category...

  9. Pengenalan Wajah dengan Jaringan Saraf Tiruan Back Propogation

    OpenAIRE

    Nugroho, Fx. Henry

    2009-01-01

    In this paper we describe face pattern recognition with neural network. Neural network is one ofprincipal brand intellegence method of its job look like with the human being brain. Neural network also can becoupled with another science discipline to solve assorted of problem, one of them is with the image processing.Application designed with the artificial neural network back propogation and to get the its face pattern isused a Prewitt operator method.Keywords: Neural Network, backpropagation...

  10. Pengenalan Wajah Dengan Jaringan Saraf Tiruan Back Propogation

    OpenAIRE

    Nugroho, Fx. Henry

    2005-01-01

    In this paper we describe face pattern recognition with neural network. Neural network is one ofprincipal brand intellegence method of its job look like with the human being brain. Neural network also can becoupled with another science discipline to solve assorted of problem, one of them is with the image processing.Application designed with the artificial neural network back propogation and to get the its face pattern isused a Prewitt operator method.

  11. Oomycete Communities Associated with Reed Die-Back Syndrome

    Directory of Open Access Journals (Sweden)

    Martina Cerri

    2017-09-01

    Full Text Available Phragmites australis (Cav. Trin. ex Steud. die-back is a widely-studied phenomenon that was first discovered in northern Europe and that, until recently, was almost unknown in the Mediterranean basin. It has been described as a complex syndrome affecting reed populations leading to their retreat and decline, with significant impacts on valuable ecosystem services. Among the factors that cause the decline, soil-living microorganisms can be crucial. The aims of this study were to analyze the diversity of oomycetes communities associated with reed stands, and to understand whether they could play a key role in the decline. Variations in the structure of oomycetes communities were studied by metabarcoding of the internal transcribed spacer (ITS 1 region of ribosomal DNA, from the sediments of five Italian freshwater ecosystems. They were chosen to cover a large variability in terms of surface area, water depth, microclimate, and presence of documented reed retreat. From 96 samples collected from reed roots, rhizosphere, and bulk soil, we assembled 207661 ITS1 reads into 523 OTUs. We demonstrated that oomycete communities were structured by several factors, among which the most important was die-back occurrence. Our study also indicates that Pythiogeton spp. could be potentially involved in the development of die-back. The role of heavy metals in the soil was also explored, and cadmium concentration was shown to affect oomycetes distribution. This study represents a significant step forward for the characterization of microbial communities associated with reed die-back syndrome and helps to gain knowledge of the complexity of these important wet ecosystems.

  12. Imaging-guided hyperstimulation analgesia in low back pain

    OpenAIRE

    Gorenberg, Miguel; Schwartz, Kobi

    2013-01-01

    Miguel Gorenberg,1,2 Kobi Schwartz31Department of Nuclear Medicine, B'nai Zion Medical Center, Haifa, Israel; 2The Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; 3Department of Physical Therapy, B'nai Zion Medical Center, Haifa, IsraelAbstract: Low back pain in patients with myofascial pain syndrome is characterized by painful active myofascial trigger points (ATPs) in muscles. This article reviews a novel, noninvasive modality that co...

  13. Back-reaction to dilaton-driven inflation

    International Nuclear Information System (INIS)

    Ghosh, A.; Madden, R.; Veneziano, G.

    2000-01-01

    We compute the leading-order back-reaction to dilaton-driven inflation, due to graviton, dilaton and gauge-boson production. The one-loop effect turns out to be non-vanishing (unlike the case for pure de-Sitter and for power-law inflation), to be of relative order l P 2 H 2 (t), and to have the correct sign for favouring the exit to a FRW phase

  14. Back-Reaction to Dilaton-Driven Inflation

    CERN Document Server

    Ghosh, A; Veneziano, Gabriele

    2000-01-01

    We compute the leading-order back-reaction to dilaton-driven inflation, due to graviton, dilaton and gauge-boson production. The one-loop effect turns out to be non-vanishing (unlike the case for pure de-Sitter and for power-law inflation), to be of relative order $\\ell_P^2H^2(t)$, and to have the correct sign for favouring the exit to a FRW phase.

  15. System influences on work disability due to low back pain

    DEFF Research Database (Denmark)

    Bartys, Serena; Frederiksen, Pernille; Bendix, Tom

    2017-01-01

    and disability benefits), healthcare and family systems (spouse/partner/close others) can act as obstacles to work participation for those with low back pain. Systematic searches of several scientific and grey literature sources were conducted, resulting in 1762 records. Following a systematic exclusion process...... to LBP. These findings reinforce the need for a 'whole-systems' approach, with all key players onside and have implications for the revision of current biopsychosocial-informed policy and practice....

  16. Acupuncture for Low Back Pain: An Overview of Systematic Reviews

    OpenAIRE

    Liu, Lizhou; Skinner, Margot; McDonough, Suzanne; Mabire, Leon; Baxter, George David

    2015-01-01

    Objective. As evidence of the effectiveness of acupuncture for low back pain (LBP) is inconsistent, we aimed to critically appraise the evidence from relevant systematic reviews. Methods. Systematic reviews of randomized controlled trials (RCTs) concerning acupuncture and LBP were searched in seven databases. Internal validity and external validity of systematic reviews were assessed. Systematic reviews were categorized and high quality reviews assigned greater weightings. Conclusions were ge...

  17. Artificial intelligence in the diagnosis of low back pain.

    Science.gov (United States)

    Mann, N H; Brown, M D

    1991-04-01

    Computerized methods are used to recognize the characteristics of patient pain drawings. Artificial neural network (ANN) models are compared with expert predictions and traditional statistical classification methods when placing the pain drawings of low back pain patients into one of five clinically significant categories. A discussion is undertaken outlining the differences in these classifiers and the potential benefits of the ANN model as an artificial intelligence technique.

  18. Fully depleted back-illuminated p-channel CCD development

    Energy Technology Data Exchange (ETDEWEB)

    Bebek, Chris J.; Bercovitz, John H.; Groom, Donald E.; Holland, Stephen E.; Kadel, Richard W.; Karcher, Armin; Kolbe, William F.; Oluseyi, Hakeem M.; Palaio, Nicholas P.; Prasad, Val; Turko, Bojan T.; Wang, Guobin

    2003-07-08

    An overview of CCD development efforts at Lawrence Berkeley National Laboratory is presented. Operation of fully-depleted, back-illuminated CCD's fabricated on high resistivity silicon is described, along with results on the use of such CCD's at ground-based observatories. Radiation damage and point-spread function measurements are described, as well as discussion of CCD fabrication technologies.

  19. Lexan Linear Shaped Charge Holder with Magnets and Backing Plate

    Science.gov (United States)

    Maples, Matthew W.; Dutton, Maureen L.; Hacker, Scott C.; Dean, Richard J.; Kidd, Nicholas; Long, Chris; Hicks, Robert C.

    2013-01-01

    A method was developed for cutting a fabric structural member in an inflatable module, without damaging the internal structure of the module, using linear shaped charge. Lexan and magnets are used in a charge holder to precisely position the linear shaped charge over the desired cut area. Two types of charge holders have been designed, each with its own backing plate. One holder cuts fabric straps in the vertical configuration, and the other charge holder cuts fabric straps in the horizontal configuration.

  20. Token-passing Optimal Reduction with Embedded Read-back

    Directory of Open Access Journals (Sweden)

    Anton Salikhmetov

    2016-09-01

    Full Text Available We introduce a new interaction net implementation of optimal reduction for the pure untyped lambda calculus. Unlike others, our implementation allows to reach normal form regardless of the interaction net reduction strategy using the approach of so-called token-passing nets and a non-deterministic extension for interaction nets. Another new feature is the read-back mechanism implemented without leaving the formalism of interaction nets.

  1. Occupational low back pain among farmers working in eggplant greenhouses

    OpenAIRE

    雄山, 浩一

    1987-01-01

    In order to prevent farmers working in greenhouses from developing occupational low back pain, the relationship between working space and working posture was examined. Out of 61 greenhouses, the working space of 57 greenhouses was measured as a function of the height of the plant stems and the width of the pathways, The author demonstrated that the height of the stem was the best indicator of the working space. The results of a study of the relationship between working space and working postu...

  2. Low Back Pain: Considerations for Rotary-Wing Aircrew (Reprint)

    Science.gov (United States)

    2012-12-01

    Oliveira CG, Nadal J . Back muscle EMG of helicopter pilots in fl ight: effects of fatigue , vibration, and posture . Aviat Space Environ Med...reported pain, suggesting a multifactorial etiology. Muscle fatigue , whether by asymmetric posture or vibration, has been suggested as a causative...lumbar muscle activity has been demonstrated by EMG in fl ight and cockpit mock-ups ( 54,87 ), suggesting the etiologic contribution of posture

  3. Frobenius pull backs of vector bundles in higher dimensions

    Indian Academy of Sciences (India)

    In case E is not semistable, then one has the notion of Harder–Narasimhan filtration of E. In this paper, we discuss the behaviour of Harder–Narasimhan filtrations of torsion free sheaves on X, under Frobenius pull-backs. We recall a well-known result (Corollary 2p in [7]) of Shepherd–Barron and Sun. (Theorem 3.1 in [8]):.

  4. Thin, Conductive, Pyrrolyc film production for radioactive sources backings

    International Nuclear Information System (INIS)

    Rodriguez, L.; Arcos, J.M. los

    1993-01-01

    A procedure for electro polymerization of pyrrole has been set up in order to produce thin, (> 15 μg/cm2) homogeneous (thickness variation < 2%) films, with no need for additional metallization to be used as backings of radioactive sources, having 10-0,4 Kfl/sample, for 35-70 μg/cm . The experimental equipment, reagent and procedure utilized is described as well as the characterization of Pyrrolyc films produced. (Author) 28 refs

  5. Back up healthcare marketing with infection-control basics.

    Science.gov (United States)

    Tison-Rossman, J

    1993-02-01

    In the wake of OSHA's bloodborne pathogens regulation requiring employer-provided apparel for healthcare employees, numerous companies are rushing to capture the market, while others are stepping back for fear that the market is too difficult to serve. Both groups need to reassess their positions. These guidelines adapted from TRSA publications should help get you and your employees up to speed on what it takes to serve the healthcare market.

  6. Is a history of work-related low back injury associated with prevalent low back pain and depression in the general population?

    Directory of Open Access Journals (Sweden)

    Cassidy J David

    2008-02-01

    Full Text Available Abstract Background Little is known about the role of prior occupational low back injury in future episodes of low back pain and disability in the general population. We conducted a study to determine if a lifetime history of work-related low back injury is associated with prevalent severity-graded low back pain, depressive symptoms, or both, in the general population. Methods We used data from the Saskatchewan Health and Back Pain Survey – a population-based cross-sectional survey mailed to a random, stratified sample of 2,184 Saskatchewan adults 20 to 69 years of age in 1995. Information on the main independent variable was gathered by asking respondents whether they had ever injured their low back at work. Our outcomes, the 6-month period prevalence of severity-graded low back pain and depressive symptoms during the past week, were measured with valid and reliable questionnaires. The associations between prior work-related low back injury and our outcomes were estimated through multinomial and binary multivariable logistic regression with adjustment for age, gender, and other important covariates. Results Fifty-five percent of the eligible population participated. Of the 1,086 participants who responded to the question about the main independent variable, 38.0% reported a history of work-related low back injury. A history of work-related low back injury was positively associated with low intensity/low disability low back pain (OR, 3.66; 95%CI, 2.48–5.42, with high intensity/low disability low back pain (OR, 4.03; 95%CI, 2.41–6.76, and with high disability low back pain (OR, 6.76; 95%CI, 3.80–12.01. No association was found between a history of work-related low back injury and depression (OR, 0.85; 95%CI, 0.55–1.30. Conclusion Our analysis shows an association between past occupational low back injury and increasing severity of prevalent low back pain, but not depression. These results suggest that past work-related low back injury

  7. Extended Flip-back Schemes for Sensitivity Enhancement in Multidimensional HSQC-type Out-and-back Experiments

    International Nuclear Information System (INIS)

    Diercks, Tammo; Daniels, Mark; Kaptein, Robert

    2005-01-01

    In many NMR experiments, only polarisation of a limited sub-set of all protons is converted into observable coherence. As recently shown by the 'longitudinal' TROSY implementation (Pervushin et al. (2002) J. Am. Chem. Soc., 124, 12898-12902) and SOFAST-HMQC (Schanda and Brutscher (2005) J. Am. Chem. Soc., 127, 8014-8015), recovery of unused polarisation can be used indirectly and unspecifically to cool the proton lattice and, thus, accelerate re-equilibration for the selected proton subset. Here we illustrate transfer of this principle to HSQC-based multi-dimensional out-and-back experiments that exploit only polarisation of 15 N-bound protons. The presented modifications to the pulse sequences can be implemented broadly and easily, extending standard flip-back of water polarisation to a much larger pool of protons that may comprise all non- 15 N-bound protons. The underlying orthogonal separation of H N polarisation (selected by the main transfer path) from unused H u polarisation (flipped-back on the recovery path) is thereby achieved through positive or negative selection by J-coupling, or using band-selective pulses. In practice, H u polarisation recovery degrades mostly through cumulative pulse imperfections and transverse relaxation; we present, however, strategies to substantially minimise such losses particularly during interim proton decoupling. Depending on the protein's relaxation properties and the extended flip-back scheme employed, we recovered up to 60% H u equilibrium polarisation. The concomitant cooling of the proton lattice afforded substantial gains of more than 40%, relative to the water-only flip-back version, in the fast pulsing regime with re-equilibration delays τ much shorter than optimal (τ opt = 1.25 . T 1 (H N )). These would be typically employed if resolution requirements dominate the total measurement time. Contrarily, if sensitivity is limiting and optimal interscan delays τ opt can be set (optimal pulsing regime), the best of

  8. Abdominal and lower back pain in pediatric idiopathic stabbing headache.

    Science.gov (United States)

    Kakisaka, Yosuke; Ohara, Tomoichiro; Hino-Fukuyo, Naomi; Uematsu, Mitsugu; Kure, Shigeo

    2014-01-01

    Idiopathic stabbing headache (ISH) is a primary headache syndrome characterized by transient, sharp, stabbing pains located in the first division of the trigeminal nerve. Reports of pediatric ISH are rare, and extracephalic pain in pediatric ISH is extremely rare. Here we report the case of a 7-year-old male patient suffering from frequent, short, stabbing headache, which was occasionally associated with abdominal and lower back pain. Various investigations were normal. He was diagnosed with ISH, and valproic acid was administered to relieve his headache and accompanying symptoms. Our case demonstrates that abdominal and lower back pain may occur in pediatric ISH. This case may provide new evidence linking ISH and migraine by showing that extracephalic symptoms accompanying ISH are similar to those of migraine. We hypothesize that the mechanism underlying the headache and abdominal and lower back pain associated with ISH may be similar to that of a migraine headache. Accumulating additional cases by asking specific questions regarding the presence of the unusual symptoms presented in our case may help to establish a detailed clinical profile of these unfamiliar and peculiar symptoms in the pediatric ISH population.

  9. Postural hygiene program to prevent low back pain.

    Science.gov (United States)

    Méndez, F J; Gómez-Conesa, A

    2001-06-01

    A quasi-experimental study with 3 x 4 design was performed. To improve the level of knowledge and motor skills and thereby avert the development of painful symptoms. Despite the fact that low back pain affects a high percentage of the population, little research has been carried out to prevent low back pain through health education. The participants in this study were 106 third-grade (9-year-old) students. The program included 11 sessions. The teacher attended the placebo group sessions. No intervention was used with the control group. The level of knowledge and motor skills in the experimental group showed a significant increase immediately after the intervention finished, and at 6- and 12-month intervals after completion of the postural hygiene program (P = 0.00). Some positive changes were generalized to natural situations (P = 0.00). In an independent health check carried out by the local school health services 4 years after application of the postural hygiene program, the results tended slightly to favor the experimental condition over the control conditions (placebo + no intervention). A greater number of the control subjects required medical treatment for low back pain, although this difference was only marginally significant (P = 0.07). The findings from this study support the hypothesis that programs involving practice and motivating strategies impart health knowledge and habits more efficiently than those restricted to the mere transmission of information.

  10. Gynecological Surgery and Low Back Pain in Older Women

    Science.gov (United States)

    Ericksen, Jeffery; Pidcoe, Peter E.; Ketchum-McKinney, Jessica M.; Burnet, Evie N.; Huang, Emily; Wilson, James C.; Hoogstad, Vincent

    2010-01-01

    Objective: To determine sacroiliac joint compliance characteristics and pelvic floor movements in older women relative to gynecological surgery history and back pain complaints. Design: Single-visit laboratory measurement. Setting: University clinical research center. Participants: Twenty-five women aged 65 years or older. Outcome Measures: Sacroiliac joint compliance measured by Doppler imaging of vibrations and ultrasound measures of pelvic floor motion during the active straight leg raise test. Results: Doppler imaging of vibrations demonstrated test reliability ranging from 0.701 to 0.898 for detecting vibration on the ilium and sacrum sides of the sacroiliac joint. The presence of low-back pain or prior gynecological surgery was not significantly associated with a difference in the compliance or laxity symmetry of the sacroiliac joints. No significant difference in pelvic floor movement was found during the active straight leg raise test between subject groups. All P values were ≥.4159. Conclusions: Prior gynecological surgery and low-back pain were not significantly associated with side-to-side differences in the compliance of the sacroiliac joints or in significant changes in pelvic floor movement during a loading maneuver in a group of older women. PMID:23569659

  11. LFI 30 and 44 GHz receivers Back-End Modules

    International Nuclear Information System (INIS)

    Artal, E; Aja, B; Fuente, M L de la; Pascual, J P; Mediavilla, A; Martinez-Gonzalez, E; Pradell, L; Paco, P de; Bara, M; Blanco, E; GarcIa, E; Davis, R; Kettle, D; Roddis, N; Wilkinson, A; Bersanelli, M; Mennella, A; Tomasi, M; Butler, R C; Cuttaia, F

    2009-01-01

    The 30 and 44 GHz Back End Modules (BEM) for the Planck Low Frequency Instrument are broadband receivers (20% relative bandwidth) working at room temperature. The signals coming from the Front End Module are amplified, band pass filtered and finally converted to DC by a detector diode. Each receiver has two identical branches following the differential scheme of the Planck radiometers. The BEM design is based on MMIC Low Noise Amplifiers using GaAs P-HEMT devices, microstrip filters and Schottky diode detectors. Their manufacturing development has included elegant breadboard prototypes and finally qualification and flight model units. Electrical, mechanical and environmental tests were carried out for the characterization and verification of the manufactured BEMs. A description of the 30 and 44 GHz Back End Modules of Planck-LFI radiometers is given, with details of the tests done to determine their electrical and environmental performances. The electrical performances of the 30 and 44 GHz Back End Modules: frequency response, effective bandwidth, equivalent noise temperature, 1/f noise and linearity are presented.

  12. Additional therapeutic effect of balneotherapy in low back pain.

    Science.gov (United States)

    Dogan, Murat; Sahin, Ozlem; Elden, Hasan; Hayta, Emrullah; Kaptanoglu, Ece

    2011-08-01

    Balneotherapy has been widely used for treatment of chronic low back pain recently. However there are only a few clinical controlled trials on balneotherapy. The aim of the present study was to evaluate the effects of balneotherapy in patients with chronic low back pain. Sixty patients with lumbar spondylosis were included in the study. In Group 1, patients received both balneotherapy and physiotherapy and in Group 2, patients received only physiotherapy for three weeks. The intensity of the pain was evaluated by Visual Analog Scale (VAS) and functional disability was scored according to Revised Oswestry Index (ROI). Spinal mobility was assessed by the Schober and lateral flexion tests. Variables were evaluated before and after the three weeks of treatment. The groups were comparable regarding age (P = 0.970) and sex (P = 0.357). There was no statistically significant difference between the two groups for baseline VAS (P = 0.838), Schober test (P = 0.226), and right (P = 0.642) and left (P = 0.674) lateral flexion measurements, and ROI scores (P = 0.798). At the end of the therapy, all clinical parameters significantly improved in patients in both of the groups (P balneotherapy may be effective in the treatment of patients with chronic low back pain.

  13. Questionnaire for low back pain in the garment industry workers.

    Science.gov (United States)

    Bindra, Supreet; Sinha, A G K; Benjamin, A I

    2013-05-01

    Low back pain affects up to 90% of the world's population at some point in their lives. Until date no questionnaire has been designed for back pain in the garment industry workers. Therefore, the objective of this study is to design a questionnaire to determine the prevalence, risk factors, impact, health care service utilization and back pain features in the garment industry workers and gain preliminary experience of its use. The content validity and reliability of the questionnaire was established. Items showing acceptable internal consistency and moderate to high test re-test reliability were retained in the questionnaire. Items showing unacceptable internal consistency, low test re-test reliability or poor differentiation were reworded, redrafted and re-tested on the workers. It took 20 min to complete one interview schedule. Environmental factors such as the absence of the garment industry owner/supervisor or co-workers at the time of the interview and interview during leisure hours need to be standardized. Thus, final questionnaire is ready for use after necessary amendments and will be used on the larger sample size in the main study.

  14. Kinematic changes using weightlifting shoes on barbell back squat.

    Science.gov (United States)

    Sato, Kimitake; Fortenbaugh, Dave; Hydock, David S

    2012-01-01

    The purpose of this study was to validate a higher degree of foot segment angle by wearing the weightlifting (WL) shoes and to determine the kinematic differences between WL shoes and running shoes during the barbell back squat. College-aged individuals volunteered to participate in this study (N = 25). After warm-up, subjects performed 60% of 1RM barbell back squat. Reflective markers were placed on lower extremity joints and end of the bar to create segments to analyze kinematics of the barbell back squat from a 2-dimensional view. Three separate repeated measure analyses of variance were used at p = 0.05. Results showed that there was a difference between the footwear conditions; foot segment angle of 3.5° (p Weightlifting shoes did not help reach thigh segment closer to horizontal as compared with the running shoe condition. It is recommended that WL shoes be used by those who are prone to displaying a forward trunk lean and who aim to increase knee extensor activation.

  15. Clinical Practice Guideline: Chiropractic Care for Low Back Pain.

    Science.gov (United States)

    Globe, Gary; Farabaugh, Ronald J; Hawk, Cheryl; Morris, Craig E; Baker, Greg; Whalen, Wayne M; Walters, Sheryl; Kaeser, Martha; Dehen, Mark; Augat, Thomas

    2016-01-01

    The purpose of this article is to provide an update of a previously published evidence-based practice guideline on chiropractic management of low back pain. This project updated and combined 3 previous guidelines. A systematic review of articles published between October 2009 through February 2014 was conducted to update the literature published since the previous Council on Chiropractic Guidelines and Practice Parameters (CCGPP) guideline was developed. Articles with new relevant information were summarized and provided to the Delphi panel as background information along with the previous CCGPP guidelines. Delphi panelists who served on previous consensus projects and represented a broad sampling of jurisdictions and practice experience related to low back pain management were invited to participate. Thirty-seven panelists participated; 33 were doctors of chiropractic (DCs). In addition, public comment was sought by posting the consensus statements on the CCGPP Web site. The RAND-UCLA methodology was used to reach formal consensus. Consensus was reached after 1 round of revisions, with an additional round conducted to reach consensus on the changes that resulted from the public comment period. Most recommendations made in the original guidelines were unchanged after going through the consensus process. The evidence supports that doctors of chiropractic are well suited to diagnose, treat, co-manage, and manage the treatment of patients with low back pain disorders. Copyright © 2016 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

  16. Low back trouble among urban bus drivers in Denmark

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Juel, K

    1989-01-01

    The occurrence of low back trouble and possible connection with psychosocial conditions among urban bus drivers were studied using a questionnaire and subsequent registration of hospital discharges. 2,045 (83%) full-time male bus drivers in the three largest cities in Denmark answered a questionn......The occurrence of low back trouble and possible connection with psychosocial conditions among urban bus drivers were studied using a questionnaire and subsequent registration of hospital discharges. 2,045 (83%) full-time male bus drivers in the three largest cities in Denmark answered...... a questionnaire in 1978 regarding psychosocial factors and health. The prevalence of frequent low back pain was 57%. In a control group of 195 motormen the prevalence was 40%. Standardized Morbidity Ratio for bus drivers discharged from hospital during the period 1978-1984 with the diagnosis lumbar disc...... herniation was 137 compared to all Danish men. These differences were statistically significant. Of psychosocial factors only "the feeling of being mentally unbalanced" was found to be statistically significantly related to subsequent hospital discharge with a LBT-diagnosis. Long seniority as bus driver...

  17. Biomechanical, anthropometric, and psychological determinants of barbell back squat strength.

    Science.gov (United States)

    Vigotsky, Andrew D; Bryanton, Megan A; Nuckols, Greg; Beardsley, Chris; Contreras, Bret; Evans, Jessica; Schoenfeld, Brad J

    2018-02-27

    Previous investigations of strength have only focused on biomechanical or psychological determinants, while ignoring the potential interplay and relative contributions of these variables. The purpose of this study was to investigate the relative contributions of biomechanical, anthropometric, and psychological variables to the prediction of maximum parallel barbell back squat strength. Twenty-one college-aged participants (male = 14; female = 7; age = 23 ± 3 years) reported to the laboratory for two visits. The first visit consisted of anthropometric, psychometric, and parallel barbell back squat one-repetition maximum (1RM) testing. On the second visit, participants performed isometric dynamometry testing for the knee, hip, and spinal extensors in a sticking point position-specific manner. Multiple linear regression and correlations were used to investigate the combined and individual relationships between biomechanical, anthropometric, and psychological variables and squat 1RM. Multiple regression revealed only one statistically predictive determinant: fat free mass normalized to height (standardized estimate ± SE = 0.6 ± 0.3; t(16) = 2.28; p = 0.037). Correlation coefficients for individual variables and squat 1RM ranged from r = -0.79-0.83, with biomechanical, anthropometric, experiential, and sex predictors showing the strongest relationships, and psychological variables displaying the weakest relationships. These data suggest that back squat strength in a heterogeneous population is multifactorial and more related to physical rather than psychological variables.

  18. The impact of drywall handling tools on the low back.

    Science.gov (United States)

    Hess, Jennifer A; Kincl, Laurel D; Davis, Kermit

    2010-03-01

    Carpenters and other construction workers who install drywall have high rates of strains and sprains to the low back and shoulder. Drywall is heavy and awkward to handle resulting in increased risk of injury. The purpose of this study was to evaluate several low-cost coupling tools that have the potential to reduce awkward postures in drywall installers. Five coupling tools were evaluated using the Lumbar Motion Monitor that measures trunk kinematics and predicts probability of low back disorder group membership risk (LBD risk). Workers answered surveys about their comfort while using each tool. The results indicate that use of the 2-person manual lift and the J-handle provide the best reduction in awkward postures, motions, low back sagittal moment, and LBD risk. The two-person manual lift appears to be the safest method of lifting and moving drywall, though using the two-person J-handle also significantly reduces injury risk. Given that carpenters are skeptical about using equipment that can get in the way or get lost, a practical recommendation is promotion of two-person manual lifting. For single-person lifts, the Old Man tool is a viable option to decrease risk of MSDs.

  19. Stochastic back analysis of permeability coefficient using generalized Bayesian method

    Directory of Open Access Journals (Sweden)

    Zheng Guilan

    2008-09-01

    Full Text Available Owing to the fact that the conventional deterministic back analysis of the permeability coefficient cannot reflect the uncertainties of parameters, including the hydraulic head at the boundary, the permeability coefficient and measured hydraulic head, a stochastic back analysis taking consideration of uncertainties of parameters was performed using the generalized Bayesian method. Based on the stochastic finite element method (SFEM for a seepage field, the variable metric algorithm and the generalized Bayesian method, formulas for stochastic back analysis of the permeability coefficient were derived. A case study of seepage analysis of a sluice foundation was performed to illustrate the proposed method. The results indicate that, with the generalized Bayesian method that considers the uncertainties of measured hydraulic head, the permeability coefficient and the hydraulic head at the boundary, both the mean and standard deviation of the permeability coefficient can be obtained and the standard deviation is less than that obtained by the conventional Bayesian method. Therefore, the present method is valid and applicable.

  20. Back-diffusion plasma generator for ionosphere study

    Science.gov (United States)

    Fang, H. K.; Oyama, K.-I.; Chen, A. B.

    2017-11-01

    To produce ionospheric plasma environments at ground level is essential to get information not only for the development of CubeSat-class spacecraft but also for the design of ionospheric plasma instruments and to confirm their performance. In this paper, we describe the principle of plasma generation and characteristics of the back-diffusion plasma source, which can produce in-lab plasma similar to the Earth’s ionosphere, E and F regions, conditions of electron and ion temperature and density. The ion and electron energy distributions of the plasma generated by a back-diffusion source are measured by means of a cleaned Langmuir probe and gridded particle energy analyzers. The ion motion in front of the source is investigated by a hard-sphere collision model in SIMION software and the simulation results are comparable with the findings of our experiment. Furthermore, plasma densities and ion temperatures at different positions in front of the source are also demonstrated. The back-diffusion source has been accommodated for ionospheric plasma productions in several Asian institutes. The plasma characteristics of the source shown in this paper will benefit space research groups in the development of space plasma instruments.

  1. Low back pain misdiagnosis or missed diagnosis: Core principles.

    Science.gov (United States)

    Monie, A P; Fazey, P J; Singer, K P

    2016-04-01

    Consensus guidelines for the management of low back pain recommend that the clinician use contemporary best practice for assessment and treatment, consider biopsychosocial factors and, if chronic, use a multimodal and multi-disciplinary approach. Where guidelines are not followed and basic assessment is inadequate the diagnosis may be compromised and the sequelae of errors compounded. Factors such as a lack of knowledge or recognition of the common structure specific pain referral patterns, poor clinical reasoning, inappropriate referral and predilection for popular management approaches also contribute to mis-diagnosis and mis-management. This report describes two cases of chronic low back pain with lengthy histories of multiple failed interventions to highlight the consequences of focussing on a singular approach to the exclusion of evidence based pathways and the resulting risk of a missed diagnosis. The eventual management to mitigate these problems is reported with the aid of low back pain outcome measures, computer-aided combined movement examination, disability and pain questionnaires and health quality of life surveys. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Stress and back pain: we’re all concerned!

    CERN Multimedia

    Anaïs Schaeffer

    2013-01-01

    Yesterday (18 April), CERN celebrated the World Day for Safety and Health at Work. This event was organised by the Safety Unit of the BE Department, the HSE Unit, the Medical Service and the Fire Brigade for the third year running.     The yellow mannequin demonstrates how different positions require different effort to carry the same load: the first by curving the back (which places more strain on the spine), and the other by bending the knees (a good technique to reduce strain). Information stands on the themes of stress and back pain were set up in each of CERN’s three restaurants and attracted more than 260 people, including CERN’s Director-General. Stress self-evaluation, anti-stress techniques, tips for avoiding and managing back pain… all aspects of these everyday afflictions were addressed. The participants, most of whom were directly affected by these problems, had their many questions answered at the stands....

  3. Effects of red-backed salamanders on ecosystem functions.

    Directory of Open Access Journals (Sweden)

    Daniel J Hocking

    Full Text Available Ecosystems provide a vast array of services for human societies, but understanding how various organisms contribute to the functions that maintain these services remains an important ecological challenge. Predators can affect ecosystem functions through a combination of top-down trophic cascades and bottom-up effects on nutrient dynamics. As the most abundant vertebrate predator in many eastern US forests, woodland salamanders (Plethodon spp. likely affect ecosystems functions. We examined the effects of red-backed salamanders (Plethodon cinereus on a variety of forest ecosystem functions using a combined approach of large-scale salamander removals (314-m(2 plots and small-scale enclosures (2 m(2 where we explicitly manipulated salamander density (0, 0.5, 1, 2, 4 m(-2. In these experiments, we measured the rates of litter and wood decomposition, potential nitrogen mineralization and nitrification rates, acorn germination, and foliar insect damage on red oak seedlings. Across both experimental venues, we found no significant effect of red-backed salamanders on any of the ecosystem functions. We also found no effect of salamanders on intraguild predator abundance (carabid beetles, centipedes, spiders. Our study adds to the already conflicting evidence on effects of red-backed salamander and other amphibians on terrestrial ecosystem functions. It appears likely that the impact of terrestrial amphibians on ecosystem functions is context dependent. Future research would benefit from explicitly examining terrestrial amphibian effects on ecosystem functions under a variety of environmental conditions and in different forest types.

  4. Combined effect of back pain and stress on work ability.

    Science.gov (United States)

    Oberlinner, C; Yong, M; Nasterlack, M; Pluto, R-P; Lang, S

    2015-03-01

    Back pain and occupational stress are known risk factors for absenteeism and presenteeism. In addition, the relationship between back pain (BP) and psychosocial stressors has been examined in numerous studies. To examine the prevalence of BP and perceived stress among employees of different occupational status and to investigate their combined impact on work ability. A comprehensive survey combining questionnaire data and medical examination offered in one division of a major chemical company in Germany. Self-rated health and work ability were assessed using the Work Ability Index (WAI). A synergy index was used to assess a potential interaction between both exposures under an additive model. Of 867 voluntary participants, 653 returned complete questionnaires on BP and job stress perception. Although occupational stressors were perceived differently, there was no difference in the prevalence of BP between the occupational groups. Back pain and stress perception are correlated with each other and both are negatively associated with work ability. After adjustment for occupational status, demographic and lifestyle factors, we found a synergy effect of BP and stress perception with a modest to strong impact on declining WAI. Corporate health promotion interventions to reduce the impact of BP and stress perception on work ability should target both physical and psychological dimensions. Such interventions may be initiated in the context of regular (occupational) medical examinations. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. Physiotherapy in early phase of low back pain

    Directory of Open Access Journals (Sweden)

    Markku Paatelma

    2011-03-01

    Full Text Available Markku PaatelmaDepartment of Education, Auron – OMT Center, Helsinki, FinlandAbstract: Low back pain (LBP is a substantial health problem and has subsequently attracted a considerable amount of research both in the early and chronic phases. Chronic, nonspecific LBP indicates limited effectiveness from most commonly applied interventions and approaches, but it seems to be opposite in the early phase. Intervention is more effective than advice on staying active in acute LBP, leading to more rapid improvement in function, mood, quality of life, and general health. We compared physiotherapy (PT that involved 3–7 treatment sessions based on subclassification in early phase LBP (acute and subacute LBP lasting <3 months to one session of PT that advised staying active, in 134 LBP patients. Low back and leg pain, disability, and days of sick-leave were evaluated. After 12 months, all groups had only minimal pain and disability. In the advice-only group, those patients who had radiating pain had less improvement compared with other groups, and increasing days of sick-leave because of LBP after 12 months. Compared with the advice-only group, orthopedic manual therapy and McKenzie methods seemed to be slightly more effective than one session of assessment in pain and disability.Keywords: OMT, advice, low back pain 

  6. TO STUDY THE EFFECT OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION ON BACK MUSCLE STRENGTH, PAIN AND QUALITY OF LIFE IN SUBJECTS WITH CHRONIC LOW BACK PAIN AN EXPERIMENTAL STUDY

    Directory of Open Access Journals (Sweden)

    Trupti Jadeja

    2015-10-01

    Full Text Available Background: Back pain is a prevalent and expensive problem in society. 60-80% of people will suffer at least one episode of low back pain sometime in their lives and 30-40% of these will experience low back pain each year. Therefore the need of the following study is to see the effect of proprioceptive neuromuscular facilitation on back muscle strength, pain and QOL in subjects with Chronic Low Back Pain. Methods: Ethical approval was taken before study. Forty patients with chronic low back pain (28 male, 12 female were included in the study and divided into two groups each containing 20 subjects. All the participants were signed written consent after being informed in detail about the study. Group A has been given the proprioceptive neuromuscular facilitation exercises including Rhythmic Stabilization (RST and Combination of Isotonics (COI and Conventional back exercises. Group B was given conventional back exercises only. Outcome measures were taken at the end of one month i.e. after the treatment protocol. VAS, SF-36Questionnaire and Core stability gradation were taken in both groups. Results: There is significant improvement in VAS score in both groups but Group A was having more significant improvement than Group B. Also there is significant improvement in core stability grading and SF 36 score in Group A. Conclusion: It is concluded that proprioceptive neuromuscular facilitation exercises on back is effective in reducing pain and improving core muscle strength in subjects with Chronic Low Back Pain.

  7. Harmonic models of a back-to-back converter in large offshore wind farms compared with measurement data

    DEFF Research Database (Denmark)

    Kocewiak, Lukasz Hubert; Hjerrild, Jesper; Bak, Claus Leth

    2009-01-01

    The offshore wind farm with installed back-to-back power converter in wind turbines is studied. As an example the Burbo Bank offshore wind farm with Siemens Wind Power wind turbines is taken into consideration. The wind farm is simulated in DIgSILENT Power Factory software in order to determine a...... results are compared with measurement data from the Burbo Bank offshore wind farm. The delimitations of both power converter models with referent to harmonic analysis are shown in this paper....... and assess harmonic emission in the point of common coupling. Different modelling methods of power electronic devices installed in wind turbines are presented. Harmonic load flow analysis and impedance frequency characteristics calculation are conducted to present differences between the models. Simulation...

  8. Differences in pain processing between patients with chronic low back pain, recurrent low back pain and fibromyalgia

    OpenAIRE

    Goubert, Dorien; Danneels, Lieven; Graven-Nielsen, Thomas; Descheemaeker, Filip; Coppieters, Iris; Meeus, Mira

    2017-01-01

    Background: The impairment in musculoskeletal structures in patients with low back pain (LBP) is often disproportionate to their complaint. Therefore, the need arises for exploration of alternative mechanisms contributing to the origin and maintenance of non-specific LBP. The recent focus has been on central nervous system phenomena in LBP and the pathophysiological mechanisms underlying the various symptoms and characteristics of chronic pain. Knowledge concerning changes in pain processing ...

  9. High-temperature stability of molybdenum (Mo) back contacts for CIGS solar cells: a route towards more robust back contacts

    Science.gov (United States)

    Yoon, Ju-Heon; Yoon, Kwan-Hee; Kim, Won Mok; Park, Jong-Keuk; Baik, Young-Joon; Seong, Tae-Yeon; Jeong, Jeung-hyun

    2011-10-01

    The thermal stability of Mo thin films is indispensable to Cu(In,Ga)Se2 (CIGS) solar cells: CIGS films are deposited above 500 °C. The thermal stabilities of Mo thin films with dense to porous Mo microstructures, which are varied by controlling the sputtering pressure, are investigated. Interface failures are found to occur in buckling mode in denser Mo films, whereas cracking arises in less dense films. The failure modes are apparently dependent on the sign of the residual stress: the former is due to compressive stress, whereas the latter is due to tensile stress. Interestingly, the softening of soda-lime glass at high temperatures reconfigures the film stresses to be more compressive after annealing, which in turn triggers buckling even in films that are tensile-stressed in the as-deposited states. We conclude that the appropriate processing conditions for thermally stable back contacts cannot be obtained with the simple single layer approach. On the basis of this relationship between microstructure, residual stress and the failure modes, it is shown that improvements in film adhesion can widen the processing window for the preparation of robust back contacts, i.e. with a conventional bilayer approach and substrate roughening. Since the bilayer approach employed more compliant porous structures in the bottom layer, back contacts that are better suited to higher stress and temperature can be produced. Furthermore, substrate roughening might make the back contact more conductive as well as more stable because adhesion can be enhanced without the use of an electrically resistive buffer layer.

  10. Yoga treatment for chronic non-specific low back pain.

    Science.gov (United States)

    Wieland, L Susan; Skoetz, Nicole; Pilkington, Karen; Vempati, Ramaprabhu; D'Adamo, Christopher R; Berman, Brian M

    2017-01-12

    Non-specific low back pain is a common, potentially disabling condition usually treated with self-care and non-prescription medication. For chronic low back pain, current guidelines state that exercise therapy may be beneficial. Yoga is a mind-body exercise sometimes used for non-specific low back pain. To assess the effects of yoga for treating chronic non-specific low back pain, compared to no specific treatment, a minimal intervention (e.g. education), or another active treatment, with a focus on pain, function, and adverse events. We searched CENTRAL, MEDLINE, Embase, five other databases and four trials registers to 11 March 2016 without restriction of language or publication status. We screened reference lists and contacted experts in the field to identify additional studies. We included randomized controlled trials of yoga treatment in people with chronic non-specific low back pain. We included studies comparing yoga to any other intervention or to no intervention. We also included studies comparing yoga as an adjunct to other therapies, versus those other therapies alone. Two authors independently screened and selected studies, extracted outcome data, and assessed risk of bias. We contacted study authors to obtain missing or unclear information. We evaluated the overall certainty of evidence using the GRADE approach. We included 12 trials (1080 participants) carried out in the USA (seven trials), India (three trials), and the UK (two trials). Studies were unfunded (one trial), funded by a yoga institution (one trial), funded by non-profit or government sources (seven trials), or did not report on funding (three trials). Most trials used Iyengar, Hatha, or Viniyoga forms of yoga. The trials compared yoga to no intervention or a non-exercise intervention such as education (seven trials), an exercise intervention (three trials), or both exercise and non-exercise interventions (two trials). All trials were at high risk of performance and detection bias because

  11. Yoga treatment for chronic non-specific low back pain

    Science.gov (United States)

    Wieland, L. Susan; Skoetz, Nicole; Pilkington, Karen; Vempati, Ramaprabhu; D’Adamo, Christopher R; Berman, Brian M

    2017-01-01

    Background Non-specific low back pain is a common, potentially disabling condition usually treated with self-care and non-prescription medication. For chronic low back pain, current guidelines state that exercise therapy may be beneficial. Yoga is a mind-body exercise sometimes used for non-specific low back pain. Objectives To assess the effects of yoga for treating chronic non-specific low back pain, compared to no specific treatment, a minimal intervention (e.g. education), or another active treatment, with a focus on pain, function, and adverse events. Search methods We searched CENTRAL, MEDLINE, Embase, five other databases and four trials registers to 11 March 2016 without restriction of language or publication status. We screened reference lists and contacted experts in the field to identify additional studies. Selection criteria We included randomized controlled trials of yoga treatment in people with chronic non-specific low back pain. We included studies comparing yoga to any other intervention or to no intervention. We also included studies comparing yoga as an adjunct to other therapies, versus those other therapies alone. Data collection and analysis Two authors independently screened and selected studies, extracted outcome data, and assessed risk of bias. We contacted study authors to obtain missing or unclear information. We evaluated the overall certainty of evidence using the GRADE approach. Main results We included 12 trials (1080 participants) carried out in the USA (seven trials), India (three trials), and the UK (two trials). Studies were unfunded (one trial), funded by a yoga institution (one trial), funded by non-profit or government sources (seven trials), or did not report on funding (three trials). Most trials used Iyengar, Hatha, or Viniyoga forms of yoga. The trials compared yoga to no intervention or a non-exercise intervention such as education (seven trials), an exercise intervention (three trials), or both exercise and non

  12. Kettlebell swing, snatch, and bottoms-up carry: back and hip muscle activation, motion, and low back loads.

    Science.gov (United States)

    McGill, Stuart M; Marshall, Leigh W

    2012-01-01

    The intent of this study was to quantify spine loading during different kettlebell swings and carries. No previously published studies of tissue loads during kettlebell exercises could be found. Given the popularity of kettlebells, this study was designed to provide an insight into the resulting joint loads. Seven male subjects participated in this investigation. In addition, a single case study of the kettlebell swing was performed on an accomplished kettlebell master. Electromyography, ground reaction forces (GRFs), and 3D kinematic data were recorded during exercises using a 16-kg kettlebell. These variables were input into an anatomically detailed biomechanical model that used normalized muscle activation; GRF; and spine, hip, and knee motion to calculate spine compression and shear loads. It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (∼50% of a maximal voluntary contraction [MVC] for the low back extensors and 80% MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3,200 N of low back compression. Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities. Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5, which is opposite in polarity to a traditional lift. Thus, quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function, although a few find that they irritate tissues.

  13. Special Section: Complementary and Alternative Medicine (CAM): Low Back Pain and CAM

    Science.gov (United States)

    ... Home Current Issue Past Issues Special Section CAM Low Back Pain and CAM Past Issues / Winter 2009 Table of ... benefit from CAM treatment for conditions such as low back pain. Photo courtesy of Glenn Scimonelli "Oh, my aching ...

  14. Super-virtual Interferometric Separation and Enhancement of Back-scattered Surface Waves

    KAUST Repository

    Guo, Bowen

    2015-08-19

    Back-scattered surface waves can be migrated to detect near-surface reflectors with steep dips. A robust surface-wave migration requires the prior separation of the back-scattered surface-wave events from the data. This separation is often difficult to implement because the back-scattered surface waves are masked by the incident surface waves. We mitigate this problem by using a super-virtual interferometric method to enhance and separate the back-scattered surface waves. The key idea is to calculate the virtual back-scattered surface waves by stacking the resulting virtual correlated and convolved traces associated with the incident and back-scattered waves. Stacking the virtual back-scattered surface waves improves their signal-to-noise ratio and separates the back-scattered surface-waves from the incident field. Both synthetic and field data results validate the robustness of this method.

  15. Normative data on the n-back task for children and young adolescents

    Directory of Open Access Journals (Sweden)

    Santiago ePelegrina

    2015-10-01

    Full Text Available The n-back task is a frequently used measure of working memory (WM in cognitive neuroscience research contexts, and it has become widely adopted in other areas over the last decade. This study aimed to obtain normative data for the n-back task from a large sample of children and adolescents. To this end, a computerized verbal n-back task with three levels of WM load (1-back, 2-back and 3-back was administered to 3722 Spanish school children aged 7–13 years. Results showed an overall age-related increase in performance for the different levels of difficulty. This trend was less pronounced at 1-back than at 2-back when hits were considered. Gender differences were also observed, with girls outperforming boys although taking more time to respond. The theoretical implications of these results are discussed. Normative data stratified by age and gender for the three WM load levels are provided.

  16. SEGMENTAL CO-ACTIVATION EXERCISE & ITS FUNCTIONAL ABILITY IN LOW BACK ACHE SUBJECTS

    OpenAIRE

    Aparajita Mukherjee; Lipy Bhat; Ravinder Narwal

    2013-01-01

    Background:Low back pain is a common problem seen in young female individual.Core strengthening exercises(CSE) helps to activate the deep abdominal & back muscles. Combination of core strengthening & stretchingexercise may have positive effects on mechanical low back pain.Objective:The main aim of this clinical studyis to find the combined effect of core strengthening & stretching exercises on reducing pain & disability onfemale subjects with mechanical low back pain (MLBP).Methodology:18 fem...

  17. Correlation between adolescents low back pain, trunk muscle functions and physical activity

    OpenAIRE

    Tuzikaitė, Gintarė

    2016-01-01

    Correlation Between Adolescents Low Back Pain, Trunk Muscle Functions and Physical Activity The aim of research work: The aim of this study was to evaluate the relationship between adolescents low back pain, trunk muscle functions and physical activity. Tasks of work: 1. To assess and compare the lumbar proprioception in subjects with and without low back pain. 2. To assess and compare the trunk muscle functions in subjects with and without low back pain. 3. To assess and compare the physical...

  18. EMG analysis of back muscles during various types of sitting position

    OpenAIRE

    Nitka, Radek

    2009-01-01

    Title: EMG Analysis of Back Muscles during various Types of Sitting Position Purposes: The purpose of the thesis is the assessment of EMG activity of back muscles while sitting on a chair without any back support, and while sitting on a gymball. Methods: Surface electromyography - recording EMG activity of back muscles (20 minutes sitting on a chair and 20 minutes sitting on a gymball). Results: The mean muscle activity of all probands while sitting on a chair is higher than while sitting on ...

  19. Thermal analysis of the ZrH reactor 4 Pi and void backed reflector assemblies

    International Nuclear Information System (INIS)

    Larson, E.M.

    1971-01-01

    A steady state thermal analysis is presented for: a BeO-TalOW-B 4 C poison back drum, and a Be void back drum. TAP listings and a results summary are presented for both drums. The results indicate the poison back drum may be used with an 1150 0 F cold wall and the void back drum may be used with a 1000 0 F cold wall. (14 references) (U.S.)

  20. CORRELATION OF LOW BACK PAIN WITH BODY MASS INDEX, FUNCTIONAL REACH TEST AMONG FEMALE NURSING PROFESSIONALS

    OpenAIRE

    Shameela .T .V; Veena Pais; Shaikhji Saad; Nusaibath M

    2015-01-01

    Background: Among health care workers the highest level of work related back injuries are more affected in nurses. There were many studies done to assess low back pain by using different tools. So this study aimed to identify the prevalence low back pain disability among female nursing professionals and the association between BMI, functional reach test and low back pain, so that a better tool can be used during the clinical examination for the betterment of the patient. The objective of the ...

  1. The Impact of Chronic Low Back Pain on Daily Occupations: A Qualitative Study in Iranian Context

    Directory of Open Access Journals (Sweden)

    Fariba Dehkordi

    2016-03-01

    Discussion: Chronic low back pain greatly influences the daily occupations of individuals. Mind struggle with back pain, which implies preoccupation with back pain, in addition to the fear of movement are significant findings of the present study. Occupational therapists can play an important role in re-engagement of people with chronic low back pain in their daily occupations.

  2. Chronic low back pain in patients with systemic lupus erythematosus: prevalence and predictors of back muscle strength and its correlation with disability.

    Science.gov (United States)

    Cezarino, Raíssa Sudré; Cardoso, Jefferson Rosa; Rodrigues, Kedma Neves; Magalhães, Yasmin Santana; Souza, Talita Yokoy de; Mota, Lícia Maria Henrique da; Bonini-Rocha, Ana Clara; McVeigh, Joseph; Martins, Wagner Rodrigues

    To determine the prevalence of Chronic Low Back Pain and predictors of Back Muscle Strength in patients with Systemic Lupus Erythematosus. Cross-sectional study. Ninety-six ambulatory patients with lupus were selected by non-probability sampling and interviewed and tested during medical consultation. The outcomes measurements were: Point prevalence of chronic low back pain, Oswestry Disability Index, Tampa Scale of Kinesiophobia, Fatigue Severity Scale and maximal voluntary isometric contractions of handgrip and of the back muscles. Correlation coefficient and multiple linear regression were used in statistical analysis. Of the 96 individuals interviewed, 25 had chronic low back pain, indicating a point prevalence of 26% (92% women). The correlation between the Oswestry Index and maximal voluntary isometric contraction of the back muscles was r=-0.4, 95% CI [-0.68; -0.01] and between the maximal voluntary isometric contraction of handgrip and of the back muscles was r=0.72, 95% CI [0.51; 0.88]. The regression model presented the highest value of R 2 being observed when maximal voluntary isometric contraction of the back muscles was tested with five independent variables (63%). In this model handgrip strength was the only predictive variable (β=0.61, p=0.001). The prevalence of chronic low back pain in individuals with systemic lupus erythematosus was 26%. The maximal voluntary isometric contraction of the back muscles was 63% predicted by five variables of interest, however, only the handgrip strength was a statistically significant predictive variable. The maximal voluntary isometric contraction of the back muscles presented a linear relation directly proportional to handgrip and inversely proportional to Oswestry Index i.e. stronger back muscles are associated with lower disability scores. Copyright © 2017. Published by Elsevier Editora Ltda.

  3. Prevalence of Low Back Pain Among Traffic Wardens in Lagos State ...

    African Journals Online (AJOL)

    KEY WORDS: low back pain, traffic warden, occupational health. INTRODUCTION. Low back pain (LBP) is the most prevalent musculoskeletal condition and a major cause of disability in society (Woolf and Pfleger, 2003). Low back pain also known as lumbago is a common musculoskeletal disorder affecting 80% of.

  4. Teachers' Perspectives on Hitting Back in School: Between Inexcusable Violence and Self-Defense

    Science.gov (United States)

    Fleischmann, Amos

    2015-01-01

    Israeli schools expressly forbid a student to hit back after being attacked. In semistructured interviews, 71 Israeli educators were asked for their views on the hitting-back tactic. The interviews compared their attitude toward hitting back as teachers with their take on the matter as parents. The results, analyzed using grounded theory, show…

  5. Density and abundance of black-backed woodpeckers in a Ponderosa pine ecosystem

    Science.gov (United States)

    Sean R. Mohren; Mark A. Rumble; Stanley H. Anderson

    2014-01-01

    Black-backed woodpeckers (Picoides arcticus) are usually associated with forest disturbance resulting in recently killed trees. While black-backed woodpeckers are attracted to areas affected by these disturbances, in the Black Hills they exist during interim disturbance periods in largely undisturbed forests. In 2012, a petition for listing black-backed woodpeckers in...

  6. prevalence of self-reported low back pain among patients with type ...

    African Journals Online (AJOL)

    Conclusion: Low back pain should be accorded necessary attention when treating patients with T2DM. Keywords: Low back pain, Type 2 diabetes mellitus, Prevalence. INTRODUCTION. Low Back Pain (LBP) is a pain or discomfort localised between the twelfth rib and the inferior gluteal folds, with or without radiating pain ...

  7. Lumbar supports to prevent recurrent low back pain among home care workers: a randomized trial

    NARCIS (Netherlands)

    Roelofs, Pepijn D. D. M.; Bierma-Zeinstra, Sita M. A.; van Poppel, Mireille N. M.; Jellema, Petra; Willemsen, Sten P.; van Tulder, Maurits W.; van Mechelen, Willem; Koes, Bart W.

    2007-01-01

    People use lumbar supports to prevent low back pain. Secondary analyses from primary preventive studies suggest benefit among workers with previous low back pain, but definitive studies on the effectiveness of supports for the secondary prevention of low back pain are lacking. To determine the

  8. ModBack - simplified contaminant source zone delineation using backtracking

    Science.gov (United States)

    Thielsch, K.; Herold, M.; Ptak, T.

    2012-12-01

    Contaminated groundwater poses a serious threat to drinking water resources all over the world. Even though contaminated water might be detected in observation wells, a proper clean up is often only successful if the source of the contamination is detected and subsequently removed, contained or remediated. The high costs of groundwater remediation could be possibly significantly reduced if, from the outset, a focus is placed on source zone detection. ModBack combines several existing modelling tools in one easy to use GIS-based interface helping to delineate potential contaminant source zones in the subsurface. The software is written in Visual Basic 3.5 and uses the ArcObjects library to implement all required GIS applications. It can run without modification on any Microsoft Windows based PC with sufficient RAM and at least Microsoft .NET Framework 3.5. Using ModBack requires additional installation of the following software: Processing Modflow Pro 7.0, ModPath, CSTREAM (Bayer-Raich et al., 2003), Golden Software Surfer and Microsoft Excel. The graphical user interface of ModBack is separated into four blocks of procedures dealing with: data input, groundwater modelling, backtracking and analyses. Geographical data input includes all georeferenced information pertaining to the study site. Information on subsurface contamination is gathered either by conventional sampling of monitoring wells or by conducting integral pumping tests at control planes with a specific sampling scheme. Hydraulic data from these pumping tests together with all other available information are then used to set up a groundwater flow model of the study site, which provides the flow field for transport simulations within the subsequent contamination backtracking procedures, starting from the defined control planes. The backtracking results are then analysed within ModBack. The potential areas of contamination source presence or absence are determined based on the procedure used by Jarsjö et

  9. [Therapeutic ultrasound in chronic low back pain treatment].

    Science.gov (United States)

    Grubisić, Frane; Grazio, Simeon; Jajić, Zrinka; Nemcić, Tomislav

    2006-01-01

    The purpose was to determine the efficacy of therapeutic ultrasound in patients with chronic low back pain. Thirty-one patients, age 38-77, with low back pain lasting more than three months and the intensity of pain on visual analogue scale at least 50 mm, are randomly divided in two groups. Ultrasound is applied on the lumbar paravertebral muscle in 16 patients and in 15 patients the machine was not switched on. All patients also underwent kinesitherapy. Pharmacological treatment was not changed during the research (except the possibility of using paracetamol as the "rescue drug"). Following parameters were measured at the beginning and at the end of the research: pain intensity on the visual analogue scale/mm, modified Schober measure/cm, patient's and physician's global assessment of treatment efficacy (1-5 scale). The intensity of pain in the ultrasound group before the treatment was 82,7+/-14,0 and after the treatment 79,8+/-12,2 (p0,05). The value of the modified Schober measure for the ultrasound group were 5,7+0,8 cm vs. 5,8+/-0,9 cm (p>0,05) and in the placebo group were 5,4+/-0,9 cm vs. 5,6+/-1,0 cm (p>0,05). There was no significant statistical difference between ultrasound and placebo group regarding the efficacy of the treatment (patients p>0,05, physicians p>0,05). Therapeutic ultrasound was effective in decreasing the pain intensity in this research, but showed no improvement regarding the functional ability of the lumbar spine in patients with chronic low back pain.

  10. Intradiskal methylene blue treatment for diskogenic low back pain.

    Science.gov (United States)

    Levi, David S; Horn, Scott; Walko, Edward

    2014-11-01

    Low back pain is a leading cause of pain and disability. The intervertebral disk has been identified as the most common source of chronic low back pain. Although prior treatments directed at intervertebral disks have been disappointing, recent studies show promising improvement of pain and function after a single intradiskal injection of methylene blue. To assess changes in pain and function in patients with diskogenic low back pain, diagnosed by diskography, after an intradiskal injection of methylene blue. Prospective trial. Patients diagnosed with diskogenic pain by diskography underwent a single treatment of intradiskal injection of methylene blue, determined by prior provocation diskography. Pain and function measurements were completed at baseline and 1, 2, and 6 months after treatment. Treatment was considered a categorical success based on a 30% improvement in pain according to a visual analog scale (VAS) and function on the Oswestry Disability Index (ODI). Treatment was considered a categorical failure if less than 30% improvement in pain and function was achieved or if the patient pursued other invasive treatment options during the trial period. Sixteen patients received the intradiskal methylene blue injection. Eleven patients received a single-level injection, 4 patients received a 2-level injection, and one patient received injections at 3 levels. For the VAS, at 1, 2, and 6 months after the injection, the categorical success rates were 25%, 21%, and 25%, respectively. For the ODI, at 1, 2 and 6 months after the injection, the categorical success rates were 25%, 21%, and 33%, respectively. The overall categorical success rates at 1, 2, and 6 months after the injection were 19%, 21%, and 25%, respectively. This small trial did not demonstrate overall clinical success of intradiskal methylene blue injection for patients diagnosed with diskogenic pain by diskography. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by

  11. Effect of salting on back fat hydrolysis and oxidation

    Science.gov (United States)

    Tunieva, E. К; Nasonova, V. V.; Stanovova, I. A.; Spiridonov, К I.; Kurzova, A. A.

    2017-09-01

    Technological factors significantly affect the rate of hydrolytic and oxidative changes in fat. The aim of the research was to study the effect of sodium chloride on hydrolysis and oxidation of fat raw material, including the impact of thermal treatment. Back fat was minced, sodium chloride was added (in amounts of 0.0, 2.0, 3.5 or 5.0%), then it was thermally treated or not. Determination of the acid value (AV) was carried out by titration with aqueous potassium hydroxide of free fatty acids in the ether-alcohol solution of back fat; the peroxide value (PV) was based on oxidation of iodhydric acid with peroxides contained in fat followed by titration of released iodine with sodium thiosulphate. The thiobarbituric acid value (TBAV) was determined by the development of stained substances due to interaction of fat oxidation products with 2-thiobarbituric acid and measurement of color intensity using a spectrophotometer. Adding 5.0% sodium chloride to back fat led to a 30.1% decrease in AV. Addition of 2.0% sodium chloride inhibited the development of the oxidation products and led to a 17% decrease in the PV and to a 25% decrease in TBAV (p0.05). The results obtained showed an ambiguous effect of sodium chloride on the processes of fat oxidation, depending on dosage and the use of thermal treatment, justifying the necessity to develop approaches that allow reduction of the sodium chloride content in meat products that are not subjected to thermal treatment.

  12. [Recommendations for a basic functional assessment of low back pain].

    Science.gov (United States)

    Demoulin, C; Fauconnier, C; Vanderthommen, M; Henrotin, Y

    2005-01-01

    This article aims to recommend easy, reproducible and valid physical tests and questionnaires to allow a functional and physical assessment of sub-acute and chronic low back pain patients. We recommend the pain visual analogue scale, the French translation of the Roland-Morris Disability Questionnaire (EIFEL) and the Dallas questionnaire to appreciate pain intensity and its influence on patients' quality of life. Sorensen's test is recommended in order to assess trunk extensor muscles endurance. We suggest to measure pelvic and lumbar flexion mobility by means of the inclinometer technique. The test described by McQuade is recommended to assess abdominal muscles static endurance.

  13. Navigate the net: looking back and moving forward.

    Science.gov (United States)

    Berryman, Donna; Hoy, Matt

    2009-10-01

    The Navigate the Net column will be under new joint editorship beginning with volume 29, issue number 1, 2010. In this column, the new editors look back at the past 15 years and discuss the purpose of the column and changes that have taken place in the way medical librarians use and relate to the Internet. The contributions of the previous editors are recognized and the purpose and future direction of the column are discussed. Brief biographies of the new editors are also included.

  14. Selected physiotherapeutic techniques and immune response in low back pain

    OpenAIRE

    Gawda, Piotr; Zawadka, Magdalena; Grywalska, Ewelina; Dmoszyńska-Graniczka, Magdalena

    2017-01-01

    Gawda Piotr, Zawadka Magdalena, Grywalska Ewelina, Dmoszyńska-Graniczka Magdalena. Selected physiotherapeutic techniques and immune response in low back pain. Journal of Education, Health and Sport. 2017;7(4):657-664. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.565441 http://ojs.ukw.edu.pl/index.php/johs/article/view/4421 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). ...

  15. From Christianity to African Religion and back again

    Directory of Open Access Journals (Sweden)

    A M Meiring

    2005-10-01

    Full Text Available This article passes from Christianity to African Religion and back again, in order to gain new insight on reconciliation. Traditional Christian reconciliation models are valuable but also contextual and limited; thus new models should be sought. African myths of community, acceptance and rebellion offer alternative ways of understanding reconciliation. When evaluated according to the principles of integration and transcendence, these myths meet the criteria of better religion and emphasise Christian notions that are often ignored in tradition Christianity. These new African-inspired insights can be used in Christian liturgy as a number of examples prove.

  16. Quebec Back Pain Disability Scale, Low Back Outcome Score and revised Oswestry low back pain disability scale for patients with low back pain due to degenerative disc disease: evaluation of Polish versions.

    Science.gov (United States)

    Misterska, Ewa; Jankowski, Roman; Glowacki, Maciej

    2011-12-15

    Evaluation and comparison of translated and culturally adapted self-reported measurements. The aim of this prospective study was to cross-culturally adapt the Polish versions of Revised Oswestry Disability Index (RODI-PL), Quebec Back Pain Disability Scale (QDS-PL), and the Low Back Outcome Score (LBOS-PL). The application of instruments in English, which have undergone translation must be subjected to validation studies. Such studies are necessary above all for instruments that have been adapted to establish their value and usefulness in studies of patient populations where English is not the native language. The translation was carried out according to International Quality of Life Association (IQOLA) Project and consisted of the following stages: translation, synthesis of the translations, back translation, expert committee, and testing of the prefinal versions of questionnaires. Eighty-five consecutive patients with low back pain due to spinal disc herniation and degenerative changes completed the QDS-PL, RODI-PL, LBOS-PL, and a Visual Analogue Scale twice within 2-day intervals. Mean duration of LBP was 45.9 months SD 55.5. The evaluation of degenerative changes in the lumbar region was carried out according to the Modic scale. Twenty-nine patients were categorized at type I, 4 patients were registered as type II, and 52 patients were type III. Cronbach α values for the LBOS-PL equaled 0.77, for the RODI-PL 0.85, and 0.95 for the QDS-PL. Item-total correlation confirmed that all scales are internally consistent. Test-retest reliability was excellent for RODI-PL and QDS-PL, but poor for LBOS-PL (0.88, 0.93, and 0.34, respectively). All questionnaires were significantly intercorrelated. We identified the strongest correlation between QDS-PL and RODI-PL (0.823, P < 0.001). The statistically significant correlation was identified between the QDS-PL and Modic Classification (rS = 0.226 P = 0.038). QBPDS-PL and RODI-PL are reliable and valid. Furthermore

  17. Concentration of solar radiation by white backed photovoltaic panels.

    Science.gov (United States)

    Smestad, G; Hamill, P

    1984-12-01

    In this paper, we present an analysis of the concentration achieved by white backed photovoltaic panels. Concentration is due to the trapping by light scattered in the refractive plate to which the solar cell is bonded. Using the reciprocity relation and assuming the ideal case of a Lambertian distribution, a detailed model is formulated that includes the effects of the thickness and walls of the concentrator. This model converges to the thermodynamic limit and is found to be consistent with experimental results for a wide range of cell sizes. Finally, the model is generalized to multiple-cell photovoltaic panels.

  18. An accelerated training method for back propagation networks

    Science.gov (United States)

    Shelton, Robert O. (Inventor)

    1993-01-01

    The principal objective is to provide a training procedure for a feed forward, back propagation neural network which greatly accelerates the training process. A set of orthogonal singular vectors are determined from the input matrix such that the standard deviations of the projections of the input vectors along these singular vectors, as a set, are substantially maximized, thus providing an optimal means of presenting the input data. Novelty exists in the method of extracting from the set of input data, a set of features which can serve to represent the input data in a simplified manner, thus greatly reducing the time/expense to training the system.

  19. Severe neck and back pain in adolescence: remember osteoblastoma.

    Science.gov (United States)

    Aydeniz, Ali; Erkutlu, Ibrahim; Altindağ, Ozlem; Küçükoğlu, Birsev; Gürsoy, Savaş

    2010-07-01

    Osteoblastoma is a rare benign tumor of the bone. A 15-year-old boy presented with severe neck and back pain and was followed up for myofascial pain syndrome for 12 months. There was no neurologic deficit or scoliosis. The X-ray of the patient was normal. MRI revealed local destructive tumorous lesion of the T3-T5 vertebrae. The tumor was resected by a spinal surgeon and histologic examination revealed osteoblastoma. The patient's complaints have been completely resolved and there was no recurrence during the follow-up.

  20. Prevalence and tracking of back pain from childhood to adolescence

    Directory of Open Access Journals (Sweden)

    Wedderkopp Niels

    2011-05-01

    Full Text Available Abstract Background It is generally acknowledged that back pain (BP is a common condition already in childhood. However, the development until early adulthood is not well understood and, in particular, not the individual tracking pattern. The objectives of this paper are to show the prevalence estimates of BP, low back pain (LBP, mid back pain (MBP, neck pain (NP, and care-seeking because of BP at three different ages (9, 13 and15 years and how the BP reporting tracks over these age groups over three consecutive surveys. Methods A longitudinal cohort study was carried out from the years of 1997 till 2005, collecting interview data from children who were sampled to be representative of Danish schoolchildren. BP was defined overall and specifically in the three spinal regions as having reported pain within the past month. The prevalence estimates and the various patterns of BP reporting over time are presented as percentages. Results Of the 771 children sampled, 62%, 57%, and 58% participated in the three back surveys and 34% participated in all three. The prevalence estimates for children at the ages of 9, 13, and 15, respectively, were for BP 33%, 28%, and 48%; for LBP 4%, 22%, and 36%; for MBP 20%, 13%, and 35%; and for NP 10%, 7%, and 15%. Seeking care for BP increased from 6% and 8% at the two youngest ages to 34% at the oldest. Only 7% of the children who participated in all three surveys reported BP each time and 30% of these always reported no pain. The patterns of development differed for the three spinal regions and between genders. Status at the previous survey predicted status at the next survey, so that those who had pain before were more likely to report pain again and vice versa. This was most pronounced for care-seeking. Conclusion It was confirmed that BP starts early in life, but the patterns of onset and development over time vary for different parts of the spine and between genders. Because of these differences, it is