WorldWideScience

Sample records for correct hand antisepsis

  1. Effect of hand lotion on the effectiveness of hygienic hand antisepsis: Implications for practicing hand hygiene.

    Science.gov (United States)

    Paula, Helga; Hübner, Nils-Olaf; Assadian, Ojan; Bransmöller, Katja; Baguhl, Romy; Löffler, Harald; Kramer, Axel

    2017-08-01

    Skin protection products should be used after washing hands with soap, during breaks, after work, and during leisure time. Aside from their beneficial effects, skin care products may also interact with alcohol-based hand disinfectants by reducing their efficacy. The aim of this study was to investigate the effect of a hand lotion on the effectiveness of hygienic hand antisepsis using an alcohol-based handrub. The effect of a protective hand lotion against an isopropyl alcohol-based handrub was investigated in 20 healthy volunteers according to the European standard test procedure EN 1500 in the following combinations: handwashing and application of hand lotion, only application of hand lotion, and no washing and no hand lotion (control), each for 5 minutes or 1 hour before hand antisepsis. The difference in microbiologic before-and-after values were expressed as log reduction factor. The effectiveness of hand antisepsis was not significantly affected in any of the groups using the tested hand lotion. Hand antisepsis may be delayed for 5 minutes after hand lotion application. Shorter time intervals might be possible but were not tested. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  2. Presurgical hand antisepsis: concepts and current habits of veterinary surgeons.

    Science.gov (United States)

    Verwilghen, Denis; Grulke, Sigrid; Kampf, Günter

    2011-07-01

    To assess current habits for surgical hand preparation among veterinary surgical specialists and to compare data with current guidelines for hand asepsis techniques. Survey of veterinary surgical specialists. Diplomates of the American (ACVS) and European Colleges of Veterinary Surgeons (ECVS). An internet-based survey of hand preparation methods before surgical procedures was conducted of 1300 listed ACVS and ECVS Diplomates. A 42.6% response rate was obtained. Approximately, 80% of respondents use disinfecting soaps as a primary method for hand antisepsis. Of those, 81% use chlorhexidine-based scrubs and 7% use a neutral soap followed by a hydroalcoholic solution. Contrary to current recommendations of the World Health Organization and scientific evidence supporting use of hydro-alcoholic rubs for presurgical hand preparation, veterinary surgical specialists still use surgical scrub solutions containing disinfecting soaps. © Copyright 2011 by The American College of Veterinary Surgeons.

  3. Back to basics: hand hygiene and surgical hand antisepsis.

    Science.gov (United States)

    Spruce, Lisa

    2013-11-01

    Health care-associated infections (HAIs) are a significant issue in the United States and throughout the world, but following proper hand hygiene practices is the most effective and least expensive way to prevent HAIs. Hand hygiene is inexpensive and protects patients and health care personnel alike. The four general types of hand hygiene that should be performed in the perioperative environment are washing hands that are visibly soiled, hand hygiene using alcohol-based products, surgical hand scrubs, and surgical hand scrubs using an alcohol-based surgical hand rub product. Barriers to proper hand hygiene may include not thinking about it, forgetting, skin irritation, a lack of role models, or a lack of a safety culture. One strategy for improving hand hygiene practices is monitoring hand hygiene as part of a quality improvement project, but the most important aspect for perioperative team members is to set an example for other team members by following proper hand hygiene practices and reminding each other to perform hand hygiene.

  4. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

    OpenAIRE

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A.; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-01-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing te...

  5. Surgical hand antisepsis in veterinary practice: evaluation of soap scrubs and alcohol based rub techniques.

    Science.gov (United States)

    Verwilghen, Denis R; Mainil, Jacques; Mastrocicco, Emilie; Hamaide, Annick; Detilleux, Johann; van Galen, Gaby; Serteyn, Didier; Grulke, Sigrid

    2011-12-01

    Recent studies have shown that hydro-alcoholic solutions are more efficient than traditional medicated soaps in the pre-surgical hand antisepsis of human surgeons but there is little veterinary literature on the subject. The aim of this study was to compare the efficiency of medicated soaps and a hydro-alcoholic solution prior to surgery using an in-use testing method in a veterinary setting. A preliminary trial was performed that compared the mean log(10) number of bacterial colony forming units (CFU) and the reduction factors (RF) between two 5-min hand-scrubbing sessions using different soaps, namely, povidone iodine (PVP) and chlorhexidine gluconate (CHX), and the 1.5-min application of a hydro-alcoholic rub. A clinical in-use trial was then used to compare the hydro-alcoholic rub and CHX in a surgical setting. Sampling was performed using finger printing on agar plates. The hydro-alcoholic rub and CHX had a similar immediate effect, although the sustained effect was significantly better for the hydro-alcoholic rub, while PVP had a significantly lower immediate and sustained effect. The hydro-alcoholic rub showed good efficiency in the clinical trial and could be considered as a useful alternative method for veterinary surgical hand antisepsis.

  6. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A.; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-01-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting. PMID:26834268

  7. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses.

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-02-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting.

  8. [Hygienic and dermatologic aspects of hand disinfection and prophylactic skin antisepsis].

    Science.gov (United States)

    Kramer, A; Jünger, M; Kampf, G

    2005-08-01

    Hygienic hand disinfection must be carried out after all patient-care activities associated with contamination risks, as well as when moving from contaminated to clean body sites, after contact with environmental surfaces in the immediate vicinity of patients, after glove removal and before aseptic procedures. Preparatory handwashing (for about 10 seconds) to mechanically remove soil and bacterial spores should be performed at least 10 minutes before surgical hand disinfection. This allows time for the normalization of increased skin hydration, a prerequisite for effective hand disinfection. Depending on the manufacturer's instructions, application times of 1.5, 3 or 5 minutes can be observed. The regular use of skin care and skin protection products can help to prevent toxic skin irritation. For skin antisepsis the recommended exposure times are > or =15 seconds before subcutaneous injections, > or =1 minute before puncture of joints and body cavities as well as preoperatively, and > or =10 minutes on skin areas rich in sebaceous glands. For all 3 indications, alcohol-based formulations are the agents of choice.

  9. Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water hand washing versus hand antisepsis with an alcoholic hand gel.

    Science.gov (United States)

    Boyce, J M; Kelliher, S; Vallande, N

    2000-07-01

    To compare the frequency of skin irritation and dryness associated with using an alcoholic-hand-gel regimen for hand antisepsis versus using soap and water for hand washing. Prospective randomized trial with crossover design. Irritation and dryness of nurses' hands were evaluated by self-assessment and by visual assessment by a study nurse. Epidermal water content of the dorsal surface of nurses' hands was estimated by measuring electrical capacitance of the skin. Miriam Hospital, a 200-bed university-affiliated teaching hospital. Thirty-two nurses working on three hospital wards participated in the trial, which lasted 6 weeks. Self-assessment scores of skin irritation and dryness decreased slightly during the 2 weeks when nurses used the alcoholic-hand-gel regimen (mean baseline score, 2.72; mean final score, 2.0; P=.08) but increased substantially during the 2 weeks when nurses used soap and water (mean baseline score, 2.0; mean final score, 4.8; Phand-gel regimen was used (mean baseline and final scores were both 0.55), but scores increased substantially when nurses used soap and water (baseline score, 0.59; mean final score, 1.21; P=.05). Epidermal water content of the dorsal surface of nurses' hands changed little when the alcoholic-hand-gel regimen was used (mean+/-standard deviation baseline electrical capacitance reading, 24.8+/-6.8; mean final reading, 25.7+/-7.3), but decreased significantly (skin became dryer) with soap-and-water hand washing (mean baseline, 25.9+/-7.5; mean final reading, 20.5+/-5.4; P=.0003). Hand antisepsis with an alcoholic-hand-gel regimen was well tolerated and did not result in skin irritation and dryness of nurses' hands. In contrast, skin irritation and dryness increased significantly when nurses washed their hands with the unmedicated soap product available in the hospital. Newer alcoholic hand gels that are tolerated better than soap may be more acceptable to staff and may lead to improved hand-hygiene practices.

  10. Evaluation of two methods of determining the efficacies of two alcohol-based hand rubs for surgical hand antisepsis.

    Science.gov (United States)

    Kampf, Günter; Ostermeyer, Christiane; Heeg, Peter; Paulson, Daryl

    2006-06-01

    The antimicrobial efficacies of preparations for surgical hand antisepsis can be determined according to a European standard (prEN 12791 [EN]) and a U.S. standard (tentative final monograph for health care antiseptic drug products [TFM]). The U.S. method differs in the product application mode (hands and lower forearms, versus hands only in EN), the number of applications (11 over 5 days, versus a single application in EN), the sampling times (0, 3, and 6 h after application, versus 0 and 3 h in EN), the sampling methods (glove juice versus fingertip sampling in EN), and the outcome requirements (absolute bacterial reduction factor [RF], versus noninferiority to reference treatment in EN). We have studied the efficacies of two hand rubs according to both methods. One hand rub was based on 80% ethanol and applied for 2 min, and the other one was based on 45% propan-2-ol, 30% propan-1-ol, and 0.2% mecetronium etilsulfate and applied for 1.5 min. The ethanol-based hand rub was equally effective as the 3-min reference disinfection of prEN 12791 in both the immediate (RFs, 2.97 +/- 0.89 versus 2.92 +/- 1.03, respectively) and sustained (RFs, 2.20 +/- 1.07 versus 2.47 +/- 1.25, respectively) effects. According to TFM, the immediate effects were 2.99 log10 (day 1), 3.00 log10 (day 2), and 3.43 log10 (day 5), and bacterial counts were still below baseline after 6 h. The propanol-based hand rub was even more effective than the reference disinfection of prEN 12791 in both the immediate (RFs, 2.35 +/- 0.99 versus 1.86 +/- 0.87, respectively) and sustained (RFs, 2.17 +/- 1.00 versus 1.50 +/- 1.26, respectively) effects. According to TFM, the immediate effects were 2.82 log10 (day 1), 3.29 log10 (day 2), and 3.25 log10 (day 5), and bacterial counts were still below baseline after 6 h. Some formulations have been reported to meet the efficacy requirements of one of the methods but not those of the other. That is why we conclude that, despite our results, meeting the efficacy

  11. 外科手消毒方法的临床应用与研究%CLINICAL APPLICATION AND RESEARCH ON THE SURGICAL HAND ANTISEPSIS METHODS

    Institute of Scientific and Technical Information of China (English)

    张丽; 刘毅

    2011-01-01

    目的 观察外科手消毒方法的临床实际消毒效果.方法 通过现场问卷调查和棉拭子涂抹采样检测方法,观察了采用两种消毒液,同样进行免刷式外科手消毒方法后的效果.另外对50名医护人员针对两种手消毒方法的依从性进行问卷调查.结果 200份检测结果均符合消毒技术规范标准.问卷调查结果显示,绝大多数医护人员愿意采用免刷式外科手消毒方法.结论 此外科手消毒方法安全、高效、操作简便、经济,减少了医护人员皮肤不适,大大提高了外科手消毒的依从性.%Objective To observe the clinical disinfection effect of the surgical hand antisepsis methods.Methods Cotton swab sampling and bacterial culture were used to observe the germicidal efficacy of two disinfectants with brush - free surgical hand antisepsis method.In addition, field questionnaire survey was used to understand the compliance of 50 medical staff for the two methods of hand antisepsis.Results The detection results of 200 samplings were qualified with the disinfection technology normative standard.Results of questionnaire survey showed that most of medical staff were willing to use brush - free surgical hand antisepsis.Conclusion Brush - free surgical hand antisepsis method is safe, efficient, easy to operate and economical.This method can reduce skin discomfort of medical staff and greatly increase the compliance of surgical hand antisepsis.

  12. Effect of different methods of hand washing on surgical hand antisepsis%不同清洁洗手方法对外科手消毒效果的影响

    Institute of Scientific and Technical Information of China (English)

    谢伏娟; 刘秋秋; 贺吉群

    2011-01-01

    OBJECTIVE To compare the influence on the effect of surgical hand antisepsis by different methods hand washing.METHODS With the same liquid skin cleaner and surgical hand disinfectant, prior to surgical hand antisepsis, three methods were selected to compare their immediate antimicrobial efficacies and effct on skin conditions, including hand rub (group A), hand scrub (group B) and no pre-wash (group C).RESULTS In the group C,the colonies(0.27 ±0.45 CFU/cm2 )and the positive rate(46.7%)after surgical hand antisepsis were higher than that of group A and B, there was no significant difference between the group A and B.Hand rub resulted in a smaller skin damage than hand scrub.CONCLUSION Hand rub is the recommended method for prior hand washing to surgical hand antisepsis.%目的 比较不同的清洁洗手方法 对外科手消毒效果的影响. 方法 使用同种手清洁剂和外科手消毒剂,分别采取揉搓清洁洗手(A组)、刷洗清洁洗手(B组)和不进行清洁洗手(C组)3种方法 后按同样的方法 进行外科手消毒,比较其即刻消毒效果和对手部皮肤的影响. 结果 C组外科手消毒后手部菌落数(0.27±0.45)CFU/cm2及手部带菌阳性率(46.7%)明显高于A组和B组,差异有统计学意义(P<0.01),A组和B组之间比较,差异无统计学意义,均有较好的即刻消毒效果,但刷洗法对皮肤损伤较大. 结论 外科手消毒前推荐使用揉搓清洁洗手方法 .

  13. 不同外科洗手时间和方法对术前消毒效果的影响%Effect of the different time and methods for surgical hand antisepsis on the efifcacy of preoperative disinfection

    Institute of Scientific and Technical Information of China (English)

    杜贻豹; 韩晓东; 张频; 张弘玮; 周玉龙; 李昆; 狄建忠

    2015-01-01

    目的:比较不同外科洗手时间和方法对术前消毒效果的影响,探讨术前外科手消毒的最佳方法。方法:按完全随机的方法把手术医生和器械护士共100人平均分为4组:A组和C组分别揉搓洗手1 min和3 min;B组和D组分别刷洗洗手1 min和3 min,以手细菌培养计数法比较消毒洗手前后手部菌落数、菌落阳性率及不同洗手时间和方法对皮肤的影响。结果:各组外科消毒洗手前后菌落数及阳性率无明显差异(P>0.05);A、C两组洗手后皮肤外观、完整性、感觉HSA评分较本组洗手前无明显变化(P>0.05);B、D两组洗手后皮肤外观、完整性和感觉HSA评分较本组洗手前明显降低(P<0.05);四组洗手后皮肤湿度HSA评分较本组洗手前均明显增加(P<0.05)。结论:洗手时间和方法对消毒效果无明显影响,揉搓法对皮肤损伤小,故临床上推荐1 min揉搓外科洗手法。%Objective:To compare the effects of different time and methods for surgical hand antisepsis on the efifcacy of preoperative disinfection and to investigate its best method. Methods:Total 100 surgeons and nurses were randomly divided into 4 groups based on the method for their surgical hand antisepsis:scrubbing hands for 1 min and 3 min in group A and C, and scrubbing hands with sponge for 1 min and 3 min in group B and D, respectively. The number and positive rate of colonies on hands were compared by colony counts before and after hand antisepsis and the effects of different time and methods on the skin were also investigated. Results:There were no signiifcant differences in the number and positive rate of colonies before and after hand antisepsis among 4 groups (P>0.05). The appearance, intactness and sensation HAS score of the skin had no signiifcant change after hand antisepsis compared with before antisepsis in group A and C (P>0.05), but signiifcantly decreased in group B and D (P<0.05). The HAS

  14. ATP生物荧光法快速监测外科手消毒的应用研究%Application research on ATP bioluminescence assay in the evaluation of the effectiveness for monitoring surgical hand antisepsis rapidly

    Institute of Scientific and Technical Information of China (English)

    柯雅娟; 许晨耘; 俞诗娃; 周淑萍; 冯菲菲

    2013-01-01

    目的 探讨三磷酸腺苷(ATP)生物荧光法在外科手消毒效果评价中应用的可行性及能反映外科手消毒合格的ATP相对吸光值.方法 采用ATP生物荧光法与细菌培养计数法观察外科手消毒监测效果,用百分位数法计算ATP生物荧光仪的测量RLU值95%正常值上限,并进行成本比较.结果 ATP生物荧光仪测量的RLU值与细菌培养监测结果不成线性关系,RLU值95%正常值上限为48.02;其监测成本比细菌培养法节约59.89元.结论 ATP生物荧光法可快速监测外科手消毒效果,且操作成本较低,利于推广至现场快速监测工作.%OBJECTIVE To discuss the application feasibility of the ATP bioluminescence assay in the evaluation of the effectiveness of surgical hand antisepsis and ATP relative extinction value which can reflect the disinfection qualified. METHODS We used the ATP bioluminescence assay and bacilli culture notation respectively, to monitor the effectiveness of surgical hand antisepsis and calculate by method of percentiles to measure RLU value 95% normal value upper limit of ATP bioluminescence assay, then compared the cost. RESULTS The RLU value of ATP bioluminescence assay was not linear related to the results of bacilli culture, RLU value 95% normal value upper limit of ATP bioluminescence assay was 48.02, and the cost was 59.89 RMB less than bacilli culture. CONCLUSION ATP bioluminescence assay may appraise the effectiveness of monitoring surgical hand antisepsis rapidly and is lower cost, which can promote application on scene monitoring.

  15. ANTISEPSIS THROUGH INTRAVENOUS AND INTRAMUSCULAR VIA FOR MEDICINE ADMINISTRATION

    Directory of Open Access Journals (Sweden)

    Shirley Ribeiro Cardoso

    2006-04-01

    Full Text Available ABSTRACT: The skin shelters vast micro biota, which could penetrate more internal, layers during the medicine application through parenteral via, therefore the importance of antisepsis for this procedure. We aimed to identify the application of antisepsis through intravenous (IV and intramuscular (IM via for medicine administration as measures for the infection prevention. Descriptive study, accomplished with a nursing team, in eight units from an educational hospital in Goiânia’s district. The data was obtained through observation and filling out the check-list. We observed 212 professionals. As far as the administration via, 19,8% of the procedures were accomplished through direct IV via, 72,6% through IV via with an already installed system and 7,6% through IM via. Most of the professionals, 79,2%, did not wash their hands before accomplishing the procedure. From the 154 medications done in the venous system already installed, the disinfection of the rubber injector was not accomplished in 47 (30,5%. As far as the antisepsis, 72,4% of the medications were accomplished through IV via and 27,6% through IM via, but spite the use of the antiseptic in all the situations, only in 40,5% of the IV injections and in 37,5% of the IM were done five or more movements in the same way with soaked cotton with alcohol at 70%, which is the extolled procedure for the accomplishment for the skin antisepsis. After the antisepsis, 25 professionals touched the place, contaminating it, of these just 13 (52,0% made new antisepsis, therefore, there was recontamination in 12 situations. The data reveals that: necessary measures for the infection prevention in the medicine through parenteral via are not always adopted, representing a challenge for the permanent education and for the infection control at the hospital in study. KEYWORDS: Local Anti-infective Agents; Hospital Infection; Primary Nursing Care.

  16. Disinfection, sterilization, and antisepsis: An overview.

    Science.gov (United States)

    Rutala, William A; Weber, David J

    2016-05-02

    All invasive procedures involve contact by a medical device or surgical instrument with a patient's sterile tissue or mucous membranes. The level of disinfection or sterilization is dependent on the intended use of the object: critical (items that contact sterile tissue such as surgical instruments), semicritical (items that contact mucous membrane such as endoscopes), and noncritical (devices that contact only intact skin such as stethoscopes) items require sterilization, high-level disinfection and low-level disinfection, respectively. Cleaning must always precede high-level disinfection and sterilization. Antiseptics are essential to infection prevention as part of a hand hygiene program as well as several other uses such as surgical hand antisepsis and pre-operative skin preparation.

  17. Guideline Implementation: Hand Hygiene.

    Science.gov (United States)

    Goldberg, Judith L

    2017-02-01

    Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis. The key points address the necessity of keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  18. Automatic correction of hand pointing in stereoscopic depth.

    Science.gov (United States)

    Song, Yalin; Sun, Yaoru; Zeng, Jinhua; Wang, Fang

    2014-12-11

    In order to examine whether stereoscopic depth information could drive fast automatic correction of hand pointing, an experiment was designed in a 3D visual environment in which participants were asked to point to a target at different stereoscopic depths as quickly and accurately as possible within a limited time window (≤300 ms). The experiment consisted of two tasks: "depthGO" in which participants were asked to point to the new target position if the target jumped, and "depthSTOP" in which participants were instructed to abort their ongoing movements after the target jumped. The depth jump was designed to occur in 20% of the trials in both tasks. Results showed that fast automatic correction of hand movements could be driven by stereoscopic depth to occur in as early as 190 ms.

  19. Revisão sistemática sobre antissepsia cirúrgica das mãos com preparação alcoólica em comparação aos produtos tradicionais Revisión sistemática sobre antisepsia quirúrgica de manos con preparación alcohólica comparada a productos tradicionales A systematic review of surgical hand antisepsis utilizing an alcohol preparation compared to traditional products

    Directory of Open Access Journals (Sweden)

    Karen de Jesus Gonçalves

    2012-12-01

    soporte a la seguridad de las preparaciones alcohólicas para la antisepsia quirúrgica de las manos.Surgical hand antisepsis aims at preventing surgical site infections, an important cause of postoperative morbidity and mortality and escalating hospital costs. The objectives of this study were to compare the efficacy of alcohol preparations with traditional surgical hand antisepsis products by means of a systematic review of the literature. Primary and secondary studies were included, considering the microbial count or surgical site infection rates as outcomes. The search was performed on the BVS Portal, PubMed, Ask and MEDLINE. Twenty-five studies were selected (two systematic reviews, nineteen experimental and four cohort studies. The alcohol preparations promoted a microbial reduction equal to and/or greater than traditional products in 17 studies, and a lesser reduction in four studies; similar surgical site infection rates were identified. Therefore, there is scientific evidence that support the safety of alcohol preparations for surgical hand antisepsis.

  20. New strategies for preoperative skin antisepsis.

    Science.gov (United States)

    Ulmer, Miriam; Lademann, Juergen; Patzelt, Alexa; Knorr, Fanny; Kramer, Axel; Koburger, Torsten; Assadian, Ojan; Daeschlein, Georg; Lange-Asschenfeldt, Bernhard

    2014-01-01

    During the past decades, encouraging progress has been made in the prevention of surgical site infections (SSI). However, as SSI still occur today, strategic prevention measures such as standardized skin antisepsis must be implemented and rigorously promoted. Recent discoveries in skin physiology necessitate the development of novel antiseptic agents and procedures in order to ameliorate their efficacy. In particular, alternate target structures in the skin need to be taken into consideration for the development of the next generation of antiseptics. Recent investigations have shown that a high number of microorganisms are located within and in the close vicinity of the hair follicles. This suggests that these structures are an important reservoir of bacterial growth and activity in human skin. To date, it has not been fully elucidated to what extent conventional liquid antiseptics sufficiently target the hair follicle-related microbial population. Modern technologies such as tissue-tolerable plasma (TTP) have been tested for their potential antiseptic efficiency by reducing the bacterial load in the skin and in the hair follicles. First experiments using liposomes to deliver antiseptics into the hair follicles have been evaluated for their potential clinical application. The present review evaluates these two innovative methods for their efficacy and applicability in preoperative skin antiseptics.

  1. Inspections of Hand Washing Supplies and Hand Sanitizer in Public Schools

    Science.gov (United States)

    Ramos, Mary M.; Blea, Mary; Trujillo, Rebecca; Greenberg, Cynthia

    2010-01-01

    Hand washing and hand antisepsis are proven infection control measures in the school setting, yet barriers such as lack of soap, paper towels, and hand sanitizer can hinder compliance. This pilot study measured the prevalence of hand cleaning supplies in public schools. Ten school districts (93 schools) participated in school nurse inspections. In…

  2. Neoprene wrist brace for correction of radial club hand in children.

    Science.gov (United States)

    Kennedy, S M

    1996-01-01

    Thermoplastic wrist orthoses have been used for some time for serial correction before surgery for radial dysplasia to realign the hand on the forearm bone. However, problems have been experienced with pressure areas, especially at the distal and proximal radial edges. Inserting padding with such a small orthosis (if made for a baby) distorts the fit. A neoprene brace has been developed that can be applied to an infant as young as 3 weeks old. Thermoplastic ulnar and radial reinforcers are used to maintain the correction. The method of construction and positioning are described. The reinforcers can be serially adjusted to achieve a neutral position at the wrist. In babies, passive correction may be easier to obtain, but in older children with soft-tissue shortening, acceptable realignment can be achieved serially and maintained until surgery is appropriate. Using neoprene avoids serious pressure problems. Neoprene is durable, washable, and accepted by this client group and their parents. It has been demonstrated that correcting the alignment of the hand improves hand function, especially in bilateral activities, and allows the child to swim and play in water while wearing it, thus enhancing the quality of life.

  3. Transition from an antiphase error-correction mode to a synchronization mode in mutual hand tracking

    Science.gov (United States)

    Hayashi, Yoshikatsu; Sawada, Yasuji

    2013-08-01

    Proactive motion in hand tracking and in finger bending, in which the body motion occurs prior to the reference signal, has been previously reported when a periodic target signal was shown to the subjects at relatively high frequencies. These phenomena indicate that the human sensory-motor system tends to choose an anticipatory mode rather than a reactive mode, when the target motion is relatively fast. The present research was undertaken to study what kind of mode appears in the sensory-motor system when two persons were asked to track the hand position of the partner at various mean tracking frequency. The experimental results showed that a transition from a mutual error-correction mode to a synchronization mode occurred in the same region of the transition frequency with the one from a reactive error-correction mode to a proactive anticipatory mode reported previously in the target tracking experiments of the single subjects. Present research indicated that synchronization of body motion occurred only when both of the pair subjects operated in a proactive anticipatory mode. We also presented mathematical models to explain the behavior of the error-correction mode and the synchronization mode.

  4. [Asepsis and antisepsis in dental offices in Dakar].

    Science.gov (United States)

    Lo, C M M; Cisse, D; Faye, D; Kane, A W

    2004-09-01

    To evaluate hygiene in dental offices in Dakar, the authors questioned 64 public, private and semi-private dentists. From 62 practitioners who completed their questionnaire, it appeared that the dry-heated sterilizer (poupinel) was 5 times more used than the autoclave; The almost practitioners sayed respecting the sterilisation process and 66% of them said wearing gloves, masks and glasses during interventions. In spite of the hope these results give, this study is limited because it doesn't take into account many aspects of asepsis and antisepsis in dental office which require a rigorous application next to a personal who needs to be better trained.

  5. Zinc pyrithione in alcohol-based products for skin antisepsis: persistence of antimicrobial effects.

    Science.gov (United States)

    Guthery, Eugene; Seal, Lawton A; Anderson, Edward L

    2005-02-01

    Alcohol-based products for skin antisepsis have a long history of safety and efficacy in the United States and abroad. However, alcohol alone lacks the required antimicrobial persistence to provide for the sustained periods of skin antisepsis desired in the clinical environment. Therefore, alcohol-based products must have a preservative agent such as iodine/iodophor compounds, chlorhexidine gluconate, or zinc pyrithione, to extend its antimicrobial effects. Iodine, iodophors, and chlorhexidine gluconate are well-characterized antimicrobials and preservatives. The thrust of our effort was to examine the characteristics of the lesser-known zinc pyrithione and to evaluate its utility as a preservative in the formulation of alcohol-based products for skin antisepsis. This work includes a literature review of current zinc pyrithione applications in drugs and cosmetics, a safety and toxicity evaluation, consideration of the proposed mechanisms of antimicrobial action, in vitro and in vivo efficacy data, and a discussion of the mechanisms that confer the desired antimicrobial persistence. In addition, alcohol-based, zinc pyrithione-preserved, commercially available products of skin antisepsis are compared with other commercially available antimicrobials used for skin antisepsis and with additional alcohol-based products with different preservatives. The authors' conclusion is that zinc pyrithione is not only a safe and effective antimicrobial but that its use in certain alcohol-based formulations results in antimicrobial efficacy exceeding that of iodine and chlorhexidine gluconate.

  6. Social marketing analysis of 20 [corrected] years of hand hygiene promotion.

    Science.gov (United States)

    Mah, Manuel W; Tam, Yat Cho; Deshpande, Sameer

    2008-03-01

    To assess published hand hygiene behavioral interventions that employed a social marketing framework and to recommend improvements to future interventions. We performed a systematic literature review by searching the PubMed database and the Cumulative Index to Nursing and Allied Health Literature for published articles about hand hygiene behavioral interventions in healthcare facilities, schools, and community settings. Our analysis included articles that describe multifaceted interventions and evaluated them with predefined social marketing benchmark criteria. Of 53 interventions analyzed in this review, 16 (30.2%) employed primary formative audience research, 5 (9.4%) incorporated social or behavioral theories, 27 (50.9%) employed segmentation and targeting of the audience, 44 (83.0%) used components of the "marketing mix," 3 (5.7%) considered the influence of competing behaviors, 7 (13.2%) cultivated relationships with the target audience, and 15 (28.3%) provided simple behavioral messages. Thirty-five (66.0%) of the interventions demonstrated a significant improvement in performance, but only 21 (39.6%) were considered to have a strong evaluative design. The median duration of the interventions was 8.0 months. From a social marketing perspective, the promotion of hand hygiene could be improved in several ways. The effectiveness of social marketing in hand hygiene promotion should be tested in future interventions.

  7. Jan of Jenštejn's Personal Hand Corrections in his Epistolary

    Directory of Open Access Journals (Sweden)

    Zdeňka Hledíková

    2014-12-01

    Full Text Available Among autographs by learned men of the late Middle Ages are only a few manuscripts written by an auxiliary copyist but corrected by the author of the text. Such manuscripts served as foundations for end-transcriptions of works destined for the public at large. The collection of 14th-century letters by Archbishop Jan of Jenštejn, published in 1877 as Jenštejn's Epistolary, represent such a transient codex-typus. The article focuses on the adjustment of the quires and character and order of the letters copied, as well as on the text corrections made by another scribe. It concludes that the manuscript originated under the direct supervision of the archbishop, who transmitted the papers of individual letters to the scribe step by step for copying, and then polished their stylistic form and corrected them. The epistolary has never been transcribed into a definitive form for the public.

  8. Correction

    DEFF Research Database (Denmark)

    Pinkevych, Mykola; Cromer, Deborah; Tolstrup, Martin

    2016-01-01

    [This corrects the article DOI: 10.1371/journal.ppat.1005000.][This corrects the article DOI: 10.1371/journal.ppat.1005740.][This corrects the article DOI: 10.1371/journal.ppat.1005679.].......[This corrects the article DOI: 10.1371/journal.ppat.1005000.][This corrects the article DOI: 10.1371/journal.ppat.1005740.][This corrects the article DOI: 10.1371/journal.ppat.1005679.]....

  9. [Hydrofluoric acid burns of the hands in the home environment: correct therapeutic approach].

    Science.gov (United States)

    Nicoletti, Giovanni; Pellegatta, Tommaso

    2014-01-01

    The broad market penetration of products with components used primarily in the industrial sector requires the precise knowledge of their mechanism of action in order to perform a correct therapeutic approach. The article reports on three cases of domestic hydrofluoric acid burn that came to our Plastic Surgery Unit over the last three years. The treatment options are discussed in detail with emphasis on the importance of a constant update about such emerging diseases.

  10. Hand-Writing Motion Tracking with Vision-Inertial Sensor Fusion: Calibration and Error Correction

    Directory of Open Access Journals (Sweden)

    Shengli Zhou

    2014-08-01

    Full Text Available The purpose of this study was to improve the accuracy of real-time ego-motion tracking through inertial sensor and vision sensor fusion. Due to low sampling rates supported by web-based vision sensor and accumulation of errors in inertial sensors, ego-motion tracking with vision sensors is commonly afflicted by slow updating rates, while motion tracking with inertial sensor suffers from rapid deterioration in accuracy with time. This paper starts with a discussion of developed algorithms for calibrating two relative rotations of the system using only one reference image. Next, stochastic noises associated with the inertial sensor are identified using Allan Variance analysis, and modeled according to their characteristics. Finally, the proposed models are incorporated into an extended Kalman filter for inertial sensor and vision sensor fusion. Compared with results from conventional sensor fusion models, we have shown that ego-motion tracking can be greatly enhanced using the proposed error correction model.

  11. Construction and validation of a distance learning module on premedication antisepsis for nursing professionals.

    Science.gov (United States)

    Pereira, Barbara Juliana da Costa; Mendes, Isabel Amélia Costa; Beatriz Maria, Jorge; Mazzo, Alessandra

    2013-11-01

    The aim of this descriptive study, carried out at a public university, was to design, develop, and validate a distance learning module on intramuscular premedication antisepsis. The content was introduced in the Modular Object-Oriented Dynamic Learning Environment, based on the Systematic Model for Web-Based Training projects. Ten nurses and information technologists at work consented to participate, in compliance with ethical guidelines, and answered a questionnaire to validate the Virtual Learning Environment. The educational aspects of the environment interface were mostly evaluated as "excellent," whereas the assessment of didactic resources indicated interactivity difficulties. It is concluded that distance learning is an important tool for the teaching of premedication antisepsis. To ensure its effectiveness, appropriate methods and interactive devices must be used.

  12. Randomized trial of drain antisepsis after mastectomy and immediate prosthetic breast reconstruction.

    Science.gov (United States)

    Degnim, Amy C; Hoskin, Tanya L; Brahmbhatt, Rushin D; Warren-Peled, Anne; Loprinzi, Margie; Pavey, Emily S; Boughey, Judy C; Hieken, Tina J; Jacobson, Steven; Lemaine, Valerie; Jakub, James W; Irwin, Chetan; Foster, Robert D; Sbitany, Hani; Saint-Cyr, Michel; Duralde, Erin; Ramaker, Sheri; Chin, Robin; Sieg, Monica; Wildeman, Melissa; Scow, Jeffrey S; Patel, Robin; Ballman, Karla; Baddour, Larry M; Esserman, Laura J

    2014-10-01

    In this 2-site randomized trial, we investigated the effect of antiseptic drain care on bacterial colonization of surgical drains and infection after immediate prosthetic breast reconstruction. With IRB approval, we randomized patients undergoing bilateral mastectomy and reconstruction to drain antisepsis (treatment) for one side, with standard drain care (control) for the other. Antisepsis care included both: chlorhexidine disc dressing at drain exit site(s) and irrigation of drain bulbs twice daily with dilute sodium hypochlorite solution. Cultures were obtained from bulb fluid at 1 week and at drain removal, and from the subcutaneous drain tubing at removal. Positive cultures were defined as ≥1+ growth for fluid and >50 CFU for tubing. Cultures of drain bulb fluid at 1 week (the primary endpoint) were positive in 9.9 % of treatment sides (10 of 101) versus 20.8 % (21 of 101) of control sides (p = 0.02). Drain tubing cultures were positive in 0 treated drains versus 6.2 % (6 of 97) of control drains (p = 0.03). Surgical site infection occurred within 30 days in 0 antisepsis sides versus 3.8 % (4 of 104) of control sides (p = 0.13), and within 1 year in three of 104 (2.9 %) of antisepsis sides versus 6 of 104 (5.8 %) of control sides (p = 0.45). Clinical infection occurred within 1 year in 9.7 % (6 of 62) of colonized sides (tubing or fluid) versus 1.5 % (2 of 136) of noncolonized sides (p = 0.03). Simple and inexpensive local antiseptic interventions with a chlorhexidine disc and hypochlorite solution reduce bacterial colonization of drains, and reduced drain colonization was associated with fewer infections.

  13. Correction

    CERN Document Server

    2002-01-01

    Tile Calorimeter modules stored at CERN. The larger modules belong to the Barrel, whereas the smaller ones are for the two Extended Barrels. (The article was about the completion of the 64 modules for one of the latter.) The photo on the first page of the Bulletin n°26/2002, from 24 July 2002, illustrating the article «The ATLAS Tile Calorimeter gets into shape» was published with a wrong caption. We would like to apologise for this mistake and so publish it again with the correct caption.

  14. A surgical site infection cluster: the process and outcome of an investigation--the impact of an alcohol-based surgical antisepsis product and human behavior.

    Science.gov (United States)

    Haessler, Sarah; Connelly, Neil Roy; Kanter, Gary; Fitzgerald, Jan; Scales, Mary Ellen; Golubchik, Anneta; Albert, Michael; Gibson, Charles

    2010-04-01

    The institution of a process used to successfully execute a perioperative antibiotic administration system is but 1 component of preventing postoperative infections. Continued surveillance of infections is an important part of the process of decreasing postoperative infections. We recently experienced an increase in the number of postoperative infections in our patients. Using standard infection control methods of outbreak investigation, we tracked multiple variables to search for a common cause. We describe herein the process by which Quality Improvement methodology was used to investigate and manage this surgical site infection (SSI) cluster. As part of routine surveillance for SSI, the infection control division seeks out evidence of postoperative infections. Patients were defined as having an SSI according to National Healthcare Safety Network SSI criteria. SSI data are reviewed monthly and aggregated on a quarterly basis. The SSI rate was above our usual level for 3 consecutive quarters of 2007. This increase in the infection rate led to an internal outbreak investigation, termed a "cluster investigation." This investigation comprised multiple concurrent methods including manual chart review of all cases; review of microbiological data; and inspection of operating rooms, instrument processing facilities, and storage areas. During 3 quarters, a trend emerged in our general surgical population that demonstrated that 4 surgical types had a sustained increase in SSI. The institutional antibiotic protocol was appropriate for prevention of the majority of these SSIs. As part of the investigation, direct observation of hand hygiene and surgical hand antisepsis technique was undertaken. At this time, there were 2 types of surgical hand preparation being used, at the discretion of the clinician: either a "standard" scrub with an antimicrobial soap or the application of a chlorhexidine gluconate and alcohol-based surgical hand antisepsis product. Observers noted

  15. Correction

    CERN Multimedia

    2002-01-01

    The photo on the second page of the Bulletin n°48/2002, from 25 November 2002, illustrating the article «Spanish Visit to CERN» was published with a wrong caption. We would like to apologise for this mistake and so publish it again with the correct caption.   The Spanish delegation, accompanied by Spanish scientists at CERN, also visited the LHC superconducting magnet test hall (photo). From left to right: Felix Rodriguez Mateos of CERN LHC Division, Josep Piqué i Camps, Spanish Minister of Science and Technology, César Dopazo, Director-General of CIEMAT (Spanish Research Centre for Energy, Environment and Technology), Juan Antonio Rubio, ETT Division Leader at CERN, Manuel Aguilar-Benitez, Spanish Delegate to Council, Manuel Delfino, IT Division Leader at CERN, and Gonzalo León, Secretary-General of Scientific Policy to the Minister.

  16. Correction

    Directory of Open Access Journals (Sweden)

    2012-01-01

    Full Text Available Regarding Gorelik, G., & Shackelford, T.K. (2011. Human sexual conflict from molecules to culture. Evolutionary Psychology, 9, 564–587: The authors wish to correct an omission in citation to the existing literature. In the final paragraph on p. 570, we neglected to cite Burch and Gallup (2006 [Burch, R. L., & Gallup, G. G., Jr. (2006. The psychobiology of human semen. In S. M. Platek & T. K. Shackelford (Eds., Female infidelity and paternal uncertainty (pp. 141–172. New York: Cambridge University Press.]. Burch and Gallup (2006 reviewed the relevant literature on FSH and LH discussed in this paragraph, and should have been cited accordingly. In addition, Burch and Gallup (2006 should have been cited as the originators of the hypothesis regarding the role of FSH and LH in the semen of rapists. The authors apologize for this oversight.

  17. Correction

    Directory of Open Access Journals (Sweden)

    2014-01-01

    Full Text Available Regarding Tagler, M. J., and Jeffers, H. M. (2013. Sex differences in attitudes toward partner infidelity. Evolutionary Psychology, 11, 821–832: The authors wish to correct values in the originally published manuscript. Specifically, incorrect 95% confidence intervals around the Cohen's d values were reported on page 826 of the manuscript where we reported the within-sex simple effects for the significant Participant Sex × Infidelity Type interaction (first paragraph, and for attitudes toward partner infidelity (second paragraph. Corrected values are presented in bold below. The authors would like to thank Dr. Bernard Beins at Ithaca College for bringing these errors to our attention. Men rated sexual infidelity significantly more distressing (M = 4.69, SD = 0.74 than they rated emotional infidelity (M = 4.32, SD = 0.92, F(1, 322 = 23.96, p < .001, d = 0.44, 95% CI [0.23, 0.65], but there was little difference between women's ratings of sexual (M = 4.80, SD = 0.48 and emotional infidelity (M = 4.76, SD = 0.57, F(1, 322 = 0.48, p = .29, d = 0.08, 95% CI [−0.10, 0.26]. As expected, men rated sexual infidelity (M = 1.44, SD = 0.70 more negatively than they rated emotional infidelity (M = 2.66, SD = 1.37, F(1, 322 = 120.00, p < .001, d = 1.12, 95% CI [0.85, 1.39]. Although women also rated sexual infidelity (M = 1.40, SD = 0.62 more negatively than they rated emotional infidelity (M = 2.09, SD = 1.10, this difference was not as large and thus in the evolutionary theory supportive direction, F(1, 322 = 72.03, p < .001, d = 0.77, 95% CI [0.60, 0.94].

  18. Correction.

    Science.gov (United States)

    2015-10-01

    In the article by Quintavalle et al (Quintavalle C, Anselmi CV, De Micco F, Roscigno G, Visconti G, Golia B, Focaccio A, Ricciardelli B, Perna E, Papa L, Donnarumma E, Condorelli G, Briguori C. Neutrophil gelatinase–associated lipocalin and contrast-induced acute kidney injury. Circ Cardiovasc Interv. 2015;8:e002673. DOI: 10.1161/CIRCINTERVENTIONS.115.002673.), which published online September 2, 2015, and appears in the September 2015 issue of the journal, a correction was needed. On page 1, the institutional affiliation for Elvira Donnarumma, PhD, “SDN Foundation,” has been changed to read, “IRCCS SDN, Naples, Italy.” The institutional affiliation for Laura Papa, PhD, “Institute for Endocrinology and Experimental Oncology, National Research Council, Naples, Italy,” has been changed to read, “Institute of Genetics and Biomedical Research, Milan Unit, Milan, Italy” and “Humanitas Research Hospital, Rozzano, Italy.” The authors regret this error.

  19. Does chlorhexidine and povidone-iodine preoperative antisepsis reduce surgical site infection in cranial neurosurgery?

    Science.gov (United States)

    Davies, B M; Patel, H C

    2016-07-01

    Introduction Surgical site infection (SSI) is a significant cause of postoperative morbidity and mortality. Effective preoperative antisepsis is a recognised prophylactic, with commonly used agents including chlorhexidine (CHG) and povidone-iodine (PVI). However, there is emerging evidence to suggest an additional benefit when they are used in combination. Methods We analysed data from our prospective SSI database on patients undergoing clean cranial neurosurgery between October 2011 and April 2014. We compared the case-mix adjusted odds of developing a SSI in patients undergoing skin preparation with CGH or PVI alone or in combination. Results SSIs were detected in 2.6% of 1146 cases. Antisepsis with PVI alone was performed in 654 (57%) procedures, while 276 (24%) had CHG alone and 216 (19%) CHG and PVI together. SSIs were associated with longer operating time (p<0.001) and younger age (p=0.03). Surgery type (p<0.001) and length of operation (p<0.001) were significantly different between antisepsis groups. In a binary logistic regression model, CHG and PVI was associated with a significant reduction in the likelihood of developing an SSI (adjusted odds ratio [AOR] 0.12, 95% confidence interval [CI] 0.02-0.63) than either agent alone. There was no difference in SSI rates between CHG and PVI alone (AOR 0.60, 95% CI 0.24-1.5). Conclusions Combination skin preparation with CHG and PVI significantly reduced SSI rates compared to CHG or PVI alone. A prospective, randomized study validating these findings is now warranted.

  20. Health care workers' hand contamination levels and antibacterial efficacy of different hand hygiene methods used in a Vietnamese hospital.

    Science.gov (United States)

    Salmon, Sharon; Truong, Anh Thu; Nguyen, Viet Hung; Pittet, Didier; McLaws, Mary-Louise

    2014-02-01

    Handwashing with soap or another antisepsis disinfectant solution is a common practice in Vietnam, but the availability and quality of tap water is unpredictable. We assessed the risk for hand contamination and compared the efficacy of 5 hand hygiene methods in a tertiary Vietnamese hospital. Five fingertip imprints of the dominant hand of 134 health care workers (HCWs) were sampled to establish the average bacterial count before and after hand hygiene action using (1) alcohol-based handrub (ABHR), (2) plain soap and water handwashing with filtered and unfiltered water, or (3) 4% chlorhexidine gluconate hand antisepsis with filtered and unfiltered water. Average bacterial contamination of hands before hand hygiene was 1.65 log(10). Acinetobacter baumannii, Klebsiella pneumoniae, and Staphylococcus aureus were the most commonly isolated bacterial pathogens. The highest average count before hand hygiene was recovered from HCWs without direct patient contact (2.10 ± 0.11 log(10)). Bacterial counts were markedly reduced after hand hygiene with ABHR (1.4 log(10); P hand, even without direct patient contact. ABHR as an additional step may overcome the effect of high bacterial counts in unfiltered water when soap and water handwashing is indicated. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

  1. A New Definition of Fractional Derivatives Based on Truncated Left-Handed Grünwald-Letnikov Formula with 0<α<1 and Median Correction

    Directory of Open Access Journals (Sweden)

    Zhiwu Liao

    2014-01-01

    Full Text Available We propose a new definition of fractional derivatives based on truncated left-handed Grünwald-Letnikov formula with 0<α<1 and median correction. Analyzing the difficulties to choose the fractional orders and unsatisfied processing results in signal processing using fractional-order partial differential equations and related methods; we think that the nonzero values of the truncated fractional order derivatives in the smooth regions are major causes for these situations. In order to resolve the problem, the absolute values of truncated parts of the G-L formula are estimated by the median of signal values of the remainder parts, and then the truncated G-L formula is modified by replacing each of the original signal value to the differences of the signal value and the median. Since the sum of the coefficients of the G-L formula is zero, the median correction can reduce the truncated errors greatly to proximate G-L formula better. We also present some simulation results and experiments to support our theory analysis.

  2. [Retrospective analysis of effects of metacarpus and phalanx traction on correction of scar contracture of hand after burn on the palm side].

    Science.gov (United States)

    Chunsheng, Hou; Qingye, Liu; Hongfei, Hao; Yuying, Dong; Feng, Wang; Jin, Lei

    2015-06-01

    To analyze the effects of metacarpus and phalanx traction on correction of scar contracture of hand after burn on the palm side retrospectively. A total of 32 patients with 39 affected hands with scar contracture on the palm side after burn were hospitalized from May 2010 to December 2014. Method of treatment: scar contracture was conservatively released followed by skin grafting, which was referred to as method A; Kirschner wire was inserted into the middle or distal phalanx of finger with contracture and the corresponding metacarpus in the shape of U for 2 to 7 weeks' traction, which was referred to as method B; traction frame was built based on the traction pile and anchor formed by Kirschner wire inserted through the second to the fifth metacarpus and distal phalanx of finger with contracture, and then the affected fingers were pulled into a straight position with rubber bands for 2 to 6 months, which was referred to as method C. Method A was used in patients who would be treated with thorough release of scar followed by skin grafting routinely. Method B was used in patients who would be treated with intramedullary Kirschner wire fixation after release of scar contracture and skin transplantation routinely. Method C was further used in patients when methods A and B failed to accomplish the expected result. Method C was used in the first place followed by method A in whom there might be vascular decompensation or exposure of tendon and bone after scar release, and those who failed to meet the expectation were treated with method C in addition. Patients who were unwilling to undergo surgery were treated with method C exclusively. During the course of treatment, the presence or absence of infection and slipping of Kirschner wire or its slitting through soft tissue were observed. The presence or absence of tendency of recurrence of scar contracture within 1 to 2 weeks after treatment was observed. The length of palmar skin measuring from the root of finger with

  3. Hand-rubbing with an aqueous alcoholic solution vs traditional surgical hand-scrubbing and 30-day surgical site infection rates: a randomized equivalence study.

    Science.gov (United States)

    Parienti, Jean Jacques; Thibon, Pascal; Heller, Remy; Le Roux, Yannick; von Theobald, Peter; Bensadoun, Henri; Bouvet, Alain; Lemarchand, François; Le Coutour, Xavier; Bensadoun, Hervé

    2002-08-14

    Surgical site infections prolong hospital stays, are among the leading nosocomial causes of morbidity, and a source of excess medical costs. Clinical studies comparing the risk of nosocomial infection after different hand antisepsis protocols are scarce. To compare the effectiveness of hand-cleansing protocols in preventing surgical site infections during routine surgical practice. Randomized equivalence trial. Six surgical services from teaching and nonteaching hospitals in France. A total of 4387 consecutive patients who underwent clean and clean-contaminated surgery between January 1, 2000, and May 1, 2001. Surgical services used 2 hand-cleansing methods alternately every other month: a hand-rubbing protocol with 75% aqueous alcoholic solution containing propanol-1, propanol-2, and mecetronium etilsulfate; and a hand-scrubbing protocol with antiseptic preparation containing 4% povidone iodine or 4% chlorhexidine gluconate. Thirty-day surgical site infection rates were the primary end point; operating department teams' tolerance of and compliance with hand antisepsis were secondary end points. The 2 protocols were comparable in regard to surgical site infection risk factors. Surgical site infection rates were 55 of 2252 (2.44%) in the hand-rubbing protocol and 53 of 2135 (2.48%) in the hand-scrubbing protocol, for a difference of 0.04% (95% confidence interval, -0.88% to 0.96%). Based on subsets of personnel, compliance with the recommended duration of hand antisepsis was better in the hand-rubbing protocol of the study compared with the hand-scrubbing protocol (44% vs 28%, respectively; P =.008), as was tolerance, with less skin dryness and less skin irritation after aqueous solution use. Hand-rubbing with aqueous alcoholic solution, preceded by a 1-minute nonantiseptic hand wash before each surgeon's first procedure of the day and before any other procedure if the hands were soiled, was as effective as traditional hand-scrubbing with antiseptic soap in

  4. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task Force.

    Science.gov (United States)

    Boyce, John M; Pittet, Didier

    2002-12-01

    The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings. In addition, it provides specific recommendations to promote improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health-care settings. This report reviews studies published since the 1985 CDC guideline (Garner JS, Favero MS. CDC guideline for handwashing and hospital environmental control, 1985. Infect Control 1986;7:231-43) and the 1995 APIC guideline (Larson EL, APIC Guidelines Committee. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251-69) were issued and provides an in-depth review of hand-hygiene practices of HCWs, levels of adherence of personnel to recommended handwashing practices, and factors adversely affecting adherence. New studies of the in vivo efficacy of alcohol-based hand rubs and the low incidence of dermatitis associated with their use are reviewed. Recent studies demonstrating the value of multidisciplinary hand-hygiene promotion programs and the potential role of alcohol-based hand rubs in improving hand-hygiene practices are summarized. Recommendations concerning related issues (e.g., the use of surgical hand antiseptics, hand lotions or creams, and wearing of artificial fingernails) are also included.

  5. Hand hygiene among health care workers

    Directory of Open Access Journals (Sweden)

    Mani Ameet

    2010-01-01

    Full Text Available Healthcare-associated infections are an important cause of morbidity and mortality among hospitalized patients worldwide. Transmission of health care associated pathogens generally occurs via the contaminated hands of health care workers. Hand hygiene has long been considered one of the most important infection control measures to prevent health care-associated infections. For generations, hand washing with soap and water has been considered a measure of personal hygiene. As early as 1822, a French pharmacist demonstrated that solutions containing chlorides of lime or soda could eradicate the foul odor associated with human corpses and that such solutions could be used as disinfectants and antiseptics. This paper provides a comprehensive review of data regarding hand washing and hand antisepsis in healthcare settings. In addition, it provides specific recommendations to uphold improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in healthcare settings. This article also makes recommendations and suggests the significance of hand health hygiene in infection control.

  6. Hand to hand.

    Science.gov (United States)

    Bedell, Susanna E; Graboys, Thomas B

    2002-08-01

    Examination of the hands has the potential to transform the encounter between physician and patient. Taking the hands conveys a sense of warmth and connectedness and is a means to communicate the physician's mindfulness. The hands can focus the examination on the individual patient as a complete human being, and not merely a disease or a collection of symptoms. The hands provide readily accessible information that may not be available through other evaluations, and they offer clues to a patient's physical and mental health. Commonplace observations, such as those revealed in the hands, can unravel medical mysteries and provide profound clinical insights.

  7. Methods to evaluate the microbicidal activities of hand-rub and hand-wash agents.

    Science.gov (United States)

    Rotter, M; Sattar, S; Dharan, S; Allegranzi, B; Mathai, E; Pittet, D

    2009-11-01

    In vitro carrier tests, suspension tests, time-kill curves, and determinations of minimum inhibitory concentrations to evaluate the microbicidal activities of hand antiseptics provide only a preliminary indication of the antimicrobial spectrum and speed of action of a given formulation. Ex vivo testing with human or animal skin at human skin temperature and at contact times reflecting field conditions may give a better indication of a formulation's ability to tackle hand-transmitted pathogens. Field testing of hands for levels of skin microbiota before and after antisepsis may be easier to perform, but it is subject to many uncontrollable factors. Whereas randomised clinical trials may be the ultimate approach to assess the effectiveness of hand hygiene protocols and products in preventing microbial cross-transmission and, ultimately, infections, they can be prohibitively expensive, time-consuming, difficult to design, and therefore impractical. Hence, the primary emphasis should be on in vivo testing on human hands, using a well-designed protocol that closely simulates the recommended field use of the formulation, and possibly followed by clinical studies. The use of these method is the most likely to yield useful data on the potential of a formulation to interrupt the spread of pathogens transmitted by hands in healthcare settings. This review provides a critical assessment of the methods currently used to meet regulatory requirements for hand antiseptics in Europe and North America.

  8. Antiseptic Effect of Conventional Povidone-Iodine Scrub, Chlorhexidine Scrub, and Waterless Hand Rub in a Surgical Room: A Randomized Controlled Trial.

    Science.gov (United States)

    Tsai, Jui-Chen; Lin, Yen-Kuang; Huang, Yen-Jung; Loh, El-Wui; Wen, Hsiao-Yun; Wang, Chia-Hui; Tsai, Yin-Tai; Hsieh, Wen-Shyang; Tam, Ka-Wai

    2017-04-01

    OBJECTIVE Effective perioperative hand antisepsis is crucial for the safety of patients and medical staff in surgical rooms. The antimicrobial effectiveness of different antiseptic methods, including conventional hand scrubs and waterless hand rubs, has not been well evaluated. DESIGN, SETTING, AND PARTICIPANTS A randomized controlled trial was conducted to investigate the effectiveness of the 3 antiseptic methods among surgical staff of Taipei Medical University-Shuang Ho Hospital. For each method used, a group of 80 participants was enrolled. INTERVENTION Surgical hand cleansing with conventional 10% povidone-iodine scrub, conventional 4% chlorhexidine scrub, or waterless hand rub (1% chlorhexidine gluconate and 61% ethyl alcohol). RESULTS Colony-forming unit (CFU) counts were collected using the hand imprinting method before and after disinfection and after surgery. After surgical hand disinfection, the mean CFU counts of the conventional chlorhexidine (0.5±0.2, Pscrub and waterless hand rub were superior to a conventional povidone-iodine product in bacterial inhibition. We recommend using conventional chlorhexidine scrub as a standard method for perioperative hand antisepsis. Waterless hand rub may be used if the higher cost is affordable. Infect Control Hosp Epidemiol 2017;38:417-422.

  9. USE OF HYDROALCOHOLIC EXTRACT OF Schinus terebinthifolius Raddi IN PRE- AND POST-MILKING ANTISEPSIS OF THE TEAT IN DAIRY COWS

    Directory of Open Access Journals (Sweden)

    Ângela Faccin

    2016-01-01

    Full Text Available Medicinal plants have been used for centuries as an alternative treatment for health problems. Schinus terebinthifolius Raddi is a median tree that belongs to the Anacardiaceae family. The antibacterial effect of leaves extract of this plant has already been demonstrated. The objective of this study was to test a substance derived from this plant to be used in pre- and post-milking teat antisepsis. The hydroalcoholic extract of Brazilian pepper tree was used in opposite quarters for twelve consecutive weeks, and commercial iodine was used as control. None of the indices analyzed – black background mug, CMT, intramammary infections, skin health, and teat health – showed a statistical difference between the treatments, suggesting that the plant extract can be used in pre- and post-milking teat antisepsis, as a substitute for conventional products for herds in an agroecological production system.

  10. 外科手消毒后术中不同时段手带菌情况监测的研究%Analysis of clinical disinfection effect at different time during operation course after surgical handa antisepsis

    Institute of Scientific and Technical Information of China (English)

    吴丹燕; 黄旭华; 朱红军; 郑良杰; 林本丹

    2012-01-01

    Objective To observe the influence of hands-washing and non-hands-washing on clinical disinfection effect before surgical hands antisepsis.Methods Totally 40 surgcal staff wee divided into the handa-washing group and the non-hands-washing group.The sterilizing effect of handa at diggerent time points during operations and kinds of bacteria colony were compared between two groups.Results Bacteria colony of hands at different time points during operations showed no significant difference between two groups.Both groups were detected bacteris colony on their hands,mainly made up of coagulase negative staphylococcus,corynebacterium and eaterococcus and no difference was seen between two groups.Conchusions The non-hands-washing method can acquire the same disinfection effect as traditional hands-washing method.Its disinfection effect lasts three hours,easy to operate,little stimulation on the skin,and was worthy of clinical application.%目的 探讨外科手消毒前免刷手与刷手两种方法对术中不同时点手带菌情况的影响.方法 以参加手术的外科医生和洗手护士为研究对象,随机分为刷手组和无刷手组各20人,比较免刷手和传统刷手洗手法在使用同种新型消毒剂后及术中不同时段的手清洁消毒效果及手皮肤菌落种类.结果 经比较发现,2组手术人员术中不同时段手部存活菌落数比较无显著差异.无刷手组与刷手组各时段手皮肤均有细菌检出,主要以凝固酶阴性葡萄球菌、棒状杆菌及肠球菌为主,组间比较无显著差异.结论 使用新型消毒剂进行外科手消毒,免刷手能够达到与传统刷手洗手法相当的清洁消毒效果,消毒作用能持续3h以上,免去刷手步骤,且操作简单使用方便,对皮肤刺激小,值得临床推广使用.

  11. Knowledge of aseptics and antisepsis and following their rules as elements of infection prevention in the work of paramedics

    Directory of Open Access Journals (Sweden)

    Łukasz Szarpak

    2013-04-01

    Full Text Available Background: The health-care professionals, particularly paramedics are exposed to bloodborne infections during medical rescue operations. The aim of this study was to assess knowledge of bloodborne infections, their prevention and interrupted routes of infection transmission among paramedics. Materials and Methods: The study comprised 220 paramedics employed in emergency departments and ambulance services. Material was collected using an anonymus questionnaire, developed for the purpose of this study. Results: As many as 80% of the surveyed people reported frequent contact with patients' blood; 65% of the paramedics before establishing the intravenous access palpates the conduct of the vein; 81% introduce peripheral venous catheter directly after disinfection of the skin; and 98% apply personal protection measures. Conclusions: The analysis of knowledge of asepsis and antisepsis of bloodborne infections among paramedics points to a series of shortcomings in their adequate preparation to reduce the effects of exposure to infectious material. However, it should be emphasized that people with higher education presented a higher level of knowledge than those with postsecondary vocational education. In the opinion of the study group mandatory training in the discussed area would prove to be the most effective method for reducing the number of bloodborne infections. Med Pr 2013;64(2:239–243

  12. Hand Anatomy

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Bones Joints Muscles Nerves Vessels Tendons Anatomy The upper extremity is ...

  13. Android Hands

    DEFF Research Database (Denmark)

    Vlachos, Evgenios; Schärfe, Henrik

    2014-01-01

    . On such occasions, android and humanoid hand models should have similar structure, functions, and performance as the human hand. In this paper we present the anatomy, and the key functionalities of the human hand followed by a literature review on android/humanoid hands for grasping and manipulating objects...

  14. [Specific antisepsis and environmental disinfection in preventing "Clostridium difficile associated diarrhea"].

    Science.gov (United States)

    Agolini, G; Protano, C; Puro, V; Raitano, A; Ferraro, F; Vitali, M

    2009-01-01

    In the last years, Clostridium difficile acquired great interest for public health because of constant increase of Clostridium difficile associated diarrhea (CDAD), especially in nosocomial field and as a consequences of its pathogenicity and virulence. Oro-faecal transmission and great environmental persistence of Clostridium difficile indicate hand hygiene of health care workers and environmental disinfection practices as key interventions for prevention and control of nosocomial CDAD. The current indications relative to the hand hygiene suggest the use of soap and water for hand washing and, to achieve a better compliance of health care workers to this treatment, the alternative use of sodium dichloroisocyanurate or alcohol-based solution or gel waterless. Regard to environmental disinfection, to avoid high concentrations of sodium hypochlorite (in the magnitude of 5.000-6.000 ppm), necessary to reduce microbic load of dirty environment, the most appropriate treatment should consist of 2 phases: preliminary cleaning with water and detergents or polyphenol, followed by treatment with solution containing 1.000 ppm available chlorine, obtained from sodium hypochlorite or sodium dichloroisocyanurate.

  15. Hand Fractures

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is ... serve as a framework. This framework supports the muscles that make the wrist ... When one of these hand bones is broken (fractured), it can prevent you ...

  16. Hand Eczema

    NARCIS (Netherlands)

    Coenraads, Pieter-Jan

    2012-01-01

    A 33-year-old woman presents with redness of the hands and reports the intermittent occurrence of tiny vesicles, scaling, and fissuring, accompanied by itching on the palms, fingers, and dorsal sides of the hands. She has two young children and works as a nurse in a nearby hospital. She has a histor

  17. Comparison of disinfectant effect of Decosept and Betadine-ethanol on hand bacterial flora

    Directory of Open Access Journals (Sweden)

    Zandiyeh M

    2014-11-01

    Full Text Available Background and Objective: Surgical hand antisepsis is a necessary procedure for the prevention of surgical site infection (SSI. Today, higher efficacy of alcohols has resulted in the worldwide use of alcohol-based disinfectants. This study was conducted in order to compare the disinfectant effect of Decosept hand rub (routine method with that of Betadine-ethanol (experimental method on hand bacterial flora. Materials and Method: This before and after clinical trial was performed on 20 healthy volunteers in 2012. The participants were selected from students and staff of Hamadan University of Medical Sciences, Iran, using convenience sampling. All research units performed both interventions. In each method, after washing both hands, first sample (prevalue was taken from fingertips of hands, then hands were scrubbed with Decosept and immediately the second sample (immediate was taken from one randomly selected hand. After that, they put on a sterile glove on the other hand and 3 hours later the third sample (3h was taken from fingertips of the same hand. At least one week later, the experimental method was performed. Results were reported as colony-forming unit per milliliter (cfu/ml. To assess effectiveness of solutions, reduction factor (RF was calculated. Data were analyzed using paired t-test in SPSS version16. Results: Evidently, both antiseptics resulted in the reduction of cfu/ml immediately and 3 hours after disinfection. Mean log10 hand bacterial count before and immediately after disinfection with Decosept were 4.07, 0.81, respectively, and in the second hand before and 3 hours after were 1.94 and 3.87, respectively. paired t-test showed a significant difference between prevalue cfu, and immediate and 3h cfu in both methods. However, the immediate RF and 3h RF of Decosept were higher than Betadine- ethanol (P = 0.0001. Conclusion: The effectiveness of the experimental method on skin bacterial flora of the hand was lower than the routine

  18. Hand eczema.

    Science.gov (United States)

    Agarwal, Uma Shankar; Besarwal, Raj Kumar; Gupta, Rahul; Agarwal, Puneet; Napalia, Sheetal

    2014-05-01

    Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis. So, it becomes important to find the exact etiology and classification of the disease and to use the appropriate preventive and treatment measures. Despite its importance in the dermatological practice, very few Indian studies have been done till date to investigate the epidemiological trends, etiology, and treatment options for hand eczema. In this review, we tried to find the etiology, epidemiology, and available treatment modalities for chronic hand eczema patients.

  19. [Hand infections].

    Science.gov (United States)

    Schiele, Philippe; Le Nen, Dominique

    2013-11-01

    Superficial and deep hand infections are frequent in general medical practice. Clinical examination is a crucial step for an adapted provided care. Most of the time, surgery is the only way to heal infections. However, in some cases (like bites), empiric antibiotherapy is first indicated to limit infection. Staphyloccocus aureus as well as Group Beta Streptococcus are the most frequently pathogenes associated with hand infections. Methicillin resistant S. Aureus must always be considered in the diagnoses. Whatever treatment is provided, clinical assessement must be repeated within two days. An early adaquated treatment prevent functional complications and in some cases death of the patients.

  20. Hand eczema

    Directory of Open Access Journals (Sweden)

    Uma Shankar Agarwal

    2014-01-01

    Full Text Available Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis. So, it becomes important to find the exact etiology and classification of the disease and to use the appropriate preventive and treatment measures. Despite its importance in the dermatological practice, very few Indian studies have been done till date to investigate the epidemiological trends, etiology, and treatment options for hand eczema. In this review, we tried to find the etiology, epidemiology, and available treatment modalities for chronic hand eczema patients.

  1. Hand Osteoblastoma

    Directory of Open Access Journals (Sweden)

    M. Farzan

    2006-06-01

    Full Text Available Background and Aim: Osteoblastoma is one of the rarest primary bone tumors. Although, small bones of the hands and feet are the third most common location for this tumor, the hand involvement is very rare and few case observations were published in the English-language literature. Materials and Methods: In this study, we report five cases of benign osteoblastoma of the hand, 3 in metacarpals and two in phalanxes. The clinical feature is not specific. The severe nocturnal, salicylate-responsive pain is not present in patients with osteoblastoma. The pain is dull, persistent and less localized. The clinical course is usually long and there is often symptoms for months before medical attention are sought. Swelling is a more persistent finding in osteoblastoma of the hand that we found in all of our patients. The radiologic findings are indistinctive, so preoperative diagnosis based on X-ray appearance is difficult. In all of our 5 cases, we fail to consider osteoblastoma as primary diagnosis. Pathologically, osteoblastoma consisting of a well-vascularized connective tissue stroma in which there is active production of osteoid and primitive woven bone. Treatment depends on the stage and localization of the tumor. Curettage and bone grafting is sufficient in stage 1 or stage 2, but in stage 3 wide resection is necessary for prevention of recurrence. Osteosarcoma is the most important differential diagnosis that may lead to inappropriate operation.

  2. Hand eczema

    DEFF Research Database (Denmark)

    Ibler, K.S.; Jemec, G.B.E.; Flyvholm, M.-A.

    2012-01-01

    /materials/methods. A survey of 3181 healthcare workers was performed. Data were analysed with logistic regression. Data on sick leave and notification to the authorities were obtained. Results. The response rate was 71% (2274 of 3181). The 1-year prevalence of hand eczema was 21%, and was positively associated with atopic...

  3. Magic Hands

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    THE two most amazing things on the planet may well be the human brain and human hands. When they work together, the results can be enchanting. At an international folk art fair held recently in Beijing, artisans and masters from Japan, India, Switzerland, Peru, South

  4. Hands of early primates.

    Science.gov (United States)

    Boyer, Doug M; Yapuncich, Gabriel S; Chester, Stephen G B; Bloch, Jonathan I; Godinot, Marc

    2013-12-01

    Questions surrounding the origin and early evolution of primates continue to be the subject of debate. Though anatomy of the skull and inferred dietary shifts are often the focus, detailed studies of postcrania and inferred locomotor capabilities can also provide crucial data that advance understanding of transitions in early primate evolution. In particular, the hand skeleton includes characteristics thought to reflect foraging, locomotion, and posture. Here we review what is known about the early evolution of primate hands from a comparative perspective that incorporates data from the fossil record. Additionally, we provide new comparative data and documentation of skeletal morphology for Paleogene plesiadapiforms, notharctines, cercamoniines, adapines, and omomyiforms. Finally, we discuss implications of these data for understanding locomotor transitions during the origin and early evolutionary history of primates. Known plesiadapiform species cannot be differentiated from extant primates based on either intrinsic hand proportions or hand-to-body size proportions. Nonetheless, the presence of claws and a different metacarpophalangeal [corrected] joint form in plesiadapiforms indicate different grasping mechanics. Notharctines and cercamoniines have intrinsic hand proportions with extremely elongated proximal phalanges and digit rays relative to metacarpals, resembling tarsiers and galagos. But their hand-to-body size proportions are typical of many extant primates (unlike those of tarsiers, and possibly Teilhardina, which have extremely large hands). Non-adapine adapiforms and omomyids exhibit additional carpal features suggesting more limited dorsiflexion, greater ulnar deviation, and a more habitually divergent pollex than observed plesiadapiforms. Together, features differentiating adapiforms and omomyiforms from plesiadapiforms indicate increased reliance on vertical prehensile-clinging and grasp-leaping, possibly in combination with predatory behaviors in

  5. Efeito da anti-sepsia da ferida cirúrgica alveolar sobre o crescimento bacteriano em fios de sutura de algodão Effect of the antisepsis of the alveolar surgical wound on bacterial growth over cotton suture threads

    Directory of Open Access Journals (Sweden)

    Ulysses Nicida SOARES

    2001-03-01

    Full Text Available Embora os fios de sutura empregados rotineiramente em cirurgias bucais possam favorecer o acúmulo e o crescimento bacteriano, há poucos trabalhos na literatura relatando preocupação com a anti-sepsia da ferida cirúrgica durante o período pós-operatório e antes de sua remoção. O presente trabalho teve por objetivo avaliar o efeito de dois métodos de anti-sepsia intra-oral sobre o crescimento bacteriano em fios de sutura de algodão. Os resultados evidenciaram que todos os fios de sutura apresentaram-se contaminados com estreptococos, antes e após a anti-sepsia da ferida cirúrgica. A análise dos resultados obtidos permitiu concluir que os dois métodos de anti-sepsia avaliados reduziram o número de estreptococos isolados dos fragmentos de fios de sutura, entretanto, a análise estatística demonstrou que os dois métodos avaliados não apresentaram diferenças estatisticamente significantes.The objective of this study was to evaluate bacterial growth on cotton suture. The efficiency of cetylpyridinium chloride (50%, hydrogen peroxide (3% and chlorhexidine (0.12% in antisepsis was investigated. For that, 20 patients who were submitted to extraction of impacted lower third molars were studied. Five days after extraction, samples were obtained from the oral and alveolar sides of the sutures, before and after antisepsis of the wounds, and were submitted to bacteriological analysis. Bacterial growth was observed in all examined samples. The number of streptococci decreased after antisepsis and there were no statistically significant differences between the methods of antisepsis used.

  6. A randomized open-label controlled trial of chlorhexidine-alcohol vs povidone-iodine for cesarean antisepsis: the CAPICA trial.

    Science.gov (United States)

    Springel, Edward H; Wang, Xiao-Yu; Sarfoh, Vanessa M; Stetzer, Bradley P; Weight, Steven A; Mercer, Brian M

    2017-06-07

    Identification of optimal surgical site antisepsis preparations may reduce cesarean-related surgical site infections. Two recently published investigations examined efficacy of chlorhexidine-alcohol and iodine-alcohol preparations. No previous randomized controlled trial has compared chlorhexidine-alcohol to povidone-iodine aqueous scrub and paint in reduction of cesarean-related surgical site infection. The purpose of the study was to determine if chlorhexidine-alcohol would result in fewer surgical site infections than povidone-iodine when used as skin antisepsis preparation prior to cesarean delivery. This study was a single-center pragmatic randomized controlled trial at an urban tertiary care institution to compare chlorhexidine-alcohol 26-mL single-step applicator to povidone-iodine aqueous scrub and paint 236-mL wet skin tray as preoperative skin antiseptic preparation for women undergoing cesarean delivery. Patients were eligible for study participation if they could provide informed consent in English or Spanish, were ≥18 years of age, did not have clinical chorioamnionitis, were unlikely to be lost to follow-up, and had no sensitivities to chlorhexidine, betadine, or iodine. Treatment was assigned by computer-generated simple 1:1 randomization immediately before skin preparation. The primary outcome was surgical site infection occurring within 30 days of cesarean delivery including ≥1 of: superficial or deep surgical site infection, or endometritis, according to Centers for Disease Control and Prevention definitions. Analysis was by intent to treat. Categorical outcomes were compared using Fisher exact test. The Wilcoxon rank-sum test was performed for continuous outcomes. This trial was institutional review board approved and registered at ClinicalTrials.gov (NCT02202577). In all, 932 subjects (461 assigned to chlorhexidine-alcohol, 471 assigned to povidone-iodine) were randomized from February 2013 through May 2016. Rate of follow-up evaluation

  7. The effect of knowledge-attitude-practice educational model on the correct execution of hand hygiene for newcomers%知-信-行教育模式对新职工手卫生正确执行力的影响

    Institute of Scientific and Technical Information of China (English)

    沙莉; 张静; 张立

    2015-01-01

    目的:探讨运用知‐信‐行教育模式对新职工手卫生正确执行力的影响,强化新职工手卫生知识,提高洗手依从性及正确率。方法对医院2012年92名新职工运用知‐信‐行教育模式,重点围绕手卫生的5个时刻、正确的洗手方法及免洗液的推广使用3个方面进行手卫生培训,比较教育培训前后手卫生认识掌握、手卫生执行情况。结果培训后新职工手卫生认识掌握及手卫生正确执行力均较培训前有显著提高,其中手卫生概念与意义得分由(4.70±1.20)分提升至(6.50±1.10)分,手卫生指征得分由(7.50±1.10)分提升至(13.50±0.60)分,差异有统计学意义( P<0.01);洗手依从性由36.51%提升至63.01%,洗手正确率由69.56%提升至90.22%,差异有统计学意义(P<0.01)。结论运用知‐信‐行教育模式对新职工进行系列手卫生培训,能有效提高新职工手卫生意识,增强洗手依从性和洗手正确率,提升手卫生正确执行力。%OBJECTIVE To explore the effect of knowledge‐attitude‐practice (KAP) educational model on the correct execution of hand hygiene for newcomers ,strengthen the hand hygiene knowledge of the newcomers ,and improve the compliance and proper rate of hand‐washing .METHODS Totally 92 newcomers of our hospital in 2012 were selected and received the KAP hand hygiene training .The hand hygiene training was conducted on three aspects including five moments for hand hygiene ,proper hand‐washing method and the promotion and use of free lotion .The conditions of knowledge master and implementation of hand hygiene were compared before and after training .RESULTS After training , the knowledge and correct execution of hand hygiene were significantly improved among the newcomers .The score of concept of hand hygiene was elevated from 4 .70 ± 1 .20 up to 6 .50 ± 1 .10 ,and the score of washing

  8. Hand Dominance and Common Hand Conditions.

    Science.gov (United States)

    Lutsky, Kevin; Kim, Nayoung; Medina, Juana; Maltenfort, Mitchell; Beredjiklian, Pedro K

    2016-05-01

    The goals of this study were to (1) assess how frequently patients present for evaluation of common hand disorders in relation to hand dominance and (2) evaluate the effect of hand dominance on function in patients with these conditions. The authors hypothesized that (1) the majority of patients who seek evaluation would have a condition that affects the dominant hand, and (2) disability scores would be worse if the dominant hand is involved. They retrospectively reviewed the records of consecutive patients who presented for treatment to their institution with unilateral symptoms of 5 common disorders of the hand: carpal tunnel syndrome (CTS), de Quervain's tenosynovitis (DEQ), lateral epicondylitis (LE), hand osteoarthritis (OA), and trigger finger (TF). The authors assessed the effect of diagnosis and hand dominance on Disabilities of the Arm, Shoulder and Hand (DASH) scores. The study group comprised 1029 patients (379 men and 650 women) with a mean age of 59.5 years. Ninety percent were right-hand dominant. The dominant and nondominant hands were affected with relatively equal frequency for CTS, DEQ, OA, and TF (range, 45%-53%). Patients with LE had a significantly higher incidence of dominant hand involvement. Men had lower DASH scores than women by an average of 7.9 points, and DASH scores were significantly but slightly higher for the overall group (3.2 points) when the dominant side was affected. Men with LE and women with TF and OA had significantly higher DASH scores when their dominant extremity was affected. Common hand disorders such as CTS, DEQ, OA, and TF affect the dominant and nondominant hands in roughly equivalent proportions, whereas LE is more common on the dominant side. Dominant hand involvement results in significantly worse DASH scores, although the magnitude of this is relatively small. Women have significantly higher DASH scores than men for the conditions evaluated. [Orthopedics. 2016; 39(3):e444-e448.].

  9. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand Hygiene Saves Lives Hand Hygiene Saves Lives Transcript [28 KB, 2 pages] High ...

  10. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... including, children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand Hygiene Saves Lives Hand Hygiene Saves Lives Transcript [28 KB, 2 pages] High ...

  11. Hand Hygiene Saves Lives

    Science.gov (United States)

    ... including, children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand Hygiene Saves Lives Hand Hygiene Saves Lives Transcript [28 KB, 2 pages] High ...

  12. Determination of antiseptic efficacy of rubs on the forearm and consequences for surgical hand disinfection.

    Science.gov (United States)

    Hübner, N-O; Kellner, N B; Partecke, L I; Koburger, T; Heidecke, C-D; Kohlmann, T; Kramer, A

    2011-05-01

    While hands are acknowledged to be the most important source of pathogens from the skin of the surgical team, the transmission of pathogens from the forearms may also be relevant. Preoperative hand disinfection is recommended, but evidence-based standards for the forearms are lacking. As neither the European standard EN 12791 nor the American guidelines ASTM 1115 are applicable to the forearms, a new test method based on the European standard EN 12791 and the German Society for Hygiene and Microbiology (DGHM) method for testing for the efficacy of skin antiseptics was developed to address the forearms. The antiseptic efficacy of a commercially available alcohol-based hand rub [76.7% (w/w) ethanol] was assessed on the upper arm after 15s, 2.5 min, and 30 min, and on the lower arm after 2.5 min, 30 min, and 3 h. On the upper arm, application of the product followed the DGHM standard procedure. On the forearm, the product was applied by the participants themselves with the right hand over the left forearm and vice versa as performed during preoperative hand disinfection. Sampling and culture were performed according to the DGHM method for skin antisepsis on the upper arm. Twenty-two volunteers were investigated. The efficacy of the antiseptic treatment on the forearm was not significantly lower than on the upper arm for any of the areas tested (P > 0.05). Reduction factors for all tested areas and times were quite similar, with confidence intervals ranging between 1.43 and 2.31 log₁₀. We suggest that an application time of 10s may be sufficient for the treatment of the forearm as part of preoperative hand disinfection, provided that an appropriate product is used.

  13. Status Quo of Twice Supplying Water for High Building and Antisepsis Effect of MF-2 Disinfector%高层建筑二次供水的现状及MF-2消毒剂的消毒效果

    Institute of Scientific and Technical Information of China (English)

    刘庆增; 王金兰

    2002-01-01

    Objective To discuss status quo of twice supplying water for high building and validateantisepsis effect of MF - 2 disinfector. Methods By field test and searching reference, discussing thequestions of above - describe. According to state prescriptive method for disinfecting drinking water, vali-dating the antisepsis effect of disinfecting twice supplying water. Results Currently, establishment fortwice supplying water and the quality of the supplying water has some questions. According to the qualityof twice supplying water, acceding to some MF - 2 disinfector to disinfect, it will achieve the standard ofdrinking water. Conclusion Circumstance management department and sanitation supervise departmentshould smeliorate and manage the quality of twice supplying water, and insure the safety of using drinkingwater. So MF - 2 disinfector may replace contain chlorin disinfector to disinfect twice supplying water.

  14. Application of New Type Examining and Repairing Technology in Antisepsis of Desulfurization Absorbing Tower%新型检修工艺在脱硫吸收塔防腐中的应用

    Institute of Scientific and Technical Information of China (English)

    黄艺辉

    2015-01-01

    The paper analyzes the reason of the tower wal perforation and leakage from the absorbing tower of the wet process of FGD in the thermal power plant. Based on the practice application of the Shanwei power plant, the paper puts forward a sort of new examining and repairing technology in antisepsis of absorbing tower, it is provided with significance for reference to settle the similar problem of FGD system.%分析了火力发电厂湿法烟气脱硫吸收塔塔壁穿孔泄漏的原因,根据汕尾电厂的实践应用提出了一种新的吸收塔防腐检修工艺,对解决烟气脱硫系统类似问题具有借鉴意义。

  15. La desinfección-antisepsia y esterilización en la atención primaria de salud: Laboratorios Desinfection-antisepsis and sterilization in primay health care: Laboratories

    Directory of Open Access Journals (Sweden)

    Abilio Ubaldo Rodríguez Pérez

    2006-09-01

    Full Text Available La desinfección-antisepsia y esterilización son procedimientos que se utilizan como elementos de ruptura de la cadena de transmisión de microorganismos, evitando posibles contaminaciones a nivel de laboratorios para el nivel primario de asistencia médica, por lo que es nuestro objetivo describirlos en el presente trabajo y establecer una política en este sentido.Desinfection-antisepsis and sterilization are procedures that are used as elements to break up the microorganisms transmission chain, preventing possible contaminations in the laboratories at the primary health care level. It is our objective to describe them and to establish a policy in this sense.

  16. Teaching hand-washing with pictorial cues

    Directory of Open Access Journals (Sweden)

    Timo Saloviita

    2016-01-01

    Full Text Available Applied behavior analysis has been shown to be an effective means to teach daily living skills to individuals with intellectual disability. In the present study pictorial cues based on task analysis, system of least prompts, and social reinforcement were used to teach a man with mild intellectual disability to wash his hands correctly. An ABAB reversal design was used with follow-up after two weeks. The results show a rapid increase in hand-washing skills.

  17. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand ... High resolution [22.9 MB] Open Captioned [14.5 MB] Request a higher resolution file Copy the ...

  18. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... future Salt Matters: Preserving Choice, Protecting Health More Information Hand Hygiene Clean Hands Basics Send Us Feedback ... 2013 Page last updated: November 22, 2013 Content source: Centers for Disease Control and Prevention Page maintained ...

  19. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... 22.9 MB] Open Captioned [14.5 MB] Request a higher resolution file Copy the code below ... future Salt Matters: Preserving Choice, Protecting Health More Information Hand Hygiene Clean Hands Basics Send Us Feedback ...

  20. Arthritis of the Hand

    Science.gov (United States)

    .org Arthritis of the Hand Page ( 1 ) The hand and wrist have multiple small joints that work together to ... a shoelace. When the joints are affected by arthritis, activities of daily living can be difficult. Arthritis ...

  1. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Tricky Treats Hygiene Fight Germs. Wash Your Hands! Go with the Flow Hand Hygiene Saves Lives Wash ... Wes Studi: Signs (:30) Traveler’s Health Way to Go Way to Go: Many Healthy Returns (4:00) ...

  2. Hands in Systemic Disease

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is ... nerves, skin and skin-related tissues, bones, and ... a systemic diseases. The hands may show changes noticed by the patient or ...

  3. Robotic hand and fingers

    Energy Technology Data Exchange (ETDEWEB)

    Salisbury, Curt Michael; Dullea, Kevin J.

    2017-06-06

    Technologies pertaining to a robotic hand are described herein. The robotic hand includes one or more fingers releasably attached to a robotic hand frame. The fingers can abduct and adduct as well as flex and tense. The fingers are releasably attached to the frame by magnets that allow for the fingers to detach from the frame when excess force is applied to the fingers.

  4. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Matters: Preserving Choice, Protecting Health (4:30) Salt Matters: Preserving Choice, Protecting Health (2:00) Tricky Treats Hygiene Fight Germs. Wash Your Hands! Go with the Flow Hand Hygiene Saves Lives Wash Your Hands Physical Activity Knees Lifted High Making Health Easier: Active ...

  5. [Surgical management of the adult spastic hand].

    Science.gov (United States)

    Allieu, Y

    2011-06-01

    The adult spastic hand, of varying causes, but dominated by vascular hemiplegia and brain damage, associates motor disorders and problems of tonus. The variety of forms of brain damage explains the wealth and diversity of the symptoms. These symptoms, often the most serious along with cognitive disorders, justify the expression "central neurological hand". Each case is an individual one. The effect on the hands may be unilateral or bilateral with spasticity involving the fingers/thumb/wrist. The clinical evaluation leading to a decision tree must take into account spasticity, retraction and paralysis, for each muscle. When completed by anesthetic motor blocks, spasticity and/or retraction, damage to extrinsic and/or intrinsic muscles of the fingers may be differentiated. This repeated multidisciplinary evaluation makes it possible to distinguish between "non functional hands", "functional hands" and "potentially functional hands". In the first instance, surgery can only improve the esthetic aspect or facilitate nursing. In the second instance, correcting spasticity may improve function. The treatment of spasticity is based on inhibiting spasticity (by injecting botulinum toxin or surgical motor hyponeurotisation) and reinforcing the non-spastic antagonist muscles via tendon transfer or tenodesis. Surgery is indicated to correct muscular retraction and deformities. The functional indications are highly selective and their limited results only allow a "supporting hand" to be constructed at best. The non-functional indications lead to a codified intervention whose results will greatly improve the management of these patients.

  6. Hand eczema classification

    DEFF Research Database (Denmark)

    Diepgen, T L; Andersen, Klaus Ejner; Brandao, F M;

    2008-01-01

    Summary Background Hand eczema is a long-lasting disease with a high prevalence in the background population. The disease has severe, negative effects on quality of life and sometimes on social status. Epidemiological studies have identified risk factors for onset and prognosis, but treatment...... of the disease is rarely evidence based, and a classification system for different subdiagnoses of hand eczema is not agreed upon. Randomized controlled trials investigating the treatment of hand eczema are called for. For this, as well as for clinical purposes, a generally accepted classification system...... for hand eczema is needed. Objectives The present study attempts to characterize subdiagnoses of hand eczema with respect to basic demographics, medical history and morphology. Methods Clinical data from 416 patients with hand eczema from 10 European patch test clinics were assessed. Results...

  7. Hand deburring guide

    Energy Technology Data Exchange (ETDEWEB)

    Gillespie, L.K.

    1979-07-01

    Appropriate hand deburring techniques have always been difficult to define because of the infinite variety of part shapes, sizes, materials, and burr conditions. This guide, however, has been prepared to assist those responsible for hand deburring. The purpose of the guide is to define Bendix Kansas City burr specifications and inspection practices; to define the results of practical tests on hand deburring; to define some typical in-house practices; and to define the in-house tools available for this work.

  8. The alien hand syndrome

    Science.gov (United States)

    Panikkath, Deepa; Mojumder, Deb; Nugent, Kenneth

    2014-01-01

    A 77-year-old woman presented with the complaint of observing her left hand moving without her knowledge while watching television. Her left hand stroked her face and hair as if somebody was controlling it. These movements lasted only half an hour but on recovery, she had left hemiparesis. Alien hand syndrome as the presentation of cardioembolic stroke is extremely rare but can be terrifying to patients. PMID:24982566

  9. Hand Hygiene: An Update.

    Science.gov (United States)

    Bolon, Maureen K

    2016-09-01

    The medical field has long recognized the importance of hand hygiene in preventing health care-associated infections, yet studies indicate that this important task is performed only 40% of the time. Health care workers cite several barriers to optimal performance of hand hygiene, but the time required to perform this task is foremost among them. Introduction of alcohol-based hand rubs, bundled interventions, and incorporation of technologies designed to monitor and promote hand hygiene all represent promising advances in this field. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. [Optimizing surgical hand disinfection].

    Science.gov (United States)

    Kampf, G; Kramer, A; Rotter, M; Widmer, A

    2006-08-01

    For more than 110 years hands of surgeons have been treated before a surgical procedure in order to reduce the bacterial density. The kind and duration of treatment, however, has changed significantly over time. Recent scientific evidence suggests a few changes with the aim to optimize both the efficacy and the dermal tolerance. Aim of this article is the presentation and discussion of new insights in surgical hand disinfection. A hand wash should be performed before the first disinfection of a day, ideally at least 10 min before the beginning of the disinfection as it has been shown that a 1 min hand wash significantly increases skin hydration for up to 10 min. The application time may be as short as 1.5 min depending on the type of hand rub. Hands and forearms should be kept wet with the hand rub for the recommended application time in any case. A specific rub-in procedure according to EN 12791 has been found to be suitable in order to avoid untreated skin areas. The alcohol-based hand rub should have a proven excellent dermal tolerance in order to ensure appropriate compliance. Considering these elements in clinical practice can have a significant impact to optimize the high quality of surgical hand disinfection for prevention of surgical site infections.

  11. 外科手消毒后术中不同时段消毒效果研究%STUDY ON THE DISINFECTION EFFECT DURING DIFFERENT PERIODS AFTER SURGICAL HAND ANTISEPSIS

    Institute of Scientific and Technical Information of China (English)

    黄旭华; 郑良杰; 林静莹

    2014-01-01

    目的 比较外科两种洗手方式对消毒效果的影响,研究手消毒后不同时段消毒效果的保持情况.方法 采用现场采样检测方法,对外科医护人员术前刷手与不刷手消毒效果进行比较,同时观察手消毒后不同时段消毒效果.结果 外科医护人员术前刷手与不刷手清洗后消毒效果基本一致.手消毒后即刻及手术持续3h之内,手上菌数均可保持在≤5 cfu/cm2.结论 外科医护人员术前洗手刷与不刷,对手消毒效果及其保持时间无影响.

  12. Simplified correction of g-value measurements

    DEFF Research Database (Denmark)

    Duer, Karsten

    1998-01-01

    A double glazed unit (Ipasol Natura 66/34) has been investigated in the Danish experimental setup METSET. The corrections of the experimental data are very important for the investigated sample as it shows significant spectral selectivity. In (Duer, 1998) and in (Platzer, 1998) the corrections have...... been carried out using a detailed physical model based on ISO9050 and prEN410 but using polarized data for non-normal incidence. This model is only valid for plane, clear glazings and therefor not suited for corrections of measurements performed on complex glazings. To investigate a more general...... correction procedure the results from the measurements on the Interpane DGU have been corrected using the principle outlined in (Rosenfeld, 1996). This correction procedure is more general as corrections can be carried out without a correct physical model of the investigated glazing. On the other hand...

  13. [Hand surgery training].

    Science.gov (United States)

    Moutet, F; Haloua, J P

    2003-10-01

    Training of the hand surgeon HAND SURGEON A CONCEPT: The hand surgeon is supposed to be in charge of all the hand lesions regarding, skeleton, muscles, tendons, nerves and vessels. He has to be able to insure reparation and coverage of all of them. So he is involved in all the structures, which insure integrity and function of the hand. PURPOSE AND WAYS OF TRAINING: To obtain the asked ability, the hand surgeon training has to be global and sustained by two underlying surgical specialities: orthopedic surgery and plastic and reconstructive surgery. From 2000 after many years of dealings, a Right to the Title in Hand Surgery was born. This Right to the Title wants to be the formal recognition of the specific training of the hand surgeon. For the well-recognized ancient hand surgeons they need to be confirmed by one's peers. Now a day the hand surgeon has to satisfy to this specific training: Passed the complete training and exam of the Orthopedic or Plastic surgery board. Spent at least 6 months as resident in the other underlying specialty. Passed a microsurgery examination. Passed one of the four national Hand Surgery diplomas (DIU/Inter-Universitary Diploma). The examinations have been harmonized. A common formation is delivered regarding hand surgery, the way of examination is the same and the formation is 2 years long. The final exam is presented in front of board of examiners where a teacher of one of the other three national diplomas is present. Spent at least 2 years in a formative hand surgery unit, listed by the French College of Hand Surgeons, as senior surgeon. Those requirements are heavy to assume and need a heavy personal involvement. That seems to be necessary to have an ability level as high as possible. Emergency surgery practice is absolutely necessary in this training. All the 17 university formative hand surgery units listed by the French College of Hand Surgeons are members of the FESUM (European Federation of the Emergency Hand Units

  14. Hand Hygiene – Evaluation of Three Disinfectant Hand Sanitizers in a Community Setting

    Science.gov (United States)

    Babeluk, Rita; Jutz, Sabrina; Mertlitz, Sarah; Matiasek, Johannes; Klaus, Christoph

    2014-01-01

    Hand hygiene is acknowledged as the single most important measure to prevent nosocomial infections in the healthcare setting. Similarly, in non-clinical settings, hand hygiene is recognised as a key element in helping prevent the spread of infectious diseases. The aim of this study was to evaluate the efficacy of three different disinfectant hand sanitizers in reducing the burden of bacterial hand contamination in 60 healthy volunteers in a community setting, both before and after education about the correct use of hand sanitizers. The study is the first to evaluate the efficacy and ease of use of different formulations of hand rubs used by the general population. The products tested were: Sterillium (perfumed, liquid), desderman pure gel (odorless, gel) and Lavit (perfumed, spray). Sterillium and desderman are EN1500 (hygienic hand rub) certified products (available in pharmacy) and Lavit is non EN1500 certified and available in supermarkets. The two EN1500 certified products were found to be significantly superior in terms of reducing bacterial load. desderman pure gel, Sterillium and Lavit reduced the bacterial count to 6.4%, 8.2% and 28.0% respectively. After education in the correct use of each hand rub, the bacterial load was reduced even further, demonstrating the value of education in improving hand hygiene. Information about the testers' perceptions of the three sanitizers, together with their expectations of a hand sanitizer was obtained through a questionnaire. Efficacy, followed by skin compatibility were found to be the two most important attributes of a hand disinfectant in our target group. PMID:25379773

  15. Hand hygiene--evaluation of three disinfectant hand sanitizers in a community setting.

    Science.gov (United States)

    Babeluk, Rita; Jutz, Sabrina; Mertlitz, Sarah; Matiasek, Johannes; Klaus, Christoph

    2014-01-01

    Hand hygiene is acknowledged as the single most important measure to prevent nosocomial infections in the healthcare setting. Similarly, in non-clinical settings, hand hygiene is recognised as a key element in helping prevent the spread of infectious diseases. The aim of this study was to evaluate the efficacy of three different disinfectant hand sanitizers in reducing the burden of bacterial hand contamination in 60 healthy volunteers in a community setting, both before and after education about the correct use of hand sanitizers. The study is the first to evaluate the efficacy and ease of use of different formulations of hand rubs used by the general population. The products tested were: Sterillium (perfumed, liquid), desderman pure gel (odorless, gel) and Lavit (perfumed, spray). Sterillium and desderman are EN1500 (hygienic hand rub) certified products (available in pharmacy) and Lavit is non EN1500 certified and available in supermarkets. The two EN1500 certified products were found to be significantly superior in terms of reducing bacterial load. desderman pure gel, Sterillium and Lavit reduced the bacterial count to 6.4%, 8.2% and 28.0% respectively. After education in the correct use of each hand rub, the bacterial load was reduced even further, demonstrating the value of education in improving hand hygiene. Information about the testers' perceptions of the three sanitizers, together with their expectations of a hand sanitizer was obtained through a questionnaire. Efficacy, followed by skin compatibility were found to be the two most important attributes of a hand disinfectant in our target group.

  16. Hand hygiene--evaluation of three disinfectant hand sanitizers in a community setting.

    Directory of Open Access Journals (Sweden)

    Rita Babeluk

    Full Text Available Hand hygiene is acknowledged as the single most important measure to prevent nosocomial infections in the healthcare setting. Similarly, in non-clinical settings, hand hygiene is recognised as a key element in helping prevent the spread of infectious diseases. The aim of this study was to evaluate the efficacy of three different disinfectant hand sanitizers in reducing the burden of bacterial hand contamination in 60 healthy volunteers in a community setting, both before and after education about the correct use of hand sanitizers. The study is the first to evaluate the efficacy and ease of use of different formulations of hand rubs used by the general population. The products tested were: Sterillium (perfumed, liquid, desderman pure gel (odorless, gel and Lavit (perfumed, spray. Sterillium and desderman are EN1500 (hygienic hand rub certified products (available in pharmacy and Lavit is non EN1500 certified and available in supermarkets. The two EN1500 certified products were found to be significantly superior in terms of reducing bacterial load. desderman pure gel, Sterillium and Lavit reduced the bacterial count to 6.4%, 8.2% and 28.0% respectively. After education in the correct use of each hand rub, the bacterial load was reduced even further, demonstrating the value of education in improving hand hygiene. Information about the testers' perceptions of the three sanitizers, together with their expectations of a hand sanitizer was obtained through a questionnaire. Efficacy, followed by skin compatibility were found to be the two most important attributes of a hand disinfectant in our target group.

  17. Static hand gesture recognition from a video

    Science.gov (United States)

    Rokade, Rajeshree S.; Doye, Dharmpal

    2011-10-01

    A sign language (also signed language) is a language which, instead of acoustically conveyed sound patterns, uses visually transmitted sign patterns to convey meaning- "simultaneously combining hand shapes, orientation and movement of the hands". Sign languages commonly develop in deaf communities, which can include interpreters, friends and families of deaf people as well as people who are deaf or hard of hearing themselves. In this paper, we proposed a novel system for recognition of static hand gestures from a video, based on Kohonen neural network. We proposed algorithm to separate out key frames, which include correct gestures from a video sequence. We segment, hand images from complex and non uniform background. Features are extracted by applying Kohonen on key frames and recognition is done.

  18. Wash Your Hands

    Science.gov (United States)

    ... don't have soap and clean, running water? Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not available, use an alcohol-based hand sanitizer [423 KB] that contains at least 60% alcohol. ...

  19. Pneumatically actuated hand tool

    NARCIS (Netherlands)

    Cool, J.C.; Rijnsaardt, K.A.

    1996-01-01

    Abstract of NL 9401195 (A) Pneumatically actuated hand tool for carrying out a mechanical operation, provided with an exchangeable gas cartridge in which the gas which is required for pneumatic actuation is stored. More particularly, the hand tool is provided with at least one pneumatic motor, at

  20. HAND INJURIES IN VOLLEYBALL

    NARCIS (Netherlands)

    BHAIRO, NH; NIJSTEN, MWN; VANDALEN, KC; TENDUIS, HJ

    We studied the long-term sequelae of hand injuries as a result of playing volleyball. In a retrospective study, 226 patients with injuries of the hand who were seen over a 5-year period at our Trauma Department, were investigated. Females accounted for 66 % of all injuries. The mean age was 26

  1. Hand measuring eqipment

    DEFF Research Database (Denmark)

    De Chiffre, Leonardo

    This note is used in connection with a 3 x 2 hours laboratory exercise as a part of the course GEOMETRICAL METROLOGY AND MACHINE TESTING. The laboratory includes a demonstration of a series of hand measuring tools as well as a number of exercises, illustrating the use of hand measuring equipment...

  2. HAND INJURIES IN VOLLEYBALL

    NARCIS (Netherlands)

    BHAIRO, NH; NIJSTEN, MWN; VANDALEN, KC; TENDUIS, HJ

    1992-01-01

    We studied the long-term sequelae of hand injuries as a result of playing volleyball. In a retrospective study, 226 patients with injuries of the hand who were seen over a 5-year period at our Trauma Department, were investigated. Females accounted for 66 % of all injuries. The mean age was 26 years

  3. Self-correcting Multigrid Solver

    Energy Technology Data Exchange (ETDEWEB)

    Jerome L.V. Lewandowski

    2004-06-29

    A new multigrid algorithm based on the method of self-correction for the solution of elliptic problems is described. The method exploits information contained in the residual to dynamically modify the source term (right-hand side) of the elliptic problem. It is shown that the self-correcting solver is more efficient at damping the short wavelength modes of the algebraic error than its standard equivalent. When used in conjunction with a multigrid method, the resulting solver displays an improved convergence rate with no additional computational work.

  4. Hand Hygiene: When and How

    Science.gov (United States)

    ... handrub? How to handwash? RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED Duration of the entire procedure: ... from its use. When? YOUR 5 MOMENTS FOR HAND HYGIENE 1 BEFORETOUCHINGA PATIENT 2 B P ECFLOER R ...

  5. Ethanol in pre-surgical hand rubs: concentration and duration of application for achieving European Norm EN 12791.

    Science.gov (United States)

    Suchomel, M; Rotter, M

    2011-03-01

    In Europe, ethanol is a common active agent in hand rub formulations and nowadays it is also recommended in guidelines for hand hygiene published by the Centers for Disease Control and Prevention and by the World Health Organization. However, data on the range of concentrations and durations of application providing a basis for passing the efficacy test of the European norm EN 12791 are still lacking. Therefore, the bactericidal efficacy of rubbing clean hands with pure ethanol in volume concentrations of 95%, 85% or 75% during 3 min was compared with that of the reference procedure of EN 12791 employing n-propanol 60% v/v for 3 min, immediately and 3h after disinfection. Ethanol 85% was also tested at a 5 min application. A Latin-square design was used with 20 randomly allotted volunteers. Whereas the mean immediate bacterial reductions caused by ethanol at concentrations of 75% (log RF 1.68) and 95% (log RF 2.70) were significantly less efficacious compared to that of the reference (log RF 3.27), at 85% they were not significantly less active with both applications, 3 and 5 min (log RFs 2.90 and 3.12, respectively). Three hours after antisepsis, the bacterial reduction on the gloved hand was only significantly less efficacious than that of the reference when 75% ethanol was used. It is concluded that ethanol-based hand rubs have a good chance of meeting the EN 12791 requirements if their ethanol concentration is >75% v/v but <95% v/v and if they are applied for at least 3 min.

  6. Dark Energy and Right-Handed Neutrinos

    CERN Document Server

    Barbieri, Riccardo; Oliver, S J; Strumia, A; Barbieri, Riccardo; Hall, Lawrence J.; Oliver, Steven J.; Strumia, Alessandro

    2005-01-01

    We explore the possibility that a CP violating phase of the neutrino mass matrix is promoted to a pseudo-Goldstone-boson field and is identified as the quintessence field for Dark Energy. By requiring that the quintessence potential be calculable from a Lagrangian, and that the extreme flatness of the potential be stable under radiative corrections, we are led to an essentially unique model. Lepton number is violated only by Majorana masses of light, right-handed neutrinos, comparable to the Dirac masses that mix right- with left-handed neutrinos. We outline the rich and constrained neutrino phenomenology that results from this proposal.

  7. About Hand Surgery

    Science.gov (United States)

    ... us eat, dress, write, earn a living, create art and do many other activities. To accomplish these ... 2009 American Society for Surgery of the Hand. Definition developed by ASSH Council. Other Links CME Mission ...

  8. Osteoarthritis of the Hand

    Science.gov (United States)

    ... Therapist? Media Find a Hand Surgeon Home Anatomy Osteoarthritis Email to a friend * required fields From * To * ... for those with osteoarthritis. TREATMENT The Diagnosis of Osteoarthritis When diagnosing osteoarthritis, your doctor will ask you ...

  9. Stiffness in the Hand

    Science.gov (United States)

    ... include: Arthritis Fractures Dislocations Bad sprains Tendon and muscle injuries Evaluating Hand Stiffness Your doctor will ask when the stiffness ... scan. CAUSES SIGNS AND ... stretching exercises for the joints and muscles to help loosen them. Different types of splints ...

  10. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... captioning. Videos are prepared for different audiences including, children, parents, and public health professionals. More > Hand Hygiene ... captioning. Videos are prepared for different audiences including, children, parents, and public health professionals. More > File Formats ...

  11. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... get more than a million infections in the hospital while being treated for something else. The best ... reminding healthcare providers to practice hand hygiene in hospitals and other healthcare facilities. Release Date: 8/4/ ...

  12. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... To Health (4:17) Vital Signs High Blood Pressure Spanish Diseases & Conditions Hablemos de la Influenza Influenza ... Videos are prepared for different audiences including, children, parents, and public health professionals. More > Hand Hygiene Saves ...

  13. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Lives shows how patients can play an active role in reminding healthcare providers to practice hand hygiene ... Director for Communication, Division of News and Electronic Media Email Recommend Tweet YouTube Instagram Listen Watch RSS ...

  14. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Please Parents Want To Do What′s Best The Obesity Epidemic Outbreaks CDC: Protecting Americans through Global Health ... captioning. Videos are prepared for different audiences including, children, parents, and public health professionals. More > Hand Hygiene ...

  15. Hand lotion poisoning

    Science.gov (United States)

    ... lotion or cream can be harmful if swallowed: Dimethicone Mineral oil Paraffins (waxes) Petrolatum Various alcohols Where ... Hand cream poisoning References Caraccio TR, McFee RB. Cosmetics and toilet articles. In: Shannon MW, Borron SW, ...

  16. Second Hand Smoke: Danger

    Science.gov (United States)

    ... What's this? Submit Button Past Emails Second Hand Smoke: Danger! Recommend on Facebook Tweet Share Compartir Make ... the United States are still exposed to secondhand smoke, even though cigarette smoking rates are dropping and ...

  17. Mind the hand

    DEFF Research Database (Denmark)

    Davidsen, Jacob; Christiansen, Ellen Tove

    2014-01-01

    , to construct and problem solve, and to show and imitate. The analyses show how a space emerges from the interaction between the children and the touchscreen, and how their hand movements reveal intelligence-as-action. Three situations with three different pairs were analysed to explore how children use......Apart from touching the screen, what is the role of the hands for children collaborating around touchscreens? Based on embodied and multimodal interaction analysis of 8- and 9-year old pairs collaborating around touchscreens, we conclude that children use their hands to constrain and control access...... their hands in activities around touchscreens, focusing in particular on how they collaborate. The analysis presented here is part of a research study on the use of touchscreens in children’s embodied and multimodal collaborative learning activities in their everyday classrooms. The general aim of the study...

  18. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Thinking The Value of Systems Thinking (10:09) Systems Mapping: The Basics ... how patients can play an active role in reminding healthcare providers to practice hand hygiene in hospitals and ...

  19. Perspective of health professionals on hand hygiene.

    Science.gov (United States)

    Silva, Daniel; Andrade, Otília; Silva, Ernestina

    2014-11-01

    To identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. A descriptive-correlational and cross-sectional study conducted in a hospital in central Portugal, in May and June, 2012. 71 health professionals participated, with 23.9% physicians, 64.8% nurses and 11.3% operating assistants, in paediatrics, neonatology and paediatric emergencies. The majority was female (91.5%) and 32.4% are between the ages of 31 and 40 years. A questionnaire developed from DGS (General Health Directorate) recommendations was applied with questions on socio-demographic and professional characteristics as well as on the context of practice. The professionals are motivated to perform hand hygiene (98.6%). In self-assessment, they practice hand hygiene appropriately, however the results revealed that 43.7% of subjects reported little knowledge concerning the interference of ornaments on the practice of hand hygiene, 38% of the sample reported the steps of the hand washing technique improperly, and approximately 43% of the sample does not practice hygiene at the correct times. The majority of the participants who use a proper technique are nurses, with significant differences with regards to doctors and operating assistants (P=.001). Most have knowledge about the practice of hand hygiene; however, some professional groups need to improve their practice of proper technique and the correct time to do so. Approximately a third did not attend specific training, leading us to reflect on the need to invest in training. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  20. Research progress in advancing sorbic acid and potassium sorbate's effect in antisepsis%提高山梨酸及钾盐防腐效果的研究进展

    Institute of Scientific and Technical Information of China (English)

    丁文慧; 陆利霞; 熊晓辉

    2012-01-01

    Sorbic acid has been recognized so far as one kind of the best antiseptic agents that can participate in normal metabolism of human body.Sorbic acid is well-known food preservative,but it has little preservative effect in the neutral condition and it also has poor water solubility.Potassium sorbate has good water solubility,but it can not turn into sorbic acid molecular which has preservative effect in the acid condition.The study on advancing sorbic acid and potassium sorbate's effect in antisepsis was summarized.%山梨酸在人体内能参加正常的新陈代谢,是迄今为止国际公认最好的食品防腐剂之一。山梨酸是酸性防腐剂,不易溶于水,且在中性条件下,抑菌效果差;而常用的山梨酸钾在水中的溶解性好,但在酸性条件下很难形成真正具有抑菌作用的山梨酸分子。本文主要介绍了目前国内外对提高山梨酸及钾盐防腐效果的研究进展。

  1. La desinfección-antisepsia y esterilización en instituciones de salud: Atención primaria Disinfection-antisepsis and sterilization in health centers: Primary health care

    Directory of Open Access Journals (Sweden)

    Abilio Ubaldo Rodríguez Pérez

    2006-06-01

    Full Text Available La infección como enfermedad de interés clínico-epidemiológico a nivel primario de salud trae como consecuencia un impacto humano-económico-social por la morbimortalidad que condiciona, por lo que se hace necesario un sistema de vigilancia para su prevención y control. En el presente trabajo se describen los procedimientos de desinfección-antisepsia y esterilización para este nivel de asistencia médica, como elementos de ruptura de la cadena de transmisión, haciéndose recomendaciones para establecer una política en este sentido.Infection as a disease of clinicoepidemiologic interest at the primary health care level causes a human-economic-social impact due to its morbimortality. That's why, a surveillance system is necessary for its prevention and control. In the present paper, the disinfection-antisepsis and sterilization procedures used at this level of medical assistance are described as elements for the rupture of the transmission chain. Recommendations are made to establish a policy in this sense.

  2. Avoiding unfavorable results in postburn contracture hand

    Science.gov (United States)

    Bhattacharya, Sameek

    2013-01-01

    Deformities of the hands are a fairly common sequel of burn especially in the developing world. This is because of high incidence of burns, limited access to standard treatment and rehabilitation. The best outcome of a burnt hand is when deformities are prevented from developing. A good functional result is possible when due consideration is paid to hands during resuscitation, excisional surgery, reconstructive surgery and physiotherapy. The post-burns deformities of hand develop due direct thermal damage or secondary to intrinsic minus position due to oedema or vascular insufficiency. During the acute phase the concerns are, maintenance circulation minimize oedema prevent unphysiological positioning and wound closure with autogenous tissue as soon as possible. The rehabilitation program during the acute phase starts from day one and goes on till the hand has healed and has regained full range of motion. Full blown hand contractures are challenging to correct and become more difficult as time passes. Long-standing cases often land up with attenuation of extensor apparatus leading to swan neck and boutonniere deformity, muscle shortening and bony ankylosis. The major and most common pitfall after contracture release is relapse. The treatment protocol of contracture is solely directed towards countering this tendency. This article aims to guide a surgeon in obtaining optimal hand function and avoid pit falls at different stages of management of hand burns. The reasons of an unfavourable outcome of a burnt hand are possible lack of optimal care in the acute phase, while planning and performing reconstructive procedure and during aftercare and rehabilitation. PMID:24501479

  3. Avoiding unfavorable results in postburn contracture hand

    Directory of Open Access Journals (Sweden)

    Sameek Bhattacharya

    2013-01-01

    Full Text Available Deformities of the hands are a fairly common sequel of burn especially in the developing world. This is because of high incidence of burns, limited access to standard treatment and rehabilitation. The best outcome of a burnt hand is when deformities are prevented from developing. A good functional result is possible when due consideration is paid to hands during resuscitation, excisional surgery, reconstructive surgery and physiotherapy. The post-burns deformities of hand develop due direct thermal damage or secondary to intrinsic minus position due to oedema or vascular insufficiency. During the acute phase the concerns are, maintenance circulation minimize oedema prevent unphysiological positioning and wound closure with autogenous tissue as soon as possible. The rehabilitation program during the acute phase starts from day one and goes on till the hand has healed and has regained full range of motion. Full blown hand contractures are challenging to correct and become more difficult as time passes. Long-standing cases often land up with attenuation of extensor apparatus leading to swan neck and boutonniere deformity, muscle shortening and bony ankylosis. The major and most common pitfall after contracture release is relapse. The treatment protocol of contracture is solely directed towards countering this tendency. This article aims to guide a surgeon in obtaining optimal hand function and avoid pit falls at different stages of management of hand burns. The reasons of an unfavourable outcome of a burnt hand are possible lack of optimal care in the acute phase, while planning and performing reconstructive procedure and during aftercare and rehabilitation.

  4. Hand washing compliance among retail food establishment workers in Minnesota.

    Science.gov (United States)

    Allwood, Paul B; Jenkins, Timothy; Paulus, Colleen; Johnson, Lars; Hedberg, Craig W

    2004-12-01

    Inadequate hand washing by food workers is an important contributing factor to foodborne disease outbreaks in retail food establishments (RFEs). We conducted a survey of RFEs to investigate the effect of hand washing training, availability of hand washing facilities, and the ability of the person in charge (PIC) to describe hand washing according to the Minnesota Food Code (food code) on workers' ability to demonstrate food code-compliant hand washing. Only 52% of the PICs could describe the hand washing procedure outlined in the food code, and only 48% of workers could demonstrate code-compliant hand washing. The most common problems observed were failure to wash for 20 s and failure to use a fingernail brush. There was a strong positive association between the PIC being a certified food manager and being able to describe the food code hand washing procedure (odds ratio [OR], 5.5; 95% confidence interval [CI], 2.2 to 13.7), and there was an even stronger association between the PIC being able to describe hand washing and workers being able to demonstrate code-compliant hand washing (OR, 15; 95% CI, 6 to 37). Significant associations were detected among correct hand washing demonstration, physical infrastructure for hand washing, and the hand washing training methods used by the establishment. However, the principal determinant of successful hand washing demonstration was the PIC's ability to describe proper hand washing procedure. These results suggest that improving hand washing practices among food workers will require interventions that address PIC knowledge of hand washing requirement and procedure and the development and implementation of effective hand washing training methods.

  5. Hand Models Emerge in China

    Institute of Scientific and Technical Information of China (English)

    CHENGTIELIANG

    2003-01-01

    CHINESE women have now discovered that beautiful hands are realizable assets. A new career invites those with shapely hands: that of hand model. This nascent profession has great prospects, as images involving hands are essential in the advertising business for promotion of such products as jewelry, watches and cell phones. Certain film stars also employ standins for hand close-ups.

  6. Hand eczema: An update

    Directory of Open Access Journals (Sweden)

    Chembolli Lakshmi

    2012-01-01

    Full Text Available Eczema, the commonest disorders afflicting the hands, is also the commonest occupational skin disease (OSD. In the dermatology outpatient departments, only the severe cases are diagnosed since patients rarely report with early hand dermatitis. Mild forms are picked up only during occupational screening. Hand eczema (HE can evolve into a chronic condition with persistent disease even after avoiding contact with the incriminated allergen / irritant. The important risk factors for hand eczema are atopy (especially the presence of dermatitis, wet work, and contact allergy. The higher prevalence in women as compared to men in most studies is related to environmental factors and is mainly applicable to younger women in their twenties. Preventive measures play a very important role in therapy as they enable the affected individuals to retain their employment and livelihood. This article reviews established preventive and therapeutic options and newer drugs like alitretinoin in hand eczema with a mention on the etiology and morphology. Identifying the etiological factors is of paramount importance as avoiding or minimizing these factors play an important role in treatment.

  7. Right-Handed Sneutrinos as Curvatons

    CERN Document Server

    McDonald, J

    2003-01-01

    We consider the possibility that a right-handed sneutrino can serve as the source of energy density perturbations leading to structure formation in cosmology. The cosmological evolution of a coherently oscillating condensate of right-handed sneutrinos is studied for the case where reheating after inflation is due to perturbative inflaton decays. For the case of Dirac neutrinos, it is shown that some suppression of Planck scale-suppressed corrections to the right-handed neutrino superpotential is necessary. cH^2 corrections to the sneutrino mass squared term must also be suppressed during inflation (|c| 0) or red (if c < 0) perturbation spectrum is possible. R-parity must also be broken in order to ensure that the Universe is not overclosed by LSPs from the late decay (at temperatures 1-10 MeV) of the right-handed sneutrino condensate. The resulting expansion rate during inflation can be significantly smaller than in conventional supersymmetric inflation models (as low as 10^6 GeV is possible). For the cas...

  8. Three-Fingered Robot Hand

    Science.gov (United States)

    Ruoff, C. F.; Salisbury, J. K.

    1984-01-01

    Mechanical joints and tendons resemble human hand. Robot hand has three "human-like" fingers. "Thumb" at top. Rounded tips of fingers covered with resilient material provides high friction for griping. Hand potential as prosthesis for humans.

  9. Comparison of surgical hand scrub and alcohol surgical hand rub on reducing hand microbial burden.

    Science.gov (United States)

    Ghorbani, Azam; Shahrokhi, Akram; Soltani, Zahra; Molapour, Azam; Shafikhani, Mahin

    2012-02-01

    This study was performed to compare the effects of two hand decontamination methods on the microbial burden of operating room staff hands. The surgical hand washing methods compared were a traditional surgical hand scrub using a povidone iodine solution, and a social wash using a liquid non-antibacterial soap followed by the application of an alcoholic hand rub.

  10. Wash Your Hands

    Centers for Disease Control (CDC) Podcasts

    2010-03-08

    This video shows kids how to properly wash their hands, one of the most important steps we can take to avoid getting sick and spreading germs to others.  Created: 3/8/2010 by Centers for Disease Control and Prevention (CDC).   Date Released: 3/8/2010.

  11. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... practice hand hygiene in hospitals and other healthcare facilities. Release Date: 8/4/2010 Source: Healthcare-associated ... choose "Save target as…", save file in desired location. Firefox/Chrome: Right-click on the link, choose " ...

  12. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... CDC-TV videos cover a variety of health, safety and preparedness topics and include closed-captioning. Videos are prepared for different audiences including, children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet ...

  13. De hand van Huizinga

    NARCIS (Netherlands)

    Huizinga, Johan

    2009-01-01

    De hand van Huizinga bevat een nieuwe selectie van de belangrijkste essays uit het omvangrijke oeuvre van de wereldberoemde Nederlandse historicus Johan Huizinga. Deze essays en studies zijn geselecteerd op basis van de diverse disciplines waarmee Huizinga zich bezighield - van de Middeleeuwen tot

  14. Shanghai Hand Puppet Tcoupe

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    PUPPETRY n ancient artform, has had difficulties ca-tering to children’s aesthet-ic needs and perceptions.ShanghaiHand Puppet Troupe has,however,successfully reached children audi-ences with its new science fictlonpiece,Nuozha Meets the Inhabitants of Tai star.

  15. Hands-On Hydrology

    Science.gov (United States)

    Mathews, Catherine E.; Monroe, Louise Nelson

    2004-01-01

    A professional school and university collaboration enables elementary students and their teachers to explore hydrology concepts and realize the beneficial functions of wetlands. Hands-on experiences involve young students in determining water quality at field sites after laying the groundwork with activities related to the hydrologic cycle,…

  16. Passive hand prostheses.

    Science.gov (United States)

    Soltanian, Hooman; de Bese, Genevieve; Beasley, Robert W

    2003-02-01

    For many mangled hands, appropriately designed passive prostheses now available, alone or in conjunction with surgical reconstruction, can offer the best available improvement, provided they are of high quality and backed by prompt and reliable after-delivery services. Invariably, there is improvement in physical capability along with restoration of good social presentation.

  17. Put Your Hands Together

    Centers for Disease Control (CDC) Podcasts

    2011-03-24

    In this podcast, learn how to help stop the spread of infection and stay healthy. It's easy when you 'Put Your Hands Together.'.  Created: 3/24/2011 by National Center for Preparedness, Detection, and Control of Infectious Diseases (NCPDCID) and National Center for Zoonotic, Vector-Borne, and Enteric Diseases (NCZVED).   Date Released: 3/24/2011.

  18. Man and his hand

    NARCIS (Netherlands)

    J.C.H.M. van der Meulen (Jacques)

    1976-01-01

    textabstractIntroduction: In a world where mechanisation and automation have led to a devaluation of skilled manual work, and where only certain press and publicity media doubt the superiority of the mind, the following operating-theatre dialogue is refreshing: Surgeon: The surgeon's hands are his f

  19. Hands-On Hydrology

    Science.gov (United States)

    Mathews, Catherine E.; Monroe, Louise Nelson

    2004-01-01

    A professional school and university collaboration enables elementary students and their teachers to explore hydrology concepts and realize the beneficial functions of wetlands. Hands-on experiences involve young students in determining water quality at field sites after laying the groundwork with activities related to the hydrologic cycle,…

  20. Rotationally Actuated Prosthetic Hand

    Science.gov (United States)

    Norton, William E.; Belcher, Jewell G., Jr.; Carden, James R.; Vest, Thomas W.

    1991-01-01

    Prosthetic hand attached to end of remaining part of forearm and to upper arm just above elbow. Pincerlike fingers pushed apart to degree depending on rotation of forearm. Simpler in design, simpler to operate, weighs less, and takes up less space.

  1. Telerehabilitation approach for patients with hand impairment.

    Science.gov (United States)

    Staszuk, Arleta; Wiatrak, Benita; Tadeusiewicz, Ryszard; Karuga-Kuźniewska, Ewa; Rybak, Zbigniew

    2016-01-01

    Telerehabilitation is one of the newest branches of telemedicine which has been developed because patients need regular trainings outside the medical institution but still under specialist supervision. It helps maintain regularity of exercises and reduces costs. The professional and advanced systems for telerehabilitation are presented in papers, however, there is still lack of development of minor systems which provide therapeutic values and are more accessible to people. Therefore we focus on a solution for hand telerehabilitation of poststroke patients, based solely on a personal computer and camera. We focused on the manipulative hand (fingers, metacarpus, wrist) movements trainings for patients with cerebral palsy. The contact between patient and physiotherapist is provided by using web cameras and web service. Additionally, the camera can be used to monitor the effectiveness of performed exercises. Computer vision system keeps track of the patient's hand movement. The digital image processing is used to detect if the patient performs exercises correctly. We created web service and software application TeleReh that provides therapeutic values for the hand impaired people. The system created was evaluated by three physiotherapists, one doctor and a cerebral palsy patient. Our solution applies to all patients who have undergone basic rehabilitation in hospital and need to continue hand rehabilitation at home. The main advantages are: easy adaptation to the individual needs and abilities, monitoring the progress by using automatically generated reports after each training session. It is worth noticing that discussion between IT specialists, rehabilitants and patients was necessary to achieve good results.

  2. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws and ... Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, and is best performed by ...

  3. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

  4. Corrective Jaw Surgery

    Science.gov (United States)

    ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

  5. Hand chemical burns.

    Science.gov (United States)

    Robinson, Elliot P; Chhabra, A Bobby

    2015-03-01

    There is a vast and ever-expanding variety of potentially harmful chemicals in the military, industrial, and domestic landscape. Chemical burns make up a small proportion of all skin burns, yet they can cause substantial morbidity and mortality. Additionally, the hand and upper extremity are the most frequently involved parts of the body in chemical burns, and therefore these injuries may lead to severe temporary or permanent loss of function. Despite this fact, discussion of the care of these injuries is sparse in the hand surgery literature. Although most chemical burns require only first response and wound care, some require the attention of a specialist for surgical debridement and, occasionally, skin coverage and reconstruction. Exposure to certain chemicals carries the risk of substantial systemic toxicity and even mortality. Understanding the difference between thermal and chemical burns, as well as special considerations for specific compounds, will improve patient treatment outcomes.

  6. Alien Hand Syndrome.

    Science.gov (United States)

    Hassan, Anhar; Josephs, Keith A

    2016-08-01

    Alien hand syndrome (AHS) is a rare disorder of involuntary limb movement together with a sense of loss of limb ownership. It most commonly affects the hand, but can occur in the leg. The anterior (frontal, callosal) and posterior variants are recognized, with distinguishing clinical features and anatomical lesions. Initial descriptions were attributed to stroke and neurosurgical operations, but neurodegenerative causes are now recognized as most common. Structural and functional imaging and clinical studies have implicated the supplementary motor area, pre-supplementary motor area, and their network connections in the frontal variant of AHS, and the inferior parietal lobule and connections in the posterior variant. Several theories are proposed to explain the pathophysiology. Herein, we review the literature to update advances in the understanding of the classification, pathophysiology, etiology, and treatment of AHS.

  7. Tying the Manager's Hands

    DEFF Research Database (Denmark)

    Foss, Kirsten; Foss, Nicolai Juul; Vázquez-Vicente, Xosé H.

    2003-01-01

    AbstractWe discuss and empirically examine a firm-level equivalent of the ancient problem of `tying the King's hands,' namely how to maximize managerial intervention for `good cause,' while avoiding intervention for `bad cause.' Managers may opportunistically intervene when such intervention...... produces private benefits. Overall firm performance is harmed as a result, because opportunistic managerial intervention harms employee motivation. The central point of the paper is that various mechanisms and factors, such as managers staking their personal reputation, employees controlling important...

  8. Pediatric hand treadmill injuries.

    Science.gov (United States)

    Banever, Gregory T; Moriarty, Kevin P; Sachs, Barry F; Courtney, Richard A; Konefal, Stanley H; Barbeau, Lori

    2003-07-01

    The great popularity of physical fitness in modern society has brought many pieces of exercise equipment into our homes for convenience and privacy. This trend has come with an increasing rate of injuries to children who curiously touch moving parts, including treadmill belts. Experience with a recent series of treadmill contact burns to children's hands is described in this article. A retrospective chart review at a tertiary referral center from June 1998 until June 2001 found six children sustaining hand burns from treadmills. The patients' ages at presentation ranged from 15 to 45 months (average of 31 months, three boys and three girls). All injuries occurred in the home while a parent was using the treadmill. Burns involved the palmar aspect of the hand, mostly confined to the fingers, and the severity ranged from partialto full-thickness burns. All patients were initially managed with collagenase and bacitracin zinc/polymyxin B powder dressings to second- and third-degree burns, along with splinting and range-of-motion exercises. Two patients required skin grafting at 2 weeks and 2 months for full-thickness tissue loss and tight joint contracture, respectively. At an average follow-up of 12 months, all patients had full range of motion and no physical limitation. The rate of children injured by exercise equipment is expected to increase. Friction burns to the hands remain a concern, although early recognition and appropriate management are associated with excellent functional outcomes. Protective modification of exercise machines seems to be the best approach to eliminating these injuries.

  9. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Vital Signs Vital Signs – Presión Arterial Alta Other Languages Arabic احصل على التطعيم لتجنب الحصبة French Faites- ... captioning. Videos are prepared for different audiences including, children, parents, and public health professionals. More > Hand Hygiene ...

  10. Compact Dexterous Robotic Hand

    Science.gov (United States)

    Lovchik, Christopher Scott (Inventor); Diftler, Myron A. (Inventor)

    2001-01-01

    A compact robotic hand includes a palm housing, a wrist section, and a forearm section. The palm housing supports a plurality of fingers and one or more movable palm members that cooperate with the fingers to grasp and/or release an object. Each flexible finger comprises a plurality of hingedly connected segments, including a proximal segment pivotally connected to the palm housing. The proximal finger segment includes at least one groove defining first and second cam surfaces for engagement with a cable. A plurality of lead screw assemblies each carried by the palm housing are supplied with power from a flexible shaft rotated by an actuator and output linear motion to a cable move a finger. The cable is secured within a respective groove and enables each finger to move between an opened and closed position. A decoupling assembly pivotally connected to a proximal finger segment enables a cable connected thereto to control movement of an intermediate and distal finger segment independent of movement of the proximal finger segment. The dexterous robotic hand closely resembles the function of a human hand yet is light weight and capable of grasping both heavy and light objects with a high degree of precision.

  11. [Costs of hand emergencies].

    Science.gov (United States)

    Raimbeau, G

    2003-10-01

    In France at the present time, there is no comprehensive registry of hand injuries. Three types of occurrences; motor vehicle accidents, work accidents, and accidents incident to activities of daily living, are covered by different types of insurance. It is the individual insurance companies, payers of the indemnification, who maintain registries of these accidents. Statistics on work accidents are very detailed and consistent, but they are oriented toward risk management. The aggregate cost of traumatic injuries to the hand is not known. Only large financial institutions are equipped to determine appropriate preventive measures and to establish premium rates based on loss experience. In 2001, hand injuries accounted for 27% of work accidents causing loss of work of at least 1 day. About 29.8% of these work accidents caused permanent partial impairment. About 17.7% of total days lost and 18.2% of the total costs of permanent impairment were due to hand injuries. In the system of compensation for work accidents, there is a major difference in the cost according to the severity of the impairment. If the permanent impairment is equal to or less than 9%, a lump sum payment is made, but if the permanent impairment is over 9%, the worker receives regular payments for the rest of his life. In 2000, the average cost of a work injury with partial permanent impairment of over 9% was [symbol: see text] 85,405, while the average cost of a lump sum settlement was only [symbol: see text] 1479, a ratio of 57 to 1. The compensation costs represent 80% of the cost of work accidents, while the cost of treatment, including all providers and institutions, makes up only 20% of the cost. Compensation for sequelae of accidents in the course of daily life is new for the insurance companies, although these accidents are frequent and often cause significant repercussions in the professional lives of victims because of the loss of hand function. Provision of optimal treatment for these

  12. Performance Comparison Between FEDERICA Hand and LARM Hand

    Directory of Open Access Journals (Sweden)

    Giuseppe Carbone

    2015-07-01

    Full Text Available This paper describes two robotic hands that have been developed at University Federico II of Naples and at the University of Cassino. FEDERICA Hand and LARM Hand are described in terms of design and operational features. In particular, careful attention is paid to the differences between the above-mentioned hands in terms of transmission systems. FEDERICA Hand uses tendons and pulleys to drive phalanxes, while LARM Hand uses cross four-bar linkages. Results of experimental tests are reported to show how key design issues affect each robotic hand’s performance.

  13. Management of Hand Burns

    Directory of Open Access Journals (Sweden)

    Fatih Irmak

    2017-09-01

    Full Text Available Objective: The hand is one of the most frequently affected body parts by burn injuries with a rate of 80% among all burn wounds. Early and effective treatment ensures the best chance of survival as well as a good functional prognosis. The aim of this study was to determine the epidemiology, variation, relationship between etiology and hospital stay, clinical features, and management of hand burns. Material and Methods: This retrospective study was conducted the University of Health Sciences; Şişli Hamidiye Etfal Application and Research Center, Departmant of Plastic, Reconstructive and Aesthetic Surgery and the Intensive Burn Care Unit between April 2009 and April 2014. Burns were assessed based on etiology, anatomical location, percentage of total body surface area affected, and depth of injury. Treatment was categorized as conservative, elective operative, or urgent operative. Results: In the study period, 788 patients were admitted to our Burn Unit. Of these, 240 were females (30.5% and 548 were males (69.5%. The most common type of burn injury in this study was thermal injury (695 cases; 88.2%, followed by electrical injury (67 cases; 8.5%, and chemical, frictional or unknown injuries (26 cases; 3.3%. Majority (more than 85% of the patients had second-degree burns, and some had third-degree burns. Conclusions: Burns commonly affect the hands, and many functional problems may develop if appropriate basic treatments are neglected. The best treatment for burns is prevention. Appropriate indoor arrangement and simple but effective measures that can be taken at home can significantly reduce burn trauma exposure.

  14. Hand grip strength

    DEFF Research Database (Denmark)

    Frederiksen, Henrik; Gaist, David; Petersen, Hans Christian

    2002-01-01

    in life is a major problem in terms of prevalence, morbidity, functional limitations, and quality of life. It is therefore of interest to find a phenotype reflecting physical functioning which has a relatively high heritability and which can be measured in large samples. Hand grip strength is known......-55%). A powerful design to detect genes associated with a phenotype is obtained using the extreme discordant and concordant sib pairs, of whom 28 and 77 dizygotic twin pairs, respectively, were found in this study. Hence grip strength is a suitable phenotype for identifying genetic variants of importance to mid...

  15. Cinematic Motion by Hand

    DEFF Research Database (Denmark)

    Graca, Marina Estela

    2006-01-01

    if we could ascertain a specific ontology for animation within technology that would explain how its marginality is rooted to its essence at least in one of its forms? In this paper I will try to argue that, by overwhelming the cinematic technical standard workings with their hand, authors exposed its...... functional scheme to contingency, thus opening the production process to new unpredictable expressive and communicative possibilities. I will attempt to explain how this corresponds to a renewed way of comprehending technology by, simultaneously, revealing the human reality it contains and physiologically...

  16. 医务人员手卫生规范执行状况调查%INVESTIGATION ON THE IMPLEMENTATION SITUATION OF STANDARD FOR HAND HYGIENE FOR HEALTHCARE WORKER

    Institute of Scientific and Technical Information of China (English)

    李玲; 张浩; 刘翠林; 尚晶

    2013-01-01

    目的 了解医院实施手卫生行业标准情况,为进一步落实手卫生措施提供依据.方法 采用问卷调查方式,对甘肃省部分医院执行《医务人员手卫生规范》情况进行了调查.结果 共调查14所医院的医护人员203人,分布在新生儿室、重症监护病房、感染性疾病科、口腔科、门诊采血室.各项手卫生设施配有率范围在26.11%~91.63%之间;外科手消毒设施配有率为19.70%~82.27%;各种洗手方法知晓率为31.03% ~96.55%;外科手消毒原则知晓率为82.76% ~89.66%.结论 甘肃省医院手卫生设施配备与手卫生行业标准存在差距,医务人员手卫生规范知晓率亟待提高.%Objective To know the implementation status of Standard for Hand Hygiene for Healthcare Workers in hospitals,and to provide guides for carrying out the hand hygiene measures further.Methods ' Questionnaires are used to survey the implementation situation of Standard for Hand Hygiene for Healthcare Workers in some hospitals of Gansu province.Results 203 medical staff from 14 hospitals are investigated who are working for newborn nursery,ICU,department of infectious diseases,department of stomatology,outpatient blood collection room.The rate range of being equipped with the hand hygiene facilities is between 26.11% to 91.63% ; the rate of being equipped with surgical hand antisepsis facilities is between 19.70% to 82.27% ; the rate of knowing various handwashing methods is between 31.03% to 96.55% ; the rate of knowing the principles of surgical hand antisepsis is between 82.76% to 89.66%.Conclusion There is difference between the equipment rate of hand hygiene facilities in hospitals of Gansu province and the standard rate of the hand hygiene sector and the medical staff need to improve their knowledge of Standard for Hand for Healthcare Worker.

  17. Hand preference, performance abilities and hand selection in children

    Directory of Open Access Journals (Sweden)

    Sara Marie Scharoun

    2014-02-01

    Full Text Available It is widely know that the pattern of human handedness is such that approximately 90% of the population is right handed with the remainder being left handed, at least in the adult population. What is less well understood is how handedness develops and at what age adult-like handedness patterns emerge. Quantified in terms of both preference and performance, a plethora of different behavioural assessments are currently in use with both children and adults. Handedness questionnaires are commonly used; however, these possess inherent limitations, considering their subjective nature. Hand performance measures have also been implemented; however, such tasks appear to measure different components of handedness. In addition to these traditional measures, handedness has been successfully assessed through observation of hand selection in reaching, which has proven to be a unique and effective manner in understanding the development of handedness in children. Research over the past several decades has demonstrated that young children display weak, inconsistent hand preference tendencies and are slower with both hands. Performance differences between the hands are larger for young children, and consistency improves with age. However, there remains some controversy surrounding the age at which hand preference and hand performance abilities can be considered fully developed. The following paper will provide a review of the literature pertaining to hand preference, performance abilities and hand selection in children in an attempt to ascertain the age at which adult-like patterns of hand preference and performance emerge.

  18. Myoelectric hand prostheses in very young children.

    Science.gov (United States)

    Egermann, Marcus; Kasten, Philip; Thomsen, Marc

    2009-08-01

    Myoelectric prostheses have generally been provided for adolescent or adult patients. The availability of smaller-sized electric hands has enabled the introduction of myoelectric prostheses to preschool children, mainly in the Scandinavian countries. This study evaluates the acceptance of myoelectric prostheses in 41 children with unilateral upper limb deficiency between the ages of two and five years. The prosthesis was used for an average time of 5.8 hours per day. The level of amputation was found to influence the acceptance rate. Furthermore, prosthetic use training by an occupational therapist is related to successful use of the prosthesis. The general drop-out rate in preschool children is very low compared to adults. Therefore, infants can profit from myoelectric hand prostheses. Since a correct indication and an intense training program significantly influence the acceptance rate, introduction of myoelectric prostheses to preschool children should take place at specialised centres with an interdisciplinary team.

  19. Exposures related to hand eczema

    DEFF Research Database (Denmark)

    Ibler, K.S.; Jemec, G.B.E.; Agner, T.

    2012-01-01

    between exposures (domestic and at work) and prevalence and severity of hand eczema. Methods. Self-administered questionnaires were sent to 3181 healthcare workers in Denmark. Results. Two thousand two hundred and sixty-nine (71%) workers responded to the questionnaire. Frequent hand washing....... Conclusions. Although healthcare workers are recommended to use disinfectants when the hands are not visibly dirty, hand washing is still significantly related to hand eczema. Frequent hand washing may be a question of behavioural habits, and a focus for future guidance should be on changing hand washing......Background. Hand eczema is common in healthcare workers, owing to intensive exposure to wet work and skin irritants. Targeted interventions and vocational guidance based on documented exposures and risk factors are needed. Objectives. The aims of the study were to investigate the relationship...

  20. Handwashing: Clean Hands Save Lives

    Science.gov (United States)

    ... traveling, or already sick, find out how good hand hygiene can protect you, your family, and others. More… ... creating a handwashing campaign for your school community. Hand Hygiene in Healthcare Settings Resources for healthcare workers and ...

  1. Surgical anatomy of hand allotransplantation.

    Science.gov (United States)

    Carlsen, Brian T; Al-Mufarrej, Faisal; Moran, Steven L

    2013-07-01

    The hand is the most refined anatomical terminal device known and the leading edge of the sensorium. Further, the hand is second only to the face in terms of visibility and is a vitally important aspect aesthetic and body image. Hand amputation represents a devastating loss of function and independence. Restoring function after limb loss is a challenge and traditionally includes autologous methods and prosthetics. In the last 15 years, hand transplantation has become a viable option for select patients.

  2. [Hand injuries management of care and hand prevention networks].

    Science.gov (United States)

    Couturier, Christian

    2013-11-01

    Injuries of the hand are common and sometimes more serious than it appears on a non-specialist initial examination. They are a public health issue with some major impact on the continued activity of patients who have been victims of those injuries. The European Federation of Hand Emergency Services (FESUM) accredits SOS Hand centers, dedicated hand trauma organizations in which the specialized medical cares is optima, avoiding the loss of chance to inadequate primary orientation. If nevertheless a serious injury leaves a debilitating sequela Hand Prevention networks, organized by practitioners of SOS Hand centers, help patients establish a process of socio-professional rehabilitation as soon as possible. These networks organize primary, secondary and tertiary prevention of hand trauma and disabilities that can accompany them. Innovative organizations, they resemble a national association that supports the development of new structures. They are open to all professionals of health and their patients, members or not of the network.

  3. The Importance of Hand Washing

    Institute of Scientific and Technical Information of China (English)

    杨昌寿

    2004-01-01

    Medical experts say the most effective way to prevent the spread of diseases is for people to wash their hands with soap and water. The Word Bank and the United Nations carried out a study to urge hand washing around the world. They say programmes to increase hand washing with

  4. Management of Atopic Hand Dermatitis

    DEFF Research Database (Denmark)

    Halling-Overgaard, Anne-Sofie; Zachariae, Claus; Thyssen, Jacob P

    2017-01-01

    This article provides an overview of clinical aspects of hand eczema in patients with atopic dermatitis. Hand eczema can be a part of atopic dermatitis itself or a comorbidity, for example, as irritant or allergic contact dermatitis. When managing hand eczema, it is important to first categorize...

  5. Gravitons that shake hands

    CERN Document Server

    Gubitosi, Giulia

    2016-01-01

    We examine some of the roots of parity violation for gravitons and uncover a closely related new effect: correlations between right and left handed gravitons. Such correlators have spin 4 if they involve gravitons moving along the same direction, and spin zero for gravitons moving with opposite directions. In the first case, the most immediate implication would be a degree of linear polarization for the tensor vacuum fluctuations, which could be seen by gravity wave detectors sensitive enough to probe the primordial background, its degree of polarization and anisotropies. Looking at the anisotropy of the gravity waves linear polarization we identify the parity respecting and violating components of the effect. The imprint on the CMB temperature and polarization would be more elusive, since it averages to zero in the two-point functions, appearing only in their cosmic variance or in fourth order correlators. In contrast, spin zero correlations would have an effect on the two point function of the CMB temperatu...

  6. Classification of hand eczema

    DEFF Research Database (Denmark)

    Agner, T; Aalto-Korte, K; Andersen, K E;

    2015-01-01

    BACKGROUND: Classification of hand eczema (HE) is mandatory in epidemiological and clinical studies, and also important in clinical work. OBJECTIVES: The aim was to test a recently proposed classification system of HE in clinical practice in a prospective multicentre study. METHODS: Patients were...... HE, protein contact dermatitis/contact urticaria, hyperkeratotic endogenous eczema and vesicular endogenous eczema, respectively. An additional diagnosis was given if symptoms indicated that factors additional to the main diagnosis were of importance for the disease. RESULTS: Four hundred and twenty......%) could not be classified. 38% had one additional diagnosis and 26% had two or more additional diagnoses. Eczema on feet was found in 30% of the patients, statistically significantly more frequently associated with hyperkeratotic and vesicular endogenous eczema. CONCLUSION: We find that the classification...

  7. Second-hand signals

    DEFF Research Database (Denmark)

    Bergenholtz, Carsten

    2014-01-01

    Studies of signaling theory have traditionally focused on the dyadic link between the sender and receiver of the signal. Within a science‐based perspective this framing has led scholars to investigate how patents and publications of firms function as signals. I explore another important type...... of signal of firms, which is based on a formalized common practice of external, academic experts referring to firms in their peer reviewed publications. The findings provide qualitative evidence that helps explain why and how this new type of ‘second‐hand’ signal is created, validated and systematically...... used by various agents in their search for and assessment of products and firms. I conclude by arguing how this second‐hand nature of signals goes beyond a simple dyadic focus on senders and receivers of signals, and thus elucidates the more complex interrelations of the various types of agents...

  8. HAND OSTEOARTHROSIS: ON THE QUALITY OF LIFE AND AESTHETIC DISCOMFORT

    Directory of Open Access Journals (Sweden)

    Anastasia Viktorovna Sarapulova

    2013-01-01

    Full Text Available Osteoarthrosis (OA is one of the most common causes of hand pains, leading to lower quality of life (QL. In addition to pain and functional impairment, the patients' aesthetic dissatisfaction that cannot be now determined or measuredis of prime importanceObjective: to assess a number of QL aspects and to measure the level of aesthetic discomfort in patients with hand OA.Subjects and methods. Sixty women aged 45–75 years with hand OA were included. The number of painful and deformed joints was determined and functional impairments were evaluated using the AUSCAN questionnaire. The patients filled out the questionnaire to determine the level of dissatisfaction with the appearance of their hands; the Ellis stress test for irrational beliefs was carried out.Results. The patients with hand OA were found to have significant aesthetic discomfort comparable with level of joint pain. Deformity phobia in the future and external discomfort because of hand deformity were most pronounced; a wish for surgical correction was less pronounced. Comparison of the results obtained in different age groups determined the highest levels of anxiety and wish for surgical correction in younger women. The patients' aesthetic dissatisfaction was also influenced by employment and internet usage.Conclusion. Aesthetic discomfort is an important component of lower QL in patients with hand OA. Further investigation of this factor and elaboration of criteria for its estimation are needed.

  9. The Value of a Focused Approach to Written Corrective Feedback

    Science.gov (United States)

    Bitchener, John; Knoch, Ute

    2009-01-01

    Investigations into the most effective ways to provide ESL learners with written corrective feedback have often been overly comprehensive in the range of error categories examined. As a result, clear conclusions about the efficacy of such feedback have not been possible. On the other hand, oral corrective feedback studies have produced clear,…

  10. Your left-handed brain

    OpenAIRE

    2014-01-01

    While most people prefer to use their right hand to brush their teeth, throw a ball, or hold a tennis racket, left-handers prefer to use their left hand. This is the case for around 10% of all people. There was a time (not so long ago) when left-handers were stigmatized (see Glossary) in Western (and other) communities: it was considered a bad sign if you were left-handed, and left-handed children were often forced to write with their right hand. This is nonsensical: there is nothing wrong wi...

  11. NWS Corrections to Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Form B-14 is the National Weather Service form entitled 'Notice of Corrections to Weather Records.' The forms are used to make corrections to observations on forms...

  12. Hand hygiene knowledge and perceptions among anesthesia providers.

    Science.gov (United States)

    Fernandez, Patrick G; Loftus, Randy W; Dodds, Thomas M; Koff, Matthew D; Reddy, Sundara; Heard, Stephen O; Beach, Michael L; Yeager, Mark P; Brown, Jeremiah R

    2015-04-01

    Health care worker compliance with hand hygiene guidelines is an important measure for health care-associated infection prevention, yet overall compliance across all health care arenas remains low. A correct answer to 4 of 4 structured questions pertaining to indications for hand decontamination (according to types of contact) has been associated with improved health care provider hand hygiene compliance when compared to those health care providers answering incorrectly for 1 or more questions. A better understanding of knowledge deficits among anesthesia providers may lead to hand hygiene improvement strategies. In this study, our primary aims were to characterize and identify predictors for hand hygiene knowledge deficits among anesthesia providers. We modified this previously tested survey instrument to measure anesthesia provider hand hygiene knowledge regarding the 5 moments of hand hygiene across national and multicenter groups. Complete knowledge was defined by correct answers to 5 questions addressing the 5 moments for hand hygiene and received a score of 1. Incomplete knowledge was defined by an incorrect answer to 1 or more of the 5 questions and received a score of 0. We used a multilevel random-effects XTMELOGIT logistic model clustering at the respondent and geographic location for insufficient knowledge and forward/backward stepwise logistic regression analysis to identify predictors for incomplete knowledge. The survey response rates were 55.8% and 18.2% for the multicenter and national survey study groups, respectively. One or more knowledge deficits occurred with 81.6% of survey respondents, with the mean number of correct answers 2.89 (95% confidence interval, 2.78- 2.99). Failure of providers to recognize prior contact with the environment and prior contact with the patient as hand hygiene opportunities contributed to the low mean. Several cognitive factors were associated with a reduced risk of incomplete knowledge including providers responding

  13. On the other hand: dummy hands and peripersonal space.

    Science.gov (United States)

    Makin, Tamar R; Holmes, Nicholas P; Ehrsson, H Henrik

    2008-08-05

    Where are my hands? The brain can answer this question using sensory information arising from vision, proprioception, or touch. Other sources of information about the position of our hands can be derived from multisensory interactions (or potential interactions) with our close environment, such as when we grasp or avoid objects. The pioneering study of multisensory representations of peripersonal space was published in Behavioural Brain Research almost 30 years ago [Rizzolatti G, Scandolara C, Matelli M, Gentilucci M. Afferent properties of periarcuate neurons in macaque monkeys. II. Visual responses. Behav Brain Res 1981;2:147-63]. More recently, neurophysiological, neuroimaging, neuropsychological, and behavioural studies have contributed a wealth of evidence concerning hand-centred representations of objects in peripersonal space. This evidence is examined here in detail. In particular, we focus on the use of artificial dummy hands as powerful instruments to manipulate the brain's representation of hand position, peripersonal space, and of hand ownership. We also review recent studies of the 'rubber hand illusion' and related phenomena, such as the visual capture of touch, and the recalibration of hand position sense, and discuss their findings in the light of research on peripersonal space. Finally, we propose a simple model that situates the 'rubber hand illusion' in the neurophysiological framework of multisensory hand-centred representations of space.

  14. Dissociated small hand muscle atrophy in aging: the 'senile hand' is a split hand.

    NARCIS (Netherlands)

    Voermans, N.C.; Schelhaas, H.J.; Munneke, M.; Zwarts, M.J.

    2006-01-01

    The term 'split hand' refers to a pattern of dissociated atrophy of hand muscles and was first described in ALS. We hypothesize that this phenomenon also occurs in 'normal' aging. We investigated healthy subjects of different ages and found a progressive dissociation in atrophy of the hand muscles,

  15. Hand Spring Operated Movement Enhancer (HandSOME): a portable, passive hand exoskeleton for stroke rehabilitation.

    Science.gov (United States)

    Brokaw, Elizabeth B; Black, Iian; Holley, Rahsaan J; Lum, Peter S

    2011-08-01

    Stroke patients often have flexor hypertonia and finger extensor weakness, which makes it difficult to open their affected hand for functional grasp. Because of this impairment, hand rehabilitation after stroke is essential for restoring functional independent lifestyles. The goal of this study is to develop a passive, lightweight, wearable device to assist with hand function during performance of activities of daily living. The device, Hand Spring Operated Movement Enhancer (HandSOME), assists with opening the patient's hand using a series of elastic cords that apply extension torques to the finger joints and compensates for the flexor hypertonia. Device design and calibration are described as well as functional and usability testing with stroke subjects with a wide range of hand impairments. In initial testing with eight stroke subjects with finger flexor hypertonia, use of the HandSOME significantly increased range of motion and functional ability (p=0.002) . There was some decrease in grip strength with the HandSOME device at the subject's ideal setting, however this was not statistically significant (p=0.167) and did not seem to have a significant effect on function. Overall HandSOME shows promise as a training tool to facilitate repetitive task practice for improving hand function in stroke patients. HandSOME can be used as part of a home-based therapy program, or as an orthotic for replacing lost function.

  16. Robotically enhanced rubber hand illusion.

    Science.gov (United States)

    Arata, Jumpei; Hattori, Masashi; Ichikawa, Shohei; Sakaguchi, Masamichi

    2014-01-01

    The rubber hand illusion is a well-known multisensory illusion. In brief, watching a rubber hand being stroked by a paintbrush while one's own unseen hand is synchronously stroked causes the rubber hand to be attributed to one's own body and to "feel like it's my hand." The rubber hand illusion is thought to be triggered by the synchronized tactile stimulation of both the subject's hand and the fake hand. To extend the conventional rubber hand illusion, we introduce robotic technology in the form of a master-slave telemanipulator. The developed one degree-of-freedom master-slave system consists of an exoskeleton master equipped with an optical encoder that is worn on the subject's index finger and a motor-actuated index finger on the rubber hand, which allows the subject to perform unilateral telemanipulation. The moving rubber hand illusion has been studied by several researchers in the past with mechanically connected rigs between the subject's body and the fake limb. The robotic instruments let us investigate the moving rubber hand illusion with less constraints, thus behaving closer to the classic rubber hand illusion. In addition, the temporal delay between the body and the fake limb can be precisely manipulated. The experimental results revealed that the robotic instruments significantly enhance the rubber hand illusion. The time delay is significantly correlated with the effect of the multisensory illusion, and the effect significantly decreased at time delays over 100 ms. These findings can potentially contribute to the investigations of neural mechanisms in the field of neuroscience and of master-slave systems in the field of robotics.

  17. Error Correction in Classroom

    Institute of Scientific and Technical Information of China (English)

    Dr. Grace Zhang

    2000-01-01

    Error correction is an important issue in foreign language acquisition. This paper investigates how students feel about the way in which error correction should take place in a Chinese-as-a foreign-language classroom, based on empirical data of a large scale. The study shows that there is a general consensus that error correction is necessary. In terms of correction strategy, the students preferred a combination of direct and indirect corrections, or a direct only correction. The former choice indicates that students would be happy to take either so long as the correction gets done.Most students didn't mind peer correcting provided it is conducted in a constructive way. More than halfofthe students would feel uncomfortable ifthe same error they make in class is corrected consecutively more than three times. Taking these findings into consideration, we may want to cncourage peer correcting, use a combination of correction strategies (direct only if suitable) and do it in a non-threatening and sensitive way. It is hoped that this study would contribute to the effectiveness of error correction in a Chinese language classroom and it may also have a wider implication on other languages.

  18. Technique for correction of lop ear.

    Science.gov (United States)

    Elsahy, N I

    1990-04-01

    Various techniques of correction of lop ear have been described. Minor lop ear deformity can easily be corrected with simple excision of the overhanging auricular cartilage. Moderate and severe lop ear deformities, on the other hand, are more difficult to correct because there is actual reduction in size of the upper third of the ear in addition to the overhanging auricular cartilage. The purpose of this paper was to present a new technique used to correct the moderate lop ear deformity. In addition to excising the overhanging cartilage, I rotate a cartilage flap from the anthelix upward where the missing superior crus was supposed to be. This flap increases the vertical height of the ear and creates a new superior crus. I applied this technique on three cases of moderate lop ear deformities with good results.

  19. Prosthetic helping hand

    Science.gov (United States)

    Vest, Thomas W. (Inventor); Carden, James R. (Inventor); Norton, William E. (Inventor); Belcher, Jewell G. (Inventor)

    1992-01-01

    A prosthetic device for below-the-elbow amputees, having a C-shaped clamping mechanism for grasping cylindrical objects, is described. The clamping mechanism is pivotally mounted to a cuff that fits on the amputee's lower arm. The present invention is utilized by placing an arm that has been amputated below the elbow into the cuff. The clamping mechanism then serves as a hand whenever it becomes necessary for the amputee to grasp a cylindrical object such as a handle, a bar, a rod, etc. To grasp the cylindrical object, the object is jammed against the opening in the C-shaped spring, causing the spring to open, the object to pass to the center of the spring, and the spring to snap shut behind the object. Various sizes of clamping mechanisms can be provided and easily interchanged to accommodate a variety of diameters. With the extension that pivots and rotates, the clamping mechanism can be used in a variety of orientations. Thus, this invention provides the amputee with a clamping mechanism that can be used to perform a number of tasks.

  20. Digit and hand replantation.

    Science.gov (United States)

    Beris, Alexandros E; Lykissas, Marios G; Korompilias, Anastasios V; Mitsionis, Gregory I; Vekris, Marios D; Kostas-Agnantis, Ioannis P

    2010-09-01

    For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery.

  1. Dynamic Hand Gesture Recognition Using the Skeleton of the Hand

    OpenAIRE

    Vasile Buzuloiu; Patrick Lambert; Didier Coquin; Bogdan Ionescu

    2005-01-01

    This paper discusses the use of the computer vision in the interpretation of human gestures. Hand gestures would be an intuitive and ideal way of exchanging information with other people in a virtual space, guiding some robots to perform certain tasks in a hostile environment, or interacting with computers. Hand gestures can be divided into two main categories: static gestures and dynamic gestures. In this paper, a novel dynamic hand gesture recognition technique is proposed. It is based on ...

  2. Hand spring operated movement enhancer (HandSOME) device for hand rehabilitation after stroke.

    Science.gov (United States)

    Brokaw, Elizabeth B; Holley, Rahsaan J; Lum, Peter S

    2010-01-01

    Hand rehabilitation after stroke is essential for restoring functional independent lifestyles. After stroke, patients often have flexor hypertonia, making it difficult to open their hand for functional grasp. The development and initial testing of a passive hand rehabilitation device is discussed. The device, Hand Spring Operated Movement Enhancer (HandSOME), assists with opening the patient's hand using a series of bungee cords that apply extension torques to the finger joints that compensate for the flexor hypertonia. This results in significant increase in range of motion and functional use when wearing HandSOME, even in severely impaired subjects. Device design, calibration, and range of motion are described as well as functional and usability testing with stroke subjects.

  3. Flavor physics and right-handed models

    Energy Technology Data Exchange (ETDEWEB)

    Shafaq, Saba

    2010-08-20

    The Standard Model of particle physics only provides a parametrization of flavor which involves the values of the quark and lepton masses and unitary flavor mixing matrix i.e. CKM (Cabibbo-Kobayashi-Masakawa) matrix for quarks. The precise determination of elements of the CKM matrix is important for the study of the flavor sector of quarks. Here we concentrate on the matrix element vertical stroke V{sub cb} vertical stroke. In particular we consider the effects on the value of vertical stroke V{sub cb} vertical stroke from possible right-handed admixtures along with the usually left-handed weak currents. Left Right Symmetric Model provide a natural basis for right-handed current contributions and has been studied extensively in the literature but has never been discussed including flavor. In the first part of the present work an additional flavor symmetry is included in LRSM which allows a systematic study of flavor effects. The second part deals with the practical extraction of a possible right-handed contribution. Starting from the quark level transition b{yields}c we use heavy quark symmetries to relate the helicities of the quarks to experimentally accessible quantities. To this end we study the decays anti B{yields}D(D{sup *})l anti {nu} which have been extensively explored close to non recoil point. By taking into account SCET (Soft Collinear Effective Theory) formalism it has been extended to a maximum recoil point i.e. {upsilon} . {upsilon}{sup '} >>1. We derive a factorization formula, where the set of form factors is reduced to a single universal form factor {xi}({upsilon} . {upsilon}{sup '}) up to hard-scattering corrections. Symmetry relations on form factors for exclusive anti B {yields} D(D{sup *})l anti {nu} transition has been derived in terms of {xi}({upsilon} . {upsilon}{sup '}). These symmetries are then broken by perturbative effects. The perturbative corrections to symmetry-breaking corrections to first order in the strong

  4. Proprioceptive deafferentation slows down the processing of visual hand feedback

    DEFF Research Database (Denmark)

    Balslev, Daniela; Miall, R Chris; Cole, Jonathan

    2007-01-01

    During visually guided movements both vision and proprioception inform the brain about the position of the hand, so interaction between these two modalities is presumed. Current theories suggest that this interaction occurs by sensory information from both sources being fused into a more reliable...... proprioception facilitates the processing of visual information during motor control. Subjects used a computer mouse to move a cursor to a screen target. In 28% of the trials, pseudorandomly, the cursor was rotated or the target jumped. Reaction time for the trajectory correction in response to this perturbation...... was compared under conditions with normal and reduced proprioception after 1-Hz rTMS over the hand-contralateral somatosensory cortex. Proprioceptive deafferentation slowed down the reaction time for initiating a motor correction in response to a visual perturbation in hand position, but not to a target jump...

  5. HENRY'S "HAND OF GOD"

    Directory of Open Access Journals (Sweden)

    Željko Kaluđerović

    2014-04-01

    Full Text Available In this paper the author discusses the views and statements of the French football player Thierry Henry he gave after his illegal play during the playoff match between France and the Republic of Ireland to claim one of the final spots in the World Cup 2010 in South Africa. First, by controlling the ball with his hand before passing it on for the goal Henry has shown disregard for the constitutive rules of football. Then, by stating that he is "not a referee" he demonstrated that for some players rules are not inherent to football and that they can be relativized, given that for them winning is the goal of the highest ontological status. Furthermore, he has rejected the rules of sportsmanship, thus expressing his opinion that the opponents are just obstacles which have to be removed in order to achieve your goals. Henry's action has disrupted major moral values, such as justice, honesty, responsibility and beneficence. The rules of fair play have totally been ignored both in Henry's action and in the Football Association of France's unwillingness to comment on whether a replay should take place. They have ignored one of the basic principles stated in the "Declaration of the International Fair Play Committee", according to which, fair play is much more than playing to the rules of the game; it's about the attitude of the sportsperson. It's about respecting your opponent and preserving his or her physical and psychological integrity. Finally, the author believes that the rules, moral values and fair play in football are required for this game to become actually possible to play.

  6. [Hand involvement in systemic sclerosis].

    Science.gov (United States)

    Mouthon, Luc

    2013-12-01

    Hand involvement is very common in patients with systemic sclerosis and represents an important tool for the early diagnosis of the disease. Vascular involvement of the hands is at the forefront of systemic sclerosis, with Raynaud's phenomenon, which may be complicated by digital ulcers, digital necrosis causing pain, infection and significant disability. Joint inflammation can also be disabling and causes the occurrence of contractures and deformities resulting in a marked hand disability. Skin sclerosis involving fingers and hands leads to the occurrence of pain and functional impairment. Hand involvement contributes to 75 % of global disability in patients with systemic sclerosis. Only a comprehensive care, taking into account the vascular, skin and joint manifestations, including physical therapy if needed can improve hand function in patients with systemic sclerosis.

  7. Task Refinement for Autonomous Robots using Complementary Corrective Human Feedback

    Directory of Open Access Journals (Sweden)

    Cetin Mericli

    2011-06-01

    Full Text Available A robot can perform a given task through a policy that maps its sensed state to appropriate actions. We assume that a hand-coded controller can achieve such a mapping only for the basic cases of the task. Refining the controller becomes harder and gets more tedious and error prone as the complexity of the task increases. In this paper, we present a new learning from demonstration approach to improve the robot's performance through the use of corrective human feedback as a complement to an existing hand-coded algorithm. The human teacher observes the robot as it performs the task using the hand-coded algorithm and takes over the control to correct the behavior when the robot selects a wrong action to be executed. Corrections are captured as new state-action pairs and the default controller output is replaced by the demonstrated corrections during autonomous execution when the current state of the robot is decided to be similar to a previously corrected state in the correction database. The proposed approach is applied to a complex ball dribbling task performed against stationary defender robots in a robot soccer scenario, where physical Aldebaran Nao humanoid robots are used. The results of our experiments show an improvement in the robot's performance when the default hand-coded controller is augmented with corrective human demonstration.

  8. Surgical hand scrub practices in orthopaedic surgery.

    Science.gov (United States)

    Khan, Adnan; McLaren, Sandra G; Nelson, Carl L

    2003-09-01

    The purpose of this study was to determine whether the practice of surgical hand scrubbing among orthopaedic surgeons, faculty, residents, and nurses met the institution's recommended 5-minute scrub policy and how often a 2-minute surgical hand scrub was used. Forty-eight subjects' hand scrub times were recorded discreetly for a total of 125 observations. All individuals scrubbed for a mean of 2.54 minutes and all scrubbed less than the 5-minute institutionally recommended policy. We found that 35.2% scrubbed less than 2 minutes and 64.8% scrubbed greater than 2 minutes. The subjects studied were polled to determine whether they knew the scrub policy, the minimum effective scrub time, and their perception of how long they scrub. Three of the 16 respondents correctly answered the question regarding the hospital's recommended policy regarding scrub time of 5 minutes. All stated they thought they scrubbed at least 2 minutes and all agreed that at least a 2-minute scrub should be done.

  9. Hands-on Virtual Clay

    OpenAIRE

    Pihuit, Adeline; Kry, Paul; Cani, Marie-Paule

    2008-01-01

    poster; International audience; This paper presents a new interaction system designed for hands-on 3D shape modeling and deformation through natural hand gestures. Our system is made of a Phantom haptic device coupled with a deformable foam ball that supports pressure sensors. These sensors detect forces exerted by the user's fingertips, and are used to control the configuration of a compliant virtual hand that is modeling soft virtual clay. During interaction, the user is provided both passi...

  10. On Semantic Development of HAND

    Institute of Scientific and Technical Information of China (English)

    黎金娥

    2015-01-01

    The body-part term, HAND, ranks 48 in Swadesh's 100-Word List.This paper discusses the origin and meanings, and then the rules of semantic development in the HAND semantic field by comparing with other languages.The word itself does not only denote the body part but also things resembling hands in shape, position, function and things associated with hands.Plenty of linguistic evidence can be found to illustrate that all human beings regard their bodies as the basis and starting point of recognition of the whole world.

  11. Neutrophilic dermatosis of dorsal hands

    Directory of Open Access Journals (Sweden)

    S Kaur

    2015-01-01

    Full Text Available Sweet′s syndrome is characterized by erythematous tender nodules and plaques over face and extremities. Fever, leukocytosis with neutrophilia, and a neutrophilic infiltrate in the dermis are characteristic features. Neutrophilic dermatosis of dorsal hands is a rare localized variant of Sweet′s syndrome occurring predominantly over dorsa of hands. Various degrees of vascular damage may be observed on histopathology of these lesions. Both Sweet′s syndrome and its dorsal hand variant have been reported in association with malignancies, inflammatory bowel diseases, and drugs. We report a patient with neutrophilic dermatoses of dorsal hands associated with erythema nodosum. He showed an excellent response to corticosteroids and dapsone.

  12. Hand in Hand: Media Literacy and Internet Safety

    Science.gov (United States)

    Gallagher, Frank

    2011-01-01

    Internet safety cannot be effectively taught without also teaching media literacy. The two go hand in hand, and both are necessary, but neither is sufficient. To understand why, it is important to first appreciate what the real risks to children are. Many of the early Internet safety programs were based on a fear of predators. Predators turned out…

  13. Stery-hand: A new device to support hand disinfection.

    Science.gov (United States)

    Szilagyi, Laszlo; Lehotsky, Akos; Nagy, Melinda; Haidegger, Tamas; Benyo, Balazs; Benyo, Zoltan

    2010-01-01

    Incomplete disinfection can cause serious complications in surgical care. The teaching of effective hand washing is crucial in modern medical training. To support the objective evaluation of hand disinfection, we developed a compact, mobile device, relying on digital imaging and image processing. The hardware consists of a metal case with matte black interior, ultra-violet lighting and a digital camera. Image segmentation and clustering are performed on a regular notebook. The hand washing procedures performed with a soap mixed with UV-reflective powder. This results the skin showing bright under UV light only on the treated (sterile) surfaces. When the surgeon inserts its hands into the box, the camera placed on the top takes an image of the hand for evaluation. The software performs the segmentation and clustering automatically. First, the hand contour is determined from the green intensity channel of the recorded RGB image. Then, the pixels of the green channel belonging to the hand are partitioned to three clusters using a quick, histogram based fuzzy c-means algorithm. The optimal threshold between the intensities of clean and dirty areas is extracted using these clusters, while the final approximated percentage of the clean area is computed using a weighting formula. The main advantage of our device is the ability to obtain objective and comparable result on the quality of hand disinfection. It may find its best use in the clinical education and training.

  14. Hand in Hand: Media Literacy and Internet Safety

    Science.gov (United States)

    Gallagher, Frank

    2011-01-01

    Internet safety cannot be effectively taught without also teaching media literacy. The two go hand in hand, and both are necessary, but neither is sufficient. To understand why, it is important to first appreciate what the real risks to children are. Many of the early Internet safety programs were based on a fear of predators. Predators turned out…

  15. The human hand as an inspiration for robot hand development

    CERN Document Server

    Santos, Veronica

    2014-01-01

    “The Human Hand as an Inspiration for Robot Hand Development” presents an edited collection of authoritative contributions in the area of robot hands. The results described in the volume are expected to lead to more robust, dependable, and inexpensive distributed systems such as those endowed with complex and advanced sensing, actuation, computation, and communication capabilities. The twenty-four chapters discuss the field of robotic grasping and manipulation viewed in light of the human hand’s capabilities and push the state-of-the-art in robot hand design and control. Topics discussed include human hand biomechanics, neural control, sensory feedback and perception, and robotic grasp and manipulation. This book will be useful for researchers from diverse areas such as robotics, biomechanics, neuroscience, and anthropologists.

  16. Tactile display on the remaining hand for unilateral hand amputees

    Directory of Open Access Journals (Sweden)

    Li Tao

    2016-09-01

    Full Text Available Human rely profoundly on tactile feedback from fingertips to interact with the environment, whereas most hand prostheses used in clinics provide no tactile feedback. In this study we demonstrate the feasibility to use a tactile display glove that can be worn by a unilateral hand amputee on the remaining healthy hand to display tactile feedback from a hand prosthesis. The main benefit is that users could easily distinguish the feedback for each finger, even without training. The claimed advantage is supported by preliminary tests with healthy subjects. This approach may lead to the development of effective and affordable tactile display devices that provide tactile feedback for individual fingertip of hand prostheses.

  17. Dynamic Hand Gesture Recognition Using the Skeleton of the Hand

    Directory of Open Access Journals (Sweden)

    Coquin Didier

    2005-01-01

    Full Text Available This paper discusses the use of the computer vision in the interpretation of human gestures. Hand gestures would be an intuitive and ideal way of exchanging information with other people in a virtual space, guiding some robots to perform certain tasks in a hostile environment, or interacting with computers. Hand gestures can be divided into two main categories: static gestures and dynamic gestures. In this paper, a novel dynamic hand gesture recognition technique is proposed. It is based on the 2D skeleton representation of the hand. For each gesture, the hand skeletons of each posture are superposed providing a single image which is the dynamic signature of the gesture. The recognition is performed by comparing this signature with the ones from a gesture alphabet, using Baddeley's distance as a measure of dissimilarities between model parameters.

  18. Dynamic Hand Gesture Recognition Using the Skeleton of the Hand

    Science.gov (United States)

    Ionescu, Bogdan; Coquin, Didier; Lambert, Patrick; Buzuloiu, Vasile

    2005-12-01

    This paper discusses the use of the computer vision in the interpretation of human gestures. Hand gestures would be an intuitive and ideal way of exchanging information with other people in a virtual space, guiding some robots to perform certain tasks in a hostile environment, or interacting with computers. Hand gestures can be divided into two main categories: static gestures and dynamic gestures. In this paper, a novel dynamic hand gesture recognition technique is proposed. It is based on the 2D skeleton representation of the hand. For each gesture, the hand skeletons of each posture are superposed providing a single image which is the dynamic signature of the gesture. The recognition is performed by comparing this signature with the ones from a gesture alphabet, using Baddeley's distance as a measure of dissimilarities between model parameters.

  19. Diophantine Correct Open Induction

    CERN Document Server

    Raffer, Sidney

    2010-01-01

    We give an induction-free axiom system for diophantine correct open induction. We relate the problem of whether a finitely generated ring of Puiseux polynomials is diophantine correct to a problem about the value-distribution of a tuple of semialgebraic functions with integer arguments. We use this result, and a theorem of Bergelson and Leibman on generalized polynomials, to identify a class of diophantine correct subrings of the field of descending Puiseux series with real coefficients.

  20. Visuomotor transformations for eye-hand coordination.

    Science.gov (United States)

    Henriques, D Y P; Medendorp, W P; Khan, A Z; Crawford, J D

    2002-01-01

    In recent years the scientific community has come to appreciate that the early cortical representations for visually guided arm movements are probably coded in a visual frame, i.e. relative to retinal landmarks. While this scheme accounts for many behavioral and neurophysiological observations, it also poses certain problems for manual control. For example, how are these oculocentric representations updated across eye movements, and how are they then transformed into useful commands for accurate movements of the arm relative to the body? Also, since we have two eyes, which is used as the reference point in eye-hand alignment tasks like pointing? We show that patterns of errors in human pointing suggest that early oculocentric representations for arm movement are remapped relative to the gaze direction during each saccade. To then transform these oculocentric representations into useful commands for accurate movements of the arm relative to the body, the brain correctly incorporates the three-dimensional, rotary geometry of the eyes when interpreting retinal images. We also explore the possibility that the eye-hand coordination system uses a strategy like ocular dominance, but switches alignment between the left and right eye in order to maximize eye-hand coordination in the best field of view. Finally, we describe the influence of eye position on eye-hand alignment, and then consider how head orientation influences the linkage between oculocentric visual frames and bodycentric motor frames. These findings are framed in terms of our 'conversion-on-demand' model, which suggests a virtual representation of egocentric space, i.e. one in which only those representations selected for action are put through the complex visuomotor transformations required for interaction with actual objects in personal space.

  1. Polivinilpirrolidona-iodo (PVP-I em base aquosa na antissepsia de campo operatório oftálmico de cães Water-soluble polyvinylpyrrolidone-iodine (PVP-I on concentrations of 0.1% and 0.5% in antisepsis of dogs ophthalmic surgery

    Directory of Open Access Journals (Sweden)

    Priscilla Santos Bagbed Pithon

    2010-12-01

    Full Text Available Com o presente trabalho, objetivou-se comparar o efeito bactericida do polivinilpirrolidona-iodo nas concentrações a 0,1% e 0,5% sobre a antissepsia do campo operatório oftálmico de cães. Foram utilizados 20 cães e soluções em concentrações diferentes para cada olho. No olho direito, utilizou-se solução de polivinilpirrolidona-iodo a 0,1% e no olho esquerdo a 0,5%. A colheita da amostra conjuntival de ambos os grupos foi realizada antes da antissepsia (0, após 30 minutos (1, 1,5 horas (2 e 2,5 horas (3 da irrigação e limpeza. Foi identificado crescimento bacteriano em 70% das amostras oculares colhidas antes da antissepsia. Os agentes bacterianos encontrados nos diferentes tempos de colheita foram Staphylococcus intermedis, Staphylococcus aureus, Staphylococcus sp., Staphylococcus epidermidis, Bacillus sp., Difteróide, Enterobacter sp., Micrococcus sp. A solução de polivinilpirrolidona-iodo a 0,1% diminuiu em 64% e 50% o crescimento de bactérias após 30min (1 e 90min da antissepsia (2, respectivamente. Enquanto a concentração 0,5% reduziu em 86%, houve crescimento bacteriano de 71%, o que indicou um maior poder inibitório sobre o crescimento bacteriano. Dessa maneira, a solução de polivinilpirrolidona-iodo a 0,5%, em relação à solução a 0,1%, mostrou-se mais eficaz na redução da microbiota conjuntival até 90min após a antissepsia.The objective of this study was to compare the bactericide effect of polyvinylpyrrolidone-iodine at concentrations of 0.1% and 0.5% on antisepsis of dog ophthalmic region. Solutions with different concentrations were used on each eye of twenty dogs. On the right eye, the 0.1% solution was administered and, on the left eye, the 0.5% solution. Conjunctival sampling of both groups was performed before antisepsis (0, after 30 minutes (1, 1.5h (2 and 2.5h (3 of irrigation and cleaning. Bacterial growth was identified in 70% of ocular sample collected before the antisepsis. The bacterial

  2. Chondroblastoma-like chondroma of the hand: case report.

    Science.gov (United States)

    Kuprys, Tomas K; Bindra, Randip; Borys, Dariusz; Nystrom, Lukas M

    2014-05-01

    Chondroblastoma-like chondroma is a rare tumor that almost exclusively manifests in the hand and presents with a set of unique diagnostic features. This tumor has been described in only a limited number of publications and is thus commonly omitted in the differential diagnosis of hand tumors. The diagnostic imaging and histological specimens may initially appear consistent with a number of relatively more common hand tumors, thereby delaying the diagnosis. We present the case of a 49-year-old woman with chondroblastoma-like chondroma of the hand treated with marginal excision. The physical examination, imaging, and needle biopsy made an initial case for giant cell tumor of tendon sheath until histological analysis of the excised specimen yielded the correct diagnosis.

  3. Giant lipomas of the hand

    Directory of Open Access Journals (Sweden)

    Gokce Yildiran

    2015-04-01

    Conclusion: Giant lipomas of the hand are very rare and may cause compressions and other complications. Thus, they require a careful preoperative evaluation in order to make a proper differential diagnosis. [Hand Microsurg 2015; 4(1.000: 8-11

  4. Please wash your hands often

    OpenAIRE

    2007-01-01

    This poster advises washing hands "before and after using the toilet, handling food, touching animals, eating, drinking, or smoking." It advocates "always use clean water / never wash your hands in used wash water!" The purpose is to protect self and others from diseases. LTRA-2 (An Agricultural Markets Model for Biodiversity Conservation)

  5. Canadian hand dermatitis management guidelines

    DEFF Research Database (Denmark)

    Lynde, Charles; Guenther, Lyn; Diepgen, Thomas L;

    2010-01-01

    Hand dermatitis (HD) is one of the most common skin conditions; however, it is not a homogeneous disease entity. The severity of HD may range from very mild cases to severe chronic forms, which may result in prolonged disability and, occasionally, refractory HD. Chronic hand dermatitis (CHD...

  6. Canadian hand dermatitis management guidelines

    DEFF Research Database (Denmark)

    Lynde, Charles; Guenther, Lyn; Diepgen, Thomas L

    2010-01-01

    Hand dermatitis (HD) is one of the most common skin conditions; however, it is not a homogeneous disease entity. The severity of HD may range from very mild cases to severe chronic forms, which may result in prolonged disability and, occasionally, refractory HD. Chronic hand dermatitis (CHD) is a...

  7. The Work of the Hand

    Science.gov (United States)

    Ludick, Pat

    2013-01-01

    Recognizing Maria and Mario Montessori's reverence for the hand, Pat Ludick takes the reader into the wonder of the human body, mind, and spirit and across the planes of education, into the making of a whole personality and grounded intelligence that is ready for the adult world. Putting the hand front and center, she lyrically evolves an overview…

  8. Hand controller commonality evaluation process

    Science.gov (United States)

    Stuart, Mark A.; Bierschwale, John M.; Wilmington, Robert P.; Adam, Susan C.; Diaz, Manuel F.; Jensen, Dean G.

    1993-01-01

    Hand controller selection for NASA's Orbiter and Space Station Freedom is an important area of human-telerobot interface design and evaluation. These input devices will control remotely operated systems that include large crane-like manipulators (e.g., Remote Manipulator System or RMS), smaller, more dexterous manipulators (e.g., Flight Telerobotic Servicer or FTS), and free flyers (e.g., Orbital Maneuvering Vehicle or OMV). Candidate hand controller configurations for these systems vary in many ways: shape, size, number of degrees-of-freedom (DOF), operating modes, provision of force reflection, range of movement, and 'naturalness' of use. Unresolved design implementation issues remain, including such topics as how the current Orbiter RMS rotational and translational rate hand controllers compare with the proposed Space Station Freedom hand controllers, the advantages that position hand controllers offer for these applications, and whether separate hand controller configurations are required for each application. Since previous studies contain little empirical hand controller task performance data, a controlled study is needed that tests Space Station Freedom candidate hand controllers during representative tasks. This study also needs to include anthropometric and biomechanical considerations.

  9. The Left-Handed Writer.

    Science.gov (United States)

    Bloodsworth, James Gaston

    Contrary to the beliefs of many, right-handedness is not a single factor existing in almost all people, with a few exceptions termed left-handed: neither extreme exists independently of the other. During the first 4 years of life there is a period of fluctuation between right and left-handed dominance. Statistics and findings vary in determining…

  10. Robot Forearm and Dexterous Hand

    Science.gov (United States)

    Lovchik, Christopher S.

    2005-01-01

    An electromechanical hand-and-forearm assembly has been developed for incorporation into an anthropomorphic robot that would be used in outer space. The assembly is designed to offer manual dexterity comparable to that of a hand inside an astronaut s suit; thus, the assembly may also be useful as a prosthesis or as an end effector on an industrial robot.

  11. Hand-related physical function in rheumatic hand conditions

    DEFF Research Database (Denmark)

    Klokker, Louise; Terwee, Caroline B; Wæhrens, Eva Ejlersen;

    2016-01-01

    INTRODUCTION: There is no consensus about what constitutes the most appropriate patient-reported outcome measurement (PROM) instrument for measuring physical function in patients with rheumatic hand conditions. Existing instruments lack psychometric testing and vary in feasibility and their psych......INTRODUCTION: There is no consensus about what constitutes the most appropriate patient-reported outcome measurement (PROM) instrument for measuring physical function in patients with rheumatic hand conditions. Existing instruments lack psychometric testing and vary in feasibility...... and their psychometric qualities. We aim to develop a PROM instrument to assess hand-related physical function in rheumatic hand conditions. METHODS AND ANALYSIS: We will perform a systematic search to identify existing PROMs to rheumatic hand conditions, and select items relevant for hand-related physical function...... as well as those items from the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) item bank that are relevant to patients with rheumatic hand conditions. Selection will be based on consensus among reviewers. Content validity of selected items will be established...

  12. Hand Transplantation Versus Hand Prosthetics: Pros and Cons.

    Science.gov (United States)

    Salminger, S; Roche, A D; Sturma, A; Mayer, J A; Aszmann, O C

    Composite tissue transplantation and new developments in the field of prosthetics have opened new frontiers in the restoration of function among upper limb amputees. It is now possible to restore hand function in affected patients; however, the indications, advantages, and limitations for either hand transplantation or prosthetic fitting must be carefully considered depending on the level and extent of the limb loss. Hand transplantation allows comprehensive hand function to be restored, yet composite tissue transplantation comes with disadvantages, making this method a controversial topic in the hand surgical community. Alternatively, prosthetic limb replacement represents the standard of care for upper limb amputees, but results in the known limitations of function, sensation, and usage. The indication for hand transplantation or prosthetic fitting strongly depends on the level of amputation, as well as on the extent (unilateral/bilateral) of the amputation. In this review, we discuss the advantages and disadvantages of hand transplantation and prosthetic replacement for upper limb amputees in general, as well as in regard to the different levels of amputation.

  13. Hand eczema - prognosis and consequences

    DEFF Research Database (Denmark)

    Petersen, A. H.; Johansen, J D; Hald, M

    2014-01-01

    BACKGROUND: Hand eczema is recognized as a long-lasting disease with personal and societal repercussions. Long-term studies are required to generate information on factors contributing to a poor outcome. OBJECTIVES: The aims of this 7-year follow-up study were to evaluate the clinical course...... of patients with hand eczema, the occupational consequences and to identify risk factors associated with a poor prognosis. MATERIALS AND METHODS: In all, 536 patients with hand eczema participated and were examined by a dermatologist. The clinical severity was assessed at baseline and 7 years later using...... a self-administrated photographic guide. Additional information was obtained from a questionnaire. RESULTS: Based on the photographic guide, 73% experienced a clinical improvement. Notably, 20% had moderate to very severe hand eczema at follow-up. Severe hand eczema or frequent eruptions at baseline...

  14. Hand Detection Using HSV Model

    Directory of Open Access Journals (Sweden)

    Uzma Noreen

    2015-08-01

    Full Text Available Natural Human Computer Interaction HCI is the demand of todays technology oriented world. Detecting and tracking of face and hands are important for gesture recognition. Skin detection is a very popular and useful technique for detecting and tracking human-body parts. It has been much attention mainly because of its vast range of applications such as face detection and tracking naked people detection hand detection and tracking people retrieval in databases and Internet etc. Many models and algorithms are being used for detection of face hand and its gesture. Hand detection using model or classification is to build a decision rule that will discriminate between skin and non-skin pixels. Identifying skin color pixels involves finding the range of values for which most skin pixels would fall in a given color space. All external factors will be eliminated to detect the hand and its color in the image in complex background.

  15. 3D Printed Robotic Hand

    Science.gov (United States)

    Pizarro, Yaritzmar Rosario; Schuler, Jason M.; Lippitt, Thomas C.

    2013-01-01

    Dexterous robotic hands are changing the way robots and humans interact and use common tools. Unfortunately, the complexity of the joints and actuations drive up the manufacturing cost. Some cutting edge and commercially available rapid prototyping machines now have the ability to print multiple materials and even combine these materials in the same job. A 3D model of a robotic hand was designed using Creo Parametric 2.0. Combining "hard" and "soft" materials, the model was printed on the Object Connex350 3D printer with the purpose of resembling as much as possible the human appearance and mobility of a real hand while needing no assembly. After printing the prototype, strings where installed as actuators to test mobility. Based on printing materials, the manufacturing cost of the hand was $167, significantly lower than other robotic hands without the actuators since they have more complex assembly processes.

  16. Eye-dominance, writing hand, and throwing hand.

    Science.gov (United States)

    McManus, I C; Porac, C; Bryden, M P; Boucher, R

    1999-04-01

    Handedness and eye-dominance are undoubtedly associated statistically, although a previous meta-analysis has found that the precise relationship is difficult to explain, with about 35% of right-handers and 57% of left-handers being left eye dominant. Of particular difficulty to genetic or other models is that the proportions are distributed asymmetrically around 50%. The present study asked whether this complicated pattern of association occurred because, following Peters, it is necessary to divide right-and left-handers into consistent handers (who write and throw with the same hand) and inconsistent handers (who write and throw with opposite hands). In an analysis of 10,635 subjects from questionnaire studies, 28.8% of left-handers and 1.6% of right-handers by writing were inconsistent for throwing. Our results also showed that writing hand and throwing hand both relate independently to eyedness, that throwing hand is somewhat more strongly associated with eyedness, and that the awkward asymmetry around 50% is now removed, 24.2% of consistent right-handers being left eye dominant compared with 72.3% of consistent left-handers, and 55.4% of inconsistent right-handers compared with 47.0% of inconsistent left-handers. We conclude that eyedness is phenotypically secondary to writing and throwing handedness. In our discussion we note that eyedness runs in families, we present new data suggesting that writing hand and throwing hand are co-inherited, and we argue that further data are now required to model properly the associations of writing hand, throwing hand, and eyedness, as well as probably also footedness and language dominance.

  17. Occurrence of radial club hand in children with different syndromes

    Directory of Open Access Journals (Sweden)

    Наталья Валерьевна Авдейчик

    2015-12-01

    Full Text Available Aim. Clinical analysis of congenital radial club hand as part of some genetic syndromes as well as the optimization of methods of non-surgical and surgical treatment of patients with this pathology. Material and Methods. From 2007 to 2014, we conducted a survey of 170 children with congenital radial club hand. Among them, 32 patients were diagnosed (18.8% with different syndromes. We assessed the degree to which the radius was underdeveloped among this group of patients as well as the management features of patients according to various comorbidities. Results. The assessment identified Holt-Oram syndrome in 17 children (nine boys and eight girls; 53.1% and TAR-syndrome in nine children (four boys and five girls; 28.1%. VACTERL syndrome was detected in four male patients (12.5% and Nagera syndrome was observed in two children (one boy and one girl; 6.25%. Surgical treatment of radial club hand in patients with genetic syndromes is the same as that of the patients with isolated congenital radial club hand: a single- or two-stage correction of the hand relative to the ulna with subsequent reconstruction of the rays of the hand. The duration of treatment of such patients did not significantly differ compared to the patients with isolated congenital radial club hand. Conclusion. Congenital radial club hand, identified as part of genetic syndromes, requires a comprehensive examination to diagnose comorbidities, observation, and treatment by specialists to determine the optimal age for surgical correction of the existing strain of the upper limb.

  18. CORRECTING WRITTEN WORK

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    Introduction During the teaching and learning process, teachers often check how much students have understood through written assignments. In this article I’d like to describe one method of correcting students’ written work by using a variety of symbols to indicate where students have gone wrong, then asking students to correct their work themselves.

  19. Hand-related physical function in rheumatic hand conditions

    DEFF Research Database (Denmark)

    Klokker, Louise; Terwee, Caroline B; Wæhrens, Eva Ejlersen

    2016-01-01

    through the use of focus groups. If patients deem necessary, we will develop new items based on the patients' input. We will examine whether it is valid to score all selected and developed items on the same scale as the original items from the PROMIS PF item bank. Our analyses will follow the methods used...... will be obtained from all participants. We aim to disseminate the results of the study through publication in international peer-reviewed journals and at international conferences....... and their psychometric qualities. We aim to develop a PROM instrument to assess hand-related physical function in rheumatic hand conditions. METHODS AND ANALYSIS: We will perform a systematic search to identify existing PROMs to rheumatic hand conditions, and select items relevant for hand-related physical function...

  20. The Marble-Hand Illusion.

    Directory of Open Access Journals (Sweden)

    Irene Senna

    Full Text Available Our body is made of flesh and bones. We know it, and in our daily lives all the senses constantly provide converging information about this simple, factual truth. But is this always the case? Here we report a surprising bodily illusion demonstrating that humans rapidly update their assumptions about the material qualities of their body, based on their recent multisensory perceptual experience. To induce a misperception of the material properties of the hand, we repeatedly gently hit participants' hand with a small hammer, while progressively replacing the natural sound of the hammer against the skin with the sound of a hammer hitting a piece of marble. After five minutes, the hand started feeling stiffer, heavier, harder, less sensitive, unnatural, and showed enhanced Galvanic skin response (GSR to threatening stimuli. Notably, such a change in skin conductivity positively correlated with changes in perceived hand stiffness. Conversely, when hammer hits and impact sounds were temporally uncorrelated, participants did not spontaneously report any changes in the perceived properties of the hand, nor did they show any modulation in GSR. In two further experiments, we ruled out that mere audio-tactile synchrony is the causal factor triggering the illusion, further demonstrating the key role of material information conveyed by impact sounds in modulating the perceived material properties of the hand. This novel bodily illusion, the 'Marble-Hand Illusion', demonstrates that the perceived material of our body, surely the most stable attribute of our bodily self, can be quickly updated through multisensory integration.

  1. Hand function after nerve repair.

    Science.gov (United States)

    Lundborg, G; Rosén, B

    2007-02-01

    Treatment of injuries to major nerve trunks in the hand and upper extremity remains a major and challenging reconstructive problem. Such injuries may cause long-lasting disabilities in terms of lost fine sensory and motor functions. Nowadays there is no surgical repair technique that can ensure recovery of tactile discrimination in the hand of an adult patient following nerve repair while very young individuals usually regain a complete recovery of functional sensibility. Post-traumatic nerve regeneration is a complex biological process where the outcome depends on multiple biological and environmental factors such as survival of nerve cells, axonal regeneration rate, extent of axonal misdirection, type of injury, type of nerve, level of the lesion, age of the patient and compliance to training. A major problem is the cortical functional reorganization of hand representation which occurs as a result of axonal misdirection. Although protective sensibility usually occurs following nerve repair, tactile discriminative functions seldom recover--a direct result of cortical remapping. Sensory re-education programmes are routinely applied to facilitate understanding of the new sensory patterns provided by the hand. New trends in hand rehabilitation focus on modulation of central nervous processes rather than peripheral factors. Principles are being evolved to maintain the cortical hand representation by using the brain capacity for visuo-tactile and audio-tactile interaction for the initial phase following nerve injury and repair (phase 1). After the start of the re-innervation of the hand (phase 2), selective de-afferentation, such as cutaneous anaesthesia of the forearm of the injured hand, allows expansion of the nerve-injured cortical hand representation, thereby enhancing the effects of sensory relearning. Recent data support the view that training protocols specifically addressing the relearning process substantially increase the possibilities for improved

  2. Corner Detection of Hand Gesture

    Directory of Open Access Journals (Sweden)

    Lili Zhang

    2012-12-01

    Full Text Available This paper studies the methods of corner detection of hand gesture, and mainly introduces the orthogonal three-direction chain code (3OT and uses it in corner detection of hand gesture. The study is discussed from four aspects: the techniques used in corner detection, the techniques of Freeman chain code, the main idea of 3OT, the process of corner detection with 3OT and the experiments on corner detectors used for hand gesture images of 26 letters in American Sign Language are described in detail. Experiment results show that the 3OT has well performance with exact corner detection rate and least false corner’s number.

  3. Compartment Syndrome of the Hand.

    Science.gov (United States)

    Oak, Nikhil R; Abrams, Reid A

    2016-07-01

    Hand compartment syndrome has many etiologies; untreated, it has dire functional consequences. Intracompartmental pressure exceeding capillary filling pressure causes decreased tissue perfusion resulting in progressive ischemic death of compartment contents. Clinical findings can evolve. Serial physical examinations are recommended and, if equivocal, interstitial pressure monitoring is indicated. Definitive management is emergent fasciotomies with incisions designed to decompress the involved hand compartments, which could include the thenar, hypothenar, and interosseous compartments, and the carpal tunnel. Careful wound care, edema management, splinting, and hand therapy are critical. Therapy should start early postoperatively, possibly before wound closure. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Hands-On Bulletin Boards.

    Science.gov (United States)

    Henneman, Dawn

    1984-01-01

    Patterns and directions are given for making bulletin boards that teach language arts and mathematics skills through hands-on student involvement. The boards help teach multiplication tables, word contractions, letter sounds, homonyms, compound words, alphabetization, and other skills. (PP)

  5. Arthritis of the hand - Rheumatoid

    Science.gov (United States)

    ... Media Find a Hand Surgeon Home Anatomy Rheumatoid Arthritis Email to a friend * required fields From * To * DESCRIPTION In its most literal sense, arthritis means “inflamed joint.” Arthritis describes any condition where ...

  6. Neural bases of hand synergies.

    Science.gov (United States)

    Santello, Marco; Baud-Bovy, Gabriel; Jörntell, Henrik

    2013-01-01

    The human hand has so many degrees of freedom that it may seem impossible to control. A potential solution to this problem is "synergy control" which combines dimensionality reduction with great flexibility. With applicability to a wide range of tasks, this has become a very popular concept. In this review, we describe the evolution of the modern concept using studies of kinematic and force synergies in human hand control, neurophysiology of cortical and spinal neurons, and electromyographic (EMG) activity of hand muscles. We go beyond the often purely descriptive usage of synergy by reviewing the organization of the underlying neuronal circuitry in order to propose mechanistic explanations for various observed synergy phenomena. Finally, we propose a theoretical framework to reconcile important and still debated concepts such as the definitions of "fixed" vs. "flexible" synergies and mechanisms underlying the combination of synergies for hand control.

  7. American Association for Hand Surgery

    Science.gov (United States)

    ... Hand Care Provider Connect With Us: Notice Regarding Hurricane Irma and Hurricane Maria in Puerto Rico The AAHS ... closely monitoring the situation in Puerto Rico following Hurricane Irma and Hurricane Maria. Leadership and staff have been ...

  8. American Society of Hand Therapists

    Science.gov (United States)

    ... there is brush and fuel for the fire. Residence in the area next to these foothills (like ... Hope Orthopedics - Salem, OR CHT/Hand Therapist - Duke University Hospital - Adult Ambulatory Division PT/OT - Durham, NC ...

  9. Hands-On Bulletin Boards.

    Science.gov (United States)

    Henneman, Dawn

    1984-01-01

    Patterns and directions are given for making bulletin boards that teach language arts and mathematics skills through hands-on student involvement. The boards help teach multiplication tables, word contractions, letter sounds, homonyms, compound words, alphabetization, and other skills. (PP)

  10. Principles of Hand Fracture Management

    Science.gov (United States)

    Haughton, DN; Jordan, D; Malahias, M; Hindocha, S; Khan, W

    2012-01-01

    The hand is essential in humans for physical manipulation of their surrounding environment. Allowing the ability to grasp, and differentiated from other animals by an opposing thumb, the main functions include both fine and gross motor skills as well as being a key tool for sensing and understanding the immediate surroundings of their owner. Hand fractures are the most common fractures presenting at both accident and emergency and within orthopaedic clinics. Appropriate evaluation at first presentation, as well as during their management, can significantly prevent both morbidity and disability to a patient. These decisions are dependant on a wide range of factors including age, hand dominance, occupation and co-morbidities. A fracture is best described as a soft tissue injury with an associated bony injury. Despite this being the case, this paper intends to deal mainly with the bone injury and aims to discuss both the timing, as well as the methods available, of hand fracture management. PMID:22423303

  11. Probabilistic quantum error correction

    CERN Document Server

    Fern, J; Fern, Jesse; Terilla, John

    2002-01-01

    There are well known necessary and sufficient conditions for a quantum code to correct a set of errors. We study weaker conditions under which a quantum code may correct errors with probabilities that may be less than one. We work with stabilizer codes and as an application study how the nine qubit code, the seven qubit code, and the five qubit code perform when there are errors on more than one qubit. As a second application, we discuss the concept of syndrome quality and use it to suggest a way that quantum error correction can be practically improved.

  12. Hand gestures mouse cursor control

    Directory of Open Access Journals (Sweden)

    Marian-Avram Vincze

    2014-05-01

    Full Text Available The paper describes the implementation of a human-computer interface for controlling the mouse cursor. The test reveal the fact: a low-cost web camera some processing algorithms are quite enough to control the mouse cursor on computers. Even if the system is influenced by the illuminance level on the plane of the hand, the current study may represent a start point for some studies on the hand tracking and gesture recognition field.

  13. Hand, Foot, and Mouth Disease

    Centers for Disease Control (CDC) Podcasts

    2013-08-08

    Hand, foot, and mouth disease is a contagious illness that mainly affects children under five. In this podcast, Dr. Eileen Schneider talks about the symptoms of hand, foot, and mouth disease, how it spreads, and ways to help protect yourself and your children from getting infected with the virus.  Created: 8/8/2013 by National Center for Immunization and Respiratory Diseases (NCIRD).   Date Released: 8/8/2013.

  14. Hand function after nerve repair.

    OpenAIRE

    Lundborg, Göran; Rosén, Birgitta

    2007-01-01

    Treatment of injuries to major nerve trunks in the hand and upper extremity remains a major and challenging reconstructive problem. Such injuries may cause long-lasting disabilities in terms of lost fine sensory and motor functions. Nowadays there is no surgical repair technique that can ensure recovery of tactile discrimination in the hand of an adult patient following nerve repair while very young individuals usually regain a complete recovery of functional sensibility. Post-traumatic nerve...

  15. Replantation (Finger, Hand, or Arm)

    Science.gov (United States)

    ... per month. The number of inches from the injury to the tip of a finger gives the minimum number of months after which ... Replantation refers to the surgical reattachment of a finger, hand, or arm that has been completely cut from a person’s ... 2017 by American Society for Surgery of the Hand × Search Tips Tip 1: Start with the basics like "carpal ...

  16. The Rubber Hand Illusion: feeling of ownership and proprioceptive drift do not go hand in hand.

    Science.gov (United States)

    Rohde, Marieke; Di Luca, Massimiliano; Ernst, Marc O

    2011-01-01

    In the Rubber Hand Illusion, the feeling of ownership of a rubber hand displaced from a participant's real occluded hand is evoked by synchronously stroking both hands with paintbrushes. A change of perceived finger location towards the rubber hand (proprioceptive drift) has been reported to correlate with this illusion. To measure the time course of proprioceptive drift during the Rubber Hand Illusion, we regularly interrupted stroking (performed by robot arms) to measure perceived finger location. Measurements were made by projecting a probe dot into the field of view (using a semi-transparent mirror) and asking participants if the dot is to the left or to the right of their invisible hand (Experiment 1) or to adjust the position of the dot to that of their invisible hand (Experiment 2). We varied both the measurement frequency (every 10 s, 40 s, 120 s) and the mode of stroking (synchronous, asynchronous, just vision). Surprisingly, with frequent measurements, proprioceptive drift occurs not only in the synchronous stroking condition but also in the two control conditions (asynchronous stroking, just vision). Proprioceptive drift in the synchronous stroking condition is never higher than in the just vision condition. Only continuous exposure to asynchronous stroking prevents proprioceptive drift and thus replicates the differences in drift reported in the literature. By contrast, complementary subjective ratings (questionnaire) show that the feeling of ownership requires synchronous stroking and is not present in the asynchronous stroking condition. Thus, subjective ratings and drift are dissociated. We conclude that different mechanisms of multisensory integration are responsible for proprioceptive drift and the feeling of ownership. Proprioceptive drift relies on visuoproprioceptive integration alone, a process that is inhibited by asynchronous stroking, the most common control condition in Rubber Hand Illusion experiments. This dissociation implies that

  17. The Rubber Hand Illusion: feeling of ownership and proprioceptive drift do not go hand in hand.

    Directory of Open Access Journals (Sweden)

    Marieke Rohde

    Full Text Available In the Rubber Hand Illusion, the feeling of ownership of a rubber hand displaced from a participant's real occluded hand is evoked by synchronously stroking both hands with paintbrushes. A change of perceived finger location towards the rubber hand (proprioceptive drift has been reported to correlate with this illusion. To measure the time course of proprioceptive drift during the Rubber Hand Illusion, we regularly interrupted stroking (performed by robot arms to measure perceived finger location. Measurements were made by projecting a probe dot into the field of view (using a semi-transparent mirror and asking participants if the dot is to the left or to the right of their invisible hand (Experiment 1 or to adjust the position of the dot to that of their invisible hand (Experiment 2. We varied both the measurement frequency (every 10 s, 40 s, 120 s and the mode of stroking (synchronous, asynchronous, just vision. Surprisingly, with frequent measurements, proprioceptive drift occurs not only in the synchronous stroking condition but also in the two control conditions (asynchronous stroking, just vision. Proprioceptive drift in the synchronous stroking condition is never higher than in the just vision condition. Only continuous exposure to asynchronous stroking prevents proprioceptive drift and thus replicates the differences in drift reported in the literature. By contrast, complementary subjective ratings (questionnaire show that the feeling of ownership requires synchronous stroking and is not present in the asynchronous stroking condition. Thus, subjective ratings and drift are dissociated. We conclude that different mechanisms of multisensory integration are responsible for proprioceptive drift and the feeling of ownership. Proprioceptive drift relies on visuoproprioceptive integration alone, a process that is inhibited by asynchronous stroking, the most common control condition in Rubber Hand Illusion experiments. This dissociation implies

  18. Bimanual-vertical hand movements.

    Science.gov (United States)

    Kwon, Jay C; Cohen, Matthew L; Williamson, John; Burtis, Brandon; Heilman, Kenneth M

    2011-07-01

    Patients often demonstrate attentional and action-intentional biases in both the transverse and coronal planes. In addition, when making forelimb movements in the transverse plane, normal participants also have spatial and magnitude asymmetries, but forelimb spatial asymmetries have not been studied in coronal space. Thus, to learn if when normal people make vertical movements they have right-left spatial and magnitude biases, seventeen healthy, blindfolded volunteers had their hands (holding pens) placed vertically in their midsagittal plane, 10 inches apart, on pieces of paper positioned above, below, and at eye-level. Participants were asked to move their hands together vertically and meet in the middle. Participants demonstrated less angular deviation in the below-eye condition than in the other spatial conditions, when moving down than up, and with their right than left hand. Movements toward eye level from upper or lower space were also more accurate than movements in the other directions. Independent of hand, lines were longer with downward than upward movements and the right hand moved more distance than the left. These attentional-intentional asymmetries may be related to gravitational force, hand-hemispheric dominance, and spatial "where" asymmetries; however, the mechanisms accounting for these asymmetries must be ascertained by future research.

  19. A survey of left-handed helices in protein structures.

    Science.gov (United States)

    Novotny, Marian; Kleywegt, Gerard J

    2005-03-25

    All naturally occurring amino acids with the exception of glycine contain one or more chiral carbon atoms and can therefore occur in two different configurations, L (levo, left-handed) and D (dextro, right-handed). Proteins are almost exclusively built from L-amino acids. The stereochemical bias of nature is further reflected at the secondary structure level where right-handed helices are strongly preferred over left-handed helices. The handedness of helices has not received much attention in the past and is often overlooked during the analysis, description and deposition of experimentally solved protein structures. Therefore, an extensive survey of left-handed helices in the Protein Data Bank (PDB) was undertaken to analyse their frequency of occurrence, length, amino acid composition, conservation and possible structural or functional role. All left-handed helices (of four or more residues) in a non-redundant subset of the PDB, were identified using hydrogen-bonding analysis, comparison of related structures, and experimental electron density assessment to filter out likely spurious and artefactual hits. This analysis yielded 31 verified left-handed helices in a set of 7284 proteins. The phi angles of the residues in the left-handed helices lie between 30 degrees and 130 degrees and the psi angles lie between -50 degrees and 100 degrees . Most of the helices are short (four residues) and for 87% of them, it was possible to determine that they are important for the stability of the protein, for ligand binding, or as part of the active site. This suggests that, even though left-handed helices are rare, when they do occur, they are structurally or functionally significant. Four secondary structure assignment programs were tested for their ability to identify the handedness of the helices. Of these programs, only DSSP correctly assigns the handedness.

  20. Digital imaging for the education of proper surgical hand disinfection.

    Science.gov (United States)

    Haidegger, Tamás; Nagy, Melinda; Lehotsky, Akos; Szilágyi, László

    2011-01-01

    Nosocomial infections are the undesirable result of a treatment in a hospital, or a health care service unit, not related to the patient's original condition. Despite the evolution of medicine, fundamental problems with hand hygiene remain existent, leading to the spread of nosocomial infections. Our group has been working on a generic solution to provide a method and apparatus to teach and verify proper hand disinfection. The general idea is to mark the skin surfaces that were sufficiently treated with alcoholic hand rub. Digital image processing is employed to determine the location of these areas and overlay it on the segmented hand, visualizing the results in an intuitive form. A non-disruptive ultraviolet marker is mixed to a commercially available hand rub, therefore leaving the original hand washing workflow intact. Digital images are taken in an enclosed device we developed for this purpose. First, robust hand contour segmentation is performed, then a histogram-based formulation of the fuzzy c-means algorithm is employed for the classification of clean versus dirty regions, minimizing the processing time of the images. The method and device have been tested in 3 hospitals in Hungary, Romania and Singapore, on surgeons, residents, medical students and nurses. A health care professional verified the results of the segmentation, since no gold standard is available for the recorded human cases. We were able to identify the hand boundaries correctly in 99.2% of the cases. The device can give objective feedback to medical students and staff to develop and maintain proper hand disinfection practice.

  1. Data Grid tutorials with hands-on experience

    CERN Document Server

    Donno, Flavia; Puccinelli, Roberto; Stockinger, Kurt; CERN. Geneva. IT Department

    2004-01-01

    Grid technologies are more and more used in scientific as well as in industrial environments but often documentation and the correct usage are either not sufficient or not too well understood. Comprehensive training with hands-on experience helps people first to understand the technology and second to use it in a correct and efficient way. We have organised and run several training sessions in different locations all over the world and provide our experience. The major factors of success are a solid base of theoretical lectures and, more dominantly, a facility that allows for practical Grid exercises during and possibly after tutorial sessions.

  2. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... It can also invite bacteria that lead to gum disease. Click here to find out more. Who We ... It can also invite bacteria that lead to gum disease. Click here to find out more. Corrective Jaw ...

  3. Correction of Neonatal Hypovolemia

    Directory of Open Access Journals (Sweden)

    V. V. Moskalev

    2007-01-01

    Full Text Available Objective: to evaluate the efficiency of hydroxyethyl starch solution (6% refortane, Berlin-Chemie versus fresh frozen plasma used to correct neonatal hypovolemia.Materials and methods. In 12 neonatal infants with hypoco-agulation, hypovolemia was corrected with fresh frozen plasma (10 ml/kg body weight. In 13 neonates, it was corrected with 6% refortane infusion in a dose of 10 ml/kg. Doppler echocardiography was used to study central hemodynamic parameters and Doppler study was employed to examine regional blood flow in the anterior cerebral and renal arteries.Results. Infusion of 6% refortane and fresh frozen plasma at a rate of 10 ml/hour during an hour was found to normalize the parameters of central hemodynamics and regional blood flow.Conclusion. Comparative analysis of the findings suggests that 6% refortane is the drug of choice in correcting neonatal hypovolemia. Fresh frozen plasma should be infused in hemostatic disorders. 

  4. Corrected Age for Preemies

    Science.gov (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Ages & Stages Prenatal Baby Bathing & Skin Care Breastfeeding Crying & ... Listen Español Text Size Email Print Share Corrected Age For Preemies Page Content Article Body If your ...

  5. The Dynamic Model Embed in Augmented Graph Cuts for Robust Hand Tracking and Segmentation in Videos

    Directory of Open Access Journals (Sweden)

    Jun Wan

    2014-01-01

    Full Text Available Segmenting human hand is important in computer vision applications, for example, sign language interpretation, human computer interaction, and gesture recognition. However, some serious bottlenecks still exist in hand localization systems such as fast hand motion capture, hand over face, and hand occlusions on which we focus in this paper. We present a novel method for hand tracking and segmentation based on augmented graph cuts and dynamic model. First, an effective dynamic model for state estimation is generated, which correctly predicts the location of hands probably having fast motion or shape deformations. Second, new energy terms are brought into the energy function to develop augmented graph cuts based on some cues, namely, spatial information, hand motion, and chamfer distance. The proposed method successfully achieves hand segmentation even though the hand passes over other skin-colored objects. Some challenging videos are provided in the case of hand over face, hand occlusions, dynamic background, and fast motion. Experimental results demonstrate that the proposed method is much more accurate than other graph cuts-based methods for hand tracking and segmentation.

  6. Correctness is not enough

    CERN Document Server

    Pryor, Louise

    2008-01-01

    The usual aim of spreadsheet audit is to verify correctness. There are two problems with this: first, it is often difficult to tell whether the spreadsheets in question are correct, and second, even if they are, they may still give the wrong results. These problems are explained in this paper, which presents the key criteria for judging a spreadsheet and discusses how those criteria can be achieved

  7. Adaptable DC offset correction

    Science.gov (United States)

    Golusky, John M. (Inventor); Muldoon, Kelly P. (Inventor)

    2009-01-01

    Methods and systems for adaptable DC offset correction are provided. An exemplary adaptable DC offset correction system evaluates an incoming baseband signal to determine an appropriate DC offset removal scheme; removes a DC offset from the incoming baseband signal based on the appropriate DC offset scheme in response to the evaluated incoming baseband signal; and outputs a reduced DC baseband signal in response to the DC offset removed from the incoming baseband signal.

  8. 天然迎春花提取液作为抑菌成分洗手液的制备%The Preparation of Hand Sanitizer with Natural Jasminum Nudiflorum Extracting Solution as Antibacterial Components

    Institute of Scientific and Technical Information of China (English)

    王书红; 杜慧; 张换平; 田大勇; 高战胜; 赵密柱; 李安林

    2015-01-01

    采用迎春花提取液作为杀菌抑菌剂,用十二烷基硫酸钠和乙氧基化烷基硫酸钠作为表面去污活性成分,丙三醇和三乙酸甘油酯作为保湿剂,柠檬酸-柠檬酸钠缓冲液作为pH调节剂,制备了一种新型的洗手液。对洗手液进行了性能检测,结果与国家洗手液标准相比较,总活性物含量、泡沫高度、粘度、重金属含量等指标均符合或优于国家洗手液标准。同时对洗手液的抑菌性能进行了检测,结果说明洗手液的抑菌性能良好。%With Jasminum nudiflorum extracting solution as antisepsis agents, lauryl sodium sulfate and Sodium ethoxylated alkyl sulfate as surface decontamination active ingredients, glycerol and triacetin as humectants, citric acid and sodium citrate as pH modifiers, a new type hand sanitizer was prepared.The performances of the hand sanitizer were tested.The results showed that compared with hand sanitizer standards of the state, the total content of active matter, foam height, viscosity and content of heavy metal comply with the standard, or even higher than the standard of the state.Meanwhile, the antibacterial performance of the hand sanitizer was tested.The result showed that it was good.

  9. A reconstructed digit by transplantation of a second toe for control of an electromechanical prosthetic hand.

    Science.gov (United States)

    Chen, Zhong Wei; Hu, Tian Pei

    2002-01-01

    The treatment options for the loss of an entire human hand and part of the forearm are currently limited to the transplantation of toe(s) to the amputation stump or a Krukenberg's bifurcation hand, and using a cosmetic or functional prosthesis. The functional prosthetic hand, such as the prevailing myoelectrically controlled prosthetic hand, has an action accuracy that is affected by many factors. The acceptance rate of the three planes freedom myoelectronic hand by the patients was 46-90% because of poor function caused by the weakness of signal and strong external interference. In this report, the left second toe was transplanted to the patient's forearm amputation stump. Mandates from the brain are relayed by the action of this reconstructed digit, to control a special designed multidimension freedom electronic prosthetic hand. After rehabilitation and adaptation training, the correct recognition rate of the electronic prosthetic hand controlled by this reconstructed digit is a remarkable 100%.

  10. Hand infections: a retrospective analysis

    Directory of Open Access Journals (Sweden)

    Tolga Türker

    2014-09-01

    Full Text Available Purpose. Hand infections are common, usually resulting from an untreated injury. In this retrospective study, we report on hand infection cases needing surgical drainage in order to assess patient demographics, causation of infection, clinical course, and clinical management.Methods. Medical records of patients presenting with hand infections, excluding post-surgical infections, treated with incision and debridement over a one-year period were reviewed. Patient demographics; past medical history; infection site(s and causation; intervals between onset of infection, hospital admission, surgical intervention and days of hospitalization; gram stains and cultures; choice of antibiotics; complications; and outcomes were reviewed.Results. Most infections were caused by laceration and the most common site of infection was the palm or dorsum of the hand. Mean length of hospitalization was 6 days. Methicillin-resistant Staphylococcus aureus, beta-hemolytic Streptococcus and methicillin-susceptible Staphylococcus aureus were the most commonly cultured microorganisms. Cephalosporins, clindamycin, amoxicillin/clavulanate, penicillin, vancomycin, and trimethoprim/sulfamethoxazole were major antibiotic choices. Amputations and contracture were the primary complications.Conclusions. Surgery along with medical management were key to treatment and most soft tissue infections resolved without further complications. With prompt and appropriate care, most hand infection patients can achieve full resolution of their infection.

  11. IT release management a hands-on guide

    CERN Document Server

    Howard, Dave

    2011-01-01

    When implemented correctly, release management can help ensure that quality is integrated throughout the development, implementation, and delivery of services, applications, and infrastructure. This holistic, total cost of ownership approach allows for higher levels of system availability, is more cost effective to maintain, and increases overall stability, maintainability, and reliability. Filled with practical insights, IT Release Management: A Hands-on Guide clearly illustrates the effective implementation of a release process in the real world. It examines the similarities and differences

  12. Hand transplantation--a review.

    Science.gov (United States)

    MacKay, Brendan J; Nacke, Elliot; Posner, Martin

    2014-01-01

    Hand transplantation is a treatment option for complex injuries that leave patients with structural, functional, and aesthetic deficits that cannot be addressed by other means. It is a form of vascularized composite tissue allotransplantation (CTA). CTA is the highest rung the reconstructive ladder due to its complex technical and immunologic challenges. Despite completion of the first successful hand transplant in 1999, our understanding of hand transplantation is still evolving. Ongoing research is needed to improve functional outcomes and decrease the morbidity associated with long-term immunosuppression. This review will discuss the current protocols for upper extremity donation, transplant receipt, surgical technique, postoperative rehabilitation and immunosuppression, nerve regeneration, functional outcomes, ethical issues, and financial considerations.

  13. Hand-it-on”

    DEFF Research Database (Denmark)

    Dieckmann, Gerhard Peter; Graae Zeltner, Louise; Helsø, Anne-Mette

    2016-01-01

    and where they can apply them in their work. It complements existing approaches to teaching NTS by limiting the complexity of the game and by removing medical content, allowing learners to concentrate on NTS. Hand-it-on is relevant for groups and teams working across the range of different healthcare...... variations that can be used in different contexts, focusing the exercise on different learning goals. We also offer the theoretical rationale for using an out-of-context simulation in combination with other forms of teaching. Although we did not evaluate Hand-it-on formally, oral feedback from participants...... and the replication of Hand-it-on by many simulation teams support its value....

  14. Hand-Based Biometric Analysis

    Science.gov (United States)

    Bebis, George (Inventor); Amayeh, Gholamreza (Inventor)

    2015-01-01

    Hand-based biometric analysis systems and techniques are described which provide robust hand-based identification and verification. An image of a hand is obtained, which is then segmented into a palm region and separate finger regions. Acquisition of the image is performed without requiring particular orientation or placement restrictions. Segmentation is performed without the use of reference points on the images. Each segment is analyzed by calculating a set of Zernike moment descriptors for the segment. The feature parameters thus obtained are then fused and compared to stored sets of descriptors in enrollment templates to arrive at an identity decision. By using Zernike moments, and through additional manipulation, the biometric analysis is invariant to rotation, scale, or translation or an in put image. Additionally, the analysis utilizes re-use of commonly-seen terms in Zernike calculations to achieve additional efficiencies over traditional Zernike moment calculation.

  15. [Hand hygiene: revolution and globalization].

    Science.gov (United States)

    Pittet, Didier

    2009-04-01

    Hand hygiene is the primary measure to prevent healthcare-associated infections and the spread of antimicrobial resistance. Low staff compliance remains a major problem. Successful promotion requires a multimodal strategy. The World Health Organization (WHO) proposes an approach including at least five components: system change, in particular the recourse to alcohol-based hand rubbing as the new standard of care, staff education using newly developed tools, monitoring and feedback of staff performance, reminders in the workplace, and promotion of an institutional safety climate. Patient participation in hand hygiene promotion is under testing. Early results of the strategy tested in a large number of healthcare settings in both limited- and high-resource countries are extremely encouraging.

  16. Left-Handed W Bosons at the LHC

    CERN Document Server

    Bern, Z; Dixon, L J; Cordero, F Febres; Forde, D; Gleisberg, T; Hoeche, S; Ita, H; Kosower, D A; Maitre, D; Ozeren, K

    2011-01-01

    The production of W bosons in association with jets is an important background to new physics at the LHC. Events in which the W carries large transverse momentum and decays leptonically lead to large missing energy and are of particular importance. We show that the left-handed nature of the W coupling, combined with valence quark domination at a pp machine, leads to a large left-handed polarization for both W^+ and W^- bosons at large transverse momenta. The polarization fractions are very stable with respect to QCD corrections. The leptonic decay of the W bosons translates the common left-handed polarization into a strong asymmetry in transverse momentum distributions between positrons and electrons, and between neutrinos and anti-neutrinos (missing transverse energy). Such asymmetries may provide an effective experimental handle on separating W + jets from top quark production, which exhibits very little asymmetry due to C invariance, and from various types of new physics.

  17. [Infrastructure and adherence to hand hygiene: challenges to patient safety].

    Science.gov (United States)

    Bathke, Janaína; de Cunico, Priscila Almeida; Maziero, Eliane Cristina Sanches; Cauduro, Fernanda Leticia Frates; Sarquis, Leila Maria Mansano; de Cruz, Elaine Drehmer Almeida

    2013-06-01

    Considering the importance of hands in the chain of transmission of microorganisms, this observational research investigated the material infrastructure and compliance of hand hygiene in an intensive care unit in the south of Brazil in 2010. The data was collected by direct non-participant observation and through the use of self-administered questionnaires to be completed by the 39 participants, which was analyzed with the assistance of the chi2 Test, descriptive statistics and quantitative discourse analysis. Although health professionals overestimate compliance rates, recognize the practice as relevant to the prevention of infection and refer there are no impeding factors, of the 1,277 opportunities observed, compliance was 26% and significantly lower before patient contact and the use of aseptic procedures than after patient contact: infrastructure was shown to be deficient. The results indicate risk to patient safety, and thus, the planning of corrective actions to promote hand washing is relevant.

  18. Natural control capabilities of robotic hands by hand amputated subjects.

    Science.gov (United States)

    Atzori, Manfredo; Gijsberts, Arjan; Caputo, Barbara; Muller, Henning

    2014-01-01

    People with transradial hand amputations who own a myoelectric prosthesis currently have some control capabilities via sEMG. However, the control systems are still limited and not natural. The Ninapro project is aiming at helping the scientific community to overcome these limits through the creation of publicly available electromyography data sources to develop and test machine learning algorithms. In this paper we describe the movement classification results gained from three subjects with an homogeneous level of amputation, and we compare them with the results of 40 intact subjects. The number of considered subjects can seem small at first sight, but it is not considering the literature of the field (which has to face the difficulty of recruiting trans-radial hand amputated subjects). The classification is performed with four different classifiers and the obtained balanced classification rates are up to 58.6% on 50 movements, which is an excellent result compared to the current literature. Successively, for each subject we find a subset of up to 9 highly independent movements, (defined as movements that can be distinguished with more than 90% accuracy), which is a deeply innovative step in literature. The natural control of a robotic hand in so many movements could lead to an immediate progress in robotic hand prosthetics and it could deeply change the quality of life of amputated subjects.

  19. Urunana Audiences at Home and Away: Together 'Hand in Hand'?

    NARCIS (Netherlands)

    H.M. Hintjens (Helen); F. Bayisenge

    2011-01-01

    textabstractUrunana (‘Hand in Hand’) is Rwanda’s first radio soap opera. The production emerged during the late 1990s from a three-way transnational production partnership between: The Great Lakes section of the BBC World Service; the Well Woman Media Project of the London-based NGO, Health Unlimite

  20. Intrinsic contractures of the hand.

    Science.gov (United States)

    Paksima, Nader; Besh, Basil R

    2012-02-01

    Contractures of the intrinsic muscles of the fingers disrupt the delicate and complex balance of intrinsic and extrinsic muscles, which allows the hand to be so versatile and functional. The loss of muscle function primarily affects the interphalangeal joints but also may affect etacarpophalangeal joints. The resulting clinical picture is often termed, intrinsic contracture or intrinsic-plus hand. Disruption of the balance between intrinsic and extrinsic muscles has many causes and may be secondary to changes within the intrinsic musculature or the tendon unit. This article reviews diagnosis, etiology, and treatment algorithms in the management of intrinsic contractures of the fingers. Copyright © 2012 Elsevier Inc. All rights reserved.

  1. Hand Recognition in Live-Streaming Video

    OpenAIRE

    Mikhail, Belov

    2011-01-01

    The article describes the algorithmic component of the pattern recognition method for extracting hand patterns from a video stream. Methods removing excess information from frames, localizing fragments with a hand and extracting hand contours to classify them are described.

  2. CORRECTING STUDENTS’ HOMEWORK

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    IntroductionI have been teaching English for ten years and like many other teachers in middle schools.I teach threebig classes each year.Before I had the opportunity to further my study in the SMSTT project run jointlyby the British Council and the State Education Commission of China at Southwest China TeachersUniversity.I found it somewhat difficult to correct students homework since I had so many students.Now I still have three big classes.but I have found it casier to correct students homework since I havebeen combining the techniques learned in the project with my own successful experience.In this article.I attempt to discuss my approach to correcting students homework.I hope that it will be of some use tothose who have not vet had the opportunity to further their training.

  3. Model Correction Factor Method

    DEFF Research Database (Denmark)

    Christensen, Claus; Randrup-Thomsen, Søren; Morsing Johannesen, Johannes

    1997-01-01

    The model correction factor method is proposed as an alternative to traditional polynomial based response surface techniques in structural reliability considering a computationally time consuming limit state procedure as a 'black box'. The class of polynomial functions is replaced by a limit...... statebased on an idealized mechanical model to be adapted to the original limit state by the model correction factor. Reliable approximations are obtained by iterative use of gradient information on the original limit state function analogously to previous response surface approaches. However, the strength...... of the model correction factor method, is that in simpler form not using gradient information on the original limit state function or only using this information once, a drastic reduction of the number of limit state evaluation is obtained together with good approximations on the reliability. Methods...

  4. Correction of ocular dystopia.

    Science.gov (United States)

    Janecka, I P

    1996-04-01

    The purpose of this study was to examine results with elective surgical correction of enophthalmos. The study was a retrospective assessment in a university-based referral practice. A consecutive sample of 10 patients who developed ocular dystopia following orbital trauma was examined. The main outcome measures were a subjective evaluation by patients and objective measurements of patients' eye position. The intervention was three-dimensional orbital reconstruction with titanium plates. It is concluded that satisfactory correction of enophthalmos and ocular dystopia can be achieved with elective surgery using titanium plates. In addition, intraoperative measurements of eye position in three planes increases the precision of surgery.

  5. Hands-On Nuclear Physics

    Science.gov (United States)

    Whittaker, Jeff

    2013-01-01

    Nuclear science is an important topic in terms of its application to power generation, medical diagnostics and treatment, and national defense. Unfortunately, the subatomic domain is far removed from daily experience, and few learning aids are available to teachers. What follows describes a low-tech, hands-on method to teach important concepts in…

  6. Hands-On Nuclear Physics

    Science.gov (United States)

    Whittaker, Jeff

    2013-01-01

    Nuclear science is an important topic in terms of its application to power generation, medical diagnostics and treatment, and national defense. Unfortunately, the subatomic domain is far removed from daily experience, and few learning aids are available to teachers. What follows describes a low-tech, hands-on method to teach important concepts in…

  7. A natural human hand model

    NARCIS (Netherlands)

    Van Nierop, O.A.; Van der Helm, A.; Overbeeke, K.J.; Djajadiningrat, T.J.P.

    2007-01-01

    We present a skeletal linked model of the human hand that has natural motion. We show how this can be achieved by introducing a new biology-based joint axis that simulates natural joint motion and a set of constraints that reduce an estimated 150 possible motions to twelve. The model is based on obs

  8. Management of chronic hand eczema

    NARCIS (Netherlands)

    Diepgen, Thomas L.; Agner, Tove; Aberer, Werner; Berth-Jones, John; Cambazard, Frederic; Elsner, Peter; McFadden, John; Coenraads, Pieter Jan

    2007-01-01

    Hand eczema (HE) is one of the most frequent skin diseases and has often a chronically relapsing course with a poor prognosis resulting in a high social and economic impact for the individual and the society. In this article, we highlight the results of an expert workshop on the 'management of sever

  9. Hand hygiene among laboratory workers.

    NARCIS (Netherlands)

    Alp, E.; Haverkate, D.; Voss, A.

    2006-01-01

    We performed a study to measure the compliance of laboratory personnel with different components of hand hygiene. The level of compliance at the end of duty was 100%; however, 36.7% of subjects wore a ring, 46.9% wore a watch, and 6.1% wore a bracelet. Pathogenic microorganisms were exclusively

  10. Hand hygiene among laboratory workers.

    NARCIS (Netherlands)

    Alp, E.; Haverkate, D.; Voss, A.

    2006-01-01

    We performed a study to measure the compliance of laboratory personnel with different components of hand hygiene. The level of compliance at the end of duty was 100%; however, 36.7% of subjects wore a ring, 46.9% wore a watch, and 6.1% wore a bracelet. Pathogenic microorganisms were exclusively foun

  11. Hand-held medical robots.

    Science.gov (United States)

    Payne, Christopher J; Yang, Guang-Zhong

    2014-08-01

    Medical robots have evolved from autonomous systems to tele-operated platforms and mechanically-grounded, cooperatively-controlled robots. Whilst these approaches have seen both commercial and clinical success, uptake of these robots remains moderate because of their high cost, large physical footprint and long setup times. More recently, researchers have moved toward developing hand-held robots that are completely ungrounded and manipulated by surgeons in free space, in a similar manner to how conventional instruments are handled. These devices provide specific functions that assist the surgeon in accomplishing tasks that are otherwise challenging with manual manipulation. Hand-held robots have the advantages of being compact and easily integrated into the normal surgical workflow since there is typically little or no setup time. Hand-held devices can also have a significantly reduced cost to healthcare providers as they do not necessitate the complex, multi degree-of-freedom linkages that grounded robots require. However, the development of such devices is faced with many technical challenges, including miniaturization, cost and sterility, control stability, inertial and gravity compensation and robust instrument tracking. This review presents the emerging technical trends in hand-held medical robots and future development opportunities for promoting their wider clinical uptake.

  12. Hand Washing: Do's and Dont's

    Science.gov (United States)

    ... aren't available. However, be sure to supervise young children using alcohol-based hand sanitizers. Remind your child to make sure the sanitizer completely dries before he or she touches anything. Store ... in child care settings. Young children cared for in groups outside the home ...

  13. Prosthetic Hand Lifts Heavy Loads

    Science.gov (United States)

    Carden, James R.; Norton, William; Belcher, Jewell G.; Vest, Thomas W.

    1991-01-01

    Prosthetic hand designed to enable amputee to lift diverse heavy objects like rocks and logs. Has simple serrated end effector with no moving parts. Prosthesis held on forearm by system of flexible straps. Features include ruggedness, simplicity, and relatively low cost.

  14. VLSI architectures for modern error-correcting codes

    CERN Document Server

    Zhang, Xinmiao

    2015-01-01

    Error-correcting codes are ubiquitous. They are adopted in almost every modern digital communication and storage system, such as wireless communications, optical communications, Flash memories, computer hard drives, sensor networks, and deep-space probing. New-generation and emerging applications demand codes with better error-correcting capability. On the other hand, the design and implementation of those high-gain error-correcting codes pose many challenges. They usually involve complex mathematical computations, and mapping them directly to hardware often leads to very high complexity. VLSI

  15. Hands as markers of fragmentation

    Directory of Open Access Journals (Sweden)

    A. Barnard

    2005-07-01

    Full Text Available Margaret Atwood is an internationally read, translated, and critiqued writer whose novels have established her as one of the most esteemed authors in English (McCombs & Palmer, 1991:1. Critical studies of her work deal mainly with notions of identity from psychoanalytical perspectives. This study has identified a gap in current critical studies on Atwood’s works, namely the challenging of textual unity which is paralleled in the challenging of the traditional (single narrative voice. The challenging of textual unity and the single narrative voice brings about the fragmentation of both. This article will focus on the role that hands play as markers of fragmentation in “The Blind Assassin” (2000. In the novel, the writing hand destabilises the narrative voice, since it is not connected to the voice of a single author. If the author of the text – the final signified – is eliminated, the text becomes fragmentary and open, inviting the reader to contribute to the creation of meaning. Hands play a signficant role in foregrounding the narrator’s fragmented identity, and consequently, the fragmentation of the text. We will investigate this concept in the light of Roland Barthes’ notion of the scriptor, whose hand is metaphorically severed from his or her “voice”. Instead of the text being a unified entity, it becomes unstable and it displays the absence of hierarchical textual levels. Based mainly on Barthes’ writings, this article concludes that hands foreground the narrator’s fragmented identity, which is paralleled in the fragmented text.

  16. Refraction corrections for surveying

    Science.gov (United States)

    Lear, W. M.

    1980-01-01

    Optical measurements of range and elevation angles are distorted by refraction of Earth's atmosphere. Theoretical discussion of effect, along with equations for determining exact range and elevation corrections, is presented in report. Potentially useful in optical site surveying and related applications, analysis is easily programmed on pocket calculator. Input to equation is measured range and measured elevation; output is true range and true elevation.

  17. Renormalons and Power Corrections

    CERN Document Server

    Beneke, Martin

    2000-01-01

    Even for short-distance dominated observables the QCD perturbation expansion is never complete. The divergence of the expansion through infrared renormalons provides formal evidence of this fact. In this article we review how this apparent failure can be turned into a useful tool to investigate power corrections to hard processes in QCD.

  18. Radiative Corrections and Z'

    CERN Document Server

    Erler, Jens

    2009-01-01

    Radiative corrections to parity violating deep inelastic electron scattering are reviewed including a discussion of the renormalization group evolution of the weak mixing angle. Recently obtained results on hypothetical Z' bosons - for which parity violating observables play an important role - are also presented.

  19. General forecasting correcting formula

    OpenAIRE

    Harin, Alexander

    2009-01-01

    A general forecasting correcting formula, as a framework for long-use and standardized forecasts, is created. The formula provides new forecasting resources and new possibilities for expansion of forecasting including economic forecasting into the areas of municipal needs, middle-size and small-size business and, even, to individual forecasting.

  20. ERRORS AND CORRECTION

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    To err is human . Since the 1960s, most second language teachers or language theorists have regarded errors as natural and inevitable in the language learning process . Instead of regarding them as terrible and disappointing, teachers have come to realize their value. This paper will consider these values, analyze some errors and propose some effective correction techniques.

  1. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient's appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems. Jaw Surgery can have a dramatic effect on ...

  2. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... functional problems. Jaw Surgery can have a dramatic effect on many aspects of life. Following are some of the conditions that may indicate the need for corrective jaw surgery: Difficulty chewing, or biting food Difficulty swallowing Chronic jaw or jaw joint (TMJ) ...

  3. Corrections for collaborators

    NARCIS (Netherlands)

    NN,

    1953-01-01

    In the ”Directions and Hints” for collaborators in Flora Malesiana, which has been forwarded to all collaborators, two corrections should be made, viz: 1) p. 12; Omit the explanatory notes under Jamaica Plain, Mass., and Cambridge, Mass. 2) p. 13; Add as number 12a; Stockholm, Paleobotaniska Avdelni

  4. General forecasting correcting formula

    OpenAIRE

    2009-01-01

    A general forecasting correcting formula, as a framework for long-use and standardized forecasts, is created. The formula provides new forecasting resources and new possibilities for expansion of forecasting including economic forecasting into the areas of municipal needs, middle-size and small-size business and, even, to individual forecasting.

  5. The correct use of the ART approach.

    Science.gov (United States)

    Frencken, Jo E; Leal, Soraya Coelho

    2010-01-01

    Confusion exists amongst dentists and scientists about the correct use of the caries management approach termed atraumatic restorative treatment (ART). Inconsistent use of the original definition of ART and suggested modifications (mART) have led to misunderstanding, misconception and miscommunication in the dental literature over the last decade. The aim of this paper is to contribute to a uniform understanding and use of the term ART. Adherence to its original description is suggested and two major aspects were addressed: the use of hand instruments only and the use of adhesive materials and systems.

  6. UV corrections in sgoldstino-less inflation

    Directory of Open Access Journals (Sweden)

    Emilian Dudas

    2016-08-01

    Full Text Available We study the embedding of inflation with nilpotent multiplets in supergravity, in particular the decoupling of the sgoldstino scalar field. Instead of being imposed by hand, the nilpotency constraint on the goldstino multiplet arises in the low energy-effective theory by integrating out heavy degrees of freedom. We present explicit supergravity models in which a large but finite sgoldstino mass arises from Yukawa or gauge interactions. In both cases the inflaton potential receives two types of corrections. One is from the backreaction of the sgoldstino, the other from the heavy fields generating its mass. We show that these scale oppositely with the Volkov–Akulov cut-off scale, which makes a consistent decoupling of the sgoldstino nontrivial. Still, we identify a parameter window in which sgoldstino-less inflation can take place, up to corrections which flatten the inflaton potential.

  7. UV corrections in sgoldstino-less inflation

    Energy Technology Data Exchange (ETDEWEB)

    Dudas, Emilian [Centre de Physique Théorique, Ecole Polytechnique, CNRS, Univ. Paris-Saclay, 91128 Palaiseau Cedex (France); Heurtier, Lucien [Service de Physique Théorique, Université Libre de Bruxelles, Boulevard du Triomphe, CP225, 1050 Brussels (Belgium); Wieck, Clemens, E-mail: clemens.wieck@uam.es [Departamento de Física Teórica UAM and Instituto de Física Teórica UAM/CSIC, Universidad Autónoma de Madrid Cantoblanco, 28049 Madrid (Spain); Winkler, Martin Wolfgang [Bethe Center for Theoretical Physics and Physikalisches Institut der Universität Bonn, Nussallee 12, 53115 Bonn (Germany)

    2016-08-10

    We study the embedding of inflation with nilpotent multiplets in supergravity, in particular the decoupling of the sgoldstino scalar field. Instead of being imposed by hand, the nilpotency constraint on the goldstino multiplet arises in the low energy-effective theory by integrating out heavy degrees of freedom. We present explicit supergravity models in which a large but finite sgoldstino mass arises from Yukawa or gauge interactions. In both cases the inflaton potential receives two types of corrections. One is from the backreaction of the sgoldstino, the other from the heavy fields generating its mass. We show that these scale oppositely with the Volkov–Akulov cut-off scale, which makes a consistent decoupling of the sgoldstino nontrivial. Still, we identify a parameter window in which sgoldstino-less inflation can take place, up to corrections which flatten the inflaton potential.

  8. Nearly degenerate neutrinos, Supersymmetry and radiative corrections

    CERN Document Server

    Casas, J A; Ibarra, Alejandro; Navarro, I

    2000-01-01

    If neutrinos are to play a relevant cosmological role, they must be essentially degenerate with a mass matrix of the bimaximal mixing type. We study this scenario in the MSSM framework, finding that if neutrino masses are produced by a see-saw mechanism, the radiative corrections give rise to mass splittings and mixing angles that can accommodate the atmospheric and the (large angle MSW) solar neutrino oscillations. This provides a natural origin for the $\\Delta m^2_{sol} << \\Delta m^2_{atm}$ hierarchy. On the other hand, the vacuum oscillation solution to the solar neutrino problem is always excluded. We discuss also in the SUSY scenario other possible effects of radiative corrections involving the new neutrino Yukawa couplings, including implications for triviality limits on the Majorana mass, the infrared fixed point value of the top Yukawa coupling, and gauge coupling and bottom-tau unification.

  9. O gluconato de clorexidina ou o álcool-iodo-álcool na anti-sepsia de campos operatórios em cães Chlorhexidine gluconate or alcohol-iodine-alcohol in the antisepsis of surgical area in dogs

    Directory of Open Access Journals (Sweden)

    Décio Adair Rebellatto da Silva

    2000-06-01

    Full Text Available Foi comparada a efetividade da anti-sepsia de sítios operatórios em vinte e quatro animais, subdivididos em três grupos, utilizando água destilada (grupo controle, álcool-iodo-álcool (grupo I e gluconato de clorexidina (grupo II. As amostras foram coletadas através de swab da pele, depois da tricotomia (T0, após anti-sepsia (T1 e duas horas após o uso do anti-séptico (T2, e submetidas à contagem de Unidades Formadoras de Colônia(UFC/ml. Nos três grupos, ocorreu crescimento bacteriano em T0; no T1 a redução média de UFC/ml foi de 26,70% para o grupo controle, 91,61% para o grupo I e 96,67% para o grupo II. No T2, as reduções nos respectivos grupos foram de 21,02%, 91,56% e 96,89%. As duas técnicas utilizando anti-sépticos reduziram significativamente o número de bactérias da pele, tanto no T1 quanto no T2 (pThe efficacy of the antisepsis in a surgical area was compared in twenty four mongrel dogs, divided in three groups, using sterile water, alcohol-iodine-alcohol and chlorhexidine gluconate. All samples of skin swab were collected after thricothomy, after antisepsis, and two hours after application of the antiseptic solution. Samples were collected with a sterile swab and the Colony Formation Unities/ml was determined. Bacterial growth were observed in samples from all groups during the first collection. However, at the first counting (T1, the average reduction of CFU/ml observed was 26.7% for the control group, 96.61% group one, and 96.67% group two. At the second counting (T2, reductions of 21.02%, 91.56%, and 96.89% for the respective groups were observed. The two antiseptic techniques utilized were able to reduced significantly the number of bacteria present on the skin, at T1 as well as T2 (p<0.05. The equality of these two antiseptic methods was demonstrated since no significant difference (p<0.05 between these treatments was observed.

  10. China Once Again Demands Japan Correct Mistakes in Textbook

    Institute of Scientific and Technical Information of China (English)

    唐长英

    2002-01-01

    The Chinese side has once again demanded that the Japanese government take effective measures to correct its serious mistaikes in the history textbook fabricated by rightist scholars. An offieial from the Chinese Foreign Ministry called in an official of the Japanese embassy here Wednesday at the request of the Chinese government, and handed a memorandum on the textbook issue.

  11. Motor control: correcting errors and learning from mistakes.

    Science.gov (United States)

    Miall, Chris

    2010-07-27

    How do we learn from errors during complex movement tasks with redundancy? A new study shows that ambiguous mistakes in bimanual movements are corrected by the non-dominant hand, and responsibility for the error is assumed to fall to the effector with a recent history of poor performance.

  12. Patterns of recontracture after surgical correction of Dupuytren disease.

    Science.gov (United States)

    Dias, Joseph J; Singh, Harvinder Pal; Ullah, Aamer; Bhowal, Bhaskar; Thompson, John R

    2013-10-01

    To study the evolution of deformity of the proximal interphalangeal joint over 5 years after good surgical correction of Dupuytren-induced contracture. We assessed 63 patients (72 fingers; 69 hands) with Dupuytren disease for the degree of contracture, its correction after surgery, and the range of movement at the proximal interphalangeal joints at 3 and 6 months, and 1, 3, and 5 years after fasciectomy with or without the use of a firebreak graft. We investigated associations between the recurrence of contracture and preoperative patient and surgical factors. There were 4 patterns of evolution of contracture after surgical correction. A total of 31 patients (33 hands) showed good improvement that was maintained for 5 years (minimal recontracture group). Twenty patients (23 hands) showed good initial improvement, which mildly worsened ( 20°) but there was no further worsening (severe early recontracture group). Eight patients (8 hands) worsened progressively over 5 years (progressive recontracture group). Worsening of contracture more than 6° between 3 and 6 months after surgery predicted progressive recontracture at 5 years. Recurrence of contracture (not disease recurrence) could be predicted as early as 6 months after surgery for Dupuytren disease. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  13. Improved hand tracking algorithm in video sequences for intelligent rehabilitation

    Institute of Scientific and Technical Information of China (English)

    LI Ling; LUO Yuan; ZHANG Yi; ZHANG Bai-sheng

    2009-01-01

    Intelligent rehabilitation system is an active research topic. It is motivated by the increased number of limb disabled patients. Human motion tracking is the key technology of intelligent rehabilitation system, because the movement of limb disabled patients needs to be localized and learned so that any undesired motion behavior can be corrected in order to reach an expectation. This paper introduces a real-time tracking system of human hand motion, specifically intent to be used for home rehabilitation. Vision sensor (camera) is employed in this system to track the hand movement, and the improved Camshift algorithm and Kalman filter are used to implement dynamic hand tracking in the video. CAMSHIFT algorithm is able to track any kind of target colors by building a histogram distribution of the H channel in HSV color space from the region of interests selected by users at the initial stage. Kalman filter is able to predict hand location in one image frame based on its location data detected in the previous frame. The experimental results show that this system can track 2D hand motion and has acceptable accuracy by using the two algorithms properly. The new algorithm proposed in this paper can not only deal with the skin color interference problems, but also deal well with the track of complex background.

  14. Exercise training and postural correction improve upper extremity symptoms among touchscreen smartphone users

    Directory of Open Access Journals (Sweden)

    Abeer Ahmed Abdelhameed

    2016-12-01

    Conclusion: Postural correction combined with a selected exercise training programme improved the hand grip, key pinch grip strength, and upper extremity disability and symptoms associated with smartphone use among university students.

  15. [Surgical treatment of the rheumatoid hand].

    Science.gov (United States)

    Kénési, C

    1996-10-01

    In rheumatoid arthritis, involvement of the hand is serious, frequent and occurs early. It reaches synovial sheets, articular or tendinous, and causes painful and invalidating deformities. Our experience, based on 537 operations of the hand, indicates that reconstructive surgery can be practised at all levels. For the wrist, inferior radio ulnar arthrodesis strengthens the articulation and eradicates pain when performed in the early stage. Segmentar resection of ulnar diaphysis ensures the conservation of "prono- supination". In the case of destruction or luxation of the wrist, a choice has to be made between prosthesis and arthrodesis. We tend to prefer the latter which confers a strong, painless and definitive articulation. Ulnar deviation of metacarpo-phalangeal articulations of long fingers can be corrected by ligamentar or tendinous plasties. But the results are not always durable and they cannot be used when the articulations are destroyed. In that case prostheses have to be implanted. Swanson's silastic implants enable to straighten the fingers and to suppress pain but ensure a limited mobility. Likewise, interphalangeal deviations generally call for implants or arthrodeses. Trapezo-metacarpal or phalangeo-metacarpal deformities of the thumb are stabilised by arthrodeses, ensuring a strong and painless prehension. In conclusion, reconstructive surgery allows many possibilities but its results are often incomplete. It is therefore advisable to perform synovectomy as early as possible before the occurrence of deformities. Surgical synovectomy competes with isotopic, chemical or corticoid synoviosthesis. But at tendinous level, synovectomy alone should be used, since it gives excellent results. Even though rehabilitation after synovectomies is not always easy, we hope that it will prevent the occurrence of articular or tendinous destruction for many years.

  16. Human hand modelling: kinematics, dynamics, applications

    NARCIS (Netherlands)

    Gustus, A.; Stillfried, G.; Visser, J.; Jörntell, H.; Van der Smagt, P.

    2012-01-01

    An overview of mathematical modelling of the human hand is given. We consider hand models from a specific background: rather than studying hands for surgical or similar goals, we target at providing a set of tools with which human grasping and manipulation capabilities can be studied, and hand funct

  17. 29 CFR 1917.51 - Hand tools.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Hand tools. 1917.51 Section 1917.51 Labor Regulations...) MARINE TERMINALS Cargo Handling Gear and Equipment § 1917.51 Hand tools. (a) Hand tools used by employees shall be maintained in safe operating condition. (b)(1) Hand-held portable electric tools shall...

  18. 29 CFR 1926.301 - Hand tools.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Hand tools. 1926.301 Section 1926.301 Labor Regulations...) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Tools-Hand and Power § 1926.301 Hand tools. (a) Employers shall not issue or permit the use of unsafe hand tools. (b) Wrenches, including adjustable, pipe,...

  19. [The musician's hand: 2 case reports from the hand surgery clinic].

    Science.gov (United States)

    Buck-Gramcko, D

    2000-09-01

    Report of the hand surgical treatment in two musicians, which enabled them to continue with their occupation. A young cellist was no longer able to play his instrument due to a painful scar at the pulp of his left index finger. The surgical treatment, performed only after a period of hesitation, consisted in scar excision and reconstruction of a normal pulp by a palmar advancement flap. Following a fracture of the distal radius, healed in 35 degrees dorsal angulation, a violinist was not able to flex his wrist maximally as required for playing in high octaves. This was again possible after a corrective osteotomy with interposition of a corticocancellous bone graft from the iliac crest and an intensive program of postoperative excercises. The important role of the cooperation of the patient, particularly in the rehabilitation, is emphasized.

  20. Ergonomic Evaluation of Biomechanical Hand Function

    Directory of Open Access Journals (Sweden)

    Kyung-Sun Lee

    2015-03-01

    Full Text Available The human hand is a complex structure that performs various functions for activities of daily living and occupations. This paper presents a literature review on the methodologies used to evaluate hand functions from a biomechanics standpoint, including anthropometry, kinematics, kinetics, and electromyography (EMG. Anthropometry describes the dimensions and measurements of the hand. Kinematics includes hand movements and the range of motion of finger joints. Kinetics includes hand models for tendon and joint force analysis. EMG is used on hand muscles associated with hand functions and with signal-processing technology.

  1. [My hands hurt so much!].

    Science.gov (United States)

    Rüst, Christoph A; Rosemann, Thomas; Knechtle, Beat

    2014-11-26

    We present the case of a 48-year-old man complaining of pain in his hands. In a first step, a two-sided carpal tunnel syndrome was found, and in the further course of the disease an acromegaly. The combinations of carpal tunnel syndrome, impaired glucose tolerance and radiological findings in the area of the sella turcica were the clues for the diagnosis of acromegaly.

  2. Traumatic hand amputation while wakeboarding

    Science.gov (United States)

    Woodacre, Timothy; Marshall, Morwena

    2011-01-01

    Wakeboarding is a sport increasing in popularity in the UK and the rest of the world. It is known to be associated with a high incidence of relatively minor injuries to the participating sportsperson. The authors present the case of a traumatic hand amputation to an associated third party and highlight the potential for serious injuries to all those directly involved with the sport. The authors demonstrate the successful application of military principles to a traumatic amputation in a civilian setting. PMID:22693318

  3. Hand kinematics of piano playing.

    Science.gov (United States)

    Furuya, Shinichi; Flanders, Martha; Soechting, John F

    2011-12-01

    Dexterous use of the hand represents a sophisticated sensorimotor function. In behaviors such as playing the piano, it can involve strong temporal and spatial constraints. The purpose of this study was to determine fundamental patterns of covariation of motion across joints and digits of the human hand. Joint motion was recorded while 5 expert pianists played 30 excerpts from musical pieces, which featured ∼50 different tone sequences and fingering. Principal component analysis and cluster analysis using an expectation-maximization algorithm revealed that joint velocities could be categorized into several patterns, which help to simplify the description of the movements of the multiple degrees of freedom of the hand. For the thumb keystroke, two distinct patterns of joint movement covariation emerged and they depended on the spatiotemporal patterns of the task. For example, the thumb-under maneuver was clearly separated into two clusters based on the direction of hand translation along the keyboard. While the pattern of the thumb joint velocities differed between these clusters, the motions at the metacarpo-phalangeal and proximal-phalangeal joints of the four fingers were more consistent. For a keystroke executed with one of the fingers, there were three distinct patterns of joint rotations, across which motion at the striking finger was fairly consistent, but motion of the other fingers was more variable. Furthermore, the amount of movement spillover of the striking finger to the adjacent fingers was small irrespective of the finger used for the keystroke. These findings describe an unparalleled amount of independent motion of the fingers.

  4. Tools used for hand deburring

    Energy Technology Data Exchange (ETDEWEB)

    Gillespie, L.K.

    1981-03-01

    This guide is designed to help in quick identification of those tools most commonly used to deburr hand size or smaller parts. Photographs and textual descriptions are used to provide rapid yet detailed information. The data presented include the Bendix Kansas City Division coded tool number, tool description, tool crib in which the tool can be found, the maximum and minimum inventory requirements, the cost of each tool, and the number of the illustration that shows the tool.

  5. Experiments and kinematics analysis of a hand rehabilitation exoskeleton with circuitous joints.

    Science.gov (United States)

    Zhang, Fuhai; Fu, Yili; Zhang, Qinchao; Wang, Shuguo

    2015-01-01

    Aiming at the hand rehabilitation of stroke patients, a wearable hand exoskeleton with circuitous joint is proposed. The circuitous joint adopts the symmetric pinion and rack mechanism (SPRM) with the parallel mechanism. The exoskeleton finger is a serial mechanism composed of three closed-chain SPRM joints in series. The kinematic equations of the open chain of the finger and the closed chains of the SPRM joints were built to analyze the kinematics of the hand rehabilitation exoskeleton. The experimental setup of the hand rehabilitation exoskeleton was built and the continuous passive motion (CPM) rehabilitation experiment and the test of human-robot interaction force measurement were conducted. Experiment results show that the mechanical design of the hand rehabilitation robot is reasonable and that the kinematic analysis is correct, thus the exoskeleton can be used for the hand rehabilitation of stroke patients.

  6. A hand tracking algorithm with particle filter and improved GVF snake model

    Science.gov (United States)

    Sun, Yi-qi; Wu, Ai-guo; Dong, Na; Shao, Yi-zhe

    2017-07-01

    To solve the problem that the accurate information of hand cannot be obtained by particle filter, a hand tracking algorithm based on particle filter combined with skin-color adaptive gradient vector flow (GVF) snake model is proposed. Adaptive GVF and skin color adaptive external guidance force are introduced to the traditional GVF snake model, guiding the curve to quickly converge to the deep concave region of hand contour and obtaining the complex hand contour accurately. This algorithm realizes a real-time correction of the particle filter parameters, avoiding the particle drift phenomenon. Experimental results show that the proposed algorithm can reduce the root mean square error of the hand tracking by 53%, and improve the accuracy of hand tracking in the case of complex and moving background, even with a large range of occlusion.

  7. Radiative corrections to DIS

    CERN Document Server

    Krasny, Mieczyslaw Witold

    2008-01-01

    Early deep inelastic scattering (DIS) experiments at SLAC discovered partons, identified them as quarks and gluons, and restricted the set of the candidate theories for strong interactions to those exhibiting the asymptotic freedom property. The next generation DIS experiments at FNAL and CERN confirmed the predictions of QCD for the size of the scaling violation effects in the nucleon structure functions. The QCD fits to their data resulted in determining the momentum distributions of the point-like constituents of nucleons. Interpretation of data coming from all these experiments and, in the case of the SLAC experiments, even an elaboration of the running strategies, would not have been possible without a precise understanding of the electromagnetic radiative corrections. In this note I recollect the important milestones, achieved in the period preceding the HERA era, in the high precision calculations of the radiative corrections to DIS, and in the development of the methods of their experimental control. ...

  8. Aberration Corrected Emittance Exchange

    CERN Document Server

    Nanni, Emilio A

    2015-01-01

    Full exploitation of emittance exchange (EEX) requires aberration-free performance of a complex imaging system including active radio-frequency (RF) elements which can add temporal distortions. We investigate the performance of an EEX line where the exchange occurs between two dimensions with normalized emittances which differ by orders of magnitude. The transverse emittance is exchanged into the longitudinal dimension using a double dog-leg emittance exchange setup with a 5 cell RF deflector cavity. Aberration correction is performed on the four most dominant aberrations. These include temporal aberrations that are corrected with higher order magnetic optical elements located where longitudinal and transverse emittance are coupled. We demonstrate aberration-free performance of emittances differing by 4 orders of magnitude, i.e. an initial transverse emittance of $\\epsilon_x=1$ pm-rad is exchanged with a longitudinal emittance of $\\epsilon_z=10$ nm-rad.

  9. The hands of the projectionist.

    Science.gov (United States)

    Cartwright, Lisa

    2011-09-01

    This essay considers the work of projection and the hand of the projectionist as important components of the social space of the cinema as it comes into being in the nineteenth century and the early decades of the twentieth. I bring the concept ofMaurice Merleau-Ponty on the place of the body as an entity that applies itself to the world "like a hand to an instrument" into a discussion of the pre-cinematic projector as an instrument that we can interpret as evidence of the experience of the work of the projectionist in the spirit of film theory and media archaeology, moving work on instrumentation in a different direction from the analysis of the work of the black box in laboratory studies. Projection is described as a psychological as well as a mechanical process. It is suggested that we interpret the projector not simply in its activity as it projects films, but in its movement from site to site and in the workings of the hand of its operator behind the scenes. This account suggests a different perspective on the cinematic turn of the nineteenth century, a concept typically approached through the study of the image, the look, the camera, and the screen.

  10. Hand dominance in orthopaedic surgeons.

    LENUS (Irish Health Repository)

    Lui, Darren F

    2012-08-01

    Handedness is perhaps the most studied human asymmetry. Laterality is the preference shown for one side and it has been studied in many aspects of medicine. Studies have shown that some orthopaedic procedures had poorer outcomes and identified laterality as a contributing factor. We developed a questionnaire to assess laterality in orthopaedic surgery and compared this to an established scoring system. Sixty-two orthopaedic surgeons surveyed with the validated Waterloo Handedness Questionnaire (WHQ) were compared with the self developed Orthopaedic Handedness Questionnaire (OHQ). Fifty-eight were found to be right hand dominant (RHD) and 4 left hand dominant (LHD). In RHD surgeons, the average WHQ score was 44.9% and OHQ 15%. For LHD surgeons the WHQ score was 30.2% and OHQ 9.4%. This represents a significant amount of time using the non dominant hand but does not necessarily determine satisfactory or successful dexterity transferable to the operating room. Training may be required for the non dominant side.

  11. Knowledge, Attitude and Practice of nursing students regarding hand hygiene in Western region of Nepal

    Directory of Open Access Journals (Sweden)

    Ishwari Sharma Paudel

    2017-01-01

    Full Text Available Background & Objectives: Hospital acquired infections (HAIs are thought to be transmitted by the hands of health care workers (HCWs. Reducing HAIs requires that HCWs take responsibility for ensuring that hand hygiene becomes an everyday part of patient care. This study was conducted with objectives of assessing the level of Knowledge, attitude and practice (KAP regarding hand hygiene among nursing students in the Western Region of Nepal.Materials & Methods: This descriptive cross-sectional study was conducted among nursing students posted in different wards of two hospitals of Pokhara. A self administered questionnaire containing different set of questions regarding knowledge, attitude and practice on hand hygiene were used for data collection. Results: A total of 99% of the participants reported that they were acquainted with the WHO recommended steps of hand washing. The knowledge on hand hygiene was moderate (84% among the total study population. Knowledge regarding the minimum time needed for alcohol based hand rub (20 sec was known correctly by only 24% of the participants. A total of 90% of the participants had positive attitude towards hand-hygiene. A total of 29% of the correspondents believed that they had not been properly instructed in hand hygiene during their practice, 56% of the participants exhibited good practice regarding hand hygiene and 91% realized that the presence of an infection prevention team would have positive influences on their hand hygiene practices.Conclusion: Moderate knowledge among majority of the nursing students reflected upon their positive attitude and practice regarding hand hygiene among them. Essentially, most of the nursing students considered hand hygiene as an essential part of their role. Improvement of accessibility to hand hygiene facilities would play an important role to improve the compliance to hand-hygiene in current practice. 

  12. Correcting Duporcq's theorem☆

    Science.gov (United States)

    Nawratil, Georg

    2014-01-01

    In 1898, Ernest Duporcq stated a famous theorem about rigid-body motions with spherical trajectories, without giving a rigorous proof. Today, this theorem is again of interest, as it is strongly connected with the topic of self-motions of planar Stewart–Gough platforms. We discuss Duporcq's theorem from this point of view and demonstrate that it is not correct. Moreover, we also present a revised version of this theorem. PMID:25540467

  13. Congenitally corrected transposition

    Directory of Open Access Journals (Sweden)

    Debich-Spicer Diane

    2011-05-01

    Full Text Available Abstract Congenitally corrected transposition is a rare cardiac malformation characterized by the combination of discordant atrioventricular and ventriculo-arterial connections, usually accompanied by other cardiovascular malformations. Incidence has been reported to be around 1/33,000 live births, accounting for approximately 0.05% of congenital heart malformations. Associated malformations may include interventricular communications, obstructions of the outlet from the morphologically left ventricle, and anomalies of the tricuspid valve. The clinical picture and age of onset depend on the associated malformations, with bradycardia, a single loud second heart sound and a heart murmur being the most common manifestations. In the rare cases where there are no associated malformations, congenitally corrected transposition can lead to progressive atrioventricular valvar regurgitation and failure of the systemic ventricle. The diagnosis can also be made late in life when the patient presents with complete heart block or cardiac failure. The etiology of congenitally corrected transposition is currently unknown, and with an increase in incidence among families with previous cases of congenitally corrected transposition reported. Diagnosis can be made by fetal echocardiography, but is more commonly made postnatally with a combination of clinical signs and echocardiography. The anatomical delineation can be further assessed by magnetic resonance imaging and catheterization. The differential diagnosis is centred on the assessing if the patient is presenting with isolated malformations, or as part of a spectrum. Surgical management consists of repair of the associated malformations, or redirection of the systemic and pulmonary venous return associated with an arterial switch procedure, the so-called double switch approach. Prognosis is defined by the associated malformations, and on the timing and approach to palliative surgical care.

  14. Ergonomic Evaluation of Biomechanical Hand Function

    OpenAIRE

    Lee, Kyung-Sun; Jung, Myung-Chul

    2014-01-01

    The human hand is a complex structure that performs various functions for activities of daily living and occupations. This paper presents a literature review on the methodologies used to evaluate hand functions from a biomechanics standpoint, including anthropometry, kinematics, kinetics, and electromyography (EMG). Anthropometry describes the dimensions and measurements of the hand. Kinematics includes hand movements and the range of motion of finger joints. Kinetics includes hand models for...

  15. [Usefulness of attenuation correction with transmission source in myocardial SPECT].

    Science.gov (United States)

    Murakawa, Keizo; Katafuchi, Tetsuro; Nishimura, Yoshihiro; Enomoto, Naoyuki; Sago, Masayoshi; Oka, Hisashi

    2006-01-20

    Attenuation correction in SPECT has been used for uniformly absorptive objects like the head. On the other hand, it has seldom been applied to nonuniform absorptive objects like the heart and surrounding lungs because of the difficulty and inaccuracy of data processing. However, since attenuation correction using a transmission source recently became practical, we were able to apply this method to a nonuniform absorptive object. Therefore, we evaluated the usefulness of this attenuation correction system with a transmission source in myocardial SPECT. The dose linearity, defect/normal ratio using a myocardial phantom, and myocardial count distribution in clinical cases was examined with and without the attenuation correction system. We found that all data processed with attenuation correction were better than those without attenuation correction. For example, in myocardial count distribution, while there was a difference between men and women without attenuation correction, which was considered to be caused by differences in body shape, after processing with attenuation correction, myocardial count distribution was almost the same in all cases. In conclusion, these results suggested that attenuation correction with a transmission source was useful in myocardial SPECT.

  16. Left-handed and right-handed metamaterials composed of split ring resonators and strip wires

    Science.gov (United States)

    Woodley, J. F.; Wheeler, M. S.; Mojahedi, M.

    2005-06-01

    The behavior of two structures composed of split ring resonators (SRRs) and strip wires (SWs) is examined through full wave simulations. It is shown that both structures exhibit a transmission peak in the region where the real parts of the electric permittivity and magnetic permeability are presumed to be negative, a property which is usually assumed to imply a negative index of refraction. However, an analysis of the dispersion characteristics and insertion phase of the two structures shows that the first structure, in which the SRRs and SWs are printed on opposite sides of a dielectric substrate, is a left-handed medium in the passband, whereas the second structure, in which SRRs and SWs are printed on the same side, is a right-handed medium in the passband. Hence the transmission magnitude alone does not provide sufficient evidence of a negative index of refraction. To determine the sign of the index correctly, the insertion phase for propagation through several lengths of the structure or calculations of dispersion diagrams are necessary. The impact of the unit cell size on the “handedness” of the structure is also examined.

  17. On the design of robotic hands for brain-machine interface.

    Science.gov (United States)

    Matsuoka, Yoky; Afshar, Pedram; Oh, Michael

    2006-05-15

    Brain-machine interface (BMI) is the latest solution to a lack of control for paralyzed or prosthetic limbs. In this paper the authors focus on the design of anatomical robotic hands that use BMI as a critical intervention in restorative neurosurgery and they justify the requirement for lower-level neuromusculoskeletal details (relating to biomechanics, muscles, peripheral nerves, and some aspects of the spinal cord) in both mechanical and control systems. A person uses his or her hands for intimate contact and dexterous interactions with objects that require the user to control not only the finger endpoint locations but also the forces and the stiffness of the fingers. To recreate all of these human properties in a robotic hand, the most direct and perhaps the optimal approach is to duplicate the anatomical musculoskeletal structure. When a prosthetic hand is anatomically correct, the input to the device can come from the same neural signals that used to arrive at the muscles in the original hand. The more similar the mechanical structure of a prosthetic hand is to a human hand, the less learning time is required for the user to recreate dexterous behavior. In addition, removing some of the nonlinearity from the relationship between the cortical signals and the finger movements into the peripheral controls and hardware vastly simplifies the needed BMI algorithms. (Nonlinearity refers to a system of equations in which effects are not proportional to their causes. Such a system could be difficult or impossible to model.) Finally, if a prosthetic hand can be built so that it is anatomically correct, subcomponents could be integrated back into remaining portions of the user's hand at any transitional locations. In the near future, anatomically correct prosthetic hands could be used in restorative neurosurgery to satisfy the user's needs for both aesthetics and ease of control while also providing the highest possible degree of dexterity.

  18. Planar hand motion guidance using fingertip skin-stretch feedback.

    Science.gov (United States)

    Norman, Sumner L; Doxon, Andrew J; Gleeson, Brian T; Provancher, William R

    2014-01-01

    In this paper, we show that a simple haptic device can accurately guide users through planar hand movements. The device guides the user through skin stretch feedback on the fingerpad of the user's index finger. In an angle matching test evaluating two types of stimuli, users are able to discriminate between eight stimulus directions and match the motion of their hand to the stimulus direction with 10 degree accuracy. In two motion guidance tests, haptic cues effectively guide users' arm motions through the full extent of their reachable workspace. Real-time corrective feedback greatly improves user performance, keeping average user hand motions within 12 mm of the prescribed path and within 4 degree of the indicated directions. Additionally, the paper shows that participants exhibit distorted haptic perceptual responses, finding that the distortion causes a response direction bias, but that appropriate haptic feedback can correct for the effect. Such motion guidance has applications in human-machine interaction, such as upper-extremity rehabilitation.

  19. Chicago aberration correction work

    Energy Technology Data Exchange (ETDEWEB)

    Beck, V.D., E-mail: vnlbeck@earthlink.net [1 Hobby Drive, Ridgefield, CT 06877-01922 (United States)

    2012-12-15

    The author describes from his personal involvement the many improvements to electron microscopy Albert Crewe and his group brought by minimizing the effects of aberrations. The Butler gun was developed to minimize aperture aberrations in a field emission electron gun. In the 1960s, Crewe anticipated using a spherical aberration corrector based on Scherzer's design. Since the tolerances could not be met mechanically, a method of moving the center of the octopoles electrically was developed by adding lower order multipole fields. Because the corrector was located about 15 cm ahead of the objective lens, combination aberrations would arise with the objective lens. This fifth order aberration would then limit the aperture of the microscope. The transformation of the off axis aberration coefficients of a round lens was developed and a means to cancel anisotropic coma was developed. A new method of generating negative spherical aberration was invented using the combination aberrations of hexapoles. Extensions of this technique to higher order aberrations were developed. An electrostatic electron mirror was invented, which allows the cancellation of primary spherical aberration and first order chromatic aberration. A reduction of chromatic aberration by two orders of magnitude was demonstrated using such a system. -- Highlights: Black-Right-Pointing-Pointer Crewe and his group made significant advances in aberration correction and reduction. Black-Right-Pointing-Pointer A deeper understanding of the quadrupole octopole corrector was developed. Black-Right-Pointing-Pointer A scheme to correct spherical aberration using hexapoles was developed. Black-Right-Pointing-Pointer Chromatic aberration was corrected using a uniform field mirror.

  20. HOW CORRECTION CAN MOTIVATE LEARNING

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    IntroductionMistakes and their correction generally follow one another in the language classroom.Most teachersthink that correction is a necessary part of teaching;while most students agree that making mistakesis a necessary part of learning.Although both teachers and students maintain that correction andmistakes are necessary,we often find that some correction helps students’ learning and some does not.Correction can make students lose confidence and interest in learning.In order to try and find outmore about why this happens I surveyed students attitudes towards mistakes and correction.

  1. Experimental repetitive quantum error correction.

    Science.gov (United States)

    Schindler, Philipp; Barreiro, Julio T; Monz, Thomas; Nebendahl, Volckmar; Nigg, Daniel; Chwalla, Michael; Hennrich, Markus; Blatt, Rainer

    2011-05-27

    The computational potential of a quantum processor can only be unleashed if errors during a quantum computation can be controlled and corrected for. Quantum error correction works if imperfections of quantum gate operations and measurements are below a certain threshold and corrections can be applied repeatedly. We implement multiple quantum error correction cycles for phase-flip errors on qubits encoded with trapped ions. Errors are corrected by a quantum-feedback algorithm using high-fidelity gate operations and a reset technique for the auxiliary qubits. Up to three consecutive correction cycles are realized, and the behavior of the algorithm for different noise environments is analyzed.

  2. [Hand, foot and mouth disease].

    Science.gov (United States)

    Barriere, H; Berger, M; Billaudel, S

    1976-11-16

    Two characteristic cases encountered in young adults led the authors to present the hand foot and mouth syndrome. They report the characteristic distribution and vesicular appearance of the lesions. The course was benign. The viral origin of the disease was more or less easily confirmed by cell culture, inoculation in new born mice and demonstration of antibodies. Usually the virus was a Coxackie A 16. However in one of the authors cases, an Echo 11 was demonstrated. The apparent rareness of the disease may be explained by lack of recognition.

  3. Hand protection from ultraviolet exposure

    Energy Technology Data Exchange (ETDEWEB)

    Khazova, M.; O' Hagan, J.B. [Health Protection Agency, Radiation Protection Division, Chilton, Did cot (United Kingdom)

    2006-07-01

    Full text of publication follows: A number of industrial applications and public services involve exposure to ultraviolet radiation (U.V.R.) from a variety of lamps and lasers, for example, in forensic examination, biological trans-illuminators, dentistry, laser material processing, microelectronics, etc. The proposed European Union Directive on Optical Radiation would place specific requirements on employers to provide adequate safety measures to reduce exposure to U.V.R., including gloves for hand protection. The selection of gloves should be based on a risk assessment and on the performance characteristics of the gloves for the task. However, current International and national standards do not describe evaluation procedures of disposable gloves for hand protection against non-ionising radiation. A methodology for assessment of the UV protection level for disposable gloves and a simple measurement protocol are proposed, based on a common approach with UV protection by clothing and sunscreens. Glove Ultraviolet Protection Factor is defined as a time-scale increase in exposure permitted for the hand protected by a glove with respect to an unprotected hand. However, the wide variety of U.V.R. sources and the real-life conditions of glove use (stretching and wetting the surface by liquids) bring substantial challenges to the assessment method. Our study of {approx} 50 samples of widely used disposable gloves made of different materials (nitrile, vinyl, latex and chloroprene) showed that for all tested gloves a change in U.V.R. attenuation with stretching is characteristic for the type of glove material and can be included as a scaling factor in the definition of U.V.R. protection. Glove material has a bigger effect on U.V.R. protection level than variations in the glove thickness or its colour. The following approaches are suggested to overcome the problem of variable U.V.R. sources: - Worst case scenario minimal protection level, most restrictive case - Application

  4. Determination of hand and palm area as a ratio of body surface area in Indian population

    Directory of Open Access Journals (Sweden)

    Agarwal Pawan

    2010-01-01

    Full Text Available Background: Accurate estimation of body surface area (BSA burn is important. In small and patchy burns, the patient′s hand is used to estimate percentage of burn which is traditionally considered as 1%. There is discrepancy about what percentage of TBSA is constituted by the palm and hand. Therefore, this study was designed to determine correctly the TBSA represented by the palmar surface of the entire hand and palm in the Indian population. Material and Methods: 300 healthy adult (male and female and 300 healthy children (male and female were included in the study. TBSA was calculated using DuBois formula and hand and palm surface area was calculated using hand tracing on plain paper. The hand/palm percentage of BSA (ratio was determined by dividing hand/palm surface area by total BSA. Results: The mean hand and palm ratio for adults was 0.92% and 0.50%, respectively. The mean hand and palm ratio in children was 1.06% and 0.632%, respectively. Conclusion: The hand area (palm plus digits is more closely represented to 1% of TBSA in Indian population.

  5. Calculating correct compilers

    DEFF Research Database (Denmark)

    Bahr, Patrick; Hutton, Graham

    2015-01-01

    In this article, we present a new approach to the problem of calculating compilers. In particular, we develop a simple but general technique that allows us to derive correct compilers from high-level semantics by systematic calculation, with all details of the implementation of the compilers...... falling naturally out of the calculation process. Our approach is based upon the use of standard equational reasoning techniques, and has been applied to calculate compilers for a wide range of language features and their combination, including arithmetic expressions, exceptions, state, various forms...

  6. [Correction of hypospadias].

    Science.gov (United States)

    Bianchi, M

    1998-12-01

    A thorough evaluation of both urethral and penile malformation are mandatory for the choice of the best surgical treatment of patients with hypospadias. The site and the size of the urethral meatus, the presence of a chordee and of a velamentous distal urethra must be carefully assessed. In distal (glandular and coronal) hypospadias, the meatal advancement with glanduloplasty is the treatment of choice. In proximal hypospadias with chordee, the transverse preputial island flap according to the Duckett's technique allows a one-stage hypospadias repair. The awareness of the possible psychologic impact of genital malformations in childhood recommends an early correction of hypospadias, if possible during the first year of life.

  7. [Correction of paralytic lagophthalmos].

    Science.gov (United States)

    Iskusnykh, N S; Grusha, Y O

    2015-01-01

    Current options for correction of paralytic lagophthalmos are either temporary (external eyelid weight placement, hyaluronic acid gel or botulinum toxin A injection) or permanent (various procedures for narrowing of the palpebral fissure, upper eyelid weights or spring implantation). Neuroplastic surgery (cross-facial nerve grafting, nerve anastomoses) and muscle transposition surgery is not effective enough. The majority of elderly and medically compromised patients should not be considered for such complicated and long procedures. Upper eyelid weight implantation thus appears the most reliable and simple treatment.

  8. Brain Image Motion Correction

    DEFF Research Database (Denmark)

    Jensen, Rasmus Ramsbøl; Benjaminsen, Claus; Larsen, Rasmus

    2015-01-01

    The application of motion tracking is wide, including: industrial production lines, motion interaction in gaming, computer-aided surgery and motion correction in medical brain imaging. Several devices for motion tracking exist using a variety of different methodologies. In order to use such devices...... offset and tracking noise in medical brain imaging. The data are generated from a phantom mounted on a rotary stage and have been collected using a Siemens High Resolution Research Tomograph for positron emission tomography. During acquisition the phantom was tracked with our latest tracking prototype...

  9. Thermal right-handed neutrino self-energy in the non-relativistic regime

    CERN Document Server

    Laine, M

    2012-01-01

    Recently the issue of radiative corrections to leptogenesis has been raised. Considering the "strong washout" regime, in which OPE-techniques permit to streamline the setup, we report the thermal self-energy matrix of heavy right-handed neutrinos at NLO (resummed 2-loop level) in Standard Model couplings. The renormalized expression describes flavour transitions and "inclusive" decays of chemically decoupled right-handed neutrinos. Although CP-violation is not addressed, the result may find use in existing leptogenesis frameworks.

  10. Motivating arm-hand use for stroke patients by serious games.

    Science.gov (United States)

    Delbressine, Frank; Timmermans, Annick; Beursgens, Luuk; de Jong, Maaike; van Dam, Alexander; Verweij, David; Janssen, Maikel; Markopoulos, Panos

    2012-01-01

    We present a novel technology to support playful rehabilitation of arm-hand performance for stroke survivors. The system combines tangible tabletop interaction with wearable technology, to encourage stroke patients to train their arm-hand skills in a task-oriented manner, while a jacket supporting tilt-sensing and vibrotactile feedback guides patients regarding the correct execution of exercises and specifically to avoid compensatory movements. We present the iterative client centered development of this technology and its on going development.

  11. Comparison of the antiseptic effects of Betadine and Sterillium on microbial load of surgical hands

    OpenAIRE

    Ahmad Entezari; Mohammad Hossein Avazbakhsh; Hamid Mirhosseini; Razieh Ghasemi; Elahe Fatahi Bafghi

    2016-01-01

    Background and Objective: Hand washing is an essential measure in controlling the infection in the operating room, the correct implementation of which requires time. Therefore, the use of fast-acting and safe disinfectant is of great importance in this regard. Regarding this, the present study aimed to compare the antiseptic effects of Betadine and Sterillium on the microbial load of the surgical hands. Materials and Method: This quasi-experimental study was conducted on 93 operating room ...

  12. Predictive Models to Determine Imagery Strategies Employed by Children to Judge Hand Laterality

    OpenAIRE

    Steffie Spruijt; Marijtje L A Jongsma; John van der Kamp; Bert Steenbergen

    2015-01-01

    A commonly used paradigm to study motor imagery is the hand laterality judgment task. The present study aimed to determine which strategies young children employ to successfully perform this task. Children of 5 to 8 years old (N = 92) judged laterality of back and palm view hand pictures in different rotation angles. Response accuracy and response duration were registered. Response durations of the trials with a correct judgment were fitted to a-priori defined predictive sinusoid models, repr...

  13. Surgical management of hand deformities in hereditary dystrophic epidermolysis bullosa

    Directory of Open Access Journals (Sweden)

    Panajotović Ljubomir

    2003-01-01

    Full Text Available In the period 1996-2001 in the Clinic for Plastic Surgery and Burns of the Military Medical Academy, 18 patients. 12 male and 6 female, with hereditary dystrophic epidermolysis bullosa (HDEB and hand deformities were surgically treated, to achieve the complete separation of fingers, correction of the thumb adduction contracture and flexion or extension contracture of finger joints. The period of wound healing on flat surfaces after surgery, and the period between two operations was estimated. The most common deformity was the flexion contractures of metacarpophalangeal (MP joints (45% and one or both interphalangeal (IP joints (types A1, A2. In 20% of the hands MP joint was streched with the flexion contracture in distal interphalangeal (DIP or both IP joints (types B1, B2. In 35% of hands MP joint was in hyperextension with folded proximal interphalangeal (PIP or both IP joints (C1 i C2. The adduction deformity of the thumb type 1, without the possibility of abduction, was present in 15%, type 2, when the thumb was placed above the palm in 60% and type 3, when the thumb was fused in the palm in 25%. Pseudosyndactyly of the first degree (till PIP joint was found in 30% of hands, the second degree (till DIP joint in 25%, and the third degree (the whole finger length in 45% of hands. Fingers were completely separated and stretched surgically. The period of spontaneous healing was 15 days on the average. EBDC represents great medical and social problem that requires multidisciplinary approach of physicians of various specialties (surgeons, dermatologists, pediatrists, geneticists, nutritionists physiatrists, ophtalmologists, dentists, ENT, as well as specially trained persons and families. The efficient specific systemic therapy aiming to increase the skin resistence to mechanical trauma does not exist yet, and should be developed in the field of gene therapy. The surgical correction of hand deformities, acrylate glove use in the longer post

  14. Using Online Annotations to Support Error Correction and Corrective Feedback

    Science.gov (United States)

    Yeh, Shiou-Wen; Lo, Jia-Jiunn

    2009-01-01

    Giving feedback on second language (L2) writing is a challenging task. This research proposed an interactive environment for error correction and corrective feedback. First, we developed an online corrective feedback and error analysis system called "Online Annotator for EFL Writing". The system consisted of five facilities: Document Maker,…

  15. An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing.

    Science.gov (United States)

    Carro, C; Camilleri, L; Traore, O; Badrikian, L; Legault, B; Azarnoush, K; Dualé, C; De Riberolles, C

    2007-09-01

    Surgical site infection after heart surgery increases morbidity and mortality. The method of presurgical hand disinfection could influence the infection risk. From February to April 2003, we compared the microbiological efficacy of hand-rubbing (R) and hand-scrubbing (S) procedures. The surgical team alternately used hand-scrubbing or hand-rubbing techniques every two weeks. Fingertip impressions were taken before and immediately after hand disinfection, every 2h and at the end of the operation. Acceptability of hand rubbing was assessed by a questionnaire. Mean durations of surgical procedures were 259+/-68 and 244+/-69min for groups S and R respectively (P=0.43). Bacterial counts immediately after hand disinfection were comparable with the two techniques, but significantly lower in group R at the end of surgery. No differences were observed between the percentages of negative samples taken after 2h, 4h and at the end of surgery between the two groups. Bacterial skin flora reduction immediately after hand disinfection, after 2h and 4h of operating time and at the end of surgery was better in group R, but the difference was not statistically significant. Before surgery, the hand-rubbing method with alcohol solution preceded by hand washing with mild neutral soap is as effective as hand scrubbing to reduce bacterial counts on hands. It decreased the bacterial counts both immediately after hand disinfection and at the end of long cardiothoracic surgical procedures. The acceptability of hand rubbing was excellent and it can be considered to be a valid alternative to the conventional hand-scrubbing protocol.

  16. Anatomically Correct Surface Recovery

    DEFF Research Database (Denmark)

    Jensen, Rasmus Ramsbøl; Nielsen, Jannik Boll; Larsen, Rasmus

    2015-01-01

    using the learned statistics. A quantitative evaluation is performed on a data set of 10 laser scans of ear canal impressions with minimal noise and artificial holes. We also present a qualitative evaluation on authentic partial scans from an actual direct in ear scanner prototype. Compared to a state......We present a method for 3D surface recovery in partial surface scans. The method is based on an Active Shape Model, which is used to predict missing data. The model is constructed using a bootstrap framework, where an initially small collection of hand-annotated samples is used to fit...... to and register unknown samples, resulting in an extensive statistical model. The statistical recovery uses a multivariate point prediction, where the distribution of the points is given by the Active Shape Model. We show how missing data in a partial scan, once point correspondence is achieved, can be predicted...

  17. Multiscale Convolutional Neural Networks for Hand Detection

    Directory of Open Access Journals (Sweden)

    Shiyang Yan

    2017-01-01

    Full Text Available Unconstrained hand detection in still images plays an important role in many hand-related vision problems, for example, hand tracking, gesture analysis, human action recognition and human-machine interaction, and sign language recognition. Although hand detection has been extensively studied for decades, it is still a challenging task with many problems to be tackled. The contributing factors for this complexity include heavy occlusion, low resolution, varying illumination conditions, different hand gestures, and the complex interactions between hands and objects or other hands. In this paper, we propose a multiscale deep learning model for unconstrained hand detection in still images. Deep learning models, and deep convolutional neural networks (CNNs in particular, have achieved state-of-the-art performances in many vision benchmarks. Developed from the region-based CNN (R-CNN model, we propose a hand detection scheme based on candidate regions generated by a generic region proposal algorithm, followed by multiscale information fusion from the popular VGG16 model. Two benchmark datasets were applied to validate the proposed method, namely, the Oxford Hand Detection Dataset and the VIVA Hand Detection Challenge. We achieved state-of-the-art results on the Oxford Hand Detection Dataset and had satisfactory performance in the VIVA Hand Detection Challenge.

  18. Correcting false memories: Errors must be noticed and replaced.

    Science.gov (United States)

    Mullet, Hillary G; Marsh, Elizabeth J

    2016-04-01

    Memory can be unreliable. For example, after reading The new baby stayed awake all night, people often misremember that the new baby cried all night (Brewer, 1977); similarly, after hearing bed, rest, and tired, people often falsely remember that sleep was on the list (Roediger & McDermott, 1995). In general, such false memories are difficult to correct, persisting despite warnings and additional study opportunities. We argue that errors must first be detected to be corrected; consistent with this argument, two experiments showed that false memories were nearly eliminated when conditions facilitated comparisons between participants' errors and corrective feedback (e.g., immediate trial-by-trial feedback that allowed direct comparisons between their responses and the correct information). However, knowledge that they had made an error was insufficient; unless the feedback message also contained the correct answer, the rate of false memories remained relatively constant. On the one hand, there is nothing special about correcting false memories: simply labeling an error as "wrong" is also insufficient for correcting other memory errors, including misremembered facts or mistranslations. However, unlike these other types of errors--which often benefit from the spacing afforded by delayed feedback--false memories require a special consideration: Learners may fail to notice their errors unless the correction conditions specifically highlight them.

  19. Radiative corrections to chargino production in electron-positron collisions with polarized beams

    Energy Technology Data Exchange (ETDEWEB)

    Diaz, Marco A.; King, Stephen F.; Ross, Douglas A.

    2001-07-01

    We study radiative corrections to chargino production at linear colliders with polarized electron beams. We calculate the one-loop corrected cross sections for polarized electon beams due to three families of quarks and squarks, working in the {ovr MS} scheme, extending our previous calculation of the unpolarized cross section with one-loop corrections due to the third family of quarks and squarks. In some cases we find rather large corrections to the tree-level cross sections. For example, for the case of right-handed polarized electrons and large tan{beta} the corrections can be of order 30%, allowing sensitivity to the squark mass parameters.

  20. Soft Tissue Masses of Hand: A Radio-Pathological Correlation

    Directory of Open Access Journals (Sweden)

    Aditi Agarwal

    2015-01-01

    Full Text Available Aim. To evaluate soft tissue masses of the hand with magnetic resonance imaging (MRI and ultrasonography (USG and to correlate imaging findings with pathological findings. Material and Methods. Thirty-five patients with soft tissue masses of the hand were evaluated with high resolution USG and contrast enhanced MRI of the hand, prospectively over a period of 2.5 years. The radiological diagnosis was then compared with cytology/histopathology. Results. There were a total of 19 (55% females. The mean age was 27.45 ± 14.7 years. Majority (45% of cases were heteroechoic. Four cases were predominantly hyperechoic. These were later diagnosed as lipomas. Four cases were anechoic (diagnosed as ganglions. Only four lesions showed hyperintense signal on T1-weighted images. Out of these, 3 were lipomas and one was cavernous haemangioma. Three lesions were hypointense on T2-weighted images. All these lesions were diagnosed as giant cell tumor of the tendon sheath. A correct diagnosis was possible on MRI in 80% of cases n=28. Conclusion. MRI provides specific findings for diagnosis of certain soft tissue lesions of the hand. Ultrasonography allows accurate diagnosis of hemangioma/vascular malformations. However, in most conditions, imaging findings are nonspecific and diagnosis rests on pathologic evaluation.

  1. BrailleEasy: One-handed Braille Keyboard for Smartphones.

    Science.gov (United States)

    Šepić, Barbara; Ghanem, Abdurrahman; Vogel, Stephan

    2015-01-01

    The evolution of mobile technology is moving at a very fast pace. Smartphones are currently considered a primary communication platform where people exchange voice calls, text messages and emails. The human-smartphone interaction, however, is generally optimized for sighted people through the use of visual cues on the touchscreen, e.g., typing text by tapping on a visual keyboard. Unfortunately, this interaction scheme renders smartphone technology largely inaccessible to visually impaired people as it results in slow typing and higher error rates. Apple and some third party applications provide solutions specific to blind people which enables them to use Braille on smartphones. These applications usually require both hands for typing. However, Brailling with both hands while holding the phone is not very comfortable. Furthermore, two-handed Brailling is not possible on smartwatches, which will be used more pervasively in the future. Therefore, we develop a platform for one-handed Brailing consisting of a custom keyboard called BrailleEasy to input Arabic or English Braille codes within any application, and a BrailleTutor application for practicing. Our platform currently supports Braille grade 1, and will be extended to support contractions, spelling correction, and more languages. Preliminary analysis of user studies for blind participants showed that after less than two hours of practice, participants were able to type significantly faster with the BrailleEasy keyboard than with the standard QWERTY keyboard.

  2. Segmentation of hand radiographs using fast marching methods

    Science.gov (United States)

    Chen, Hong; Novak, Carol L.

    2006-03-01

    Rheumatoid Arthritis is one of the most common chronic diseases. Joint space width in hand radiographs is evaluated to assess joint damage in order to monitor progression of disease and response to treatment. Manual measurement of joint space width is time-consuming and highly prone to inter- and intra-observer variation. We propose a method for automatic extraction of finger bone boundaries using fast marching methods for quantitative evaluation of joint space width. The proposed algorithm includes two stages: location of hand joints followed by extraction of bone boundaries. By setting the propagation speed of the wave front as a function of image intensity values, the fast marching algorithm extracts the skeleton of the hands, in which each branch corresponds to a finger. The finger joint locations are then determined by using the image gradients along the skeletal branches. In order to extract bone boundaries at joints, the gradient magnitudes are utilized for setting the propagation speed, and the gradient phases are used for discriminating the boundaries of adjacent bones. The bone boundaries are detected by searching for the fastest paths from one side of each joint to the other side. Finally, joint space width is computed based on the extracted upper and lower bone boundaries. The algorithm was evaluated on a test set of 8 two-hand radiographs, including images from healthy patients and from patients suffering from arthritis, gout and psoriasis. Using our method, 97% of 208 joints were accurately located and 89% of 416 bone boundaries were correctly extracted.

  3. A method for the control of multigrasp myoelectric prosthetic hands.

    Science.gov (United States)

    Dalley, Skyler Ashton; Varol, Huseyin Atakan; Goldfarb, Michael

    2012-01-01

    This paper presents the design and preliminary experimental validation of a multigrasp myoelectric controller. The described method enables direct and proportional control of multigrasp prosthetic hand motion among nine characteristic postures using two surface electromyography electrodes. To assess the efficacy of the control method, five nonamputee subjects utilized the multigrasp myoelectric controller to command the motion of a virtual prosthesis between random sequences of target hand postures in a series of experimental trials. For comparison, the same subjects also utilized a data glove, worn on their native hand, to command the motion of the virtual prosthesis for similar sequences of target postures during each trial. The time required to transition from posture to posture and the percentage of correctly completed transitions were evaluated to characterize the ability to control the virtual prosthesis using each method. The average overall transition times across all subjects were found to be 1.49 and 0.81 s for the multigrasp myoelectric controller and the native hand, respectively. The average transition completion rates for both were found to be the same (99.2%). Supplemental videos demonstrate the virtual prosthesis experiments, as well as a preliminary hardware implementation.

  4. Developing a computational model of human hand kinetics using AVS

    Energy Technology Data Exchange (ETDEWEB)

    Abramowitz, Mark S. [State Univ. of New York, Binghamton, NY (United States)

    1996-05-01

    As part of an ongoing effort to develop a finite element model of the human hand at the Institute for Scientific Computing Research (ISCR), this project extended existing computational tools for analyzing and visualizing hand kinetics. These tools employ a commercial, scientific visualization package called AVS. FORTRAN and C code, originally written by David Giurintano of the Gillis W. Long Hansen`s Disease Center, was ported to a different computing platform, debugged, and documented. Usability features were added and the code was made more modular and readable. When the code is used to visualize bone movement and tendon paths for the thumb, graphical output is consistent with expected results. However, numerical values for forces and moments at the thumb joints do not yet appear to be accurate enough to be included in ISCR`s finite element model. Future work includes debugging the parts of the code that calculate forces and moments and verifying the correctness of these values.

  5. Factitious lesions of the hand

    Directory of Open Access Journals (Sweden)

    Ricardo Kaempf de Oliveira

    2013-08-01

    Full Text Available OBJECTIVE: The presence of a lesion with atypical presentation, obscure clinical history, which does not improve with classic treatments, shall raise the red flag of the medical team. In such cases, the hypothesis of a factitious lesion shall be considered. Many times the correct diagnosis on the initial assessment may avoid high-cost diagnostic tests, unnecessary treatments, and time consumption of the medical team. We present here two classic cases of factitious lesions that, similar to those described in the literature, is difficult to diagnose and difficult to treat.

  6. Postoperative hand therapy in Dupuytren's disease

    NARCIS (Netherlands)

    Herweijer, H.; Dijkstra, P.U.; Nicolai, J.P.A.; van der Sluis, C.K.

    2007-01-01

    Background. Postoperative hand therapy in patients after surgery for Dupuytren's contracture is common medical practice to improve outcomes. Until now, patients are referred for postoperative hand rehabilitation on an empirical basis. Purpose. To evaluate whether referral criteria after surgery

  7. Postoperative hand therapy in Dupuytren's disease

    NARCIS (Netherlands)

    Herweijer, H.; Dijkstra, P.U.; Nicolai, J.P.A.; van der Sluis, C.K.

    2007-01-01

    Background. Postoperative hand therapy in patients after surgery for Dupuytren's contracture is common medical practice to improve outcomes. Until now, patients are referred for postoperative hand rehabilitation on an empirical basis. Purpose. To evaluate whether referral criteria after surgery beca

  8. Accuracy Improvement Capability of Advanced Projectile Based on Course Correction Fuze Concept

    Directory of Open Access Journals (Sweden)

    Ahmed Elsaadany

    2014-01-01

    Full Text Available Improvement in terminal accuracy is an important objective for future artillery projectiles. Generally it is often associated with range extension. Various concepts and modifications are proposed to correct the range and drift of artillery projectile like course correction fuze. The course correction fuze concepts could provide an attractive and cost-effective solution for munitions accuracy improvement. In this paper, the trajectory correction has been obtained using two kinds of course correction modules, one is devoted to range correction (drag ring brake and the second is devoted to drift correction (canard based-correction fuze. The course correction modules have been characterized by aerodynamic computations and flight dynamic investigations in order to analyze the effects on deflection of the projectile aerodynamic parameters. The simulation results show that the impact accuracy of a conventional projectile using these course correction modules can be improved. The drag ring brake is found to be highly capable for range correction. The deploying of the drag brake in early stage of trajectory results in large range correction. The correction occasion time can be predefined depending on required correction of range. On the other hand, the canard based-correction fuze is found to have a higher effect on the projectile drift by modifying its roll rate. In addition, the canard extension induces a high-frequency incidence angle as canards reciprocate at the roll motion.

  9. Accuracy improvement capability of advanced projectile based on course correction fuze concept.

    Science.gov (United States)

    Elsaadany, Ahmed; Wen-jun, Yi

    2014-01-01

    Improvement in terminal accuracy is an important objective for future artillery projectiles. Generally it is often associated with range extension. Various concepts and modifications are proposed to correct the range and drift of artillery projectile like course correction fuze. The course correction fuze concepts could provide an attractive and cost-effective solution for munitions accuracy improvement. In this paper, the trajectory correction has been obtained using two kinds of course correction modules, one is devoted to range correction (drag ring brake) and the second is devoted to drift correction (canard based-correction fuze). The course correction modules have been characterized by aerodynamic computations and flight dynamic investigations in order to analyze the effects on deflection of the projectile aerodynamic parameters. The simulation results show that the impact accuracy of a conventional projectile using these course correction modules can be improved. The drag ring brake is found to be highly capable for range correction. The deploying of the drag brake in early stage of trajectory results in large range correction. The correction occasion time can be predefined depending on required correction of range. On the other hand, the canard based-correction fuze is found to have a higher effect on the projectile drift by modifying its roll rate. In addition, the canard extension induces a high-frequency incidence angle as canards reciprocate at the roll motion.

  10. 78 FR 34245 - Miscellaneous Corrections

    Science.gov (United States)

    2013-06-07

    ... Federal Regulations is sold by the Superintendent of Documents. #0;Prices of new books are listed in the... office, correcting and adding missing cross-references, correcting grammatical errors, revising language... the name of its human capital office, correcting and adding missing cross-references,...

  11. Power corrections, renormalons and resummation

    Energy Technology Data Exchange (ETDEWEB)

    Beneke, M.

    1996-08-01

    I briefly review three topics of recent interest concerning power corrections, renormalons and Sudakov resummation: (a) 1/Q corrections to event shape observables in e(+)e(-) annihilation, (b) power corrections in Drell-Yan production and (c) factorial divergences that arise in resummation of large infrared (Sudakov) logarithms in moment or `real` space.

  12. Radiation camera motion correction system

    Science.gov (United States)

    Hoffer, P.B.

    1973-12-18

    The device determines the ratio of the intensity of radiation received by a radiation camera from two separate portions of the object. A correction signal is developed to maintain this ratio at a substantially constant value and this correction signal is combined with the camera signal to correct for object motion. (Official Gazette)

  13. 75 FR 16516 - Dates Correction

    Science.gov (United States)

    2010-04-01

    ... From the Federal Register Online via the Government Publishing Office ] NATIONAL ARCHIVES AND RECORDS ADMINISTRATION Office of the Federal Register Dates Correction Correction In the Notices section... through 15499, the date at the top of each page is corrected to read ``Monday, March 29, 2010''....

  14. Two Left Hands, Ten Interlaced Fingers: A New Rubber Hand Illusion.

    Science.gov (United States)

    White, Rebekah C; Bowen, Dillon; Dumbalska, Tsvetomira; Hoeger, Katharine; Mok, Anastasia Y S

    2016-03-01

    A variation on the rubber hand paradigm elicits an illusion in which the participant's sense of body ownership can switch back and forth between two viewed prosthetic hands. The interlaced fingers paradigm involves three prosthetic left hands: Two are positioned in full view of the participant, with their fingers interlaced, and the fingers of a third prosthetic hand are interlaced with the fingers of the participant's left hand, which is hidden from view. The examiner alternates brushstrokes to the two viewed prosthetic hands, while administering synchronous brushstrokes to the participant's hidden hand. Most participants experience ownership for the prosthetic hand that is being stroked at a given moment.

  15. Anomaly corrected heterotic horizons

    Science.gov (United States)

    Fontanella, A.; Gutowski, J. B.; Papadopoulos, G.

    2016-10-01

    We consider supersymmetric near-horizon geometries in heterotic supergravity up to two loop order in sigma model perturbation theory. We identify the conditions for the horizons to admit enhancement of supersymmetry. We show that solutions which undergo supersymmetry enhancement exhibit an {s}{l}(2,{R}) symmetry, and we describe the geometry of their horizon sections. We also prove a modified Lichnerowicz type theorem, incorporating α' corrections, which relates Killing spinors to zero modes of near-horizon Dirac operators. Furthermore, we demonstrate that there are no AdS2 solutions in heterotic supergravity up to second order in α' for which the fields are smooth and the internal space is smooth and compact without boundary. We investigate a class of nearly supersymmetric horizons, for which the gravitino Killing spinor equation is satisfied on the spatial cross sections but not the dilatino one, and present a description of their geometry.

  16. Anomaly Corrected Heterotic Horizons

    CERN Document Server

    Fontanella, A; Papadopoulos, G

    2016-01-01

    We consider supersymmetric near-horizon geometries in heterotic supergravity up to two loop order in sigma model perturbation theory. We identify the conditions for the horizons to admit enhancement of supersymmetry. We show that solutions which undergo supersymmetry enhancement exhibit an sl(2,R) symmetry, and we describe the geometry of their horizon sections. We also prove a modified Lichnerowicz type theorem, incorporating $\\alpha'$ corrections, which relates Killing spinors to zero modes of near-horizon Dirac operators. Furthermore, we demonstrate that there are no AdS2 solutions in heterotic supergravity up to second order in $\\alpha'$ for which the fields are smooth and the internal space is smooth and compact without boundary. We investigate a class of nearly supersymmetric horizons, for which the gravitino Killing spinor equation is satisfied on the spatial cross sections but not the dilatino one, and present a description of their geometry.

  17. Catalytic quantum error correction

    CERN Document Server

    Brun, T; Hsieh, M H; Brun, Todd; Devetak, Igor; Hsieh, Min-Hsiu

    2006-01-01

    We develop the theory of entanglement-assisted quantum error correcting (EAQEC) codes, a generalization of the stabilizer formalism to the setting in which the sender and receiver have access to pre-shared entanglement. Conventional stabilizer codes are equivalent to dual-containing symplectic codes. In contrast, EAQEC codes do not require the dual-containing condition, which greatly simplifies their construction. We show how any quaternary classical code can be made into a EAQEC code. In particular, efficient modern codes, like LDPC codes, which attain the Shannon capacity, can be made into EAQEC codes attaining the hashing bound. In a quantum computation setting, EAQEC codes give rise to catalytic quantum codes which maintain a region of inherited noiseless qubits. We also give an alternative construction of EAQEC codes by making classical entanglement assisted codes coherent.

  18. EDITORIAL: Politically correct physics?

    Science.gov (United States)

    Pople Deputy Editor, Stephen

    1997-03-01

    If you were a caring, thinking, liberally minded person in the 1960s, you marched against the bomb, against the Vietnam war, and for civil rights. By the 1980s, your voice was raised about the destruction of the rainforests and the threat to our whole planetary environment. At the same time, you opposed discrimination against any group because of race, sex or sexual orientation. You reasoned that people who spoke or acted in a discriminatory manner should be discriminated against. In other words, you became politically correct. Despite its oft-quoted excesses, the political correctness movement sprang from well-founded concerns about injustices in our society. So, on balance, I am all for it. Or, at least, I was until it started to invade science. Biologists were the first to feel the impact. No longer could they refer to 'higher' and 'lower' orders, or 'primitive' forms of life. To the list of undesirable 'isms' - sexism, racism, ageism - had been added a new one: speciesism. Chemists remained immune to the PC invasion, but what else could you expect from a group of people so steeped in tradition that their principal unit, the mole, requires the use of the thoroughly unreconstructed gram? Now it is the turn of the physicists. This time, the offenders are not those who talk disparagingly about other people or animals, but those who refer to 'forms of energy' and 'heat'. Political correctness has evolved into physical correctness. I was always rather fond of the various forms of energy: potential, kinetic, chemical, electrical, sound and so on. My students might merge heat and internal energy into a single, fuzzy concept loosely associated with moving molecules. They might be a little confused at a whole new crop of energies - hydroelectric, solar, wind, geothermal and tidal - but they could tell me what devices turned chemical energy into electrical energy, even if they couldn't quite appreciate that turning tidal energy into geothermal energy wasn't part of the

  19. Fibrous hamartoma of infancy in the hand: unusual location and MR imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Song, You Seon; Lee, In Sook [Pusan National University School of Medicine, Department of Radiology, Busan (Korea); Pusan National University School of Medicine, Medical Research Institute, Busan (Korea); Kim, Hui Taek [Pusan National University Hospital, Department of Orthopaedic Surgery, Busan (Korea); Choi, Kyung-Un [Pusan National University School of Medicine, Medical Research Institute, Busan (Korea); Pusan National University Hospital, Department of Pathology, Busan (Korea); Song, Jong Woon [Inje University Pusan Paik Hospital, Department of Radiology, Busan (Korea)

    2010-10-15

    Fibrous hamartomas of infancy (FHIs) are benign, poorly-circumscribed, soft tissue growths presenting during the first 2 years of life and characteristically affecting the axilla, upper arm, upper trunk, inguinal region, and external genital area. Involvement of the hands and feet is extremely rare. We report a case of FHI unusually occurring in a deep portion of the hand. MRI revealed atypical features similar to that of a vascular malformation, hemangioma, fibromatosis, or neurofibromatosis of the hand. Partial resection of the mass was performed to correct the contracture of the second finger and an additional operation was not performed because of the benign nature of FHIs. (orig.)

  20. Hand Shape Affects Access to Memories

    NARCIS (Netherlands)

    K. Dijkstra (Katinka); M.P. Kaschak; R.A. Zwaan (Rolf)

    2008-01-01

    textabstractThe present study examined the ways that body posture facilitated retrieval of autobiographical memories in more detail by focusing on two aspects of congruence in position of a specific body part: hand shape and hand orientation. Hand shape is important in the tactile perception and man

  1. Towards a classification of weak hand holds

    NARCIS (Netherlands)

    Kimmelman, V.; Sáfár, A.; Crasborn, O.

    2016-01-01

    The two symmetrical manual articulators (the hands) in signed languages are a striking modalityspecific phonetic property. The weak hand can maintain the end position of an articulation while the other articulator continues to produce additional signs. This weak hand spreading (hold) has been

  2. A hand-hygiene behaviour monitoring system

    NARCIS (Netherlands)

    Van Schie, M.; Wiesman, R.F.F.

    2008-01-01

    The invention relates to a hand-hygiene behaviour monitoring system, comprising: means for detecting the occurrence of an event specified in a hand-hygiene rule, wherein the event involves a person; means for updating behaviour data that is related to acts according to the hand-hygiene rule, wherein

  3. Hand Shape Affects Access to Memories

    NARCIS (Netherlands)

    K. Dijkstra (Katinka); M.P. Kaschak; R.A. Zwaan (Rolf)

    2008-01-01

    textabstractThe present study examined the ways that body posture facilitated retrieval of autobiographical memories in more detail by focusing on two aspects of congruence in position of a specific body part: hand shape and hand orientation. Hand shape is important in the tactile perception and man

  4. ARE LEFT HANDED SURGEONS LEFT OUT?

    OpenAIRE

    SriKamkshi Kothandaraman; Balasubramanian Thiagarajan

    2012-01-01

    Being a left-handed surgeon, more specifically a left-handed ENT surgeon, presents a unique pattern of difficulties.This article is an overview of left-handedness and a personal account of the specific difficulties a left-handed ENT surgeon faces.

  5. Moving past sleight of hand.

    Science.gov (United States)

    Mintken, Paul E; Derosa, Carl; Little, Tamara; Smith, Britt

    2010-05-01

    Medical care historically has had a strong association with magic, illusion, and secrecy. Although we profess to be modern healthcare practitioners, utilizing manual therapy techniques, and strive for evidence-based practice, the reality is that one of the most ubiquitous of all manual therapy techniques, manipulation, is obscured by illusive and ill-defined terminology. As a first step in moving from magician to modern clinician, we recently proposed a nomenclature intended to standardize and clarify the terminology used in describing specific manual therapy techniques, recommending the use of 6 key characteristics. The persistent obfuscations appear to be aimed at obscuring the differentiation of manipulation from mobilization. The time has come for a more precise delineation between manipulation and mobilization and to move beyond seeing these valuable interventions simply as some sleight-of-hand technique.J Orthop Sports Phys Ther 2010;40(5):253-255. doi:10.2519/jospt.2010.0105.

  6. How effective are hand antiseptics for the postcontamination treatment of hands when used as recommended?

    Science.gov (United States)

    Kampf, Günter

    2008-06-01

    Alcohol-based hand antiseptics are often tested using 3 or 5 mL per application, but smaller volumes are likely to be applied in clinical practice. For that reason, we investigated the efficacy of 2 different volumes of 4 marketed hand rubs when applied to contaminated hands. Hands of 16 volunteers were contaminated with Serratia marcescens. Hand rub A (85% ethanol), hand rub B (60% ethanol), hand rub C (62% ethanol), and hand rub D (61% ethanol) were applied as blinded formulations, each in single applications of 2.4 or 3.6 mL. Hibiclens (4% chlorhexidine gluconate) served as the reference treatment. Each hand rub was rubbed into the hands until dry. Preintervention and postintervention bacterial populations were obtained by the glove juice method. Neutralization of residual activity was validated. A 2.4-mL aliquot of a hand rub product was sufficient to cover both hands in 96.9% of the subjects. Applied in that volume, hand rubs produced a log(10)-reduction in bacterial populations of 2.79 for hand rub A, 2.26 for hand rub C, 1.96 for hand rub D, and 1.90 for hand rub B. Application of 3.6 mL was significantly more effective for hand rubs B, C, and D. The reference treatment reduced test bacteria by 2.39 log(10). Analysis of variance revealed that both the type of hand rub and the applied volume had a highly significant influence on the mean log(10) reduction on artificially contaminated hands (P < .001). Hand rubs applied in amounts sufficient to cover both hands may not reduce the bacterial density by even 2 log(10) steps. Based on our findings, the general trend toward alcohol-based hand rubs should not overlook evidence of significant differences in efficacy that appear to be related primarily to a product's overall concentration of alcohol.

  7. COMMUNICATION: Improving correct switching rates in a 'hands-free' environmental control system

    Science.gov (United States)

    Craig, Ashley; Tran, Yvonne; Craig, Daniel; Thuraisingham, Ranjit

    2005-12-01

    One potential negative impact on the quality of life of a spinal cord injured person is the loss of the ability to control devices in their immediate environment. Consequently, research and development has been conducted on technology designed to restore some measure of independence by providing means of control over these devices. A previous assistive device using changes in brain signals from eye closure as its switching system was created. Brain signals were processed using spectral analysis and although this was a successful technique, there were limitations that resulted in higher than desired switching errors. This paper presents results of an alternative method for processing brain signals as the basis for switching, called fractal dimension. In comparison to the spectral technique, the fractal dimension technique was successful in reducing the number of false positive and false negative errors. Additionally, it eliminated the need for a baseline setup for this system. This suggests that fractal dimension is a potentially viable method for analysing brain signals for use in assistive control systems.

  8. Hand eczema in the TOACS cohort

    DEFF Research Database (Denmark)

    Mortz, C G; Bindslev-Jensen, C; Andersen, Klaus Ejner

    2014-01-01

    in women. At the clinical examination 6.4% (30/469) had hand eczema. Factors in childhood of importance for adult hand eczema were atopic dermatitis together with hand eczema. Wet work in adulthood was a risk factor together with taking care of small children at home. Interestingly, hand eczema among...... unselected young adults, was associated with sick leave/pension/rehabilitation indicating possible severe social consequences. LIMITATIONS: Only 39% participated in the clinical examination while 75% answered the questionnaire. CONCLUSIONS: A high incidence and prevalence of hand eczema was found in 28...

  9. Improving hand hygiene after neurological injury.

    Science.gov (United States)

    Duke, Lynsay; Gibbison, Lucy; McMahon, Victoria

    Caring for hands tightened by spasticity after stroke, brain injury or other neurological conditions can be challenging for care staff. Opening and cleaning the hand, managing pressure areas, cutting nails and reducing pain becomes more complex if muscles are tight and short. Hand hygiene is key for staff but literature on patients' hand and nail care is lacking, so specialist education and care planning may be needed to help staff ensure these activities are done well. This article outlines the importance of maintaining patients' hand hygiene, explores the barriers to providing effective care and discusses how they might be overcome.

  10. Hand decontamination: nurses' opinions and practices.

    Science.gov (United States)

    Gould, D

    Infection is spread in hospital mainly by hands, making hand decontamination the most important means of preventing dissemination. There is some evidence to suggest that when access to hand-decontaminating agents is poor or the agents available are disliked, hands are washed too seldom, increasing risks of cross-infection. However, little attention has been paid to the use of towels and factors which promote their use, although it is known that damp hands transfer bacteria more readily than dry ones and that hands which become sore through poor drying have higher bacterial counts, contributing to the risk of cross-infection. This paper reports the results of the Nursing Times Hand Drying survey designed to assess nurses' access to hand decontamination agents and towels. The results suggest that the 112 nurses who participated were aware of the need for attention to hand hygiene but that access to both hand-decontaminating agents and paper towels was variable. Forty-one per cent complained of a shortage of soap and although nearly all used paper towels, these were in many cases of poor quality. Such towels were perceived as damaging to hands, leaving them feeling damp and sore. Good-quality, soft, paper towels were much appreciated by respondents in this sample. It is concluded that the quality of paper towels contributes to good infection control practice.

  11. Hand gesture recognition based on surface electromyography.

    Science.gov (United States)

    Samadani, Ali-Akbar; Kulic, Dana

    2014-01-01

    Human hands are the most dexterous of human limbs and hand gestures play an important role in non-verbal communication. Underlying electromyograms associated with hand gestures provide a wealth of information based on which varying hand gestures can be recognized. This paper develops an inter-individual hand gesture recognition model based on Hidden Markov models that receives surface electromyography (sEMG) signals as inputs and predicts a corresponding hand gesture. The developed recognition model is tested with a dataset of 10 various hand gestures performed by 25 subjects in a leave-one-subject-out cross validation and an inter-individual recognition rate of 79% was achieved. The promising recognition rate demonstrates the efficacy of the proposed approach for discriminating between gesture-specific sEMG signals and could inform the design of sEMG-controlled prostheses and assistive devices.

  12. Analysis of training experience of military men to hand-to-hand combat in the foreign countries

    Directory of Open Access Journals (Sweden)

    Marakushyn A.I.

    2011-02-01

    Full Text Available It is shown the main systems of hand-to-hand combat on the bases of hand-to-hand military men training in the world leading countries armies. Summarized the experience of hand-to-hand combat training. It is analyzes the main existing systems hand-to-hand training of servicemen of foreign armies. The analysis of publications, guidance documents, manuals, statutes which display the contents of hand-to-hand combat training of servicemen of foreign armies. Defined views, concerns and tendencies of hand-to-hand training to develop guidelines an advanced hand-to-hand combat training of servicemen.

  13. Review of human hand microbiome research.

    Science.gov (United States)

    Edmonds-Wilson, Sarah L; Nurinova, Nilufar I; Zapka, Carrie A; Fierer, Noah; Wilson, Michael

    2015-10-01

    Recent advances have increased our understanding of the human microbiome, including the skin microbiome. Despite the importance of the hands as a vector for infection transmission, there have been no comprehensive reviews of recent advances in hand microbiome research or overviews of the factors that influence the composition of the hand microbiome. A comprehensive and systematic database search was conducted for skin microbiome-related articles published from January 1, 2008 to April 1, 2015. Only primary research articles that used culture-independent, whole community analysis methods to study the healthy hand skin microbiome were included. Eighteen articles were identified containing hand microbiome data. Most focused on bacteria, with relatively little reported on fungi, viruses, and protozoa. Bacteria from four phyla were found across all studies of the hand microbiome (most to least relative abundance): Firmicutes, Actinobacteria, Proteobacteria, Bacteroidetes. Key factors that impacted the hand microbiome composition included temporal and biogeographical dynamics, as well as intrinsic (age, gender) and extrinsic (product use, cohabitants, pet-ownership) variables. There was more temporal variability in the composition of the hand microbiome than in other body sites, making identification of the "normal" microbiome of the hands challenging. The microbiome of the hands is in constant flux as the hands are a critical vector for transmitting microorganisms between people, pets, inanimate objects and our environments. Future studies need to resolve methodological influences on results, and further investigate factors which alter the hand microbiome including the impact of products applied to hands. Increased understanding of the hand microbiome and the skin microbiome in general, will open the door to product development for disease prevention and treatment, and may lead to other applications, including novel diagnostic and forensic approaches.

  14. Correcting Reflux Laparoscopically

    Directory of Open Access Journals (Sweden)

    Eric C Poulin

    1998-01-01

    Full Text Available Most operations in the abdominal cavity and chest can be performed using minimally invasive techniques. As yet it has not been determined which laparoscopic procedures are preferable to the same operations done through conventional laparotomy. However, most surgeons who have completed the learning curves of these procedures believe that most minimally invasive techniques will be scientifically recognized soon. The evolution, validation and justification of advanced laparoscopic surgical methods seem inevitable. Most believe that the trend towards procedures that minimize or eliminate the trauma of surgery while adhering to accepted surgical principles is irreversible. The functional results of laparoscopic antireflux surgery in the seven years since its inception have been virtually identical to the success curves generated with open fundoplication in past years. Furthermore, overall patient outcomes with laparoscopic procedures have been superior to outcomes with the traditional approach. Success is determined by patient selection and operative technique. Patient evaluation should include esophagogastroduodenoscopy, barium swallow, 24 h pH study and esophageal motility study. Gastric emptying also should be evaluated. Patients who have abnormal propulsion in the esophagus should not receive a complete fundoplication (Nissen because it adds a factor of obstruction. Dor or Toupet procedures are adequate alternatives. Prokinetic agents, dilation or pyloroplasty are used for pyloric obstruction ranging from little to more severe. Correcting reflux laparoscopically is more difficult in patients with obesity, peptic strictures, paraesophageal hernias, short esophagus, or a history of previous upper abdominal or antireflux surgery.

  15. Hand carriage of Candida occurs at lesser rates in hospital personnel who use antimicrobial hand disinfectant.

    Science.gov (United States)

    Yildirim, Mustafa; Sahin, Idris; Oksuz, Sukru; Sencan, Irfan; Kucukbayrak, Abdulkadir; Cakir, Selma; Ozaydin, Cigdem

    2014-09-01

    The hands of hospital personnel are considered to be important for colonization and infection of patients with Candida spp. The aim of this study was to evaluate the effectiveness of different hand disinfectants in reducing the carriage of Candida species on the hands of hospital personnel. A controlled study was conducted at Duzce University School of Medicine Hospital. Eighty hospital personnel were included in the trial. Subjects were divided into 4 groups according to hand hygiene procedures: group 1, hand rubbing with alcohol-based solution; group 2, hand washing with 4% chlorhexidine gluconate; group 3, hand washing with 7.5% povidone-iodine; group 4, hand washing with plain soap and water. The hands of all participants were tested by culture with the broth wash technique. Hand carriage of Candida spp. was lower in the 4% chlorhexidine gluconate group (10.5%, p = 0.006), in the 7.5% povidone-iodine group (18.7%, p = 0.043), and in the alcohol-based hand rub group (21.1%, p = 0.048) compared to the group washing hands with plain soap and water (50%). The use of hand disinfectant containing antimicrobial agents is more effective than hand washing with water and soap in reducing carriage of Candida on the hands of hospital personnel. It is recommended that hospital personnel use an antimicrobial hand disinfectant in units where there is a high risk of Candida infection.

  16. Contact transfer of anions from hands as a function of the use of hand lotions

    Science.gov (United States)

    Welker, R. W.; Schulman, M.

    2001-01-01

    Contact transfer of anions from human hands can result in contamination of materials, increasing their rate of corrosion. Two types of hand lotion were applied to the hands: one was specially formulated for cleanroom use and the other was a popular commercial lotion. The effect on contact transfer of anions was measured versus anion transfer from washed hands without lotions.

  17. Inexpensive and Time-Efficient Hand Hygiene Interventions Increase Elementary School Children's Hand Hygiene Rates

    Science.gov (United States)

    Snow, Michelle; White, George L.; Kim, Han S.

    2008-01-01

    Routine hand hygiene has been cited by the World Health Organization and the Centers for Disease Control and Prevention as a cost-effective and important hygiene measure in preventing the spread of infectious diseases. Several studies have explored children's hand hygiene habits, effects of scheduled hand hygiene, hand hygiene environmental…

  18. Inexpensive and Time-Efficient Hand Hygiene Interventions Increase Elementary School Children's Hand Hygiene Rates

    Science.gov (United States)

    Snow, Michelle; White, George L.; Kim, Han S.

    2008-01-01

    Routine hand hygiene has been cited by the World Health Organization and the Centers for Disease Control and Prevention as a cost-effective and important hygiene measure in preventing the spread of infectious diseases. Several studies have explored children's hand hygiene habits, effects of scheduled hand hygiene, hand hygiene environmental…

  19. Comparison of traditional hand wash with alcoholic hand rub in ICU setup

    Directory of Open Access Journals (Sweden)

    Maliekal Mona

    2005-01-01

    Full Text Available Background: Nosocomial infection rate are often higher for intensive care unit (ICU than other units of hospitals, and hands of health-care workers (HCWs play a major role in the transmission of the infections. Aim: To compare the efficacy of conventional hand wash with the hand rub in reducing the transient bacterial flora on the hands of nurses in ICU. Subject and Methods: The 34 nurses posted in our ICU during January-March 2003 were included. A total of 204 samples were collected for the residual bacterial flora on fingers using impression method on MacConkey agar plates. The subjects then used alcoholic hand rub or conventional hand wash and the residual bacterial flora rechecked by testing impression of fingers on MacConkey agar. Results: Escherichia coli, Klebsiella spp., nonlactose fermenting Gram-negative bacilli, staphylococci, and streptococci formed the transient bacterial flora on the hands. Moderate to heavy bacterial density was seen in more than 92.2% of the hands before washing or hand rub application. Conventional hand wash resulted in drastic reduction in the transient bacterial flora on hands in 50% cases whereas alcoholic hand rub achieved the effect in 95% of the samples. Conclusion: Compared with conventional hand wash, alcoholic hand rub is far more efficient in reducing transient bacterial flora on the hands of HCWs and it is more convenient and time saving. It is recommended as a hand hygiene practice in critical areas such as ICU.

  20. Ozonated water is inferior to propanol-based hand rubs for disinfecting hands.

    Science.gov (United States)

    Appelgrein, C; Hosgood, G; Dunn, A L; Schaaf, O

    2016-04-01

    Ozone is a strong oxidizing biocide that has broad-spectrum antimicrobial properties. The aim of the study was to compare the efficacy of ozone to a propanol-based hand rub for hand disinfection. Twenty subjects were enrolled in an in-vivo cross-over trial (prEN 12791). Subjects treated their hands with the reference procedure (propan-1-ol 60%) or with ozone (4 ppm). Post-wash bacterial counts were determined from one hand (immediate effect), and from the other hand that had been gloved for 3h (delayed effect). The investigation indicated that ozone is inferior to propan-1-ol 60% hand rub for hand asepsis.

  1. Analytic Study of the Tadoma Method: Effects on Hand Position of Segmental Speech Perception.

    Science.gov (United States)

    Reed, Charlotte M.; And Others

    1989-01-01

    Small-set segmental identification experiments were conducted with three deaf-blind subjects who were highly experienced users of the Tadoma method. Systematic variations in the positioning of the hand on the speaker's face for Tadoma produced systematic effects on percent-correct scores, information transfer, and perception of individual…

  2. E-learning may improve adherence to alcohol-based hand rubbing: a cohort study

    DEFF Research Database (Denmark)

    Laustsen, Sussie; Bibby, Bo Martin; Kristensen, Brian;

    2009-01-01

    BACKGROUND: Since 2004, we have promoted alcohol-based hand rubbing (HR) with an e-learning program (ELP) among hospital staff. This study sought to determine whether an ELP improves adherence to correct HR. METHODS: This was a cohort study of staff members at Aarhus University Hospital, Skejby...

  3. Unpacking Corrections in Mobile Instruction

    DEFF Research Database (Denmark)

    Levin, Lena; Cromdal, Jakob; Broth, Mathias

    2017-01-01

    This article deals with the organisation of correction in mobile instructional settings. Five sets of video data (>250 h) documenting how learners were instructed to fly aeroplanes, drive cars and ride bicycles in real life traffic were examined to reveal some common features of correction...... exchanges. Through detailed multimodal analysis of participants’ actions, it is shown how instructors systematically elaborate their corrective instructions to include relevant information about the trouble and remedial action – a practice we refer to as unpacking corrections. It is proposed...... that the practice of unpacking the local particulars of corrections (i) provides for the instructional character of the interaction, and (ii) is highly sensitive to the relevant physical and mobile contingencies. These findings contribute to the existing literature on the interactional organisation of correction...

  4. Gravitational Correction to Vacuum Polarization

    CERN Document Server

    Jentschura, U D

    2015-01-01

    We consider the gravitational correction to (electronic) vacuum polarization in the presence of a gravitational background field. The Dirac propagators for the virtual fermions are modified to include the leading gravitational correction (potential term) which corresponds to a coordinate-dependent fermion mass. The mass term is assumed to be uniform over a length scale commensurate with the virtual electron-positron pair. The on-mass shell renormalization condition ensures that the gravitational correction vanishes on the mass shell of the photon, i.e., the speed of light is unaffected by the quantum field theoretical loop correction, in full agreement with the equivalence principle. Nontrivial corrections are obtained for off-shell, virtual photons. We compare our findings to other works on generalized Lorentz transformations and combined quantum-electrodynamic gravitational corrections to the speed of light which have recently appeared in the literature.

  5. Food systems in correctional settings

    DEFF Research Database (Denmark)

    Smoyer, Amy; Kjær Minke, Linda

    Food is a central component of life in correctional institutions and plays a critical role in the physical and mental health of incarcerated people and the construction of prisoners' identities and relationships. An understanding of the role of food in correctional settings and the effective...... management of food systems may improve outcomes for incarcerated people and help correctional administrators to maximize their health and safety. This report summarizes existing research on food systems in correctional settings and provides examples of food programmes in prison and remand facilities......, including a case study of food-related innovation in the Danish correctional system. It offers specific conclusions for policy-makers, administrators of correctional institutions and prison-food-service professionals, and makes proposals for future research....

  6. Nested Quantum Error Correction Codes

    CERN Document Server

    Wang, Zhuo; Fan, Hen; Vedral, Vlatko

    2009-01-01

    The theory of quantum error correction was established more than a decade ago as the primary tool for fighting decoherence in quantum information processing. Although great progress has already been made in this field, limited methods are available in constructing new quantum error correction codes from old codes. Here we exhibit a simple and general method to construct new quantum error correction codes by nesting certain quantum codes together. The problem of finding long quantum error correction codes is reduced to that of searching several short length quantum codes with certain properties. Our method works for all length and all distance codes, and is quite efficient to construct optimal or near optimal codes. Two main known methods in constructing new codes from old codes in quantum error-correction theory, the concatenating and pasting, can be understood in the framework of nested quantum error correction codes.

  7. Hand disinfection in hospitals - benefits and risks.

    Science.gov (United States)

    Kampf, Günter; Löffler, Harald

    2010-12-01

    The WHO regards hand hygiene as an essential tool for the prevention of noso-comial infections. The hygienic hand disinfection has a superior antimicrobial efficacy compared to hand washing and should be performed as the treatment of choice before and after a variety of activities at the point of patient care. Washing hands should be preferred when the hands are visibly soiled. Skin irritation is quite common among healthcare workers and is mainly caused by water, soap and long lasting occlusion. Compliance with hand disinfection in clinical practice is often low. Measures to improve compliance include training, provision of hand rubs where they are needed, and the responsibility of doctors to set a good example. Improved compliance in hand hygiene and targeted use of alcohol-based hand rubs can reduce the nosocomial infection rate by up to 40 %. The benefit of hand disinfection is therefore much larger than possible risks. © The Authors • Journal compilation © Blackwell Verlag GmbH, Berlin.

  8. Processor register error correction management

    Science.gov (United States)

    Bose, Pradip; Cher, Chen-Yong; Gupta, Meeta S.

    2016-12-27

    Processor register protection management is disclosed. In embodiments, a method of processor register protection management can include determining a sensitive logical register for executable code generated by a compiler, generating an error-correction table identifying the sensitive logical register, and storing the error-correction table in a memory accessible by a processor. The processor can be configured to generate a duplicate register of the sensitive logical register identified by the error-correction table.

  9. Comparison of Topographic Correction Methods

    Directory of Open Access Journals (Sweden)

    Rudolf Richter

    2009-07-01

    Full Text Available A comparison of topographic correction methods is conducted for Landsat-5 TM, Landsat-7 ETM+, and SPOT-5 imagery from different geographic areas and seasons. Three successful and known methods are compared: the semi-empirical C correction, the Gamma correction depending on the incidence and exitance angles, and a modified Minnaert approach. In the majority of cases the modified Minnaert approach performed best, but no method is superior in all cases.

  10. Rapid online correction is selectively suppressed during movement with a visuomotor transformation.

    Science.gov (United States)

    Gritsenko, V; Kalaska, J F

    2010-12-01

    Reaching movements to visual targets are under fast feedback control, which can rapidly correct an ongoing movement for errors. This study investigates how this online correction is affected by the application of a new visuomotor transformation. Thirty-two subjects made planar pointing movements to visual targets. Vision of the arm was prevented, and hand position was represented by a cursor displayed in the movement plane. In some trials, the target abruptly changed location at the onset of arm movement, which required a rapid correction of movement direction. After performing baseline trials, some subjects were required to adapt to a mirror-image transformation that inverted the visual feedback of their hand position across the body midline, whereas others were not familiarized with the transformation. Afterward, subjects' online correction was tested with target jumps in the presence of the mirror transformation. Results show that after short-term motor adaptation to the mirror transformation there was a selective suppression of the rapid non-mirror correction in the direction of visual target displacement but no mirror reversal. The suppression occurred within the first few trials after the introduction of the mirror transformation, and it was strongest for the movements in which the transformation caused the largest dissociation between the target location and hand movement. Finally, whether or not the short-latency non-mirror correction was suppressed in a given trial, the mirror correction occurred at the same latency as the onset time of voluntary correction in subjects who had not experienced the mirror transformation.

  11. Food systems in correctional settings

    DEFF Research Database (Denmark)

    Smoyer, Amy; Kjær Minke, Linda

    Food is a central component of life in correctional institutions and plays a critical role in the physical and mental health of incarcerated people and the construction of prisoners' identities and relationships. An understanding of the role of food in correctional settings and the effective mana......, including a case study of food-related innovation in the Danish correctional system. It offers specific conclusions for policy-makers, administrators of correctional institutions and prison-food-service professionals, and makes proposals for future research....

  12. Responsibility and hand washing behaviour.

    Science.gov (United States)

    Taylor, Jasmine; Purdon, Christine

    2016-06-01

    Recent research suggests that compulsions persist due to a self-perpetuating mechanism of poor memory confidence and repetition. However, most of this work has examined checking compulsions and findings may not generalize well to washing compulsions. This study examined the role of responsibility in the persistence of washing behaviour. Hand washing was examined in undergraduates (n = 80) high and low in contamination fears (CF) under conditions of high or low responsibility (RL). Wash duration and number of visits to objects/locations key to the wash (e.g., soap) were examined. Overvalued responsibility predicted washing duration across groups. Neither wash duration nor number of visits was associated with memory for the wash. Wash duration predicted post-wash certainty that the wash had prevented harm, but only in the high CF group, and that effect varied according to RL: longer wash duration predicted greater certainty under conditions of low RL but predicted less certainty under conditions of high RL. Greater repetition predicted poorer sensory confidence, but only in the high CF group under high RL conditions. The data were collected in an analogue sample of modest size. Replication in a clinical sample is required. Self-perpetuating mechanisms identified in perseverative checking seem to also be present in perseverative washing, but only under conditions of high responsibility. Sensory confidence may be more important to perseverative washing than memory confidence. More research is required to understand self-perpetuating mechanisms at play when washing to under conditions of high responsibility. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. DESIGN OF A NOVEL DEXTEROUS ROBOT HAND

    Institute of Scientific and Technical Information of China (English)

    Jiang Li; Liu Hong; Xie Zongwu; Jin Minghe; Gao Xiaohui; Hirzinger G

    2004-01-01

    In the robotic community more and more hands are developed. Based on the experience of HIT Hand and DLR Hand II, a smaller and easier manufactured dexterous robot hand with multisensory function and high integration is jointly developed. The prototype of the hand is successfully built. It has 4 fingers in total 13-DOFs (degree of freedom). Each finger has 3-DOFs and 4 joints, the last 2 joints are mechanically coupled by means of four-bar linkage mechanism. It also has an additional DOF to realize motion of the thumb relative to the palm. The fingertip force can reach up to 10 N. Full integration of mechanical body, actuation system, multisensory system and electronics is a significant feature. DSP based control system is implemented in PCI bus architecture and the serial communication between the hand and DSP needs only 2 lines.

  14. Acute Arterial Thrombosis of the Hand.

    Science.gov (United States)

    Iannuzzi, Nicholas P; Higgins, James P

    2015-10-01

    Arterial thrombosis of the hand occurs infrequently but may result in considerable morbidity and compromise of hand function. The hand surgeon may be called upon to direct management in cases of acute arterial thrombosis of the hand and should have an understanding of the available diagnostic tools and treatment modalities. This article discusses the vascular anatomy of the hand and clinical manifestations of arterial thrombosis. Differences between isolated thrombosis and diffuse intravascular injury are detailed, and treatment options for these conditions are described. Appropriate care often requires coordination with interventional radiologists or vascular surgeons. Outcomes after treatment of arterial thrombosis of the hand are variable, and prognosis may be related to whether isolated thrombosis or diffuse intravascular injury is present.

  15. New orbit correction method uniting global and local orbit corrections

    Science.gov (United States)

    Nakamura, N.; Takaki, H.; Sakai, H.; Satoh, M.; Harada, K.; Kamiya, Y.

    2006-01-01

    A new orbit correction method, called the eigenvector method with constraints (EVC), is proposed and formulated to unite global and local orbit corrections for ring accelerators, especially synchrotron radiation(SR) sources. The EVC can exactly correct the beam positions at arbitrarily selected ring positions such as light source points, simultaneously reducing closed orbit distortion (COD) around the whole ring. Computer simulations clearly demonstrate these features of the EVC for both cases of the Super-SOR light source and the Advanced Light Source (ALS) that have typical structures of high-brilliance SR sources. In addition, the effects of errors in beam position monitor (BPM) reading and steering magnet setting on the orbit correction are analytically expressed and also compared with the computer simulations. Simulation results show that the EVC is very effective and useful for orbit correction and beam position stabilization in SR sources.

  16. Ownership and Agency of an Independent Supernumerary Hand Induced by an Imitation Brain-Computer Interface.

    Directory of Open Access Journals (Sweden)

    Luke Bashford

    Full Text Available To study body ownership and control, illusions that elicit these feelings in non-body objects are widely used. Classically introduced with the Rubber Hand Illusion, these illusions have been replicated more recently in virtual reality and by using brain-computer interfaces. Traditionally these illusions investigate the replacement of a body part by an artificial counterpart, however as brain-computer interface research develops it offers us the possibility to explore the case where non-body objects are controlled in addition to movements of our own limbs. Therefore we propose a new illusion designed to test the feeling of ownership and control of an independent supernumerary hand. Subjects are under the impression they control a virtual reality hand via a brain-computer interface, but in reality there is no causal connection between brain activity and virtual hand movement but correct movements are observed with 80% probability. These imitation brain-computer interface trials are interspersed with movements in both the subjects' real hands, which are in view throughout the experiment. We show that subjects develop strong feelings of ownership and control over the third hand, despite only receiving visual feedback with no causal link to the actual brain signals. Our illusion is crucially different from previously reported studies as we demonstrate independent ownership and control of the third hand without loss of ownership in the real hands.

  17. The use of kinesiology taping method in patients with rheumatoid hand--pilot study.

    Science.gov (United States)

    Szczegielniak, Jan; Łuniewski, Jacek; Bogacz, Katarzyna; Sliwiński, Zbigniew

    2012-01-01

    Rheumatoid arthritis (RA) most frequently affects smaller joints in the hands and feet. Among the most common deformations resulting from the progression of the disease are ulnar deviation, Boutonniere deformity, swan neck deformity, contractures and limited range of movement in the hand and wrist joints, muscular atrophy of long and short muscles. The topic of this article is the influence of using Kinesiology Taping method on the functioning of the hand of the patient suffering from rheumatoid arthritis. The research involved 20 patients suffering from rheumatoid arthritis (16 women, 4 men), treated in the Hospital in Kup. Average age of patients was 62.2. Research subjects, apart from pharmacological treatment in the hospital ward, received standard physiotherapy. In case of 10 patients additional K-Active Tape applications were used to correct ulnar positioning of the hand and improve hand functioning. Prior to physiotherapy, all patients were given a hand functioning test and a dynamometer measurement was made. The tests were repeated after the 2-week rehabilitation process has been completed. The results were subjected to statistical analysis with the use of the Wilcoxon test and the U Mann-Whitney test. The assessment of the correlation between analysed parameters was made with the use of linear correlation test. In the group where Kinesiology Tape applications were used, hand muscle strength increased significantly (p0.8). Results suggest Kinesiology Taping method useful for physiotherapy of rheumatoid hand.

  18. Hand eczema severity and quality of life

    DEFF Research Database (Denmark)

    Agner, Tove; Andersen, Klaus E; Brandao, Francisco M

    2008-01-01

    was found for hand eczema severity and age (P sick leave was getting higher (P ... test clinics participated in the study. Data on QoL were obtained from a self-administered questionnaire using the Dermatology Life Quality Index (DLQI). Severity was assessed by a scoring system (Hand Eczema Severity Index, HECSI) as well as frequency of eruptions and sick leave due to hand eczema...

  19. Contact Sensors for Dextrous Robotic Hands.

    Science.gov (United States)

    1986-06-01

    Contact Sensors for Dexterous Robotic Hands Memorandum 6. PERFORMING ORG. REPORT NUMOER 7. AUTiOR1(oj 11. CONTRACT OR GRANT NUIMSERI.) N00014-81-0494...current generation robots. .5.N Contact Sensors for Dexterous Robotic Hands by David Mark Siegel B.S.E. Electrical Engineering and Computer Science... Robotic Hands by David Mark Siegel Submitted to the Department of Electrical Engineering and Computer Science on April 23, 1986 in partial fulfillment of

  20. Hand Gesture Recognition: A Literature Review

    OpenAIRE

    Rafiqul Zaman Khan; Noor Adnan Ibraheem

    2012-01-01

    Hand gesture recognition system received great attention in the recent few years because of its manifoldness applications and the ability to interact with machine efficiently through human computer interaction. In this paper a survey of recent hand gesture recognition systems is presented. Key issues of hand gesture recognition system are presented with challenges of gesture system. Review methods of recent postures and gestures recognition system presented as well. Summary of res...

  1. HUMAN HAND STUDY FOR ROBOTIC EXOSKELETON DELVELOPMENT

    Directory of Open Access Journals (Sweden)

    BIROUAS Flaviu Ionut

    2016-11-01

    Full Text Available This paper will be presenting research with application in the rehabilitation of hand motor functions by the aid of robotics. The focus will be on the dimensional parameters of the biological human hand from which the robotic system will be developed. The term used for such measurements is known as anthropometrics. The anthropometric parameters studied and presented in this paper are mainly related to the angular limitations of the finger joints of the human hand.

  2. Hand Specific Representations in Language Comprehension

    Directory of Open Access Journals (Sweden)

    Claire eMoody-Triantis

    2014-06-01

    Full Text Available Theories of embodied cognition argue that language comprehension involves sensory-motor re-enactments of the actions described. However, the degree of specificity of these re-enactments as well as the relationship between action and language remains a matter of debate. Here we investigate these issues by examining how hand-specific information (left or right hand is recruited in language comprehension and action execution. An fMRI study tested right-handed participants in two separate tasks that were designed to be as similar as possible to increase sensitivity of the comparison across task: an action execution go/no-go task where participants performed right or left hand actions, and a language task where participants read sentences describing the same left or right handed actions as in the execution task. We found that language-induced activity did not match the hand-specific patterns of activity found for action execution in primary somatosensory and motor cortex, but it overlapped with pre-motor and parietal regions associated with action planning. Within these pre-motor regions, both right hand actions and sentences elicited stronger activity than left hand actions and sentences - a dominant hand effect -. Importantly, both dorsal and ventral sections of the left pre-central gyrus were recruited by both tasks, suggesting different action features being recruited. These results suggest that (a language comprehension elicits motor representations that are hand-specific and akin to multimodal action plans, rather than full action re-enactments; and (b language comprehension and action execution share schematic hand-specific representations that are richer for the dominant hand, and thus linked to previous motor experience.

  3. Photonic crystal with left-handed components

    CERN Document Server

    Markos, Peter

    2015-01-01

    We show that the periodic array of left-handed cylinders possesses a rich spectrum of guided modes when the negative permeability of cylinders equals exactly to minus value of permeability of embedding media. These resonances strongly influences propagation of electromagnetic waves through photonic structures made from left-handed materials. A series of Fano resonances excited by incident wave destroys the band frequency spectrum of square array of left-handed cylinders and increases considerably the absorption of transmitted waves.

  4. Robot-assisted assessment of vibration perception and localization on the hand.

    Science.gov (United States)

    Lambercy, Olivier; Kim, Yeongmi; Gassert, Roger

    2013-03-01

    Sensory perception is crucial for motor learning and the control of fine manipulations. However, therapy after stroke still strongly focuses on the training of motor skills. Sensory assessments are often left out or provide only very subjective data from poorly controlled stimuli. This paper presents a vibration detection/localization test with the Robotic Sensory Trainer, a device that focuses entirely on the assessment and training of sensory function of the hand, with the aim of gaining insights into the prevalence and severity of sensory deficits after stroke, and to provide semiobjective data on absolute and difference perception thresholds in patients. An initial feasibility study investigated localization performance and reaction time during the discrimination of vibration stimuli presented in four locations on the dominant and nondominant hands of 13 healthy volunteers. High correct detection rates were observed (mean ± SD of 99.6% ± 0.6%), touch screen PC Robotic Sensory Trainer which were found to be significantly different between stimulus locations on the dominant hand. Average correct detection rates were not statistically different between dominant and nondominant hand. These data will serve as baseline for future measurements on elderly and stroke subjects, and suggest that data from the nonimpaired hand could be used to identify and assess sensory deficits in the affected hand of stroke patients.

  5. Case series on tropical diabetic hand syndrome.

    Science.gov (United States)

    Ezeani, I U; Edo, A E

    2014-01-01

    Tropical diabetic hand syndrome is a term used to describe diabetes complication of the hand affecting people in the tropics. It consists of localized cellulitis with variable swelling and ulceration of the hands, progressive, fulminant hand sepsis and gangrene in extreme cases. This syndrome is not well-recognized and is therefore less frequently reported. The authors describe three different female patients who were known diabetics of varying duration presenting with this syndrome at our tertiary health center and who were successfully managed by both the surgical and medical units. The need for early diagnosis and aggressive management is emphasized.

  6. Comparative Analysis of Hand Gesture Recognition Techniques

    Directory of Open Access Journals (Sweden)

    Arpana K. Patel

    2015-03-01

    Full Text Available During past few years, human hand gesture for interaction with computing devices has continues to be active area of research. In this paper survey of hand gesture recognition is provided. Hand Gesture Recognition is contained three stages: Pre-processing, Feature Extraction or matching and Classification or recognition. Each stage contains different methods and techniques. In this paper define small description of different methods used for hand gesture recognition in existing system with comparative analysis of all method with its benefits and drawbacks are provided.

  7. Assessing patient awareness of proper hand hygiene.

    Science.gov (United States)

    Busby, Sunni R; Kennedy, Bryan; Davis, Stephanie C; Thompson, Heather A; Jones, Jan W

    2015-05-01

    The authors hypothesized that patients may not understand the forms of effective hand hygiene employed in the hospital environment. Multiple studies demonstrate the importance of hand hygiene in reducing healthcare-associated infections (HAIs). Extensive research about how to improve compliance has been conducted. Patients' perceptions of proper hand hygiene were evaluated when caregivers used soap and water, waterless hand cleaner, or a combination of these. No significant differences were observed, but many patients reported they did not notice whether their providers cleaned their hands. Educating patients and their caregivers about the protection afforded by proper, consistent hand hygiene practices is important. Engaging patients to monitor healthcare workers may increase compliance, reduce the spread of infection, and lead to better overall patient outcomes. This study revealed a need to investigate the effects of patient education on patient perceptions of hand hygiene. Results of this study appear to indicate a need to focus on patient education and the differences between soap and water versus alcohol-based hand sanitizers as part of proper hand hygiene. Researchers could be asking: "Why have patients not been engaged as members of the healthcare team who have the most to lose?"

  8. Anthropomorphic Robot Hand And Teaching Glove

    Science.gov (United States)

    Engler, Charles D., Jr.

    1991-01-01

    Robotic forearm-and-hand assembly manipulates objects by performing wrist and hand motions with nearly human grasping ability and dexterity. Imitates hand motions of human operator who controls robot in real time by programming via exoskeletal "teaching glove". Telemanipulator systems based on this robotic-hand concept useful where humanlike dexterity required. Underwater, high-radiation, vacuum, hot, cold, toxic, or inhospitable environments potential application sites. Particularly suited to assisting astronauts on space station in safely executing unexpected tasks requiring greater dexterity than standard gripper.

  9. Determinants of Attentional Modulation Near the Hands

    Directory of Open Access Journals (Sweden)

    Holger eSchultheis

    2013-11-01

    Full Text Available A series of visual search experiments conducted by Abrams et al. (2008 indicates that disengagement of visual attention is slowed when the array of objects that are to be searched are close to the hands (hands on the monitor than if they are not close to the hands (hands in the lap. These experiments establish the impact one's hands can have on visual attentional processing. In the current paper we more closely examine these two hand postures with the goal of pinpointing which characteristics are crucial for the observed differences in attentional processing. Specifically, in a set of 4 experiments we investigated additional hand postures and additional modes of response to address this goal. We replicated the original Abrams et al. (2008 effect when only the two original postures were used; however, surprisingly, the effect was extinguished with the new range of postures and response modes, and this extinction persisted across different populations (German and English students, and different experimental hardware. Furthermore, analyses indicated that it is unlikely that the extinction of the effect was caused by increased practice due to additional blocks of trials or by an increased probability that participants were able to guess the purpose of the experiment. As such our results suggest that in addition to the nature of the postures of the hand, the number of postures is a further important factor that influences the impact the hands have on visual processing.

  10. Efficient human hand kinematics for manipulation tasks

    OpenAIRE

    Cobos Guzmán, Salvador; Ferre Perez, Manuel; Sanchez-Uran Gonzalez, Miguel Angel; Ortego la Moneda, Javier; Peña, César

    2008-01-01

    This work is focused on obtaining efficient human hand models that are suitable for manipulation tasks. A 24 DoF kinematic model of the human hand is defined to realistic movements. This model is based on the human skeleton. Dynamic and Static constraints have been included in order to improve the movement realism. Two simplified hand models with 9 and 6 DoF have been developed according to the constraints predefined. These simplified models involve some errors in reconstructing the hand post...

  11. Superunderactuated Multifingered Hand for Humanoid Robot

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wen-zeng; CHEN Qiang; SUN Zhen-guo; XU Lei

    2006-01-01

    A novel underactuated fmger mechanism was designed.Finger mechanism was incoroorated into a humanoid robot hand to obtain more degrees of freedom with less actuators and good grasping functions with shape adaptation,therefore decreasing the requirements for the control systern.A novel superunderactuated multifingered hand (TH-2 Hand)for a humanoid robot was designed based on a previous underactuated finger mechanism.The TH-2 Hand was attached to a humanoid robot because of its high personification,supemnderactuation,compactness,easy real-time control,small volume,light weight,and strong graspmg tunction.

  12. Survival of pneumococcus on hands and fomites

    Directory of Open Access Journals (Sweden)

    Beissbarth Jemima

    2008-11-01

    Full Text Available Abstract Background Pneumococcal hand contamination in Indigenous children in remote communities is common (37%. It is not clear whether this requires frequent inoculation, or if pneumococci will survive on hands for long periods of time. Thus the aim of this study was to determine the survival time of pneumococci on hands and fomites. Findings The hands of 3 adult volunteers, a glass plate and plastic ball were inoculated with pneumococci suspended in two different media. Survival at specified time intervals was determined by swabbing and re-culture onto horse blood agar. Pneumococci inoculated onto hands of volunteers were recovered after 3 minutes at 4% to 79% of the initial inoculum. Recovery from one individual was consistently higher. By one hour, only a small number of pneumococci were recovered and this was dependent on the suspension medium used. At subsequent intervals and up to 3 hours after inoculation, Conclusion The poor survival of pneumococci on hands suggests that the high prevalence of pneumococcal hand contamination in some populations is related to frequent inoculation rather than long survival. It is plausible that hand contamination plays a (brief role in transmission directly, and indirectly through contamination via fomites. Regular hand washing and timely cleansing or removal of contaminated fomites may aid control of pneumococcal transmission via these routes.

  13. Cool Cluster Correctly Correlated

    Energy Technology Data Exchange (ETDEWEB)

    Varganov, Sergey Aleksandrovich [Iowa State Univ., Ames, IA (United States)

    2005-01-01

    Atomic clusters are unique objects, which occupy an intermediate position between atoms and condensed matter systems. For a long time it was thought that physical and chemical properties of atomic dusters monotonically change with increasing size of the cluster from a single atom to a condensed matter system. However, recently it has become clear that many properties of atomic clusters can change drastically with the size of the clusters. Because physical and chemical properties of clusters can be adjusted simply by changing the cluster's size, different applications of atomic clusters were proposed. One example is the catalytic activity of clusters of specific sizes in different chemical reactions. Another example is a potential application of atomic clusters in microelectronics, where their band gaps can be adjusted by simply changing cluster sizes. In recent years significant advances in experimental techniques allow one to synthesize and study atomic clusters of specified sizes. However, the interpretation of the results is often difficult. The theoretical methods are frequently used to help in interpretation of complex experimental data. Most of the theoretical approaches have been based on empirical or semiempirical methods. These methods allow one to study large and small dusters using the same approximations. However, since empirical and semiempirical methods rely on simple models with many parameters, it is often difficult to estimate the quantitative and even qualitative accuracy of the results. On the other hand, because of significant advances in quantum chemical methods and computer capabilities, it is now possible to do high quality ab-initio calculations not only on systems of few atoms but on clusters of practical interest as well. In addition to accurate results for specific clusters, such methods can be used for benchmarking of different empirical and semiempirical approaches. The atomic clusters studied in this work contain from a few atoms

  14. Impact of the amount of hand rub applied in hygienic hand disinfection on the reduction of microbial counts on hands.

    Science.gov (United States)

    Goroncy-Bermes, P; Koburger, T; Meyer, B

    2010-03-01

    Two different hand rubs were tested in order to investigate the minimum volume required for microbicidal efficacy according to the European Norm EN 1500; we also sought to determine whether there is a correlation with hand size. Eight male volunteers with big hands (mean 184 cm(2)) and eight female volunteers with significantly smaller hands (mean 148 cm(2); Pdisinfectant (R) (product A: P=3.34, R=4.00, P=0.001; product B: P=3.37, R=3.75, P=0.022). Higher volumes (product A: 3 and 4 mL; product B: 2.5, 3 and 4 mL) ensured that the pass criteria of the European Norm (EN) 1500 were fulfilled. For both products log(10) reductions increased with increasing product volume until a plateau was reached. For the smaller female hands, this plateau level was reached after applying 3 mL of product A and 2.5 mL of product B. The plateau level on male hands was observed after treating the hands with > or =4 mL of product A and 3 mL of product B. The increase in product volume also correlated with the decrease in the number of volunteers considering the product volume applied as insufficient. In conclusion, the applied volume for hygienic hand rub should not fall below 3 mL in order to achieve maximum benefit.

  15. Principal components analysis based control of a multi-dof underactuated prosthetic hand

    Directory of Open Access Journals (Sweden)

    Magenes Giovanni

    2010-04-01

    Full Text Available Abstract Background Functionality, controllability and cosmetics are the key issues to be addressed in order to accomplish a successful functional substitution of the human hand by means of a prosthesis. Not only the prosthesis should duplicate the human hand in shape, functionality, sensorization, perception and sense of body-belonging, but it should also be controlled as the natural one, in the most intuitive and undemanding way. At present, prosthetic hands are controlled by means of non-invasive interfaces based on electromyography (EMG. Driving a multi degrees of freedom (DoF hand for achieving hand dexterity implies to selectively modulate many different EMG signals in order to make each joint move independently, and this could require significant cognitive effort to the user. Methods A Principal Components Analysis (PCA based algorithm is used to drive a 16 DoFs underactuated prosthetic hand prototype (called CyberHand with a two dimensional control input, in order to perform the three prehensile forms mostly used in Activities of Daily Living (ADLs. Such Principal Components set has been derived directly from the artificial hand by collecting its sensory data while performing 50 different grasps, and subsequently used for control. Results Trials have shown that two independent input signals can be successfully used to control the posture of a real robotic hand and that correct grasps (in terms of involved fingers, stability and posture may be achieved. Conclusions This work demonstrates the effectiveness of a bio-inspired system successfully conjugating the advantages of an underactuated, anthropomorphic hand with a PCA-based control strategy, and opens up promising possibilities for the development of an intuitively controllable hand prosthesis.

  16. One-loop Corrections to Scalar and Tensor Perturbations during Inflation in Stochastic Gravity

    CERN Document Server

    Urakawa, Yuko

    2008-01-01

    Based on the stochastic gravity, we study the loop corrections to the scalar and tensor perturbations during inflation. Since the loop corrections to scalar perturbations suffer infrared (IR) divergence, we consider the IR regularization to obtain the finite value. We find that the loop corrections to the scalar perturbations are amplified by the e-folding; in other words there appear the logarithmic correction, just as discussed by M.Sloth et.al. On the other hand, we find that the tensor perturbations do not suffer from infrared divergence.

  17. One-loop corrections to scalar and tensor perturbations during inflation in stochastic gravity

    Science.gov (United States)

    Urakawa, Yuko; Maeda, Kei-Ichi

    2008-09-01

    Based on the stochastic gravity, we study the loop corrections to the scalar and tensor perturbations during inflation. Since the loop corrections to scalar perturbations suffer infrared divergence, we consider the IR regularization to obtain the finite value. We find that the loop corrections to the scalar perturbations are amplified by the e-folding; in other words there appears the logarithmic correction, just as discussed by M. Sloth et al. On the other hand, we find that the tensor perturbations do not suffer from infrared divergence.

  18. One-Loop Corrections to Scalar and Tensor Perturbations during Inflation

    Science.gov (United States)

    Urakawa, Y.; Maeda, K.

    2008-04-01

    Based on the stochastic gravity, we study the loop corrections to the scalar and tensor perturbations during inflation. Since the loop corrections to scalar perturbations suffer the infrared(IR) divergence, we consider the IR regularization to obtain the finite value. We find that the loop correction is amplified by the e-folding, in other words there appears the logarithmic corrections, just as discussed by M.Sloth et.al. On the other hand, we find that the tensor perturbations do not suffer from the infrared divergence.

  19. Unpacking Corrections in Mobile Instruction

    DEFF Research Database (Denmark)

    Levin, Lene; Broth, Mathias; Cromdal, Jakob

    2017-01-01

    This article deals with the organisation of correction in mobile instructional settings. Five sets of video data (>250 h) documenting how learners were instructed to fly aeroplanes, drive cars and ride bicycles in real life traffic were examined to reveal some common features of correction exchan...

  20. Feature Referenced Error Correction Apparatus.

    Science.gov (United States)

    A feature referenced error correction apparatus utilizing the multiple images of the interstage level image format to compensate for positional...images and by the generation of an error correction signal in response to the sub-frame registration errors. (Author)

  1. Perfection of technical and tactical preparation of sportsmen of hand-to-hand fight

    Directory of Open Access Journals (Sweden)

    Serebryak V.V.

    2010-06-01

    Full Text Available Essence of innovative hike is considered to upgrading preparation of sportsmen of hand-to-hand fight. 58 sportsmen of section of hand-to-hand fight took part in research. Age of sportsmen are from 17 to 22 years. Developed and approved the most effective technical and tactical charts of construction of duel with the opponents of different styles of single combats. It is well-proven that offered approach instrumental in development of operative thought and adaptation to sparring of hand-to-hand fight.

  2. Left-handed and right-handed rotation double function circular polarizer

    Institute of Scientific and Technical Information of China (English)

    TANG Heng-jing; WU Fu-quan; DENG Hong-yan; ZHAO Shuang

    2005-01-01

    In order to gain circularly polarized light of left-handed and right-handed rotation by using a fixed device, a left-handed and right-handed rotation double function circular polarizer is designed with two λ/4 retarders and one polarizer, and its operating principle is analysed by matrix optical means. The result indicates that when the monochromatic light enters this circular polarizer in the positive direction and the negative direction,the emergent light should be circularly polarized light,of left-handed and right-handed rotation respectively. The testing system has been established to verify the above results.

  3. Hand-held metal detector identification of ingested foreign bodies.

    Science.gov (United States)

    Sacchetti, A; Carraccio, C; Lichenstein, R

    1994-08-01

    The study purpose was to determine the ability of hand-held metal detectors (HHMDs) to identify the presence of ingested metallic foreign bodies (MFBs). Twenty-three children presenting to the emergency department with a complaint of MFBs ingested were enrolled. Sixteen of 23 patients had radiographically proven foreign bodies. The MFBs comprised coins (n = 11), a button battery (n = 1), a medallion (n = 1), a token (n = 1), a needle (n = 1), and a marble (leaded glass) (n = 1). The HHMD correctly detected 15 of 16 radiographically positive MFBs (93%) and correctly excluded a potential MFB in six of six radiographically negative cases. The only foreign body not detected was an ingested needle. One radiograph was equivocal. Radiographic localization of the ingested objects was as follows: esophagus, n = 4; stomach, n = 9; and intestines, n = 3. The HHMD correctly localized all detected MFBs. The HHMD had a sensitivity of 94%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 86%. HHMDs are effective screening devices for possible ingested MFBs. Positive studies localized to the stomach and lower gastrointestinal tract do not require confirmatory radiographic studies.

  4. Radiative Corrections in the (Varying Power)-Law Modified Gravity

    CERN Document Server

    Hammad, Fayçal

    2015-01-01

    Although the (varying power)-law modified gravity toy model has the attractive feature of unifying the early and late-time expansions of the Universe, thanks to the peculiar dependence of the scalar field's potential on the scalar curvature, the model still suffers from the fine-tuning problem when used to explain the actually observed Hubble parameter. Indeed, a more correct estimate of the mass of the scalar field needed to comply with actual observations gives an unnaturally small value. On the other hand, for a massless scalar field the potential would have no minimum and hence the field would always remain massless. What solves these issues are the radiative corrections that modify the field's effective potential. These corrections raise the field's effective mass rendering the model free from fine-tuning, immune against positive fifth-force tests, and better suited to tackle the dark matter sector.

  5. Hand1 overexpression inhibits medulloblastoma metastasis

    Energy Technology Data Exchange (ETDEWEB)

    Asuthkar, Swapna; Guda, Maheedhara R. [Department of Cancer Biology and Pharmacology, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Martin, Sarah E. [Department of Pathology, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Antony, Reuben; Fernandez, Karen [Department of Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Lin, Julian [Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Tsung, Andrew J. [Department of Cancer Biology and Pharmacology, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Illinois Neurological Institute, Peoria, IL 61656 (United States); Velpula, Kiran K., E-mail: velpula@uic.edu [Department of Cancer Biology and Pharmacology, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States); Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, IL 61656 (United States)

    2016-08-19

    Medulloblastoma (MB) is the most frequent malignant pediatric brain tumor. Current treatment includes surgery, radiation and chemotherapy. However, ongoing treatment in patients is further classified according to the presence or absence of metastasis. Since metastatic medulloblastoma are refractory to current treatments, there is need to identify novel biomarkers that could be used to reduce metastatic potential, and more importantly be targeted therapeutically. Previously, we showed that ionizing radiation-induced uPAR overexpression is associated with increased accumulation of β-catenin in the nucleus. We further demonstrated that uPAR protein act as cytoplasmic sequestration factor for a novel basic helix-loop-helix transcription factor, Hand1. Among the histological subtypes classical and desmoplastic subtypes account for the majority while large cell/anaplastic variant is most commonly associated with metastatic disease. In this present study using immunohistochemical approach and patient data mining for the first time, we demonstrated that Hand1 expression is observed to be downregulated in all the subtypes of medulloblastoma. Previously we showed that Hand1 overexpression regulated medulloblastoma angiogenesis and here we investigated the role of Hand1 in the context of Epithelial-Mesenchymal Transition (EMT). Moreover, UW228 and D283 cells overexpressing Hand1 demonstrated decreased-expression of mesenchymal markers (N-cadherin, β-catenin and SOX2); metastatic marker (SMA); and increased expression of epithelial marker (E-cadherin). Strikingly, human pluripotent stem cell antibody array showed that Hand1 overexpression resulted in substantial decrease in pluripotency markers (Nanog, Oct3/4, Otx2, Flk1) suggesting that Hand1 expression may be essential to attenuate the EMT and our findings underscore a novel role for Hand1 in medulloblastoma metastasis. - Highlights: • Hand1 expression is downregulated in Medulloblastoma. • Hand1 over expression reduce

  6. Hand hygiene in emergency medical services.

    Science.gov (United States)

    Teter, Jonathan; Millin, Michael G; Bissell, Rick

    2015-01-01

    Hospital-acquired infections (HAIs) affect millions of patients annually (World Health Organization. Guidelines on Hand Hygiene in Healthcare. Geneva: WHO Press; 2009). Hand hygiene compliance of clinical staff has been identified by numerous studies as a major contributing factor to HAIs around the world. Infection control and hand hygiene in the prehospital environment can also contribute to patient harm and spread of infections. Emergency medical services (EMS) practitioners are not monitored as closely as hospital personnel in terms of hand hygiene training and compliance. Their ever-changing work environment is less favorable to traditional hospital-based aseptic techniques and education. This study aimed to determine the current state of hand hygiene practices among EMS providers and to provide recommendations for improving practices in the emergency health services environment. This study was a prospective, observational prevalence study and survey, conducted over a 2-month period. We selected participants from visits to three selected hospital emergency departments in the mid-Atlantic region. There were two data components to the study: a participant survey and hand swabs for pathogenic cultures. This study recruited a total sample of 62 participants. Overall, the study revealed that a significant number of EMS providers (77%) have a heavy bacterial load on their hands after patient care. All levels of providers had a similar distribution of bacterial load. Survey results revealed that few providers perform hand hygiene before (34%) or in between patients (24%), as recommended by the Centers for Disease Control and Prevention guidelines. This study demonstrates that EMS providers are potential vectors of microorganisms if proper hand hygiene is not performed properly. Since EMS providers treat a variety of patients and operate in a variety of environments, providers may be exposed to potentially pathogenic organisms, serving as vectors for the exposure of

  7. Transfer of fibres on the hands of living subjects and their persistence during hand washing.

    Science.gov (United States)

    Hong, Sungwook; Han, Aleum; Kim, Sojung; Son, Dasom; Min, Heewon

    2014-12-01

    Textile fibres were transferred to the hands of ten living subjects and their persistence was determined after hand washing. Average number of fibres transferred was 300 ± 133 (female 288 ± 92, male 311 ± 163) per 100 cm(2) hand area in the 100 experiments. However the number of fibres transferred was not gender dependent but individual dependent. The hand texture of subjects was compared with the number of fibres transferred but the relationship was not observed. The number of fibres transferred varied significantly for the 10 repeated experiments performed under the same conditions for the same subject. The subjects were then asked to wash their hands with water. One test group washed their hands with standing water, and the other with running tap water. Afterwards, the number of fibres remaining on the test subjects' hands were investigated. Migration of the fibres on the surface of the observed hands did occur but total loss of transferred fibre after hand washing did not occur. The average number of fibres remaining per 100 cm(2) hand area was 14 ± 10 (range=3-72) for hand washing with standing water, and 10 ± 12 (range=0-79) for washing with running tap water. The results of this study show the possibility of finding fibres on the hands of a person involved in a criminal case even after hand washing before fibre collection.

  8. Right-handed charged currents in the era of the Large Hadron Collider arXiv

    CERN Document Server

    Alioli, S.; Dekens, W.; de Vries, J.; Mereghetti, E.

    We discuss the phenomenology of right-handed charged currents in the framework of the Standard Model Effective Field Theory, in which they arise due to a single gauge-invariant dimension-six operator. We study the manifestations of the nine complex couplings of the $W$ to right-handed quarks in collider physics, flavor physics, and low-energy precision measurements. We first obtain constraints on the couplings under the assumption that the right-handed operator is the dominant correction to the Standard Model at observable energies. We subsequently study the impact of degeneracies with other Beyond-the-Standard-Model effective interactions and identify observables, both at colliders and low-energy experiments, that would uniquely point to right-handed charged currents.

  9. Shape-based hand recognition approach using the morphological pattern spectrum

    Science.gov (United States)

    Ramirez-Cortes, Juan Manuel; Gomez-Gil, Pilar; Sanchez-Perez, Gabriel; Prieto-Castro, Cesar

    2009-01-01

    We propose the use of the morphological pattern spectrum, or pecstrum, as the base of a biometric shape-based hand recognition system. The system receives an image of the right hand of a subject in an unconstrained pose, which is captured with a commercial flatbed scanner. According to pecstrum property of invariance to translation and rotation, the system does not require the use of pegs for a fixed hand position, which simplifies the image acquisition process. This novel feature-extraction method is tested using a Euclidean distance classifier for identification and verification cases, obtaining 97% correct identification, and an equal error rate (EER) of 0.0285 (2.85%) for the verification mode. The obtained results indicate that the pattern spectrum represents a good feature-extraction alternative for low- and medium-level hand-shape-based biometric applications.

  10. Underactuated hands: fundamentals, performance analysis and design

    NARCIS (Netherlands)

    Kragten, G. A.

    2011-01-01

    There is an emerging need to apply adaptive robotic hands to substitute humans in dangerous, laborious, or monotonous work. The state-of-the-art robotic hands cannot fulfill this need, because they are expensive, hard to control and they consist of many vulnerable motors and sensors. It is aimed to

  11. Guidelines for hand hygiene in hospital

    Directory of Open Access Journals (Sweden)

    Christina Sotnikova

    2013-10-01

    Full Text Available The appropriate compliance of rules regarding hand hygiene, have been and continue to be, one of the basic points of all prevention programs of nosocomial infections. Aim: The aim of the present study was the presentation of guidelines for hand hygiene by nurses. Method and material: Study of international and Greek literature from electronic databases Medline, PubMed and scientific journals, KEELPNO mainly from the last three years. The keywords used were: nosocomial infections, hand hygiene, antiseptics and guidelines. Results: There are numerous studies that demonstrate the central role of hand hygiene of employees in transmission of microorganisms in the hospital environment. Hand hygiene is a process, which should not be omitted or replaced by the use of antiseptics. The professionals position in the hospital, the workplace and staff shortages, in conjunction with the large number of hospitalized patients seem to be the main factors that negatively affect the compliance with hand hygiene. The staff working in the hospital, especially with high-risk patients (ICU, surgery should not wear artificial nails, nail polish and jewelry - rings and should not have inflammation or infection on their hands. Conclusions: Hand hygiene should be applied before and after contact with each patient. Nurses have to comply with these guidelines, in order for the effective prevention and control of nosocomial infections.

  12. 30 CFR 57.7028 - Hand clearance.

    Science.gov (United States)

    2010-07-01

    ... Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Drilling and Rotary Jet Piercing Drilling-Underground Only § 57.7028 Hand clearance. Persons shall not rest their hands on the chuck...

  13. Hand kinematics: Application in clinical practice

    Directory of Open Access Journals (Sweden)

    Santosh Rath

    2011-01-01

    Full Text Available Pathological conditions of the hand consequent to injuries, paralysis, disease, arthritis and congenital difference results in loss or limitation of function, deformities, stiffness, inadequate power and poor position for pinch. The pathogenesis of deformities is influenced by bio-mechanical principles of joints and muscle function. The crippling impact of secondary changes due to edema, soft tissue contractures, muscle shortening and functional adaptations also have a mechanical basis. For clinicians and hand therapists, it is necessary to understand these fundamental principles of biomechanics to plan treatment modalities. Interpretation of mechanics of hand deformities in rheumatoid arthritis and paralysis will enable the treating team to identify the appropriate interventions of splinting, therapy and surgical procedures. Basic knowledge of the principles of hand clinical bio-mechanics will help the beginner to sail through the multitude of tendon transfers described in the text books of hand surgery and find the best solution for a particular clinical presentation. Similarly, knowledge of bio-mechanics will provide solutions to an experienced surgeon to plan treatment protocols for complex situations. The article presents a concise summary of the basic principles of hand bio-mechanics for common hand conditions seen in clinical practice. Understanding and applying these principles will help clinicians in planning and devising treatment options for common and complex hand conditions.

  14. Hand Hygiene Practices among Medical Students

    Directory of Open Access Journals (Sweden)

    Azzam al Kadi

    2012-01-01

    Full Text Available Background. Hand hygiene is a cost-effective method in preventing infection transmission. Hand hygiene practices have been found to be faulty in most healthcare settings. We conducted a study to evaluate the awareness, and compliance of hand hygiene among undergraduate medical students during their clinical phase in Qassim College of Medicine, Saudi Arabia. Methods. A questionnaire based on World Health Organization’s concept of “Five Moments for Hand Hygiene” was used to evaluate the awareness of the indications for hand hygiene and compliance was observed during Objective Structured Clinical Examination (OSCE sessions. Sixty students including thirty-six males (60% and twenty-four females (40% participated voluntarily in the study. Results. The average awareness regarding the positive indications of hand hygiene was 56%. Rest of the 44% of students were either not sure or unaware of the indications of hygiene. Only 29% of students were able to identify all the five indications for hand hygiene in the questionnaire. Compliance as assessed during OSCE sessions was only 17% with no significant difference between the genders. Conclusion. It was concluded that serious efforts are needed to improve the hand hygiene practices among medical students.

  15. Florid reactive periostitis of the hands.

    Science.gov (United States)

    Jambhekar, Nirmala A; Desai, Saral S; Puri, Ajay; Agarwal, Manish

    2004-11-01

    Reactive periostitis of the hand can be a confounding lesion on both radiological and histological grounds. An erroneous diagnosis of a malignant tumor, particularly an osteosarcoma, is a possibility. Two cases of florid reactive periostitis of the hand mistaken for osteosarcoma are reported here to illustrate this entity and caution against a diagnostic pitfall.

  16. Florid reactive periostitis of the hands

    Energy Technology Data Exchange (ETDEWEB)

    Jambhekar, Nirmala A.; Desai, Saral S. [Tata Memorial Hospital, Department of Pathology, Mumbai, Maharashtra (India); Puri, Ajay; Agarwal, Manish [Tata Memorial Hospital, Department of Orthopedics, Mumbai, Maharashtra (India)

    2004-11-01

    Reactive periostitis of the hand can be a confounding lesion on both radiological and histological grounds. An erroneous diagnosis of a malignant tumor, particularly an osteosarcoma, is a possibility. Two cases of florid reactive periostitis of the hand mistaken for osteosarcoma are reported here to illustrate this entity and caution against a diagnostic pitfall. (orig.)

  17. Hand-Clap Songs across the Curriculum

    Science.gov (United States)

    Batchelor, Katherine E.; Bintz, William P.

    2012-01-01

    This teaching tip focuses on using hand-clapping to teach content area material across the curriculum. We begin with a brief history of hand-clap songs, followed by a rationale for using them in content area literacy. Then, we describe the instructional lesson, share samples that resulted, and discuss lesson extensions. Our goal is to have…

  18. Rubber hand illusion affects joint angle perception.

    Directory of Open Access Journals (Sweden)

    Martin V Butz

    Full Text Available The Rubber Hand Illusion (RHI is a well-established experimental paradigm. It has been shown that the RHI can affect hand location estimates, arm and hand motion towards goals, the subjective visual appearance of the own hand, and the feeling of body ownership. Several studies also indicate that the peri-hand space is partially remapped around the rubber hand. Nonetheless, the question remains if and to what extent the RHI can affect the perception of other body parts. In this study we ask if the RHI can alter the perception of the elbow joint. Participants had to adjust an angular representation on a screen according to their proprioceptive perception of their own elbow joint angle. The results show that the RHI does indeed alter the elbow joint estimation, increasing the agreement with the position and orientation of the artificial hand. Thus, the results show that the brain does not only adjust the perception of the hand in body-relative space, but it also modifies the perception of other body parts. In conclusion, we propose that the brain continuously strives to maintain a consistent internal body image and that this image can be influenced by the available sensory information sources, which are mediated and mapped onto each other by means of a postural, kinematic body model.

  19. The Hot Hand Belief and Framing Effects

    Science.gov (United States)

    MacMahon, Clare; Köppen, Jörn; Raab, Markus

    2014-01-01

    Purpose: Recent evidence of the hot hand in sport--where success breeds success in a positive recency of successful shots, for instance--indicates that this pattern does not actually exist. Yet the belief persists. We used 2 studies to explore the effects of framing on the hot hand belief in sport. We looked at the effect of sport experience and…

  20. Illness representations in patients with hand injury.

    LENUS (Irish Health Repository)

    Chan, Jeffrey C Y

    2009-07-01

    Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting.

  1. Emotions affect the recognition of hand postures

    Directory of Open Access Journals (Sweden)

    Carmelo Mario Vicario

    2013-12-01

    Full Text Available The body is closely tied to the processing of social and emotional information. The purpose of this study was to determine whether a relationship between emotions and social attitudes conveyed through gestures exists. Thus we tested the effect of pro-social (i.e. happy face and anti-social (i.e. angry face emotional primes on the ability to detect socially relevant handpostures (i.e. pictures depicting an open/closed hand. In particular, participants were required to establish, as quickly as possible, if the test stimulus (i.e. a hand posture was the same or different, compared to the reference stimulus (i.e. a hand posture previously displayed in the computer screen. Results show that facial primes, displayed between the reference and the test stimuli, influence the recognition of hand postures, according to the social attitude implicitly related to the stimulus. We found that perception of pro-social (i.e. happy face primes resulted in slower RTs in detecting the open hand posture as compared to the closed hand posture. Vice-versa, perception of the anti-social (i.e. angry face prime resulted in slower RTs in detecting the closed hand posture compared to the open hand posture. These results suggest that the social attitude implicitly suggested by the displayed stimuli might represent the conceptual link between emotions and gestures.

  2. 29 CFR 1915.133 - Hand tools.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Hand tools. 1915.133 Section 1915.133 Labor Regulations...) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Tools and Related Equipment § 1915.133 Hand tools. The provisions of this section shall apply to ship repairing, shipbuilding and shipbreaking....

  3. Surgical hand hygiene: scrub or rub?

    Science.gov (United States)

    Widmer, A F

    2013-02-01

    Surgical hand hygiene is standard care prior to any surgical procedure. Per-operative glove punctures are observed in almost 30% of all interventions, and a risk factor for postoperative infections. In the past, washing hands with antimicrobial soap and water (surgical scrub) was the norm, mainly with chlorhexidine or iodine. More recently, alcohol-based hand rub has been successfully introduced, showing greater effectiveness, less irritation to the hands, and requiring less time than washing hands. All products should have a remnant effect that delays microbial growth under the gloved hand. Some of the alcohol-based compounds are effective (as determined by the European Norm EN 12791) within 90 s whereas others require 3-5 min, similar to the scrub. The short procedure relies heavily on proper technique and timing, since lowering the exposure time to surgical hand hygiene should meet EN 12791 in Europe, or other standards, such as the US Food and Drug Administration tentative final monograph norm in the USA. It is best performed by using an alcohol-based hand rub, but a scrub with chlorhexidine-containing soap also meets these standards.

  4. The Left-Handed: "Their Sinister" History.

    Science.gov (United States)

    Costas, Elaine Fowler

    The history of left-handedness can provide teachers and parents a better understanding of left-handed children and give those children more pride in their difference. No child should be made to feel that he or she is abnormal because of using the left hand, although some specific instruction for these students is necessary in handwriting. Many…

  5. Left-handed Children in Singapore.

    Science.gov (United States)

    Gan, Linda

    1998-01-01

    Used teacher questionnaires to examine incidence of left-handedness in nearly 2,800 Singaporean children, racial differences in this left-handed population, and educational provisions in preschool and primary school. Findings indicated that 7.5% of preschoolers and 6.3% of primary children were left-handed, with a higher proportion being Chinese…

  6. The hand eczema severity index (HECSI)

    DEFF Research Database (Denmark)

    Held, E; Skoet, R; Johansen, J D

    2005-01-01

    BACKGROUND: There is a need for a standardized clinical grading system for a more objective and accurate assessment of the severity of hand eczema (HE). OBJECTIVES: To develop and validate a scoring system called the hand eczema severity index (HECSI) designed for clinical assessment of HE. METHODS...

  7. Clean Hands Help Prevent the Flu

    Centers for Disease Control (CDC) Podcasts

    2009-05-06

    Clean hands can help prevent the spread of infectious diseases, such as flu. This podcast explains the proper way to wash your hands.  Created: 5/6/2009 by Coordinating Center for Infectious Diseases, National Center for Immunization and Respiratory Diseases, Influenza Division (CCID/NCIRD/ID).   Date Released: 5/6/2009.

  8. Right-handed neutrino magnetic moments

    CERN Document Server

    Aparici, Alberto; Santamaria, Arcadi; Wudka, Jose

    2009-01-01

    We discuss the phenomenology of the most general effective Lagrangian, up to operators of dimension 5, build with standard model fields and interactions including right-handed neutrinos. In particular we find there is a dimension 5 electroweak moment operator of right-handed neutrinos, not discussed previously in the literature, which could have interesting phenomenological consequences.

  9. Artificial, parallel, left-handed DNA helices.

    Science.gov (United States)

    Tian, Cheng; Zhang, Chuan; Li, Xiang; Li, Yingmei; Wang, Guansong; Mao, Chengde

    2012-12-19

    This communication reports an engineered DNA architecture. It contains multiple domains of half-turn-long, standard B-DNA duplexes. While each helical domain is right-handed and its two component strands are antiparallel, the global architecture is left-handed and the two component DNA strands are oriented parallel to each other.

  10. Evolution of one-handed piano compositions.

    Science.gov (United States)

    Drozdov, Ignat; Kidd, Mark; Modlin, Irvin M

    2008-01-01

    Electronic searches were performed to investigate the evolution of one-handed piano compositions and one-handed music techniques, and to identify individuals responsible for the development of music meant for playing with one hand. Particularly, composers such as Liszt, Ravel, Scriabin, and Prokofiev established a new model in music by writing works to meet the demands of a variety of pianist-amputees that included Count Géza Zichy (1849-1924), Paul Wittgenstein (1887-1961), and Siegfried Rapp (b. 1915). Zichy was the first to amplify the scope of the repertoire to improve the variety of one-handed music; Wittgenstein developed and adapted specific and novel performance techniques to accommodate one-handedness; and Rapp sought to promote the stature of one-handed pianists among a musically sophisticated public able to appreciate the nuances of such maestros.

  11. A portable rehabilitation device for the Hand.

    Science.gov (United States)

    Iqbal, Jamshed; Tsagarakis, Nikos G; Fiorilla, Angelo E; Caldwell, Darwin G

    2010-01-01

    This paper presents the design of a direct driven under-actuated portable hand exoskeleton for rehabilitation. The design of the proposed Hand EXOskeleton SYStem (HEXOSYS) was driven by multi-objective optimisation strategy and inspiration from the human hand. The optimisation algorithm resulted in the choice of optimum link lengths of the device. The optimisation criteria are based on dexterity, isotropy and exertion of perpendicular forces on the finger digits. Furthermore, a series of experiments on the human hand using appropriate sensory instrumentation guided the selection of actuators thereby resulting in a rehabilitation device which is compatible with the human hand force capabilities. The provision of force as well as position feedback gives quantitative feedback to the therapist and would imply a more efficient rehabilitation process. The first prototype of the device has been designed and realized.

  12. [Suicide with a manipulated hand grenade].

    Science.gov (United States)

    Preuss-Wössner, Johanna; Kroll, Jürgen

    2010-01-01

    Explosion injuries in civilians are rare. An uncommon case of suicide with a manipulated hand grenade is presented. The findings at the scene and on the body (i.a. massive soot blackening of the skin, singeing, size and number of splinters) gave reason to doubt the use of trinitrotoluene (TNT), the usual explosive charge in hand grenades. Further investigations showed that parts of several hand grenades and black powder from standard fire-crackers commercially available without legal restriction had been used as propelling charge. The victim, who was in a sitting position, held the hand grenade in the left hand and triggered it with the right. He bled to death due to a fracture of the right femur and lacerations of the liver. The chronological course and total circumstances of the case suggested suicide in a strongly intoxicated condition (BAC 2.5 per mille). In the flat, a larger number of unlicensed weapons and weapon parts were found.

  13. Air Muscle Actuated Low Cost Humanoid Hand

    Directory of Open Access Journals (Sweden)

    Peter Scarfe

    2006-06-01

    Full Text Available The control of humanoid robot hands has historically been expensive due to the cost of precision actuators. This paper presents the design and implementation of a low-cost air muscle actuated humanoid hand developed at Curtin University of Technology. This hand offers 10 individually controllable degrees of freedom ranging from the elbow to the fingers, with overall control handled through a computer GUI. The hand is actuated through 20 McKibben-style air muscles, each supplied by a pneumatic pressure-balancing valve that allows for proportional control to be achieved with simple and inexpensive components. The hand was successfully able to perform a number of human-equivalent tasks, such as grasping and relocating objects.

  14. Staphylococcus aureus and hand eczema severity

    DEFF Research Database (Denmark)

    Haslund, P; Bangsgaard, N; Jarløv, J O

    2009-01-01

    BACKGROUND: The role of bacterial infections in hand eczema (HE) remains to be assessed. OBJECTIVES: To determine the prevalence of Staphylococcus aureus in patients with HE compared with controls, and to relate presence of S. aureus, subtypes and toxin production to severity of HE. METHODS......: Bacterial swabs were taken at three different visits from the hand and nose in 50 patients with HE and 50 controls. Staphylococcus aureus was subtyped by spa typing and assigned to clonal complexes (CCs), and isolates were tested for exotoxin-producing S. aureus strains. The Hand Eczema Severity Index...... was used for severity assessment. RESULTS: Staphylococcus aureus was found on the hands in 24 patients with HE and four controls (P hands...

  15. Updating quasar bolometric luminosity corrections

    CERN Document Server

    Runnoe, Jessie C; Shang, Zhaohui

    2012-01-01

    Bolometric corrections are used in quasar studies to quantify total energy output based on a measurement of a monochromatic luminosity. First, we enumerate and discuss the practical difficulties of determining such corrections, then we present bolometric luminosities between 1 \\mu m and 8 keV rest frame and corrections derived from the detailed spectral energy distributions of 63 bright quasars of low to moderate redshift (z = 0.03-1.4). Exploring several mathematical fittings, we provide practical bolometric corrections of the forms L_iso=\\zeta \\lambda L_{\\lambda} and log(L_iso)=A+B log(\\lambda L_{\\lambda}) for \\lambda= 1450, 3000, and 5100 \\AA, where L_iso is the bolometric luminosity calculated under the assumption of isotropy. The significant scatter in the 5100 \\AA\\ bolometric correction can be reduced by adding a first order correction using the optical slope, \\alpha_\\lambda,opt. We recommend an adjustment to the bolometric correction to account for viewing angle and the anisotropic emission expected fr...

  16. Pathways to clean hands: highlights of successful hand hygiene implementation strategies in Europe.

    Science.gov (United States)

    Magiorakos, A P; Leens, E; Drouvot, V; May-Michelangeli, L; Reichardt, C; Gastmeier, P; Wilson, K; Tannahill, M; McFarlane, E; Simon, A

    2010-05-06

    Hand hygiene is the most effective way to stop the spread of microorganisms and to prevent healthcare-associated infections (HAI). The World Health Organization launched the First Global Patient Safety Challenge - Clean Care is Safer Care - in 2005 with the goal to prevent HAI globally. This year, on 5 May, the WHO s initiative SAVE LIVES: Clean Your Hands, which focuses on increasing awareness of and improving compliance with hand hygiene practices, celebrated its second global day. In this article, four Member States of the European Union describe strategies that were implemented as part of their national hand hygiene campaigns and were found to be noteworthy. The strategies were: governmental support, the use of indicators for hand hygiene benchmarking, developing national surveillance systems for auditing alcohol-based hand rub consumption, ensuring seamless coordination of processes between health regions in countries with regionalised healthcare systems, implementing the WHO's My Five Moments for Hand Hygiene, and auditing of hand hygiene compliance.

  17. Hand eczema guidelines based on the Danish guidelines for the diagnosis and treatment of hand eczema

    DEFF Research Database (Denmark)

    Menné, Torkil; Johansen, Jeanne D; Sommerlund, Mette

    2011-01-01

    Background. Classification of hand eczema has traditionally been based both on aetiology and clinical appearance. For 20% of cases, the aetiology is unknown. Objectives. To suggest a classification based on well-defined aetiology as well as on predefined clinical patterns and on the dynamics...... of hand eczema. Methods. Literature studies and discussions among members of the Danish Contact Dermatitis Group. Results. Criteria are given for the aetiological diagnoses of allergic contact dermatitis of the hands, irritant contact dermatitis of the hands, protein contact dermatitis of the hands......, atopic hand eczema and aetiologically unclassifiable hand eczema. Six different clinical patterns are described and illustrated. Suggestions for general treatment principles are given. Conclusion. Operational guidelines for the diagnosis and treatment of hand eczema are described....

  18. Comparing hand washing to hand sanitizers in reducing elementary school students' absenteeism.

    Science.gov (United States)

    Vessey, Judith A; Sherwood, Jessie J; Warner, Dorothy; Clark, Diane

    2007-01-01

    To compare the efficacy of an alcohol-based hand sanitizer to standard hand washing in reducing illness and subsequent absenteeism in school-age children. A randomized cross-over design was used with 18 classrooms of 2nd and 3rd grade students (n = 383) from 4 elementary schools. Half of the classes from each school used an anti-microbial gel hand sanitizer while the other half used soap and water for regular hand hygiene for 2 months, then, the students switched cleaning methods for the following 2 months. No significant differences in absenteeism rates were demonstrated. A follow-up focus group comprised of teachers and school nurses indicated that hand sanitizers were preferred over soap and water. Hand sanitizers are an appropriate alternative to hand washing for hand cleansing and may offer additional benefits in the school setting.

  19. Rapid feedback corrections during a bimanual postural task.

    Science.gov (United States)

    Omrani, Mohsen; Diedrichsen, Jörn; Scott, Stephen H

    2013-01-01

    An important observation in motor physiology is that even the fastest feedback responses can be modified in a task-dependent manner. However, whether or not such responses in one limb can be modulated based on online sensory feedback from other limbs is still unknown. We tested this using a bimanual postural control task, in which the two hands either controlled two separate cursors (double-cursor task) or a single cursor displayed at the spatial average between the hands (single-cursor task). In the first experiment, the two hands were symmetrically perturbed outwards. In the double-cursor task, the participants therefore had to return their hands to the targets, whereas in the single-cursor task no correction was necessary. Within 50 ms, the electromyographic activity showed significantly smaller responses in the single- compared with the double-cursor task. In the second experiment, the perturbation direction of the left hand (inward/outward) was randomized, such that participants could not preplan their response before perturbation onset. Results show that the behavior of the right arm in the one-cursor task depended on online feedback coming from the left arm: the muscular response was modulated within 75 ms based on directionally specific information of the left arm. These results suggest that sensory feedback from one limb can quickly modify the perturbation response of another limb in a task-dependent manner.

  20. Hand functioning in children with cerebral palsy

    Directory of Open Access Journals (Sweden)

    Carlyne eArnould

    2014-04-01

    Full Text Available Brain lesions may disturb hand functioning in children with cerebral palsy (CP, making it difficult or even impossible for them to perform several manual activities. Most conventional treatments for hand dysfunction in CP assume that reducing the hand dysfunctions will improve the capacity to manage activities (i.e., manual ability, MA. The aim of this study was to investigate the directional relationships (direct and indirect pathways through which hand skills influence MA in children with CP. A total of 136 children with CP (mean age: 10 years; range: 6–16 years; 35 quadriplegics, 24 diplegics, 77 hemiplegics were assessed. Six hand skills were measured on both hands: touch-pressure detection (Semmes-Weinstein aesthesiometer, stereognosis (Manual Form Perception Test, proprioception (passive mobilization of the metacarpophalangeal joints, grip strength (Jamar dynamometer, gross manual dexterity (Box and Block Test, and fine finger dexterity (Purdue Pegboard Test. MA was measured with the ABILHAND-Kids questionnaire. Correlation coefficients were used to determine the linear associations between observed variables. A path analysis of structural equation modeling was applied to test different models of causal relationships among the observed variables. Purely sensory impairments did seem not to play a significant role in the capacity to perform manual activities. According to path analysis, gross manual dexterity in both hands and stereognosis in the dominant hand were directly related to MA, whereas grip strength was indirectly related to MA through its relationship with gross manual dexterity. However, one-third of the variance in MA measures could not be explained by hand skills. It can be concluded that MA is not simply the integration of hand skills in daily activities and should be treated per se, supporting activity-based interventions.

  1. Hand Functioning in Children with Cerebral Palsy

    Science.gov (United States)

    Arnould, Carlyne; Bleyenheuft, Yannick; Thonnard, Jean-Louis

    2014-01-01

    Brain lesions may disturb hand functioning in children with cerebral palsy (CP), making it difficult or even impossible for them to perform several manual activities. Most conventional treatments for hand dysfunction in CP assume that reducing the hand dysfunctions will improve the capacity to manage activities (i.e., manual ability, MA). The aim of this study was to investigate the directional relationships (direct and indirect pathways) through which hand skills influence MA in children with CP. A total of 136 children with CP (mean age: 10 years; range: 6–16 years; 35 quadriplegics, 24 diplegics, 77 hemiplegics) were assessed. Six hand skills were measured on both hands: touch-pressure detection (Semmes–Weinstein esthesiometer), stereognosis (Manual Form Perception Test), proprioception (passive mobilization of the metacarpophalangeal joints), grip strength (GS) (Jamar dynamometer), gross manual dexterity (GMD) (Box and Block Test), and fine finger dexterity (Purdue Pegboard Test). MA was measured with the ABILHAND-Kids questionnaire. Correlation coefficients were used to determine the linear associations between observed variables. A path analysis of structural equation modeling was applied to test different models of causal relationships among the observed variables. Purely sensory impairments did seem not to play a significant role in the capacity to perform manual activities. According to path analysis, GMD in both hands and stereognosis in the dominant hand were directly related to MA, whereas GS was indirectly related to MA through its relationship with GMD. However, one-third of the variance in MA measures could not be explained by hand skills. It can be concluded that MA is not simply the integration of hand skills in daily activities and should be treated per se, supporting activity-based interventions. PMID:24782821

  2. Hand-held tools with complex kinematics are efficiently incorporated into movement planning and online control.

    Science.gov (United States)

    Baugh, Lee A; Hoe, Erica; Flanagan, J Randall

    2012-10-01

    Certain hand-held tools alter the mapping between hand motion and motion of the tool end point that must be controlled in order to perform a task. For example, when using a pool cue, the motion of the cue tip is reversed relative to the hand. Previous studies have shown that the time required to initiate a reaching movement (Fernandez-Ruiz J, Wong W, Armstrong IT, Flanagan JR. Behav Brain Res 219: 8-14, 2011), or correct an ongoing reaching movement (Gritsenko V, Kalaska JF. J Neurophysiol 104: 3084-3104, 2010), is prolonged when the mapping between hand motion and motion of a cursor controlled by the hand is reversed. Here we show that these time costs can be significantly reduced when the reversal is instantiated by a virtual hand-held tool. Participants grasped the near end of a virtual tool, consisting of a rod connecting two circles, and moved the end point to displayed targets. In the reversal condition, the rod translated through, and rotated about, a pivot point such that there was a left-right reversal between hand and end point motion. In the nonreversal control, the tool translated with the hand. As expected, when only the two circles were presented, movement initiation and correction times were much longer in the reversal condition. However, when full vision of the tool was provided, the reaction time cost was almost eliminated. These results indicate that tools with complex kinematics can be efficiently incorporated into sensorimotor control mechanisms used in movement planning and online control.

  3. Programming of left hand exploits task set but that of right hand depends on recent history.

    Science.gov (United States)

    Tang, Rixin; Zhu, Hong

    2017-07-01

    There are many differences between the left hand and the right hand. But it is not clear if there is a difference in programming between left hand and right hand when the hands perform the same movement. In current study, we carried out two experiments to investigate whether the programming of two hands was equivalent or they exploited different strategies. In the first experiment, participants were required to use one hand to grasp an object with visual feedback or to point to the center of one object without visual feedback on alternate trials, or to grasp an object without visual feedback and to point the center of one object with visual feedback on alternating trials. They then performed the tasks with the other hand. The result was that previous pointing task affected current grasping when it was performed by the left hand, but not the right hand. In experiment 2, we studied if the programming of the left (or right) hand would be affected by the pointing task performed on the previous trial not only by the same hand, but also by the right (or left) hand. Participants pointed and grasped the objects alternately with two hands. The result was similar with Experiment 1, i.e., left-hand grasping was affected by right-hand pointing, whereas right-hand grasping was immune from the interference from left hand. Taken together, the results suggest that when open- and closed-loop trials are interleaved, motor programming of grasping with the right hand was affected by the nature of the online feedback on the previous trial only if it was a grasping trial, suggesting that the trial-to-trial transfer depends on sensorimotor memory and not on task set. In contrast, motor programming of grasping with the left hand can use information about the nature of the online feedback on the previous trial to specify the parameters of the movement, even when the type of movement that occurred was quite different (i.e., pointing) and was performed with the right hand. This suggests that

  4. Generalised geometry for string corrections

    CERN Document Server

    Coimbra, André; Triendl, Hagen; Waldram, Daniel

    2014-01-01

    We present a general formalism for incorporating the string corrections in generalised geometry, which necessitates the extension of the generalised tangent bundle. Not only are such extensions obstructed, string symmetries and the existence of a well-defined effective action require a precise choice of the (generalised) connection. The action takes a universal form given by a generalised Lichnerowitz--Bismut theorem. As examples of this construction we discuss the corrections linear in $\\alpha'$ in heterotic strings and the absence of such corrections for type II theories.

  5. Effectiveness of Hand Sanitizers with and without Organic Acids for Removal of Rhinovirus from Hands

    Science.gov (United States)

    Turner, Ronald B.; Fuls, Janice L.; Rodgers, Nancy D.

    2010-01-01

    These studies evaluated the effectiveness of ethanol hand sanitizers with or without organic acids to remove detectable rhinovirus from the hands and prevent experimental rhinovirus infection. Ethanol hand sanitizers were significantly more effective than hand washing with soap and water. The addition of organic acids to the ethanol provided residual virucidal activity that persisted for at least 4 h. Whether these treatments will reduce rhinovirus infection in the natural setting remains to be determined. PMID:20047916

  6. Effectiveness of hand sanitizers with and without organic acids for removal of rhinovirus from hands.

    Science.gov (United States)

    Turner, Ronald B; Fuls, Janice L; Rodgers, Nancy D

    2010-03-01

    These studies evaluated the effectiveness of ethanol hand sanitizers with or without organic acids to remove detectable rhinovirus from the hands and prevent experimental rhinovirus infection. Ethanol hand sanitizers were significantly more effective than hand washing with soap and water. The addition of organic acids to the ethanol provided residual virucidal activity that persisted for at least 4 h. Whether these treatments will reduce rhinovirus infection in the natural setting remains to be determined.

  7. "Take time. Save lives. Clean hands protect." A comparison of two hand hygiene health promotion posters.

    Science.gov (United States)

    Mackert, Michael; Lazard, Allison; Champlin, Sara; Liang, Ming-Ching; Mabry, Amanda; Stroever, Stephanie; Guadagno, Marie; Watkins, Lynda

    2014-05-01

    Two posters were designed to encourage hospital staff hand hygiene. One focused on broad benefits of hand hygiene to patients and staff, and the other highlighted hand hygiene as a long-known measure to infection control. The former was better received in terms of attention, likability, and potential to promote hand hygiene. A third-person effect, the perception of stronger impact of communication messages on others, was observed. Implications on health promotion message design were discussed.

  8. Communicative hand gestures and object-directed hand movements activated the mirror neuron system

    OpenAIRE

    Montgomery, Kimberly J.; Isenberg, Nancy; Haxby, James V.

    2007-01-01

    Humans produce hand movements to manipulate objects, but also make hand movements to convey socially relevant information to one another. The mirror neuron system (MNS) is activated during the observation and execution of actions. Previous neuroimaging experiments have identified the inferior parietal lobule (IPL) and frontal operculum as parts of the human MNS. Although experiments have suggested that object-directed hand movements drive the MNS, it is not clear whether communicative hand ge...

  9. The Geriatric Hand: Correlation of Hand-Muscle Function and Activity Restriction in Elderly

    Science.gov (United States)

    Incel, Nurgul Arinci; Sezgin, Melek; As, Ismet; Cimen, Ozlem Bolgen; Sahin, Gunsah

    2009-01-01

    On the basis of the importance of hand manipulation in activities of daily living (ADL), deterioration of hand function because of various factors reduces quality and independence of life of the geriatric population. The aim of this study was to identify age-induced changes in manual function and to quantify the correlations between hand-muscle…

  10. The Effect of Antibacterial Formula Hand Cleaners on the Elimination of Microbes on Hands

    Science.gov (United States)

    Coleman, J. R.

    2002-05-01

    : The purpose of this project is to find out which one of the antibacterial hand cleanser (antibacterial bar soap, antibacterial liquid hand soap, and liquid hand sanitizer) is more effective in eliminating microbes. If antibacterial- formula liquid hand soap is used on soiled hands, then it will be more effective in eliminating microbes. Germs are microorganisms that cause disease and can spread from person-to-person. Bacteria are a kind of microbe, an example of which is Transient Flora that is often found on hands. Hand washing prevents germs from spreading to others. During the procedure, swabs were used to take samples before and after the soiled hands had been washed with one of the antibacterial hand cleansers. Nutrient Easygel was poured into petri dishes to harden for 1 day, and then samples were swabbed on the gel. The Petri dishes were placed in an incubator for 24 hours, and then data was recorded accordingly. The antibacterial liquid hand soap was sufficient in eliminating the majority of bacteria. The hands had 65% of the bacteria on them, and after the liquid hand soap was used only 37% of the bacteria remained.

  11. Hand Preference and Skill in 115 Children of Two Left-Handed Parents.

    Science.gov (United States)

    Annett, Marian

    1983-01-01

    Studied hand skill and performance in children (N=115) of left-handed parents using peg moving tasks and soccer kicks. Concluded that being raised by two left-handed parents does little to hinder the expression of the rs plus gene. Correlations for handedness in families depend more on genetics than experience. (Author/JAC)

  12. Hand Preference and Skill in 115 Children of Two Left-Handed Parents.

    Science.gov (United States)

    Annett, Marian

    1983-01-01

    Studied hand skill and performance in children (N=115) of left-handed parents using peg moving tasks and soccer kicks. Concluded that being raised by two left-handed parents does little to hinder the expression of the rs plus gene. Correlations for handedness in families depend more on genetics than experience. (Author/JAC)

  13. Stigmatization of repetitive hand use in newspaper reports of hand illness.

    Science.gov (United States)

    Anthony, Shawn; Lozano-Calderon, Santiago; Ring, David

    2008-03-01

    Failure to provide a balanced evidence-based consideration of the role of activity in illness can stigmatize individuals and their activities. We assessed the prevalence of language that stigmatized repetitive hand use and those that use their hand repetitively in newspaper coverage of common hand illnesses. The LexisNexis Academic database was used to search five major US newspapers for articles containing keywords about common hand illnesses during a 3-year period. Article language was assessed for stigmatization of activities involving repetitive hand use as well as for stigmatization of patients who use their hand repetitively. One hundred and twenty-four articles on hand illnesses were identified. Of these, 65.3% of articles stigmatized activities involving repetitive hand use, including 96.6% of articles discussing overuse injury of the hand, 90% of articles discussing tendonitis or tenosynovitis, and 51.8% of articles discussing carpal tunnel syndrome. Patient stigmatization was documented in 30.6% of the newspaper articles. Stigmatizing statements were most commonly made by journalists (94.8%), followed by patients (3.1%), and physicians (2.1%). Language that stigmatizes repetitive hand use and patients who use their hand repetitively is prevalent among US newspaper articles. Both health professionals and journalists reporting health-related news should be more sensitive to the use of stigmatizing language and provide a more balanced, measured, and evidenced-based account of hand illnesses.

  14. The i-LIMB hand and the DMC plus hand compared : A case report

    NARCIS (Netherlands)

    Niet Van Der, Olga; Reinders-Messelink, Heleen A.; Bongers, Raoul M.; Bouwsema, Hanneke; Van Der Sluis, Corry K.; Otr, O.V.

    2010-01-01

    The i-LIMB hand is a novel upper limb myoelectric prosthetic hand with several joints in the fingers and thumb. This study aimed to determine whether this new device had more functionality than a more conventional myoelectric prosthetic hand with only a single joint between the thumb and two fingers

  15. Dual-task motor performance with a tongue-operated assistive technology compared with hand operations

    Directory of Open Access Journals (Sweden)

    Johnson Ashley N

    2012-01-01

    Full Text Available Abstract Background To provide an alternative motor modality for control, navigation, and communication in individuals suffering from impairment or disability in hand functions, a Tongue Drive System (TDS has been developed that allows for real time tracking of tongue motion in an unobtrusive, wireless, and wearable device that utilizes the magnetic field generated by a miniature disk shaped magnetic tracer attached to the tip of the tongue. The purpose of the study was to compare the influence of a concurrent motor or cognitive task on various aspects of simple movement control between hand and tongue using the TDS technology. Methods Thirteen young able-bodied adults performed rapid and slow goal-directed movements of hand and tongue (with TDS with and without a concurrent motor (hand or tongue or cognitive (arithmetic and memory task. Changes in reaction time, completion time, speed, correctness, accuracy, variability of displacement, and variability of time due to the addition of a concurrent task were compared between hand and tongue. Results The influence of an additional concurrent task on motor performance was similar between the hand and tongue for slow movement in controlling their displacement. In rapid movement with a concurrent motor task, most aspects of motor performance were degraded in hand, while tongue speed during rapid continuous task was maintained. With a concurrent cognitive task, most aspects of motor performance were degraded in tongue, while hand accuracy during the rapid discrete task and hand speed during the rapid continuous task were maintained. Conclusion Rapid goal-directed hand and tongue movements were more consistently susceptible to interference from concurrent motor and cognitive tasks, respectively, compared with the other movement.

  16. Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology.

    Science.gov (United States)

    Lehotsky, Ákos; Szilágyi, László; Demeter-Iclănzan, Annamária; Haidegger, Tamás; Wéber, György

    2016-06-01

    The aim of this study was to objectively assess the hand hygiene performance of medical students. Hand rubbing technique was evaluated by employing innovative UV-light-based imaging technology, identifying patterns and trends in missed areas after applying WHO's six-step protocol. This specially designed hand hygiene education and assessment program targeted 1,344 medical students at two distant sites in Central Europe. Students were introduced to a short video, presenting the basics of hand hygiene, and then received further demonstration from professional trainers, focusing on the correct execution of WHO's six-step technique. To verify the acquired skill, participants rubbed their hands with UV-marked alcohol-based solution. Digital images of the hands were recorded under UV light, followed by computer evaluation and assessment. Immediate objective visual feedback was given to the participants showing missed areas on their hands. The statistical analysis of missed spots was based on retrospective expert-driven manual evaluation. Significant difference in rubbing quality was found between female and male participants [35.3% (CI 95%: 33-38%) versus 29.0% (CI 95%: 27-31%), p hands [43.4% (CI 95%: 39-48%) versus 34.9% (CI 95%: 32-38%), p = 0.002], and various zones of the hands' dorsal side. Based on the participants' feedback and the evaluation of the infection control specialists, it can be stated that the identification of typically missed patterns and the instant visual feedback have a vital role in improving the hand hygiene technique of prospective medical staff.

  17. Hand dominance and hand use behaviour reported in a survey of 2437 Koreans.

    Science.gov (United States)

    Jung, Hwa S; Jung, Hyung-Shik

    2009-11-01

    Most tools, utensils, office equipment, home appliances, clothes, medical instruments, sporting goods, weapons and public facilities are made for people who are right-handed. Many left-handed people have to endure a certain amount of inconvenience or difficulty in carrying out daily activities in such an environment. In this study, 2437 Korean male and female participants were randomly selected to collect a variety of data on hand dominance and hand preference when handling diverse products and facilities. Their responses in a questionnaire survey revealed that 5.8% were left-handed and 7.9% were ambidextrous. The younger participants who were from teens to 39 years reported higher percentages of left-handedness than those over 40 years, with those in their thirties reporting the highest proportion of left-handedness (7.3-7.6%) for both men and women. A slightly higher percentage of the male participants (5.9%) said that they were left-handed than did the female participants (5.6%). However, the percentage who were ambidextrous varied with age group, but overall there was a higher percentage of women (8.3%) than of men (7.6%). The analysis of hand use behaviour revealed that the right-handed and ambidextrous people had a tendency to use their right hands more for actions that required accuracy than those that required force. The left-handed people had a strong tendency to use their left hands more often when making a forceful action than for one that required accuracy. Derived from these results, the conclusion is that, depending on their hand dominance, people seem to use their hands differently when they handle objects or use facilities, which should be considered in the design of hand-controlled devices. Depending on which hand is the dominant one, people seem to use their hands differently when they handle objects or use facilities. The left-handed tend to use their left hands more with force-required motions than with accuracy-required motions, while

  18. Hand Shape Recognition in Human Machine Interaction through the Singularity Detection with Wavelet Transform

    Science.gov (United States)

    Wei, Jinwen; Chen, Yanling; Qin, Hequn; Guo, Junjie

    This paper represents a hand shapes recognition system for the Human Machine Interaction (HMI) with service robot of disable people. This system uses a touchpad to precept the touching of fingers, as well as to provide a background for hand shapes image. Each finger can stay in one of the 4 statuses: stretch- touching on the pad, retracting-touching on the pad, stretch-detaching over the pad and retracting-detaching over the pad. Hand shapes, posed to express HMI instructions, are defined by the status combinations of Index finger, Middle finger, Ring finger and Little finger. Hand shape features, the relative heights of the fingertips, are extracted through the singularity detection with wavelet transform on hand shape contour. The hand shape recognition of this system is based on an optimized Bayesian decision binary tree. The design of 2 types of classifier in the tree and the corresponding error rates of the classifiers are analyzed. Implemented by a DSP processor, a correctness ratio of over 98% is obtained in the identification of 12 hand shapes. Experiments show that this system can provide a flexible, humanized and expendable HMI for service robot, as well as for other applications.

  19. Spelling Correction in Agglutinative Languages

    CERN Document Server

    Oflazer, K

    1994-01-01

    This paper presents an approach to spelling correction in agglutinative languages that is based on two-level morphology and a dynamic programming based search algorithm. Spelling correction in agglutinative languages is significantly different than in languages like English. The concept of a word in such languages is much wider that the entries found in a dictionary, owing to {}~productive word formation by derivational and inflectional affixations. After an overview of certain issues and relevant mathematical preliminaries, we formally present the problem and our solution. We then present results from our experiments with spelling correction in Turkish, a Ural--Altaic agglutinative language. Our results indicate that we can find the intended correct word in 95\\% of the cases and offer it as the first candidate in 74\\% of the cases, when the edit distance is 1.

  20. Dispersion based beam tilt correction

    CERN Document Server

    Guetg, Marc W; Prat, Eduard; Reiche, Sven

    2013-01-01

    In Free Electron Lasers (FEL), a transverse centroid misalignment of longitudinal slices in an electron bunch reduces the effective overlap between radiation field and electron bunch and therefore the FEL performance. The dominant sources of slice misalignments for FELs are the incoherent and coherent synchrotron radiation within bunch compressors as well as transverse wake fields in the accelerating cavities. This is of particular importance for over-compression which is required for one of the key operation modes for the SwissFEL planned at the Paul Scherrer Institute. The centroid shift is corrected using corrector magnets in dispersive sections, e.g. the bunch compressors. First and second order corrections are achieved by pairs of sextupole and quadrupole magnets in the horizontal plane while skew quadrupoles correct to first order in the vertical plane. Simulations and measurements at the SwissFEL Injector Test Facility are done to investigate the proposed correction scheme for SwissFEL. This paper pres...

  1. General correcting formula of forecasting?

    OpenAIRE

    2009-01-01

    A general correcting formula of forecasting (as a framework for long-use and standardized forecasts) is proposed. The formula provides new forecasting resources and areas of application including economic forecasting.

  2. Quantum corrections for Boltzmann equation

    Institute of Scientific and Technical Information of China (English)

    M.; Levy; PETER

    2008-01-01

    We present the lowest order quantum correction to the semiclassical Boltzmann distribution function,and the equation satisfied by this correction is given. Our equation for the quantum correction is obtained from the conventional quantum Boltzmann equation by explicitly expressing the Planck constant in the gradient approximation,and the quantum Wigner distribution function is expanded in pow-ers of Planck constant,too. The negative quantum correlation in the Wigner dis-tribution function which is just the quantum correction terms is naturally singled out,thus obviating the need for the Husimi’s coarse grain averaging that is usually done to remove the negative quantum part of the Wigner distribution function. We also discuss the classical limit of quantum thermodynamic entropy in the above framework.

  3. General correcting formula of forecasting?

    OpenAIRE

    Harin, Alexander

    2009-01-01

    A general correcting formula of forecasting (as a framework for long-use and standardized forecasts) is proposed. The formula provides new forecasting resources and areas of application including economic forecasting.

  4. Error correcting coding for OTN

    DEFF Research Database (Denmark)

    Justesen, Jørn; Larsen, Knud J.; Pedersen, Lars A.

    2010-01-01

    Forward error correction codes for 100 Gb/s optical transmission are currently receiving much attention from transport network operators and technology providers. We discuss the performance of hard decision decoding using product type codes that cover a single OTN frame or a small number...... of such frames. In particular we argue that a three-error correcting BCH is the best choice for the component code in such systems....

  5. Radiative corrections to Bose condensation

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, A. (Academia de Ciencias de Cuba, La Habana. Inst. de Matematica, Cibernetica y Computacion)

    1985-04-01

    The Bose condensation of the scalar field in a theory behaving in the Coleman-Weinberg mode is considered. The effective potential of the model is computed within the semiclassical approximation in a dimensional regularization scheme. Radiative corrections are shown to introduce certain ..mu..-dependent ultraviolet divergences in the effective potential coming from the Many-Particle theory. The weight of radiative corrections in the dynamics of the system is strongly modified by the charge density.

  6. Proving Program Correctness. Volume V.

    Science.gov (United States)

    1981-11-01

    Task 2. Proving Program Correctness (P.I.: J.C. Reynolds). This group is working towards programming languaje designs which increase the probability...certain syntactic difficulties: the natural abstract syntax is ambiguous, and syntactic correctness is violated by certain beta reductions. 3 - These...concept of a functor to express a-sp- priat : restrictions on implicit conversion functions. In a similar v-’.1n, we can use the concept of a natural

  7. Quantum error correction for beginners.

    Science.gov (United States)

    Devitt, Simon J; Munro, William J; Nemoto, Kae

    2013-07-01

    Quantum error correction (QEC) and fault-tolerant quantum computation represent one of the most vital theoretical aspects of quantum information processing. It was well known from the early developments of this exciting field that the fragility of coherent quantum systems would be a catastrophic obstacle to the development of large-scale quantum computers. The introduction of quantum error correction in 1995 showed that active techniques could be employed to mitigate this fatal problem. However, quantum error correction and fault-tolerant computation is now a much larger field and many new codes, techniques, and methodologies have been developed to implement error correction for large-scale quantum algorithms. In response, we have attempted to summarize the basic aspects of quantum error correction and fault-tolerance, not as a detailed guide, but rather as a basic introduction. The development in this area has been so pronounced that many in the field of quantum information, specifically researchers who are new to quantum information or people focused on the many other important issues in quantum computation, have found it difficult to keep up with the general formalisms and methodologies employed in this area. Rather than introducing these concepts from a rigorous mathematical and computer science framework, we instead examine error correction and fault-tolerance largely through detailed examples, which are more relevant to experimentalists today and in the near future.

  8. Therapy after injury to the hand.

    Science.gov (United States)

    Dorf, Erik; Blue, Carla; Smith, Beth P; Koman, L Andrew

    2010-08-01

    Surgical and nonsurgical management of upper extremity disorders benefits from the collaboration of a therapist, the treating physician, and the patient. Hand therapy plays a role in many aspects of treatment, and patients with upper extremity injuries may spend considerably more time with a therapist than with a surgeon. Hand therapists coordinate edema control; pain management; minimization of joint contractures; maximization of tendon gliding, strengthening, and work hardening; counseling; and ongoing diagnostic evaluation. Modalities used to manage hand injuries include ultrasound, splinting, Fluidotherapy (Chattanooga Group, Chattanooga, TN), cryotherapy, various electrical modalities, phonophoresis, and iontophoresis.

  9. Management of post burn hand deformities

    Directory of Open Access Journals (Sweden)

    Sabapathy S

    2010-10-01

    Full Text Available The hand is ranked among the three most frequent sites of burns scar contracture deformity. One of the major determinants of the quality of life in burns survivors is the functionality of the hands. Burns deformities, although largely preventable, nevertheless do occur when appropriate treatment is not provided in the acute situation or when they are part of a major burns. Reconstructive procedures can greatly improve the function of the hands. Appropriate choice of procedures and timing of surgery followed by supervised physiotherapy can be a boon for a burns survivor.

  10. Preventing exposure to second-hand smoke.

    Science.gov (United States)

    Chan, Sophia; Lam, Tai Hing

    2003-11-01

    To report the effectiveness of a health education intervention provided by nurses to prevent second-hand smoke exposure in sick children in Hong Kong. A clinical trial, international and national government reports, and research studies. Exposure to second-hand smoke is associated with significant morbidity and mortality. Nursing interventions to reduce exposure are critical and need further study. Nurses are in a vital position to carry out health education about the health risks associated with second-hand smoke exposure and to protect the child from such exposure.

  11. Lead Ingestion Hazard in Hand Soldering Environments.

    Science.gov (United States)

    1984-05-01

    RD-Ai45 663 LEAD INGESTION HAZARD IN HAND SOLDERING ENVIRONMENTS i/i (U) NAVAL WEAPONS CENTER CHINA LAKE CA E R MONSALVE MAY 84 NWC-TP-6545...6545 Lead Ingestion Hazard in Hand Soldering Environments (JD CD I) by Elisabeth R. Monsalve a y- Safety and Security Department I MAY 1984 NAVAL...COVERED LEAD INGESTION HAZARD IN HAND SOLDERING ENVIRONMENTS A summary report 6. PERFORMING ONG. REPORT NUMBER 7. AUTHOR(q) I. CONTRACT O GRANT NUM6ERt

  12. Left-handed wrestlers are more successful.

    Science.gov (United States)

    Ziyagil, Mehmet Akif; Gursoy, Recep; Dane, Senol; Yuksel, Ramazan

    2010-08-01

    It has been reported that there is a high proportion of left-handers among top athletes in different sports. In this study, the goal was to examine the rate of left-handedness in the top wrestlers at the world championships for achievement by left-handed wrestlers. The rate of left-handedness was higher in wrestlers with medal honors compared to wrestlers without medals for both men and women. The winning numbers and match degrees were higher in the left-handed wrestlers than in both right- and mixed-handed wrestlers among top international wrestlers.

  13. Circuit For Control Of Electromechanical Prosthetic Hand

    Science.gov (United States)

    Bozeman, Richard J., Jr.

    1995-01-01

    Proposed circuit for control of electromechanical prosthetic hand derives electrical control signals from shoulder movements. Updated, electronic version of prosthesis, that includes two hooklike fingers actuated via cables from shoulder harness. Circuit built around favored shoulder harness, provides more dexterous movement, without incurring complexity of computer-controlled "bionic" or hydraulically actuated devices. Additional harness and potentiometer connected to similar control circuit mounted on other shoulder. Used to control stepping motor rotating hand about prosthetic wrist to one of number of angles consistent with number of digital outputs. Finger-control signals developed by circuit connected to first shoulder harness transmitted to prosthetic hand via sliprings at prosthetic wrist joint.

  14. Hand hygiene in reducing transient flora on the hands of healthcare workers: an educational intervention.

    Science.gov (United States)

    Kapil, R; Bhavsar, H K; Madan, M

    2015-01-01

    Hand hygiene has now been recognised as one of the most effective intervention to control the transmission of infections in a hospital and education is an important tool to ensure its implementation. In order to convince the users and as a part of education, it is important to generate evidence on the role of hand hygiene in reducing the bacterial flora on their hands. The present study was undertaken in a tertiary care hospital to demonstrate the presence of bacterial flora on the hands of healthcare workers (HCW) in different categories, to teach them proper hand hygiene technique using alcohol-based hand rub and determine the outcome for reduction of bacteria. A total sample size of 60 subjects including resident doctors, medical students, nurses and hospital attendants were included in the study after obtaining informed consent. Each person was educated on the technique of hand hygiene with alcohol-based hand rub and hand impressions were cultured before and after hand hygiene. All the subjects were also given a questionnaire to assess their perception on hand hygiene. The WHO posters on proper hand hygiene were displayed in the appropriate areas of the hospital in addition, as an educational tool. Majority (42 out of 60) of the HCWs had bacterial count up to 100 colonies or more on both hands before the application of hand rub while working in the hospital. After use of alcohol hand rub with a proper hand hygiene technique, it was found that the percentage reduction was 95-99% among doctors and nurses, 70% among hospital attendants and 50% among sanitary attendants. Staphylococcus aureus was present on the hands of eight persons of which three were methicillin-resistant Staphylococcus aureus. The study demonstrates that transient bacteria are present on the hands of HCWs but majority could be removed by proper hand hygiene, which needs continuous education to be effective. It also shows that active education by demonstrating the proper hand hygiene technique

  15. Hand hygiene in reducing transient flora on the hands of healthcare workers: An educational intervention

    Directory of Open Access Journals (Sweden)

    R Kapil

    2015-01-01

    Full Text Available Aim: Hand hygiene has now been recognised as one of the most effective intervention to control the transmission of infections in a hospital and education is an important tool to ensure its implementation. In order to convince the users and as a part of education, it is important to generate evidence on the role of hand hygiene in reducing the bacterial flora on their hands. The present study was undertaken in a tertiary care hospital to demonstrate the presence of bacterial flora on the hands of healthcare workers (HCW in different categories, to teach them proper hand hygiene technique using alcohol-based hand rub and determine the outcome for reduction of bacteria. Materials and Methods: A total sample size of 60 subjects including resident doctors, medical students, nurses and hospital attendants were included in the study after obtaining informed consent. Each person was educated on the technique of hand hygiene with alcohol-based hand rub and hand impressions were cultured before and after hand hygiene. All the subjects were also given a questionnaire to assess their perception on hand hygiene. The WHO posters on proper hand hygiene were displayed in the appropriate areas of the hospital in addition, as an educational tool. Results: Majority (42 out of 60 of the HCWs had bacterial count up to 100 colonies or more on both hands before the application of hand rub while working in the hospital. After use of alcohol hand rub with a proper hand hygiene technique, it was found that the percentage reduction was 95-99% among doctors and nurses, 70% among hospital attendants and 50% among sanitary attendants. Staphylococcus aureus was present on the hands of eight persons of which three were methicillin-resistant Staphylococcus aureus. Conclusions: The study demonstrates that transient bacteria are present on the hands of HCWs but majority could be removed by proper hand hygiene, which needs continuous education to be effective. It also shows that

  16. Eye-hand preference in schizophrenia: sex differences and significance for hand function.

    Science.gov (United States)

    Liu, Yi-Chia; Yang, Yen Kuang; Lee, I Hui; Lin, Keh-Chung; Jeffries, Keith J; Lee, Li-Ching

    2004-06-01

    Hand preference and eye dominance were investigated in 73 (30 women, 43 men) schizophrenic patients and 71 (30 women, 41 men) healthy controls. There were significantly more schizophrenic patients and normal controls who were significantly right-hand dominant. However, schizophrenic patients showed a significant excess of left-eye dominance relative to controls (65.8% vs 29.6%; Odds Ratio= 4.75, peye dominance (80%) than male schizophrenic patients (55.8%) and controls (33.3%). Analysis of hand performance on the Purdue Pegboard Test indicated that schizophrenic patients who showed crossed eye-hand dominance scored higher than did patients without crossed eye-hand dominance.

  17. Comparative study of presurgical hand hygiene with hydroalcoholic solution versus traditional presurgical hand hygiene.

    Science.gov (United States)

    López Martín, M Beatriz; Erice Calvo-Sotelo, Alejo

    To compare presurgical hand hygiene with hydroalcoholic solution following the WHO protocol with traditional presurgical hand hygiene. Cultures of the hands of surgeons and surgical nurses were performed before and after presurgical hand hygiene and after removing gloves at the end of surgery. Cultures were done in 2different days: the first day after traditional presurgical hand hygiene, and the second day after presurgical hand hygiene with hydroalcoholic solution following the WHO protocol. The duration of the traditional hand hygiene was measured and compared with the duration (3min) of the WHO protocol. The cost of the products used in the traditional technique was compared with the cost of the hydroalcoholic solution used. The variability of the traditional technique was determined by observation. Following presurgical hand hygiene with hydroalcoholic solution, colony-forming units (CFU) were detected in 5 (7.3%) subjects, whereas after traditional presurgical hand hygiene CFU were detected in 14 subjects (20.5%) (p < 0.05). After glove removal, the numbers of CFU were similar. The time employed in hand hygiene with hydroalcoholic solution (3min) was inferior to the time employed in the traditional technique (p < 0.05), its cost was less than half, and there was no variability. Compared with other techniques, presurgical hand hygiene with hydroalcoholic solution significantly decreases CFU, has similar latency time, a lower cost, and saves time. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  18. Are there excitability changes in the hand motor cortex during speech in left-handed subjects?

    Science.gov (United States)

    Tokimura, Hiroshi; Tokimura, Yoshika; Arita, Kazunori

    2012-01-01

    Hemispheric dominance was investigated in left-handed subjects using single transcranial magnetic stimulation to assess the possible effect of forced change in the dominant hand. Single transcranial magnetic stimuli were delivered randomly over the hand area of the left or right motor cortex of 8 Japanese self-declared left-handed adult volunteers. Electromyographic responses were recorded in the relaxed first dorsal interosseous muscle while the subjects read aloud. Laterality quotient calculated by the Edinburgh Inventory ranged from -100 to -5.26 and laterality index calculated from motor evoked potentials ranged from -86.2 to 38.8. There was no significant correlation between laterality quotient and laterality index. Mean data values across all 8 subjects indicated significant increases only in the left hand. Our ratio analysis of facilitation of the hand motor potentials showed that 2 each of the 8 self-declared left-handers were right- and left-hand dominant and the other 4 were bilateral-hand dominant. Speech dominancy was localized primarily in the right cerebral hemisphere in left-handed subjects, but some individuals exhibited bilateral or left dominance, possibly attributable to the forced change of hand preference for writing in childhood. Our findings suggest changes in the connections between the speech and hand motor areas.

  19. Updating quasar bolometric luminosity corrections - III. [O iii] bolometric corrections

    Science.gov (United States)

    Pennell, Alison; Runnoe, Jessie C.; Brotherton, M. S.

    2017-06-01

    We present quasar bolometric corrections using the [O III] λ 5007 narrow emission line luminosity based on the detailed spectral energy distributions of 53 bright quasars at low to moderate redshift (0.0345 diversity, introduces scatter into the L_{[O III]}-Liso relationship. We found that the {[O III]} bolometric correction can be significantly improved by adding a term including the equivalent width ratio R_{Fe II} ≡ EW_{{Fe II}}/EW_{Hβ }, which is an EV1 indicator. Inclusion of R_{Fe II} in predicting Liso is significant at nearly the 3σ level and reduces the scatter and systematic offset of the luminosity residuals. Typically, {[O III]} bolometric corrections are adopted for Type 2 sources where the quasar continuum is not observed and in these cases, R_{Fe II} cannot be measured. We searched for an alternative measure of EV1 that could be measured in the optical spectra of Type 2 sources but were unable to identify one. Thus, the main contribution of this work is to present an improved {[O III]} bolometric correction based on measured bolometric luminosities and highlight the EV1 dependence of the correction in Type 1 sources.

  20. The Hand Burn Severity (HABS) score: A simple tool for stratifying severity of hand burns.

    Science.gov (United States)

    Bache, Sarah E; Fitzgerald O'Connor, Edmund; Theodorakopoulou, Evgenia; Frew, Quentin; Philp, Bruce; Dziewulski, Peter

    2017-02-01

    Hand burns represent a unique challenge to the burns team due to the intricate structure and unrivalled functional importance of the hand. The initial assessment and prognosis relies on consideration of the specific site involved as well as depth of the burn. We created a simple severity score that could be used by referring non-specialists and researchers alike. The Hand Burn Severity (HABS) score stratifies hand burns according to severity with a numerical value of between 0 (no burn) and 18 (most severe) per hand. Three independent assessors scored the photographs of 121 burned hands of 106 adult and paediatric patients, demonstrating excellent inter-rater reliability (r=0.91, pburn depth alone. The HABS score is a simple to use tool to stratify severity at initial presentation of hand burns which will be useful when referring, and when reporting outcomes. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.